" -;.:>;* NATIONAL LIBRARY OF MEDICINE NLM DD103t,E0 E LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE yV ✓ •* v ^\. NLM001036202 NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONAL 3Ni3iQ3w do Aavaan tvnoiivn snidiosw do Aavaan tvnoiivn 3NiDia3w DUE NOV I 2 •JOIiVN 3NIOia3V» NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONA ROGERS /$'* HOMEOPATHIC GUIDE, &-(/* A popular treatise containing a brief description of all diseases. with practical hints for their prevention and cure. Designed for the Guidance of Intelligent Laymen; also, for the ready reference of Students and Practitioners, BY L. D. ROGERS, A. M., M. D., Editor of the Peoples' Health Journal, Ex-President of and Professor of Surgery in the .National Homeopathic Medical College, Founder of the Chicago Baptist Hospital, Member of the American Institute of Homeopathy, Member of the Illi- nois State Homeopathtc Medical Association and Member of the Chicago Clinical Society. AND IDA WRIGHT ROGERS, M, D CHICAGO. PEOPLE'S HEALTH JOURNAL CO., 441 Dearborn Ave. V\ B X "R 7 2 7 ri Copyrighted By IDA WRIGHT ROGERS, M. D„ 1893. 10 OUR M01 HER, ELIZABETH JANE PECK ROGERS, THIS VOLUME IS AFFECTIONATELY DEDICATED, ON HER SIXTY-SECOND BIRTHDAY, May, 26, 1893, INTRODUCTION. TO THE PUBLIC : Enthusiastic as a student, brilliant, yet thorough, in scholarship, a constant toiler in his profession, successful in organizing results, and devoted to the physical, mental and moral development of society, Dr. L. D. Rogers has won high rank in the city of the North- west. With a genius remarkable for his profession, a varied talent that touches many lines, an experience'already large in hospital and home, a keen and discriminating judgment, he brings the result of all into this work. The author, working side by side with the estimable and ac- complished wife, in the reciprocal relation of equal power, pro- ficiency and success, holding with her the golden key of humanity's highest development as regards man and woman, he has, and holds, the position from which such a work should eminate. These twain, I imagine, have given to the profession, to the home and the laity in general, in this volume, an exponent of the things needed by all, and to this venture, all who know-them, will wish the largest success. HENRY A. DELANO, Pres. Board of Directors of the Chicago Baptist Hospital. Evanston, 111. PREFACE. The highest mission of the physician is to prevent disease. In no other way can so much be accomplished toward prevention as by widely disseminating a knowledge of the cause, nature and proper treatment ot the various diseases that afflict humanity. A knowledge of the cause of a disease is half the cure and often all the prevention necessary. A knowlege of its nature leads to a cor- rect appreciation of the physician's skill and services. A knowl- edge of the proper treatment prevents the innocent from being im- posed upon by ignorance and quackery. While the practitioner may gain some practical hints from it, this volume is intended as a guide to the intelligent laymen. It is not intended to make a physician out of him, but to give that general knowledge which every intelligent person should possess. The progress in medicine and surgery has been so great during the past decade that a medical book, if but three years old, is greatly behind the times and comparatively worthless. The reader may rest assured that this work is up to date and much more recent than any similar work. It also contains much heretofore not attempted in other works. The attention of the reader is called to the sec- tions on Affections of the Mind, Diseases of the Skin, Principles of ROGERS' HOMEOPATHIC GUIDE. Surgery, Sexual System, Mother and Child, and especially Dietetics. For, the authors believe that they have thrown some light, in a practical way, upon the difficult subject of diet. To those who may be obliged to consult this volume for the pur- pose of making a prescription, we would say: Study carefully and repeatedly the Materia Medica given in the back part of the book. The indicated homeopathic remedy will never disappoint you. It is that drug which, if given in large, crude doses to a well person, will produce symptoms similar to those possessed by the patient. Dc not prescribe for this or that disease. Prescribe according to the totality of the symptoms. This is the essence of the difference be- tween the homeopathic and the old school. A difference which, in every disease, makes the maximum homeopathic death rate invari- ably less than the minimum death rate of the old school. A difference so great that, in general, the person who employs allopathic treatment in preference to the homeopathic, positive ly increases his chances of dying, by one hundred fold. Let all remember, that at the World's Fair Homeopathic Medical Congress just held in Chicago, statistics taken from twenty cities during the past twelve months were presented, showing that if every physician in the United States were a homeopath, the total number of deaths every year would be decreased by nearly half a million. The Materia Medica is the only difference between the schools. This is further explained under the General Remarks, beginning on next page bui one. Notwithstanding the fact that this entire volume was written and proof read by the authors within the short period of two months amid the many interruptions of professional, editorial, college and hospital cares.it is believed to be free from mistakes, excepting the ROGERS' HOMEOPATHIC GUIDE. vii few typographical and grammatical errors, which the electrotype plates do not now admit of correcting. These are, however, enu- merated under the heading, Errata, at the end of the volume. In conclusion, the authors must confess that they feel highly complimented by the voluntary introduction given them on a pre- ceding page, by the Rev. Henry A. Delano, D. D., Chicago's elo- quent and most fearless pulpit orator. L. D. ROGERS, IDA WRIGHT ROGERS, June 10, '93. 44i Dearborn Ave., Chicago. INDEX OF CONTENTS. PAGES. General Remarks........................................ 3—I0 PART I. Section I, Constitutional Diseases, Infectious.............. 11—115 Section II, Constitutional Diseases, Non-Infectious.........116—130 Section III, Diseases of the Digestive System.............131—149 Section IV, Diseases of the Respiratory System...........150—174 Section V, Diseases of the Circulatory System.............175—184 Section VII, Diseases of the Kidneys......................185—203 Section VIII, Diseases of the Sexual System...............204—219 Section IX, Diseases of the Nervous system...............220—235 Section X, Unclassified Affections........................236—243 Section XI, Affections of the Mind........................244—250 Section XII, Diseases of the Skin........................251—265 Section XIII, Diseases of the Eye and Ear................266—278 Section XIV, The Principles of Surgery...................279—292 Section XV, Mother and Child...........................293—302 Section XVI, Dietetics....................................-,0\__317 PART II. Materia Medica..........................................-,jg___, Index of Subjects.........................................240__344 Errata................................................. , -. General Remarks. What is Health ? It is that condition of the physical and mental machinery in which all the parts work easily and harmoniously, each performing its duty without friction or inconvenience. Most persons know when a piece of machinery is out of order, and they also know the importance of repairing it as soon as possible. If the repair is not made promplly irreparable damage is likely to follow prolonged derangement. But few persons, however, recognize the earliest de- viations from health. A person may be far from well and yet un- aware of the fact. Every person who desires good health should become familiar with the evidences of good health. Any intelli- gent person can soon learn them. Evidences of Good Health. A person in good health is cheerful and good natured, their eyes are bright and sparkling, the lips are red and the complexion clear. The hair is soft, oily and glossy. The skin is smooth and velvety, with a pinkish tint; the sleep is sound, dreamless and refreshing. The appetite is good and no dis- tress of any kind follows eating; no great thirst; no disagreeable taste in the mouth; the tongue is clean and the breath sweet; no belching, no bloating and no flatulency. The bowels move once a day with ease; the urine amounts to three pints in twenty-four- 4 ROGERS' HOMEOPATHIC GUIDE. hours; is amber colored and no sediment is found on standing a day. In health the urine does not have to be passed at night after retiring. A healthy person is free from all aches and pains of every kind. Many persons call themselves perfectly healthy yet suffer many aches and pains. A healthy person does not cough or ex- pectorate nor is he obliged to blow his nose. The pulse cf a healthy adult ranges from 70 to 80 a minute. Life insurance com- panies will insure persons with a pulse as low as 58 or as high as 88, provided all the other conditions are favorable; a person whose pulse is outside of this range when sitting still is not in perfect health. Fever and exertion of any kind will increase the frequency of the pulse. So will tobacco smoking. At birth the natural pulse is about 130 a minute, at two years about 100, at five years between 80 and 90, and gradually decreases in frequency until adult life is reached. In health the temperature of the body is 98^ degrees when taken by the thermometer in the mouth. A person whose temperature varies one degree from this figure is not in perfect health. It the temperature falls below 96 or rises above 106 death usually follows. There are rare exceptions to this rule. What is Disease ? Any derangement of the mental or physical machinery is termed disease. Disturbances may be so slight as to be scarcely perceptible; again they may be so great as to affect every function of the body and mind. Causes of Disease. The exciting causes of diseases arc numerous, but the fundamental cause is unequal circulation. Heat expands and cold contracts. If one part of the body becomes cold there will be less blood in the cold part, and too much in some other part; that is a congestion of some other part. Every observing person knows the consequences of getting the feet damp and cold ROGERS' HOMEOPATHIC GUIDE. 5 or of sitting in a draft. Sitting quietly in one position for a long time with the mind active, disturbs the equilibrium of the circula- tion. An over-loaded stomach will also disturb circulation, so will a drink of ice water or a dish of ice cream. Errors of diet cause a large percentage of diseases; more than the average person imagines or the average physician recognizes. Contagious diseases are caused by microscopic germs. But they seem to make no pro- gress until there is a disturbance of the circulation. It is certain, also, that they increase the disturbance of the circulation. A cor- rection of a mental or physical derangement is a cure. Simply temporary relief is .termed paliative. The distinction should be kept in mind. Ways Of Cure. Cures are made in many ways. By diver- sion of the thoughts, by change of climate, by change of diet, by mechanical and surgical means, by the application of electricity and by drugs. Drugs used to correct mental or physical derange- ment are medicines. From the beginning of history there has been numerous theories regarding the method of giving drugs. How drugs act is a question that has claimed the attention of the greatest minds in all ages. It would take volumes to recount the many theories that have been advanced. There is one theory, how- ever, that was mentioned by Hippocrates before the Christian Era and elaborated by Samuel Hahnemann a century ago that has stood the test of time and has been demonstrated to be a natural law of cure. The following Latin phrase has been used to express this law; similia similibus curantur, liberally interpeted it means like cures like. According to this law that drug is given to a sick per- son which given to a well person produces symptoms similar to those which the sick person possesses. For instance, it you wish to 6 ROGERS' HOMEOPATHIC GUIDE. determine the medicinal properties of a drug or plant of which you know nothing about, you would make a decoction of the plant and give it to a number of well persons and watch the effect it produced on them. If, after taking the drug for a time the majority of the persons were to have a throbbing headache, a flushed face and a sore throat on the right side with a constant tendency to swallow, we would rightfully conclude that the decoction had produced the symptoms, and when we came across a sick person with them we would give some of this decoction, but in diluted form as experience has shown to be best. Observation has shown that Belladonna pro- duces the above set of symptoms; that it cures a sick person with these symptoms has been verified probably a million times. The medicinal uses of nearly a thousand drugs have been ascertained in this way. A collection of the symptoms produced by the various drugs and plants is called the Homeopathic Materia Medica. A person who is thoroughly familiar with the Materia Medica is well equipped to combat with most diseases. He has a rule by which he prescribes, that is as invariable as the law of gravitation. A person who once becomes familiar with the application of this law of cure will prefer it to all others. Like all other innovations and advances it has from time to time met with the bitterest and most stubborn opposition. Its author, Dr. Hahnemann, suffered the martyrdom that usually befalls every great discoverer and bene- factor of the race. He was ridiculed, abused, ostracised and driven fiom place to place. Homeopathy is daily becoming more popular, its patrons are now numbered by millions. The more intelligent every where prefer it. Some fifteen thousand physicians in the United States alone practice it. Statistics gathered repeatedly from reliable sources show that the death rate is about one-half less ROGERS' HOMEOPATHIC GUIDE. 7 under the Homeopathic treatment than it is under any other treat- ment. In other words, it has been demonstrated that a person who employs Homeopathic treatment has his chances of dying reduced fully fifty per cent, when compared with his chances under other methods of treatment. This is more than true in violent, contagious diseases, such as cholera, yellow fever, scarlet fever, typhoid, pneu- monia, etc. During the recent cholera epidemic in Hamburg the death rate under Homeopathic treatment did not reach five per cent., while under other treatments the death rate was nearly fifty per cent. Experience has shown that when medicine is given ac- cording to the Homeopathic law, but a very small quantity is neces- sary to produce the desired effect. Instead of giving strong decoc- tions and tinctures Homeopathic physicians usually have their medi- cines diluted many times. Drugs diluted seem to act more quickly and there is no danger of the patient being poisoned by the crude drug, as has happened so often when drugs are given in accordance with other systems of medicines. Homeopathic medicines generally used are diluted three times. Some are diluted many times. For instance, a drop of the tincture or crude drug is diluted in nine parts of alcohol. This mixture is labeled ix. One drop of the ix mixture mixed with nine drops of alcohol is called 2x preparation. One drop of the 2x mixed with nine ot alcohol is called 3X dilution or potency. When the drug is a powder, sugar of milk is used instead of alcohol. The alcohol and sugar of milk are simply neutral vehicles, having no medicinal qualities. It is a strange fact that some drugs have greater medici- nal force when greatly diluted than they do when in the crude form. Homeopathic medicines, as usually prepared, have no bad effect upon a well person. Children have been known to eat an entire 8 ROGERS' HOMEOPATHIC GUIDE. bottle of Homeopathic pills and suffer no ill effects. This fact has been often used as an argument against Homeopathy, but it counts for nothing. Homeopathic medicine is intended to cure and not to kill. The old idea that medicine to be ot any value must be bitter and disagreeable is absurd, and the relic of ignorance and barbar- ism. Every one knows that when our eyes are well and in their normal condition we suffer no inconvenience when we go out at mid- day into the brightest sunshine. But let our eyes be sore and in- flamed; in other words, let them be sicK, a single ray of sunlight will affect them. Likewise when every part of our mental and physical machinery is in perfect order, a whole bottle of Homeo- pathic medicine will not produce any perceptible effect, but let us be sick in any part and it requires but a single pellet, provided it be of the right kind, to affect us favorably. While a thousand different drugs and plants have been studied and their * •--------------- All diseases are divided into two general classes, namely: Local and constitutional. Those affections which are confined to a limited part of the body are classed as local, as for example, a felon. Those which affect the entire organism, such as typhoid fever, are classed as constitutional. CONSTITUTIONAL DISEASES. A large proportion of the constitutional diseases are infectious. An infectious disease is one that is caused by the presence of a certain specific germ in the organism. Infectious diseases are usually ac- companied by fever. While probable yet it is not proven that all fevers are caused by infectious diseases. FEVERS. The most positive sign of a fever is a more or less enduring elevation of the temperature of the body above 98>£ degrees. A fever is usually preceded by a period called incubation, during which 12 ROGERS' HOMEOPATHIC GUIDE. there is a lassitude and indisposition on the part of the patient. This is followed by a chill or chilly sensation, after which there is a rise of temperature with an increase of the frequency of the pulse. There is otten pain in the head, back and limbs, also great restless- ness. If the fever is very high delirium may occur. While all fevers have certain features in common yet there are differences and peculiarities which enable us to distinguish three classes of fevers. Those in which the fever is continued without interruption from the beginning to the end of the attack, as for example, typhoid fever. Those which have periods of complete intermission of the fever for a day or two, and then another rise for a similar period. These are called periodical fevers. The third class embraces those fevers which are distinguished by a rash or an eruption upon the skin. This class is designated as the eruptive fevers. ERUPTIVE FEVERS. There are three well defined stages of eruptive fevers. First, the stage of invasion; dating from the first disturbance of the health to the appearance of the eruption. The second, the eruptive stage, which dates from the beginning of the eruption until its disappear- ance. Third, the stage of desquamation, or of the peeling off. The eruptive fevers include small-pox, measles, scarlet fever and chicken-pox. It is important to remember that the eruption of chicken-pox breaks out during the first day of sickness; scarlet fever during the second day; small-pox during the third, while the eruption of measles does not make its appearance until the fourth day of the sickness. It will also aid in determining the nature of the disease; if it is remembered that small-pox begins with a very severe chill; that scarlet fever is usually accompanied by a sore ROGERS' HOMEOPATHIC GUIDE. 