DYSENTERY
AND IT.
HOM(EOPATHIC TREATMENT;
CONTAINING ALSO
A REPERTORY AND NUMEROUS CASES.
BY
FRED. HUMPHREYS, M.D.,
NEW-YORK:
WILLIAM RADDE, 322 BROADWAY.
PIIILADELPHIA: RIDEMACHER & SHEEK.-BOSTON: OTIS CLAPP —ST. LOUIS
J. G. WESSELH(EFT.-LONDON: JAMES EPPS, 112 GREAT RUSSELL-STREET,
BLOOMSBURY.-MANCHESTER: II. TURNER, 41 PICCADILLY.
1853.




ENTERED according to Act of Congress, in the year 1853, by
WILLIAM RADDE,
In the Clerk's Office, of the District Court, for the Southern District of
New-York.
Henry Ludwig, Printer, 45 Vesey-st.




PREF ACE.
FEW diseases in the UInited States are more extensively
prevalent or more formidable in their character than DYsENTERY. With the exception perhaps of Consumption,
there is not one that annually demands a greater number
of victims. The Cholera justly excited in its several visitations no small amount of trepidation and alarm, and yet,
the Dysentery annually carries down nearly as great a
number of persons as did the Cholera during any year of
its invasion. For it should be remembered that while the
Cholera was confined to certain locations and ranges of
territory, the Dysentery every year prevails as an epidemic over the entire country, from New-England to
Louisiana, and from Virginia to Wisconsin, and often
as a most fearful and fatal scourge.
Against this destructive epidemic, as against Cholera
and other frightful diseases, the Homweopathic Method of
treatment has been eminently successful, often saving the
victim and establishing a brilliant renown. As yet we
have had no systematic and reliable treatise upon its history and treatment, and it is to supply this want that our
labours have been directed.
As it has been our aim rather to be useful, than bril



lv                   PREFACE.
iiant, to do good than to gain reputation, we have not attempted to write an entirely original monograph, but to
gather from every source whatever was important and reliable, and whatever would conduce to a correct knowledge of the disease and its appropriate treatment.
Hence we have made free use of all the authorities within our reach, Schcenlein, Canstatt, Andral, Rokitansky
and others, have been principally consulted for Natural
History and Pathology, while none of the writers of our
school have been neglected in the department of Therapeutics, and all has been modified and confirmed from the
results of our individual experience.
An objection has been offered, that a treatise upon a
single form of disease should be so extensive. But we
flatter ourselves that the practitioner or student truly alive
to the responsibilities of his position, standing in the presence of a formidable disease, will not care how extensive
the monograph may be, so that it shall readily convey to
his mind all that he desires to know on the subject. To
him under such circumstances no fact belonging to it becomes uninteresting or unimportant, and hence we have
thrown in many facts concerning the Natural History and
Pathological Anatomy of the disease which might at first
sight seem unnecessary.
As the work will doubtless be consulted by inexperienced professional Hommopaths and amateur practitioners, it was important to give the doses and proper mode
of administration for their benefit. The experienced Homeopathic Physician will require no such guide. We
have indicated the doses and mode of administration




PREFACE.                     V
which has been sanctioned in our experience, and which
have proved with us very uniformly successful.
In forming the REPERTORY, our design has been to
make one which should be useful for consultation in the
treatment of this disease.  Hence we have limited it to
the symptoms most frequently occurring, and to the medicines most likely to be employed in the treatment; frequently omitting for the sake of brevity, those medicines
which though corresponding to the single symptoms under consideration, nevertheless did not correspond to the
entire character of the affection. Hence for instance under the rubric Tenesmus during stool: the practitioner
need not be surprised to find only a dozen medicines mentioned in the Repertory, while fifty medicines probably
have that symptom in the Materia Medica, and so of
others.
The insertion of the reported cases from practice seemed necessary only for the sake of completeness. They
doubtless have their value. More to some minds than to
others. And though they may not serve as models in the
treatment, they are not without value in other points of
view.
FRED. HUMPHREYS.
NEW-YORK, July, 1853.








DYS ENTERIY.
INTRODUCTORY REMARKS.
MOST practitioners understand by Dysentery a
range of symptoms as follows: bloody, sparse but
frequently repeated evacuations from the bowels, with
tenesmus, colic pains and general febrile affection.
These symptoms are proper to every inflammation of
the colon and rectum. But is Dysentery only a simple inflammation of the large intestines! Many physicians rest- satisfied with this view of the case, according to which, the epidemic and endemic appearance of dysentery, its evidently infectious and contagious nature, the tendency to adynaemia, its relationship to intermitting fever and typhus, and other peculiarities of the disease, are as little explained, as
is the essence of Typhus when we consider it as
nothing more than an inflammation of the illeum.
Dysentery is not merely a simple inflammation of
the large intestines. Every circumstance indicates
that the epidemic dysentery, like the exanthematous,




8                 DYSENTERY.
and typhus process of disease, is a disease from the intoxication of the blood, occasioned through the reception or development of a morbid poison in the blood,
and localizing itself upon the large intestine in the
form of a specific irritation. Whether the dysentery
is a wholly specific process of disease, constantly
projecting itself upon the large intestines;-or,
whether it is one limb only out of a range of diseases
which are produced by a similar injurious agency,
belong to the same original source, and yet manifests
its varied local appearance through individual or cosmic influences,-or finally, whether the dysentery is
only an expression of the particular localization of
the form of disease, but which may be occasioned by
essentially different disease processes, are questions
yet undecided. The majority of physicians hold to
the view that the dysentery is a specific morbid process, which requires a particular place among cosmic
diseases, as well as the variola, the yellow fever, the
cholera, the typhus, &c. In favor of this view among
other circumstances may be mentioned that the dysentery occasionally appears alone and independent,
and not in connection or dependence with other epidemic diseases. Without questioning the variety of
epidemic dysenteries, those who accept this explanation quiet themselves with the reflection that other
cosmic diseases, as variola, scarlatina, typhus, &c:, do
not always appear in the same form, but often assume
a mild or an inflammatory, a bilious, or an adynamic
character-modifications which we are in the habit of




INTRODUCTOY REMARKS.              9
referring to the unquestionably not yet well known
laws of intermitting diseases.
Williams has with much ability maintained the
opinion, that the dysentery is a branch of a large
family of diseases excited by marsh miasm, including
also the intermitting and remitting fever, cholera,
&c. He remarks that thee is no region, where
swamp fever prevails, in which the dysentery is not
also endemic; that swamp fever and dysentery may
exist at the same time in the same individual, or succeed each other; that intermitting fever often ends
in dysentery, and the contrary, and that in swampy
districts the dysentery disappears as soon as the
swamps are drained and the ground becomes dry, &c.
But we learn only from this, that miasma, that great
X in pathogenie, in the production of dysentery, as in
many other diseases, plays a certain part, without excluding the concurrence of other injurious potences 
or without our being enlightened as to the nature of
this miasm. Eisenmann is the most ingenious advocate of the theory that dysentery is the local manifestation of very different disease processes, upon
the mucous membrane of the intestinal canal; the
processes which localize themselves under this form
may be the pyrosic, typhoid, rheumatic, scorbutic,
cholorotic. Dysentery according to this view, is
not a peculiar disease process in itself, but is a typhus, a cholosis, a rheumatism, which forms its local
focus upon the colon and rectum, and thus forms a co1*




10                DYSENTERY.
lo-typhus, a colo-cholosis, &c. The remarkable variations in the appearance of the dysentery of different epidemics he explains not from the accidental
complications with gastrosis,...or other modifications
exibited according to the epidemic; but rather from
an essential difference in the disease process which
chooses this portion of Ike intestine as the place of
deposition for its product.
After a careful examination of all the facts in the
case, we are inclined to the opinion that dysentery
should be considered the local expression of a morbid
process, which may vary both in its origin and characteristics. In the majority of cases dysentery is
the product of an earthy poison, and should be classed
among the type of diseases having a true malarious
origin, and it thus appears in connection with typhus,
and is observed in marshy regions in summer and
autumn. Other cases of dysentery arise from localization of cholosis in the large intestine and rectum,
and appear in connexion with other bilious diseases;
but often also, the dysentery prevails at the time of
the prevalence of typhus in a more fatal form, as an
offshoot of the typhus process. Colonitis and proctitis with dysenteric symptoms may be occasioned by
many external causes, as traumatic injuries, worms,
&c. But here we only speak of dysentery in its
stricter sense as a disease appearing epidemically.
We pass now to the consideration of the disease
itself, and commence with a description of anatomical changes occasioned by it.




ANATOMICAL CHARACTER.             11
ANATOMICAL CHARACTER.
The variety in the anatomical changes so far as we
possess them through the diligent labors of Gely,
Thomas, Gueretin and Rokitansky, may be referred to
the different stages and grades of intensity in the
disease; and it may be difficult to infer from these
changes with precision, what has been the genetic
character of the disease.
The principal seat of dysentery with reference to
its focus of concentration and termination, is the mucous membrane of the large intestine, and the principal alterations are found extending in an increasing
ratio from the ccecum to the rectum. But the affection does not remain limited either to this portion of
the intestine, nor to its mucous membrane. The pathological changes often pass above the ccecum into
the small intestines, often reach even the stomach,
and the neighboring organs of the intestinal track,
are sufficiently often brought into sympathetic suffering. The disease also always tends to extend in
depth, invades the submucous tissue, the muscular
coat, and even reaches the peritoneal folds. The distinction of a circumscribed, and diffuse, an erysipelatous (limited to the mucous coat) and phlegmoneous
dysenteric inflammation, which have been derived
from the variety in the rays of extending inflammation, are of no practical value as they are by no
means clearly marked by their symptoms.
The anatomical characteristics at the commencement of the disease, are difficult to be described, as




12                DYSENTERY.
subjects from this stage are rarely examined. The
slightest grade of change forms redness and swelling
of the mucous membrane on the more prominent
plaits of the membranous folds, infiltration of submucous cellular tissue, redness, and an easily-bleeding softening; according to Rokitansky, the epithelium of the mucous membrane is elevated into small
miliary vesicles, and is cast off in minute portions, or
may be easily detached with the scalpel, so that the
membrane lying beneath appears to be excoriated.
With the increase of the serous infiltration of the
submucous cellular tissue, lumpy swellings, apparently hypertrophic, arise, while at the same time, there
is a bilious softening of the mucous coat.
The anatomical condition of the intestinal track
assumes in the farther progress of the disease, various modifications, the consideration of which will be
facilitated by distinguishing the following points.
The contents of the intestinal canal which may
often be known externally by their color; consist
in the beginning of a greyish red mucus, more or
less mixed with food, and later of mucus mixed with
cast-off epithelium, pseudo-membrane, blood, pus and
gangrenous exfoliated mucous membrane; and it may
at last be changed to a dark brown, cadaverous smelling fluid, like coffee sediments. A portion of the
contents of the intestine are deposited upon the surface of the diseased intestine, of more or less thickness, variously colored or green-villous stratum, which
may be taken off with the scalpel. This layer con



ANATOMICAL CHARACTER.               13
sists not only of a precipitated portion of the contents of the canal, but arises also from a dyphtheritic
secretion from the mouths of the mucous follicles, and
follicular ulcerations, and from the mucous membrane,
which is softened, may be easily detached from its
position, and is swelled to a raspberry-like appearance.
The redness of the mucous membrane varies
from rose and bright red, to purple and brownish red.
Even at the beginning, the mucous tissue is macerated to softening, first the epithelium, later the entire
mucosa in stripes, so that the layers continually extend in depth, and larger portions are excoriated or
laid bare.  The softening extends in part on the surface over large stripes, and in part is limited to circumscribed  spots.  We should  not confound  the
changed mucous membrane with the strata of pseudo-membrane, which often lies upon the mucosa, and
gives it a pointed-like appearance, and beneath which
the mucosa at times may be found uninjured.
The changes in the intestinal follicles have been
carefully described by Thomas and Gely: They
swell from the sixth to the tenth day of the disease,
become dilated, and form small ulcers, covered with a
pseudo-membranous material.* Dilatation and degeneration of the follicles becomes more apparent in
the farther progress of the disease.
* We find says Gely, along the whole length of the large intestine numberless small dark points, discernible with the naked eye,
surrounded by whitish plain broad elevations, which are clearly the




14                 DYSENTERY.
Especially important is the participation of the
sub-mucous cellular tissue. The serous infiltration
of this tissue at the beginning, penetrates by degrees
into the muscular; hence arises a considerable thickening of the intestine, often to the extent of from
three to five lines; at the same time through the
contraction of the muscular coat, the folds of the
mucous coat are pressed inward, and the intestine assumes a warty, glandular, hypertrophied appearance,
forming the warty hypertrophy of the sub-mucous
cellular tissue, described by Gely.
With the extension of the disease, the mucous
membrane over the knotty infiltrated sub-mucous cellular tissue, frequently becomes overlaid with a firmly
adherent dark red, darkish brown scurf, which finally degenerates in large stripes to a dark friable almost carbonized mass, which yet later is thrown off
in the form of tubular patches, (the so called sphacelated membrane.) The sub-mucous cellular tissue appears either as a carbonized mass of blood, or is saturated with bloody serous fluid, or bleached, and containing in its vessels a mass of dark carbonized
blood, but which later, in consequence of throwing
off of the sphacelated portions, is infiltrated with
pus in consequence of active inflammation, (Rokimouths of the swelled follicles. Frequently the central dark point
is replaced by a small greyish ulcerous opening, which leads to the
base of the krypt; some of these ulcers are two or three lines in diameter.




ANATOMICAL CHARACTER.             15
tansky.) From destruction of the mucus membrane,
the muscular and even peritoneal folds may be exposed, and even entire perforation at times be produced.
Usually the intestines are distended with gas; the
colon is sometimes dislocated, so that the transverse
colon is pressed down into the sacrum. Frequently
a considerable portion of the colon is constricted as
from a ligature, while the portion of intestine lying
above it is thinned and distended, while the contracted portion may be of cartillaginous hardness. Such
strictures are found most frequently in the vicinity of
the sigmoid flexure, and the arch of the colon, more
rarely in the rectum.
The above described alterations belong especially
to the acute period of dysentery. In what manner
in a termination in health, a retroformative process
in such changes is possible, can only be ascertained
by an examination of those patients who having lived
through the dysentery, have finally succumbed to
some other disease. We find in such cases often a
new formation in place of the substance lost by softening and ulceration, and either beginning or perfect
cicatrization. The denuded sub-mucus cellular tissue
is changed into a smooth, serous, sero-fibrous tissue,
the surrounding mucosa appears wrinkled and retracted towards the centre, the membrane which remains island-like in the centre, shrinks together, the
borders of the old ulcer become attenuated and reach
out to the centre; the contraction of the cicatrizing




16                 DYSENTERY.
tissue, and the hence folding up of the part frequently
occasions stricture of the intestine. It is not always
that the infiltrated febrinous product of disease in
the sub-mucous tissue is resorbed, but frequently it
becomes changed and organized to a hard lardaceous
mass, which not unfrequently prejudices the free
movement of the intestinal canal.
The loss of substance in the mucous membrane
may be changed to independent ulcerations, the dysenteric process pass over into an entero-phthisis. The
borders of the ulcer, as well as the mucous coat on the
surrounding membrane and ground of the ulcer, becomes a spongy, easily bleeding fungus, the mucous
membrane becomes grey, darkish colored, the follicles are filled with matter, in the sub-mucous cellular
tissue collections of matter form with fistulous openings, which frequently penetrate to the peritoneum;
and from the inflammatory irritation returning from
time to time in the peritoneum, the intestine may bed
come fixed in an abnormal position.
Sometimes we find in the rectum a single extensive
ulcerative surface. Not unfrequently pus accumulates beneath the rectum, and forms an abscess in the
right illiac fossa.  Often, especially in children,
intestinal intusception occurs in one or more places,
especially in the illeum, the ccecum, and colon; the
constricted portion may even be thrown off without
destroying the life of the patient.
It is evident that in a disease process so intense




ANATOMICAL CHARACTER.             17
as that of dysentery, the anatomical changes cannot
be limited to the organs primarily affected.  The
neighboring tissues standing in functional connection with the intestines participate in various degrees.
The mesenteric glands are frequently reddened,
swelled, softened, seldom infiltrated with matter, and
in the last stages filled as if with some carbonized
substance. These changes are most prominent in the
glands, most nearly related to the affected portion of
intestine, and its ulcerations.  The peritoneum is
frequently inflamed and coated with a dissolute exudation; in its cavity a bilious, dark colored fluid is
frequently found deposited.
Inflammation, softening, and abscess of the liver,
enlargement and softening of the spleen, and abnormal changes in the pancreas are not unfrequerit in
cases of longer duration or chronic course. Secondary
alterations in the liver are frequent in the East
Indian and North American dysentery. The omentum and spleen, are usually found very full of blood.
The bladder is always injected; before the twentieth
day contracted; after that period distended with
urine; the ureters are often filled with a milky fluid.
The remaining organs are mostly destitute of blood,
also the lungs; the heart is relaxed, the vascular
walls contracted and shrunk up; frequently more or
less exudation is found in the pleura and pericardium. The blood is fluid; the gall-bladder well
filled with brown bile.




