WBK HG45e 1859 MAlWtfAKfi if *W/ ''st&m*/ " rl •' .■.-.■■■■::/>.// , ■- •::•:•■. -■,.;■>.,: 5. tj J. FeatLerstone, [PIUS k PUBLISHERS. 144 SUPEEIOr. S"1 *•-•-•** AN EPITOME OF THE Ijomottpatjjir Staling %xt, CONTAINING THE NEW DISCOVERIES AND IMPROVEMENTS TO THE PRESENT TIME J DESIGNED FOR THE USE OF FAMILIES, FOR TRAVELERS ON THEIR JOURNEY, AND A8 A POCKET COMPANION FOR THE PHYSICIAN. BY B. L. HILL, M. D., Professor of Greneral, Special, and Surgical Anatomy Late Professor of Surgery. Obstetrics, and Diseases Females and Children, in theW. H. College, Author of the "Homoeopathic Practice of Surgery," &c, &c. CLEVELAND, OHIO: JOHN nALL, 72 SUPERIOR 8TREBT. CHICAGO, ILL. HALSEY fc KING, 162 CLARK STREET, 1853 Entered according to Act of Congress, in the year 1659, By B. L HILL, M D., In the Clerk's office of the District Court in and for the Northern District of Ohio. Pinimion & Kevins' Trim, Cleveland, 0. IABLE OE HEiE^IEIDIES. In this table I have affixed to the remedies figures designating the dilutions or the attenuations, at which, under ordinary circumstances, I would advise their use. The strongest, or mother tinctures, marked with an apha (0), the dilutions or triturations to be of the deci- mal degrees of attenuation, are marked I, 2, 3, Ac, to designate that they are to be used at 1 -10th, l-100th, l-10ii(Jth, &c, the strength of the pure drugs. The list for a full Family Case contains all the reme- dies recommended in this book for diseases that may be safely trusted to unprofessional hands. The Traveler^ Case needs only such medicines as are prescribed for the diseases which he would be most liable to contract on his journey ; though I have put in the principal ones used in domestic practice, so that the Case will do for family use. The Cholera Case is only supplied with such remedies as are particularly applicable to that disease; useful, however, for many other complaints Aconite, T_,EH, >S CASE. •Hydraslus Can. 1 P3 15 Pi 2 Apis Mellifiua P;s 10 .Ipecac I>3 3 Arsenicum P3 17 Mercurius sol. P3 4 Arnica tt'O 18 Mercurius cor, it 2 5 Arum triphyllum tt 2 19 Macrotin tt 1 6 Belladonna P8 20- Nux Vom. p3 • 7 Baptisia Pi 21- Phosphorus p3 8 Bryonia p3 22 Phos. acid p3 9 Colocynth P3 23- Podophyllin p2 JO China Sul. ttl 24 Bhus toxicod. p3 11 Chamomilla P3 25 Secale p3 12 C'opaiva p2 26 Tartar emetic p3 IS Cuprum p3 27 * Veratrum l>* 14 Eupatorium Aro. Pi ceol: Aconite ERA CASE. I.nurocerasua 1 pS 8 p4 2 Arsenicum pS 9 opium p3 •i Belladonna P3 10 M-i-c. cor. p8 4 Camphor tr »■ 11 Phosphorus p8 6 Carbo Veg, p5 12 Phos. acid p3 0 Cuprum p3 13 Secale p3 7 Ipecaa pS 14 Ver»trum P^ ettll ea.3^ix,-5t case. 13s" Tr. Is used for tincture, Tt. trituration, P. pellet*. remedies. ! contractions. • 1 Aconitum. Aconite Tr 0 1 p 3 2 Althaea. - 3 Apis mellifica. Apis mel. 0p23 . 4 Arsenicum. Arsenicum Op 3 . 6 Arnica. Arnica, Op3 - 0 Arum trihpyllum. Arum triphyllum 0 tt 2 • 7 Belladonna. Bell. tr lp4 . 8 Baptisia tinctoria. Saptisia, tr0 2 ■ y Bryonia. Bryonia, trp3 10 Carbo. Vegetabilis. Darbo. Veg. tr p 4 . ll Cantharides. 3antharides, tr0p3 ■ 12 Colocynthis. Colocynth, tr or p 3 - 13 China Sulphuricum. China Sul. ttl - 14 Chamomilla. Chamomilla tr or p 3 • 1-6 Copaira. Copaiva tr 1 p 2 . 16 Cauloph. Thalictroides. Caulophyllum tr 1 ■ IT Cuprum. Cuprum, p 3 18 Cuprum Aceticum 19 Cornus Sericea. Cornus sericea, tr Op 2 • 20 Conium maculatum. Conium mac. tr0p3 21 Coffea. Coffea p4 22 Eryngium Aquaticum Eryngium Aquat icum 2 23 Eupatorium aromaticum Eupatorium arc. tr0p2 2-t Hepar Sulphur. • 25 Hydrastus Canadensis. Hydrastin tr 0 p 2 . 2»i Hamamelis Virginica. Hamamelis Vir. trOp 3 - 27 Ipecacuanha. Ipecac tr 0 p 2 3 28 Laurocerasus. Laurocerasus p 3 29 Mercurius solubills. Merc. tr3 - 30 Mercurius corrosivus. Mercurius cor. tt2p3 • 31 Macrotys Racemosa. Macrotin, tr 2 - 32 Nux Vomica. Nux p 3 33 Opium Opium p 3 • 34 Phosphorus. Phosphorus, tr 2 p 3 . 35 Phosphoric acid. Phos. acid, tr2p3 - 36 Podophyllum peltatum. Podophyllin, ttl p3 - 37 Pulsatilla. Pulsatilla 3 • 38 Rhus Toxicodendron. Rhus Tox. p 3 ■ 39 Secale cornutum. Secale, trl p3 • 40 Santonine. Santonine, trl - 41 Spongia. Spongia, p4 42 Tartar Emetic. Tartar emetic tr2p3 ■ 43 Thuya. - 44 Veratrum alba. | Veratrum, p3 AN EPITOME OF THE HOMOEOPATHIC HEALING ART. Introduction. This work contains in a condensed form a very large portion of all that is practically useful in the treatment of the diseases ordina. rily occurring in this country. The symptoms are given with sufficient minuteness and detail to enable any one of ordinary capacities of observation to distingniah the complaint; and the treatment is so plainly laid down, that no one need make a mistake. If strictly followed, VI INTRODUCTION. it will, in a very large proportion of cases, effect cures, even when administered by those unacquainted with the medical sciences gene- rally. It has been written from necessity, to meet the demands of community for a more definite work in a concise fqrm, that should contain remedies of the most reliable char. acter, with such directions for their use as can be followed by the traveler on his journey, or by families at home, when no physician is at hand. It hiight seem to some preposterous to speak of a demand for another domestic Hom- oeopathic Practice, when half a score or more of such works are now extant, some having come out within a very short time. The de- mand arises, not from the want of Books, but from the defects of those that exist. There is in most of them, too little point and definite- ness in the prescriptions, and a kind of vague doubting recommendation noticeable to all, which carries the impression at once to every reader, of a want of confidence by the author in his own directions. INTRODUCTION. Vll Again, in some of the works there is too much confusion, the symptoms not being laid down with sufficient clearness to indicate the best remedy, Some of the works are unnec- essarily large and cumbersome, while the real amount of valuable practical matter is com- paratively meager, obliging the reader to pay for paper and binding without the contained value of his money. I do not claim entire perfection for this work, yet I do claim it to be several steps in advance of the books now extant, This work is my own, being the result of my practical experience and observation. I have introduced several remedies that, though they are familiar to me, and have been used in my practice for many years, are, nevertheless, comparatively strange and new to most of the profession. Of some we have no extensive provings yet published, still the provings have been made, both upon the healthy and the gick. Their use, as directed in this work, is in strict accordance with their Homoeopathic Vlll INTRODUCTION. relation to the symptoms for which they are prescribed. Some may object to my practice of giving several remedies in alternation or rotation and in quick succession. To such I would say, When you try this mode of practice and on comparing it with the opposite one of giving only one remedy, and that at long intervals between the doses, find my mode to be less succesful than yours, then it will be time for you to make your objections. You may rely upon the vague hypotheses of the books, and give your high dilutions singly, at long inter- vals, and let your patients die for want of real treatment, while I will use lower dilutions and give two or more remedies in quick succession and cure mine. I only speak what is in ac- cordance with universal observation, where the two modes are compared on equal footing, when I affirm that, while the former may effect some cures, most of the recoveries under it, are spontaneous and unaided, the latter does cure ; the disease being arrested by the medi- cine, and the proportion of unfavorable term- INTRODUCTION. IX inations is much less under the latter than the former course. I know man}' learned and suc- cessful practitioners who have substituted low dilutions and the giving of several remedies in quick succession for the old mode of high attenuations and long intervals of single reme- dies, all of whom still adhere to the low, while I have yet to hear of the man who has gone back to high single remedies and long intervals. My reason then, for the course here laid down, is, that it will cure with more promptness and certainty. If others are so prejudiced as not to try it, they will still remain in ignorance of the best practice, and their patients will be the sufferers. In reference to the fear that is expressed that if one medicine is given too soon after another, it will antidote the former, I have simply to Bay, I have no confidence in the hypothetic antidotal powers of the medicines one over another, as laid down in the books. It has not been verified by experience, and has no found- ation in truth. It is true that one medicine will remove morbid symptoms that might be X INTRODUCTION. produced by an overdose of another ; but both being given in the ordinary medicinal doses, neither of them to such an extent as to produce sensible symptoms, if given alone, would not, if given in quick succession, prevent each other from acting to remove their own peculiar symptoms that exist in the system at the time. So if we have the symptoms that are found in two or more different remedies present in the Bame attack, as is often the case, we may give these several remedies one after another, with confidence in their curative effects for the symptoms they represent. This has been my practice, and it has been eminently successful, and therefore I commend it to others, treating with pity the infirmity of those who ignorantly condemn it, as " They know not what they do." ADMINISTRATION OF REMEDIES. The remedies are either in the form of tinctures saturated, more or less dilute, in Pel- lets or Powders. The Pellets may be taken dry upon the tongue, allowed to dissolve and swallowed. The dose for an adult is from 4 to 7 ; for an infant, from birth to one year old, 1 to 3; from one to three years, 2 to 4 ; from three to ten years, 3 to 5 pellets ; after ten, same as an adult. 15 or 20 pellets may be dissolved in a gill of water, and a tea-spoonful dose given at a time, being par- ticular to stir it until all are perfectly dis- solved, stirring it each dose. Powders may be taken in the same man- ner, upon the tongue, a dose when dry, being about the same bulk as of the pellets as nearly as practicable. If put into water, to a gill of water add of the powder about what would lie on a three cent piece. If the liquid me- 12 HOMCSOTATiIIC ART OF CURE. dicine is used, add 1 drop to a gill of water, and use tea-spoonful doses as above directed. The length of time between the doses should be, in Dysentery and Diarrhoea, regulated by the frequency of the discharges, giving a dose as often as the evacuations occur. In acute and violent diseases, the doses should be repeated oftener than in milder cases— about once an hour as a general rule is often enough, though in some cases they should be given in half an hour or oftener. In mild cases, once in two or three hours is often enough, and in chronic cases, once or twice a day. Bathing. The surface of the body should be kept clean, as far as possible, and to this end, in summer, should be well bathed at least once a day. In winter, though useful, it is not so indispensable; still no one should neglect the bath more than a week, and all ought to bathe at least twice a week, if not oftener, even in winter. The bath should be of a temperature that is agreeable, and the room warm, especially for a feeble person. Tf should be so applied BAT HI NO. 13 as not to give a general chill, as such shocks are always hurtful. The teeth should be kept clean and free from tartar. They should be cleaned every morning and after each meal. The feet, legs and arms should be warmly clothed, espe- cially the arms, as an exposure of them to cold is liable to induce affections of the lungs, and to aggravate any existing disease of those.organs. By exposure of the feet and legs to cold, diseases and derangements of the female or- gans, even in young girls, are induced ; and one prolific cause of female weakness is to be found in improper dressing of the feet and legs, while the lung affections of females, now so fearfully prevalent, are traceable in a great degree to the fashion that has prevailed for a few years, of exposing the arms to cold. Diet. The diet of the sick should be nutricious, but at all times simple, free from greasy sub- stances, and from all stimulating condiments whatsoever, as well as from vinegar, or food in which vinegar is used. 14 HOMOEOPATHIC ART OF CURE. In short, let the food be nutricious, easily digested, small or moderate in quantity, and free from all "seasoning," except salt or sugar; and if salt is used at all, let the quan- tity be very small, much less than would be used in health. Diarrhoea. This disease consists in a looseness of the bowels, generally accompanied with pain in the abdomen, more or less severe. It some- times occurs without pain, but is then attend- ed with a sense of weakness, and a general feeling of uneasiness. It prevails mostly in the warm seasons, but may occur at any time. It is not usually considered a very dangerous affection, except during the prevalence of Cholera, or in children during hot weather. TREATMENT. Veratrum and Phos. acid, given altern- ately, at intervals, as frequently as the dis- charges from the bowels occur, will generally be sufficient. If there is nausea or vomiting or cramping pains in the bowels, give Ipecac in alternation with one or both the former. If thirst and a burning of the stomach or bow- DIAKKHUiA 15 els exist, use Arsenicum. This last medicine may be given in alternation with either of the others, but is most frequently indicated in connection with Veratrum. The intervals between the doses should be regulated by the fiequency of the evacuations in all cases, lengthening them as the evacuations become less frequent, until they cease. In children, where the discharges are greenish or slimy, and contain undigested food, give Chamo- milla and Ipecac alternately, as above direct- ed. If the discharges are dark, or yellow, with distress in the stomach, give Podophyl- lin. The dose is from 3 to 6 pellets. In all cases of diarrhoea, adults should abstain from all kinds of food until cured, if possible, and eat but little at first, when food is taken. Children should be fed carefully, and but a small quantity at a time, being particular both for adults and children to use as little liquid as possible; drink water in small quantities, not very cold. Avoid exercise, and lie on the back quietly, when that is practicable. In a large majority of cases, Veratrum, if given in the early stages of the disease, will arrest it at once, and in many It) HOMEOPATHIC ART OF CUKE. chronic diarrhoeas of weeks or months stand- ing, it is the surest remedy. In chronic diar- rhoea of females, PodophylUn should be used in alternation with Veratrum. Dysentery, This disease is caused by inflammation of the mucous membrane of the colon and rec- tum, (the large intestine) generally confined to the lower part of the bowel. It is always painful. There is griping and straining in the lower part of the abdomen, and generally great bearing down when at stool, with a peculiar distress after the evacuation, called tormina. The discharges often commence like a common diarrhoea, with copious liquid evac- uations, but there is more or less griping pain, low down, from the beginning. The evacuations sooner or later become lessened, slimy or bloody, or both, the pain increasing accompanied with more or less fever, often quite severe. Sometimes the patient is cos- tive, and has been so for several days,, the dysentery coming on without being preceded by looseness. At others, especially in sum- mer, when fevers are prevailing, the dysen- DYSENTERY. 17 tery begins with a severe chill, followed by fever and the dysenteric symptoms above described. TREATMENT. If it begins with looseness without blood, give Arsenicum and Veratrum alternately, once an hour, or oftener if the evacuations are more frequent. If the discbarges are bloody, use Mercurius cor. in place of the Arsenicum. If there is any sickness of the stomach, or the discharges are dark or yel- low, use Podophyllin with Mercurius cor. If there are colic pains in the bowels, use Colocynthis alternately with the others, giving it between them. If the patient was costive previous to the.attack, and the dysentery came on without much looseness, Nux Vomica should be given alternately with Mercurius cor. If the disease comes on with a chill, or a chill occurs at any time during the attack, followed by fever, Aconite, Baptisia and Podophyllin should be used in rotation half an hour apart until a free per- spiration is produced, and the pain dimin- ishes ; or if bloody stools appear, use Mer- 18 HOMOEOPATHIC ART OF CURE curiiis cor, with the Aconite and Baptisia. A large proportion of the dysenteries of hot weather in miasmatic regions, will be ar- rested in a few hours by these three or four remedies, especially if the patient keeps still, and generally even if he keeps about his business. In very bad cases, much benefit will be derived from injections of Gum Ara- bic water, or mucillage of Slippery Elm thrown into the bowel in quantities of a pint or more at a time, as warm as can possibly be endured. I have often relieved patients immediately with injections of a strong solu- tion of Borax in Kice water,, as hot as bear- able. Never apply cold water to any in- flamed surface, much less a mucous surface. All food should be withheld as far as practi- cable and not starve, until the symptoms abate. Colic. The symptoms of this are cramping pains in the abdomen, without fever or looseness of the bowels. The colic sometimes occurs after the cessation of a diarrhoea that had been induced by severe cathartics. The BILIOUS COLIC. 19 pains are cutting and straining, drawing the bowels into knots, relieved temporarily by pressure. TBEATMENT. For a male, Nux Vom., and for a female, Pulsatilla will generally afford immediate relief. In children, especially, where diar- rhoea exists, Chamomilla should be used. If it is the result of severe cathartics, or if there is a soreness or a bruised feeling, Colo- cynih is the remedy. Hot injections into the rectum, 'and large quantities of warm water taken into the stomach, will often cure colic. Bilious Colic. This disease, in addition to the symptoms of cutting, cramping pains in the bowels, as in common colic, has great distress in the stomach, with nausea and vomiting, the bow- els being costive, the feet and hands cold, sometimes cold sweats occur. There is also considerable fever, and frequently headache is present. The substance vomited is at first dark bilious matter, but if the case continues a long time, storcoraceous (fecal) matter will be thrown up. 20 HOMEOPATHIC ART OF CURE TREATMENT. Colocynth is the most important remedy, and should be given early and constantly. Podophyllin is next in importance, and it should be given in alternation with the for- mer, the dose to be repeated as often as every half hour at first, and as the patient becomes easy, at longer intervals. In this, as in the former case, great benefit will be derived fr^m large injections of quite warm water, and let it be taken into the stomach freely, as hot as can be safely swallowed. I have given a gallon of hot water in the course of two hours, to a patient suffering under this disease, the first half pint being rejected, but the balance remaining, perfect relief having been experienced. If fever continues after the colic and nausea cease, Baptisia and Aconite should be given altern- ately every hour until the fever subsides. If the patient is, and has been, for some time, costive, Nhx Vomica should be given once in six or eight hours until the bowels move. Injections may also be used. CHOLERA MORBUS. 21 Cholera Morbus. This disease generally comes on at night, in hot weather, and is, in many cases, in- duced by over eating while the patient is suffering from diarrhoea and a deranged state of the liver. It is essentially of a bilious character. It sets in with great pain in the bowels, sickness at the stomach, and vomit- ing of large quantities of dark greenish bitter tasting substance. At first, the vomiting will seem to afford relief, but sooner or later the stomach and bowels cramp, and the cramp- ing may extend to other parts of the body, the feet, hands, calves of the legs, and the arms, cold sweats come on, and death term- inates his sufferings. TREATMENT. Ipecac and Colocynthis are to be given in alternation, and repeated as often as every 30 minutes, for the first three or four doses, then as the patient gets easier, at longer intervals. A dose every hour will suffice as soon as the symptoms begin to abate. The application of hot cloths or even mustard, over the abdo- men, frequently palliates the sufferings, and do^s not interfere with the action of the me- 22 HOMOEOPATHIC ART OF CURE. dicines. Fever of a low typhoid type some times sets in after an attack of cholera mor- bus, and terminates fatally. This ought never to occur under Homoeopathic treat- ment. For such fever give Baptisia, a dose every hour until the fever subsides, which will occur generally in six or eight hours; if not, and the patient complains of headache, or is delirious, or dizzy, or feels a fullness in the head, give MucrUin in alternation with the Baptisia. Keep the patient very quiet and free from noise, as far as possible. Sleep is a great restorer in any case, but particularly so in this. FEVEES.^ Intermittent Fever, Ague or Chill Fever. This comes on with pains in the head and back, aching in the joints, yawning, followed by coldness of the hands and feet, blueness of the nails and skin of the hands, general chilliness, sometimes "shaking." This lasts from a few minutes in some cases, to seve- ral hours in others. The chill is followed hv a fever, which is generally severe and long rontinued, in proportion to the length and INTERMITTENT FEVER. 22 severity of the chill. The fever is followed by free perspiration, when it subsides and leaves the patient in a comfortable condition. This state is called the Intermission. This continues from a few hours to twenty-four, or longer, when another chill comes on followed by fever and sweats as before. During the chill and fever, the patient often suffers great pain, and is sometimes delirious. Young children frequently have convulsions when the chill sets in. These convulsions of chil- dren, though alarming, are not often dan- gerous. TREATMENT. As soon as the first symptoms of the chills appear, such as the headache, pain in the back and bones, coldness of the hands, nose and ears, give Aconite and Baptisia altern- ately, giving the first three doses every ten minutes, the next three doses every fifteen minutes, and then once in half an hour until the patient begins to sweat freely, when the medicines should be discontinued. If there is nausea or vomiting present, let the pa- tient have lukewarm water freely in large draughts, until he vomits it up several times. 