13 throat, and that a cough is always a prominent symptom in measles. It will be of advantage to note that the eruption of small-pox ap- pears first about the mouth and chin; that of chicken-pox is first seen upon the body and limbs; that of measles behind the ears and on the face; and that the first appearance of the scarlet fever erup- tion is upon the neck and chest. CHICKEN-POX. This is the mildest of the eruptive diseases, being rarely if ever fatal. It is confined to children. It is infectious; also contag ous. Symptoms.—The appearance of the eruption is generally pre- ceded by slight constitutional disturbances for about twenty-four hours. There is some fever; possibly, nausea and vomiting. The ra;h usually appears first on the body, and afterwards on the face and head. It is easily distinguished from the eruption of small-pox, by the fact that it is from the first composed of vesicles (blisters), and not of hard papules (pimples). On the fifth or sixth day the vesicles begin to dry; by this time they may be as large as small peas, and are surrounded by a broad, red margin. They soon scab and fall off, rarely leaving scars. Not infrequently a second crop of vesicles appears during the first three days. Chicken-pox mani- fests itself from ten to fifteen days after exposure. Treatment.—Chicken-pox rarely requires any special treat- ment. Good nursing and a little attention to diet will be, as a rule, all that is needed. In case of considerable fever, with restlessness, Aconite may be given. Should there be a sore throat, a flushed face and starting during sleep, give Belladonna. In case ot a watery discharge from the eyes and nose, Pulsatilla will be indi- cated, 14 ROGERS' HOMEOPATHIC GUIDE. SCARLET FEVER. This fever derives its name from the scarlet eruption that is always present in a typical case. In some cases the eruption is so slight as to be scarcely perceptible. Attacks vary in intensity from a mild affection to one of the most malignant of diseases. Phy- sicians sometimes distinguish three varieties. But the only differ- ence between them is the degree of severity. A mild case may give the contagion to another who will have the disease in the severest form. In order to contract scarlet fever one must come within a tew feet of the patient. Measles and whooping cough may be taken when-one is at a considerable distance. A number of in- stances are recorded where clothing and other articles used about a scarlet fever patient have been packed into a trunk and months afterwards opened in the house of some distant family where there were children and soon afterwards some of the children have had the disease. It is recorded that a mother who lost her only child with scarlet fever packed its toys away. In course of time she be- came the mother of another child, and when it became old enough to appreciate toys the playthings of the former child were unpacked and soon afterwards it also had the disease. The importance ot de- stroying or disinfecting all articles that have been about a scarlet fever patient is obvious. In ninety per cent, of all cases of scarlet fever the patient is under ten years of age. We have treated a few cases where the patients were between twenty and thirty years. It rarely attacks children under one year of age. One child may have a very severe attack, while another in the same family may have the disease in the mildest form. As soon as a case of scarlet fever is discovered in a family of ROGERS' HOMEOPATHIC GUIDE. 15 children the case should be isolated by confining it to one room and keeping all others out. The rest of the children should be given Belladonna 3x tour times a day. We have never seen a second severe case of scarlet fever occur in the same family when this course was pursued. Even when the sick and well were not sepa- rated we have never seen another member of the family have the disease in any but the lightest form. Scarlet fever is contagious from the first day of the attack until the peeling off stage is completed. It has been quite conclusively shown that the disease is infectious; in other words a germ disease. It may be carried in the clothing of the physician or nurse; and even by letters written in the sick room. It has been demonstrated that the fumes ot sulphur do not readily kill these germs. One of the best and most agreeable disinfectants that can be used in the room during the progress of the disease is prepared as follows: One ounce of carbolic acid, one ounce of the oil of eucalyptus and six ounces of the spirits of turpentine are mixed together. Two table- spoonfuls of the mixture is put into a quart of water and kept sim- mering over an oil or gas stove. The patient may be disinfected and made more comfortable by rubbing the entire surface of the body several times a day with an ointment made by mixing together one drachm of carbolic acid, one drahm of eucalyptus oil and seven ounces of olive oil. The room occupied by a scarlet fever patient should be large and well ventilated. During the eruptive stage the temperature of the room should be 68 degrees. After the peeling off stage begins it should be raised to 73. The patient should-be guarded against all exposure and kept in bed ten or twelve days. Symptoms.—The period of incubation, that is the interval between exposure and the first manifestation of the disease, varies 16 ROGERS' HOMEOPATHIC GUIDE from three to twelve days. The period is usually shorter that that of other eruptive diseases. The onset is usually sudden. It mav be preceded by a very slight indisposition. A chill is rare, bu vomiting and, in young children, convulsions are common. Tht fever may be intense, rising rapidly and reaching 104 or 105 degrees the first day, causing headache and delirium. The skin is unusually dry and imparts a peculiar burning sensation when the palm of the hand is placed in contact with it. Dryness and soreness of the throat on swallowing are common symptoms. The inside of the throat is as a rule unnaturally red and the glands at the angles of the jaw swollen. The rash usually appears the second day in the form of scattered red points on a deep flush. It appears on the neck and chest first. It spreads so rapidly that by the evening of the second day it may have covered the entire body. In marked, typical cases the rash at its height has a vivid scarlet hue, distinct and unlike that seen in any other disease. The tongue in many cases is firy red with raised papillae and is described as the "strawberry tongue." The rash usually remains out from four to six days. Desquamation.—About the sixth day the rash begins to fade and during the succeeding days the surface of the skin is thrown off in the form of bran like scales. Sometimes, however, large pieces of the skin may come off. We have seen pieces covering a whole finger or the greater part of the palm or heel shed at one time. The peeling off process continues from one to two weeks. Between the second and third week of the disease, when con- valescence seems to be progressing finely, the kidneys will some- times show signs of inflammation. Little or no urine will be passed. Or there will be a frequent desire, but only a small quantity of black smoky urine voided. The face and eye lids will be puffed. ROGERS' HOMEOPATHIC GUIDE. 17 It is a serious complication and may follow the mildest attack. It causes almost as many deaths as occur during the earlier stage of the disease. The importance of careful nursing and a simple diet until after the third week, is apparent. Another serious trouble which sometimes follows scarlet fever is inflammation and suppura- tion of the ear with deafness. Chronic weakness of the eyes have also been caused by scarlet fever. Treatment.—It should be emphasized right here that the foregoing complications are of very rare occurrence in cases treated Homeopathically. Statistics gathered from many reliable sources show that Homeopathic physicians have a death rate from this dis- ease less than half as great as that of other physicians. When medicines fail to control the high fever and congestion to the head, the patient may be wrapped in a blanket wrung out of water at the temperature of the room. The process may be re- peated until the temperature is decidedly lowered. If an ice cap cannot be procured, a cloth wrung out of the coldest water should be applied to the head and reapplied as often as it gets warm. Diet.—During this, as in all other fevers, the less food taken the better. Milk and water in equal parts taken warm is sufficient. Plenty of cool water may be given. If the diet is carefully guarded kidney complications are less likely to occur. Belladonna.—In eighty percent, of all cases, the only remedy required. Eruption perfectly smooth and bright scarlet red. Flushed face. Head hot. Delirium. Throbbing at sides oi neck and temples. Starts and jumps while asleep. Bryonia.—The eruption does not come out fully or suddenly disappears. Lungs or brain affected. Arsenicum.—The eruption delays or grows suddenly pale ROGERS' HOMEOPATHIC GUIDE. with rapid prostration. Putrid sore throat. Great anguish and ex- treme restlessness. Intense thirst. Wheezing respiration. Foul diarrhoea. Rhus Tox— Rash is dark colored and itches violently. Drowsy or delirious. Restless. The eyes have the appearance of one iatoxicated. Nose-bleed at night. Rheumatism. The eruption has a rough appearance. Laches is.—Marked swelling of the glands of the neck. Worse on the left side. Sulphur.—Eruption growing purple. Brain symptoms. Nose dry. Mouth and throat so dry cannot speak plainly. Stupor. Vio- lent itching. Child jumps and screams. MEASLES. Measles is not so fatal a disease as scarlet fever. But it is often followed by weaknesses that remain and disturb the health for years. The writer suffered from bronchitis for fifteen years as a result of measles improperly treated. We have seen a number of persons whose eyes had been weak years after an attack of measles. Here again we must call attention to the fact that in measles as well as in scarlet fever complications rarely follow homeopathic treatment of the disease. It is a germ disease. But the germs are unlike those of scarlet fever and diphtheria, in that they do not cling to the clothing, bedding, articles of f arniture and walls of the room, or things handled by the patient. Like those of whooping cough, they seem to float in the air and not to adhere to anything. For this reason it cannot be carried by nurses and physicians as scarlet fever and diphtheria may be. For the same reason it can- not be isolated and confined, as those diseases may be. When a ROGERS' HOMEOPATHIC GUIDE. 19 case occurs in a family, school or asylum, the disease usually attacks all the inmates that have not previously had it. A thorough airing of the apartments which have been occupied by a case of measles and a washing of the bedding, clothing and furniture will be sufficient precautions against the disease for the next occupant of the room. The disease usually attacks children, but no age is exempt from it. It is usually more severe in adults and persons of a dark complexion. The disease rarely occurs a second time in the same person Symptoms.—Measles usually manifests itself about ten days after exposure. The period of incubation, however, may be longer or shorter. It begins as a feverish cold. There are shiverings, sneezing, running of the nose, redness and watering of the eyes. Later a severe cough and bronchial catarrh, with constriction of the chest. There may be nausea, vomiting, headache and wandering pains. Nose bleed, croup and convulsions may occur. Before the erup- tion appears the disease may be mistaken for a number of other complaints. On the fourth day the rash usually appears, first be- hind the ears, on the temples and on the forehead, in the form of small red pimples, which increase in size and spread over the neck and chest. When the eruption is well out the face is swollen with red blotches. Sometimes the skin feels as if there were shot just be- neath the surface. It requires about four days from the first appear. ance of the eruption for it to spread.over the entire body. From any given part the rash begins to fade in thirty-six hours from the time it appeared on that part. The eruption may be suppressed from taking cold, by indiscretion in eating and by taking purgatives. A suppression of the eruption is a serious complication and needs 20 ROGERS' HOMEOPATHIC GUIDE. prompt treatment. On the fourth day of the rash the fever subsides and the rash fades. The skin does not peel off in large flakes as in scarlet tever. but in very fine dust or bran like scales. The most important sequel of measles is some weakness of the lungs. On account of the frequent occurrence of consumption after measles it ranks third among eruptive diseases, in comparing the death rate. Treatment.—During an attack of measles the patient should be kept in a darkened room and not allowed to use the eyes. Should the eruption be tardy or delayed in coming out the warm pack will be of value. Measles without complications require but little treat- ment. Precautions against taking cold are most important. Aconite.—First stage. Fever,high; chest, oppressed. Rest- less. Skin hot and dry. Pulse full and quick. Great thirst. Arsenicum.—Severe case. Delirious or stupid. Rash sup- pressed. Itching of skin. Craves cold drinks. Urine suppressed or scanty. Face bloated. Lips parched. Very weak. Pale. Worse about one o'clock at night Bryonia.—Eruption does not appear, or driven in by cold. Severe cough. Congestion to lungs, with sharp, sticking pains. Difficult breathing. Sitting up causes nausea. Pulsatilla.—Useful in first stage, or during any stage when the catarrh is profuse. Thick, yellow discharge from nose. Worse toward evening. Stomach deranged. Craves fresh air. Rattling of phlegm inchest. Diarrhoea following suppressed rash. Mucous discharges. Useful in developing the rash. Most useful remedy. Phosphorus.—Tightness across the chest; violent and ex- hausting cough. Stitching pains; worse with every breath. Sulphur.—Useful in the beginning to bring out rash and also ior the after effects ot the disease. Brings about reaction. ROGERS1 HOMEOPATHIC GUIDE. 21 SMALL-POX. This disease was formerly the dread and scourge of nations, but now it is an infrequent and a comparatively harmless visitor. The wonderful change has been brought about by vaccination, the discovery of Jenner in 1798. It is said that in the year 1837 small- pox attacked the Mandan Indians and within twelve months, out of a population of 150,000 only twenty-seven remained. Small- pox is just as destructive to-day as ever where vaccination is not enforced. It has been well nigh stamped out of all civilized countries. No age is exempt from small-pox, but the younger the person the more severe the attack and greater the death rate. One attack usually prevents a second. In Chicago no child is allowed to enter the public schools without being vaccinated. The rule should be universal. Every person, should be vaccinated. After exposure to the disease one should lose no time in being vaccinated. If vaccination be done within twenty-four hours after exposure it will either entirely prevent or greatly modify the disease. The longer it is delayed the less likely it is to do either. Symptoms.—In adults a severe chill and in children a con- vulsion are the first pronounced symptoms. The chill may be re- peated. An intense frontal headache, severe pains across the middle of the back and vomiting are rarely absent. The pains and chill are more violent in this than in any other eruptive fever. Their violence alone, during an epidemic of small-pox, would warrant a diagnosis of that disease. The temperature may reach 104 degrees the first day and continue gradually to rise during the next two days. The face is flushed. There may be delirium. The eyes are bright and clear. The skin is usually dry, but there may be pro- 22 ROGERS' HOMEOPATHIC GUIDE. fuse sweat. The strongest may, within twenty-four hours after the ushering in of a chill, be unable to get out of bed. The severity ot the first symptoms bear no relation to the severity of the attack. After the fever has continued three full days the eruption will show itself first on the forehead near the hair or about the mouth and chin; also on the wrists. The extension of the rash over the entire body requires two or three days longer. With the appearance of the eruption the fever and all other symp- toms subside. The rash at first consists of small red spots, the size of a pin-head. They gradually increase in size and become elevated and hard, having the feel of shot under the skin. As the pimples enlarge a de pression is, as a rule, formed in the center ot the summit. From the sixth to the eighth day after the first ap- pearance of the eruption the pimples fill with pus, that is maturate or suppurate. The skin about them becomes greatly swollen; the whole face swells beyond recognition, closing the eyes. The hands and feet are swollen until they look like round balls. The itching at this stage is unbearable and the odor sickening. It is during this stage that the most deaths occur. By the ninth day the process of suppuration has reached its height and the pimples or pustules either rupture or begin to dry up. About the fourteenth day the scabs fall off. About the eighth or ninth day, when the process of suppuration is at its highest, there is a secondary fever, beginning with a chill, which rises even higher than the initial fever. There are varieties of small-pox, but the chief difference is the degree of severity. Varioloid is a mild form of small-pox, occurring in those who have been vaccinated or have had the disease. It is capable of communicating the genuine disease. ROGERS' HOMEOPATHIC GUIDE. 23 Treatment.