18                DYSENTERY.
Chemical analysis of the blood seems of some importance. A superficial examination shows according
to its physical character that it is thinned and forms
but little coagula. Masselot and then Follet have
made a careful analysis of the blood in the dysenteric
cadaver, and show that deficiency in blood globules,
albumen and fibrine belong to the peculiarities of this
disease; that with the intensity of the fever and
inflammation of the intestine the proportion of albumen and fibrine as in other inflammatory conditions
is increased.  There is in this peculiarity of the
blood in dysentery, nothing unusual or different from
other disease processes; for anvemia or loss of bloodglobules, occurs in all long continuing diseases of
cosmic origin (Typhus, Intermitting Fever, Cholera,
&c.,) and is manifested by the rapid collapse and
remarkably sudden emaciation of the patient.
The excretions in dysentery, yet require a chemical analysis.  Most remarkable is their very acrid,
and acting on the mucous coating almost corrosive
nature, and which perhaps may in part account for
the ready destruction of that membrane. What particular acids they contain has not as yet been fully
determined.
S YMP TOMS.
We may distinguish a precursory, a particular
morbid stage, and a stage of termination; the precursory and morbid stadium may be considered as




PRECURSORY STAGE.              19
the acute, and the terminating as the chronic stages
of the disease.
This arrangement is more natural than to consider
them as stages of inflammation and of maturation.
If we should consider the presence of pus in the
stools as the criterion of the period of maturation,
and from hence conclude the existence of ulcers in
the intestinal canal, it would be difficult to avoid
falling into an error, as it is well known that pus-like
mucus may be secreted from the mucosa, without the
existence of ulceration, and on the other hand that the
existence of ulceration cannot always be determined
from the presence of pus in the dejections.  The
acute stage of the disease continues from eight to
fourteen days, the chronic an indefinite period.
PRECURSORY STAGE.
Dysentery comes on more frequently with than
without precursors; but in its more violent form it
may also appear suddenly as a fully developed disease. If precursors are present, they are such as
usually precede other epidemic diseases, in which the
general symptoms of intoxication precede the stage
of localization, such as: great lassitude, and weariness of the. limbs, pains in the neck, back, and extremities, headache, loss of appetite, chilliness, heat,
transient sweats, loathing, sometimes vomiting. As
the disease by degrees localizes itself upon the abdominal organs, there are frequently returning colic
pains, experienced in the umbilical region, which




20                DYSENTERY.
extend to the anus, and by degrees concentrate themselves in sigmoid flexure and rectum; borborigmi; a
feeling of weight and heaviness in the perineum, as
if a foreign body was fixed in the rectum and urged
the patient to stool; irregular evacuations either
diarrhoea, which often precedes the dysentery several
days, or constipation. These precursors often continue only one or two days, sometimes extend to eight
days, and many times also consist of only a single febrile attack.
ACUTE STAGE.
Symptoms of the disease consist of; colic pains,
which follow the course of the colon, from the region
of the coecum in the right hypochondria, extending
upward and across over the abdomen toward the left
hypochondria in the region of the sigmoid flexure of
the colon, and extend down to the rectum, where they
excite an urging to stool, tenesmus, and often terminate in an actual evacuation. Usually these colic
pains precede the evacuations, or are more violent a
short time before them; and they often also continue
during a fruitless urging. The tenesmus continues
also during and after a discharge, and consists of an
especially painful feeling of constriction of the rectum. Another characteristic mark of the disease is
found in the discharges themselves; they are very
frequent.  Twelve to twenty-four or more times
within as many hours, and often so frequent that the




SYMPTOMATIC VARIETY.              21
patient can scarcely leave the stool. The quantity
of each discharge is slight, often not more than a teaspoonful, and is composed of mucus, fluid or coagulated blood, membranous shreds, in various degrees
and proportions, with little or no foeculent matter.
Frequently the abdomen is painful to contact.
With these local symptoms are associated, fever,
thirst, hot, dry skin, accelerated pulse, diminished
secretion of urine, inquietude, sleeplessness and
general depression.
The disease may continue eight or ten days and
terminate in recovery, in which case the colic pains
and tenesmus remit, the discharges become less frequent, more copious and foeculent, and crisis through
the skin, (warm sweat,) quietude and sleep come on;
or the disease may extend so as to become a peritonitis, or, a typhoid condition, or end fatally by any of
the unfavorable terminations of this disease, of
which we shall speak farther.
We shall endeavor, after this short sketch of the
disease, to consider more intimately the most important varieties in the form of its manifestations, by a
more careful consideration of its single symptoms
and'their connection; so as to show the- different
forms of dysentery.
SYMPTOMATIC  VARIETY.
The pain in the abdomen, in dysentery, appears
in every modification, from slight colic to the most




22                DYSENTERY.
violent inflammatory pain. Often there is only slight
termina, a griping, cutting, especially in the above
mentioned course of the colon, coming on and then
disappearing, while in the interval the abdomen is
painless, and not sensitive to contact.  The colic
pains may however be especially violent, which the
patients express by their groans and complaints.
They have apparently the same physiological indication as the tenesmus in the rectum; they may be
excited in part by the contact of the acrid secreted
matter, with the sensitive denuded surface of the
mucous membrane, and hence the pain immediately
precedes the stool, and they may also in part arise
from the spasmodic contraction of the muscular coat,
excited from the irritation of the mucous membrane.
These colic pains then appear immediately after as
well as before the discharge, similar to the spasmodic
constriction of the sphinctur ani, which continues
longer than the discharge itself.
Should we presume, because these pains are often
only colicky, that the essence of the disease is limited
to the mucosa, we shall find on the contrary that with
the increase in the intensity of the disease, these
pains often become fixed and permanent, exacerbate
perhaps periodically, but no longer disappear in the
intervals, and even continue with uninterrupted violence. These pains are mostly limited to a narrow
space, and associated with distension, hardness, heat,
and meteorism of the abdomen; the abdomen is sen



SYMPTOMATICAL VARIETY.            23
sitive to pressure, and every change of position increases the pain so that the patient either lies immovably on the back or the side, bent over, with the
legs drawn up towards the abdomen; the pains are
also excited by the use of the mildest substances, but
especially by cold drinks. Such a violent grade of
pain is a sure indication of the deeper extension of
the inflammation to the sub-mucous tissue, the fibrous
layer and even to the peritoneum. Exacerbations of
the continuous pain are apparently connected with
the above mentioned cause, (acridity of the intestinal
contents, and reflex spasm of the intestine.) Usually
the colic pains are proportionate to the tenesmus, but
they frequently remain after the disappearance of the
tenesmus, and also the contrary.
The abdomen may be full, in consequence of accumulated fcecal matter, and become tense from contraction of the abdominal muscles; or also meteoristically distended; distension of the abdomen
does not always influence the abdominal pains.
In some cases of dysentery, notwithstanding a considerable intensity of the local affection and degeneration, the pains are wholly wanting; such cases are
especially observed in epidemics of an adynamic
character. In an epidemic described by Wedel, all
the patients died who had no pain, while those who
experienced violent colic recovered. Thus it may
happen, that after the dysentery has progressed
with the most violent pain, and has come on under




24                DYSENTERY.
appearances of intensive inflammation, the pains suddenly dissappear, with at the same time, sinking of
the strength, general collapse, involuntary discharge
of cadaverous or sphacelated excrement; indicating a
termination of the inflammation in paralysis of the
abdomen or gangrene.
Tenesmus consists in a feeling of painful constriction of the rectum and usually follows a sensation of
heat, burning, cutting, excited by the passage of the
excrements. The tenesmus is a manifestation of the
reflected spasm, which the excited membrane exhibits
during the moment of irritation or excitement. When
the mucous membrane is in a condition of violent
inflammation it requires but a single irritation of the
disoharges, to excite an almost continual tenesmus.
The contraction of the muscles of the anus may attain
such a degree of vehemence as to frequently occasion
and especially in children a prolapsis of the inflamed
rectum. Patients complain of pain along the sacrum,
as if a hot iron was thrust into the rectum; and
sometimes tenesmus even occasions fainting, convulsions, and trembling of the limbs. Often patients
have a sensation as if a foreign body remained in the
rectum, which occasions a fruitless urging to stool,
and continues a long time after the discharge.
Sometimes the discharges are entirely wanting, notwithstanding the most violent tenesmus. (Dysenteria Sicca.




SYMPTOMATICAL VARIETY.            26
If the tenesmus is especially intensive in inflammatory dysentery, there are also many cases of bilious
dysentery, where it is not much less; and certain individuals, as haemorrhoidal subjects, suffer much from
this symptom, when the collective character of the
disease is comparatively mild. Every passing irritation in the rectum, such as the introduction of the
finger, or the point of the syringe excites and increases
the irritation.
Tenesmus often continues a long time in the stadium decrementi, and not unfrequently into that of
convalescence. Many times chronic tenesmus is the
consequence of ulceration in the rectum, and only disappears with the entire cicatrization of the ulcer.
When paralysis comes on, the tenesmus as well as
the abdominal pains may suddenly cease; in place of
spasmodic contraction of the rectum there appears a
paralytic relaxation of sphinctur ani, the anus remains
wide open, and the stools are passed involuntarily.
Relaxation of the sphinctur ani may continue for
some time after the acute stage of the disease, and
remain, constituting a secondary affection.
Nothing is more varied than the character, quantity, &c. of the evacuations and their relation to the
remaining symptoms. At the beginning of the disease the stools are frequent, yet foeculent, and mixed
with scabella. That dysentery is sometimes preceded
by constipation, and at others with diarrhoea has been
already remarked.
2




S2G               DYSENTERY.
The mucus diarrhoea, often present, is apparently
a symptom of the catarrhal irritation, yet limited to
the mucus membrane, and the hence occasioned secretion of its follicles. On the contrary, where the
disease declares itself from a condition of deficient
evacuation, it doubtless indicates the first stage of catarrhal irritation, in which the mucous membrane has
become unnaturally dry, and its secretions are for a
period arrested. This condition is frequently found
associated with synochal dysentery (dysentery sicca).
In the well developed dysentery the stools are unnaturally small but frequent. We have known 200
stools within 24 hours; every movement in bed, even
speaking, drinking, &c. immediately excites an increased peristaltic motion, rumbling and evacuation.
From the frequency of the stools we judge in part of
the intensity of the disease; their decrease usually
indicates a remission in the disease itself. Especially
in cases of an adynamic character, the stools may become very numerous. The quantity of the stools is
in inverse proportion to their number; they are more
frequent towards night than by day; in proportion as
they increase, the amount of perspiration, urine and
expectoration diminishes.
The stools are fluid and consist of mucus, blood,
epitheleum, shreds, pus, exudated croupy masses, mossy-like fragments, faeces, undigested matter;-or they
are white, slimy or mattery, or gelatinous when such
prevail, forming the so-called white dysentery;-or




SYMPTOMATICAL VARIETY.            27
they are bright or dark-brown, red, yellow, green,
mixed in various shades, parti-colored, dark, or like
water in which meat has been washed, and of shreds of
epitheleum, usually diffusing a peculiar and sometimes a cadaverous putrid odor around. The masses
of mucus are the product of the abnormal secretion of
the mucous krypts and often form in the earlier and
latter stages of the disease a large proportion of the
discharges; the mucous diarrhoea often continues long
after the acute stage of the dysentery, and depends
upon the dilatation and enlargement of the mucous
follicles, as we find in the cadaver of cases which have
run a more lentescent course. The evacuated mucus
is either uniformly mixed, or bilious, or like frog
spawn, or lumps of fat; sometimes white or reddishwhite, or yellowish-brown lumps pass off, which were
formerly taken for glands, and even for portions of the
intestine. Very frequently, especially during the
first eight days of the disease, we find upon the surface of discharged material a yellowish or greenish
mossy substance; in the farther progress of the disease this yellow or green substance appears more
rarely, and always indicates, according to Thomas, an
aggravation of disease.
The quantity of blood discharged with the stools,
is subject to great variations. In the commencement
of the disease there is sometimes a considerable quantity of blood discharged with relief; also in synochal
dysentery the quantity discharged is considerable.




29               DYSENTERY.
The blood is either only mixed in streaks through the
discharges, or it is more intimately mixed, and the
more so the higher the point in the intestine from
which it has been secreted. It is often fluid, and as
often coagulated. There are always actual vascular
separations, if only occasioned by the superficial erosion of the mucous membrane, which are the source of
hemorrhoidal discharges. In the later stages of the
disease ulcerations of the intestine furnish these in
good part, and they may continue until entire cicatrization occurs. The haemorrhage may also become
colliquative; often, especially with intemperate persons, the bleeding continues in considerable quantity
from the commencement of the disease until the death
of the patient.
The exfoliated intestinal epitheleum is found in the
discharges in flocks, shreds, which after standing
settle at the bottom of the vessel, and have the appearance of scrapings; often among them are found
remains of sphacelated mucosa. These cast off membranous fragments, may be known by their sphacelated
appearance, the ichorous character and the putrid
smell of the discharges, and the remains of their vascular structure upon microscopic examination.
Pus is often mixed with the stools in streaks or in
patches, and yet may be mistaken for mucus. The
secretion of pus will continue so long as ulcers are
present in the intestine.
Frequently the dysenteric discharges are so acrid




SYMPTOMATICAL VARIETY.            29
as to occasion soreness and erosion of the anus, scrotum and neighboring surfaces, and may even excite a
gangrenous inflammation of the parts. Punctures
occasioned by leeches, poisoned by the acrid discharge,
become changed to malignant ulcers.
The odor of the discharges is peculiar. Naumann
describes it as a composition of the smell of old fat
and boiled French beans!
In many cases, especially in children and in some
epidemics, the evacuations contain large quantities
of worms.
When the discharges in the course of the disease
become bilious, and assume a more foeculent appearance, a pappy and more consistent form, it is a favorable change indicating a return to health. Sometimes
after a long continuance of the peculiar dysenteric
stools there is an unusual quantity of frecal balls discharged, although the patient has maintained the
strictest diet. These faecal masses have been spasmodically retained in the small intestines above the
portion of the intestine affected by the disease, and
are only discharged when the inflammatory spasmodic
constriction has been relieved.
During the course of the disease, as well as in the
period of improvement, food and drink often passes
off in part or wholly undigested. This may be occasioned from the assimilating process being imperfectly performed, or what is more apparent, that the
muscular coat, in consequence of the disease, has been




30                DYSENTERY.
left in a condition of irritable weakness, so that the
otherwise proper contents of the intestine acts as
an anomalous irritation, and provokes a premature
contraction. Hence there is not unfrequently a stage
of lienteria as a consequence of dysentery.
W.hen the reflex action is unusually excited, the
irritable nerves frequently extend their reaction to the
motor nerves in relation with them. Hence there is
frequently observed in dysentery appearances of
spasm of the bladder, strangury, ischuria, spasm of
the testicles, convulsions and cramp in the calves,
similar to what occurs in cholera, and these consensual
spasms occur mostly during the tenesmus. Paralysis
of the lower extremities has also been observed as a
consequence of dysentery; and it is manifest that in
such cases the reflex irritation of the spinal marrow
has changed to a local alteration of this organ. How
easily a sympathetic irritation may pass over into an
actual disease and its consequences, is shown from the
frequent marks of inflammation of the bladder, which
occur in the cadaver of dysentery.
At times we find loathing, vomiting of slimy bilious
matter or of blood, which, according to Abercromby,
indicates an extension of the disease to the illeum;
the vomiting is often excited by every thing which is
taken into the stomach.
The voice in dysentery as well as in cholera is often low and whispering.
Eisenmann distinguishes in dysentery as in other