24 HOMOEOPATHIC ART OF CURE. As soon as the sweating commences, give Arsenicum and Macrotin alternately every hour during the intermission, except during sleeping time. On return of the chill, should it appear a second time, use the Aconite and Baptisia as before, and follow them with Arsenicum and Nux Vom. every two hours. This course of treatment will cure a majority of cases, but some require Cinchonia. That Cinchonia is a specific for intermittent fevers in many of their forms, no one will deny. It is the Homoeopathic remedy for many cases, and should be prescribed. The in- jurious effects that are often attributed to Quinine, are, I have no doubt, attributable not to that remedy, but to the druifs that are used prior to giving the Chinium Sul. I have used it in more than two thousand cases, and have never been able to see any evil consequences follow its proper use. It should be given from the beginning of the chill to the end of the paroxysm, and con- tinued during the whole time of the inter- mission : i. e. until the time arrives for the next chill, time being important in the use of this remedy. Use the first decimal tritu- INTERMITTENT FEVER. 25 ration, and give grain doses (equal to l-10th of a grain of the drug,) every half hour till the time the next chill would occur, if it p^ sued its regular course, allowing the patient six or seven hours time in each twenty-foyr, for sleep.* Though from two to four grains of the pure Chinium Sulphuricum is all the patient would get, very few cases that do not yield to a course of the former treat. ment here recommended, will have the third paroxysm after this China treatment is com- menced and pursued as here directed. For children the dose may be one-half or one- fourth that of the adults. If a trituration * Note.—The Eclectic Physicians use equal parts of Quinine and Prussiate of Iron, with marked success in agues, giving from one to three grains of the mixture at a dose, every two hours, or oftener, for ten or twelve hours, and some times more, during the intermission. An intelligent Homoeopathic Physician informs me that he has used with uniform success, a trituration of this mixture of Quinine and Prussiate of Iron, in proportion of ten grains of the Sugar of Milk to one of the Mixture, giving the trituration in doses of about one grain every hour through the chill, fever and intermission. Very few cases had a sec«nd chill after taking tbe prescrip- tion. I have used this trituration successfully in a few cases. 26 HOMOEOPATHIC ART OF CURE. Of the medicine cannot be got conveniently, four grains of the Quinine may be put into % four ounce vial of water, shaken well every time, and a teaspoonful taken at a dose. Ab- stinence from food as far as practicable, and quiet is of much importance in this disease, but the patient may use water freely. In some cases, the chill is irregular and indistinct, the patient is thirsty during the chill, and the cold stage is long in propor- tion to the length of the fever, the surface pale and more or less bloated. Arsenicum is the remedy, and should be given from the commencement of the chill, and every hour until the fever subsides, then every three hours during the intermission. In chronic cases, where the patient has been drugged with mercurials and cathartics, together with larger doses of Quinine, and is still suffering under the disease, Pulsatilla and Macrotin in alternation, will, in nearly every case, effect a cure. Bilious Fever. This fever may be either intermittent, re- mitting, or continued, and typhoid. It is distinguished from common intermittent, by BILIOUS FEVER. 27 the great derangement of the stomach, as nausea and vomiting of bilious matter, yel- low coated tongue, bitter taste in the mouth, foul breath, loss of appetite, high colored urine, and frequently distress and fullness in the right side, (though this last is not in every case present,) the skin and white of the eyes soon become yellowish, the chills are often imperfect, the fever being dispro- portionably long. TREATMENT. Podophyllin and Merc, should be given in case of intermittents of this character, during the paroxysm, and in rotation with the other remedies for intennittents, giving a dose every three hours during the intermission. It is well also to continue these remedies night and morning, alternately, for a week or so, after the cessation of the chills and fever, or until all bilious appearances cease. A Remitting Fever is one that goes nearly off, but not so entirely as an inter- mittent, returning again by a paroxysm of chill more or less distinct, sometimes hardly 28 HOMOEOPATHIC ART OF CURE, perceptible, and an increase of the fever fol- lowing, from day to day, until arrested. Continued Fevers are generally of a Bilious character, except in winter, when they are more or less connected with irrita- tion of the lungs, or with Rheumatic affec- tions, when they are termed Catarrhal or Rheumatic Fevers. If the bilious symptoms prevail, give Aconite and Baptisia during the chills and high febrile stage, at intervals of an hour, and during the declining stage of the fever, give Podophyllin and Mercu- rius until a perfect intermission is produced, when the same treatment should be adopted as in intermittents. But should it take the form of Catarrhal Fever, the head being "stuffed up," pain in the head, the lungs oppressed, cough and sneez- ing, the eyes and nose suffused with increased secretion of tears and mucus, pain in the back or loins, almost constant chilly sensations, use in rotation Baptisia, Copaiva and Phos- phorus, giving a dose every hour until the fever begins to abate and perspiration comes RHEUMATIC FEVER 29 on, then leave off the Baptisia, and give in its stead Macrotin, lengthening the interval between the remedies to two hours or longer. For the chronic cough that sometimes fol- lows catarrhal fever, Copaiva, Macrotin and PhospJiorus should be used morning, noon and night, in the order here named. Should the fever be a Rheumatic Fever, {Rheumatism,) the patient complaining of soreness of the muscles, of the chest, back and limbs, with or without lameness of the joints, Aconite, Macrotin and Nux Vom. are the remedies for a male patient, and the two former, with Pulsatilla, for a female, (or for a male, of light hair, delicate skin, feminine voice and mild temper,) to be used in rotation one hour apart. These remedies are to be taken in a severe acute case, every half hour until the symptoms begin to abate; then every hour or two hours as the case progresses. Baths properly administered, are of great importance in all forms of fever. The sur- face of the patient should be washed and thoroughly rubbed in water quite warm, into 30 HOMOEOPATHIC ART OF CURE. which a sufficiency of the ley of wood ashes has been put to make it feel quite slippery. This should be done twice daily in all fevers. But in Rheumatism, In addition to the medicines directed under the head of Rheumatic Fever, the most de- cided benefit can be derived from Alcoholic Vapor Baths, which, while they do not in the least interfere with the action of the medi- cines, tend greatly to mitigate the pains, and produce an equal state of the circulation by stimulating the surface ; abridging in many cases, the disease one-half the time it would run under the long interval treatment alone. This is to be applied by lilling a tea cup with alcohol, placed in a saucer of water to insure against danger from an overflow while burn- ing. Place both under a solid wood bottom chair, elevated about the thickness of a brick under each post, strip the patient naked, and after giving him the alkaline bath, and rub- bing his surface dry, place him upon the chair, enveloping him completely, except his head, with a woollen sheet or blanket, RHEUMATISM. 31 (as there is no danger of the wool taking fire,) letting the blanket enclose also the chair and come down to the floor. - Then set fire to the alcohol, and if the heat is too great, raise the edge of the blanket and let it become reduced. Continue this until he sweats freely, or becomes too much fatigued to sit longer. Let the patient often drink freely of cold water, during the process. Remove him from the chair to his bed and cover him warmly. It is well to place the feet in hot water during this process. This is a delightful operation for a rheumatic pa- tient, and no one will object to a repetition of it. "Whatever Physicians may think or say of this operation, I Tcnow it is a most po- tent agent for the cure of inflammatory rheu- matism, and is a valuable agent in the chronic form of this disease. Typhoid Fever. ' This is a dangerous, and with the ordinary allopathic treatment, a very fatal disease. It generally comes on insidiously, the patient feelinc a dull head ache, more or less pain in his joints, back and shoulders, with loss 32 HOMOEOPATHIC ART OF CURE. of appetite, restless and disturbed sleep, slight chilly sensations, with a little fever, dry skin, and a general languid feeling. These symptoms continue from four or five days in some cases, to two or three weeks in others, gradually getting worse until the pa- tient is prostrated, or if he takes no drags, and keeps still, avoiding food as far as prac- ticable, he may escape prostration, and after lingering for eight or ten days, and sometimes longer, just on the point of prostration, he begins slowly to get better, and recovers about as slowly and imperceptibly as he grew sick. This is in accordance with observation of cases under my own eye, and I have no doubt those cases of spontaneous recovery, had they taken a single dose of active cath- artic medicine or any of the active drugs, they would have been immediately laid upon a bed of sickness from which a recov- ery would have been extremely doubtful. I believe that two-thirds of the deaths from typhoid fever are the direct results of medi- cation, and that those who recover, do so in spite of the cathartics and the active drugs when such are used. Some cases, however, TYPHOID FEVER- 33 will not thus spontaneously recover, and re- quire proper treatment; and it is safest to treat all cases, at as early a day as possible. Some cases come on more rapidly and run into the prostrating or critical stage, in a very few days. Delirium is a symptom that comes on early in these cases. When the disease is fully established, and even some- times in the early stage, diarrhoea sets in and runs the patient down rapidly. TREATMENT. In the early stage, that which might be called premonitory, while the patient is yet able to be about his business, but is com- plaining of the symptoms above named, he should, as far as possible, abstain from exer- cise and food, and take of Baptisia and Phosphorus alternately, a dose once in three hours. These will almost invariably pro- duce amendment in a few days, and as soon as be improves any, leave off the medicines. Should there be diarrhoea present, use Phos. acid instead of Phosphorus. If the patient is delirious or has fullness and redness of the face the eyes red, and headache, give Bella- 34 HOMCEOPATHIC ART OF CURE. donna in rotation with the other two. For the foul breath that comes on, use Mercurius cor., especially if the diarrhoea assumes a reddish tinge, like beef brine. Should the fever at any time rise high, the pulse being full and hard, give Aconite, but it rarely happens that Aconite is useful in the later stage. If the patient complains of pains in the back, and fullness of the head, give Macrotin. This is particularly useful for per- sons who have rheumatic pains in the limbs or back, during the fever. If the evacua- tions from the bowels are dark, or yellow and consistent, or there is bilious vomiting, Podophyllin is the remedy. From some cause or other, to me wholly unaccountable, tbe writers generally have laid down Rhus and Bryonia as the remedies in typhoid fever. I must confess I have no confidence in them for this fever as it prevails, and has for seve- ral years past, in this country. They have proved a failure, and I discard them alto- gether, as I am confident, from thorough trial, we have much more reliable remedies as a substitute for Rhus in the Podophyllin, and for Bryonia in the Macrotin. In the SCARLET FEVER. 35 early stage, or at any time to arrest febrile- and inflammatory symptoms, the Baptisia is much more potent than Aconite, its symp- toms corresponding peculiarly with typhoid fever. If the discharges become slimy or bloody, give Leptandrin and Nit. acid. It is important to bathe in this disease. Scarlet Fever.—Scarlatina. This fever assumes two principal forms : Simple or mild, and Malignant. In the Simple form, there is great heat of the sur- face, extremely quick and frequent pulse, headache, and some sense of pain and sore- ness in the throat. After a day or two, there appears upon the surface, bright scar- let patches, in some cases extending over the whole limbs, the skin smooth and shining, and somewhat bloated or swollen ; upon pressure with the finger, a white spot is seen, which soon disappears on removal of the pressure. As the disease subsides, the cuticle comes off (desquamates) in patches. In the simple form of this disease, the throat, though often more or less sore, does not ul- cerate. In some cases, notwithstanding the fever is high, the pulse frequent, and the 3b' HOMEOPATHIC ART OF CURE. throat sore, there may be no external redness, but the mouth and tongue will have a scarlet hue, indicating the existence of disease more dangerous than when it appears externally. In the malignant form, the same symptoms are present, the patient suffers more pain in the head ; the back and throat, root of the tongue, tonsils and soft palate become ulcer- ated, turn black, and sometimes gangrenous, proving fatal in a few days, or slough out in large portions, the ulcers destroying the parts extensively. The breath becomes foul and fetid, and the effluvia from the ulcerated surface, is very sickening to the patient and all around him. This disease rarely attacks adults, but occasionally, and for the last six or eight months, in one region where I am acquainted, where Scarlatina of a malignant type has prevailed among children, adults have been affected with an epidemic soreness of the mouth and throat, strongly resem- bling the worst form of the angina in malig- nant Scarlatina, together with a low typhoid form of fever. SCARLET FEVER. 37 TREATMENT. In simple scarlatina, all that is necessary is to keep the child quiet, in a room of uni- form temperature, as far as practicable; let it drink cold water only, and give Aconite, Belladonna and Pulsatilla in rotation, a dose every hour until the fever subsides. If any soreness of the throat remains, give a few doses of Mercurius. If the fever subsides, and the soreness remain, Hydrastin or Eupa- torium arom. will soon complete the cure. In the malignant form, with ulcerated, dark colored, or red and purulent throat, and typhoid form of fever, give Aconite and Bel- ladonna in alternation, every hour, and, at the same time, gargle the throat freely with Hydrastin. Some of the tincture may be « put in water, about in the proportion of ten drops to a teaspoonful, cr a warm infusion of the crude medicine may be used- This can be applied with a camel's hair pencil, or a swab, to the parts affected, once in two hours, 'and will soon bring about such a state as will result in speedy recovery. After the active fever has subsided, the Aconite and Bell, may be discontinued, and Eupatorium 38 HOMOEOPATHIC ART OF CURE. arom. used instead, once in three hours until convalescence is complete. I would remark that, with these remedies applied as here recommended, my brother, Dr. G-. S. Hill, of Erie County, Ohio, has, during the last four months, treated a large number of those malignant sore-throats, (the "Black tongue Erysipelas,") and been uni- versally successful, relieving them in a few hours, when the symptoms were of the most alarming character, and the disease in some cases, so far advanced that the patients were considered by their friends and attendants, "at the point of death." The Hydrastin is a most potent remedy in putrid ulcerations of the mucous surfaces, and much the same may be said of Eupato- rium aromaticum. Yellow Fever. [ As I have never practiced farther South than Cincinnati, and have seen but few cases of this disease, my experience with it has not been sufficient to be relied upon as authority. Therefore, I shall give a brief desciiption of the disease, with the proper YELLOW FEVER. 39 and successful treatment, furnished me by A. H. Burrett, M. D., of New Orleans, who is not only a Physician of more than ordinary learning and skill in his profession generally, but is one who has spent his time in New Orleans among the sick of Yellow Fever, through three of the most fatal epi- demics that ever scourged any city. He is a man for the times, a man of resources, who draws useful lessons from experience and observation. Hence he has been able to se- lect such remedies as have enabled him to cope most successfully with the pestilence, saving nearly all his patients, while, under other treatment, a majority have died. I therefore, attach great value to his treat- ment, and recommend its adoption with the most implicit confidence.] " When this Fever prevails as an epidemic, as it usually does, in the southern part of the United States, it is a disease of the most malignant character. The proportion of fatal cases under the Allopathic course of treatment, has been equal to, and, in some places, as in New Orleans, and some Towns 40 HOMOEOPATHIC ART OF CURE in Virginia, has exceeded that of Asiatic Cholera. It is almost entirely confined to Southern regions, and only prevails in hot weather, after the continuance of extreme heat for some weeks. It usually begins with premonitory symp- toms somewhat like those of ordinary fever, but with this difference : the patient, instead of losing his appetite, has often a morbidly increased desire for food. He complains of severe pains in the back, and more or less headache. Both the head and backache are of a peculiar character : the pains resembling rheumatic pains, the head feeling full and too large, the eyes early turn red, almost bloodshot and watery, a chill comes on, which may be distinct and quite severe, lasting for an hour or more, or, it may be slight, and hardly perceptible. The chill is followed by high fever, the pain in the head and back increasing, the eyes becoming more red and suffused, the forehead and face ex- tremely red and hot, and the heat of the whole surface very great, the carotids beat violently, the pulse very frequent, and usu- ally, at first, full and strong, though some- YELLOW fever. 41 times it is feeble from the beginning. How- ever the pulse may be in the beginning, it very soon becomes small, but continues to be frequent. The tongue is at first covered with a white paste-like coating, which after- wards gives place to redness of the edges and tip, with a dark or yellow streak in the center. The stomach is very irritable, re- jecting every kind of food, and all drinks, except, perhaps, a few drops of ice water. There is a peculiar distressed feeling in the stomach, often a burning sensation, so that, if suffered to do so, he would take large quan- tities of ice or water. One remarkable fea- ture of the cases noticed in the epidemic, as it existed in New Orleans the past season, was, that the patients had a great desire for food, notwithstanding the nausea and distress at the stomach. Sooner or later, varying from a few hours to several days, in the ordinary course of the disease, the fever subsides. From this time the patient may recover without any further symptoms, but this is, by no means, the usual result. If the subsidence of the fever is accompanied by natural pulse, a free, but 42 HOMOEOPATHIC ART OF CURE. not profuse or prostrating perspiration, a genial warmth of the surface, natural appear- ance of the countenance, eyes, and tongue, with little or no soreness on pressure over the stomach, we may safely look for a speedy recovery. But if, on the contrary, the eyes, face, and tongue, become yellow, or orange- colored, the epigastrium is tender to pressure, the urine has a yellow tinge, the pulse be- comes unnaturally slow, with the least de- gree of mental stupor, we have reason to know, full well, that the lull of the fever is only the calm preceding a more destructive storm. The fever has subsided, only because exhausted nature could re-act no longer. It may be in a few hours, or not until twelve or twenty-four have elapsed, the pulse be- comes quickened, even to the frequency of 120 to 140 in a minute, but very feeble, the extremities of the fingers and toes turn purple or dark, the tongue becomes brown and dry, or is clean, red, and cracked, sordes may be on the teeth, the stomach becomes more irri- table, nausea and vomiting are extreme, the substances vomited being, at first, reddish, afterwards watery, containing flocuhe, like YELLOW FEVER. 43 soot, or coffee grounds ; the breath becomes foul, and the whole surface emits a sickening odor. The pulse becomes very small, though the carotid and temporal arteries beat vio- lently. The urine fails to be secreted, and later, blood is discharged from the mucous surfaces, involuntary discharges from the bowels, clammy sweats; and death follows. The disease runs its course in from three to seven days, sometimes proves fatal in less than a day, and at others, assumes a typhoid form, and runs for weeks. Occasionally it sets in without any of the premonitory symp- toms, the chill being first, the fever following, succeeded immediately by the black vomit, going through all the stages in a single day, or two days. Again, it sometimes begins with the black vomit, the patient being immediately pros- trated. In all cases, however it may begin, the peculiar head-ache and back-ache as described in the beginning, as well as the extreme heat of the head and face, redness of the eyes, the gnawing sensation at the stomach, and peculiar nausea are present. These seem to be charactistic symptoms that 44 HOMCEOPATHIC ART OF CURE. mark the Yellow Fever, and those which should guide in the search for the proper remedies. TREATMENT. The remedies that proved successful in arresting the disease during the early or form- ing stage, before the chill or fever had set in, while the symptoms were pain, fullness, and throbbing of the head, with more or less dizziness, rheumatic pains in the back, and redness of the eyes, were Aconite and Bell., at low attenuations, once in two to four horn's, according to the violence of the symp- toms. For the fullness of the head, pressing outwards, as though it would split, with pains of a rheumatic character, Macrotin 1st, given in one grain doses, every hour or two hours, proved specific. These three remedies, Aconite Bell, and Macrotin, would, in nearly all cases, arrest the disease in the forming stage, so that no chill or fever would occur, or, if fever did come on after this treatment, it was mild. When the fever sets in, and the pain in the head and back increases, the eyes, fore- head and face are extremely red, or purple YELLOW FEVER. 