—In the character of its contagiousness small- pox is very much like scarlet fever. Many of the directions given for isolating and disinfecting a case of the latter disease will apply to one of the former. It is important that the patient be placed in a large, well ventilated room as remote as possible from the other members of the family, and not more than one person or two at most, be allowed to attend or visit him. All unnecessary articles of furniture, curtains and carpets should be removed from the room. The patient's hair should be cut short and all flannel clothing re- moved. Every effort should be made to keep the patient and his bedding clean. When matter forms in the pimples the room should be darkened. The itching may be relieved by applying carbolized vaseline or vaseline with a little iodoform mixed in it. Some have found that a better way to relieve the itching is to apply lint wrung out of cold water. Some antiseptic, such as carbolic acid or bichloride of mer- cury, may be added to the water. Cold water, no doubt, has a very soothing and beneficial effect. Great precaution should be taken to protect the eyes by frequent washing. As for internal remedies the best and most recent old school medical authorities confess that they know of no drug that will cut short or particularly modify an attack of small-pox. But when we turn to our Homeopathic authorities we do not find so much skep- ticism. There are a number of Homeopathic remedies that are very useful in this dreaded disease. Tartar Emetic.—The most useful remedy in small-pox. Should be given from the first to the last of the attack. Especially valuable during the eruptive stage. It lessens the severity of the disease. Prevents pitting in most cases. 24 ROGERS* HOMEOPATHIC GUIDE. Arsenicum.—Useful in the latter part of the attack when there is great prostration, thirst and nausea; when the eruption has a livid appearance. Odor very offensive. Aconite and Belladonna are likely to be indicated in the earlier part of the attack when the fever and the congestion of the brain are prominent symptoms. Mercurius, Rhus Tox, Baptisia Pulsatilla, Apis or Sulphur may be indicated during the course of the disease. The special symptoms for giving them may be determined by a careful study of the Materia Medica, Part II. DIPHTHERIA. Whether this disease is a local or a constitutional affection at the beginning of the attack is a question that has been, and is still very much discussed. That it is constitutional in a later stage is conceded bv all. The particular germ that causes the disease has been discovered and is easily distinguished from all other germs. Diphtheria has prevailed from the earliest times. It is not peculiar to any climate or any time of the year. It is usually more preva- lent in the spring and autumn. It generally affects children, especially between two and five years, but it is not uncommon among adults. It occurs more frequently among the poor, but the well-to-do families do not escape it. One attack does not prevent a second. It is not confined to cities. In cities, however, the dis- ease seems to be on the increase. There is a general belief that there is some connection between diphtheria and defective drainage but just what the relation is, has not yet been clearly established. It has been suggested that the poor drainage may cause sore throat and the sore throat afford a fertile soil for the diphtheritic germ ROGERS* HOMEOPATHIC GUIDE. 25 It is certain that exposure to cold and the resultant disturbance of the circulation favors the development of the disease. We have laid it down as a fundamental proposition derived from our per- sonal observation that a disturbance of the circulation, a congestion to some part, is a prime essential before any germ disease can de- velop. In support of this view we find that persons who have enlarged tonsils and catarrh of the throat are more susceptible to diphtheria than those who are not thus affected. It requires from two to four- teen days after exposure for the disease :o show itself. The germs may lie dormant for months. They have been preserved in a piece of dry cloth five months. It is plain, therefore, that great care should be exercised by those in charge of a case of diphtheria. The same precautions given for the isolation ot a scarlet fever patient should be observed. Even greater care should be taken, for of all infectious diseases now common, it is the most to be dreaded. The patient's room should be large, airy, and if possible, at the top of the house. If the room has a fire-place, so much the better. Car- pets, rugs, curtains, pictures and all unnecessary furniture should be removed. A sheet, kept wet with some disinfecting solution, should be hung outside of the door. The special attendants should be the only persons allowed in the room. Dishes, towels, clothing, bedding and other articles used in the room should be kept there and not allowed to be carried through the house and used elsewhere. Dishes and like utensils should be washed in the patient's room or in some room not used by other members of the family. Soiled clothes should be soiked in a disinfecting solution or in boiling water for several hours before being taken from the room. All discharges from the patient should be received into china or glass 26 ROGERS* HOMEOPATHIC GUIDE. vessels containing a solution of bichloride of mercury in the pro- portion of i to 5000. Cats, dogs, birds and other household pets should be kept out of the room. Even flies should be kept out, for they too have been supposed to carry infection. The plumbing and drains should be carefully examined and defects promptly repaired. Articles ot food should not be left exposed in the room. Milk is especially likely to absorb impurities. All discharges from the mouth, nose and throat of a diphtheritic patient are loaded with germs. During the examination or treat- ment of the throat it has often happened that the patient coughed into the face of the physician and in this way communicated the disease. In making examinations of cases of this kind the phy- sician should tie a handkerchief over his face, covering his nose and moath. The handkerchief should afterwards be disinfected. It is related that a few months ago some flowers from the coffin of a child who had died of diphtheria were afterwards thrown away and picked up by some children passing along. They took the disease and communicated it to the physician who treated them. It proved fatal in his case. Physicians, while treating diphtheria, have taken blood poisoning through a wound on the hand. The disintecting mixture given in the chapter on scarlet fever should be kept sim- mering on an oil stove in the room. Symptoms.—These vary greatly. The onset maybe sudden or it may be slow and insidious. In one case the constitutional symptoms may be noticed first, in another the attention is first directed to the local. The constitutional symptoms may begin with a severe chill or there may be only chilly sensations. Children may have convulsions. There is usually a pain in the head, neck, back and limbs. As a rule the fever in diphtheria rises more slowly than ROGERS' HOMEOPATHIC GUIDE. 27 in any other infectious disease. The temperature may run high in some cases while in others it may attain no great elevation, even though they are severe cases. In most febrile diseases the tem- perature is a better criterion than the pulse by which to determine the severity of the disease. But in diphtheria the pulse is more likely to be the better guide. The local symptoms begin with a sense of dryness and prick- ing in the throat. Stiffness and swelling at the angles of the jaw soon follow; also pain on swallowing. White patches scattered over the tonsils appear a few hours later. These rapidly spread and run together, forming one continuous membrane upon the tonsils and adjacent parts. The membrane now becomes a dirty grey and later may become black. If a piece of it be scraped off a raw, bleeding surface will be found. The bleeding is considered one of the reliable signs of diphtheria. If the membrane is easily wiped off and no bleeding follows the probabilities are that the case is not one of diphtheria. If, however, there should be swelling on the outside of the throat at the angles of the jaw, along with the patches on the inside, the chances are ten to one that the case is diphtheritic. If a microscopical examination of some of the substance that com- poses a patch reveals the presence of the specific germs of diph- theria no further evidence is necessary. Such an examination, how- ever, can only be made by an expert microscopist. In diphtheria the tongue is usually clean, while in tonsillitis it is heavily coated. If albumen be found in the urine of a case of suspected diph- theria it confirms the suspicions. Any physician or druggist can make the test for albumen within a few minutes, by simply boil- ing a little of the urine in a test tube over an alcohol lamp and then 28 ROGERS' HOMEOPATHIC GUIDE. adding a few drops of nitric acid. If a milky deposit remains, albu- men is present. The membrane is at first seen on one tonsil, later it appears on the other and may extend to the palate, forward to the roof of the mouth, into the ear, upward into the nose, or downward into the windpipe. When the disease extends downward it is called diph- theritic or membranous croup. The chances of recovery are then greatly lessened. The signs that indicate that the membrane is extending down- ward into the trachea is an increasing hoarseness and a croupy cough, with difficult breathing. When these symptoms become prominent and suffocation threatens, tracheotomy or intubation is required. The first consists in making an opening into the wind- pipe through the skin at a point just below the prominence called 'Adam's apple,'and inserting a curved silver tube. Intubation is a later operation, which requires no cutting and is performed by in- serting a gold-plated tube down the windpipe through the mouth. Though having the advantage of being bloodless, it has the disad- vantage of not allowing as much air to enter the lungs as trache- otomy does. Life is saved in about one-fourth of the cases in which these operations are performed. Diphtheria runs a very rapid course. Death or convalescence usually takes place within a week. There may be complications and after effects that will remain a long time. Paralysis of various muscles may occur. Some of the muscles ot tne throat are most frequently affected, indicated by diffculty in swallowing. For in- stance in drinking, the water often comes out of the nose. Some of the muscles of the legs are often affected, indicated by an inability or an awkwardness in walking. Paralysis following diphtheria ROGERS' HOMEOPATHIC GUIDE. 29 yield readily, as a rule, to homeopathic medicines. Paralysis fol- lowing an acute attack of sore throat is good evidence that the throat trouble was diphtheritic, even if there were no other signs of diphtheria. Paralysis occur two or three weeks after the active symptoms of the disease have disappeared. Paralysis of the heart may occur when the patient seems to be out of all danger. As a rule, the older the patient the more chances of recovery. The eminent old school authority, Mackenzie, lays it down as a rule that one-third of all the typical cases of diphtheria prove fatal. But the death rate under homeopathic treatment is not nearly so great. Statistics gathered recently in the city of Brooklyn show that the homeopathic loss from this disease is about 60 per cent, less than that from the old school treatment. Treatment.—Very few physicians can boast of uniform suc- cess in the treatment of diphtheria. As a rule they will very cheer- fully resign the case to the next doctor. The experience of many is illustrated by the following story: A stranger, on arriving in a western town which had but two hotels, asked a street corner loafer to tell him which was the better hotel.. The loafer giving his cud of tobacco an extra roll and relieving himself of a mouthful of tobacco juice, replied, '* Stranger, no matter to which hotel you go, you will be "durned" sorry in the morning that you did not go to the other." Likewise, it frequently happens that in treating diphtheria, whatever remedy the physician gives he is afterwards sorry that he did not give the other medicine. The rapid loss of strength and the great exhaustion are striking features of diphtheria. All concede the necessity of maintaining the strength. But how to do this, is the question. Many insist on 30 ROGERS' HOMEOPATHIC GUIDE. forced feeding of rich concentrated foods; predigested meat juice, bovinine, peptonized milk, raw eggs, beet tea slightly thickened with rice or pearl barley, arrow root or sago, with sherry or port, eggs beaten up with milk or in brandy with water or sugar, ice cream. They insist that the food shall be given regularly during the night as well as during the day; every four or six hours. The patient with this disease, as a rule, stubbornly refuses food. It may be partly from loss of appetite, but no doubt principally because of the discomfort experienced on swallowing. Spraying the throat with a tour per cent, solution of cocaine renders swallowing easier. In its poisonous effects upon the blood diphtheria in some way re- sembles typhoid. If there is one thing upon which we have a pos- itive opinion it is that the less food given to a typhoid fever patient the better. We have found that in typhoid we get the best results when we give no food whatever during the first week of the disease. Others maintain that milk, with lime water in it, is sufficient nour- ishment for a diphtheritic patient. Raw milk favors the develop- ment of germs. The lime water destroys this quality of the milk and it is therefore essential that a tablespoonful of lime water be added to every cupful of milk. If no food can be got into the stomach through the mouth it should be injected into the bowels every six hours. That brandy should be given when there is danger of heart failure is generally conceded. We have recently seen two cases, age four years, suc- cessfully " tided" over the danger of heart failure by giving one teaspoonful of brandy every hour day and night. We feel morally certain that they would have proved fatal had not the brandy been given. It is an established fact that it is well nigh impossible to in- toxicate a person who has diphtheria. The danger, therefore, is not ROGERS* HOMEOPATHIC GUIDE. 3i in giving too much brandy, but in giving too little. It is a clear case of treating poison with poison. There is a danger of being misled by the false stimulation. Extra vigilance is therefore required when alcoholic stimulants are given. It has seemed to us that their use prolonged convalescence. Patients should not be allowed to sit up longer than is absolutely necessary, as sitting taxes the heart more than lying. A patient threatened with heart failure should have the head lower than the body. Recently a little patient under our care during convalescence unexpectedly showed signs of heart failure. No one was present except the trained nurse, but she was equal to the emergency. On seeing the sudden blanching of the face and on failing to detect the pulse, she stood the child upon its head. In a few moments more she had put a teaspoonful of brandy into its mouth. The child is alive and well to-day. The watchful- ness and prompt action ot the nurse no doubt saved its life from heart failure. Local Remedies.—Like everything else pertaining to diph- theria, the local treatment varies from absolutely no treatment whatever to the most violent and heroic measures. The advocates of both extremes have their successes and their failures. Alcohol and water in equal parts is a good gargle for patients old enough to use it. For younger patients it may be used as a spray in propor- tion, 1 to 6. Two or three grains pf permanganate of potash in a glass of water makes a pink gargle that is frequently used and has much real merit. Per oxide of hydrogen diluted one half with water, is also an excellent spray. A mixture of spirits of peper- mint 10 parts, tannic acid 30 parts, mucilage oi gum 100, painted on the tonsils and adjacent parts with a brush or thrown into the the throat by a small syringe, has given excellent satisfaction in 32 ROGERS' HOMEOPATHIC GUIDE. many cases. It is quite effectual in removing the patches. A few minutes after its use the patient invariably feels better. A spray or gargle ot the bi-chloride of mercury, i to 5,000, has given good re- sults. Nurses taking care of diphtheria cases often use this gargle to protect themselves from the disease. Care should be taken that it is not used in too strong a solution, as we recently saw a horrible case of mercurial poisoning follow its use. Constitutional Treatment.—Many hold to the theory that there must be some deviation from perfect health before diph- theria or any other infectious disease can attack a person. There are surely many facts to support such a theory. If the theory is correct then local treatment is only secondary, while the constitu- tional treatment is of prime importance. This is the view held by the best homeopathic physicians. Aconite.—Useful for the fever in case the onset is sudden. Apis.—Mouth and throat bright red and glossy, as if varn- ished. Pain in ears on swallowing. Paralysis of throat following diphtheria. Not much fever. No thirst. Great prostration from beginning. Face and neck puffy. Inside of throat has a puffy ap- pearance. Palate looks like a little bag filled with water. Patches look like a piece of chamois skin. Worse on the right side. Diffi- cult breathing. Urine scanty. Said to prevent diphtheria. Arsenicum.—Advanced stage of blood poisoning. Mem- brane dark. Constant desire for cold drinks, but can take little. Worse about midnight. Pinched and deathly look. Baptisia.—No pain on swallowing. Can swallow liquids only. Least solid food gags. Prostration great. Stupid, besotted expres- sion. Typhoid condition. Valuable remedy for the blood poisoning Belladonna.—Useful only at beginning. Fever high. Throat ROGERS' HOMEOPATHIC GUIDE. 33 deep red. Very difficult swallowing. Neck stiff. Glands swollen. Throat dry. Drowsy, but can't sleep. Starts in.sleep. Kali Bichro.—Hoarse, croupy cough. Membrane looking pearly and extending downward. Expectorations, stringy, fre- quently blood streaked. Much swelling, but little redness. Lachesis.—Patient complains of being worse than he ap- pears. Patches begin on the left side and spread to the right. Neck sensitive to the slightest touch. Can bear nothing tight about the neck. Throat purplish. Feeling of a lump in the throat, or as if a crumb of bread had lodged there. More difficult to swallow liquids than solids. Throat painful on bending head back. Pain in throat extends to ears. Much phlegm, with painful hawking. Worse from hot drinks. Lycopodium.—Begins on the right side and extends to the left. Feeling ot contraction of throat, as if a ball rose from below. Chronic enlargement of tonsils. Odor foul. Everything tastes sour. Red sand in urine. Rumbling sensation in stomach and bowels. Worse from 4 to 8 p. m. Liquor Calcis Chlorinatae— May be procured at any drug store. Put from 5 to 15 drops into half a glass of water. Give a teaspoonful at intervals of fifteen minutes to six hours. Indicated when there is great swelling of glands and a horribly foul odor. Belladonna antidotes it. Mercurius Cor.—Patches cover entire throat; tonsils, pal- ate, roof of mouth and back of throat. High fever. Lips dry, brown, cracked and bleeding. Saliva offensive. Eyes watery and sore. Burning discharges. Throat burns. Nitric Acid.