SYMPTOMATICAL VARIETY.              81
diseases from poisoning of the blood, an eruptive and
a secondary fever, of which the first is the consequence of the production and increase of the specific
miasm in the blood, occurring even before the localizing
of the disease, and the second from the reflex action
of the local affection upon the vascular system. Very
frequently the fever as manifested by the frequency
of pulse and increased temperature of the skin is very
slight; the pulse not being accelerated, the skin even
cold and lifeless, cyanotic as in cholera, which, together with the cramps in the calves, collapse and
rapid emaciation, exhibits a great similarity to that
disease. The higher the affection extends in the
small intestines the more violent and intensive is the
fever.
The fever manifests an erethic, synochal, adynamic
or putrid character, which usually corresponds to the
milder, more violent or finally malignant character of
the local affection and collective course of the disease. There are however cases which cannot strictly
be classed as above, where for instance the fever and
local affection do not harmonize; when the fever may
be erethic notwithstanding an intensive local inflammation, or adynamic with a relatively slighter intestinal affection.
There is frequently a feeling of violent internal heat,
associated with objective coldness of the surface; often
the abdomen only is hot to the touch; and the recurrence of decided chills in the course of the disease is




82               DYSENTERY.
a bad indication. We have seen in cases of violent
dysentery the tongue often cold and blue, as in cholera. The thirst is usually very violent, and the
pulse is no criterion for the intensity of the disease.
The scanty urine frequently has a milky appearance.
The agitation of dysenteric patients is usually very
great; they are sleepless, and it is a favorable sign,
when the restless inquietude gives place to a calm and
quiet sleep. The intellectual functions remain undisturbed to the last, even in the worst cases; yet
there sometimes comes on at last delirium and a
soporous condition.
VARIETIES OF DYSENTERY.
We distinguish with reference to the degree of intensity of this affection the following grades; the
mild or erethic, the synochal or inflammatory, and the
torpid or adynamic, of which last the torpid, paralytic
and the putrid dysentery form varieties.
The mild form of dysentery, known as the erethic
or catarrhal, has usually a short precursory stage,
the fever is moderate, often wholly wanting or disappears after the localization of the disease; is not
continuous, but has clearly expressed periods of remission and exacerbation; secretions of the skin and
kidneys are not entirely suppressed. The abdominal
pains are colicky, have intervals of entire remission,
the abdomen is soft and not sensitive to pressure.
The evacuations are yet partially colored with bile,




VARIETIES OP DYSENTERY.            83
fceculent, streaked or mixed with blood, and contain
occasionally large masses of exuded fat or matter, and
comparatively more mucus than other varieties. Their
number rarely exceeds 12 or 18 in the 24 hours, the
tenesmus is moderate, and the spasmodic reflective
action of other organs is not present. The disease
continues from 8 to 14 days, and terminates usually
in health with appearance of perspiration, foeculent
stools, and at times sedimentitious urine. The erethic dysentery may under unfavorable circumstances
assume the synochal or adynamic form.
The synochal or inflammatory dysentery is manifested from the beginning by a violent shivering chill,
which often continues many hours, and is followed by
an intensive heat. The precursory symptoms are
stormy, or the dysentery makes its sudden invasion
with full vehemence. Soon, there are developed signs
of violent abdominal inflammation; the pains in the
abdomen are continuous, become increased from the
slightest pressure, the bowels are hard and tense, and
the tenesmus especially distressing; often there is a
large quantity of blood discharged through the frequent
stools, from which at times the patient feels relieved,
especially in the beginning of the disease. Oftentimes there is complete retention of stools, notwithstanding the most violent pains and tenesmus. (Dysentery sicca). The stools frequently contain croupylike membranous masses, the product of fibrinous exudation from the ulcerated surfaces. Sympathetic
2*




84               DDSENTERY.
sufferings, such as, cramp in the bladder and calves
of the legs, are usually very marked. The inflammation often extends upwards to the small intestines
and stomach; and the use of all fluids is followed by
vomiting. The fever has the inflammatory character;
the pulse is full and frequent, but often also suppressed and spasmodically contracted, the tongue red,
ragged, sometimes covered with a white coat, the
thirst can scarcely be allayed; remissions are wanting, or but very slight; face generally red, eyes injected; the urine is dark-red, the skin dry and hot.
Duration of the disease is from 14 to 21 days; crisis
as in erethic dysentery; sometimes bleeding from the
nose or other organs, and patients recover slowly.
In unfavorable cases the synochal dysentery pass
over into an adynamic stadium, with meteorism, cadaverous smelling stools which appear dissolved and
pass off involuntary, delirium, small sinking pulse,
and tongue becoming dry, &c. Inflammatory dysentery may terminate fatally in gangrene, or perforation
of the intestines.
The adynamic (neuroparalytic) dysentery, frequently manifest in its precursors, the pernicious
character of the disease. The whole system is deeply
affected; the patient complains of headache, vertigo,
great lassitude; often before the invasion of the peculiar dysenteric symptoms, there is a violent chill, a
feeling as if cold water was poured over the back,
which precedes the diarrhoea. The acute stage is




VARIETIES OF DYSENTERY.            35
distinguished by the unusual number of stools, frequently as high as 200 in the 24 hours; the violent
tenesmus, and by the dissolute character of the stools,
often manifest at the beginning or gradually increasing;
which consist of brownish or blackish masses, often only
dissolved blood, diffuse a peculiar cadaverous odor,
and are so acrid as to excoriate the parts around the
anus. The accompanying fever has the torpid character; the pulse is small and weak, the skin at times
burning hot, often on the contrary cold, especially the
extremities; forehead, nose and face sunken, the tongue
dry, coated dark-brown, as also the membrane of the
nose; often on the skin appearance of petechia, ecchymosis, rash, or decubitus. Towards the end of the
disease there is frequently violent hiccough, vomiting
of dark chocolate-colored masses, involuntary discharges, then often colliquative bleeding from the
bowels, at times also from other parts, nose, mouth,
sexual organs, many times corroding aphthoe in the
mouth, swelling of the parotids, delirium; death
between the thirteenth and fourteenth days.
In this form of dysentery especially, there appear
numerous modifications, which render it somewhat
difficult to present a simple picture of the disease;
for instance, the pains in the abdomen are either unusually violent, burning, continuous, or in the worst
cases the pain has been entirely wanting. In the
putrid septic dysentery the chemical decomposition
takes place early and is manifested in the odor and




86                 DYSENTERY.
appearance of the evacuations, in the putrid smell of
the breath and exhalations, in the thick, at times dark
dissolute character of the urine, in the clammy perspiration and colliquative haemorrhages.  Those cases
have been indicated as paralytic in which the poison
of the disease has appeared rapidly to oppress the
functions of the spinal marrow and the ganglionic
centres, and to destroy them, as besides the other marks
of adynamic dysentery, there comes on sudden paralysis of the sphinctur ani (the anus remaining open
with involuntary stools), paralysis of the extremities,
marble coldness of the skin, particularly small pulse
and sudden collapse, such as we are accustomed to
observe in cholera patients.
As qualitatively different forms of dysentery, the
malarious, the typhoid, the cholotic, and perhaps also
the rheumatic and scorbutic varieties have been mentioned.
The previous description is appropriate to the malarious and typhus dysentery. The appearance of dysentery in intermitting fever districts at the same
time, or following other typhoid affections, the similar
simultaneous or successive relation of the dysentery
to the prevailing typhus process has led observers to
the qualitative nature of this disease. In regions
where the intermittent fever prevails, dysentery is
frequently observed as an epidemic; and it frequently
follows the intermitting fever. In certain hospitals
the termination of intermitting fever in dysentery has




VARIETIES OF DYSENTERY.            37
been at times very common; the dysentery appears
to suspend the intermitting fever; but as soon as the
dysenteric symptoms are removed the fever returns
again; in some cases the same patient suffers at the
same time with both diseases. Williams observed in
the epidemic at St. Aignon, the dysentery following the
intermittent fever and assuming in its course an intermitting character; usually however the fever continued with the advance of the disease; in only three
cases the dysentery followed an attack of intermitting
fever; in the second half of the epidemic the disease
commenced as an intermitting fever more rarely.
Typhus dysentery assumes the adynamic or putrid
form. When Rokitansky observed that although
here and there dysentery might occur with typhus,
but that both processes could not be united in one individual, he is contradicted by the observation of
others, as Iteim, who asserts the contrary. According to Engal, the dysenteric process always follows
the typhus, but we never find the order reversed.
The symptoms of the so-called bilious, gastric and
mucous dysentery are those proper to this disease, complicated with a bilious, gastric or pituitous condition.
The reactive character of the disease may besides this
partake of the erethic, synochal, or adynamic character, which would seem to require a subdivision into
bilious-inflammatory, bilious-adynamic, &c. The bilious condition often precedes for some time the peculiar appearances of dysentery. There is frequently




38               DYSENTERY.
discharged by vomiting and stool bilious matter, yellow, grass-green, or dark-green fluid, often with relief
to the patient. Bilious dysentery is frequently complicated with inflammation of the liver, which may
occasion abscesses of that organ. The crisis often
occurs with discharge of frecal stools, and the outbreak
of a pustulous eruption around the mouth and nose.
In some epidemics of this form, large quantities of
worms are discharged with the evacuations, giving
rise to the so-called verminous dysenteries of some
writers.
The distinction of rheumatic dysentery is sustained
with difficulty, and the scorbutic dysentery of Copeland is not essentially different from the typho-septic
dysentery already described.
COMPLICATIONS.
Inflammation of the intestines necessarily involves
the neighboring organs and portions of the intestinal
canal. Morbid changes in the liver, the spleen, pancreas and mesentric glands, frequently complicates
the dysentery and occasions many modifications in its
symptoms. Most frequently the liver is affected with
inflammation, maturation or softening, so that many
physicians from the frequency of these complications
consider this organ as the one primarily affected, and
the starting point of this disease. This complication
is particularly frequent in warm climates and among
intemperate persons; and they may be sometimes the




COMPLICATIONS.               89
consequences of suddenly suppressed dysenteric discharges, or of previous chill-fever. The affection of
the liver may exist at the same time with the dysentery or may follow it. In very many cases the affection of the liver has remained latent during life, and
only been discovered in the cadaver, and often we
ascertain the presence of the disease of the liver from
the presence of pains, swelling in the right hypochondrium and epigastrium, jaundice, vomiting, &c.
Usually the first sign of abscess in the liver, is that
the patient sinks into a typhoid condition.
Affections of the spleen are not easily diagnosed,
unless they are manifested and detected by a swelling
in that region.
Some practitioners have observed complications of
dysentery with exanthematous diseases of the skin,
scarlatina, erysipelas, small-pox and diptheritic angina.  Siebert observed an alternation between erysipelas and dysentery, which induced him to consider
the dysentery as an erysipelas of the large intestinal
coat. Gripal saw in an epidemic many patients sink
suddenly with a putrid erysipelas of the face. Yet
these facts are too scanty to enable us to conclude with
certainty as to the real connection of the two different
processes of disease. Only in very rare cases, as Rolcitanskcy remarks, does dysentery exist with pulmonary
tubercles, and never at the same time with intestinal
tuberculosa, which is the more remarkable, as the dysenteric process is often connected with carcinoma




40                DYSENTERY,
and especially with open cancerous ulcers. Kosch
frequently witnessed the whooping cough, complicated
with dysentery; at first the cough became milder,
then continued, varying in intensity, until the dysentery left, and then returned to its primitive violence.
DURATION AND TERMINATION.
The duration of dysentery extends in mild cases
from eight to fourteen days; if, however, we also include
the convalescence and the possible after diseases it may
extend to months. On the other hand, in some cases
health is restored very promptly, sometimes after a
considerable discharge of blood, or the use of the appropriate remedies, and a fatal termination may also occur
in an adynamic dysentery within two or three days.
The terminations in perfect recovery occurs usually under the appearance of warm perspiration, and
Hauf very justly remarks, that in this disease the
skin is the organ which exhibits the chief critical
activity. Most commonly this is followed by flatulent
discharges downward, the stools become less frequent,
colic pains and tenesmus diminish, the fever moderates, the pulse becomes more full and free, the
urine flows again and in place of the agitation and
excitement we have rest and sleep. There is also
sometimes a critical sediment remarked in the urine,
ferunculous or other eruptions at times appear upon
the skin, or abscesses form beneath it.
Relapses are very frequent, especially when the




r'DURATION AND TERMINATION.          41
patient remains exposed to the prejudicial influences,
which have occasioned the attack, as in prisons,
camps, besieged cities, millarious regions, &c. According to Copeland, relapses are frequent in complications of the spleen and liver, when the dysentery has
followed an obstinate intermitting fever, or when it
has assumed a more chronic form. In hot climates the
disease often assumes an intermitting form, leaving
but little hope for the patient; twelve or thirteen hours
pass over without pain or more than a single evacuation; but the paroxysms soon return again. (Williams). In many cases convalescence is very tedious;
the hair falls out and desquamation of the skin occurs,
the remaining weakness frequently occasions longcontinued inclination to profuse sweats, cedema of the
feet and hands, a certain laxity of the intestinal track,
disposition to diarrhcea, lienteria, dyspepsia, habitual
constipation, aenemia, hardness of hearing, roaring in
the ears, and evening fever. Tenesmus may remain
for some time as a pure nervous symptom. Bouchut
observed as a remains of dysentery, a paralytic condition of the rectum, which remained open, the evacuations passing off involuntarily, and clysters flowing
back again; the paralysis is usually not perfect, and
from time to time contractions of the sphincter occur
and the anus is momentarily closed; the trouble
generally disappears with returning strength.
It has been remarked, that many chronic complaints, such as, chronic rheumatism, affections of the




42                DYSENTERY.
spleen, asthma, &c., with which the patient had
suffered before the attack of dysentery, have been permanently cured through the revolution occasioned by
this disease; such patients usually feel as if born
anew.
Ulcerative formations in the mucous membrane of
the intestine even in the earlier stages of the disease,
are evident from dissections. That the erosions and
degenerations of the mucous membrane may cicatrize,
is evident from numerous examinations.  But frequently the ulcerative process becomes permanent,
either because the regenerative activity of the
exhausted organ is unable to perfect the process.of
cicatrization, or because the dyscrasic diathesis sustains the destructive process in the mucous membrane.
Under such circumstances the dysentery becomes
changed into an entero-phthisis; its symptoms are, a
fixed and permanent pain in the abdomen, usually
limited to a circumscribed space, which is the more
clearly expressed in proportion as the ulceration is
more extensive; continuous diarrhcea, consisting of
purulent, sero-purulent, often ichorous, like flesh-water
or blood-streaked discharges, with which emaciation,
colliquative sweats, frequent cough and hectic fever
associated. The marasmus of such patients often
attains an unusual degree, exceeding that of pulmonary consumptives. Sometimes only a single large
ulcer exists in the rectum, with tenesmus, and bloody
involuntary discharges. Death follows mostly from




DURATION AND TERMINATION.            43
exhaustion, and hectic, sometimes very suddenly from
perforation of the intestine. The so-called chronic
dysentery is usually only a range of symptoms arising from a continued ulceration of the intestine, or a
morbidly increased activity of the intestinal follicles;
a more accurate diagnosis must soon banish such designations from the pathology of dysentery.
A not unusual result of dysentery, especially in old
school practice, is stricture or contraction of the
rectum. If the inflammatory process is arrested, it
is not always that its product is removed; frequently
only the fluid portions of the exudation, lying between
the mucous coats, are absorbed, while the more firm
parts become hardened and organized in the cellular
tissue; the oedema sometimes hardens to a skirrous
consistence, and hence occasions permanent contractions of the intestinal tube; and this result may also
be the consequence of cicitrization of the ulcerations,
and contractions of the affected tissue; adhesion and
fixing of the intestine in a false position in consequence of secondary peritonitis may also conduce to
the production of such strictures. We often discover
those cases by an external examination of the abdomen, knotty, rope-like circumscribed points of hardness are present, which may easily be taken for skirrous degenerations. Continued constipation, pains
and flatulence occasioned by the passage of every stool,
and change in the form of the freces, are the usual
disturbances occasioned by such strictures. Inflam



44               DYSENTERY.
mation of the intestine may finally occur above the
contracted point in the bowel, and there occasion dilatation, and at last rupture of the part.
Dysentery sometimes passes over into an extensive
enteritis, peritonitis, or hepatitis. Lying-in-women
are especially liable to peritonitis. Copeland saw
the inflammation extend from the coecum through the
peritoneum to the external cellular tissue, forming an
abscess in the right iliac region, which discharged
into the coecum or externally.
With children, and in dysenteries of hot climates,
intusseption of the intestines is not unusual in
the course of the disease, which usually terminates
unfavorably through illius; though there are not
wanting cases, where the patient has recovered after
the sphacelated portion of the invaginated intestine
has been thrown off.
The disease may terminate fatally in all stages,
earlier or later. In the acme of the disease death
may occur through the violence and extension of the
inflammation, through abdominal paralysis, often at
the time of a crisis, gangrene, putrid fever, perforation
of the intestine, and later through eutero-phthisis,
hectic, hydrops or other secondary diseases.  Sometimes the patient complains a day before the fatal
termination of a constricting sensation in the throat,
and aphthe appear in the mouth, which easily become
gangrenous. In an epidemic of dysentery, observed by
Mondiere, the fatal result was preceded some forty