45 and hot, the pulse frequent and full, the tongue coated white, Aconite, Belladonna and Macrotin are still to be relied upon, but they should be given every half hour, in rotation, at low attenuations. If the tongue is red, in the early stage, use Bryonia in place of the Belladonna. In a later stage, when sickness or distress at the stomach had become pro- minent, with the quick pulse, and hot skin, Ipecac and Aconite, both at the 1st attenua- tion, a dose given every half hour alternately, generally arrested the symptoms, and brought on perspiration of a healthful character, fol- lowed by subsidence of the fever and conva- lescence. Sponge baths, with half an ounce of Tr. Ipecac in two quarts of tepid water, applied to the whole surface freely, under v the bed clothes, so as not to expose him to the air, contributed much towards bringing on perspiration and subduing the fever, as well as allaying the "nausea. When called to patients in the stage of Black Vomit, whether that came on as an early symptom, or at a later stage, Nit. acid, Veratrum virid. and Baptisia, all at the first dilution, were administered every hour, in 46 HOMOEOPATHIC ART OF CURE. rotation, with great success, the symptoms yielding in a few hours. For the great op- pression, as of a load, in the stomach, with- out vomiting, Nux was found sufficient.' In the later stage, when there seemed to be no secretion of urine, Canabis and Apis mel., gave relief. The remedies most successful for the cases that assumed a typhoid character, with dry, cracked tongue, sordes on the teeth, and low sluggish pulse, were Baptisia and Bryonia, given every two hours, alternately. Nitric acid given internally and injected into the rectum, when bloody discharges appear, is generally quite successful. Good nursing is of the utmost importance, and the patient should be visited frequently by his Physician, as great changes may occur in a short time. Three times a day is none too often to see the patient. As soon as the fever comes on, the patient should be stripped of his clothes, and dressed in such garments as he is to wear in bed through the attack. He should be put to bed and lightly covered, but have sufficient to protect him from any e« in the atmosphere, and the YELLOW FEVER. 47 room should be well ventillated all the time. The baths should always be applied under the bed clothes. The diet should be very spare and light, after the fever subsides, and while the fever exists no food should be taken. Thin gruel, in teaspoonful doses, once in half an hour, is best. After a day or two, the juice of beef steak may be given in small auantities but give none of the meat. No " hearty food" should be allowed for eight or ten days after recovery. A relapse is most surely fatal. As Prophylactics {preventives) of the fe- ver, Macrotin, Bell, and Aconite should be taken, a dose every eight to twelve hours, by every one that is exposed. These will, no doubt, often prevent an attack, and if they do not, they will so modify it, that it will be very mild, of short duration, and very easily arrested. Pregnant females, and young children were sure to die if attacked, when treated by the Allopathic medication ; but, by the use of these remedies as preventives, their attacks were rendered so mild as to be amenable to remedies, and all recovered. 48 HOMOEOPATHIC ART OF CURE. Pleurisy—Pleuritis. This is inflammation of the Pleura of one or both lungs, generally confined to one side. It is known by sharp pain in the side of the chest, increased by taking a long breath, or coughing, or by pressing between the ribs. The cough is dry aud painful, the patient makes an effort to suppress it, from the pain it gives him; the fever is of a high grade, the pulse full, hard and frequent, with more or less pain in the head. TREATMENT. Aconite is a sovereign remedy. It should be given at intervals proportionate to the severity of the disease, once in half an hour, for about three doses, then every hour until the patient is easy and perspires freely. This is the course I have generally pursued, and scarce ever failed of relieving in a few hours. Other means may often be used with advan- tage at the same time, and not interfere with the action of the medicine. Put the feet and hands into water as hot as it can be endured, and apply to the affected side very hot cloths, hot bags of salt, or mustard. There is no INFLAMMATION OF THE LUNOS. 4a harm in this, and it relieves the pain. Let the patient drink freely of hot water, into which you may put milk and sugar to render it palatable. If the case seems to linger, and perspiration is tardy in appearing, give, in alternation with Aconite, Eupatorium arom. This will soon relieve. Inflammation of the Lungs—Pneumonia. This disease is often connected with Pleu- risy, and consists of inflammation of the sub- stance of the lungs. As in the former case, it may attack only one, but may exist in both sides at the same time. If the pleura is also affected, there will be all the symptoms of pleurisy, together with those peculiar to in- flammation of the lungs proper. They are, pain in the lungs, oppressed breathing, cough, causing great distress on account of the sore- ness of the affected parts : at first, expectora- tion from the lungs is nearly wanting, the cough being dry, but after a time, there is a rattling sound on coughing, and more or less mucous substance fs with difficulty raised. This is, at first, white or brownish, but soon becomes reddish and frothy, tinged with 50 HOMOEOPATHIC ART OF CURE. blood. The patient lies on the affected side, and cannot rest on the sound side. The pulse is full, hard and frequent, the fever high, pain in the head, and sometimes de- lirium. If the disease is not arrested, the patient generally dies from suffocation, by the lungs filling up, hepatized, or abscess and ulceration come on, and then what is called " quick Consumption" carries him off. TREATMENT. In the early stage, Aconite and Phosphorus should be used at intervals of from half an hour to one hour, in alternation, until the fever abates, and the oppression in the chest is relieved. If, however, there is bloody expectoration, Bryonia may be used in place of Phosphorus, though I prefer to use it in rotation with the two others. These will soon, in all ordinary cases, subdue the most distressing symptoms, and effect a perfect cure in a day or two. Belladonna should be used, when there is much delirium, or great pain in the head. Occasionally, the cough from the beginning, is apparently loose; there being a rattling sound, but the expectoration BRONCHITIS. 51 is difficult, the fever high, with some chilly sensations, or at least, coldness of the knees, feet and hands, a white or brownish fur up- on the tongue, and pain in the bowels, For such symptoms, especially with the pain in the bowels, as though a diarrhoea would come on, give Tartar emet. It is often one of the best remedies in this disease, affording relief when others have failed. After subduing the high febrile symptoms, if there remains cough, indicating much irri- tation, or inflammation of the lungs, Macrotin should be used in place of Aconite, with Phosphorus and Copaiva, the three in rota- tion, two hours between doses. Acute Bronchitis, Inflammation of the Bronchial Tubes. This is attended with distressing cough, profuse expectoration, oppressed breathing, pain in the forehead, and general catarrhal symptoms. Baptisia, Copaiva and Eupato- rium arom. given every hour, in rotation, will, in general, relieve from the acute affec- tion in a short time ; but the 52 HOMOEOPATHIC ART OF CURE. Chronic Bronchitis requires the use of Copaiva, Macrotin and Arum triphyllum, to be taken morning, noon, and night, in the order named; or, if the cough be severe, they should be used every three hours. These will be sufficient to effect a cure. Coughs Generally, unless they arise from consump- tion, yield readily to the alternate use of Copaiva, Phosphorus and Macrotin, a dose given once in from three to six hours. If, however, there is soreness of the throat, red- ness and soreness of the tonsils, palate, and fauces, or soreness of the larynx, with hoarse- ness, Arum triphyllum and Hydrastus Can. are the surest remedies. They rarely ever fail of effecting a complete cure in a few days. They should be used three or four times a day. They may be used with the other medicines recommended for coughs. In acute Sore Throat, arising from sudden cold, Aram triphyllum and Eupatorium aromaticum are the reme- QUINSY.--ENTERITIS. 53 dies to be relied upon. If the tonsils seem to be mainly involved, constituting Quinsy—Toneilitis, Belladonna and Aconite should be given, while there is high fever, then substitute for them, Arum tri. and Phosphorus ; or, these may be used in rotation with the former, a dose every hour or oftener. Inflammation of the Bowels.—Enteritis. This consists in inflammation of the mus- cular and peritoneal coats of the intestines, sometimes also involving the mucous coat. The pain in the abdomen is constant, intense and burning in its character, felt most at the navel; the abdomen is extremely tender to pressure, and often bloated or tympanetic. Thirst is intense, but cold drinks distress and vomit the patient. The pulse is small, feeble and frequent, and the bowels costive. This is a very dangerous disease. It is sometimes connected with inflammation of the stomach, then called gastro-enteritis. The tongue is then red and pointed, the nausea and vomiting are more violent and constant, the thirst burning and insatiable. 54 HOMEOPATHIC ART OF CURE. TREATMENT. The same medicines are applicable to both Gastritis and Enteritis. Aconite, Arsenicum and Baptisia should be used one following the other every half hour until the symptoms begin to subside, then let the intervals be lengthened. In addition to these remedies, I allow the patient to drink often and freely of hot water, as hot as can be swallowed, and though it is at first almost instantly rejected by the stom- ach, by repeating it in a few minutes in moderate quantities, it gives relief and will soon so allay the irritation as to remain. In some cases the vomiting is severe, the bowels are loose, and pain burning. For such, Tart. Emet. is the proper remedy. Cold drinks should not be taken. Cloths wet in cold water, ice water if it is at hand, and wrung out so as not to drip, should be laid over the whole abdomen and instantly covered with two or three thick- nesses of warm- dry flannel, and the patient's feet kept warm. This may be considered harsh treatment, but there is no danger in it; on the contrary I have, in the worst and CROUP. 55 most alarming cases of gastritis and perito- nitis, made such applications, and in less than an hour have seen my patient easy and beginning to perspire freely, all danger hav- ing passed. It always affords more or less relief and is never attended with danger. Covering the wet cloths immediately with plenty of dry ones is very essential. After the acute inflammation has subsided, it is well to have the bowels moved, but don't give drastic cathartics. Nux Vomica given at night and repeated morning and noon, will generally serve to cause an evac- uation. Injections may be used. Croup. This is a disease of children. Comes on in consequence of a sudden cold. Children suffering from Hooping Cough are more subject to it. The cough is of a peculiar whistling kind, like the crowing of a young chicken, with rattling in the throat and difficult breathing, fever is present, and often very violent. It is properly %n inflammation of the Larynx, but the inflammation may also exist in the Pharynx, the tonsils may be involved, and it may extend to the trachia, 56 HOMOEOPATHIC ART OF CURE. (wind pipe). A false membrane forms in the larynx if the disease is not airested, and so obstructs the breathing as to cause death from suffocation. TREATMENT. Give at first Aconite, Phosphoric Acid, and Spongia, giving them in the order here named once in ten minutes in a very violent case, and as the patient improves at intervals of half an hour, and then an hour. Should the fever subside, and still the tightness in the throat and cough continue to be troublesome, give Ipecac in place of Aconite. And when the cough seems to be deep seated use Bryonia instead of spongia. The patient should be kept in a warm room, and free from exposure to currents of cold air. The application of a cloth wrung out of cold or ice water to the throat, covered immediately with dry warm flannels so as to exclude! the air from the wet cloth, will often exert a decidedly beneficial effect, and there is no danger if managed as here directed. The feet should be kept warm and the head cool, but don't put cold water on a child's head. ASTHMA. 57 Asthma. If an attack comes on from sudden cold, take Aconite and Ipecac every h our for a day, and if any symptoms remain, in place of the Aconite use Copaiva, Arsenicum and Phos. Acid with the Ipecac, giving them in rotation, a dose every hour. In Chronic Asthma, where the patient is liable to an attack at any time, great benefit will be derived from taking these four in rotation about two hours apart for a day or two, at any time when symptoms of an attack begin to appear. I have recently succeeded in alleviating several bad cases, at once, by these four rem- edies in succession as here recommended, on whom (some of them) I had at various times tried all of them, as well as other medicines, singly at longer intervals, as directed in the Books, without any decided benefit. After trying these in succession, as here directed, I found no trouble in arresting the paroxysm in a few hours,- and I am strong in the faith that with some, at least, I have effected cures. It is worth much to arrest the parox- ysm if no more. 58 HOMOEOPATHIC ART OF CURE. Hooping Cough. According to my experience, though this disease may not be entirely arrested in its course, and not generally much abridged in its duration, still the use of appropriate me- dicines will greatly modify it, and render it a comparatively trifling affection. In treatment, give at the commencement of the attack Bell, and Phos. acid alternately every twelve hours for a week, then once in six hours, and if the child should take cold so as to bring on fever, give one every hour. Continue these, as above directed, for the first two or three weeks, then, in their stead, after the cough becomes loose, and the patient vomits easily, give Copaiva and Ipecac in the same manner as directed, for the two former remedies. Dyspepsia. This term is applied so loosely and so in- discriminately to all chronic derangements of the stomach, that it is difficult to define it. I shall therefore point out some of the more common aliments of the stomach and their proper remedies. DYSPEPSIA. 59 For sour eructations with hot, burning, scalding fluid rising up in the throat, with or without food, give Phos. acid and Pulsa- tilla in alternation every half hour, until the stomach is easy. For a feeling of weight and pain in the stomach, with dull pain in the head, with or without dizziness, give Nux. Vom. every hour until it relieves. If there is a burning feeling in the stomach as well as the heavy load, witlwut eructations and rising of fluid, Arsenicum should be al- ternated with the Nux. Vom., at intervals of two hours. There are persons who, from imprudence in eating or drinking or both, or which is more frequent, from harsh drug medication, have so enfeebled their stomachs, that, though by care in selecting their food, and prudence in taking it, they may suffer but little, are, nevertheless, when from home or on special occasions, liable to over- eat or take the wrong kind of food, from which unfortunate circumstance they are made to suffer the most tormentiug and intolerable distress in the stomach and bow- els which may last, more or less severe, for several days. Soon after the unfortunate 60 HOMOEOPATHIC ART OF CURE. meal, perhaps the next morning, or, it may be, in a few hours, the stomach begins to bloat, by accumulating gas within, which is belched up every few minutes in large quantities; the stomach and bowels are racked with the most torturing pains; cold sweat stands on the brow, and he is the very picture of misery. Thus he may roll and tumble all night, and remain in misery the next day and several days longer, be- fore the food will digest. It often passes from the stomach without digestion, and on its way through the bowels inflicts constant pain. If he does not take some emetic substance, he is not apt to vomit, his stom- ach cramping so as to prevent it. I have here described one of the bad cases, but bad as it is they are by no means very rare. There are such cases in abundance, of all grades from the one here described down to a slight derangement. They all require a similar course of treatment. It is useful for such patients to take at once large quantities of lukewarm water, and re- peat the draught every ten to fifteen minutes, until free and thorough vomiting is induced, CONSTIPATION. 61 so as to throw off all the food from the stom- ach. But even this does not often cure these bad cases. If it did, it is not always convenient to do it. The medicine that is quite certain to afford relief at once is Podophyllin. Let it be given, and the dose repeated in an hour. A third dose is rarely necessary. After relief from this attack, the medicine should be taken night and morning for a month or more until the stomach is restored. In the meantime care should be taken not to over- load the stomach. Constipation. The medicine for this affection is Nux vom., to be taken at night on retiring. If there is fulness and pain in the head from costiveness, Bell, should be used in the morning, and at noon. Let the patient contract a habit of drinking cold water freely on rising in the morning, at least half an hour before eating. The patient should not take physic. For constipation of children, Nux and Bry- onia are to be given Nux at night and Bryonia in the morning. Opium is useful. 62 HOMOEOPATHIC ART OF CURE. Much needless alarm is often felt by per- sons on account of a costive state of the bowels. If no pain is felt from it, there is no cause for alarm. "Heartburn." This peculiar burning and distressed feel- ing at the stomach depends on imperfect digestion, but is not ordinarily, as is generally supposed, connected with a sour or acid state of the fluids in the stomach. The condition of the fluids is alkaline, in most cases, though it is sometimes acid. If it depends upon biliary derangement, Nux Vomica and Podo- phyllin are the remedies for a male; Pulsa- tilla and Podophyllin for a female. Erysipelas. This is a disease of the skin, producing redness, burning and itching pains, appearing in patches, in adults, most apt to appear about the head and face, but in children, up- on the limbs, or in very young children, beginning at the umbilicus. It sometimes begins at one point, and continues to spread for a time, then suddenly disappears, and re- appears at some other point. ERYSIPELAS. 63 Simple Erysipelas only affects the surface, with redness and smarting. Vessicular, pro- duces vessicular eruption, or blisters filled with a limpid fluid, somewhat like the blis- ters from a burn. The Phlegmonous Erysipelas affects the whole thickness of the skin and cellular tis- sues beneath it, producing swelling, and not unfrequently, resulting in suppuration, ulcer- ation or gangrene and sloughing of the parts. It is a dangerous disease, especially when on the head. TREATMENT. For the simple kind, Bell, is all that will be needed, unless there should be consider- able fever, when Aconite should be altern- ated with the Bell. For the vessicular kind, where there are blisters, Rhus tox. should be used with Bell. For the Phlegmonous, with deep seated swellings, Apis mel is the most important remedy. I prefer to use three of these remedies, giving them in rotation, be- ginning with the Bell., followed with Rhus, and then by Apis mel. giving them one hour apart. In a mild case, or after the patient begins to recover, give them.at longer inter- 64 HOMOEOPATHIC ART OF CURE. vals. The Apis alone will often be sufficient. During the whole time, the affected parts should be kept covered with dry, superfine flour, some say Buckwheat flour acts most favorably. The diet should be very spare. Eat as little as possible, until the disease begins to subside. A very important part of the treatment of this affection is to keep the patient in a room that is comfortably warm, say at a temperature of from 65 to 75 °, and keep the temperature uniformly the same, as near- ly as possible, night and day. Do not, by any means, expose him suddenly to cold air, or a cold breeze, as on going into a cold room, going out into cold air, or undressing or dressing in a cold room. Uniformly warm temperature is of great importance. Burns and Scalds. No matter what the nature and extent of the burn may be, the very best of all medi- cines of which I have any knowledge, is Soap. If the parts affected, are immediately immersed or enveloped in Soft Soap, the pain will be greatly lessened, and the inflam- HURNS AND SCALDS. (55 niation that would otherwise follow, will be essentially modified, if not entirely prevented. It acts like magic ; no one who has never tried it can have any idea of its potency for the relief of pain, together with the preven- tion of bad consequences following severe burning. Under the influence of the Soap applications, burns and scalds will often be rendered comparatively insignificant inju- ries. Instead of endangering the life of the sufferer from the excessive pain, or the ul- ceration, or gangrene and sloughing that would follow if the pain in the first instance does not destroy life, the pain ceases, or be- comes bearable in a short time, and either little or no suppuration or sloughing takes place, or the sore assumes the appearace of healthy suppuration, and heals kindly — avoiding those unsightly deformities that so commonly follow severe burning. If practicable, the soap, as before suggested, should be applied immediately after the burn, the sooner the better. The part may be put into soft soap, or cloths saturated with it can be wrapped around or covered over the affected surface, to any desirable 66 HOMOEOPATHIC ART OF CLRE. extent. The parts should not be exposed to the air for a single moment, when possi- ble to prevent it. During the first two or three days, dressings need not be removed, unless they cause irritation after the first severe pain has subsided. They should be kept all of the time moist, and as far as practicable, in a condition to be impervious to the air. When it is necessary to remove them, let the affected surface be immersed in strong soap suds, at a temperature of about 75 or 80 °, and the dressing removed while it is under water, and others applied while in the same situation. In ordinary cases, how- ever, even of extensive burns, after the fever consequent upon it has subsided, and the part is tolerably free from pain and smart- ing, the dressings may be removed in the air, but others should be in readiness and applied as speedily as possible. The soap dressings are to be continued from the be- ginning until the inflammation has subsided and the sore has lost all symptoms that dis- tinguish it from an ordinary healthy suppu- rating sore. BURNS AND SCALDS. 