—When Mercurius fails to reduce swelling of glands. Have seen it rapidly reduce swollen -lands that remained 34 ROGERS' HOMEOPATHIC GUIDE. after disappearance of all symptoms from the inside of the throat. Sulphur.—Powdered sulphur blown into the throat is a com- mon remedy and believed to have a good deal of virtue. Chlorate Of Potash.—May be procured at any drug store. Five grains put into half a glass of water and given every four hours is claimed to be both a preventive and a curative of diph- theria. The dose for an infant under two years is one teaspoonful; children from two to six years, two teaspoonsful; older children, three teaspoonsful. For other remedies study Part II. TYPHOID FEVER. Excepting malarial, Typhoid is the most common of all fevers. It may be developed in any country or in any climate during any time of the year. It occurs, however, more frequently in the tem- perate zpnes and during the months of August, September and October. It prevails most in hot, dry seasons. It is found in the rural districts as well as in the cities. The majority of cases occur in robust persons between the ages of fifteen and twenty-four. It is rarely met in infants and persons over sixty. A specific germ is always found with Typhoid and it is therefore classed with the in- fectious diseases. It is but slightly contagious compared with the eruptive fevers. The germ peculiar to typhoid is found in" the lymphoid tissues of the intestines, in the mesenteric glands, in the spleen and in the liver. It will be noticed that all these locations are below the diaphragm; that is, in the abdomen. It will be re- membered that the germs of diphtheria is found only in the throat and nowhere else. The postmortem examination of those who have died of the disease shows this. The blood poisoning of diphtheria ROGERS' HOMEOPATHIC GUIDE. 35 cannot, therefore, be from the germ direct, but must be due to some product of the germ. The resemblance of the blood poisoning in the two diseases has been noticed. While the local expression of diphtheria is in the throat that of typhoid is in that part of the in- testines lying just above the right groin. This accounts for the fact that we find in almost every case of typhoid tenderness in that region. The common vehicles of the typhoid infection are water, air, soiled linen of typhoid patients and the hands of the nurses. But it is believed that in ninety-nine times out of a hundred it is con- veyed by the drinking water. The city of Geneva receives its drinking water from two rivers. It has been observed that all the cases of typhoid in that city drink the water from one river, while those who drink from the other source never have the disease. The drinking water of Paris is derived from a number of sour- ces. In dry seasons certain portions of the city are obliged to be supplied from a particular canal. It has been repeatedly noticed that within about two weeks after the water is turned on the number of typhoid patients in the district supplied by the canal increase three or four hundred per cent. During the winter of 1885, at Plymouth, Pa., a solitary case of typhoid fever occurred above the town on the bank of a river which supplied the drinking water. The discharges from the patient for several weeks were thrown out upon the snow without being disinfected. March 25th a thaw and rain melted the snow and it ran down the bank into the river. Ex- actly fourteen days later an epidemic of typhoid developed, amount- ing to 1,200 cases in that city ot a population of only 8000. More than one hundred of the cases proved fatal. The cities of Geneva, Paris and Plymouth afford us a double lesson. First, that the water 36 ROGERS' HOMEOPATHIC GUIDE. readily conveys the infection, and, second, that to disinfect every discharge from a typhoid patient is of the utmost importance; not to do so is criminal negligence. A solution of bi-chloride of mercury, i to iooo, will destroy typhoid germs. A solution of carbolic acid, i to ioo, will also destroy them. Both are open to objections; the first is a dangerous poison, besides destructive to plumbing; the latter acts slowly, requiring several hours. The only everywhere practical and thoroughly satisfactory dis- infectant for the discharges from a typhoid patient is lime, used strong enough to make a "white-wash." All linen from a typhoid patient should be burned, or boiled for several hours. The nurse and physician should wash their hands with soap and water and afterwards rinse them in a solution of bi-chloride of mercury in proportion of one to a thousand. It should always be remembered that this solution of corrosive sublimate in such a strength is highly poisonous taken internally. Boil drinking water before using. Symptoms.—The onset of typhoid fever is gradual and in- sidious. In this respect it is decidedly different from the eruptive fevers and most of the infectious diseases. The disease commences so imperceptibly that the majority of typhoid patients are unable to fix definitely the date their illness begun. It is, therefore, impos- sible to determine the exact period of incubation of typhoid. The average duration is supposed to be from three to ten days. During the preliminary stage of the disease the patient usually continues at his work, yet he is conscious that he is not exactly well. Chilly sensations, shivering and perhaps a pronounced chill may occur. These may be repeated, especially the chilly sensations at irregular intervals. There is usually frontal headache and the men- tal faculties seem a little cloudy. The patient is unable to concen- ROGERS* HOMEOPATHIC GUIDE. 37 trate his thoughts with the usual vigor; feels generally languid and prostrated. Loss of appetite, nausea and even vomiting may occur. There is generally a looseness of the bowels. Nose bleed without any apparent cause is not an uncommon symptom. After these symptoms have been present for perhaps a week the individual will be forced to give up his occupation and go to bed. During the first few days there is, perhaps, a persistent, dull red flushing ot the face. By the time he takes to his bed there is a lack of expression, a listlessness and even a stupidity that is quite noticeable to the most casual observer. A person coming down with typhoid may look and act like one somewhat deranged. They often will take no notice of what is said to them until they are repeatedly addressed and then perhaps their answer will be slow and disconnected. The unnatural redness of the skin of the face, arm and abdomen will disappear upon pressure with the tip of the finger, but on taking the finger away it will regain the color in a sluggish way never seen in health. During the first week in bed, the patient, if not too stupid, will complain of considerable pain in the head. There may be insomnia during this period. Sometimes the mind will be apparently clear during the day, but at night there will be talking in the sleep and is confused on awakening. The mild delirium usually appears about the second week. There is, perhaps, a low muttering In many cases there will be attempts to get out of bed. Occasionally the patient gets boisterous when restrained. It should be borne in mind that no reliance can be placed in what the patient at this stage of the disease says. Their statements are unreliable. After recovery they will not remember what they said or what occurred. As soon as delirium manifests itself the patient should be constantly 3S [ROGERS* HOMEOPATHIC GUIDE. watched; should never be left alone even for a minute, for it has frequently happened that the patient got up, fell out the window or wandered away. Besides this, it is important that after the typhoid patient has once taken to his bed, that he should be kept there. Every time he rises is positively injurious. Absolute rest ot the bowels in every way is a prime essential to the successful treatment of the disease. Along with the delirium there will be an utter indifference to everything. The patient will not ask for food or drink though the mouth may be dry and parched. The nurse should not neglect to give the patient plenty ot cool water, at regular intervals. The hearing is frequently affected and sometimes the sight. The patient will lie listless in one position in the bed until the skin becomes sore and bed-sores form if the nurse is not watchful, to bathe and rub dry the reddened places with a solution of tannic acid or arnica, or the two preparations mixed is even better than either singly. It should be noted that the patient often appears to be sleeping when he is not. He is easily aroused, but at once lapses back into semi- unconsciousness. In fact the loss of sleep is a source of the great nervous exhaustion. Another symptom that will be noted at this stage is a twitching of the tendons at the wrists. At times it will be so frequent as to render it difficult to take the pulse. There may be twitchings of other muscles. The twitchings indicate somewhat the severity of the attack. During second week dark brown matter accumulates on the teeth called sordes. An accurate record of the temperature taken at six a. m. and six p. m. is of the greatest importance to the physician. It is also very essential that the frequency of the pulse be recorded at the same time the temperature is taken. The temperature of a typhoid ROGERS' HOMEOPATHIC GUIDE. 39 patient, as a rule, rises on the average of one degree a day until it reaches 104 or 105 and even 106. However there are numerous deviations from the rule. But the simple fact that there is no intermission of the fever and that the tendency is gradually upward, along with the other symptoms makes it easy to distinguish typhoid. As the fever rises there will be, as a rule, a corresponding increase in the fre* quency of the pulse of ten beats for each degree. However we have seen the pulse comparatively low while the temperature was high. About the beginning of the third week the pulse sometimes become rapid, rising to 130 or above, indicating weakness of the heart. So long as the pulse remains below 120 the outlook is favor- able. The temperature, as a rule, rises steadily the first week, until it reaches its maximum, at which point it remains during the second week. If the case is doing well during the third week the tempera- ture will be found decidedly lower in the morning and possibly an entire remission will be met. During the entire time of the fever the morning temperature will usually be one degree lower than the evening. A high morning temperature indicates a severe attack. A sudden fall of the temperature of several degrees in a lew hours indicates internal hemorrhage. If this be true, there will be a blanching of the face and a rapid and great increase in the fre- quency of the pulse. As the temperature goes down the pulse goes up; just the reverse of the natural order which we have already mentioned. Hemorrhages usually occur during the second or third week. In the course of the disease an ulceration takes place at several points in that part ot the intestines already described. In the pro- cess of the ulceration blood vessels are eroded or eaten off and 4o ROGERS* HOMEOPATHIC GUIDE. hemorrhages follow. If the blood vessels thus affected are small the hemorrhage will be slight, consisting of a mere oozing. If a large artery should be opened the hemorrhage may be so great as to affect the temperature and pulse, as described above, and even result in death. Cold sweat on the forehead will also strongly confirm the sus- picions of hemorrhage. A patient may die of internal hemorrhage without any blood appearing externally. In case symptoms of a pronounced hemorrhage occur the foot of the bed should be im- mediately elevated. A chair will generally answer the immediate necessity of keeping it elevated. A heavy towel rung out of the coldest water should be applied to the abdomen. If at hand an ice bag is better. Nothing hot or stimulating should be given. The readiest domestic remedy generally at hand is camphor. Put a few drops into a tablespoonful of water and give the patient. If reaction does not follow within ten minutes repeat the dose. Pond's extract or hamamelis is another domestic remedy usually at hand, of which teaspoonful doses may be given every fifteen minutes until the phy- sician arrives. The ulceration may be so great as to make an opening entirely through the wall of the intestine and allow its contents to escape into the abdominal cavity. This complication is called perforation. Perforation may occur any time during or after the third week and is indicated by a sudden attack of pain beginning just above the right groin and rapidly extending all over the abdomen. There is also a sudden seizure ot diarrhoea and rapid distension of the abdo- men. The case is then hopeless and death usually occurs within a few hours. It is not unusual for the abdomen to be much distended during ROGERS' HOMEOPATHIC GUIDE. 4i the regular course of an attack of typhoid, and so long as this con- dition remains, no matter how normal other conditions may be, the patient is not out of danger. When the fever is high, the abdomen hot and distended, a heavy towel wrung out of the coldest water and laid on will be beneficial. The towel may be reapplied as often as it gets warm. Nose bleed occurs more frequently in typhoid than in any other disease. Bronchitis frequently appears during the course of typhoid. Treatment.—In no other disease is good nursing so essential. During the stage of delirium the patient must have the most faith- ful watching. During the latter stages the nurse must be ready for the emergencies occasioned by hemorrhages, as we have already described. At all times the nurse must religiously carry out thorough disinfection in the manner we have described. But it is in the feed- ing that the nurse must display the greatest firmness and show her loyalty to the physician. A little yielding on the part of the nurse to the patient's entreaties for food and the gratuitous but injurious advice of sympathetic friends, have cost many a life. Diet.—All concede that the diet is the most essential part of the treatment in typhoid. But there is some difference of opinion as to what the diet should be. Nine physicians out of ten give milk exclusively and, as a rule, force the patient to take the largest quantity possible. We obtain the most satisfactory results by giving absolutely no food whatever during the first week or until the temperature falls to 99 in the morning. Water is given freely. After the third day the hunger is not great. Whenever we are able to carry out this plan to the letter we find that the mind soon clears, the temperature sinks, the 42 ROGERS' HOMEOPATHIC GUIDE. diarrhoea ceases, the abdomen becomes less sore and less distended. The tongue loses its irritable appearance, cleans and becomes moist and of a normal appearance. None of the more violent symptoms develop. No hemorrhage, no perforation and rarely a relapse. The symptoms all become so mild that the friends frequently doubt its being a genuine case of typhoid, or say, if it is typhoid, it is only a mild form of the disease. We begin to feed by giving on the first day, every four hours, one tablespoonful of milk to which there has been added lime- water. The next day two tablespoonsful are given every four hours; the next three; the next four, and so on increasing until a large quantity is taken. Where milk is not borne well oat meal gruel may be given for a few days. The gruel should be prepared by cooking four hours and straining. Mutton broth is the first ani- mal food allowed. No solid food is allowed until the temperature is normal in the evening for one week. Over feeding or a too early return to solid food is the most common cause ot relapse. Internal Remedies.—The homeopathic treatmentis usually very satisfactory. Especially is this likely to be the case if the directions which we have given regarding diet are religiously ob- served. The remedies commonly indicated during a course of typhoid are Arsenicum, Baptisia, Belladonna, Bryonia, Gelsemium, Hyoscyamus, Phosphorus and Rhus Tox. Special symptoms may call for other remedies. When they are indicated can be deter- mined by a careful study of the Materia Medica, Part II. Belladonna.—The violent delirium always suggests this remedy. Any brain symptoms in the first stages ot the disease is likely to demand it. Later in the disease it is not so useful. Baptisia.—Most useful remedy. More frequently given in ROGERS' HOMEOPATHIC GUIDE. 43 the beginning than any other remedy. Brain symptom, prominent. Excessive drowsiness. Delirium. Confusion of ideas. Stupifying headache. Restless sleep. Head feels scattered about. Frightful dreams. Great debility. Answers slowly. Falls asleep while an- swering. Sensation as if in pieces. Sordes on teeth. Stool invol- untary. Nosebleed. Besotted appearance. Chilly all day. Whole body feels sore. Imagines he can't get the pieces of his body to- gether. Disposition to half close eyes. Can swallow liquids only; least solid food gags. Face flushed and dusky. Deaf. Disinclined to mental or bodily exertion. Sweat, urine and stool are extremely fetid. Gelsemium.—At beginning of typhoid, when there are se- vere pains in the head, back and limbs. Great languor. Gets very tired between 4 and 5 p. m. Chilliness. Nervous chills, with chat- tering of teeth. Goose pimples. Typhoid in children. Nervous spasmodic movements. Twitching of the eyes. Fever without thirst. Trembling through whole body. Muscular prostration. Pain in neck and under left shoulder blade. Useful in first stage. Bryonia.—While delirious continually talks about his busi- ness. Tries to get out of bed and says he wants to go home. Lips dry, brownish and cracked. Mouth very dry. Saliva frothy and soapy like. Great thirst. Faintness and nausea on sitting up. Kicks off the covers. Worse from motion. Constipated. Hyoscyamus.—Delirium in the latter stages. Jumps out of bed and attempts to run away. Does not recognize relatives or friends. Sees persons who are not and have not been present. De- lirious while awake. Constant staring. Very talkative. Eyes roll and squint. Urine and stool passed involuntarily. Sleepless. Jerk- ing of tendons of wrist. Grating of teeth. Picking at bed clothes 44 ROGERS' HOMEOPATHIC GUIDE. Talks nonsense continually with eyes open. Pays no attention to any one. Starts up from sleep in a fright. Long continued sleep- lessness, or constant sleep with muttering. Loss of speech. Tongue dry, red and cracked. Phosphorus.—Bronchitis prominent. Brain exhaustion great. Sleeps continually. Typhoid pneumonia. Dry, annoying cough. Rhus Tox.—Delirium mild. Bowels loose. Constantly tosses about; first on one side and then on the other. One moment lying down, another sitting up. Tongue has a triangular red tip. Stool passes during sleep; also urine. Dreams of something that requires muscular exertion on his part, as running. Pains in limbs worse when at rest. Dreams the moment he falls asleep. Answers slowly, but correctly. Arsenicum.