DIAGNOSIS.                45
eight hours by a copious accumulation of mucus in the
mouth. With children, when the urinary secretion
is suppressed, and the stools have also disappeared,
not unfrequently sopor and a fatal hydrocephalic condition is established.
D I A G NO SI S.
Heamorrhoids may occasion tenesmus and bloody
dejection, to which there may be added fever and pains
in the bowels, and hence arise a picture resembling
dysentery. But that we have not here to do with a
true dysentery is manifest from the history of the
haemorrhoidal affection, the invasion and course of the
fever, which in a cosmic toxicosis, is quite different in
violence from a simple symptomatic fever; from the
more rapid and critical course of the dysentery itself,
the character of the discharges, which in dysentery
are not only blood-streaked, but otherwise changed,
while in hemorrhoids they retain their natural consistence, and the blood remains separate from the peculiar fxecal masses; there are also haemorrhoidal
swellings present; the tenesmus is purely local, and
does not manifest itself as in dysentery, in connection
with cutting in the abdomen, or frequent urging to
stool.
In many diarrheas we also find tenesmus, without
blood in the stools, or the stools are sometimes bloody
without tenesmus. Such cases, on account of their
resemblance to dysentery, have been designated as




46               IDYSENTERY.
dysenteric diarrhoea; in dysenteric epidemics we observe them as fragmentary portions of the prevailing
disease process, and especially at the beginning and
end of the epidemic. Pain in the bowels, bloody
stools, and tenesmus may'also be produced by the use
of acrid substances, poisons, drastics, and the hence
occasioned irritation of the mucous membrane of the
intestine. Here the discovery of the occasional cause,
the disappearance of the symptoms after the removal
of the prejudicial moments, assure us of the nature of
the affection we have in hand.
CA IUSE S.
Dysentery occasionally appears sporadically. Epidemic dysentery attacks all ages,* sexes and constitutions without exception. The observation that
females are more subject to this disease than males,
is only correct as to certain epidemics, in others the
contrary occurs. Similar variations occur in some
epidemics in reference to the ages of those attacked.
Jews, in this as well as some typhus epidemics sometimes are said to be exempt; on the contrary, Negroes
are more subject to this disease than any other race,
and the disease is with them subject to assume a more
asthenic and putrid form; it is among them the most
frequent and predominant disease.
As predisposing moments may be considered: ca* Examples are even shown where the foetus has been the subject
of this disease before birth,




CAUSES.                  47
chectic condition, long retention of degenerate fsecal
matter, especially accumulation of morbid secretions
in the first passages, previous and frequent abdominal
diseases, dropsies, scorbutis.
That unknown something, on which the endemic and
epidemic dysentery depends, is called dysenteric
miasm. Its mode of development and peculiarities
are obscure, and only fragments of it lead us clearly
to the manifest action of such an agency. Summer
and late summer are those periods of the year in which
dysentery especially prevails; hot days and cool
nights, a high temperature after continued moisture
and cold, or also with dry weather, is most favorable
for its development. This however is no constant
law, and an intensive dysenteric miasm may prevail
at other seasons of the year and under contrary conditions of weather.
We have already intimated the relation between
dysentery and intermitting fever.  Rodener and
Wagner call the dysentery the daughter of intermitting fever. There is no region where the swamp
fever prevails, in which the dysentery is not also epidemic. The connection is so intimate, says Witliams, that in tropical climates, of a given number of
people, equally exposed to the action of swamp miasms,
a part of the individuals will be attacked with dysentery, and the remainder come down with fever and
ague. In many marsh regions where dysentery prevails, this disease disappears as soon as the swamps




48                DYSENTERY.
are drained; but the ague disappears after the draining yet more rapidly than the dysentery itself; and
it appears that in some cases the dysentery prevails
in inverse proportion to the intensity of the marsh
fevers.
Besieged cities, prison ships, jails, camps, and poor
houses are the rich hot-beds of typhoid dysentery;
famine, continued hardships and privations, accumulation of degenerate animal and vegetable effluvia, are
favorable for the production and increase of this miasm.
Dysentery is known as the most fearful scourge of
camps and invading armies. Under such circumstances the intimate relationship between dysentery
and typhus, especially petechial typhus and hospital
gangrene, is most prominent. They are often seen
prevailing at the same time, alternating, passing over
from one to the other, the miasm of the one alternately exciting the other, and the contrary. The
wounds of dysenteric patients are very subject to
gangrene; the miasm of petechial fever excites in
other individuals dysentery, typhus epidemics pass
over into dysenteries, and dysentery epidemics into
plague, while dysentery and typhus prevail at the
same time.
There has been much dispute as to the contagiousness of dysentery. A study of the history of dysenteric epidemics shows that this disease does not belong
to that class, which like the small-pox, scarlatina, glanders, &c. always and constantly develops a contagium,




CAUSES.                  49
or that the disease is only developed through the agency
of such contagion. In the majority of cases the extension of the disease in this way is not manifest. But on the other hand it scarcely admits of
doubt, that at times a dysenteric contagion is developed,
though apparently it is only in epidemics of typhoid
dysentery that such a formation is evident. Whether
this contagion is only the contagion of typhus, or
whether it is a potentized infection, formed from that
miasm, favored in its development by the concentration of animal effluvia, (as from crowding men into
a narrow space), are questions which at present
remain undecided. The dysentery contagion seems
to be of a volatile nature, commingled with the atmosphere from the excrements and exhalations of the
patient and received by the inspirations of other persons; perhaps it may also be conveyed by the use in
common with the sick, of the chamber stool, privy or
point of the clyster. It however appears not to extend far in the atmosphere, and to be easily destroyed.
The period of incubation is apparently from three
to eight days.
Does dysentery like other similar cosmic diseases
attack the same individual more than once, or is he
thereafter exempt? Here also there are various opinions. Some maintain that the same individual may
have a second or third attack, while others hold that
the predisposition to an attack is increased from having had the disease previously, as in intermitting
3




50                DYSENTERY.
fever. It may be here as in typhus that though
persons may have a second attack, such instances are
in general seldom. We should avoid confounding with
this second attack, a morbid irritability of the intestinal track remaining after dysentery.
As casual moments which most frequently determine the outbreak of dysentery may be mentioned.
Chills, exposure to cold, moisture, sleeping in the open
air, and on wet ground as in bivouacs, excesses at the
table, drunkenness, bad nourishment. Of themselves
such influences only seldom and sporadically induce
dysentery. Merely taking cold does not localize such
a disease without the influence of a prevailing epidemic. Many have imputed to the use of fruit a most
important cause in the production of dysentery. That
unripe sour fruit and bad vegetables, used during the
prevalence of an epidemic dysentery, are injurious
and contribute to the development of the disease is
certain; this however does not obtain to the same
extent with ripe fruit, as experience has shown that
it is not only unprejudicial, but under proper circumstances even has been employed as a remedy; frequently dysenteric patients have been restored
without any other remedy than the use of ripe sweet
grapes, plums, &c.; watery fruits, such as melons,
oranges, cucumbers, &c. are always injurious in this
disease.
This disease prevails much more frequently in the
equatorial, than in the cold and temperate zones. In




PROGNOSIS.                 51
the East and West Indies, Central Africa, the Coast
of Guinea, in the Antilles and in Egypt, and in the
southern and western portion of the United States
it prevails endemically; Ceylon, Batavia, Java, California and South Africa are often wasted by it. To
strangers in those regions, who live improperly, use
luxurious irritating food and spirituous drinks, which
provoke the development of the disease, it is much
more fatal than with natives. In Europe it is very
frequent upon the coast of Spain, in Madeira, Sardinia, Bohemia, Scotland, and Ireland. In this country it prevails extensively in almost every part, in
the Southern, Middle, Western and even Northern
States, few localities are exempt, and in many it
prevails at times as a most fatal epidemic.
PROGNOSIS.
The prognosis of dysentery varies much with the
character of the epidemic; it may be so mild that a
large proportion of its subjects are restored, or so
violent as to demand a greater proportionate number
of victims than the cholera or the plague, and scarcely a third part of those attacked recover. Such are
the results in the typhus and putrid varieties; gastric and bilious dysenteries may run a mild or pernicious course.  The prognosis in dysenteric epidemics is bad in proportion to the commencement of
the epidemic and the proximity to the locality from
which it was primarily derived. Also in different




52                DYSENTERY.
regions and locations the endemic dysentery has a
mild or more fatal character.
Aged persons and children are in greater danger
than adults; among pregnant females abortions are
very common, and with the lying-in a fatal peritonitis
is very likely to ensue. Weakly cachectic constitutions, who have been previously subject to abdominal
diseases, often fall victims to even a very mild attack.
The external influences under which patients are
placed has a decided influence upon the prognosis,
and it is worse when patients are confined within a
miasmatic atmosphere.
In our experience and under appropriate homceopathic treatment, we have found, that young infants
and children occasionally become victims; women
and persons of weakly constitutions rarely, and men
very seldom.
As favorable signs in the course of dysentery may
be considered: slighter frequency of the discharges,
intermission of the colic pains and griping, milder
grade of the tenesmus and fever, stools becoming
bilious and feculent, discharge of flatulence downward, breaking out of warm perspiration, slighter
reflex symptoms, natural urinary discharge, return of
sleep. Return of bilious vomiting if it has existed
early in the disease, pustulous eruptions, abscesses
in the extremities or other peripheric parts, may
also be considered as favorable symptoms.
Unfavorable moments are: great exhaustion, in



PROGNOSIS.                  53
crease and constant continuance of the colic and
cuttings, tension and distension of the abdomen, violent tenesmus, increasing number of discharges, dark
dissolute stools like flesh water, vomiting coming on
in the course of the disease, increased agitation,
hiccough, coldness of the skin and tongue, small irregular pulse, dark dry tongue, delirium, remaining
open of the anus, suppression of the urine, spasm
and paralysis of the lower extremities, sunken and
lead colored tint of the face, ecchymosis, putrid
apthbe, rash, sudden disappearance of the pain in the
bowels, loss of voice. Of such prognosis is also a
remaining pus-like diarrhea, after the acute stage of
the disease with increasing emaciation and colliquation, lienteria, cedema.




54                DYSENTERY.
TREATMENT.
It is important in the treatment of this disease to
place the patient in the most favorable position for
promoting the action of the medicines employed.
His room should be carefully ventilated, and the
utmost care taken to prevent as far as possible an
accumulation or concentration of putrid effluvia and
miasm. This is as necessary for the welfare of the
patient as for the safety of the attendants. Cleanliness of the person and bed, the prompt removal of
the putrid evacuations, and keeping the patient as
quiet as possible with his feet, legs and abdomen
comfortably warm, are matters of no small moment.
In severe cases the patient should be kept to his bed
if possible, and use a bed pan for his evacuations,
instead of getting up and exposing himself and exhausting his strength, by going to his stool every few
minutes.
Everything which is calculated to irritate the intestinal canal, should be carefully withheld from the
patient.  Cold, fresh water, as it at once excites
griping and tenesmus, is objectionable, and its place
may be supplied with water which has been heated,
and then cooled again, or with mucilaginous drinks,
such as rice water, barley water, oat meal gruel, and
slimy soups and beverages. For nourishment, milk
porridge, made of well cooked milk and flour, or gruel of
farina, oatmeal or rice-flour, are the best, and patients




TREATMENT.                    55
should be mostly confined to them. Sometimes fruits
such as very sweet, ripe plums and grapes have
been allowed, and have been held beneficial, but the
use of anything of the kind should be regarded with
jealousy.
The white of an egg, beaten up in water, in the
proportion of an egg to a half pint of water and
sweetened with sugar has been given with benefit,
as a drink. Soups of meat can scarcely be allowed
even during convalescense, and wine or spirits of any
kind are rank poison.
Injections of thin starch, or what is far better,
white of egg in water prepared as above,* are often
very comforting to the patient, and if agreeable there
is no objection to their employment. Often much
relief will be afforded from seat baths of tepid water,
in which the patient may remain from five to ten
minutes, according to circumstances, and they may
be repeated from time to time as occasion seems to
require. These accessories of treatment though not
absolutely curative, sometimes contribute to the comfort of the patient, though homeopathic physicians
need but rarely resort to them.
Every case should be treated as an individuality,
and each medicine should be chosen with reference to
* Some eminent old school physicians in Europe, have recently
relied exclusively on the use of egg water, and clysters of white of
egg and water, prepared as above in the treatment of this disease.
Their reports are very successful.




56                DYSENTERY.
its similarity to this particular case and to the genius
of the prevailing epidemic.
It is important early in the epidemic to study this
prevailing character or genius, by a careful comparison of several cases of the disease with the pathogenesis of the several medicines, and we shall thus be
enabled to fix on some one or more medicines corresponding to its epidemic character, and which will be
found applicable to almost every succeeding case,
and hence be saved much trouble and perplexity.
The dose and repetition of medicines is by no
means unimportant.  Every practitioner must be
allowed to use his own discretion and judgment in
the premises, the whole scale from the first preparations to the 2000th, being open to him. Each has
its use and place more or less rarely or frequently,
according to the ever varying circumstances of the
case. Nevertheless, as some doses and methods of
administration seemed to be required in a monograph
of this character, we have indicated those doses which
have been employed in our own practice, and they
have been arrived at by no small amount of study,
observation and experience.
ACONITE: At the commencement of the disease
and when we have high i7zflammatory fever, full,
quick pulse, hot dry skin, colic pains and tormena,
frequent small soft stools with tenesmus; or where
there are rheumatic pains in the head, nape of the
neck, and shoulders, chills, heat and thirst.




TREATMENT.                 57
Dose and Administration.-One drop, or twenty
pellets of the sixth potence, may be dissolved in
six or eight dessert-spoonsful of pure well water, of
which a spoonful may be administered every hour in
urgent cases, or every two hours, until the fever and
violence of the disease have abated, then at longer
intervals, or follow with Merc., Nux, Colocynlth, or
another indicated remedy.
ALOES: is unquestionably a valuable remedy in
dysentery, though the indications for its employment
have never been clearly settled. Among them may
be mentioned: abdomen distended and sensitive to
the touch; violent pressing, burning and rending
pains along the course of the colon sometimes mingled with cuttings; fluid, slimy evacuations, mixed with
blood, and attended with violent tenesmus, heat
and faintness when at stool; burning in the rectum; violent colic; excoriation about the anus;
heat and thirst, tongue inclined to be dry and red.
Dose and Administration: Give eight pellets of
the sixth potence, dissolved in a spoonful of water,
every hour, until improvement sets in, then at longer
intervals.
Arsenicumn is almost indispensable in certain epidemics, and in certain other stages and forms of the
disease. It is demanded when we find: great prostration, stools excessively black, bloody, acrid, putrid, very fcetid, often involuntary, violent burning
pains in the abdomen, retention of urine, or involuntary urination, fcetid urine, tenesmus and burning




58                DYSENTERY.
pains in the anus and rectum, dry, chapped, black
tongue, hiccough, raging thirst, frequent vomiting
of mucus or bile, or retching, miliary eruption or
petechia over the body, excessive anxiety and restlessness, cold sticky perspiration and frequent faintness, delirium or stupefaction, pale sunken countenance, small pulse.
The thirtieth potence repeated every two or three
hours has with us been much more efficacious than
the lower preparations. Give six pellets of this, dissolved in a -spoonful of water, every two hours, until
an improvement takes place, then at longer intervals.
BELLADONNA is often of value in the more infiammatory varieties, either after Aconite or where we
find: sanguine temperament, full habit, lively ardent
disposition, tendency of blood to the head, and distension of the superficial vessels, face red and hot,
partial or complete delirium, whitish tongue, the tip
not coated but inclined to be dry, spasmodic and
colicky or else cutting pains in the bowels, distension
and pain along the transverse colon, distended and
very sensitive abdomen, constant urging to stool and
frequent fruitless tenesmus, or with slight dysenteric
discharges; tenesmus with pressing and urging towards the rectum and sexual parts; violent slimy
bilious vomitings, evening fever, intense thirst and
sleeplessness.
Dose and administration: One drop, or twenty
pellets of the sixth potence, may be dissolved in six