67 After the first few days, or in case of a slight burn at the beginning, an excellent mode of applying the soap, is to make a strong thick "Lather" with soft water and good soap, such as Castile, or any other good hard soap, as a barber would for shaving, and apply that to the affected part with a soft shaving brush; apply it as carefully as possible, so as to cover every part of the surface, and go over it several times, letting the former coat dry a little before applying another, forming a thick crust impervious to the air. In small burns, and even in pretty extensive and severe ones, this is the best mode of application, and the only one necessary. In many cases of very severe and danger- ous burns, under the influence of this appli- cation, the inflammation subsides, and after a week or more, the crust of lather comes off, exposing the surface smooth and well. Although it is important to apply the soap early, and the case does much better if that has been done, still I have found it the best remedy even as late as the second or third day. In such a case, the lather application is the best. 68 HOMOEOPATHIC ART OF CURE. For the fever and general nervous dis- turbance, Aconite and Bell, should be given alternately, as often as every half hour, and the Aconite should be given in appreciable doses; it acts powerfully as an anodyne. The soap treatment, or at least, the mode of applying it was first suggested to me by Dr. J. Tifft, of Norwalk, Ohio, some six or seven years ago, since which time I have had opportunities of testing its virtues in all forms of burns and scalds, some of which were of the severest and most dangerous character, and I am quite sure in several cases, no other remedy or process known to the medical profession, could have relieved and restored as this did. The application of finely pulverized com- mon salt, triturated with an equal part of superfine flour, acts very beneficially on burns. It seems to have the specific ef- fect to "extract the heat," literally put- ting out the fire. It is particularly useful for deep burns where the surface is abraded. Some may suppose this would be severe and cause too much pain when applied to a raw surface, but so far from that being the case, CHILBLAINS. 69 it is a most soothing application. It often so changes the condition of even the severest burns, in a short time, as to render them of no more importance and no more dangerous than ordinary abrasions to the same extent, by causes unconnected with heat.- Urtica urens is directed for burns, and is useful, but the Urtica dioica ,is better. For Chilblains, That follow freezing or chilling the feet, causing most distressing uneasiness and itch- ing of the feet and toes, take these remedies, Rhus and Apis, the former at night and the latter in the morning. In bad cases; they should be used once in six hours. Applica- tions of Oil of Arnica to the affected parts at night, warming them before a fire, will serve greatly to palliate the sufferings, and frequently effect a perfect cure. The Ur- tica Dioica will relieve recent cases, imme- diately, and is one of the best remedies for the chronic affection. It should be taken at tbe 2d dilution, and the tincture applied to the affected part every night. 70 HOMOEOPATHIC ART OF CURE. Hoarseness. This arises generally, from inflammation of the mucous membrane of the Larynx, in ordinary cases but slight. It is a frequent accompaniment of Bronchitis. The remedies most useful, and those which will, in almost all ordinary cases, remove this affection at once, are Arum tri. and Copaiva, to be taken a dose every three hours in alternation. If there is present a dry hacking cough, it will be well to take Bell, in the interval between the other medicines, for a day, or until the cough is relieved, or changed to a moist condition. Inflammation of the Brain. Brain Fever. Though this affection is not strictly what is called "brain fever," it is attended with more or less general fever, while in what is called "Brain fever," there is great irrita- tion of the brain, requiring in many respects similar treatment. As the treatment proper for inflammation of the brain, with some slight modifications in relation to the exist- INFLAMMATION OF THE BRAIN. 71 ing fever, will be applicable to both, I shall treat of them under one head. Some of the principal symptoms are de- lirium and drowsiness, fullness of the blood vessels of the head, beating of the temporal arteries, redness and fullness of the face, the pupils dilated, (though in the very early stage they may be contracted.) If the membranes of the brain be the seat of the disease, the pain is more intense, and fre- quently the limbs are in a palsied state. The patient sometimes vomits immoderate- ly, and the pulse is slow and irregular, but full. The breathing becomes stertorous. The fever is very considerable, and the head hot. treatment. Aconite, Belladonna and Bryonia should be given in rotation, one dose every hour in a violent case, lengthening the intervals as the symptoms abate. Applying hot cloths to the head, removing them occasionally to let the water evaporate, will greatly palliate and will not in the least, interrupt the action of the medicines. Never apply cold to the head of any person, when hot or inflamed, 72 HOMOEOPATHIC ART OF CURE. much less to that of a child. Children are often killed by the application of ice to the head, producing congestion and paralysis of the brain. Hot applications are Homoeo- pathic to the state then existing, and always beneficial. The fjet may also be placed in hot water, but children should never be put into a hot or warm bath when sick, so as to cover more than the lower extremities. Convulsions of Children—Fits. These generally occur, either from the irritation of worms, or as precursors of ague, or they may arise from diarrhoeal irritation, affecting the brain. They sometimes occur in hooping cough. If convulsions occur from worms, the child appearing to be choked, give at once some salt and water, and as soon as the first paroxysm is over, give a dose of Bell., and after an hour a dose of Santonine. If they come on at the commencement of an ague chill, give Aconite and Bell, every half hour for three or four doses alternately, then leave off the Bell, and give Baptisia. If diarrhoea is the cause, give Bell, and Cltam- MEASLES. 73 omilla. If from hooping cough, Bell, alone should be used. Measles. This is a contagious disease, and always begins with symptoms like a cold, with high fever, and a severe dry cough, thirst and restlessness. Pulsatilla is the proper medicine to palliate and regulate the symp- toms. If the fever is high, Aconite should be used every two hours alternately with Puis. Should the eruption subside sudden- ly, give Bryonia with Pulsatilla until it re- appears. Let the child drink freely of cold water, and avoid stimulants of every kind. If the eruption is tardy in its appearance, a hot bath may be administered, being careful to have the room quite warm, and to rub the patient dry, very suddenly after the bath. Frictions by the healthy hand over the sur- face, will do much towards bringing out measles. After the eruption is out, quiet, freedom from sudden exposure to cold, cold water and light diet is all that is necessary. In some of the most obstinate cases, where 74 HOMOEOPATHIC ART OF CURE. the eruptions failed to appear in the proper time, as well as where they had receded too soon, I have been able to bring them out in a short time with an infusion of Sassafras root, sweetened and taken quite warm, in doses of half an ounce in fifteen to thirty minutes. It is a remedy for measles well worth attention. Mumps. This is a contagious disease, consisting in an inflammation of the Parotid gland. There is, at first, a sense of stiffness and soreness on moving the jaw, soon after the gland begins to swell, and continues to be sore and painful, with more or less head- ache, and general fever for from six to eight days- It is not ordinarily a dangerous dis- ease, unless translated to some other part. It may remove from the original seat to the brain, the testicles, or in females to the breasts. TREATMENT. Mercurius should be given three times a day during the attack. If the brain be- comes affected, use Bell, and Apis mel. in STINGS OF INSECTS. 75 alternation. Should it recede to the testi- cles, or to the female breasts, Apis mel. is the remedy. Mercurius may be used in con- nection with the Apis as soon as the violent symptoms have subsided, in order to pre- vent permanent glandular swellings. Stings of Insects. The effect produced by the sting of Bees Wasps, and Hornets of all kinds, is so near- ly, if not quite identical, that I shall make no distinction between them. There are very few, if any persons, who do not know the symptoms, at least the local effects of the Bee sting. Pungent, stinging, aching pain, redness and swelling of the part. The wound has at first, and for some time, a white spot or point where the sting entered, surrounded by an areola of bright scarlet, growing fainter and paler as it recedes. The swelling is not pointed, but a rounded elevation, with a feeling of hardness. If upon the face, it not unfrequently causes the whole face to swell so as to nearly if not entirely close the eyes. In some instances, the brain becomes affected and death ensues. 76 HOMOEOPATHIC ART OF CURE. TREATMENT. I have for many years, used but one reme- dy, and that has in all cases, and under all circumstances, when applied at any stage of the affection, produced prompt and perfect relief, therefore I shall recommend no other. It is the common garden Onion, {Allium cepa) applied to the spot where the sting entered. I cut the fresh Onion and apply the raw surface to the spot, changing it for a fresh piece every ten to fifteen minutes, until the pain and swelling, and all disagree- able symptoms disappear. If it is applied immediately after the stinging, the first ap- plication will afford perfect relief in a few minutes, and no further effect from it will be experienced. Applied later, it must be continued longer, and this may be done one or two days after the stinging, with just as much certainty of removing whatever symp- toms may still exist. I treated one case when three days had elapsed, the patient (a young lady) was de- lirious and speechless, the whole face was so swollen as to entirely disfigure her fea- tures, raising the cheeks to a level with the BITE OP RATTLESNAKE 77 nose, and closing the eyes. Her life was almost despairedof. The surface of a freshly- cut onion was applied to the point where the sting entered, and changed about once an hour for a fresh piece. Iri a few hours consciousness returned, and a rapid recovery followed. All the swelling and disagreea- ble symptoms were gone in three days. Ledum is highly recommended by some Physicians, and is doubtless of some value, but it is not to be compared with the Allium. The most potent and certain remedy for the poison caused by the Bite of the Rattlesnake is Alcohol, in the ordinary form, or in com- mon Whisky, Brandy, Rum or Gin. Let the patient drink it freely, a gill or more at a time, once in fifteen to twenty minutes, until some symptoms of intoxication are experienced, then cease using it. The cure will be complete as soon as enough has been taken to produce even slight symptoms of intoxication. It is remarkable how much 78 HOMOEOPATHIC ART OF CURE alcohol a patient suffering from the poison of the Rattlesnake will bear. An intelligent medical friend of mine in Kanawha County, Virginia, gave a little girl of ten years,, who had been bitten by a Rat- tlesnake, over three quarts of good strong Whisky, in less than a day, when but slight symptoms of intoxication were produced, and that seemed to arise entirely from the last drink. She recovered from the intoxi- cation in a few hours, and suffered no more from the poison of the serpent. Instances of cures with whisky are numer- ous, and I have never heard of a failure, when it was used as here directed. I pre- sume it will do the same for the poison of other serpents. Headache. This symptom or affection, (if it can be classed as a disease) may depend upon so many causes, and be so very different in its effects, degrees of intensity, and the kind of pain or sensation attending it, that one will find it very difficult to mark out any defin- ite treatment. I shalL, therefore, only point BTTE OF RATTLESNAKE. 79 out some of the more frequent cases, and the indications for certain remedies. What is called "sick headache," or "nerv- ous headache," begins by a sense of blindness or blur, before the eyes, of green or purple colors, dazzling or swimming in the head, without, for some time at first> any positive aching or pain. In the course of an hour, a longer or shorter time, the dimness of vision goes off, and the head begins to ache. This may or may not be accompanied with nausea and vomiting. Some persons are always more or less sick at the stomach, when these "nervous headaches" come on, others are not thus affected. TREATMENT. If taken as soon as the first biur before the eyes is noticed, or before any pain is felt in the head, Nux Vomica will, in nearly all cases, arrest the disease at once. It may be necessary to take two or three doses at inter- vals of an hour. Later in the case, though Nux may palliate, it will not cure. If headache with sickness comes on, Mac- rotin and Podoph. should be given in alterna- 80 HOMOEOPATHIC ART OF CURE. tion, every half hour, if the symptoms are very severe, and the nausea great; but in a mild case, give it once an hour, lengthening the interval as the symptoms abate. If the feet are cold, as is often the case, putting them into hot water will palliate the symptoms, and not interfere with the medicines. If the head feels hot, apply hot water to it. Never apply cold to the head, when there are any symptoms of congestion, as of fullness of the blood vessels. For Common Headache, If the face is red, and the arteries of the neck and temples throb violently, give Bell. If there is paleness andTaintness-, Pulsatilla is the remedy, esr ecially if the forehead is principally affected. If the pain is mostly in the back of the head, Nux is to be used ; if in the front, and is sharp, affecting the eyes, Aconite; if at the angles of the forehead, with a sense of pinching, Arnica; if a sense of fullness and pressing outwards, or with an enlarged feeling, Macrotin; if intermitting nr remitting, Mercurius; if there is ringing NOSE BLEED. 81 in the ears, China. Headache from fright should have Aconite. For that kind of headache that often occurs during the prevalence of fevers, ahd is not unfrequently a premonitory symptom of an attack of fever, I have found Baptisia and Podophyllin to be specifics. I give them alternately, every two hours a dose, until the headache ceases. It often subsides in a few minutes after the first dose of either, though I have sometimes failed with one alone and succeeded in the same cases after- wards with both in alternation. 1 have no doubt but that they act in many cases, as Prophylactics, entirely warding off and pre- venting fevers, or at least arresting them at the premonitory stage. Podophyllin is a most valuable remedy for headache. Nose Bleed—Epistaxis. If it arises from fullness of the vessels of the head, with throbbing of the temples, redness of the face and eyes, Belladonna is the remedy. If fever is present, Aconite must be alternated with Bell. In fern-ales or children who have habitual 82 HOMOEOPATHIC ART OF CURE. nose-bleed, Pulsatilla and Podophyllin are to be used alternately, night and morning. During the paroxysm of bleeding, Arnica should be used, one dose repeated in a half hour if it continues. If it is produced by over-exertion, Rhus is the proper remedy. If it occurs in the early stage of fever, Aconite and Bell.; in the latter stage, Rhus and Phos. are to be used. Hamamelis will frequently arrest nose-bleed immediately after one or two doses. Worms. It is difficult to determine the presence of worms in children, much more in adults, yet both are affected by them occasionally. In children, there is more or less fever and restlessness, screaming out in sleep, starting, pain in the bowels, vomiting, choking, diar- rhoea, picking at the nose, fetid breath, vo- racious and variable appetite. TREATMENT. Santonine is a remedy which I have used for years, and I have treated many hundreds of cases, with such unvariable success, that I feel disinclined to use or to recommend WORMS. S3 any other. It brings away the worms en- tire, and relieves the patient of all morbid symptoms immediately, or in much less time than any other remedy of which I have any knowledge. It seems to act spe- cifically upon the worms, causing them to leave the bowels by being evacuated with the feces, without producing any sensible impression upon the bowels, the evacuations remaining natural, if they were so, or be- coming so, if deranged, and the worms com- ing away not quite lifeless. I have often prescribed this remedy for children suffering under intermittent or re- mitting, and even typhoid fever, in the summer season, when there were not present any well defined symptoms of worms, and yet the fever would soon abate, and in due time worms appear in the fecal evacuations. It often arrests entirely intermittent fever, when worms are present, and are the proba- ble cause of the fever. I give either the crude salt in from one- fourth to one-half grain doses, or a trituration of one grain to four of sugar, giving in the lat- ter case, from one to two grains of the tritu- S4 HOMOEOPATHIC ART OF CURE. ration. Give one dose at bed-time, or in an urgent case at any other time, but never re- peat the dose under thirty-six hours, and in an ordinary case, under forty-eight hours. This is the medicine par excellence for worms. It may be repeated once a week, when there is a tendency in the patient to the development of worm symptoms, or, in other words, the breeding of worms. The idea held out by some that it is hurtful, or unimportant to remove the worms, in itself considered, is simply nonsense and worse, for children are sometimes sacrificed to this idea. Earache—Otalgia. This may arise from various causes, but a common one is sudden cold. If it arises from cold, and there is general fever, or if the ear is red, or the side of the head and ear hot, Bell, and Baptisia should be given in alternation, every hour, or in a violent case, more frepuently. These remedies will soon relieve such cases. Cloths wrung out of hot water should be laid over the ear, or the side of the head steamed, or it may be laid into water quite warm, with good effect. EARACHE. 85 Where the disease is a chronic affection, and the patient is subject to frequent attacks ofpain in the ear, especially on a change of the weather, from dry to moist, Mercurius is the proper remedy, especially if it is worse at night, when warm in bed. If it arises from a shock or blow, Am. is to be used. In scrofulous persons, whether there is ulceration or not, Phosphorus and Pulsatilla are the remedies. Children and even adults, not unfrequently suffer from earache, without any known cause sufficient to account for it. On exam- ination into the ear you will often find either the cavity filled or nearly so, with a hard black substance, (the inspissated "earwax") almost as hard as horn, or else the ear will be quite empty, and the sides of the cavity dry and red, though perhaps not properly in a state of inflammation. The natural condition of the cavity as it can be seen by straining the ear outwards and backwards a little in a strong sun light, is moist, the surface covered slightly with a yellowish, greasy, soft substance (the ceru- men) "earwax." When this is wanting or 86 HOMOEOPATHIC ART OF CURE. in excess, or its character changed, it is evi- dence of disease, and pain is likely to occur. The TREATMENT. for this condition is to remove the accumu- lation when that exists, as the first step. But this must be first softened by pouring some warm oil, pure olive oil, or good pure sperm oil, into the ear, and repeat it two or three times a day for several days, until it is so far softened as to be easily removed with the probe end of common small tweez- ers, having a spoon-bowl point. When there is dryness, moisten the sur- face with oil. In either case, it is best, for a while, to protect the delicate surface from the air, by putting oiled wool into the ex- ternal ear. If the ear was filled, give Mercurius once a day until there appears a natural secretion. If dry, use Belladonna. Toothache. It is difficult to determine the cause of toothache, and more difficult to select the remedy. It often depends upon decay of TOOTACHE. 87 the tooth, and exposure of the nerve to air, and contact wTith food or drinks, or even sa- liva, which irritate and produce pain. Pulsatilla will as often relieve such cases as any other remedy, yet if it has been ag- gravated by a recent cold, Bell, and Nux V. may be better. If the nerve is not exposed, and there is a disposition to a return of the pain on exposure to cold air, or a change of weather, the pain being of a rheumatic char- acter, give Rhus and Macrotin in alterna- tion. These will relieve many cases. For decayed teeth, the pain being dull aching, with soreness, use Chamomilla. The body of the tooth, that is the dentine, sometimes becomes very sensitive when there is no decay or cavity, the pain being experienced when some hard substance hits, or the air or water, either cold or hot, comes in contact with the tooth. The temporary pain will generally yield to Arnica, and in most in- stances, the daily use of Arnica at the first decimal dilution, applied to the surface, and upon the jaws, will effect a cure. The chloride of Zinc applied to the sur- face of such teeth for a few moments will 88 HOMOEOPATHIC ART OF CURE. destroy the sensitiveness of the dentine. Teeth that are ulcerated at the roots, or have ulcerated gums around them, the teeth being decayed, should be extracted at once, for, besides the pain and inconvenience they cause, they are a very prolific source of dis- turbance to the digestive organs, from the positive poison generated by the decaying process. If people will use soft brushes upon the teeth with soap and water,. followed by- rinsing with simple water only, after each meal, brushing both inside and out and crossways, so as to clean between them, they will be saved much pain and decay, and disease of other parts, arising from foul and diseased teeth. Teething of Children. Affections arising from teething of child- ren, are often of a serious character. The most prominent of which is Diarrhoza. Fe- ver frequently accompanies the diarrhoea, and convulsions occasionally occur. Aconite and Chamomilla should be used in alterna- tion, every one or two hours, according to TEETHING OF CHILDREN. 89 the violence of the fever, and if convulsions occur, or are threatened, as will be known by twitching, starting, and screaming, use Nux and Bell. These may be given in ro- tation with the others, following the reme- dies, one after the other, every hour. I have relieved the most alarming cases in a day by this method of procedure, that had not yielded to either of the single remedies for several days, given as directed in the books ; the patient growing worse continu- ally. If the gums over the teeth look white and the teeth, (one or more,) are near .the surface, the gums should, by all means, be cut. Press the point of a lancet or penknife down upon the top of the gum, until the tooth is plainly felt, and be sure to make the cut as wide as the tooth. Rub the gums with Arnicated water once or twice a day. Pulsatilla should be given at night and Chamomilla in the morning, during the * whole summer while the child is teething, as a prophylactic against the fever and diar- rhoea that is likely to occur. It will gener- ally save all trouble. 