—Must not be given unless clearly indicated, as it will aggravate. Face pale, pinched and deathly. Lips dry, parched and black. Drinks little and often. Great anguish. Clammy forehead. Pulse rapid and feeble. Constantly licks the lips. Extremely weak. Foul odor from body. Slides down in bed and lower jaw drops down from weakness. Eyes sunken. Hot, red spot on cheek. Oppression of chest. Stool watery and foul. Skin dry, like parchment, or cold and moist. Usually indicated in latter stages of protracted cases. TYPHUS FEVER. This fever and typhoid were once supposed to be one and the same disease. The onset of typhus fever is sudden, the opposite of typhoid. It terminates abruptly within about two weeks, while typhoid subsides gradually after a course of three or more weeks. ROGERS' HOMEOPATHIC GUIDE. 45 It has a pronounced eruption, while typhoid has but little. Typhus is highly contagious, while typhoid is but slightly so. Nurses, doc- tors and all attendants upon a case ot typhus usually take the dis- ease. Typhus occurs where there are a large number of persons crowded together. Jail fever, ship fever and camp fever are a few of the many names under which typhus has been known. Over- crowding, lack of cleanliness, intemperance and lack of food are the predisposing causes. It rarely occurs in the United States. Occasional epidemics occur in the sea port cities. The usual source being a crowded emigrant vessel, although in 1877 typhus broke out in Montreal in the House of Refuge, which was so crowded in the basement that there were but eighty-eight cubic feet of air for each person; only five per cent, of the amount required to maintain good health. Typhus occurs frequently in Mexico, where the poverty and poor food favor its development. It is said to occur also in the rural districts as well as in the cities. This is explained by the fact that the natives inhabit small, damp and badly venti- lated huts. It is supposed that the scourge which destroyed 800,000 Indians in Mexico in the year 1546 and increased the number to 2,000,000 in 1576, was no other than typhus. Symptoms.—Onset sudden, about twelve days after expo- sure, chill or chills, recurring during first few days. Headache and pains in back and legs. Early prostration. Patient soon goes to bed. The temperature is high from the first; may reach the maxi- mum, 104 to 106, the second day. Pulse, rapid. Tongue, parched and dry. Face, flushed. Eyes, congested. Expression, dull or stupid. Dizzy. Neuralgia above the eyes; lasts until second week. Nausea and vomiting. The latter may be distressing. There may be delirium. Skin dry and burning hot, Ringing in ears and deal- 46 ROGERS' HOMEOPATHIC GUIDE. ness. Bowels constipated; diarrhoea, the exception. Urine dimin- ished in quantity. While the symptoms are all pronounced yet it is not until the eruption appea*rs on the fifth day that the character of the disease can be determined. Eruption first appears upon the abdomen and upper part of chest, and then the face and extremities, developing so rapidly that in two or three days it is all out. The eruption has been described as having three parts; rose colored spots which dis- appear on pressure; dark red spots which are modified by pressure, and very tiny spots which are not affected by pressure. During the second week the symptoms are greatly aggravated and resemble very closely those occurring during the second or third week of a very severe case of typhoid. Typhus is sometimes mistaken for measles. Bronchitis is a frequent complication. Death occurs from blood poisoning and exhaustion toward end of second week. The mortality rate under old school treatment is from 20 to 50 per cent. Treatment.—Study the remedies described for typhoid and the Materia Medica in Part II. YELLOW FEVER. This is an infectious and highly contagious disease, which de- rives its name from the jaundiced appearance of the skin usually seen during an attack of the disease. Cuba has been called its home, but it visits other regions which may be divided into three classes. Those from which it is never absent, including Havana, Vera Cruz, Rio and other Spanish-American ports. Those in which it recurs periodically, including the tropical Atlantic ports of America and Africa. Those in which it appears occasionally by ROGERS' HOMEOPATHIC GUIDE. 47 accident, including the territory between latitudes 45 North and 35 South. The southern portion of the United States belongs to the last class. A strange fact is that while it has visited points upon or near the Atlantic coast, it has never visited the Pacific coast of America or Asia. It rarely prevails in a region where the altitude is one thousand teet. It occurs only during the summer and autumn months in the United States. It is more prevalent in cities and more so in the poorer and unsanitary districts. It affects the natives less than foreigners. The mortality among negroes is much less than among whites. The mortality among whites ranges from 15 to 50 per cent. under old school treatment. During the epidemic of 1878 the re- ports from thirty cities showed a death rate everywhere among the whites between 4o and 50 per cent. The death rate of some 4ooo cases treated homeopathically was less than 7 per cent. During the epidemic of 1888 the death rate under homeopathic treatment was less than 3 per cent. Having had the disease or having re- sided a long time where it prevails year after year, fortifies one against it. There are three forms, the mild, common and severe. There are three stages; the primary, the secondary and that of con- valescence. Symptoms.—May appear within one day after exposure tc the infection, or may not until seven days. Average time, three or four days. Onset sudden and usually without any warning. A chill, commonly associated with pains in head, back and limbs. Throat sore. Nausea and vomiting; growing worse on second and third day. Fever rises rapidly. Skin dry and hot. Face hot. Tongue furred, but moist. Fever may be out of proportion to the other symptoms. Skin may be cool. Thirst, extreme. The 48 ROGERS' HOMEOPATHIC GUIDE. pains in the back remind one of small-pox; but unlike small-pox, the eyes are red and watery. Bowels usually constipated. Delirium, in severe cases. Urine reduced and may be albuminous from the outset. After two or three days the fever subsides with all the other symptoms, and convalescence seems to be taking place. But it is only the beginning of the secondary stage or stage of calm. During this remission, or soon afterwards, the skin and eyes become quite yellow. In the mild form of the disease the patient will actually convalesce from this stage. But in the common form the temperature will rise again, beginning the third stage, during which the vomiting will be increased. In many cases the vomit will be of the color of tar, owing to the mixture of blood and the acid juices of the stomach. This is called the black vomit. The blood comes from the hemorrhages that take place from the walls of the stomach and intestines. The black vomit is not necessarily a fatal symptom, but it is present only in severe cases. Bleeding may occur from the kidneys, gums and under the skin. In the severe form ot the disease the patient usually dies within two or three days. Abscesses in various parts and diarrhoea may retard convalescence. Treatment.—The patient should be placed in a well venti- lated room and not allowed to sit up. The patient should not be kept in a state of perspiration. While it may exhibit a commendable spirit tor Northern nurses to volunteer to go South to nurse during an epidemic of yellow fever, it is not advisable, because they are not acclimated and are therefore most likely to be among the first victims. In the medical treatment of this disease, as in all other diseases, the old school has been constantly changing. The most popular ROGERS* HOMEOPATHIC GUIDE. 49 treatment with them at present is what is called the antacid or alkali plan. It consists in giving bi-carbonate of soda, mixed with some germicide like bichloride of mercury. The reason for the alkaline treatment is based on the fact that in this disease the con tents of the stomach and intestines, the urine and the sweat are strongly acid. They have reached the conclusion to which the homeopaths arrived half a century ago, that quinine, opiates and stimulants are not only useless, but positively injurious. The vom- iting may be lessened or controlled by cracked ice in the mouth and cold applications over the stomach. Diet.—It is universally agreed that a yellow fever patient does best if no food whatever is given during the first stage. This co- incides with our views in regard to feeding typhoid patients. While the stomach is in such an irritable state the presence of food would only aggravate. Homeopathic Remedies.—For one who has carefully read the symptoms of the disease, and who has become thoroughly familiar with the Homeopathic Materia found in Part II, it would be easy to select the remedies most likely to be indicated in yellow fever. During the first stage Aconite, Belladonna, Bryonia or Gel- semium is likely to be needed. In the second stage the indications for Arsenicum or Lachesis are plain. CEREBRO SPINAL FEVER.—(Meningitis.) This is a specific, infectious disease, occurring here and there in epidemics. It is sometimes called spotted fever, also cerebro spinal meningitis. During the past three hundred years it has caused a great many deaths in Europe and America. It consists 50 ROGERS' HOMEOPATHIC GUIDE. of an inflammation of the membranes covering the brain and spinal cord. It is more common among children than adults. Unhygienic surroundings favor its development; also over exertion, excessive heat, mental and bodily fatigue. The disease runs no regular defi- nite course as typhoid and many other diseases, but appears under a variety of symptoms. It has been called a chameleon-like disease. Occurs more frequently in the winter and spring. Over-crowding favors its development. In this respect it is like typhus. The dis- ease is supposed to be caused by a germ that is identical with those found in pneumonia. The mortality under old school treatment ranges from 30 to 75 per cent. Symptoms.—The disease begins suddenly with a chill, nausea and vomiting. There is intense pain in the head, which soon extends to the back of the neck and down the spine, which is so agonizing that it soon renders the patient delirious. The pain in no other disease is so easily aggravated by light, noise and touch. The very presence of another person annoys the patient. A seemingly peculiar fact is that notwithstanding the severe pain along the spine there is no tenderness in that region; even severe pressure is born without flinching, while slight pressure upon the stomach and other parts is usually painful. The skin is sensitive everywhere to a slight touch. The weight of the bed clothes is sufficient to cause pain. The delirium varies much in different cases. Often begins in a few hours. Several hours may elapse before the friends discover that the patient is not in his right mind. He may at first only display a difficulty in collecting his ideas and in answering questions. Later he becomes, as it were, sullen and morose, an- swering no questions. The delirium may be active from the be- ginning. The patient shouts, sings and attempts to do violence to ROGERS' HOMEOPATHIC GUIDE. 5i himself or others. In this form the patient is more quiet during the day and more boisterous during the night. If there is no delirium the patient is despondent and fearful, or may become stupid and unconscious. The condition of the muscles affords some idea of the progress of the disease. Violent contractions of the muscles of the neck and back may occur, drawing the head backward. Hands and feet may be drawn into unusual positions, and any effort to straighten them causes pain. Paralysis does not often occur. Nausea and vomiting are usually among the first symptoms. The fever is at no time marked. At the beginning the temperature may be even below normal. In many cases blood escapes into the skin, causing spots from the size of a pin-head to a quarter ot a dollar. It is from this appearance of the disease that it gets the name spotted fever. The pulse may vary thirty or forty beats within an hour. Vomiting is especially excited by rising. The disease usually runs its course within a week. Death may occur within the first twenty-four hours. There are a number of affections with which the disease may be confounded; tubercular meningitis, cerebral complications of pneumonia, some phases of typhoid and even small-pox. Treatment.—The old school authorities frankly confess that their resources for the treatment of cerebro spinal fever is exceed- ingly limited. Opium is their chief reliance. The symptoms of the aisease correspond closely to the characteristic indications of a number of the homeopathic remedies, which have been given with satisfactory results. Study the following remedies in the Materia Medica in Part II: Apis, Argentum Nitr, Arnica, Bryonia, Cannabis Ind., Cimicifuga, Gelsemium, Glonion, Opium, Veratrum Virdie. 52 ROGERS' HOMEOPATHIC GUIDE. Gelsemium and Cimicifuga have been found especially valuable. Protracted recoveries may call for Calcarea Carb, Silicea and Sulphur. RELAPSING FEVER. This is a specific, infectious disease which runs a course of about six days and then there is an intermission of about six days. Then there is another rise of the fever which continues another five or six days. There may be three or even four relapses. It is from its peculiar relapsing feature that it derives its name. It has been called the " seven-day fever," also "famine fever," so called because it has been a frequent accompainment of famine in Ireland. It is common in India where the conditions for its development are always present. The germ which produces it has been determined. The disease has been produced in human beings and in monkeys by inoculation. Symptoms.—The onset of the disease is abrupt. There is a chill and intense pain in back and limbs. There may be nausea, vomiting and convulsions in the young. Temperature rises rapidly, may reach 104 at end of first day. Sweats, common. Jaundice is common. Swelling of the spleen can be detected. The pulse is very rapid, ranging from no to 130. Stomach disturbances may be severe. There is not so much prostration as there is in typhoid and typhus. Patient may return to his work between relapses. Rarely delirium, and only when the temperature is very high. The tem- perature drops from the highest point to normal within a few hours. Each relapse is milder than the paroxysm that preceded it. The death rate is about four per cent. The high temperature, the moist skin, the rapid pulse and the ROGERS* HOMEOPATHIC GUIDE. 53 mildness of the other symptoms distinguish the disease from other fevers. Treatment.—The following remedies, the indications of which are found in Part II, may be useful: Argenticum Nitr., Ar- senicum, Bryonia, China, Eupatorium pert., Nux Vomica. The remedies mentioned under typhoid and intermittent fever should be studied and compared with the symptoms exhibited by the patient. MALARIAL FEVER. In the past the term malaria, like biliousness, has been a con- venient one to apply to a number of obscure troubles that puzzled the physician to diagnose. However, the bright light of scientific research has found that malarial fever is a definite disease due to a specific parasite which inhabits the blood corpuscles and is there- fore named haematozoa, meaning a blood animal. Whether one has or has not malaria can be definitely determined by a microscopic examination ot the blood. Even approaching paroxysms of the dis- ease can be predicted from the microscopic appearances of the parasites in freshly drawn blood from the patient. Malaria may manifest itself in four distinct forms: Intermittent fever, continued remittent fever, pernicious malarial fever and chronic malarial poisoning. Intermittent Fever.—This form is distinguished by re- curring paroxysms, consisting of a chill, fever and sweat in succes- sion. The patient is usually warned of the approaching chill by un- pleasant and uneasy feelings, consisting of a feeling ot lassitude, a desire to stretch and yawn, headache and sometimes nausea and vomiting. Even before the chill the thermometer will show a slight 54 ROGERS' HOMEOPATHIC GUIDE. rise in the temperature. Gradually the patient begins to shiver and perhaps the teeth will chatter and the whole body shakes so as to move the bed. The patient looks cold and blue. The skin will be cold, but the thermometer will show the temperature several de- grees above normal, 105 or 106. The chill lasts from ten minutes to an hour. Headache may be intense. The chill completes the cold stage. The hot stage immediately follows. First, flushes of heat, gradually warming up of the surface until it becomes burning hot. The pulse, which was small and rapid, now becomes full and bound- ing. The heart beats with great force, and there mav be a severe, throbbing headache. But the real temperature shown by the ther- mometer may not be any greater than it was during the chill. The hot stage continues from a half hour to three or four hours. The thirst for cold water is usually very great during the hot stage, and but little during the cold stage. However there are cases where the reverse of this occurs. The careful homeopathic pre- scriber will always endeavor to ascertain during which stage the thirst is present. The sweating stage follows the hot stage and is indicated by a profuse sweat. Usually within an hour or two all the disagreeable symptoms of the preceding stages disappear and the patient drops off into a refreshing sleep, completing a paroxysm. The periodical return of these paroxysms within twelve, twenty- four, forty-eight or seventy-two hours, is a striking characteristic of this form of malarial fever. The paroxysms usually recur every day or every other day. The disease may run a course of ten days or two weeks and disappear of its own accord, but it may persist indefinitely, in which case the blood becomes very poor and the skin jaundiced. It may run on into chronic malarial poisoning, which we have already mentioned as the fourth form of malaria. ROGERS' HOMEOPATHIC GUIDE. 