TREATMENT.                  59
or eight dessert-spoonsful of water, of which give a
spoonful every two hours until somewhat relieved,
then at longer intervals, say three or four hours.
COLOCYNTH is one of our most distinguished
remedies in dysentery, often useful, and frequently
indispensable. It is indicated by: violent colic pains
and griping in the hypogastric region, causing the
patient to bend together, attended with great restlessness, frequent evacuations, at first of greenish yellow
or watery mucus, then streaked with blood, or of
bloody mucus; pains disappear with every evacuation,
but are renewed again from taking the least quantity
of food or drink; the tenesmus is slight or entirely
wanting; fulness and pressure in the abdomen, whitecoated tongue, chills, thirst and febrile heat, irritable
dejected state of mind.
Dose and administration: One drop or twenty
pellets of the sixth attenuation may be dissolved in
eight dessert-spoonsful of water, of which give a
spoonful every hour, or in very urgent cases every
half hour until an amelioration takes place, or until
six doses have been given. Then prolong the intervals to one, two or three hours.
COLCHICUM iS often appropriate in autumnal dysenteries, where we find: bloody, or bloody-slimy stools,
mixed with membranous portions like scrapings of
the intestines, attended with severe pain and tenesmus, or where in red dysentery more mucus than
blood is passed; or, discharges of only white, transparent, gelatinous mucus with violent tenesmus;




60               DYSENTERY.
distension of the abdomen, prolapsus of the rectum,
colic pains and cuttings are also indications.
Dose and administration, the same as for Colocynth.
CANTHARIDES is very necessary when the urinary
organs are severely affected by sympathy, where the
tenesmus affects the bladder with frequent urging
to urinate, with only slight and painful discharge;
the stools consist of blood or bloody mucus, or of
white slime mixed with shreds like the scrapings of
with intestines, and streaked with blood, and accompanied with burning pains in the bowels, or cuttings
and griping with tenesmus. The fever is usually
violent, burning, with dryness of the mouth and thirst,
restlessness and anxiety, small, hard and intermitting
pulse.
Dose and administration: Same as for Colocynth.
CAPSICUM is of value when we have: frequent
small stools of only mucus, or of bloody mucus
with tenesmus, and preceded by flatulent colic in the
abdomen; or where the violent cutting pains have
been removed, and only an intensely painful feeling of
pressure remains. Thirst with evening exacerbations
of fever, especially from evening to midnight, tenesmus of the bladder, distension of the abdomen with
pressure, irritable state of mind.
Dose and administration: Same as in Colocynth.
CARBO-VEG. may be very useful in those cases of




TREATMENT.                  61
adynamic or malignant dysentery when Arsenicum is
indicated, and yet fails of relief, and when we have:
putrid stools, great prostration, pressure on the
rectum and burning of that part, after stools. The
patient complains of burning pains, has cold breath
and cold surface. If after the use of Carbo-veg. the
putrid odor of the stools does not disappear, recourse
must be had to China.
Dose and administration, the same as for Arsenicurn.
CHINA may be employed in those cases which
clearly owe their existence to marsh miasm, and which
are inclined to assume an intermitting character, or
when the stools are black and putrid, and fail to yield
to Ars. or Carb.-veg. In some epidemics it has
proved very efficient.
Dose and administration, the same as for Belladonna.
IPECAC. is valuable in dysenteries of decidedly gastric character, with: great repugnance and loathing
against food, nausea and vomiting, pain in the precordia, coated tongue, pressing headache in the forehead, violent urging to stools, which are mostly slimy,
stinking, and followed by tenesmus; more chilliness
than heat, and evening exacerbations. For dysentery
at the commencement, where cramps prevail, and at
the close after the removal of the inflammatory symptoms, and there yet exists great weakness of the intestinal canal, and tendency to tenesmus.




62                DYSENTERY.
Dose and administration: Same as for Colocynth.
MERCURIUS-CORROSIVUS is justly regarded as the
chief remedy in most forms of dysentery. It is particularly indicated in autumnal dysenteries when the
days are hot and nights cool, and where we find:
very frequent small stools of bloody mucus, or of
chopped up greenish masses mixed with blood, continuing day and night, with almost constant cuttings in
the bowels, and an insupportable andpainful urging
and tenesmus. Sometimes the dysenteric discharges
are bilious, very fetid, green or brownish; frequent
oppression of the stomach, and vomiting which affords
some relief. Frequently after long continued violent
straining and pressing a little bloody mucus only is
discharged, the tenesmus scarcely abating for a moment
and then returning again. The colic pains, griping
and cutting in the bowels are very severe, often
extend to the back with chills, heat, thirst and
anxiety.
Dose and administration: We formerly employed
this remedy in the second and third trituration,
repeating every hour in urgent cases, but latterly we
use it only at the twelfth and thirtieth, and are convinced from repeated observation that it is far more
efficacious in these potences than in the lower forms.
It should be prepared by dissolving the pure crystals
in distilled water for the first attenuation, dilute alcohol the second, and only pure alcohol at the third.
One drop, or twenty pellets of the twelfth attenuation,
or higher, dissolved in eight spoonsful of water, of
which we give a spoonful every hour in urgent




TREATMENT.                 63
cases, until an improvement takes place; or until
six or eight doses have been given, then only at
intervals of two or three hours.
MERCURIUS-SOLUBILIS is employed by many practitioners indifferently with the Corrosivus-hyd.,
although we think the grade of dysentery indicated
by it not so violent and sharply defined. Its indications are: violent cuttings in the bowels; only
interrupted by short pauses, violent urging pains,
burning and tenesmus, with which only small portions of bloody mucus often resembling raw flesh
are discharged; at the same time more or less coated
tongue, loss of appetite, rending pains in the limbs;
in children the red slimy discharges are often mixed
with masses of dark green mucus; the tenesmus continues after, as well as before the stools, or is even
worse; nausea, eructations, chilliness and shuddering, cold sweat on the forehead, great exhaustion
and trembling, amelioration when quiet and aggravated by motion, prolapsus of the rectum which is
frequently bloody, worse at night.
Dose and administration: Same as Merc.-corr.
vUx-voMICA is very useful in many forms of dysentery, and especially if they threaten to assume an
adynamic or an intermittent type. The indications
are: frequent small stools, consisting of bloody mucus, or when from time to time bits of hard fecal
matter (scabella) are seen in the discharges. Frequent small slimy stools with urging and tenesmus,




64                DYSENTERY.
violent cutting pains about the umbilical region, intense heat, great thirst, or pitch-like, bloody, ragged
or villous discharges, pressure on the rectum before
and after stools. There may be also retention of
urine and fruitless urging to urinate, frequent retching
or actual vomiting, bitter or putrid taste in the mouth,
confused obstupefied head, and aggravation in the
morning hours; especially appropriate for hcemorrhoidal subjects.
Dose and administration: In cases of some standing with great feebleness, administer the same as in
Arsenicum. But in more active inflammatory conditions in which it may also be indicated, give every
two hours as directed for Belladonna.
PULSATILLA is frequently  appropriate in the
milder cases, and when there are: frequent small
stools of only yellow mucus streaked with blood,
preceded by cuttings in the abdomen, or dysenteric
stools of bloody mucus making the anus sore, with
twisting and cutting about the navel and gastric complaints, or, autumnal dysentery with slimy stools.
There is usually insipid taste in the mouth, white
coated tongue, desire to vomit, or even vomiting of
mucus, frequent chills, especially towards night, and
evening aggravation, whining mood.
Dose and administration, the same as for Colocynth.
PETROLEUM has proved serviceable in some bilious
and erethic forms, and where they have threatened




TREATMENT.                  65
to assume a malignant character. Frequent stools
of mucus and blood, or of only bloody mucus, accompanied with great feebleness. Frequent urging to
stool, where. after violent pressing, only a slight dysenteric discharge takes place, with a feeling as if yet
more should come. Often but slight discharge of red
or brown stinking urine, unusual febrile exacerbations,
frequent flying heat; with trembling of the body,
night-sweats, and irritable temper.
Dose and administration, the same as for Belladonna.
NITRIC-ACID. is a valuable remedy in some forms
of dysentery. Hartmann says, it is probably the
best remedy where there is a constant pressing in
the rectum without any, or only very slight discharge. Its symptoms are: Bloody dysenteric stools
with tenesmus, fever and headache over the whole
head. Frequent stools consisting only of mucus,
sometimes with cuttings in the abdomen, and violent
tenesmus, constant urging to stool without success,
or with only very slight discharge. Long urging
and pressing to stool, which passes off with great difficulty although quite soft. There is frequently great
heat, constant thirst, and an unequal intermitting
pulse.
Dose and administration: One drop, or twenty
pellets, of the sixth potence, dissolved in eight spoonsful of pure water, of which give one spoonful every




66                DYSENTERY.
two hours, until an amelioration sets in, then at intervals of three or four hours.
PLUMBUM corresponds to dysenteries of the more
violent character, where the discharges are only
blood, with continual cuttings in the bowels and stomach, violent eructations, fever, burning in the anus
during an evacuation, and continuance of the tenesmus after the stool, or where in the absence of stools
there is violent tenesmus.
Dose and administration, the same as for Nitricacid.
RHUS-TOXICODENDRON is an almost indispensable
remedy in this disease, where symptoms of a typhoid
character appear, and the organic activity threatens
to become extinct. The patient is weak and falling
away, the plasticity of the blood is diminished, the
stools are dissolute of sanguinous mucus, often
passed off involuntarily at night, without pain or
tenesmus; incontinence of urine, great weakness and
prostration, especially after stool. Bleeding from
the nose, confusion of the head, evening chills followed by heat with excessive thirst, dejection and
anxiety also form farther indications for its employment.
Dose and administration, the same as for Nitricacid.
STAPHYSAGRIA has been successfully employed in
this disease with: dysenteric stools, with tenesmus




TREATMENT.                  67
and cutting in the bowels before, during and after
the discharges. Frequent stools of yellowish mucus,
with bruised soreness in the whole abdomen, and
muscular debility; dysenteric stools with much tenesmus and cutting in the abdomen.
Dose and administration, the same as for Nitricacid.
SULPHUR is one of our most valuable remedies in
the worst cases, and where the disease, notwithstanding some amelioration is slow to yield; or where other
remedies, owing to a chronic dyscrasia (psora) having
been aroused in the system in the course of the disease, do not seem  to take effect; or, for: mucous
stools streaked with blood, violent tenesmus, frequent urging to stool, especially at night; dysentery
with discharges of mucus, with or without blood, preceded by cuttings in the abdomen, with tenesmus,
fever, &c. It is very suitable for hemorrhoidal subjects.
Dose: Ten pellets of the thirtieth potence, dissolved in a spoonful of water, and taken at once.
Permit it to act four hours, if there is improvement,
permit it to act undisturbed four hours longer and
up to twenty-four hours, if the improvement continues, then the Sulphur may be repeated or followed
by Nux or another indicated remedy.
VERATRUM is very appropriate in dysentery,
where we have: watery sanguineous flocculent discharges in which portions of fieces are manifestly




58                DYSENTERY.
present: or, dysentery with vomiting coldness of,
the surface, extraordinary weakness, cramp in the
calves, retention of urine, and cold sweat. Evacuations are more frequent at night than by day, are
accompanied with and followed by colic and chills;
tenesmus is rarely present.
Dose: One drop of the sixth potence may be mixed
in six spoonsful of water, of which one may be given
every hour, until an amelioration takes place, and
then at longer intervals, two or four hours.




REPERTORY.
I. EVACUATIONS ACCORDING TO THEIR COMPOSITION AND
CHARACTER.
*Acrid, corrosive: ARS., Aloes, CHAM., CHINA, MERC., NuxVOM., Natr.-mur., PULS., SULPH., Verat.
Bilious: Ars., CHAM., Dulc., Ipec., Mere., Merc.-cor., Nux-vom.,
PULS., Verat.
Black, Pitch like: IPEC., LACH., MERC., Nux-voM., Sass.
Bloody: Acon., ARS., Aloes, Bell., CANTH., CHIN., IPEC.,
MERC., MERC.-COR., NITR -AC., NUX-VOM., PULS., IRHUS.,
SULPH.
Bloody Mucus: Aloes,, ARSEN., Caps.., Carb.-v., IPEC., MERC.,
MERC.-COR., Nit.-ac.. NUx-voM.,  Petrol., PULS., RHUS.,
SULPH.
Bloody mixed: MERc.-coR., Nux-voM., PULS., RHUS., Sulph.
Blood-streaked: Canth., Calc., Carb.-an., MERC., Phos., PULS.
Brownish: Ars., CHIN., Dulc., Merc., Merc.-cor., SULPH.,
VERAT.
Burning: ARS., Croton., LACH., MERC.
Changeable, in color: PULS.
Corrosive: see Acrid.
Dark and dark colored: ARS., CAMPH., CHIN., IPEC., MERC., Sulph.,
VERAT.
Not digested: ARS., BRY., CHIN., Ipec., MERC., INit.-ac., Lvuxvom., Phos., Phos.-ac., SULPH., VERAT.
Eggs, like beaten: CHAM., PUIS.
Fermented: IPECAC.
Frothy: Canth., CHIN. COLOC. Mere., RHUS., Sulph.
Flocculent: ARS., IPEC., VERAT.
* See note concerning the repertory at the close ol tne pretace,
69




70                      REPERTORY.
Fluid: ARS., CALc., CARB.-V., CHIN., IPEC., SECAL., VERAT,
Dark Green: ARS., MERC.
Grass Green: Ipec.
Grey: Ipec., MERC., Phos.-ac., Rheum.
Greenish: ARS., Bell., CHAM., Dulc., Ipec., MERC., MEnc.-coR.,
PULS., SULPH., VERAT.
Gelatinous: CALC., COLCH., Rhus., Sep.
Involuntary: BELL., CARB.-V., CHIN., HYOS., OPIUM, PHOS.,
PHOS-AC., RHUS, Sulph., VERAT.
-   at night: Arn.
-   during sleep: ARN., PULS., RHUS.
Membranous or skinny, like scrapings: CANTH., Colch.
Mucous or slimy: ARS., BELL., CAPS., Canth., CARB.-V., CHAM.,
CHIN., COLOC., DULC., IPEC., MERC., MERC.-COR., Nux-vom.,
PHOS., PULS., RHus., SULPH.
Pnrnlent: Bell., CANTH., Chin., MERC., Nux-vom., Petrol., PULS,,
SIL., SULPH.
Sudden: Croton, Graph., Lach., Rhus.
Transparent: COLCH.
Unnoticed: Ars., Colch., Lach., Phos.-ac., Puls., Staph., Sulph.
Verat.
Viscous or Sticky: Ars., Cale., Carb.-v., MERC., Nux-vom., PHOS.AC., Verat.
Watery: AcoN., ARS., CALC., CHAM., CHIN., IPEC., NUx-voM.,
PETROL., PHOS., PHOS.-AC., PULS., RHUS., SECAL., SULPr.,
VERAT.
Whitish: ACON., Ans., CHAM., CHIN., COLCH., MERC., Nux-vom.,
PHOS., PULS., Rhus., SULPH., Verat.
Yellow: Aus., Canth., CHIN., COLOC., DULC., IPEC., Mere., Rhus.
White: Carb.-veg., Puls.
II. EVACUATIONS: ODOR OF.
Cadaverous or corpse-like: Carb.-veg., Lach., Chin., Silhc., Stram.
Fetid, stinking: ARS., Carb.-veg., CIAM., Ipec., MERC.-COR., Nit.(c., Nux.-vom., Rhus, and others.