90 HOMOEOPATHIC ART OF CUKE. If the diarrhoea is profuse, watery and light colored or brown, give Phos. acid and Veratrum alternately, as often as the dis- charges occur. For the restkssness of in- fants at night, Coffea is the specific. Apthse—Thrush. This is a disease peculiar to nursing chil- dren. The mouth becomes sore, and the tongue, lips, and fauces "are covered with a white crust, looking like milk curds, which, when removed, leaves the surface red, in- flamed and very tender. It sooner or later, extends to the stomach and bowels, pro- ducing severe and dangerous diarrhoea. TREATMENT. Of all the medicines known to our Materia Medica, none, according to my experience, will in the least, compare with the Eupato- rium aromaticum. It is almost, if not quite certain to relieve speedily in all cases. I say this, not only from my own experience and observation, but from the testimony of several other Homoeopathic Physicians, who have, within the last year, used it. INFLAMMATION OF THE EYES. 91 It should be given at the first or second dilution, once in four or six hours, and three or four drops of the tincture put into a tea- spoonful of water, and the mouth occasion- ally washed with the mixture. In summer, where agues prevail, and the child is feverish and restless, China will aid in the cure, to be given once in six hours between the doses of the Eupatorium. If the diarrhoea is obstinate, the discharges colored, and the child is sick at the stomach, give Podophyllin with the other remedies. Inflammation of the Eyes—Ophthalmia. For common Ophthalmia, in the early sta- ges, while there is more or less fever and headache, with flushed face, bloodshot eyes and throbbing of the temporal arteries, Bell. and Aconite should be used altenately every two hours, and a wash made with ten drops of tincture of Aconite to one gill of pure water, applied to the eyes as hot as the patient can bear. This application should be repeated every two hours, in a violent case until the eyes are easy, and then about twice a day until all inflammation and red- 92 HOMOEOPATHIC ART OF CURE. ness pass off. This will relieve a large pro- portion of cases in from one to four days. If, however, the case continues obstinate for a longer time, or has been of a week or more standing before the treatment is com- menced, in the place of Bell., or after using it one or two days, use Hydrastus with the Aconite, giving them alternately at intervals of two to six hours, according to the stage of the case—more frequently as the symp- toms are more urgent, using washes prepared of each separately, as directed for Aconite, except that the Hydrastus wash may be twice as strong ; and apply each about half as often as the same medicine is taken inter- nally. The wash should, in all cases of acute inflammation of the eyes, be as hot as it can be borne. Let it be put into the eyes so as to come directly in contact with the inflamed surface. Simple hot water applied to inflamed eyes for hours together, allowing short in- tervals between the applications, will often cure most painful cases. Never apply cold to inflamed eyes. It al- ways aggravates. When the inflammation WOUNDS AND BRUISES. 93 is in a scrofulous person, especially in infants, it assumes a purulent character, and may leave the cornea in clouded (nebulous) con- dition, and the sight more or less obliterated. For this condition use Conium first, and apply it in tinct., half water, to the eyes every four hours. Wounds and Bruises. On this subject, I must necessarily be very brief. When a wound is inflicted, the first and most important thing to be done is to ar- rest the flow of blood. Every one should know how to do this. The bleeding is to be stop- ped, and the wounded vessels to be secured, so that no further flow can take place. First, then, to stop the bleeding, pressure is to be made upon the artery leading to the wound. If the wound is in the leg or foot, pressure is to be made, either on the vessel above and near the wound, or, where that cannot be easily found and compressed, make Aim pressure with the thumb or some hard substance, in the groin, about two and a half inches at one side of the center of the pelvis, (wounded side) just below the lower 94 HOMOEOPATHIC ART OF CURE. margin of the belly, towards the inner side of the thigh, where the great artery (Femoral artery) can be felt pulsating. By pressing firmly upon this artery, the blood is arrestod in its flow into the limb, and of course the bleeding from the wound soon ceases. If the wound is in the arm or hand, pressure is to be made, either just above the wound, or on the inside of the arm, about one-third of the way from the shoulder to the elbow, where the artery (Brachial) can be felt. To secure the parts from further bleeding, the wounded artery must be taken up and tied. Let it be seized by forceps, or the point of a needle may be thrust into it, and the vessel stretched out a little, a thread put round it and tied ; cut off one end of the tie, and let the other hang out of the wound, until it comes out by the vessel sloughing off. Bring the lips of the wound rogether, and if it is large, put in stitches enough to hold them, and put on an adhesive plaster, compress of cloths, and bandages to keep it from straining the stitches, and protect it from the air. The Arnica plaster, made by John Hall, of Cleveland, is the best adhesive plaster of WOUNDS AND BRUISES. 95 which I have any knowledge. Give the patient Aconite once in two hours, for a day after the accident. Slight Cuts about the joints, especially the knee, are dangerous, from their liabil- ity to affect the ligaments, inflame, and pro- duce Lockjaw: Therefore, such wounds, ever so slight, are of great importance. They should be at once closed up, whether they bleed or not, and covered with an ad- hesive plaster, (Arnica plaster is the best) a bandage, and the knee should not be bent, even when walking or sitting, until the wound is healed. It is best to apply a splint from the hip to the heel, and bandage the limb to it, so as to prevent bending of the joint. Bruises are to be treated with Arnica, applied to the part affected, by putting twen- ty drops of the tincture into a gill of water, if the skin is not raptured, or three drops into the same if it is, and bathing freely. The Arnica is to be taken internally at a higher dilution. Keep the parts covered with cloths and wet in Arnica water. 96 HOMOEOPATHIC ART OF CURE. If a blow is received upon the head, by a fall, or in any other way, producing a "stun- ning" effect, (concussion of the brain) so that the patient appears lifeless for a time, and delirious when he begins to come to, there is great danger of inflammation of the brain, and death from the re-action, or in some cases, the shock is so great that the patient will never revive unless he has the proper aid. Arnica is the great remedy to bring on reaction, arouse the patient, and prevent dangerous inflammation or congestion of the brain. When a patient is "stunned" by a blow or fall, he should be conveyed soon as pos- sible, to some quiet place, and as little noise as practicable made about him, and the room kept darkened. Arnica 3d should be given immediately, and the nostrils wet with strongly arnicated water. Tf fever arise after he comes to, Aconite should be given with Arnica, and if the head aches, or becomes hot, Bell, is to be used. This will prevent or arrest all symptoms of inflammation. PILES--HEMORRHOIDS. 97 Tom and Mangled wounds should not be handled much. If they bleed, the blood must be stopped as in any other case. If they are dirty, warm water may be gently applied to cleanse them. The wound should be covered with some soft cloths, and kept constantly wet in Arnicated water of the strength of four drops of the tincture to a pint of water. Piles—Hemorrhoids. One important matter in all cases of habit- ual piles, is, to keep the bowels regular. Much can be done for this purpose by diet and regimen. On rising from bed in the morning drink freely, from a gill to half a pint of cold water, at least half an hour before breakfast; use such diet as is easily digested, and drink no alcoholic beverages. To relieve the bowels when costive, take a dose of Nux Vomica at night, and Podophyl- lin in the morning. This may be repeated from day to day until the proper effect is produced. To relieve from a severe attack of Piles, use Bell, and Podtphyllin in alternation 98 HOMOEOPATHIC ART OF CI RE every four hours, and apply to the tumors when inflamed, cloths wrung out of hot wa- ter, or sit in hot water for a time. A poultice made of fine-cut Tobacco wet in hot water and crowded firmly up against the pile-tumors, secured by a T bandage, will relieve the most desperate cases for the time, and is attended with no danger or disagree- able symptoms except in rare cases, when it produces sickness at the stomach, which soon subsides on the poultice being removed. Oil of Arnica is an excellent application for inflamed Piles. A most important point in the management of Piles, and one often neglected, is to re- place the prolapsed tumors. The tumors will be protruded from within the anus by the act of evacuating, and if left in that condi- tion, will be pressed upon by the external parts, chafed and inflamed. In all such cases, the patient should take particular pains to return the tumors into the rectum ; and to aid in that process a little oil may be applied when they will be easily pushed back, and the sphincter of the bowel will close below PILES--HEMORRHOIDS. 99 them, preventing any chafing, and the con- sequent inflammation. For Bleeding Piles, Ipecac and Bell, are very efficient remedies. They may be al- ternated every half hour, or oftener if the bleeding is severe, or at longer intervals when it is only slight. Hamamelis V., (Witch Hazel,) will in nearly all cases arrest the bleeding at once. It should be applied to the parts and taken internally at the same time. Drop doses to be put on the tongue once in fifteen or twenty minutes. An infusion of the Hamamelis may be ta- ken internally in doses of half a teaspoonful, and the same injected into the bowel with excellent effect. The most effectual way, and the best for obtaining permanent relief from Piles when the tumors have become hard, and remain all the time so as to pass out of the anus at every evacuation, being constantly more or less tender and painful, and often becoming inflamed, is to have them taken off But never let that be done with a knife. The bleoding would, in such a case, b» very 100 HOMOEOPATHIC ART OF CURE. excessive, and most likely fatal. The history of knife operations for the excision of Pile tumors is written in blood, and the tomb- stone stands as a monument of condemnation of the practice. No trustworthy surgeon will at this day attempt it. But however dangerous may be the knife operation, there is no danger at all to be ap- prehended from removing the tumors by a ligature. To accomplish this, take a soft cork about three-fourths of an inch in di- ameter, and one inch long—make a bole through the center from end to end, about one-eighth of an inch in diameter — cut crucial grooves in the top of the cork about an eighth of an inch deep, bevel down the lower end nearly to an edge, make a cord of saddler's silk, three fold twisted together and waxed, about eight or ten inches long, double this in the middle and pass the loop down through the cork out at the sharp end, tlie two loose ends of the string being out at the grooved end. Make a strong hickory stick about three-sixteenths of an inch in diameter, and just long enough to pass across the square end of the cork. Now have the FILES--HEMORRHOIDS. 101 patient protrude the Pile tumors as far out as possible, being" placed on his knees with the head bent to the floor, pressing out firmly as if to evacuate the bowels. Let the tumors be dried as much as possible by gently press- ing a soft, dry cloth to them ; then let the loop of the string projecting from fhe flat- tened end of the cork, be pushed on over the largest tumor, and held clown at its base, while an assistant places the stick in one of the grooves, ties the two ends of the cord firmly down over the stick, or toggle, by a square bow knot; then turn the stick round once, twice, or more, until the pressure upon the tumor is sufficient to strangulate it per- fectly, and prevent the string from slipping off. Care should be taken to keep the cord down to the base ol the tumor while it is being tied and tightened, as in many cases the base is much the larger part of the tumor, and the cord tends to slip up. After the ligature is applied and tightened, apply arnicated water to the parts, and a large, warm poultice of superfine slippery elm bark, wet so as not to be too soft and slippery, on the face of which Arnica may be put. Keep 102 HOMOEOPATHIC ART OF CURE. it on with a T bandage. The patient must be put to bed and kept-quiet until the liga- ture and tumor come off, which will be in about six or seven days, sometimes sooner. Once a day the "toggle" must be turned part, or the whole of a circle or more, to tighten the cord as the patient can bear. This will be very painful from beginning to end of the ligating, but any, even the most sensitive, patient can bear it. The patient must have quite warm hip baths two, three, or more, times a day, or as often as the pain is severe, the poultice being replaced after each bath, and kept constantly on. If there are several tumors protruding, apply ligatures to two of the largest, when these are removed, the others will disappear. Injections of mucillage of slippery elm should be carefully used to move the boAvels daily, or at least once in two days. Let the diet be of corn or oat meal mush, or rice. As the tumor gradually sloughs off, the surface heals, so that, though the base where the ligature was applied, may have been an inch or more across it, there will not be a raw surface of over an eighth of an inch in diam- SKA-SICKNESS. 105 eter, to which Calendula Cerate should be applied. The patient must keep quiet for a few days longer. Though this is a painful operation, it is not in the slightest degree dangerous. I have effected complete and permanent cures by this mode in numerous instances. Sea-Sickness. Nux Vomica should be used once in about four hours, for twelve hours before sailing, as a preventive to sea-sickness. If, however, symptoms, such as dizziness or blur before the eyes, and headache, begin to come on, a dose of Nux should be taken, followed in an hour with Pulsatilla. If the nausea comes on, Ipecac and Arsen- icum should be taken alternately between the paroxysms of vomiting, should that symp- tom appear. If practicable, the patient should lay still upon the back until the sickness passes off. I have removed sea-sickness immediately in several instances with Pulsatilla alone, and the last time I had an opportunity to prescribe for this affection I gave Podophyl- lin. It removed all the symptoms in a few 104 HOMEOPATHIC ART OF CURE. minutes. That is the only time I ever tried it, but from the provings I am satisfied it is one of the best remedies. Asiatic Cholera. I was practicing in Cincinnati during the prevalence of Cholera in the years 1849, and 1850, and in Northern Ohio in 1854, and had abundant opportunity to observe and treat it. The disease generally begins with a diarrhoea, which may continue for several days, or only a few hours before other symptoms set in, such as vomiting, then cramping in the stomach and muscles of the legs, arms, hands and feet, followed by cold sweats, great pros- tration, restlessness, excessive and burning thirst, drinks being immediately rejected. These symptoms continue, the patient sink- ing rapidly into collapse, when the skin looks blue and shriveled, the eyes sunken, the sur- face covered with a cold, clammy sweat, the extremities, nose, ears, tongue and breath cold, the voice hollow and unnatural. This condition continues from two to eight or ten hours, the patient regularly failing, sometimes becoming delirious before ho dies. ASIATIC CHOLERA. 105 In some cases the vomiting and diarrhoea set in simultaneously, and the other symp- toms follow, as above described, in rapid succession. In others the cramping may be the first symptom, the others following it. In a large proportion of cases, the disease takes the course first described above, the diarrhoea, called the premonitory symptoms, or sometimes cliolerine, coming on several hours, if not a day or more, before any other sj mptoms. The diarrhoea is not usually painful, hence the patient may not be alarmed so as to attend to it until the more dangerous symp- toms appear. It begins in some cases with pain and some griping, the discharges rather consistent, having a bilious appearance, so that the patient supposes it to be an ordina- ry bilious diarrhoea, which is not dangerous, his fears being thus quieted. But however the diarrhoea begins, it becomes sooner or later, copious, watery, and light colored, (rice water) painless but rapidly prostrating. TREATMENT. In the early stages of the diarrhoea, Vera- triim, taken about twice as often as the evac- 106 HOMOSOPAiniC ART OF CURE. uations occur, will frequently arrest it in a few hours, especially if the patient lies down and keeps quiet. But if not, and it increa- ses in frequency, or becomes more copious, or any sickness is felt at the stomach, the patient should, at once, be laid upon a bed and strong tincture of Camphor should be given in drop doses, once in five minutes, for one hour or more, and as the symptoms abate, once in ten, fifteen or twenty minutes, for six or eight hours. A teaspoonful of the Camphor tincture may be put into a tumbler of cold water, ice w# ter if at hand, and the water agitated until it becomes clear, giving a teaspoonful of this camphorated cold water as a dose, stirring the water each time. I think this is better than to give the pure tincture. After the patient becomes quiet and easy, Veratrum should be given in alternation with Camphor, a dose in four to six hours for several days, or oftener if he feels any symptoms like a threatened return of the disease. These two medicines serve as prophylactics (pre- ventives) of Cholera. ASIATIC CHOLERA. 107 If, however, the disease continues in spite of the Camphor and Veratrum, in the first instance, or later, (as the Camphor may be given in many cases with success in the advance stage,) you must resort to other remedies. If vomiting comes on with burning in the stomach give Ipecac and Arsenicum in alter- nation as often as the vomiting occurs, and if the diarrhoea continues give Veratrum between the doses of the other two, in a violent case, as often as every ten to fifteen minutes, and at longer intervals when the disease is slow in its progress. If the vom- iting and diarrhoea, or either, occur with a kind of explosion, the vomiting ceasing sud- denly for the time, after the first gush, or the discharges from the bowels are involuntary, Secale is the specific remedy. For the cramping, Cuprum and Veratrum are the remedies to be given alternately. If, however, the cramping comes on as the first symptom, which is sometimes the case, the patient being suddenly seized with it before any other alarming symptoms occur, Camphor is the great remedy, and in this casa 108 HOMOEOPATHIC ART OF L'L'RE. it may be given in doses of double or treble the quantity before directed. If he sinks into the collapse and lies quiet, indifferent to everything, the pulse sinking, or he is pulseless, Carbo Veg. will sometimes arouse and restore him, hopeless as the case appears. It should be given once in half an hour until the pulse begins to rise. If, however, instead of being quiet he is restless and thirsty, give Arsenicum in alternation with Carbo Veg., repeating the dose as above directed. In some cases, after all the active symptoms cease, the patient will become quiet and drop to sleep, and instead of the pulse rising, as it will if he is recovering, it sinks, or does not appear if he hasJseen pulseless, and the breathing becomes irreg- ular and feeble—he is sinking. If aroused, be sinks back into the stupor in a few mo- ments as before. Laurocerasus is a specific for this condition. It should be given once an hour until he is aroused. If, however, besides the stupor, the head is hot, the face red, the breathing oppressed, the pulse slow and sluggish, Opium is to be ASIATIC CHOLERA. 