55 We will describe it after disposing of the second and third forms. In different countries intermittent fever is known by several popular names. " Fever and ague," " chills and fever," " swamp fever," " shakes," " Panama fever." The symptoms and severity varies in different countries, but the essential features ire always the same. It occurs more frequently in low, swampy districts, yet, in some of the greatest swamps, it has been unknown. It is rapidly disappearing from the Northern states. This disappearance seems to be coincident with the clearing-up and settling of the country. Continued Remittent form of malarial fever has no dis- tinct intermission of the fever, but has a decided remission during which the temperature drops nearly to the normal, but never com- pletely. This form of malarial fever is also known by the names bilious remittent fever, remittent fever, bilioas remittent and typho- malarial fever. This form of malarial fever may set in with a defi- nite chill or may be preceded a few days by a feeling of lassitude. On the second or third day the patient has a flushed face, and a temperature of 102 or 103. The tongue is furred and the pulse full and bounding. There will be many other symptoms suggesting typhoid fever. There is often slight bronchitis. The fever continues with more or less marked remissions. Defi- nite paroxysms with or without chill may occur. The temperature may reach 105 or 106. The intestinal symptoms common to typhoid are absent. There may be jaundice. Delirium, if present, will be slight. The fever may subside completely at the end of a week or may continue two weeks. It is often difficult to distinguish it from typhoid. From this fact it has sometimes been called typho-malarial fever. In some cases the remissions become so slight and the fever so continuous that physicians of large experience will scarcely be 56 ROGERS' HOMEOPATHIC GUIDE. able to distinguish it from typhoid. The absence of the bowel symptoms peculiar to typhoid will be the chief distinguishing point. An absolute diagnosis can be made by microscopical examina- tion of the blood by an expert who is familiar with the parasite causing malaria. While it is well to know this fact it is not often practical to secure such an examination. Pernicious Malarial Fever.—This form of malaria is rare in the temperate climates. It is believed by some to be only a more severe form of remittent fever. There are three types: The comatose, the algid and the hemorrhagic. The first begins with violent brain disturbance, which is soon followed by a rapidly de- veloping stupor. The unconsciousness may last six, twelve or twenty-four hours. The patient may die during the attack or may become unconscious and suffer from a second paroxysm, proving fatal. The algid type is characterized by great disturbances of the stomach and coldess There may be no actual chill, but the prostration is very great. The temperature may be normal or below normal. Pulse, feeble. Respirations, rapid. Mind usually clear. Urine scanty or suppressed. Patient dies within a few days of ex- haustion. The hemorrhagic type is characterized by a bleeding from the mucous membrane. Other types occur. Pernicious malarial fever has been known as African fever, jungle fever, Hungarian fever, and in the South during the war it was known as Chickahominy fever. Chronic Malarial Poisoning.—The symptoms of this form of malaria are varied. It frequently follows the remittent form of malaria, where it has been badly or imperfectly treated. After several attacks of the intermittent form the patient's blood becomes so impoverished by the destructive ravages of the para- ROGERS' HOMEOPATHIC GUIDE. 57 sites that we have the condition known as the chronic form of ma- laria, consisting of breathlessness on exertion, swelling ot the ankles, hemorrhages, especially in the eye, saffron colored skin, and enlarged spleen. Chronic malarial poisoning is also indicated by the regular re- turn of neuralgia in some part every day or every other day. The tact that any symptom or complaint is worse at regular times sug- gests malaria. Absence of feeling in certain parts, itching, burn- ing, tingling or numbness may be symptoms of the same trouble. Symptoms which make the patient think of paralysis are often due to malaria. A chronic morning diarrhoea may have a malarial origin. So may catarrh and hemorrhages from various parts be due to the same cause. Treatment.—Recovery from malarial fever and the disap- pearance of the parasites from the blood are coincident, no matter whether the recovery be spontaneous or the result of the action of drugs. It would seem then that the rational treatment of malaria would be that which would destroy the germs or cause them to dis- appear. The most certain way to destroy or cause to emigrate any- thing that has life, whether it be colonies of parasites or colonies of human beings, is to deprive them of their natural nutrition; in other words render sterile or non-productive the soil upon which they live. Experiments have been made showing that quinine, in a solution ot I to 20,000, will destroy parasites similar to those of malaria within two hours, the effect upon them being manifest within five minutes. It has also been shown that quinine affects greatly the material from which the parasites develop and upon which they feed. Five grains of quinine equally distributed in the entire quantity of blood of an adult would make a dilution of the proportion of I to 16,000. 58 ROGERS' HOMEOPATHIC GUIDE. It is said that when quinine is taken into the body it at once enters into the blood vessels and circulates with the blood. It is also said that the active parasites of malaria are found only within the blood vessels, just as the germs of diphtheria are found, only in the throat. Such are the results reached by the latest scientific researches in the domain of medicine. But quinine for " chills and fever " has been used for a long time, in fact, it is the one universal remedy for malaria used by all, excepting the homeopaths. Our old school friends frequently speak of quinine curing malaria as being the one thing in medicine of which they were absolutely positive. Peruvian bark, from which quinine is made, was unknown pre- vious to the middle of the seventeenth century. The Jesuits in Peru distributed it among the poor as a remedy for fever. It was in the year 1790, while investigating the properties of the drug, that Hahnemann observed that it produced in persons in perfect health symptoms similar to those for which it had been given. It was then that the homeopathic law of cure dawned upon his mind, and he began to investigate other drugs and note their effects upon well persons. He soon discovered that the Peruvian or quinine bark was only curative in malaria having certain symptoms. For in- stance: Chill, preceded by thirst, but no thirst during hot stage fol- lowing. Thirst again during the sweating stage. These and many other symptoms found in the Materia Medica, Part II, determine in what cases of malarial fever China, a homeopathic remedy derived from the Peruvian bark, is indicated and in what cases it will not prove beneficial. A close study of the Homeopathic Materia Medica reveals the fact that there are a score or more ot remedies as useful in malarial ROGERS' HOMEOPATHIC GUIDE. 59 fever as China; in fact, several are more frequently indicated. The question arises: Does quinine really cure malaria? Is it not a palliative? The difference between the curative and palliative action of a drug is discussed under the General Remarks in the be- ginning of this volume. Quinine poisoning is known to be of fre- quent occurrence. It has been known to seriously impair the hear- ing and affect other organs injuriously. It is a fact that many cases occur in which the heaviest doses of quinine seem to make no im- pression upon the chills and fever. We have seen cases that have been taking quinine for years. Is it not possible that the quinine simply suppresses the disease for the time being? In many cases, just as soon as the quinine is abandoned, the chills and fever re- turn. This would indicate that the drug is only palliative and not curative. And in some cases it is not even palliative. This is the conclusion reached by every thorough homeopath. The universal habit of taking quinine not only for malaria, but for almost every other complaint, is a pernicious one. It must necessarily do a vast amount of harm. It undoubtedly suppresses or perverts many of the functions of the body. We know that the quinine habit is the unsuspected source of a large number ot troubles. The poor suf- ferer complains and complains, but he keeps on taking his quinine yeai in and year out. The abundant resources of homeopathy for curing malaria stand out in striking contrast with the one palliative resource of the old school. No other class of diseases will test one's practical knowledge of homeopathy so thoroughly, and in no other disease will the cor- rect homeopathic prescription be followed by such marvelous re- sults. We have seen cases of chronic malaria of a dozen years 6o ROGERS' HOMEOPATHIC GUIDE. standing cured by a few doses of Sulphur, or a few closes of Nat rum Mur.; cases which had been taking quinine continually for years. In chronic malarial troubles of long standing, especially where much quinine has been taken, Natrum Mur. is very frequently in- dicated. There is thirst with chill or cold spell every day or every other day between 10 and n a. m. The coldness is first felt in the feet and finger tips. The lips and nails turn blue. The cold stage is followed by heat and bursting headache. In the cases needing this remedy there is usually a great craving for salt. An extra amount of salt must be put into the food. It will be remembered that this remedy is the common table salt homeopathically pre- pared. In it we have an illustration of the fact that a substance in its crude form may have no medicinal powers, but when highly diluted may develop some of the most remarkable remedial quali- ties. Sulphur is called for in these troubles when there is faint spell everyday between 10 and n a. m. The top of the head is hot and aches. There are flushes and the feet are so hot that they must be uncoyered at night when in bed. The following are a few of the more frequently indicated homeopathic remedies for malarial fever: Apis, Arnica, Arsenicum, Belladonna, Bryonia, China, Eupatorium perf., Gelsemium, Ignatia (thirst only during chill), Natrum Mur., Podophyllum, Pulsatilla, Rhus Tox, Sulphur and Veratrum Virdie. For particular indica tions for each remedy, see Materia Medica in Part II. DENGUE FEVER. This is an acute infectious disease which was first noticed in Java about a hundred years ago. It first appeared in America ROGERS' HOMEOPATHIC GUIDE. 61 after the landing of a cargo of slaves from Africa. It has been called African fever, also break-bone or dandy fever. It is confined to the tropical and subtropical regions. Epidemics have recently prevailed in Egypt and Texas. Many regard it as highly con tagious. It is conveyed by ships and along railroads. It usually attacks every member in the community in which it appears, ex- cepting those who have previously had the disease. The particular germ that produces it has not yet been determined. Some think that the disease is a mild form of yellow fever, while others would class it with malarial. Symptoms.—The attack sets in gradually, with headache, watering of eyes, chilly feelings and intense aching pain in the joints and muscles. The most distressing symptom is the break- bone pains, which is more agonizing than in any other disease. Even more severe than those of small-pox and yellow fever. The neuralgia or rheumatism element is the most prominent feature of the disease. The fever rises gradually and may reach 106 or higher on the third or fourth day. It then gradually subsides dur- ing the next two or three days, after which there is all the appear- ance of convalesence, only to be followed within a few days by an- other paroxysm perhaps more severe than the first. In its remis- sion it reminds on of relapsing fever. Between the two paroxysms, about the fifth or sixth day from the beginning, an eruption breaks out, often resembling measles, but of no uniform character. It is peculiar in that it first appears upon the palms of the hand, then upon the neck and then extends downward over the rest of the body. The eruption may at times resemble that of scarlet fever. The swelling of the glands is a feature quite peculiar to dengue and distinguishes it from many other diseases with which it might be 62 ROGERS' HOMEOPATHIC GUIDE. confounded. First those in the groin swell and then those under the arm and about the neck. They enlarge rapidly and become very tender. They remain swollen until all the other symptoms subside. The stiffness of the joints and the prostration that follows the disappearance of the more violent symptoms are very marked. Treatment.—While the disease is rarely if ever fatal, it re- quires treatment. In the beginning, Aconite: if brain symptoms are prominent, Belladonna; for the vomiting, Ipecac; forthe wander- ingpains, Pulsatilla; for the fixed local pains, Rhus Tox; and dur- ing convalescence, China. INFLUENZA (La Grippe). The grip, as popularly called, is an infectious disease, in which catarrh of the mucous membranes is usually a prominent symptom. The disease has been known for several centuries under different names. Several epidemics have occurred which have swept over the whole civilized world within a remarkably short period. Within a few weeks it has spread over an entire continent. Epidemics oc- curred in 1833, 1847-48,1889-90 and also 1890-91. Many of the epi- demics have started in Russia, from which fact it has sometimes been called the Russian fever. In October, 1889, it appeared in St. Petersburg and two months later it was epidemic in America. This reminds us that the cholera epidemic of '92 proceeded in a similar manner. The real cause of the disease is as yet undetermined. A germ resembling that of pneumonia has been frequently found in grip cases. Symptoms.—Resembles those of any ordinary cold in which there is fever, dryness and stuffiness ot the nose, along with con- siderable catarrh of the throat and lungs. There is usually at the ROGERS' HOMEOPATHIC GUIDE. 63 outset severe headache and pain in the back and limbs, along with general soreness. This feature reminds one of small-pox and den- gue fever. Delirium may be great. A common characteristic of the disease is to manifest itself at the weakest point. Whether it be the heart, the lungs, the kidneys, or some other organ. Latent weaknesses are invariably aggravated and for this reason, sooner or later, fatal results often follow the disease. Pneumonia is one of its most frequent and fatal complications. Abscesses of the brain and of the lung have followed it; also, mental derangement. Fatal Bright's disease has suddenly developed as one ot its direct alter effects. Weak hearts have frequently and suddenly given out under its influence. Catarrh of the stomach and intestines, causing diarrhoea, are often prominent symptoms. Treatment.—As a rule, a person in whom every organ is sound, has little to fear from this disease, but those in whom there is any weakness may be affected seriously. Every case should be treated as a serious one. The patient should be put to bed and kept there until the fever has completely disappeared. Going out too soon while convalescing from this disease is very likely to be fol- lowed by a relapse worse than the original attack. The person who tries to keep on at his work while having the grip makes a very great if not a fatal mistake. Between the last epidemic and the one preceding it there was an interval of more than forty years. Therefore when the epi- demic of 1889 and '90 appeared but few of the physicians in practice had ever seen a case of the grip. A remarkable opportunity to ;ompare the merits of the old and new school treatment was pre- sented. The allopaths had no invariable law to guide them. Their prescriptions were necessarily crude experiments and it is not 64 ROGERS' HOMEOPATHIC GUIDE. strange, therefore, that the mortality under their treatment was en- ormous. On the other hand the advantage of the homeopaths having a universal and unvarying law by which to guide them was more apparent than ever. The homeopaths took hold of the disease as readily and were as successful in treating it as if they had always been familiar with it. They were as successful in the beginning of the epidemic as they were at its close. Their mortality was nothing compared with that of the old school. In Buffalo, N. Y., statistics show that the allopathic mortality rate was six times as great as the homeopathic. The cases that had homeopathic treatment exclu- sively were rarely complicated or followed by serious after effects. The secret of the homeopath's success was that he knew his Ma- teria Medica and whatever symptoms were presented he found r_o difficulty in finding a remedy that was adapted to them. While the contrast between the two schools was strikingly presented in that epidemic it must not be forgotten that the same difference always exists. The universality and flexibility in its application of the homeopathic law enables the homeopathic prescriber to more readily adapt the remedy to the case, no matter what it may be, nor does it make any particular difference in the prescription whether or not he has ever seen another case like it. At the beginning of the last epidemic every homeopathic physician in general practice treated many cases successfully before he knew he was really treating the grip- Remedies.—A significant fact is that after the epidemic was over when Drs. Smith, Jones, Brown and others came to compare notes, they found that notwithstanding their respective fields of practice were located thousands of miles apart, their treatment had been substantially the same. They had given Bryonia more ROGERS' HOMEOPATHIC GUIDE. 65 often, perhaps, than any other remedy; because the symptoms ot the disease more often corresponded to those found in the Materia Medica under Bryonia. They also found at times Gelsemium, Eupatorium, Rhus Tox or Belladonna indicated, and gave each when indicated, with equally good results. We saw congestion of the brain, with high fever and delirium, speedily relieved by Veratrum Virdie. Camphor taken at the beginning of the attack lightened and shortened it. Nux Vomica was also valuable as a preventive of the disease. In the next epidemic other symptoms may call tor other remedies, which can readily be determined by a study of the Materia Medica, Part II. MUMPS. This is an infectious disease which manifests itself by an inflam- mation of the parotid gland, which is located just back of the angle of the jaw and in front of the lower half of the ear. The particular germ always present in this disease has been described. Mumps occurs as an epidemic; more prevalent in the spring and autumn. It is more common in children and youths. Very young children and adults usually escape it. More frequently met among males than females. Symptoms.—The disease appears two or three weeks after exposure to the infection. There is a slight fever, about 101. The child complains of a pain just in front of the ear on one side. A slight swelling is noticed at that point, which gradually increases for forty-eight hours. At the end of which time the side oi the neck and face are considerably swollen. The glands under ths jaw may also become much swollen. Within a day or two the other side of 66 ROGERS' HOMEOPATHIC GUIDE. the face and neck become involved. The patient finds it difficult to eat or talk. The swelling subsides in a week or ten days. Occasionally the disease is severe. In which case there may be high fever, delirium and great prostration. Within a few weeks we have had three such cases under our care. Each case seemed to be a relapse, from exposure during convalescence, from the first attack. But instead of the parotid gland the testicle was the seat of pain and swelling. The suffering was great. In females it oc- casionally affects the breasts and ovaries. Treatment.