REPERTORY.                         71
Putrid: ARS., Carb.-v., Chin., Coloc., Ipec., Nux-mosch., Nux-vom.,
Secal. Sulph.
Sour: CALC., Cham., MERC., Petr., Phos., RHEUM., Sep., SULPH.
III. CONCOMITANTS OF STOOL, SYMPTOMS BEFORE, DURING, AND AFTER STOOLS.
Anus, burning in the, during: Lach., MERC., PULS.
- itching in the, during: Merc., Sil., Sulph.
- throbbing in the, after: Lach.
- retraction of the, during: Thuy.
--   --   --    after: Mez., Magn.
- constriction of the, during: Lach., Thuy.
-    after: Ign.
- pains in the, before: Carb.-an., Carb.-veg., Lach., Nat.-carb.,
Nitr., Phos., Sep., Sulph.
Anus, paralysis of sphincture: Bell., Coloc., Hyos., LACH., RHUS.
Abdomen, distention of the, during: Lycop.
pains in the, before; AGAR., ASAR., Caps., Carb.-veg.,
MERC., Nitr.-ac., Puls., RHEUM., Staph.,Sulph., VERAT.
-      pains in the, during; ANT., ARS., Bry., Carb.-veg., IGN.,
MERC., Nux-vom., RHEUM., SPIG.,
SULPH., VERAT..-     -    -    after; Canth., Carb.-veg., Puls., Staph., Verat.
Anxiety, before: Kali-carb., Magnes.-mur., Merc.
Back, pains in the, during: F'err., Puls.
--  pains in the, after: Mag.-mur., Puls., Sep.
Bladder, pains in the, before: Carb.-veg., Canth., Nat.-mur.
Burning, before: Berb., Oleand., Rhus., Sabad.
during: Ans., Canth., Caps., Carb.-veg., China, Gratiol,
Ipec., Lach., MERC., Nit.-ac., Nux-vom., PULS.,
Sep., Sulph., Verat.
-     after: Ars., Canth., Carb.-veg., Gratiol., Lach., Merc.,
Nit.-ac., Nux-vom., Phos., Phos., Sulph.,Tart.-e.




72                       REPER'TORY.
Chilliness, before: Amm., Dig., MERC., Mez. Nat.-carb., Phos.
-      during: Nit.-ac., MERC., PULS., Sulph., Verat.
Colic, during: Ars., Baryta, Mur., CoLoc.
Congestion to the head, during: Sulph.
Cuttings in the anus: Cale., Canth., Carb.-veg., Ipec., Nit.-ac., Phos.,
Staph.
-     - -  abdomen, before: Ars.,  Caps.,  Carb.-veg.,  Dulc.,
MERC., Nit.-ac., Petr., Puls., Rhus.,
Staph., Sulph., Verat.
-     during: Ars., Carb.-veg., Cham., Dulc., Lach.,
MERC., MERC.-COR., Nux-vom.,
Rheum., Sulph., Verat.
-     after: Carb.-veg., Canth., Puls., Rheum.,
Staph., Verat.
-   rectum; Calc., Canth., Merc., Nlt.-ac., Phos., Sulph.
-     -   during  stool:  Asar., Canth., Carb.-veg., MERC.,
Nit.-ac., Phos., Sep., Staph., Sulph.
-     -   after stool: Calc., Heleb., Puls.
Drinking, after: Caps., Jod., Nux-vom., Rhed.
--     renewed after: Ars.
Erections, before: Thuy.
during: Ign., THUJ.
Eructations empty, during: Con., Dulc., Lach., MERC.
Faintness, during: ALOES., Sass.
Flatulence, discharge of, during: Agar., CALC.-PH., Squill,, Staph.,
Violtric., Chinin., Nitr.-aec., Nux-vom., Rhus. and others.
Face, heat of, the during: Berb., Granat., Hep.,
- paleness of the, during: Ferr.-mag., Stram., Verat.
Head, rush of blood to the, during: Sulph., Lach.
- pain in the, during: *Bell., Lach., Nit.-ac., Phos., Rhus.,
Staph., Sulph.... —  -after: Lye., Nat.-carb., Plat., Sep., Zinc.
Heat, general, during: Kali-carb., MERC., SULPH.
Liver, pains in the: principally Cale., Graph., Stan.




REPERTORY.                           73
Loins, pains extending to the, before: Berb., Carb.-veg., Natr.-carb.,
Nitr.
--  --   in the, dur!ng: Ars., Carb.-an., Lye.. Nux-vom., Plat.,
Stann.
after: Alum., Carb.-veg., Plat., Puls., Sulphb
Lassitude, prostration, daring: ALOES, Bry., Dulc., Ferr., Hep.,
Kali-carb., Verat., &c.
-  --   after:  ALOES.,  CALC.,  Carb.-an., Lach.,
MERC., Petrol., PHOS., RHUS., Sulph.
Mnucus, discharge of, with: COLCH., KAL., lach., MERC., MERC.COR., NUX-VOM., PETR., SIJLPH.,
Tart.-e., and others.
-  -    -  after: ASAR., MERC., Phos.
Nausea before: Acon., Calc., Gratiol., Sep., &c.
during: Coloc., Ipcc., MERC., Nitr.-ac., Rhod., Sulph., &c.
-    after: Acon., Caust., Crot., Nitr.-ac., &c.
Navel, pain about the, before: Canth., Gratiol., Phos.
-    -    during: Canth., Caps,, Crotal., Nitr., Nux-vom.
-   -  after: Ars., Crot., Gratiol., Iod., Natr.-carb., Platin.
Pressing, before, (compare urging): Dulc., Lach.,Nitr.-ac., Nux-v.,&c.
-     during: Canth., China., Colch., Merc., Nitr.-ac. Nux-vom.,
Petrol., Plumb., Phos., Puls., and others.
-     after: Asar., Lach., Sulph.-ac., &c.
Rectum, pains in the, before: Bell., Carb.-veg., Lach., Nux-vom.,
Puls., Rhus, Sep., &c.
during ARS, Canth, Carb.-veg., Coloc., Ipec.,
MERC., Nitr.-ac., Nux-vom., PULS.,
RUTA, STAPH., SULPH., and others.
--  --       -    after:  Ars., Carb.-veg., China, Lach., Nitr.ac., Nux-vom., PULS., &C.
prolapsus of the, during: Ars., Asar., Calc., Canth., DuIc.,
IGN., Lach., MERC., Nitr.-ac.,
NUX-VOM., Ruta, SULPH.. —..-    after: Merc.
-    urination: Mur.-ac.
4




74                       REPERTORY.
Rectum, stitches in the: Carb.-an., Chin., Ign., Natr.-mur., Nux-vom.,
PHOS., PulS., SEP., Sulph.. Screams, in children, before: Borax, Rhus, Canth., Carb.-veg., Sulph.
-    during: Canth., Sulph., Valer.
Stitches in the anus: Acon., Ars., CARB.-AN., Carb.-veg., Chin., Ign.,
Merc., NAT.R.-UR., Nux-vom., PHOS., SEP., Sil., Sulph.
-    before stools: Kali-carb., Kreos., Nitr., Phos.
-    during -: Caps., Carb.-veg., Chin., Ipec., Nitr.-ac., Nuxvom., Sil.
-    after   -:  Canth., Cham., Chin., Gratiol., Nitr.-ac., Nuxvom., Puls., Sulph.
Sweat, anxious, with: MERC.
-    before: Acon., Bell., Sep.
- after: Acon, Caust.
- during: Bell., Crot., Sep., Sulph.
Tenesmus in the anus: AcON., ARS., BELL., CALC., CAPS., COLCH.,
HELL., HEP., IPEC., LACH., LAUR., MERC., MERC.COR., Nitr., NITR.-AC., NUX-VOM., Op., Phos., RHAB.
RHUS, SEP., Spong., SULPH., Zinc., and others.
-     before: Mere., Rheum.
during: ACON., ARS., Bell., COLCH., Ipec., MERC.,
MERC.-COR.,  Nitr.-ac.,  Nux-voM.,  RHUS.,
SULPH., and others.
-     after: Caps., IPEC., MERC., Phos., Rheum.. Suiph.
Urging to stool, constant: Bell., Canth., CON., Gratiol., Nitr.-ac.,
Plumb., SIL., Sep.
-    fruitless: ARN., Bell., Canth., Caps., Colch., Gratiol.,LACH., MERC., MERc.-coR.,Nitr.. ac.,
Nux-vom., Petrol., Plumb., Ruta, SEP.,
SIL. and others.
--    ---  violent: Bell., Lach., Laur., MERC., MERC.-COR.,
Nux-VOM., Plumb., Rhus, Sep., Stan., STAPH. and others.
Urlnary sufferings, with: Acon., Bell., Canth, Carb.-an., Chinla,
Hyos., Lach, Phos., Tart., Verat.
Urinary tenesmus, with: CANTH.




REPERTORY.                        75
Urging to stool, with anxiety: Merc., Nux-vom., Phos, &c.
-  abdominal pains: Ars., Baryta, Puls., Rhus.
-  pain in the bladder: Sulph., Canth.
-        --  -- redness of the face: Caust.
-- ---  -   -discharge  of flatulence: Carb.-an., Lach.,
Magn.-carb., Sep., and others.
- -   -  erections: Thuja.
- -   painful: Ars., Caust., Sulph.
-   on movement: Rheum.
--    ---  with pain in the loins.: Baryta, Carb.-veg., Con.,
Nitr.
-   with nausea: Rhus.
- --   -  itching of the rectum: Euphr.
- -   -  prolapsus of the rectum: Ruta.
Vomiting before: Bell., Croton., Dig., Lach., Tart.-e.
-    during: ARS., Bell., Cup. acet., Dulc, Ipec., Lach., Rheum.,
Stram., &c.
-  -  Eugen., Phos.
Weakness in the anus, with: Rhod.
Weakness, feeling of, with: ALOES., Kali-carb., Nitr.-ac., Petrol.,
Rhod., Sep., Sil., Stann.
during: ALOES., Rhod., Sil, Stann.
Womb, with pressure upon: Bell., Nux-vom.
IV. PAINS, ACCORDING TO THEIR LOCATION:
Anus: Acon., ARS., Bell., Canth., Caps., CARB.-veg., COLCH.,
CoLoc., Lach., MERC., NUX-vom., NITR.-AC., Plumb., PULs.,
Staph., SULPH.
Abdomen, in general: Acon., ARS., BELL., CANTH., Caps., CARB.veg., CHIN., Colch., COLOC, Hyos., Ipec., MERC., NUX-VOM.,
PLUMB., PULS., RHUS, STAPH., SULPH., &c.
Epigastrium, upper abdomen: ACON, Ars., Bell., CANTH., Caps.,
CARB.-VEG., CHINA, Coloc., Ipec., MERC., NUX-VOM., PULS.,
Rhus., Staph., Sulph., &c.,




76                       REPERTORY.
Hypogastrium, lower abdomen: BELL., Canth.,CAPs., CARB.-VEG.,
CHIN., COLOC., LYC., PHOS., RUTA, Sulph., &c.
Inguinal ring: Ars., AUR., Bell., Canth., COLOC., IGNAT., MERC.,
NITR.-ACID., NUX-VOM., Plumb.. RHOD., RHUS., SULPH.,
SULPH.-AC., &c.
Loins: CANTH., Colch., COLOC., Lach., NITR., Nitr.-ac., Puls.,
RHEUM, STAPH., ZINC., &C.
Rectum, Acon., Ars., BELL., Canth., Carb.-veg., Colch., IGN., Lach.,
LYC., MERC., N.XN-VOM., NITR.-AC., PHOS., Plumb., Puls.,
Rhus., SULPH.
Stomach: ACON., ARS., Canth., CHIN., Colch., Coloc., Ipec., Mere.,
NUX-VOM., PULS., RHUS., Staph., SULPH., VERAT., &c.
Umbilieus: ACON., BELL., Caps., Carb.-veg., CHINA, IPEC., NuxVOM., PLUMB., Puls., RHUS, Staph., Sulph., VERAT., &c.
V. PAIN, ACCORDING TO ITS NATURE, (ABDOMINAL).
Bruised, pain as if: Camph., Carb.-veg., Cham., COLOC, Nx-voM.,
Plumb., PULS., Staph., Stram., SULPH., VERAT., &C.
Burning: ARS., Bell., Canth., Caps., CARB.-VEG., Colch., LACH.,
Mere., PHOS., Rhus, SEC., Sep., Verat., &c.
Colicky: Bell., Colch., COLOC., Nat.-mur., Sass., SULPH.
Constricting: Bell., Bov., Carb.-an., Chin., COLOC., Plat., Plumb.,
Sep., &e.
Contracting: Bell., Canth., Carb.-veg., Chin., Lach., Mere., Nitr.-ac.,
Phos., Plumb., Rhus, Sulph., &c.
Drawing: Acon., Ars.. Caps., Cham., Nitr.-ac., Nux-vom., Plumb.
Rhus, Staph., &c.
Griping: Acon., Bell., CALC., COLOC., Ipec., LYC., Nitric-ac.
Nvx-voM, Petr., Phos., Puls., &c.
Pressing: BELL., Cap., Carb.-veg., Chin., Colch., Coloc., Mere.
Nitr.-ac., Nux-vom., Puls., Rhus., Staph., Sulph., Verat., &c.
Rending: Ars., Cham., Colch., Coloc., Croton., Ipec., Lach., Nux
vom., Puls., Rhus., Sulph., Verat.
Spasmodic: ARS., BELL., BRY., Lach., Nux-voM, RHTus, SULPH., &




REPERTORY.                           77
Stitches, stinging: Acon., Aloes., Bell., Bry., Canth., Colch, Coloc.,
Ipec, Lach., MERC., NITR.-AC., Nux.vom., Plumb., Rhus, Staph.,
SULPH., &C.
Violent: ARS., Bell., COLOC., Croton., Gratiol., Lach., Nitr.,
Ophiot., Rhus, Sec., Sep, Stram., &c.
VI. GENERAL CONDITIONS.
Distention of the abdomen: principally, ACON., ALOES., AM., ARS.,
BELL., Canth., Caps., CHA.M., CHIN., Cocc., Colch., Coloc.,
HYos., Ipec, LACH., LYC., MERC., Nitr.-ac., Nux-voM, RHUS,
SEP, SULPH., VERAT.
Flatnlence, accumulation of: Bry., C.RB.-VEG., CHIN., GRAPH., LYC.,
Petrol., Zinc.
Heat: Aloes., Bell., Bry., Canth., Carb.-an., Chin., Phos., Plumb.,
Ruta, Lic., Spong., Sulph., &c.
Inflammation: principally, ACON., Ars., Bry., Bell., Canth., Chin.,
Crotal., Hyos., Ipec., Lach.. MERC., Nux-vom.,
Plumb., Puls., Rhus., Squil., Verat.
of the intestines: ACON., Ars., Bell., Bry., Cham., Hyos.,
Ipec., Lach., Mere., Nux-vom., Plumb., Puls., Rhus.,
Tereb.
of the peritoneuml: AcoN., BELL., Bry., Canth., Cham.,
ML[erc., Nlux-vom.
Meteorism, (compare distension, &c.): in general, CHINA.
Painfulness, on contact or movement: Acon., Ars., Canth., CARB-VEG.,
COLCH., COLOC., Hyos., LACH., MERC., Nitr.-ac.,
Nux-voM., Plumb., PULS., Rhus, Sil., Sulph.,
Sulph.-aec., Vip.-torv.
of the external muscles: Hyos., Puls., Sep., SULPH.,
Thuja.
Ilypogastrium: Calc., Canth., Iod., LACH., &C.
--     Umbilical region: Ars., Croton., Lach., Lye., Plumb.,
Vip.-red., &c.








CASES AND CLINICAL OBSERVATIONS.
ACONITE: Dysentery conjoined with the presence of
synochal fever.
ALOE: Violent dysenteric evacuations, with the most
painful tenesmus and faintness while at stool.
ALOE: Dysenteric evacuation of bloody mucus, with
violent tenesmus, excination of the anus, and prostration during and after stool.
ARSENICUM: Dysenteric diarrhoea with burning in
the anus, anxiety, thirst and great prostration.
ARSENIC 30th: Dysentery consequent upon fever with
constipation, which had been treated allopathically.?Symptoms: Wild looks, hasty speech.-Is at one
time lying in the upper, and then in the lower
part of the bed. —Continual eructations. —Distended
hard abdomen, sometimes with rumbling in it.Fifty evacuations in the 24 hours, with little mucus
at a time, attended with violent burning in the
rectum. —Slight  discharge  of urine,-parched
brown tongue, —violent thirst,-great weakness —
occasional oppression of the chest,-no appetite,sleepless,-great anguish.
ARSENIC: Relieved a patient suffering from dysentery and who was without rest. Sweat soon appeared after taking the medicine.