109 used, and may be given in alternation with Laurocerasus. For the irritation of the brain, and furi- ous delirium that sometimes sets in after the cessation of cholera symptoms, Secale and Belladonna in alternation will prove specific. Let the patient have warm or cold drink as he prefers, and let his covering be light or plentiful as is most agreeable. As soon as he gets easy, and the vomiting and purg- ing cease, and his pulse begins to return, keep him quiet as possible, let the room be darkened and everything still, so that he may go to sleep, which he is inclined to do, this being the surest restorer. I am quite sure I have known several patients carried off by a return of the disease, after it had been effectually arrested, in consequence of sleep being prevented by the rejoicing officiousness and congratulations of friends, disturbing and preventing that early and quiet slumber which nature so much needs, and must have, or hopelessly sink. The diet for two or three days after recovery, should be a little oat meal gruel or rice. 110 HOMOEOPATHIC ART Of CURE. Small Pox—Variola. This disease begins with pain in the head and back, chilly sensations, followed by a high fever, so similar in all respects to a se- vere attack of Bilious or " winter" fever, that it is difficult or impossible to distinguish it with certainty, as Small Pox. The fact of the prevalence of the disease at the time, and the exposure of the patient, may lead the Physician and friends to suspect Small Pox. There is one very striking symptom of Small Pox, however, that exists from the beginning, which, though it may be present in fever simply, is not uniformly so. This is a severe and constant aching pain in the small of the lack. The headache is also constant. The Small Pox is of two varieties or de- grees, distinct and confluent. The distinct is when the pustules are separated from each other, each one a distinct elevation, with more or less spaoe between them not affected by the eruption. The confluent is where the pustules spread out from their sides and run together, cover- ing the whole surface as one sore. 9MALL-T0X. Ill It may be distinct on some parts, as on the body, and confluent on others, as the arms, face, and parts most exposed to the air. In the Distinct variety the fever continues without abatement until the eruption appears, when it entirely subsides, and that quite suddenly. The eruption comes out about the third day of the attack, sometimes not discoverable until the end of the third or beginning of the fourth day. The eruption is at first very slight, beginning with small red pimples on the forehead, upper part of the cheeks, neck and upper part of the breast, extending by degrees to the arms, and other parts of the body and limbs. About the end of the fourth or forepart of the fifth day, the eruption is complete. There is a symptom, not mentioned in the books, which will often determine the disease before the occurrence of any eraption. It is the appearance of hard shot-like pimples, to be felt under the skin in the, palms of the hands, while there is, as yet, no trace of eruption to be seen upon the surface. On the eighth or ninth day, the eruptions become vessicular, have flattened tops, and 112 HOMOEOPATHIC ART OF CURE. contain a limpid fluid. The parts continue to swell, the eruptions to enlarge, and be- come filled with purulent matter, having a dark color at the top, up to about the four- teenth or fifteenth day, when they begin to flat down, to dry up, and some of the scabs become loose. At this time, some fever arises, often quite severe, with headache and other inflammatory symptoms. If the erup- tion is very severe, fever will be of corre- sponding violence, and lighter or wanting when the eruption is mild. This fever rarely lasts more than twenty-four hours, from which time the patient rapidly recovers. In the Confluent variety, all the symptoms are more violent, the fever continuing after the eruption begins. The pustules burst early, and run into each other, covering nearly or quite the whole skin ; the surface swells and turns black or dark brown, the lungs are more or less irritated, producing cough, and not unfrequently the stomach is nauseated, and vomiting ensues. If the patient survives the irritation up to the fifteenth or sixteenth day, when the sec- ondary fever spts in, he is liable to be taken SMALL-POX. 113 off by an affection of the brain or lungs, during this fever. If he recovers, his whole surface, especially that part exposed to air, is deeply pitted. TREATMENT. As it is not often known for a certainty, in the early febrile stage, that it is the small pox, the treatment will be first adopted that would be proper for a like fever arising from other causes. But in all my observations in this disease, and they extend to several hun- dred cases, I have not found in a single in- stance, any of the ordinary fever remedies, such as Aconite and Bell., which would be applicable for such symptoms in an ordinary case, to do any good in small pox. They are directed, however, for these symptoms by the authorities, in the febrile stage of the small pox ; but I am quite sure they are not the proper remedies. From the great similarity, the almost abso- lute identity of small pox headache and back- ache, with the same symptoms developed by the Macrotys racem. as well as the nausea and restlessness produced by the drug, I was led 114 HOMOEOPATHIC ART OF CURE. several years ago to the conclusion that this, or the Macrotin was valuable in small pox. Not only so, but during the prevalence of small pox in Cincinnati, to an extraordinary degree in the winter of 1849-50, I treated about one hundred cases, including both sexes, and all ages, from infants a few weeks old, to very old persons, giving the Macrotin to all, and had the good fortune to see all my patients recover. 'Since that time I have prescribed it for every case successfully. Having then, been entirely successful in so many cases, with this medicine, I am not in- clined at this time to give any other the pre- ference. I must admit, however, that though my patients all recovered, I was not able to greatly abridge the duration of the disease, nor to prevent the development of all the Btages in their proper order, as is claimed by M. Teste, for his use of Mercurius cor. and Causticum. I was satisfied with so far modi- fying the symptoms, as to enable my patients to live through, and come out well in the end. I would then direct, if small pox is suspected, the patient having been exposed to contract it, or from the peculiarity of the symptom?, SMALL-POX 115 in the early stage, or when the disease is dis- covered after the eraption, to give Macrotin at the first trituration, in one grain doses, once in two hours, while the fever, headache and backache continue, after which, during the whole course of the disease, give it three times a day. This will prevent the devel- opment of a dangerous secondary fever, as well as irritation of the lungs, stomach or bowels. In addition to this medicine I give the patients daily, from half an ounce to two ounces of pure {unrancid) Olive oil. This serves to prevent the development of pus- tules in the throat, lungs and stomach; is more or less nutricious, and keeps the bowels in a healthy condition. Wash the surface once a day in weak soap suds, following it with a bath of milk and water, and keep cloths moistened with warm milk and water, constantly upon all parts that are exposed to the air, lubricating the surface with Olive oil after the bath of milk and water. This keeps the surface quite comfortable. The best diet is corn or oat meal mush and molasses, to be tpken in small quantities. 110 HOMOEOPATHIC ART OF CURE. Cold water is the proper drink, though it should not be very cold. The room should, at all times, be well ventillated, but in cold or cool weather, suf- ficient fire must be kept up, to keep the room warm and dry. A temperature of about 65° is the best. Hardly any thing can be worse for a small pox patient than to be in a cold or damp room, and to breathe cold air. Uni- form temperature is important. If the eruption is tardy about appearing, or after it is out, a recession takes place, the Alcoholic Vapor bath will soon bring it out. (See Rheumatism p. 30). Occasionally the feet and limbs below the knees, will swell prodigiously, and become extremely painful, causing the principal suf- fering. For this, wrap the feet and legs in cloths wet in a strong solution of Epsom salts, quite warm, and cover with flannels so as to keep them warm. This will afford imme- diate relief, and reduce the swelling in a day or two. The finely pulverized Epsom salts, dry, sprinkled on the pustules, will very often prevent pitting. It is the, safest and surest remedy of which I have any knowledge. PAINFUL URINATION. 117 Varioloid is small pox modified by vaccination. It is to be treated as a mild case of small pox. The Macrotin has been used with apparent success as a prophylactic (preventive) to small pox, taken three times daily. Painful Urination, Incontinence of Urine, Involuntary Urination. Where the discharge of urine produces smarting and burning of the urethra, Can- tharis is the remedy. Where there seems to be an over secretion of acrid urine, pro- ducing inflammation of the neck of the bladder, known by pain in the glans penis, Copaiva, and Apis mel. are the remedies. If there appears to be a partial palsy of the neck of the bladder, the discharge taking place in sleep, Podophyllin is the surest re- medy. I have cured some bad cases by the use of these three remedies, given in rotation three or four hours apart. Injections of a solution of borax into the bladder, have, in several cases, been suffici- ent to effect a perfect cure, without any other remedy. This may be used in con- 118 HOMOEOPATHIC ART OF CURE. section with the other remedies. For pain- ful urination with a distressed feeling in the neck of the bladder, causing a constant dis- position to evacuate urine, the Althoza Officinalis is a certain remedy ; it acts like a charm. It is an important remedy for inflammation of the bladder. A good mode of using it is in form of a warm infusion in doses of a table spoonful every half hour or hour, according to the urgency of the symp- toms. The Althoza Rosa (Hollyhock) may be used as a substitute, though it is not as good. Every family should cultivate the Althoza Officinalis (Marsh Mallow), so that the fresh green root, which is the best, can be procured at any time. I have been able to relieve patients with it, especially females, when all other remedies seemed unavailing. It is particularly useful for urinary difficult- ies of pregnant females. Neuralgia. Aconiteand Bell, are two important reme- dies in this affection. If given low, and ap- plied directly along the course of the af- fected nerves, at full strength of the tincture, NEURALGIA. 119 they will almost always effect a cure. The proper way to use them is to give them in- ternally at the second dilution, at intervals of fifteen to thirty minutes, when the pain is severe and nearly constant, and apply Acon- ite tincture as hot as practicable over the course of the nerve, by means of wet cloths, for an hour or two hours, and if the pain has not subsided use Bell, locally in the same manner. If the Neuralgia is periodical, coming on at regular intervals, Arsenicum and China are the remedies, and they should be used externally as directed for the others, both at the first dilution, and given internally at intervals, in proportion to the violence of the symptoms, the Ars°n. at the 3d and the China at the first dilution. If the patient has used alcoholic drinks to excess, Nux is to be used in place of Arsenicum. Periodical Neuralgia generally requires the same treatment as ague. In females when there is uterine disease, Pulsatilla and Macrotin are the remedies to be used, as di- rected above. 120 HOMOEOPATHIC ART OF CURE. Jaundice. This disease depends upon derangement of the liver. The skin and whites of the eyes become yellow ; the patient grows weak, loses his appetite, is dull and sluggish in all his actions, melancholly and discouraged in his moods. TREATMENT. Mercurius and Podophyllin given in alter- nation, .each twice a day, will nearly always effect a cure. If the patient is costive, Nux should be taken at night, until his bowels become regular. Bathing the surface daily, or oftener, is a very important measure in the treatment of this affection. As often as once in two or three days, an alkaline bath should be taken. If the patient has fever every daj^, or once in two days, ever so slight, China should be used with Podophyllin. If he has been drugged with Mercury in any form, in large doses, even six months or a year before, give Hydrastin in place of Mecurius. Itch. I shall say but little about this very com- mon and very obstinate affection. Even-- ITCH. 121 body has a '' cure for itch," yet nobody cures it short of the use of Sulphur in some form. Though the attenuations of Sulpur may some- times cure itch, it must be acknowledged that such cures are so rare in this country, and the time requisite to accomplish it is so long, as a general rule, that few will trust them. The most successful remedy, and the one that will always cure quickly, if at all, is Hepar Sulphurus Potassium, the common Hepar Sulphur (sulphuret of Potassa) of the shops. To succeed with it most certainly, let the patient be thoroughly bathed with warm soap suds, quite strong, in a room at the tem- perature of 90 to 100 ° , continuing the bath- ing and rubbing for an hour or more, then dry off the surface with soft cloths, and apply the Hepar sul. with water, at the strength of thirty drops of the strong alcoholic solution, with a gill of water, wetting every eruption on the whole surface and let it dry on. This causes some smarting, but it is effectual; it kills the acarus, (itch animalcule) and in a few days the sores heal, the itching all sub- bides immediately. If every pustule has not 122 HOMOEOPATHIC ART OF CI RE been touched, those left may continue to itch, in which case, a second application is necessary. Hepar Sul. should be given in- ternally at the third dilution, for a month, once a day, after the baths. Avoid greasy food. For the Scald Head of children, where there is a discharge of yellow and watery pus from the sores, and the eruption extends to the ears or face, like the disease called the crusta lactea (milk crust), the same washes as for itch, are the most effectual, while at the same time, and for a month or two, the child should have Hepar Sul. 5th at night, and Petroleum 3d in the morning. Daily ablutions of the head with warm soap suds, and keeping it covered, are absolutely essential. Carbuncle. This affection, though it somewhat resem- bles a common boil, and is by some writers considered only such, in an overgrown state, is, nevertheless, far from being identical with it. While a boil is only a sanitive effort of nature to eliminate the cause of a morbid CARBUNCLE. 123 process, and tends to a spontaneous, healthy termination, the carbuncle, on the contrary, is the very essence of disease ; its constant tendency being towards the dissemination of diseased action, causing destruction of the parts affected. It, in fact, appears like a parasite, living by the obstruction of sur- rounding tissues, literally absorbing them and "thriving on death." It begins with a red, livid color, slight aching and burning pains, the part swells and is elevated some like a boil, except that it does not "point," but has a broad base rising like a cone and flattened at the top. It feels soft and spongy, and will appear to fluctuate, but if punctured, blood only flows. The pain and burning increases rapidly, and sooner or later several openings appear upon the top, varying from three or four to half a dozen or more, looking like the holes in a sponge, out of which issues a fluid like thin gruel. Instead of becoming easier after the suppu- ration begins, as is the case with a boil, the burning increases to an alarming and un- bearable extent; cold chills, loss of appetite, great depression of spirits, general nervous 124 HOMOEOPATHIC ART OF CURE. and muscular debility come on. The tumor continues to discharge, turns purple; gan- grene beginning in the carbuncle extends to other parts and death follows. The disease is nearly always confined to quite feeble persons and those past the mer- idian of life ; but I have seen it on younger though feeble patients. It is generally lo- cated on the back, occasionally on the head, where it is very dangerous from its liability to affect the brain. TREATMENT. If treated very early, strong tincture of Arnica applied to the surface of the carbun- cle, by cloths wet and laid over the tumor, will often arrest it so that the swelling will not be developed to the suppurative stage. However, to reap any benefit from Arnica, it must be applied while the pain is not severe, and the parts only feel bruised and tender to pressure, like a common bruise. After the ulceration occurs, Arsenicum is the great remedy to be relied on. It should be given at the second or third attenuation as often as every three hours, when the pain is severe, and applied to the surface of the CARBUNCLE. 125 carbuncle freely by cloths laid over it, wet in the first dilution, or by sprinkling the first trituration of the oxyde (1-10) freely upon the open surfaces, so that it may penetrate into the open mouths or orifices. Over this powder apply an emolient poultice, or soft cloths wet in water hot as can be endured. This will soon allay or greatly lessen the pain. It should be repeated as often as any of the burning pain peculiar to the carbun- cle returns, until the tumor suppurates in a tolerably healthy manner ; then lessen the strength of the Ars. applications, and con- tinue them until it has the appearance of a healthy abscess, when only simple dressings are necessary. Some may suppose such strong applications injurious, but I can assure them from abundant experience, that there is not the slightest danger. The car- buncle should never be punctured or cut into. Such operations always make them worse, and induce a more rapid approach to gangrene. The patient should have nourishing food, and good native wine may be taken in mod- 126 HOMOEOPATHIC ART OF CURE. erate quantities, by a very feeble person, with decided advantage. Though the knife operations for the remo- val of carbuncle are always injurious, the chemical effect of Potash is frequently most beneficial. I have, in repeated instances, applied to the ulcerated surface, caustic pot- ash freely, allowing the dissolved caustic to penetrate to the very "core" by running into the orifices. At first it would produce some smarting, but the pain is different from that of the carbuncle, and the change is agreeable rather than otherwise. Soon after the application all pain ceases, and the tumor, under the use of a poultice, begins to slough off in a few days, leaving a raw sur- face, disposed to heal kindly, Occasionally, however, the healing process is tardy, when Arsenicum, at the third, applied and taken internally, will soon effect a cure. I have occasionally used Hepar Sul. with good effect in the latter stage. Felon-Whitlow. For this disease, in the early stage, when the sensation is that of sharp, sticking pain, feeling as though a brier or thistle was in the FELON—WHITLOW. 127 finger, immerse the part in water as hot as possible, into which put common salt as long as it will dissolve; hold it in this hot salt bath for an hour or more at a time, and when removed, apply finely pulverized salt, wet in Spirits of Turpentine; bind on the salt with several thicknesses, and keep it con- stantly wet with the sp'ts turpt. for twenty- four hours, when, if all symptoms *)f felon are gone, no further treatment is necessary. As a general rule, the hot bath should be repeated three times a day, especially if the symptoms have existed for several days and there is much pain or swelling, and the dressings should be kept on as above directed for several days, more or less, until all symp- toms disappear. I am quite confident that a large majority, if not all, of the cases if thus treated at any time before pus is formed, will be discussed and cured. If pus has begun to form before the treatment is commenced, this will not cure the felon, but it is good treatment, especially the hot bath, as it will greatly lessen the pain. 128 HOMOEOPATHIC ART OF CURE. By holding it in hot water for an hour or two each day, the suppurative process will be hastened, and as soon as the pus can be felt at any point, fluctuating, puncture and let it out; then continue the hot bath, with Calendula {Marygold) flowers in the water, keeping the part all the time warm and moist. Forirthe restless and nervous irritability that frequently occurs, especially in females, Aconite is the best remedy. It should be given, one drop of the tincture to a gill of water, in teaspoonful doses, once in one or two hours, and the same applied to the sore. DISEASES OF FEMALES Suppression of the Menses, (Amenorrhoea-; For sudden suppression from taking cold, as by wetting the feet, there being headache, more or less fever, the pulse frequent and variable, pains in the small of the back and cramp like pains in the pelvic region, give, in alternation, Aconite and Pulsatilla, as often as every fifteen or twenty minutes in a violent case, and at longer intervals as the patient begins to get easy. Putting the feet into hot water, or taking a hot Sitz bath is very useful. If the patient is sick at the stomach, as is often the case, give luke-warm water freely and let her vomit; after which let her drink freely of water as hot as it can be safely swallowed, adding milk and sugar to make it palatable. The good effects that are often attributed to and experienced from the use of various hot teas in this affection, are in my opinion, attributable more to the hot fluid alone than to any specific medicinal virtue in the substance of which tea is made. 130 HOMOEOPATHIC ART OF CURE. At all events,very hot drink with nothing but water, milk and sugar, is equally efficacious, and my medicine (a few grains of sugar of milk) put into the hot water, seasoned as above, has often obtained great credit, when the Iwt water was alone worthy. Rubbing the loins and abdomen briskly downwards with the hands of a healthy and vigorous nurse, will often excite the menstrual flow after a sudden suppression. If the head is hot, the face full and red, and the arteries of the neck and temples beat violently, give Bell, with Pulsatilla, and if the lungs are oppressed, use also Bryonia, giving the three in rotation. If, after the menstrual flow begins, there is still much pain in the pelvic region, give Caulophyllin, which will immediately afford relief. Apis mel. is very servicable in suppressed menses of several days, or even weeks dur- ation, where there is fever, redness of the face, and pain in the head, and pains in the hips extending to the limbs, especially if there is any tendency to bloating of the ab- domen and swelling of the limbs or feet. It acts promptly and efficiently. If the suppression has been caused by sudden fright or any strong mental emotion, Veratrum should be given in connection with the two former medicines. Should there be great fullness of the vessels of the head, or bleeding at the nose, Bryxmki with Pvlsa- AMENORRHEA. 131 tilla are to be used. Bell, is also useful in this case if the pain in the head is throbbing, especially if any delirium is present. For suppression in young females, of several months duration, I have used, with much success, Podophyllin and Macrotin, one at night, the other in the morning, giv- ing them for two or three weeks before the proper time for a return, and a day or two prior to the time, give also Pulsatilla, and give the three in rotation, a dose every six hours. This practice has been successful with me in cases of long standing and apparently obstinate character. Where there is other disease, as an affection of the liver, lungs or stomach, this must be treated and cured, or the menses will not probably return. Great care should be exercised to keep the patients feet and limbs warm, as upon thia may depend her future health. Dysmenorrhoea.—Painful Menstruation. For this disorder, I know of no one remedy so valuable as the Caulophyllin, but Pulsa- tilla in many cases is efficacious, and as they do not prevent each other's action, I prescribe them in alternation, giving a dose every half hour, for a short time during the paroxysm, or until the pain abates to some extent, then every hour. 132 HOMOEOPATHIC ART OF CURE. If there is pain in the head, sickness at the stomach, a kind of sick headache, as is often the case, with painful menstruation, Macro- tin should be used with the others ; Ipecac is the Specific for an excessive flow of the menses with great pain, especially if the stomach is nauseated. It should be given as low as the first dilution, and the tincture, in water, in the proportion of thirty drops to half a pint, injected into the vagina quite warm. The application of extract of Belladonna to the neck of the uterus will often produce immediate and perfect relief. After the patient is relieved from the painful parox- ysm, she should be treated so as to prevent a return of the pains at the next monthly period. Pulsatilla, Caulophyllin and Podo- phyllin are the three medicines that are most certain to effect this object. They are to be given, one medicine each day, a dose at night for three weeks, then morning, noon and night, until the time for the re- turn of the menses, when they should be used oftener if there is pain. If the patient is inclined to be costive, Nux should be given at night for a few days before the menstrual period, in place of Pulsatilla. Menorrhagia—Profuse Menses—Flowing. For this affection, Ipecm and Hamamelis are the specifics. They should be taken r-ROFUSE MENSES. 