—The diet must necessarily be liquid. The lighter and less stimulating it is the better. The patient should re- main quiet within doors and free from exposure. In case of great swelling of the testicle with severe pain we have seen prompt re- lief from the following evaporating lotion: Mix two drachms of the Muriate of Amonia, two ounces of alcohol and two ounces of water; apply by saturating a thin piece of gauze and loosely wrapping it about the part. The chief internal remedy is Mercurius. Its tendency to act upon the glands is well known. Aconite, Bella- donna and Pulsatilla may be needed. The iodide of mercurius is probably the best form in which to use the drug. We saw the most happy result follow a few doses of Belladonna in a case where there was delirium and a scarlet red face. Pulsatilla is Lkely to be peeded in case of complications in females. WHOOPING COUGH. The name of this disease indicates the character of its cough. The "whoop" is produced during a prolonged drawing in of the breath, A germ has been found with the disease which.when cultivated and inoculated into animals, produces a catarrhal condition not unlike ROGERS' HOMEOPATHIC GUIDE. 67 that which accompanies the disease in the human subject. Whoop- ing cough usually prevails in the winter and spring, often preceding or following an epidemic of measles. It occurs more frequently among children between six months and six years. Girls are more liable to have it than boys. In this respect it is the opposite of mumps. Young infants and the aged may have the disease and re- sult fatally. The death rate among negroes is twice as great as it is among the whites. It will be remembered that in yellow fever the reverse is true. Symptoms.—The attack comes on within a week or ten days after exposure. At first the patient seems to have only an ordinary cold, There is slight fever, the nose runs and the eyes are red. There is usually a dry, spasmodic cough. After a week or ten days more the peculiar "whoop" is heard. The fit of coughing begins with a number of short coughs in rapid succession, leading up to the "whoop." A little stringy mucus is discharged as a result of the coughing or vomiting. There may be but a few fits of cough- ing a day or in severe cases there may be several. During a fit of coughing the face gets blue, the eyes stand out and suffocation threatens. But at this juncture the air which was temporarily shut off enters the lungs with a deep crowing sound called the "whoop." Children soon learn to dread the fit or paroxysm of coughing and endeavor to escape from it when they feel that one is coming on. After continuing three or four weeks the symptoms gradually sub- side. One attack prevents a second. It is much less contagious than measles. Rarely carried by clothing. Excessive vomiting and diarrhoea complicate the disease. Fatal hemorrhages have occured during the fits of coughing. Pneumonia is one of the worst com- plications, In England it ranks third among the fatal diseases of 68 ROGERS' HOMEOPATHIC GUIDE. children. The general mortality rate is from 3 to 5 per cent. But the rate among children during the second \ ear has reached as high as 48 per cent. Whooping cough is, therefore, a more serious disease than is commonly supposed, and should be carefully treated as such. At this point we are reminded of the death of a beautiful boy one year of age from whooping cough. Up to that time the parents, and the writer, too, had shared in the popular belief that it was a mild affection and underestimated its gravity. The disease in this case progressed with less attention than it would have re- ceived had it been something else. An uncontrollable vomiting and diarrhoea set in, the result ot braki disturbances, and death soon followed. Treatment.—There should be protection from cold and everything else likely to aggravate the trouble. The diet should be light and unstimulating. A vegetable diet is best. The less meat the better. Any food hard to digest should be avoided. The reme- dies required in the first stage are the same as would be indicated in any case of cold, catarrh and cough. The following will be fre- quently needed: Aconite, Pulsatilla, Mercurius, Belladonna, Nux Vom., Ipecac. Belladonna given persistently from the beginning of the attack until the end is all that is necessary in some cases. During the second stage the following may be indicated: Arseni- cum, Drosera, Tartar Emetic or Veratrum Alb. During the third or convalescing stage after the whooping has disappeared and there remains only a dry, hacking cough, Phosphorus will be ot service. Coldness, paleness, weakness, thirst and worse about midnight will suggest Arsenicum. Attacks ot coughing in rapid succession, with warm perspiration on forehead, Drosera. Vomiting with every coughing spell, Tartar Emetic. Coughing and vomiting spells in ROGERS' HOMEOPATHIC GUIDE. 69 which the child falls over from exhaustion and in which the fore- head is covered with cold sweat along with diarrhoea, will indicate Veratrum Alb. ASIATIC CHOLERA. This most fatal disease is now known to be caused by a germ called the comma bacillus, discovered by Dr. Koch in 1884. Its most striking feature is the vomiting and purging. Volumes could be written upon its history. It has prevailed in India from a remote period, but not until the present century has it appeared in Europe and America. In 1817 36,000 persons in Calcutta were attacked with the disease within three months. An English army of 90,000 men, marching through India, lost 9000 within twelve days. For the next fifteen years from that date cholera proceeded, for the first time, westward, by a series of epidemics, until it had reached nearly every portion of the civilized world. It reached America for the first time in 1832 by Quebec, also by New York. There were re- currences in 1835 and '36. In 1841 another great epidemic broke out in India. It reached Europe in 1847, spreading through Russia first, and then Germany, England and France. America was reached in 1848 by way of New Orleans, spreading up the Missis- sippi Valley and across the continent to California. .It appeared again in 1849. A third great outbreak occurred in India in 1850, entering Europe in 1853. In 1854 it was introduced into New York by emigrant vessels and a severe epidemic spread extensively over North and South America. In 1865 the disease appeared in Arabia and Egypt, crossed to Constantinople in July and reached England in the autumn. The following year it ap- peared in America. In 1873 lt again reached the United States, but 70 ROGERS' HOMEOPATHIC GUIDE. did not prevail extensively. In i884 there was another outbreak in Europe. During the summer of 1892 it prevailed extensively in Russia, causing, perhaps, 100,000 deaths. Later in the summer it was epidemic at Hamburg. A large number of cases occurred in France and a few cases reached England. There was also a num- ber of deaths on board of emigrant vessels which arrived in New York. The rigid quarantine and the cold weather arrested it for the time being. Whether it will become epidemic or not the coming season, during the Columbian World's Fair year, is the question of the hour. Cholera is not so highly contagious as measles or small-pox, but more like typhoid fever. Physicians, nurses and others in close contact with the patient do not, as a rule, take the disease. Impure drinking water is believed to be the chief source of the infection. In this respect it is similar to typhoid. Some maintain that certain conditions of the soil favor its development, especially when a very dry spell follows a very wet one. Hot weather favors its de- velopment. Yet most epidemics in America and Europe have oc- curred in late summer and autumn. It occurs less frequently in high altitudes. It attacks persons of all ages and particularly those who are intemperate and debilitated by lack of food and proper hygienic surroundings. One attack does hot prevent a second. Symptoms.—The disease manifests itself from two to five days after the infection has been received into the system. There are three stages. Tne preliminary diarrhoea, the collapse stage and the period of reaction. The preliminary diarrhea is usually preceded for a few hours or for a tew days by colicky pains, with a rumbling in the abdomen. Nausea, vomiting, looseness of the bowels and mental depression are not uncommon, but the prelimi- ROGERS' HOMEOPATHIC GUIDE. 71 nary diarrhoea or first stage may set in abruptly without any of these warnings. This diarrhoea is usually mild and painless, such as might come on after any little indiscretion in diet and is ant to be considered a matter of no importance. But it continues and in the morning or middle of the night the second stage is ushered in by a profuse diarrhoea in which the discharges pass away in a stream. After one or two evacuations the discharges loose their customary odor and color, becoming " rice water " like in appear- ance. There will be from three to twenty evacuations a day. With each evacuation there may be vomiting of matter resembling that evacuated from the bowels. As a rule the patient suffers none of the distress usually incident to vomiting or diarrhoea. Rapid ex- haustion comes on, with an unquenchable thirst. The pulse is very rapid; the skin shrunken, cool or clammy, and the extremities blue. The complexion is ashy grey, the nose pinched, the cheeks hollow and the eyeballs sunken in their sockets. The temperature in the mouth will be from five to ten degrees below normal, while that of the rectum is 103 or 104. The temperature under the arm may fall to 72, while that of the rectum is above a hundred. The patient does not complain of feeling cold. The sweat makes the patient appear colder than he really is. Headache and dizziness are some- times present. The tongue is white. There are severe cramps in the legs and feet which cause the patient to shriek. The breathing is irregular and of a sighing character. The patient gasps for breath. Air expelled from the mouth is cold. The voice becomes hoarse, or there is only a husky whisper. The mind is usually clear throughout, but the patient does not realize the gravity of his case. He has no fears. Thete is no saliva in the mouth and the urine is suppressed. Possibly a few albuminous drops may pass. Later the V- ROGERS' HOMEOPATHIC GUIDE. discharges may be less frequent and have the odor of decayed fish. This stage of collapse may last for forty-eight hours and yet the patient recover. If recovery does take place the thira or reactive stage now sets in rapidly. The blueness gradually disappears. Warmth returns. The heart action becomes stronger and the pulse becomes perceptible. The urine increases. The irritability of the stomach subsides. The stools are less frequent. But relapse and death may occur during this stage. The condition known as cholera typhoid often occurs after several days of apparent con- valescence. The patient becomes delirious and presents many other symptoms common to typhoid. A fatal poisoning may occur from a failure of the urine to secrete. Numerous other complica- tions may occur. Death may occur within twelve hours from the beginning of the attack. Death may occur without any great evacu- ations from the bowels. Cholera need not be confounded with any other disease. A case of poisoning will have great distress from vomiting, while cholera has none. The stool in case of poisoning will be mucous and blood stained. Those of cholera are of a " rice water " character. In a case of cholera a microscopical ex- amination of the discharges will reveal the presence of the specific germ of cholera. The death rate in cholera, under old school treatment, ranges from 30 to 80 per cent. In the epidemic of 1832 in Germany the allopathic mortality rate was over 31 per cent.; the homeopathic rate under 7 per cent. In the epidemic of 1848, in Scotland, the allopathic death rate was 84 per cent., while that of the homeo- paths was 24. In 1849, i° Cincinnati, the homeopathic rate was less than 4 per cent., so low and so unusual that it was publicly ques- tioned and investigated. The fact was verified. Last year, in ROGERS' HOMEOPATHIC GUIDE. 73 Hamburg, the homeopathic loss was less than 5 per cent., while the allopathic was over 42. Totai average, allopathy, 51.3; homeo- pathy, 8.8. Before Hahnemann ever saw a case of cholera he predicted correctly the remedies that would be found most useful in the dis- ease. Any one who understands the homeopathic law and who is thoroughly familiar with the homeopathic Materia Medica can do the same in respect to any disease he has never seen or treated, provided he is given an accurate description of the symptoms that accompany it. Treatment.—In cholera times all drinking water should be boiled before using; milk or any other liquid should be treated in the same way. All food should be cooked and care taken not to overeat. Excessive mental and physical exertion should be avoided, as well as stimulants and late hours. If any looseness of the bowels occur the patient should go to bed immediately and remain there quiet until over it. Diarrhoea of any kind is more quickly overcome by abstaining entirely from all food. In no other disease is prompt action more important. Much can and must be done before the physician arrives. Every person attacked with colic, diarrhoea, vomiting or any other symptom suggestive of cholera, should at once take Camphor. Put one drop of the tincture upon a lump of sugar and repeat the dose every fifteen minutes until relief is certain. Very of ten *no other remedy will be required. Camphor, given at the beginning, is in- valuable. Later on in the disease it is useless. A bottle of homeo- pathic pills, medicated with camphor, should always be carried with one during the prevalence of cholera. The particular symptoms calling for camphor are as follows: Nose cold and pinched; cold 74 ROGERS' HOMEOPATHIC GUIDE. sweat on face, with vomiting; tongue cold, flabby and trembling; terrible anguish and burning at pit of stomach driving to despair; anxiety and restlessness; feeling as if cold air was blowing on parts covered; eyes sunken and fixed; sudden sinking and loss of strength; icy coldness of the whole body; lips purple and drawn; pulse scarcely perceptible; cold extremities; very sensitive to cold air, skin becomes very cold; cold, clammy, weakening sweat; sigh- ing respiration. If Camphor fails to arrest the disease Veratrum album is the next remedy generally indicated. The special symptoms calling for it are: Cold sweat on forehead; diarrhoea frequent, pro- fuse and gushing, with severe, pinching, colicky pains; rice water discharges; purging and vomiting simultaneously; frequent watery vomiting, especially after drinking; cramps in calves and fingers; constant desire for cold drinks and acids; violent colic and rumbling in abdomen; skin in palms wrinkled; great weakness after vomiting, faints; blue lips and great dark circles about the eyes. Cuprum is indicated where the cramping is especially prominent. Cramps occur not only in the calves, feet, toes and fingers, but in the stomach and chest. The face is distorted and the voice is lost. There is difficulty in swallowing; the breathing, labored, and the urine, suppressed. When the skin is pinched up it remains in the same position, inelastic. Cuprum is the best pre- ventive of cholera. When cholera is prevailing take half a dozen pellets of Cuprum 6x every other day. This remedy is prepared from copper. It is said that those who work in copper usually es- cape the disease. Copper plates have been worn over the abdomen as a preventive. ROGERS' HOMEOPATHIC GUIDE. 75 Arsenicum is indicated when the attack comes on suddenly with great prostration and restlessness. Great burning in the stomach, with intense thirst and vomiting as soon as drink is taken are strong indications for this remedy. Carbo Veg is indicated when the cramps and discharges have ceased and the patient lies in a stupor, pulseless; a perfect picture of collapse; cold tongue, cold breath and cold all over. It is said to have saved many cases in the last stage, when death seemed inevitable. The 30 x is the best form in which to give it. During convalescence symptoms for a number of remedies may occur. Bryonia and Rhus Tox are frequently indicated in the typhoid form. China is often of service during convalescence. It is always indicated after any great loss of vital fluids. It should be remembered that two much camphor can be given. During con- valescence nearly as much care is needed in feeding as during re- covery from typhoid. The same directions will hold good in both cases. Over feeding in either case may cost a life. Washing out the bowels several times with two or three quarts of warm soap suds has recently been strongly advocated. The measure com- mends itself to us as being at least a useful aid, since soap is one of the best disinfectants. It must not be forgotten that the same care in disinfecting the discharges and soiled linen in a cholera case as are needed in a case of typhoid. Here again the same directions will answer for both. Ipecacuanha.—May be indicated in the milder cases where nausea and vomiting are the most prominent symptoms. The matter vomited and the stools are grass-green. 76 ROGERS' HOMEOPATHIC GUIDE. ERYSIPELAS. Many erroneously regard as erysipelas any redness of the skin accompanied with heat. True erysipelas is an acute inflammation of the skin, caused by a germ which is identical with one of the germs that produces pus. The inflammation may occur on any part of the body, but is more frequently found on the face. The disease is more prevalent in the spring and more likely to occur in old buildings with unhygienic surroundings. It is contagious and may be communicated by a third person. It does not possess a high degree of contagiousness. One may be inoculated with it. The infection may cling to the walls, furniture, bedding and other articles of a room that has been occupied by an erysipelas patient. Persons with wounds of any kind are more likely to take the disease. Women who have recently been confined are very susceptible to the contagion. A physician should not take care of a confinement case and one of erysipelas at the same time. Many persons are accustomed to repeated attacks of the disease; recurring every year or two. A number of complications occur which may termi- nate fatally. Symptoms.—The disease manifests itself from two to seven days after exposure or contact with the infection. There is usually a seyere chill, followed by a rapid rise of temperature.. At some point the skin will be slightly reddened. This will increase and within twenty-four hours the skin will be red, shiny and swollen. The inflammed skin will be clearly marked off by a difference of color from that which is not. The outer layer of the skin is often raised in .blisters containing water or matter. If the disease is Ioc ted on the face the swelling will begin on one side and extend ROGERS' HOMEOPATHIC GUIDE. 