80    CASES AND CLINICAL OBSERVATIONS.
3BARYTA-MUR., 3d: Frequent daily evacuations of
bloody mucus, without particular pain, but with loss
of flesh, the patient had formerly suffered from
humid herpes.
BELLADONNA: Is useful in some kinds of nervous,
and sometimes also in inflamnmatory dysentery.
CALCAREA SULPH.: Has proved useful in dysentery
with violent tenesmus.
CANTHARIDES sixth: Proved efficacious in dysentery with violent pains, severe tenesmus, and
strangury, and discharge shredy mucus, like scrapings, mixed with blood.
CHAMOMILLA: Relieved the pains peculiar to the
epidemic dysentery of 1830.
CHAMOMILLA: Dysentery with burning around the
anus.
CHINA: Dysentery with rectile pains.
COLCHICGU 6th: Cured a case of fall dysentery, attended with severe tenesmus, and discharges of
only white transparent gelatinous mucus.
COLCHICUM 4th or 5th: Frequently corresponds to the
gastric fall dysentery, having an epidemic character.
COLCHICUM: Helps in cases, where Merc.-corr. has
lost its effect, and more slime than blood is passed
in the stools.
COLOCYNTH: Dysentery attended with violent colic.
COLOCYNTH: Violent rending pains in the abdomen,.so that the patient must bend forwards, confined
flatus, frequent stools, streaked with blood.




CASES AND CLINICAL OBSERVATIONS.   81
DULCAMARA: Was found very efficacious in the fall
dysentery of 1834.
DULCAMARA O.: One drop, relieved a bloody diarrhcea brought on by a violent cold. —Symptoms:
violent cutting in the bowels, especially around the
naval, worse at night, which was almost immediately followed by an evacuation of more blood;-constant raging thirst.-Considerable protrusion of
the rectum with intense smarting of the same.
DULCAMARA: Tenesmus before stool; which occurred
suddenly, with apparent paralysis of the spincter.
HEPAR-SULPH.: IIas been frequently found efficacious in dysentery, the troublesome evacuations
being relieved by it, and the entire disease becoming less intolerable.
HEPAR-SULPH. 2d: Half a grain every one or two
hours relieved the violent tenesmus the most
speedily in an epidemic?
MERC.-SOL. 3d: Fall-dysentery.-Symptoms: Horrible colic, as if the bowels were being cut, most
violent, when he is obliged to go to stool.-Excessive tenesmus, as if the intestines would be forced
out, followed by a discharge of a small quantity of
mucus mixed with blood, followed by still more
tenesmus. The evacuations were accompanied with
hot sweat on the forehead, which soon became cold
and  viscid.-Sleeplessness,-great  failing  of
strength, —the discharges corrode the anus and
4*




82    CASES AND CLINICAL OBSERVATIONS.
cause a painful burning. The remaining weakness
was removed by one drop of China 3d.
MERC.-SOL.: Removed a case of dysentery occurring
in an infant, with frequent stools consisting of bright
blood, sometimes mixed with much mucus, or with
green hocked stools. —The child had fever and refused to take the breast.
MERC.-SOL.: Dysentery with very acute pains, as if
the intestines were being cut, particularly severe
while at stool; somewhat relieved on assuming a
recumbent posture; excessive thirst, discharges of
slime and blood, the evacuations excoriating the
anus. Nocturnal exacerbation, sleeplessness, prostration.  China third, after two days, followed
the Merc.
MERC.-SOL.: Fever, with very severe cutting in the
abdomen, frequent discharge of small quantities of
bloody mucus, with violent pressing, burning and
tenesmus. Tongue dry and coated, loss of appetite
and rending pains in the limbs.
MERC.-SOL. 4th: Dysentery with nervous symptoms.
Symptoms: Emaciation and languid appearance.
-Dry chapped lips, —face bathed in perspiration
and yet complaining of chilliness. No appetite and
great thirst,-headache and humming and ringing
in the ears,-abdomen soft and somewhat distended,
with cuttings in it, during stool.-Thin scanty evacuations every quarter of an hour, frequently
streaked with blood and accompanied with burning




CASES AND CLINICAL OBSERVATIONS.    83
in the rectum.-Drawing pains in the lower limbs,
which the patient is constantly moving about. —
Soporous condition, alternating with delirium. The
nervous symptoms were relieved by Rhus 10th.
MERCURIUS: Slimy bloody diarrhoea, particularly if
the stools are mixed with greenish mucus.
MERC.-VIVUS or CORR. third: Two grains dissolved
in four or five ounces of distilled water, a teaspoonful every half hour or hour was given by Dr. Gross
in a form of dysentery, and some cases were cured
in twenty-four hours.
MERC.-CORR. 5th: Dysentery with: first chilliness
and heat, anguish, diarrhcea and colic, pain in the
back and tenesmus with some discharge of blood.
-Afterwards increased tenesmus and thirst; stools
every ten minutes of bloody mucus, sometimes
pure blood.
MERC.-CORR.: Effectual in red dysentery, when followed by mucous discharges and accompanied by
fever.
MERC.-CORR.: Dysentery with chill, heat, thirst,
anxiety, stools with discharge of blood, tenesmus,
and cutting in the abdomen.
MERC.-CORR. 9th: Three doses of three globules each,
one each day, cured a case of dysentery in a child of
six years, as follows: several evacuations an hour
of bright red blood, mixed with green and white
mucus.-Body hot, face pale and sunken.
MERC.-CORR.: Patient had thirty or forty discharges




,84    CASES AND CLINICAL OBSERVATIONS.of watery or bloody mucus per day, with pain and
great prostration. Was cured in four or five days,
and the remaining debility removed by China.
MERC.-CORR. third: Helped in the case of a child
of one year, where an evacuation of white gelatinous mucus with blood, took place every hour.In one case the remaining disposition to diarrhoea
was relieved by two doses of Petroleum.
MERC.-VIVUS: Dysentery with vehement constringing pains in the abdomen.
Nvx-voMICA 30th: One drop in a child of nine years.
Siymptoms: Tenesmus every quarter of an hour,
with violent cutting pain in the umbilical region
and below it, accompanied with tenesmus of the
rectum, —Evacuations consisting of small quantities
of knotty feeces, mixed with mucus tand blood, or
simply bloody mucus, after which the pains remit.
Great heat and redness of cheeks, much thirst, no
appetite or sleep.
NUx-voM.: Dysentery, in which very painful tenesmus predominates.
PETROLEUM: Bloody slimy stools, accompanied with
pains and flatulent distension of the abdomen;
frequent but small discharges of red brown fetid
urine, frequent flushes of heat and tremor of the
body and nocturnal perspiration.
PETROLEUM: IS said to be most indicated in the
bilious and erethic forms of this disease, and especially, when it threatens to become malignant.




CASES AND CLINICAL OBSERVATIONS.   85
PULSATILLA: Was found efficacious in a case of
-dysentery, characterized by great difficulty of
breathing.
PULSATILLA: Was efficacious in the fall dysentery
of 1834, especially when the discharges were very
slimy.
PULSATILLA-: Dysentery, with very slimy stools, and
also with severe respiratory affection.
PULSATILLA 12th: One drop. Chronic dysentery.
Symptoms: Frequent evacuations of mere blood
and mucus, day and night excoriating the anus, and
accompanied with burning pain.
PULSATILLA: Stool was preceded by pinching
and cutting around the umbilicus; during stool
patient experienced a shuddering, with goose-skin.
-Flat taste in the mouth, tongue coated white,
nausea with inclination to vomit and sometimes vomiting of mucus. Pain in the small of the back, so
that he could scarcely move. —Chilliness the whole
day, more violent in the afternoon and evening,
sometimes alternating with flushes of heat, very
faint and pale. Weeping mood.
Rnus 30th, one globule: Was very efficacious against
involuntary nightly discharge of feces, remaining
after the colic and tenesmus had been removed, in
the fall dysentery of 1834.
RHUs: Where the dysenteric stools are passed involuntarily during the night.
RHUS: According to Hornberg, ought to be very ef



86    CASES AND CLINICAL OBSERVATIONS.
ficacious against dysentery, on account of its comprising so many symptoms of inflammation of the
bowels.
PLUMBUM: Has proved very-efficacious in cases where
in the absence of stools (dry dysentery), there was
yet violent tenesmus accompanied by fever.
STAPH YSAGRIA: Has frequently been found curative
in dysentery.
SULPHUR third: Cured dysentery in several cases,
where the other remedies afforded no substantial
benefit.
SULPHUR 30th: Cured a case of dysentery with
violent tenesmus, in the course of ten hours.
SULPHUR rendered the most efficient aid in malignant
dysentery, where the attacks were characterized in
the beginning by difficulty of breathing.
SULPHUR is especially useful in cases of dysentery,
occuring in hemorrhoidal subjects.
SULPHUR third: Completed the cure of a case of dysentery after the previous administration of Merc.sol. 2, with the following symptoms: Violent lancinating pain in the forehead, increased by contact.
Obtusion of the head with want of memory and giddiness.-Countenance pale and sunken, covered with
cold sweat.-Tongue dark red, the margins being
coated white without thirst. —Dryness of the mouth
and throat.-Repugnance to food. —Violent cutting
pains in the umbilical region, increased by movement.-Hard spasmodically contracted abdomen.




CASES AND CLINICAL OBSERVAEIONS.   87
-Tenesmus almost every moment, the patient
passing only a little mucus, streaked with blood,
followed by burning at the rectum. —The body is
covered with sweat, but is rather cool than warm.
-Frequent shuddering, especially during motion.
— Great weakness and despondency.-Pulse quick
and full.-Increase of pains at night.
SULPHUR: Dysentery with cold perspiration and
anxiety, dry red tongue, abdomen hard and retracted, or with insupportable pains in the umbilical
region.
TART. EMET.: Dry skin, lancinating abdominal pains.
Thirst, bitter taste in the mouth, tenesmus, burning in the rectum, bilious discharges, tinged with
blood.




HOM(EOPATHIC MEDICINES.
WM. RADDE, 322 Broadway, New-York, respectfully informs the Homceopathic Physicians, and the friends of the System, that he is the sole Agent for
the Leipzig Central Homceopathic Pharmacy, and that he has always on hand
a good assortment of the best Homceopathic 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 (60 to
82 Remedies).-EPP'S (60 Remedies,-HERING'S, (60 Remedies to 102).Small Pocket-cases, at $3, with Family Guide and 27 Remedies.-Cases containing 415 Vials with Tinctures and Triturations for Physicians.-Cases with
260 vials of Tinctures and Triturations to Jahr's New Manual, or SymptomenCodex.-Physicians' Pocket Cases with 60 Vials of Tinctures and TriturationsCases from 200 to 300 Vials with low and high dilutions of medicated pellets.Cases from 50 to 80 Vials of low and high dilutions, &c., &c. Homceopathic
Chocolate. Refined Sugar of Milk, pure Globules, &c., Arnica Tincture, the best
specific remedy for bruises, sprains, wounds, &c. Arnica Plaster, the best ap
plication for Corns.  Urtica urens, and Dr. Reisig's Homseopathic Pain Extractor are the best specific remedies for Burns. Also, Books, Pamphlets, and
Standard Works on the System, in the English, French, Spanish, and German
Languages.




AALOGUE OF HOUVlOUFAHI_  BOOKS,
Juist Published.
GUrI. DE FAMILIAx, Para La Administracion De Los Remedios Homceopaticos, Par El Doctor en Medicina T. Malan. 1853. Bound.
75 cts.
GUERNSEY, Homceopathic Domestic Practice, containing also chapters on Anatomy, Physiology, Hygiene, and an abridged Materia
Medica, and illustrated with elegant plates by Egbert Guernsey,
M.D. 1853.
This work since its first publication two months since, has been
received with extraordinary favor, and is pronounced by many of
our most distinguished physicians the most complete Domestic
Practice ever published. The Tribune says, it is written in an
eminently clear and lucid style, and characterized by practical
sense. With full descriptions of the dose to each single case.
$1 50.
LAURIE, Dr. J., Homceopathic Domestic Medicine, with the Treatment and Diseases of Females, Infants, Children and Adults. 7th
American edition, much enlarged, with many additions, and the
dose most exactly directed to every medicine. 1852. By A. Gerald Hull, M.D. $1 50.
LAURIE, Dr. J., Elements of Homceopathic Practice of Physic. An
Appendix to Laurie's Domestic, containing also all the Diseases
of Urinary and Genital Organs. Bound, $1 25.
LAURIE'S Elements of Homceopathic Practice of Physic, by Dr. J.
Laurie, with additions by A. G. Hull, M.D., and an Appendix on
Intermittent Fevers, by Dr. F. S. Douglas. A large thick 8vo.
vol. 1853. $3.
JAHR'S and POSSART'S New Manual of the Homceopathic Materia
Medica, containing the characteristic, pathogenetic and curative
symptoms of all the principal remedies used in Homnceopathic
practice; with a Repertory, indicating the remedies which should
be used in every single case. Translated and edited by Charles
J. Hempel, M.D.  1853. Bound, $3 50.
MADDEN, HENRY R., M.D. Uterine Diseases, with an Appendix
containing abstracts of 180 Cases of Uterine Diseases and their
treatment, together with Analytical Tables of Results, Ages,
Symptoms, Dose, &c., to which is added a Clinical Record of
interesting cases treated in the Manchester Homceopathic Hospital.
1852. 50 cts,




90
Dr. FRANZ HARTMANN'S  Diseases of Children and their Homceopathic Treatment. Translated with notes, by Dr. Chas. J. Hempel.
1853.  Bound, $2 00.
DOUGLAS, J. S., A. M. M. D. Homoeopathic Treatment of Intermittent
Fevers. 1853. Bound, 38 cts.
MATERIA MEDICA OF AMERICAN PROVINGS. Collected and arranged
by the American Institute of Homceopathy.  With a Repertory
by WM. P. Esrey, M.D.  1853.  Bound, $1 00.
RUEKERT on Nervous Headache.  Successful Homceopathic Cures,
collected from the best homceopathic periodicals, translated and
edited by J. C. Peters, M.D. With full descriptions of the dose
to each single case.  1853.  Bound, 75 cts.
From Harper's Magazine: A valuable contribution to practical medicine by
an eminent IIorncopathic practitioner in this city. It is founded on a
German work of great celebrity, by Rtickert, but much enlarged and improved by the American editor. Though following the homceopathic method, it contains a critical report of symptoms and treatment, which can
not fail to give important suggestions to the faculty in general, while its
hygienic directions are equally applicable under all systems of practice.
RUECKERT, Th. J., A Treatise on Apoplexy: with an Appendix on
Softening of the Brain, and Paralysis. Based on Clinical Experience in Hommopathy.  By John C. Peters.  1853.  Bound,
75 cts.
Front the Tribune: This is another of the series of Monographs on important
medical topics, for which the profession is indebted to the learning and zeal
of the distinguished practitioner who devotes his leisure intervals to their
preparation. It is founded on Rueckert's standard work entitled " Clinical
Experience in Homceopathy," but contains a large amount of additional
matter from other celebrated medical writers of Germany, as well as from
the experience Of the Author during the practice and study of many years.
The leading features of the volume are the minuteness with which it describes the symptoms of' the various forms ef apoplexy and the full description of the remedies, which have proved effectual in individual cases. Although the principles of Iomneopathy form the starting point of the author,
he is so free from professional bigotry and exclusiveness, that his work
cannot fail to be consulted with interest and profit, by medical students, to
whatever system they are attached, as well as by the intelligent general
reader.
PETERS, JOHN C., M D., A  Treatise on the Diseases of Females.
Disorders of Menstruation.  1853.  Bound, 75 cts.
From the Evening Post: This work is compiled in part from the highest medical authorities upon the subject of which it treats, and in part from the
memoranda made by the author during a professional experience of ten or
fifteen years. It relates a class of topics that can only be reviewed with
propriety in the columns of a professional journal, and therefore we shall
content ourselves with mentioning that Dr. Peters is of the homeeopathic
school of physicians, that he is popular both as a practitioner and as a medical writer; an indefatigable student, and has done more, perhaps, than
any other physician of his age in the country to familiarize his brethren in
the profession with the homnieopathic literature of Germany. We may add,
that the volume before us is written in a style perfectly intelligible to the
non-professional reader, and contains much information, of which no
mother should be ignorant.
RAPOU. A Treatise on Typhoid Fever and its Homceopathic Treatment, by Dr. Augustus Rapou.  Translated from  the French by
A. Alleyn Granville. 1853.