133 alternately, at intervals of from half an hour to two hours apart, according to the urgency of the symptoms, and the Hamamelis in- jected into the vagina. These will nearly always arrest the flooding immediately. Secale should be used either alone or with the above medicines, if there are bearing down pains like labor pains, and sickness at the stomach in spite of the Ipecac. Ipecac alone is often sufficient. Nursing Sore Mouth, Sore mouth of nursing women, as the name of the disease indicates, is peculiar to women who are suckling children. It is an inflammation of the mouth, tongue and fauces, which sometimes comes on during pregnancy, several months or but a few days before the birth of the child. It gen- erally, however, makes its first appearance when the child is a few weeks old, and sometimes not till after the lapse of several months. In some cases the tongue and in- side of the mouth ulcerate, and the irrita- tion extends to the stomach and bowels, producing distressing and dangerous inflam- mation of these parts, with severe and ob- stinate diarrhoea. For the sore mouth, before diarrhoea be- gins, give Eupatorium Aro. and Hydrastin, in alternation, a dose once in three hours, 134 HOMOEOPATHIC ART OF CURE. and wash the mouth with the same, each time. After the diarrhoea occurs, use Podo- phyllin with the other medicines, giving them in rotation, three hours apart. It is best to give a dose of Podophyllin night and morning. 1 have treated very bad cases of this dis- .ease that had been running for more than a year, and been treated with the ordinary remedies directed in the Homoeopathic authorities without any permanent benefit, curing them perfect^ in ten days with Podo- phyllin and Lcptandrin, giving them in alter- nation at the 1st attenuation in half grain doses, at intervals of from four to eight hours according to the frequency of the evacuations. These two remedies are al- most certain to arrest Chronic Dysentery where there is ulceration of the lower por- tion of the rectum, a peculiar distress felt at the stomach just before stool, with sudden rush of the evacuations and inability to con- trol the inclination even for a few minutes, with a feeling of faintness after the stool. Lcptandrin is the specific for the Dysen- tery that often succeeds cholera, and these two, Pod. and Lept., are almost certain to relieve the "Mexican Diarrhoea," as well as that connected with the fevers along the Mississippi river. AGUE IN THE BREAST. 135 Mammary Abscess, {Ague in the breast—Inflamed breast.) This is a disease peculiar to nursing wo- men. The first symptom is a slight pain or soreness in some part of the "breast," which continues to increase for a day or two, when a chill, more or less severe, sets in, fol- lowed by high fever and quick pulse, headache and great restlessness. The gland swells and becomes very painful. This is generally a disease of rather slow progress, running eight or ten days and sometimes two or three weeks before abscess forms and "points" to the surface. TREATMENT. Phosphorus is to be taken internally, and the first dilution put in water, twenty drops to one gill, and applied to the surface by means of cloths wet in the mixture, as hot as it can be borne, and laid over the whole breast. If this is done and the medicine given internally every hour, as early as the first and frequently as late as the second or third day, it is quite sure to remove the dis- ease and prevent an abscess. It is best to use it even much later. In fact it often succeeds as late as the fifth or sixth day, and if it does not prevent the abscess, it so far palliates the severe symptoms as to ren- der the pain but slight and keep the pa- tient comfortable. 136 HOMOEOPATHIC ART OF CURE. An application of the Tincture of Can- tharides diluted with water and applied to the breast by cloths wet in it, to the extent of producing considerable redness and even eruptions, and the second dilution of the same taken in drop doses every three hours, has proved successful in subduing the in- flammation after Phos. had failed, and it was supposed an abscess would form in spite of any treatment. I recently succeeded in giving perfect re- lief with Apis Mel. internally, applying it externally after the pain and swelling Avas very great. I am of opinion that the Apia is a valuable remedy. After abscess forms as soon as the pus can be felt at any point, soft and fluctuating under the skin, puncture and let it out, then poultice it for a few days until it heals, giv- ing Phosphorus and applying it to the sore. In puncturing, always be very particular to have the lancet or knife enter so that the edge will look towards the point of the nip- ple, so as not to cut across the milk ducts, which all run toward that point, and if cut off will close up so that the milk which may be secreted at any future time cannot get out, ^ and swelling, pain and severe in- flammation, abscess and ulceration will be the consequence; whereas, if the cut is made lengthwise of the ducts, very few, if any will be cut off, and all future dangai BORE NIPPLES. 137 will be avoided. Apply an elm poultice from the beginning to the end of treatment. For malignant ulcers of the breasts, the Cornus Sericea is a most potent remedy. It is to be taken internally at the first dilution, and applied in strong infusion or diluted Tr. of the bark to the sore. Sore Nipples. This affection of nursing women fre- quently comes on before the birth of the child, but generally does not make its ap- pearance until after the suckling has con- tinued for a week or more. It seems in some cases to be connected with the aphthae (sore mouth) of the child, or at least to be ag- gravated by contact with the sore mouth ; on the other hand it sometimes seems as though the sore nipples produced the sore mouth of the child. TREATMENT. I treat both the nipple and the child's mouth with the same remedy Eupatorium aro., applied at the strength of 6 drops of the tincture, to a teaspoonful of water, the application being made by a soft cloth, wet and laid over the nipple; give drop doses of the same strength internally every three hours, which will, in nearly all cases effect a cure in one or two days. The child's mouth should be wet with the same 138 HOMOEOPATHIC ART OF CURE. each time just before nursing. The oil from the pit of the butter nut, (Juglan's Cinerea,) obtained by heating the pit and pressing out the oil, applied to the nipple, will generally cure it after 3 or 4 applica- tions about six hours apart. The child may take hold when the oil is on, without danger. This remedy is sufficient in nearly all cases. Leucorrhoea and Prolapsus Uteri—Whitesi Female Weakness. The disease depends in all cases upon inflammation of the uterus, or vagina, or both. The inflammation may be simply in the neck of the uterus extending to the pos- terior surface of the vagina, or the latter may not be affected ; or it may extend to the whole internal surface of the uterus, producing swelling of that organ, both the fundus and neck. The swelling may be confined mostly to the fundus, causing it to be too large for the space it ordinarily fills, hence there will be more or less displacement of the womb, and crowding upon other parts, as' the bladder or rectum. In some cases, the swelling is more on one side than on the other, so that it will be crowded over to the opposite side. These displacements are often called prolapsus uteri, or "falling of the womb," FEMALE WEAKNESS 139 carrying the idea that the difficulty de- pends upon a morbid relaxation of the ligaments that support the organ. Not one case in a hundred is of this latter character, but nearly, if not all, depend upon the in- flammation and swelling above mentioned. How futile then, not to say hurtful, must be all instruments for, and all attempts at replacing and supporting it by force! All such mechanical meddling is injurious, and should, with all the "supporters," be con- demned and discarded. They may afford temporary relief, but this is at the expense of future health. Cure the disease, relieve the inflammation, and nature will replace the organ. Leucorr- hcea is always present where there is ulcer- ation of the neck of the womb, and this ulcerated condition exists to a greater or less extent, in many cases where it is not suspected by the patient. It is vastly more prevalent than is generally supposed. The symptoms are numerous. Among the more prominent are a sense of weight and bear- ing down in the pelvis, pains extending down the limbs, aching and weakness of the small of the back, headache, more or less gastric disturbance, dyspepsia,the food souring on the stomach. There is often, especially when there are ulcers on the parts, a distressing sense of heat or a smart- ing sensation. The menstrual function is 140 HOMOEOPATHIC ART OF CURE. frequently deranged, the bowels costive, the urethra, by being pressed, becomes ir- ritable and burns and smarts whenever the urine is evacuated. The sleep is disturbed and unrefreshing, and the whole nervous system is unstrung. The discharge from the diseased surfaces, in an ordinary case without ulceration, is of a mucous or muco-purulent character, not unlike an ordinary catarrhal secretion. When ulceration exists it is dark, fetid or bloody, or sauious and purulent, sometimes it is acrid, excoriating the parts. TREATMENT. Inflammation or ulceration, either acute or chronic, in these parts does not differ essen- tially in its characteristics from the same affection in other mucous surfaces. The proper treatment for a catarrh of other mucous surfaces will be applicable to these, though there is no doubt but that some medicines are more specifically adap- ted to these than to other organs. In the early stage of the complaint, while the inflammation is acute,or sub-acute, the discharge thin or white, Copaiva and, Macrotin are to be given once in 6 hours alternately. During the same time let in- jections into the vagina of warm soap and water be used twice a day, to cleanse the parts of the secretion, followed in half an FEMALE WEAKNESS. 141 hour by a wash of warm water, into which tr. of Macrotys has been put in proportion of 40 drops to half a pint. The application should be made with an 8 ounce or at least 6 ounce curved pipe syringe, so as to throw it with considerable force. If there is a burning sensation, use the washes quite warm, until the heat of the parts is allayed^ Avoid the use of cold injections as long as any inflammation exists. If the bearing down is present with burning in the parts, Bell, is to be used in rotation with the two former remedies. If the sensation is that of smarting, Cantharis is to be used in place of Bell. Where the disease comes on soon after child-birth, Podophyllin is the Specific. It is to be given at the first attenuation three times daily in half gr. doses of the tritura- tion. In this case let the parts be freely washed daily with a solution of borax, quite warm. In the chronic form of the disease,' especially where barrenness exists, Macro- tin, Podophyllin and Hydrastin, given morn- ing, noon and night, in the order named, will, in nearly all cases, afford relief. For females who have never borne children, give Plws. acid, 2d and Eryrgium Aquaticum 1, night and morning for a week, and then give them at the 3d dilution until the symptoms subside. If there are headache and derangement of 142 HOMOEOPATHIC ART OF CURE. the stomach, Macrotin and Podxphyllin should be used, each once a day, between the latter remedies. When the discharge is colored and the pains darting, cutting or smarting, indicating ulceration, or if ulcera- tion is discovered by examination, use Macrotin and Hydrastin internally, inject- ing the latter upon the affected parts freely. The ulcerated surfaces should be well washed off every day Avith soap and water, or a solution of borax, and the medi- cine {Hydrastin) in form of infusion, used half an hour after the other Wash.' If the neck of the womb looks dark, and is ulcer- ated, or is hard and painful to the touch, especially on probing the cavity, Cornus Sericea must be used both as a wash to the parts, and at the first dilution internally, using them twice a day. This remedy will often cure malignant cases. It takes along time in some instances to cure a chronic case, but if persevered in,these remedies will not be likely to fail.* ♦New —The late Prof. Morrow was remarkably suc- cessful, and becan e justly celebrated for curing hard cases of Leucorrhoea ulceration and "Prolapsus uteri " Almost his entire reliance in their treatment were the Macrotys and Caiilnphyllvm. given internally and by injection upon the parts. He gave the Macroiys in the form of tincture every day to the extent of produc- ing specific head symptoms, when he discontinued it kill the next day, using the Caulophyllum in the mean- time in truall dosea. He rarely if ever failed MORNING SICKNESS. 143 Miming Sickness orf Pregnant Females. The most efficient and certain remedy for this symptom is Macrotin. It should be taken at the first attenuation, a dose before rising in the morning, and one every six hours during the day, as long as the sick- ness is troublesome. It will generally re- lieve in a few days. If the stomach is sour use Pulsatilla with the Macrotin. As a preparation for labor, a dose (one grain) of Macrotin at the first attenuation given in the morning, and the same of Caulophyllin at evening, is of great service. Whatever others may think or say in re- lation to any preparatory treatment for la- bor, I have reason to know as well as any- thing in medicine can be known, that patients treated as here directed, pass through labor much quicker, frequently in one-fourth the usual time. Their suffer- ings are comparatively trifling, and the length of (time for recovery to ordinary health, after labor, is abridged from three- fourths to nine-tenths that of former labors. I am quite confident the medicines produced this difference. For irregularity of labor pains, and for distressing after piins, the Caulophyllin is specific. During labor it should be given at the 2d attenuation in about half grain doses, every half hour, until the pains are regu- 144 HOMOEOPATHIC ART OF CURE. lar. Two or three doses at most, and gen- erally one will suffice. For the after pains it may be given in alternation with Ipecac or Aconite if there is flooding, or with Pulsatilla when the flooding is not troublesome, a dose once in half an hour, until the pains are checked. For Rigidity of the soft parts and severe, retarded and long protracted labor, where the pains are strong or irregular, and great pain and exhaustion is experienced on account of the unyielding condition of the parts, Lobelia Inflata given in drop doses of the tr. in water, once in twenty minutes, in al- ternation with Caulophyllin as above direc- ted, will in a short time produce the proper condition of the parts, while they render the pains stronger, regular and progressive. In urgent cases I have given the medi- cines every 5 or 10 minutes, with decided benefit. A Useful~Hint to Mothers. Children push beans, peas, corn, &c, into the nose and ear, causing much alarm. To remove such a body take a syringe that works tightly, put the end of the pipe against the bean, shot, or other substance, draw back the piston so as to' suck up the article firmly as the pipe is withdrawn from the oavity. LOCAL APPLICATIONS. 145 LOCAL APPLICATIONS. That medicines act locally, that is, mani- fest their symptoms by peculiar derangement or disturbance of some particular part of the system, more prominently than of any other part, for the time, no one will deny. That each one has some particular locality or tissue upon which its action is more perceptible than anywhere else, is equally undeniable, and that the prominent symptoms are often external and local, is also true. Yet, with these truths clearly demonstrated, there are those of our school who discard the external or local application of all remedies except Arnica. Why this is done, is difficult to determine, unless we can believe that such physicians suppose it to be heresy to make use of any remedy in a different manner from what was recommended by the "Father of Homoeo- pathy," and abjure all possibility of improve- ment in our practice. That nearly if not all medicines, may be applied externally with advantage, when there are local manifestations similar to those produced by the drugs, there can be no doubt in the mind of any sensible man. Tbat they will act favorably when so used is reasonable, as a matter of theory, and that they do, as a matter of fact, has been proven to my mind, by abimdant experience in their use. There- fore, I hesitate not to recommend the practice 146 HOMOEOPATHIC ART OF CURE. to others. Medicines must act either by combination with the affected part, or by Catalysis, changing the molecular action of the living tissues. In either case, they must come directly in contact with the part to be affected. This must be done through the circulation, when taken internally, or it may be done by direct application of the remedy to the diseased tissue, when that is sof&tuated as to be reached. The difference is greatly in favor of the latter mode when that is prac- ticable, from the greater certainty of its re- sults. This assertion is based, not upon vague hypothesis, but upon actual practice. Entertaining these views, however heretical they may be pronounced, I shall proceed to mention some of the remedies I have learned to use thus, and the cases for which they are prescribed. I would remark that, in select- ing a remedy, it must be done with as much certainty of its homoeopathic relation to the local or general symptoms for external as for internal use. I have found, however, that much lower attenuations are requisite and admissible. Arnica is highly applicable to bruises, and is valuable also when applied to lacerated or mangled surfaces, to the surface of the limb where a bone is fractured, also about the joint when it has been dislocated. It is to be used in the form of Arnicated water, by putting one or two drops to a gill of water LOCAL APPLICATIONS. 147 for applicationwhere the skin is raptured or the surface raw, and ten to twenty drops to the gill, upon parts where the skin is sound. It is useful also, for boils, and carbuncles in the early stage, the strong tincture to be applied when the surface is sound, and (to boils) when the surface is open, one drop to a gill of water. Aconite Is applicable to inflamed eyes, in the early stage, where the disease is in the conjunctiva, (that portion which lines the lids and covers the front of the ball), especially if there is a sense of scratching, as though some foreign substance is in the eye, great intolerance of light, chilly sensations, with more or less fever, and quick pulse. Put three or four drops to a gill of warm water, and apply it freely. It is also very valuable for Neuralgia, ap- plied strong and warm, along the course, or at the origin of the affected nerve. In neu- ralgia of the face, apply it upon the side of the face, also just behind and below the ear of the affected side. It is of much value as a remedy for neu- ralgic affections of the womb. I have re- lieved the most distressing; symptoms of neuralgia of the womb, in a few minutes, by injecting waim water containing twenty to forty drops of tr. Aconite to the pint. By repeating this application at every paroxysm, 148 HOMOEOPATHIC ART OF CURE patients recover rapidly, each succeeding attack being lighter, and the interval be- tween being longer, until they cease entirely. It may be used with much benefit in the same manner, for Hysteritis, as well as re- cent cases of Leucorrhoza. It is the most valuable remedy applied to the Eye for a wound of that organ. In Gonorrhoea, it is more valuable as a local remedy, than most of those now in use. It will frequently cure alone. In this case, it is to be used with an equal part of the tr. and warm water. Belladonna has great power as a local remedy in Ery- sipelas, to be applied with water in propor- tion of ten drops of the tr. to a gill of warm water. It is also of much value applied to the surface of inflamed breasts; also injected when there is inflammation of the uterus, with pressing pains as though the bowels would be pressed out. Very valuable in parturition where there is rigidity of the os uteri, with fullness of the head and throb- bing of the temples. It has the specific power to relax circular fibres without af- fecting the longitudinal. Calendula. is applied to wounds, incised and lacerated, promoting heahng by the first intention. It is a valuable application for wounds in LOCAL APPLICATIONS 149 scrofulous persons, which tend to suppurate rather than heal by the first intention. It is also useful in old sores. The Calendula Cerate is one of the best of dressings for any abraded surface. Conium is valuable as a palliative upon cancerous tumors. As a curative remedy it is useful in chronic ophthalmia, especially the puru- lent of children; useful also for indurated swellings. Thuya is a specific when locally used for Sycosis, also for fungoid cancerous tumors. I have cured well-marked cases of Fungus Hezma- todes with the tinct. Thuya applied to the surface of the tumor. The Thuja Cerate is a valuable applica- tion for malignant ulcers. Cornus Sericea will often cure malignant ulcers both of the breast and uterus, used as a wash. Arsenicum acts favorably on cancers, and is a specific when applied to the surface of carbuncle. Ipecac acts very beneficially when applied to the surface where there is high fever, with nausea and vomiting. Half an ounce of tr. Ipecac to two quarts of tepid water, applied with a sponge to the whole surface, acts like 150 HOMOEOPATHIC ART OF CURE. magic in yellow fever, allaying the nausea, producing free and health-restoring perspi- ration. Rhus Tox. applied, with water at the strength of thirty drops of the tr. to a gill, to parts affected with Rheumatism, acts very beneficially. It is also a most valuable application at half the above strength upon parts affected with Erysipelas, when the surface is swollen, and there are vessicles filled with fluid like a blister in burns. It is also useful for sores that exist as the chronic effects of burns when the proper treatment had not been used in the begin- ning, and the healing process was never perfected. Rhus Cerate is a very useful application to irritable ulcers. Hepar Sulphur is a specific for Itch and Scald Head, applied in form of a wash with twenty to thirty drops of tr. Hepar Sul. to a gill of water. Also for ill-conditioned scrofulous ulcers, generally. Cuprum Aceticum. {Acetate of Copper Verdigris) applied to Cancerous ulcers of the face, 'Lupus or Noli-me-tan gere, in the early stage, will in most cases effect a perfect cure, "especially if for a week previously the part has been LOCAL APPLICATIONS. 