91
JAHR'S New Manual of Homceopathic Practice; edited, with Annotations, by A. Gerald Hull, M.D. From the last Paris edition.
This is the fourth American edition of a very celebrated work,
written in French by the eminent Homoeopathic Professor Jahr,
and it is considered the best practical compendium of this extraordinary science that has yet been composed. After a very judicious and instructive introduction, the work presents a Table of
the Homteopathic Medicines, with their names in Latin, English,
and German; the order in which they are to be studied, with their
most important distinctions, and clinical illustrations of their
symptoms and effects upon the various organs and functions of
the human system. The second volume embraces an elaborate
Analysis of the indications in disease, of the medicines adapted to
cure, and a Glossary of the technics used in the work, arranged
so luminously as to form an admirable guide to every medical
student. The whole system is here displayed with a modesty of
pretension, and a scrupulosity in statement, well calculated to bespeak candid investigation. This laborious work is indispensable
to the students and practitioners of Homceopathy, and highly
interesting to medical and scientific men of all classes. Complete
Symptomatology and Repertory, 2 vols., bound, $6 00.
JAHR'S New Manual: originally published under the name of Symptomen-Codex. (Digest of Symptoms.) This work is intended to
facilitate a comparison of the parallel symptoms of the various
Homceopathic agents, thereby enabling the practitioner to discover
the characteristic symptoms of each drug, and to determine with
ease and correctness what remedy is most Homceopathic to the
existing group of symptoms. Translated, with important and
extensive additions from various sources, by Charles Julius Hempel, M.D., assisted by James M. Quin, M.D., with revisions and
clinical notes by John F. Gray, M.D., contributions by Drs. A.
Gerald Hull, George W. Cook, and Dr. B. F. Joslin, of NewYork; and Drs. C. Hering, J. Jeanes, C. Neidhard, W. Williamson, and J. Kitchen, of Philadelphia; with a Preface by Constantine Hering, M.D., 2 vols., bound $11 00.
Just published, the third volume of JAHR'S New Manual; or the
largest Repertory of the Homceopathic Materia Medica; by Dr.
Charles J. Hempel.  1853.  1220 pages, bound, $6.  The three
vls. bound for.17.
g' This is the most important and complete work ever published, and indispensable for every physician. From the British Journal of Homceopathy, Vol. XI., No. XLIV., April, 1853, page 327: "The two volumes of
Jahr's Larger Materia Medica were incomplete without a Repertory, and
accordingly, the indefatigable translator of the Symptomen-Codex, Dr. Hempel, has been busily engaged in constructing such a much needed key to
the work ever since its issue from the press. We now have before us the
result of his incessant labors in the shape of a portly volume of upwards of
1200 pages, for which he deserves the best thanks of the Homceopathic
body at large. This volume will be a great acquisition to all the practioners of our art, as it will facilitate very much their search for the appropriate remedy. We have already made extensive use of it; and though ia




92
some respects we-could have wished a different arrangement of some sections, a more strictly anatomical arrangement of the symptoms (where that
was possible,) and an alphabetical arrangement of the medicines in the
various subsections, whereby the discovery of the medicine and symptoms
required would have been facilitated, yet we cannot, in the face of such
evidence of unwearied industry and zeal for the cause as this volume displays, venture to be hypercritical, so, thanking Dr. Hempel most heartily
for his repertory, we commend it confidently to our English colleagues. It
will be found useful by all, whether they possess the two volumes of the
Symptomen-Codex or not; and, though it will not supersede the use of
other repertories and manuals, it will in many cases guide the practitioner
to the ready discovery of an appropriate remedy, when all the other works
hitherto published in our language would leave him in the lurch."
HAHNEMANN'S Lesser WVritings, collected and translated by R. E.
Dudgeon, M.D., with additions by E. E. Marcy, M.D., author of
"the Homoeopathic Theory and Practice of Medicine," altd Editor
of "the North American Homceopathic Journal." A large 8vo.
volume, with  a fine Steel Engraving of Hahnemann.   1852.
Bound, $3 00.
This valuable work contains a large number of Essays of great interest to
laymen as well as medical men, upon diet, the prevention of diseases, ventilation of dwellings, &c. As many of these papers were written before
the discovery of the Homceopathic theory of cure, the reader will be enabled to peruse in this volume, the ideas of a gigantic intellect when directed to subjects of general and practical interests.
HANNEMANN'S Organon of IHoroneopathic Medicine, 3d American edition, with improvements and additions from the last German edition, and Dr. C. Hering's introductory remarks. Bound, $1. 00.
HAHNEMANN'S MlIateria Medica Pura. Translated by C. J. Hempel,
M.D.  4 vols. $6. 00.
E. STAPF'S Additions to the Maeteria 3liedica Pura.  Translated by
C. J. Hempel, M.D.  $1. 50.
HAHNEMANN'S Chronic Diseases, their Specific Nature and Homoeopathic Treatorent.  Translated and edited by Charles J. Hempel,
M.D., with a Preface by Constantine Hering, M.D., Philadelphia.
8vo. 5 vols.  Bound, $7. 00.
L7  The above four or five standard works of Dr. SAMUEL HAHNEMANN are
and will FOR EVER be the greatest treasures of Hormneopathy, they are the
most necessary books for Physicians and they should grace the library of
every lover of science.
THI  NORTH AMERICAN HOM(EOPATHIC JOURNAL, a Quarterly Magazine of Medicine and the Auxiliary Sciences.  Conducted by
C. Hering, M.D., Philadelphia; E. E. Marcy, M.D., and J. TW.
Metcalf, M.D., New-York.  Price per volume of nearly 800 octavo
pages, $3. 00.
L'~ The North American HIomotopathic Journal commenced on the 1st of
Feb., 1851, and is published regularly every three months in numbers conlaining nearly 200 pages. Physicians will be regularly supplied by remitting $3, 00 to Wm. Radde, 322 Broadway, New-York. A few copies of the
first volume of the North American Homceopathic Journal of 1851 are still
on hand, and every one who sends on five dollars to Wm. Radde will be
furnished with the Journal of 1851, and also for 1852, the whole year of the
second volume.




MARCY, E. E., M.D., Homceopathy and Allopathy. An "An Examination of the Doctrines and Evidences of Homoeopathy," by
Worthington Hooker, M.D. By E. E. Marcy, M.D. Author of
"The Homceopathic Theory and Practice," 1852. Bound, 50 Cts.
E. E. MARCY, M.D., The Homecopathic Theory and Practice of Medicine. Second Edition, 1852. Bound, $2.
HARTMANN'S  Acute and Chronic Diseases, and their Homoeopathic
Treatment. Third German Edition, revised and considerably enlarged by the author. Translated, with additions, and adapted to
the use of the American profession, by C. J. Hempel, M.D. 4 vols.
$5. 75.
ESREY, M.D., A Treatise on Anatomy and Physiology, with thirty
illustrations. 1851. Bound, 50 cts.
F. HUMPHREY'S M.D., The Cholera and its Homceopathic Treatment.
38 cts.. In Press.
B. F. JOSLIN, M.D., Homceopathic Treatment of Diarrheea, Dysentery,
Cholera Morbus and Cholera, with Repertories. 50 cts.
C. HERING'S Domestic Physician. Fourth American edition, revised,
with additions from the author's manuscript of the 7th German
edition. Containing the Diseases of Females and Children, $2.
Dr. CAsPARI's Homoeopathic Domestic Physician, edited by F. Hartmann, M.D., author of " The Acute and Chronic Diseases." Translated from the eighth German edition, and enriched by a Treatise
on Anatomy and Physiology, embellished with 30 illustrations.
By W. P. Esrey, M.D., with Additions and a Preface, by C.
Hering, M.D., containing also a chapter on Mesmerism and
Magnetism; directions for patients living some distance from a
Holiceopathic physician, to describe their symptoms; a Tabular
Index of the Medicines and the Diseases in which they are used;
and a Sketch of the Biography of Dr. Samuel Hahnemann, the
Founder of Homceopathy. Bound, $1. 50.
HOM(EOPATHIC COOKERY, Second edition, with additions, by the
lady of an American Homceopathic Physician. Designed chiefly
for the use of such persons as are under Homceopathic treatment.
50 cts.
JOSLIN, B. F. M.D., Principles of Homoeopathia. In a series of Lectures. Bound, 75 cts.
AN EPITOME OF HOmCEOPATHIC PRACTICE. Compiled chiefly from
Jahr, Ruckert, Beauvais, B6nninghausen, &c. By J. T. Curtis,
M.D., and J. Lillie, M.D. Second enlarged edition. Bound,
50 cts.
ED. C. CHEPMELL'S Domestic Homzeopathy, restricted to its Legitimate Sphere of Practice, together with Rules for Diet aud Regimen. First American edition, with additions by Samuel B. Barlow, M.D. Bound, 50 cts.
BC.NNiNGHAUSEN'S Essay on the Homoeopathic Treatment of Inter



94
mittent Fevers. Translated and edited by C. J. Hempel, M.D.
38 cts.
Epp's, Dr. J., Domestic Homoeopathy; or, Rules for the Domestic
Treatment of the Maladies of Infants, Children and Adults, &c.
Fourth American from the fourth London edition. Edited and
enlarged by Geo. W. Cook, M.D. 1849. Bound, 75 cts.
THE FAMILY GUIDE to the Administration of Homoeopathic Remedies. 5th edition after the 3d London edition, by H. V. Malan,
M.D., with additions. 1852. Price 25 cts.
POCKET-HOMEOPATHIST, AND FAMILY GUIDE. By J. A. Tarbell,
M.D. 1849. Bound, 25 cts.
SHERRIL'S Manual of Hom.eopathic Prescription, with an improved
Repertory; also, an Introduction in which the doctrine and nature
of the Homnceopathic system is explained. 1845. 25 cts.
MARINER'S Physician and Surgeon; or, a Guide to the Homeopathic
Treatment of those diseases, to which Seamen are liable. By
Geo. W. Cook, M.D. 1848. Bound, 371 cts.
J. A. TARBELTL, M.D. Sources of Health, and the Prevention of
Disease. 1850. Bound, 50 cts.
A TREATISE ON THE USE OF ARNIJA, in cases of Contusions,
Wounds, Sprains, Lacerations of the Solids, Concussions, Paralysis, Rheumatism, Soreness of the Nipples, &c., with a number
of cases illustrative of the use of that drug. By Charles Julius
Hempel, M.D. 19 cts.
DISEASES OF FEMALES AND CHILDREN. By Walter Williamson,
M.D, Professor of Materia Medica, &c., in the Homceopathic Medical College at Philadelphia. Bound, 38 cts.
BECKER, M.D., on Consumption. Translated from the German.
38 cts.
on Diseases of the Eye. Translated from the German. 38 cts.
-     on Constipation. Translated from the German. 38 cts.
on Dentition. Translated from the German. 38 cts.
- on Consumption. Diseases of the Eye, Constipation, and
Dentition (containing all four above works), bound in one
vol., $1.
WM. HENDERSON, M.D., Homceopathic Practice. 50 cts.
rL- The above three books have been sold in England several thousand
copies. Bound in one volume, $1.
FORBES, M.D., Homceopathy, Allopathy, and Young Physic. 19 ctsWM. HENDERSON, M.D. Letter to J Forbes. 19 cts.
BRYANT, Dr. J., A Pocket-Manual, or Repertory of Homceopathic
Medicine, alphabetically and nosologically arranged; which may
be used as the physician's Vade-Mecum, the traveller's Medical
Companion, or the Family Physician; containing the principal
remedies for the most important diseases, symptoms, sensations,




W'f
characteristics of diseases, &c.; with the principal pathogenetic
effect of the medicines on the most important organs and functions
of the body; together with diagnosis, explanation of technical
terms, directions for the selection and exhibition of the remedies,
rules of diet, &c. Compiled from the best homceopathic authorities. 1851. Bound, $1. 25.
JAHR'S and GRUNER'S New Homeopathic Pharmacopie and Posology of the mode of preparing Homceopathic Medicine, and the
Administration of Doses, compiled and translated from the German works of Buchner, Gruner, and the French work of Jahr, by
C. J. Hempel, M.D. Bound, $2.
JATR's Diseases of the Skin: or, Alphabetical Repertory of the
Skin Symptoms and External Alterations of Substance, together
with the morbid phenomena observed in the glandular, osseous,
mucous and circulatory systems, arranged with pathological remarks on the Diseases of the Skin. By Dr. A. G. Jahr. Edited
by C. J. Hempel, M.D. Price $1.
JAHRE'S Clinical Guide: or, Pocket Repertory. Translated from the
German, by Chs. J. Hempel, M.D. Bound, $1. 50.
RUOFF'S Repertory of Homceopathic Medicine, nosologically arranged. Translated from the German by A. H. Okie, M.D., translator of Hartmann's Remedies. Second American edition, with
additions and improvements, by G. Humphrey, M.D., &c. $1, 50.
HOM(EOPATHIC TREATMENT OF DISEASES OF THE SEXUAL SYSTEM,
being a complete Repertory of all the Symptoms occurring in
the Sexual Systems of the Male and Female. Adapted to the
use of physicians and laymen. Translated, arranged and edited,
with additions and improvements, by F. Humphreys, M.D. 1850.
Bound, 50 cts.
HARTMANN, Dr. F., Practical Observations on the two chief Homceopathic remedies of Belladonna and Nux-vomica.  By A. H.
Okie, M.D. Bound, 50 cts.
G. L. RAu's Organon of the Specific Healing Art of Homceopathy. By C. J. Hempel, M.D. $1. 25.
RUECKERT'S Therapeutics; or, Successful Homceopathic Cures, collected from the best homceopathic periodicals, translated and
edited by C. J. Hempel, M.D. 1 large 8vo volume. Bound, $3.
HEMPEL'S BOENNINGHAUSEN for Homceopathic Physicians; to be
used at the bedside of the patient, and in studying the Materia Medica Pura. 1 octavo vol., most complete edition, including the Concordances of Homceopathic Remedies. Translated
and adapted to the use of the American profession, by C. J.
Hempel, M.D. Bound, $2.
THE HOM(~OPATHIC  EXAMINER. Vols. I. and II., new series, by
Drs. Gray and Hempel, 1845-1847, bound in two volumes,
with an inoptical index over the two volumes, can be used as
a manual. $6.




This is the most valuable collection of Essays on the treatment of all the
more important diseases, such as croup, inflammation, typhus, measles,
scarlatina, &c. The work contains, likewise, many valuable provings, a
number of interesting cases from practice, critical discussions, and original articles, and is altogether an indispensable aid to the physician.
THE HOMIcOPATHIC EXAMINER; by A. Gerald Hull, M.D.  The
second and third volume $10.
IT Only a few copies of this most valuable Journal still on hand, a
single volume $5.
THE BRITISH JOURNAL OF HOMcEOPATHY, edited by J. 3. Drysdale, M.D., J. R. Russel, M.D., and R. J. Dudgeon, M.D. The
quarterly numbers of 1852 are on hand, at 75 cts. each number,
several volumes of 1846 to 1852 are complete on hand, at $3
each vol. of four quarterly numbers, with title and index.
AMERICAN JOURNAL OF HOMCEOPATHY. Edited and published by
S. R. Kirby, M.D.  $1.
BOSTON QUARTERLY HOMaCOPATHIC JOURNAL.  Edited by Drs. Jos.
Birnstill and B. de Gersdorf. Vol. I. 1849, Vol. II. 1850. Price
per Vol. in numbers $3, bound per Vol. $3, 50.
BOSTON  QUARTERLY  HOM(EOPATHIC  JOURNAL, edited by Drs. J.
Birnstill and J. A. Tarbell. 1852. Published July, October, January and April.  Terms $1 per year, payable in advance.
THE NORTH WESTERN  JOURNAL OF'HoMCEOPATHY.  Edited and
published by Geo. E. Shipman, M.D., Chicago, Ills. Published
monthly at 81 per year.
[7  Vols. 1 & 2 of the North Western Journal can be furnished, bound
at $2, Vol. 3, in numbers, at $1. Vol. 4 commenced on the Ist of October. 1851. Physicians and families will be supplied regularly by remitting $1 to Wm. Radde.
CURTIS, J. T., M.D., The relations of Homceopathy to Chemistry,
an inaugural address, delivered before the Hahnemann Academy of Medicine. January 14, 1852. 13 cts.
PROVING OF THIE APIS MELLIFICA, or Poison of the Honey Bee by
Drs. Bishop, Humphreys and Munger. 1852. 25 cts.
METCALF, J. W., M.D., Homecopathy and its Requirements of the
Physician, an Address, delivered before the Homoeopathic Medical Society of the State of New-York, at Syracuse, June 1,
1852. 13 cts.
GRAY, John F., M.D., The duty of the State in relation to Homceopathy; an inaugural address, delivered before the Hahnemann
Academy of Medicine, New-York, Jan. 9, 1850. 13 cts.
EUSTAPHIEVE, A., Homceopathia Revealed. A brief exposition of
the whole system adapted to general comprehension; with a
notice of Psora and Dr. Duringe's objections. 2d edition with
a sketch of Isopathia.  50 cts.
CHANNING, W., M.D., The Reformation of Medical Science, demanded by inductive Philosophy.  A Discourse delivered before
the New-York Physician's Society. 2d edition. 25 cts.