151 wet daily with tr. Tliuja. The best mode of applying the acetate is to mix the im- palpable powder, as prepared for paint, with some substance to form a cerate, as equal parts of bees-wax aud mutton suet, with 1-50 to 1-100 part of the pure acetate as found in the bottom of the can, when pre- pared in oil for paint ; heat all together and stir until cool. This forms a good plaster for covering and shielding the sore while its medicinal property is in the Cup- rum Aceticum diluted as above. It is quite useful for any ill conditioned ulcer. Acetic Acid is a most efficient remedy applied to old irritable varicose ulcers on the limbs of fe- males who have suffered from Phlegmasia Dolens, (milk leg.) It may be applied as a wash to the part once or twice a day at the strength of l-20th of the acid with water, or in the form of good cider vinegar. The manufactured vinegar of the cities does not usually contain acetic acid. Arum Triphyllum is a specific to allay the inflammation and excessive pain in scrof- ulous jwellings of the neck, {Kings Evil.) The pure drug in powder, wet with warm water, or the green root bruised so as to form a poultice, is to be applied over the swelling. It soon discusses the swelling, 152 HOMOEOPATHIC ART OF CURE. or if pus has already formed, allays the the pain, and brings the pus to the sur- face, and if continued, disposes it to heal rapidly. Baptisia Tinctoria applied as a poultice either in the powdered drug, or with some other substance wet with the infusion or tr., arrests gangrene in a short time. It is espec- ially useful for threatened or actual gan- grene arising from lacerated wounds or scalds with wounds, as in accidents con- nected with the explosion of steam boilers ; when we often have scalds and lacerations in the same wround. Hydrastus Canadensis used as a gargler in a putrid state of the throat in malignant Scarlet fever, arrests the destructive process at once. It is also a most excellent application for inflamed eyes in the second or sub-acute stage. PR0PHYLACTIC3. {Preventives of Disease.) TO PREVENT SCARLET FEVER Give Belladonna at the 3d attenuation, three to six pellets, according to the age of the child, every morning, during the prevalence of the epidemic. This is for the common or mild form of the disease. If the prevailing epi- demic is of the malignant kind, producing fatal ulcerations of the throat, give Bell, once PROPHYLACTICS. 153 in two days and Mercurius Corrosivus at the 3d attenuation on the alternate day. While Bell, is a very certain preventive of the common eruptive Scarlatina, it is not as certain to prevent the malignant form. Though it renders the latter much more mild, the Merc. Cor. is necessary to ward it off en- tirely, or so modify as to divest it of the dan- gerous features. TO PREVENT YELLOW FEVER Take Aconite, Belladonna and Macrotin, 1st in rotation one dose a day. If there is any headache, or pains occur in other parts of the body, or a languid feeling, take a dose twice or three times a day in rotation. TO PREVENT BILIOUS FEVER OR AGUE Take Podopkyllin, Baptisia and Gelseminum 1st in rotation, one dose at night, and if symptoms of fever, as headache and loss of appetite, or bad taste in the mouth in the morning appear, take a dose three times a day, and refrain entirely from food for one or two days. TO PREVENT TYPHOID FEVER When exposed, as in nursing the sick, take Baptisia 2d, and Macrotin 2d, a dose three times a day. TO PREVENT SMALL-POX Use Macrotin 1st night and morning, and if nursing or exposed frequently, use it every four hours. TO PREVENT CHOLERA. Camphor (pellets medicated with the pure tinotura) Veratrum 8d, and Arsenicum 8d, 154 HOMOEOPATHIC ART OF CURE. Bhould be taken in rotation—a dose morning, noon and night, in the order named; so as to take a dose of each every twenty-four hours. If any sense of weakness or trembling comes on, use the Camphor oftener; if pain or un- easiness in the bowels threatening diarhoea, use the Veratrum, and for increased thirst with uneasiness at the stomach Arsenicum more frequently. TO PREVENT DIARRHCEA Where it is prevailing as an epidemic, Ipecac at night, and Veratrum in the morn- ing will often suffice. For teething children give Ipecac and Chamomilla in the same man- ner. TO PREVENT DYSENTERY In hot weather when bilious diseases pre- vail, use Mercurius 3d, PodophylUn 2d, and Leptandrin 1st in rotation, giving one dose a day. In the winter, or when Typhoid fevers pre- vail, use Mercurius and Rhus tox. alternately a dose every day. TO PREVENT ITCH. A dose of Sulphur, or rubbing a little flour of sulphur on the hands, will generally suffice. TO PREVENT COLDS Keep the arms, hands and chest well clothed and warm. Affecting the head as catarrh, or the pelvic regions keep the feel and ancles warm and dry. Affecting joints and muscles as Rheumatism—protect the Spine (back) from colds and ourrents of air. PREPARATION OF MEDICINES. 155 After an accidental exposure as by getting the feet wet, or being caught in a shower, drink bountifully of cold water, and take a dose of Nux; followed in an hour by Aconite, if any chilliness is felt, or Copaiva if the head is " stuffed up." In winter and spring when the weather is mild, but there is snow, or the ground is damp, more clothes are necessary than when it is freezing hard and the air is dry. PREPARATION OF MEDICINE. As it often becomes necessary for the prac- titioner to make more or less of his own dilu- tions and attenuations, some brief instructions especially to new beginners, may not come amiss. Medicine is prepared by mixing it with distilled water, or purified 98 per cent. Al- cohol ; or if solid and dry, by reducing it to powder and triturating (rubbing) it in a mortar with pure sugar or Sugar of Milk. The liquid is called dilution, the powder tritu- ration. The attenuations are mostly made at the decimal (1-10,) or centecimal (1-100) ratio and numbered 1, 2, 3, &c, by putting ten drops of the liquid with ninety drops of Al- cohol, or ten grains of the powder with ninety niains of Sugar for the 1st, and ten grains or drops of the 1st with ninety more of Alcohol or Sugar, as the case may be, for the 2nd, and bo on to any desirable extent. 156 HOMOEOPATHIC ART OF CURE. If the centecimal attenuation is adopted, one grain or drop is used instead of ten, as in the decimal. I prefer the decimal to the centecimal ratio Not that there can possibly be any difference in the action of the medicines, at the same attenuation, whether it was brought to that state through a series of 1-10, or 1-100; the 3d at the 1-100 ratio of dilution being precisely the same as the 6th at 1-10. My preference for the decimal ratio is based upon the greater convenience and accuracy of measuring larger quantities. Accuracy is very desirable, but the practice of guessing at the amount as pursued by some, is anything but accurate. When one makes his dilutions by putting the fluid into a vial and "pouring it all out," guessing that he has a drop left which is to medicate the ninety-nine drops of Alcohol or water, he may put in by guess, I am inclined to guess that he knows nothing, accurately as to what dilution he is making. (See Hull's Laura, introduc on, also Jahr & Possart's Pharmacopoeia and Posology.) For if the vial is small and quite smooth there may not be a drop left, or if it is rough, there may be several drops. Yet some physicians make their dilutions thus, and insist upon the superiority of the centecimal over the decimal attenuations. Whatever ratio is adopted, should be accu- rately followed. Have true scales for weighing solids, and a graduated measure marked from ten drop* up to one hundred for liquids; then APPLICATION OF REMEDIES 15T always weigh or measure accurately the medi- cine, as well as the substance with which it is to be attenuated. The measure and mortar, after using them for one medicine, can be cleaned preparatory for another, with scalding water, rinsing them with purified Alcohol, then drying. Never smoke or chew Tobacco in any place, but if you are such a slave to habit, that you must do it despite your good sense and better judgment, never do either, or have tobacco or any other odoriferous substance about your person when you are preparing medicines, or they are exposed to the air. Keep the medi- cines excluded from the light and air as far as practicable. Triturate the powders thoroughly for an hour or more upon each, and shake the dilu- tion from fifty to one hundred times, more for the higher attenuations. It is better to medicate pellets in large bottles, filling them half or two-thirds full, put in just liquid enough to wet every one, but not so as to dissolve any. Shake them until all are equally wet, and let them stand for four or five days, if practicable, shaking them up two or three times a day until all are dry. ITSTTDEX. Administration of Remedies.....................................11 Ague......................................................................22 Ague, preventive treatment of.................................153 Asthma..................................................................57 Aphthre..................................................................90 Asiatic Cholera......................................................104 Amenorrhuea.........................................................129 Ague in the breast.................................................135 Attenuation of medicines........................................151 Bathing..................................................................12 Bilious Fever..........................................................26 " " Preventive treatment of.....................,153 Bronchitis..............................................................51 Burns and Scalds.....................................................04 Bilious Colic...........................................................19 Brain Fever............................................................70 Bee stings...............................................................75 Bite of Rattlesnake.................................................77 Bruises...................................................................95 Cholera Case............................................................3 Colic......................................................................18 Colic, Bilious..........................................................19 Cholera Morbus.......................................................21 Cholera, Asiatic.....................................................104 " " Preventive treatment of..................153 Chill Fever.............................................................22 Continued Fever.....................................................28 Catarrhal Fever......................................................28 Cough...................................................................52 Colds......................................................................57 Colds, Preventive treatment ot.................................lyj Croup.....................................................................55 t Constipation.............................. ...........................,$£ Ca Chilblains..............................................................09 Convulsions of Children..........................................72 Crusta Lactca......................................................'.122 Carbuncle..............................................'"_"' ... 122 Diarrhoea...........................................' ' ..... ^ " Preventive treatment of...... ........... 154 Dysentery..........................................'".'.'............. 16 " Preventive treatment ot... Til Diets Rules for....................................'.".'.".'.'............ ,£ Dyspepsia...................................................."!!!!!""58 INDEX. 159 Diseases of Females.............................................129 Dysmenorrhoea......................................................131 Enteritis.................................................................53 Erysipelas...............................................................62 Epistaxis................................................................81 Earache..................................................................84 Foreign Substances in the Ear or Nose.....................144 Fevers ...................................................................22 " Intermittent.................................................22 " Chill............................................................22 Fits of Children......................................................72 Felon....................................................................126 Flowing................................................................132 Female weakness...................................................198 Gastritis.................................................................54 Hooping Cough.......................................................58 Heartburn..............................................................62 Hoarseness..............................................................70 Headache................................................................78 " Sick.........................................................80 Introduction............................................................5 Intermittent Fever, Ague.........................................22 Inflammation of the Lungs......................................49 Inflammation of the Brain.......................................70 Inflammation of the Bowels.....................................53 Inflamed Eyes.........................................................91 Incontinence of Urine.............................................117 Involuntary urination (nightly)..............................117 Itch.....................................................................120 Itch, preventive treatment of.................................154 Inflamed Breast....................................................135 Inflammation of the Uterus....................................140 Jaundice ..............................................................120 Local application of Remedies.................................145 Leucorrhcea...........................................................I38 Mammary Abscess.................................................135 Menorrhagia.........................................................132 Measles...................................................................73 Mumps.................................................................--J4 Morning sickness of pregnant females......................143 Nursing Sore-mouth...............................................133 Nosebleed...............................................................81 Neuralgia............................................................-}}° Nightly urination of Children.................................117 OphtWmla............................................................91 160 INDEX. Preparation of medicine..........................................156 Pleurisy...........................................,......................*8 Prolapsus Uteri......................................................138 Pneumonia.............................................................*9 Piles......................................................................97 Painful urination...................................................117 Painful menstruation.............................................131 Profuse menstruation.............................................132 Preventives of Disease............................................151 Quinsy...................................................................53 Rheumatism...........................................................30 Rheumatic Fever.....................................................29 Remitting Fever.....................................................27 Rattlesnake bite..........................................'............77 Scarlet Fever...........................................................36 " " Preventive treatment of.......................151 Sore Throat.............................................................52 Scalds.....................................................................64 Stings of Insects.................................+...................75 Sick Headache.........................................................79 Sore-mouth of Children...........................................90 Sea Sickness..........................................................103 Small-Pox.............................................................110 " Preventive treatment of...........................153 Scald Head............................................................122 Suppression of the menses.......................................129 Sore Nipples..........................................................139 Table of Remedies.....................................................3 Traveler's Case.........................................................3 Typhoid Fever........................................................31 Tonsillitis...............................................................53 Toothache...............................................................86 Teething of children................................................88 Thrush...................................................................90 Ulceration of the Uterus.........................................140 Urination painful...................................................117 Urination, Involuntary...........................................110 Variola.................................................................117 Varioloid...............................................................117 Worms...................................................................82 Wounds.................................._'_ _ ."."'.93 Whitlow............................'".'..'."'.'.. .126 Yellow Fever...................•■'".".'.'.......'.'.'.'.'.'.'.'..'.'.'.'. ..'...'...'.'.." " u Preventive treatment of.'.'.'.'.'..'............ -A^FIPIBlSrJDIIX:. 0* thb itsk or Gelskmindm i-eup. i* Foveas. By J. S. Dovolas, A.M., M. D., Prof, of Mat. Med. and Special Pathology, In the Western Homoepathic College, Cleve- land ; author of " Treatment of Intermittents," &c Such has been the general result of the treatment of the fevers of this country, that most Homoeopathic physicians deny the possibility of breaking up a fever when one© established. Those who labor under this impression, will be soon convinced of the error by pro- perly employing the Qelseminum semper vi- rens, or yellow Jasmine. Having proved this drug repeatedly on myself and seven or eight others, it was impossible to avoid the conviction that it would be homoeopathic to the ordinary fevers of this country. The pathogenetic symptoms, almost uni- formly experienced, are the following, the dose being from one to five drops: Within a few minutes, sometimes within two or three, a marked depression of pulse, which becomes 10, 15 or 20 beats less in the minute, if quiet, but greatly disturbed by movement. Chilliness, especially along the back, pressive pain of the head, most gener- ii APPENDIX. ally of the temples, sometimes in the occiput, at others, over the head. The chilliness is soon followed by a glow of heat and prick- ling of the skin, and quickly succeeded by perspiration which is sometimes profuse and disposed to be persistent, continuing from twelve to twenty-four hours. As soon as the re-action takes place after the chill, the pulse rises as much above the normal stand- ard, as it was before depressed below it. YTith these symptoms is a puffy, swollen look and feeling of the eye-lids, slimy and disagreeable or bitter taste in the mouth, languid feeling of the back and limbs, and sleepiness. As example affords the best illustration, we will give one to illustrate the usual action of this drug in fevers : P. W., aged 21, sanguine temperament, had been complaining of languor, and want of appetite for three weeks. For a week has been unable to attend to business. Took a cathartic, and was, of course, worse. For the last thirty-six hours had been seriously sick. June 30, 1858, had the following symptoms: Pulse rather full, but weak and vascillating, about 100 per minute. Tongue red and dry; hands tremulous when extend- ing them; tongue trembles when protruded; the mind wanders ; he reaches after imagin- ary objects ; lips dry and parched; he is un- easy, restless. Now this, all will recognize APPENDIX. Ill as a case which had been long in coming on, and was fairly established, and was not likely to be broken up by ordinary means. He took one drop of Oelseminum tincture to be repeated every hour, if needed. The next morning he reported that he had been in a perspiration ever since fifteen minutes after taking the first dose, had slept quietly during the night, the tongue and lips were moist, mind clear, pulse 80, and steady. The next day I found him dressed and down stairs, with good appetite and free from dis- ease. I could give sixty cases of equally prompt results from this precious drug, in fevers which make their attack rather sud- denly, whether from cold or otherwise, and attended with chilliness, pain in the limbs, head and back, variously disordered taste of the mouth, with great restlessness. The almost uniform effect, in these cases is, a cessation of the chills, within from two to five minutes, quickly followed by a glow of heat and prickling of the surface ; and with- in from five to twenty minutes, perspiration with progressive abatement of all the pains and restlessness. The patient falls asleep, and after a longer or shorter time, wakes with a consciousness that his disease is broken up—and this proves to be the truth. Like all other drugs, the dose must be va- rious, generally one drop repeated every half hour, till the desired effect is produced IV APPENDIX. repeated afterwards as occasion may require. In simple cases of fever, I regard it as the remedy, not only, but the only remedy re- quired. There are, of course, many cases of fever, with local complications, as inflam- mation of the liver, &c, &c, where other remedies will be necessary. Half a drop, or oven a quarter, is often sufficient. The largest I have yet given is five drops, and this in only one case. Several Homoeopathic physicians to whom I have recommended it, have made equally favorable reports of it. My experience has been, that not a few of our Western fevers, especially if neglected beyond the incipient stages, are accompanied by such gastric and bilious disorder, as to require Mercurius, China, or Podophyllin, after the general febrile symptoms are re- moved by Qels. But at an early stage, the Qels. alone will prevent the development of these complications. The drug seems to me to act specifically and energetically, not only upon the circula- tory system, but equally so upon the nervous system, allaying nervous irritability more effectually in fevers, than Cotf., Cham., Bell, Nux, or any other drug we possess. As it acts very quickly, the first dose may be aoon repeated and increased, if no effect is observed. / ,„ y cy / > ^ o-. ^K £✓-«-«"-' ■ -, //. /^ ! e ix't L A ^T.-v_( Lf*^r ^>4- '^-/"^' 6;:ry /- *i i ■ , ( _