77 to the other, perhaps, closing both eyes during its course. Even in mild cases, the face, including eye-lids and ears, is enormously swollen and so distorted that the patient is scarcely recognizable. The parts first affected gradually become pale, while other parts are becoming inflamed. The fever remains high without intermis- sion for four or five days. The disease may extend to distant parts. Various complications may occur. In severe cases there may be delirium. But the presence of delirium does not always indicate brain complications. Persons who are otherwise in good health rarely die from the disease. Treatment.—The patient should be isolated. Many cases will recover without any treatment. The diet should be light and unstimulating. No meat should be allowed. Here, again, the homeopathic treatment is infinitely superior to that of the old school. Belladonna is especially indicated in erysipelas of the face when the color is a bright red. Other symptoms indicating this remedy are: A throbbing headache; delirium; congestion tcJ the head; skin smooth, red and shining; redness begins in small spots and extends in streaks; light and noise unbearable; worse at 3 p. m. Arsenicum is indicated when the skin has a blackish hue, along with this condition there is: Great prostration; great thirst; great restlessness; burning pains; worse about midnight. Rhus Tox is also frequently needed for the little watery blisters and the intolerable burning, itching and tingling. We have seen persons who were subject to repeated attacks, cured by Sulphur. Not only cured, but the duration of the attack was only one-fourth of the usual time. Other remedies are often indicated. We recall a case where there was delirium and incessant talking. A single prescription of Stramonium 200 speedily cured it. 78 ROGERS' HOMEOPATHIC GUIDE. BLOOD POISONING. The scientific names expressing the conditions known com- monly as blood poisoning, are Septicaemia and Pyaemia. Blood poisoning is due to the absorption of poisonous material produced by bacteria. The particular germs are known as streptococci and staphylococci. Within a few hours after a wound there often occurs a fever, rising rapidly to 103 or 104, but quickly subsiding. It is not preceded by a chill and no serious constitutional disturb- ances take place. It is supposed to be caused by the absorption ot certain ferments from the blood. But when the products ot the putrefactive germs are absorbed through the wound, a chill occurs twenty-four or forty-eight hours after flie accident or operation. The fever rapidly rises to 103 or 104. The pulse is quick. Head- ache, restlessness and delirium are common. The tongue is dry and glazed. The symptoms vary according to the amount of poison absorbed. When the germ, as well as their poisonous products, enter the blood, we have still another phase of blood poisoning. Child-bed fever and dissecting wounds are examples of this form of septi- caemia. The symptoms usually set in within twenty-four hours and never later than the third or fourth day after the injury. There is, at first a chill or chilliness, with thirst and moderate fever, which gradually rises. Remissions and intermissions may occur. The pulse may reach 120. Stomach and bowel disturbances are com- mon. The tongue is red around the border, but dark and dry on top. The face becomes palid and yellowish. The mind becomes weak or delirious. Death may occur within twenty-four hours, Fatal cases usually terminate within seven or eight days. ROGERS' HOMEOPATHIC GUIDE. 79 Pyaemia is that form of blood poisoning in which the blood is contaminated by the pus producing microbes. Little particles of pus loaded with germs from a suppurating wound or ulcer enter the circulation and are carried to distant parts, where they lodge and abscesses develop. The new abscesses may form in the lungs, liver, spleen, kidneys and even in the heart and brain. Symptoms.—The onset of this form of blood poisoning is marked by a severe chill, followed by high fever. This, in turn, is followed by profuse sweat. The chills are repeated every da^ or every other day. During the intervals there may be slight eleva- tion of temperature. There is loss ot appetite, nausea and vomit- ing. If the lungs is the seat of a new abscess there will be a cough and difficulty of breathing. It it is remembered that the first chill of pyaemia never occurs before the second week after the injury, there will be no danger of confounding it with septicaemia, which always manifests itself within the first three or four days. The irregular intermittent type of fever, with almost hourly variations, are peculiar to pyaemia, while in septicaemia there are no such fluc- tuations. The mind is clear and emaciation progresses rapidly. Chronic pyaemia may be prolonged for weeks and months. In acute attacks a fatal termination is usually reached within a week or ten days. Treatment.—Blood poisoning will rarely occur if ordinary precautions are taken to use those means which are now known to prevent the infection of wounds. The antiseptic treatment of wounds has almost made blood poisoning a thing of the past in hos- pitals. The first step in the treatment of all forms of blood poison \ng is to cleanse the wound or ulcerating surface. The thorough evacuation of the pus from the abscesses, when- 8o ROGERS' HOMEOPATHIC GUIDE. ever possible, is followed with the most satisfactory results. Our old school authorities have little or nothing to offer in the way of internal medicines beyond carbonate of amonia and digitalis when the prostration is great. The same authorities recommend alcohol in large quantities. The following homeopathic remedies are often of value: Arsenicum, Belladonna, Bryonia, China, Carbo Veg, Lachesis, Phosphorus, Rhus Tox, Verat- rum Virdie. ♦ ANTHRAX. This disease is also known by the names: Malignant pustule. splenic fever, charbon and wool sorters disease. It is a wide-spread disease among animals, occuring more particularly in cattle and sheep. In man it is accidental, as a result of absorption of the virus containing the germ, bacillus anthrax. Anthrax is the most wide-spread of all infectious diseases. While rare in America it is very prevalent in Europe and Asia. The ravages among sheep is not equalled by any other plague. Animals have been successfully protected from the disease by vaccination. The germs enter through the skin, the intestines and the lungs. The disease is found in those whose work brings them in contact with animals or animal products. Symptoms.—When the infection enters through the skin there is a slight itching and burning at the point of entrance. A pimple rapidly develops, on the crest of which there is a little watery blister. Under the blister there is an eroded point. The skin around this point is greatly inflamed and swollen. Other pimples and blisters form in the same vicinity. The inflammation extends to the neighboring glands and keeps on extending until the whole system is intoxicated with the poison; finally resulting in death ROGERS' HOMEOPATHIC GUIDE. 81. in-from three to five day. jThere is.a form in which there are no pimples, but simply extensive swelling, which ends in gangrene and visually deathn^c io j ,•■,.-„.■ „.J„illl) .„ij ,,,..... to The.germs, may enter the intestines by means of the milk and taeatof animals,affected with the disease. The symptonis are then those ot intense .poisoning. There may be a chill,; vomiting or diarrhoea; alsopain, in,back .and. legs, difficult breathing, livid ap- pearance, hemorrhages and, convulsions., . Of twenty-five persons who ate meat injected, with this disease six died within forty-eight >,-; Treatment.—The prompt cauterizing or removal of, the part; affected, with the knife, when practical, is. an approved treatment wJaenihe infection is through the skin,- '..„-, r t/«i, ..m«-L ,,-. Injections of teu per cent of carbolic acid about the^ point affectedris also highly recommended. One case has been reported cuired,,by. Laches is. The remedies indicated in carbuncle would likely be.applicable in this disease, .;^„;„ .,.,,,u ^„, ... «/.iii JnoiJ^M -.JJ U Willi 1., - ■ MO -ill . H . i»J*>y. -1.,-jlJyIa ... i„;.....HYDROPHOBIA. .,,„,, .„.„_,% a^ This disease; belonging to animals, is frequently communicated to mart by inoculation. It is,more, often met in the dog. wolf and eat. j Lt may affect any of the other animals, wild or domestic. It is also known by,the..names of lyssa and rabies. It posseses, the characteristics, of other..germ diseases and no doubt is caused by a bacilklS.f -\) -l^,,,,!; .,- e.\ * ,; io.ii so i I The period between the introduction of the virus, and the de- velopment of the symptoms varies according to the ,agek the part bitten,-the extent pfthe wound and, the, animal, that communicated the,in£eotion.i. They .develop sooner in children.,, Wounds about 82 ROGERS' HOMEOPATHIC GUIDE. the face are most serious; next those on the hands. The punctured wounds are the more dangerous. The severity depends directly upon the amount of laceration and the extent of surface afforded for absorption. The most virulent infection follows the bite of a wolf, the cat next and third, the dog. Only a small per cent, of those bitten by dogs become affected by the disease. Symptoms.—May be divided into three stages. Preliminary, furious and paralytic. During the first stage there may be irrita- tion, pain or numbness at the point bitten. The patient is depressed and gloomy. There is headache and loss of appetite. The patient is irritable, sleepless and in constant fear of something. A bright light or a loud noise is distressing. The throat is reddened and there is difficulty in swallowing. The voice becomes husky. The tem- perature and pulse rise but little above normal. The second ox furious stage is marked by great excitability and restlessness. The least thing will provoke a spasm of the muscles of the throat. Swallowing is so difficult that the patient dreads the sight of water. During the spasms of the throat the patient may be maniacal, but in the interval between, the mind is clear. The patient rarely attempts to injure the attendants. The second stage lasts from thirty-six to seventy-two hours, and gradually passes into the third or paralytic stage, when the patient becomes quiet, the spasms do not return, the hearts action becomes feeble, and death takes place usually on the third day and always before the seventh. Treatment.—The best preventive is to muzzle the dogs. The wound should be cauterized with caustic potash or carbolic acid. A wash of the permanganate of potash has been recommended. We have been accustomed to use it on all wounds produced by a dog bite. Five grains put into half a glass of water will make the beau- * ROGERS* HOMEOPATHIC GUIDE. 83 titul pink solution used so extensively as a gargle for the throat. Its disinfecting power has been proven to be very great. Good authorities say that a genuine case of hydrophobia has never been cured. When a case becomes hopeless put the patient in a dark room with as few persons about him as possible. Chloro- form and morphia are the best paliative drugs. Cocaine applied to the throat will diminish the sensibility sufficient to allow the patient to take liquid food. The Pasteur preventive treatment of rabies by inoculation has passed the crucial test and deserves to be ranked with vaccination for small-pox. Statistics show that it pre- vents the disease in 904 cases out ot 1,000 bitten by dogs known to be mad. There are a number of homeopathic remedies which would ap- pear to be indicated in this disease. Chief among them is Bella- donna, which is said to have not only curative, but preventive qualities. As soon as one is bitten, this remedy should be given in small doses every third day. Hyoscyamus and Stramonium are also indicated. LOCK-JAW (Tetanus). This disease is characterized by severe spasms of the muscles, It is caused by a bacillus which is found in the eaith and sometimes in putrefying substances. It frequently follows a punctured wounl of the hand or foot, but it may occur in persons who have received! no wound. The injury is usually slight and receives but little atten- tion at the time it occurs. The disease, as a rule, appears within two weeks after the injury. The germ that produces the disease has been identified and cultivated. Symptoms.—The patient complains at first of a slight stiff- 64 ROGERS'1 HOMEOPATHIC GUIDE. -ness-of the- rlecktor'difficuityin'movmg^his jaws--freely*. Ghilly ^dftsa1- tions and real ChHla may occur ."Gradually spasms* d the'mtisbres 'oi'the'ne'Gk^Lnd! chest •predwee'-the 'condition known as'lock-jaw. The'-eyes- and<-mouth' may'be7 rmich'distorted. f Each time the par6rfcysms,indude-morMriu5el«s,» 4-,.., ..; .><.^„ .■ ■■< -.>nj, Treatment.—The patient should be placed in a dark" and qui eft1-place.-:,! It cmfey"be nfeteessary ib ^ed' hhn 'by the-rtefctum. Thk-spasm-should'be Controlled* -by chldrotarrnv :The -forrowing ^ldrweopathk' remedies' mafybe'-indicated:'' Aconite, Arnica, AWerfr- cum,BeHaIdbh^a>Ghamomiila; Ignatia/ Rhus Tox,-Nux Vorri.' and many1 others^ Chloral4ia,s:"been:Mise1d succesfefnlryj ■-"- c- -* ■'' ;l SYPHILIS. This disease, vfiIgaVfyiocailedvpVx, nas' existed from Mosaic (Hmt^'andbelbngsex^lusrvely-to'tne'Kurna'n'Tace: If ^propagated andT'perpetuated by -ifroculatiorl ^anti"''by "hereditary Hfansmission. The pdmt-cf inoculation1 %<. Usually tpbn the "privates; but may be elsewhere; lips,'nipples- txr "hands.*' Inoculation upon the hands is genera-lfy'accidental and'is a ■misfortune'that ■sorrietirries rjefaHphy- sidians' itt-the petformance^of'^TieiT'Uegitirnate; professional duties. Wet'hurses sometimes''gite^'or refceive1 the dfeedseWfi rough-the nipples. The most common way by^\1irch'tne'drsease-rs:cbmmu'ni- c%tedJJ&iby sexualcbrrtatv^itlv'brte'haVing'trie dtsftirs"^ ,n ■ ihf former ROGERS'^HOMEOPATHIC GUIDE. 85 times,.before the day of vaccination...with iivor.y points,,the .disease was sometime&communicatedby.means.of infected humanized virus used in vaccination. ■- Contagion from bovirfe-virus, is not possible,, because animals cannot be inoculated with syphilis; even monkeys will not take the disease. The disease may be inherited from an in- '""Ift-' Uarr .. .'■■■•■ ai..ri« ,,» „»t,^7 ..,.' .,♦ K«v> .Hurl . -rf -it tr fected father; the mother being free. It is a fact, that a woman who has born a syphilitic child is thoroughly protected against the dis- ease as if by vaccination. In one case, a man who has but recently had the disease may become the father of a healthy child, while in another the child may be syphilitic though the father has had no signs of the disease for years. The rule is that the longer the in- terval between the date of inoculation of the father and that of the birth of t?he child, trie less likely is the child to inherit 'trie disease. A man who has had thorough treatment arid has;been free from all signs'of the disease for three or four years,'is not likely to trahs: mit it. "A man who lias symptoms of the third stage of'the dis- ease may have healthy children. A woman who' "has acquired the d5sea.se will likely bear ^unhealthy children,' though the; father be free. When both parents have had' the disease the probability of the children inheriting it is much greater. It should be noted that the first born are more likely to have the disease-than-the second-or thitfd child* ; We have, -known • of-iaai in- stance where the father was diseased and -the mother was not. The first six children died soon-after birth from hereditary syphilis, tout the next six -were healthy and—lived.' The -Colles'nlaw. regarding syphilitic h%fectioii.is as follows: A.ehild born of a mother who is without obvious syfjhlitic symptoms, and ; which/without being ex-, posed to any-infection--subsequent to its -birth/shows this disease when a few-weefcs-jold^thi^-child will infect the-most-healthy,nurse 86 ROGERS' HOMEOPATHIC GUIDE. whethef she suckle it or merely handle or dress it; and yet this child is never known to infect its own mother, even though she suckle it while it has syphlitic ulcers on the lips and tongue. The disease has all the characteristics ot a germ disease, which it is now believed to be. There are three well defined stages of syphilis, known as the primary, secondary and tertiary. The first stage extends over a period varying from six to twelve weeks. With the termination of the first stage the second stage begins and con- tinues from two to four years. The dividing line between ths sec- ond and third stages is not so distinct. The duration of the tertiary stage is unlimited. It may continue twenty years. Symptoms.—On an average, three weeks after exposure to the disease, at the point where the virus was absorbed a small red pimple forms, which gradually enlarges and breaks, leaving an ulcer consisting of a cup-shaped depression, situated upon an elevated and inflamed base. The flesh bordering the ulcer becomes hard and gristly, from whence the ulcer gets the name, hard chancre. The size of the ulcer varies and may be so small as to be over- looked; especially is this likely to be the case when it is located in the water passage. Glands within the vicinity of the ulcer enlarge and become hard. If the chancre is upon the privates the glands in the groin will be the ones affected. If the lips be the seat of the chancre the glands beneath the jaw will be enlarged, and those under the arm; in case the ulcer is upon the nipple or hand. During this stage the general health of the patient is good and he suffers no inconvenience from the ulcer. The swollen glands are painless, a point that dis- tinguishes the disease. The name bubo is applied to a swollen ROGERS' HOMEOPATHIC GUIDE. 87 gland in the groin. The ignorant frequently pronounce the word "blue balls." The primary stage thus being completed the secondary now begins, rarely earlier than six weeks nor later than twelve weeks after intimate contact with one who had the disease. Unlike the primary the secondary is characterized by a number of consti- tutional disturbances. There may be a mild, continuous fever of a remittent type, in which the temperature reaches 101 or higher. This fever has been frequently mistaken for remittent fever. A se- vere headache is usually continuous with the fever. The face is either flushed or pale and jaundiced. The most pronounced symp- tom that marks the secondary stage is the breaking out, and which readily distinguishes the disease from all others. The eruption is variable and usually occurs on the abdomen, chest and front of the arms. The face is often free, yet we have seen it a number of times upon the forehead. The spots are reddish brown or copper colored; the color is frequently compared to that of the rind of smoked ham. The eruption may resemble measles or small-pox. Again, the rash may consist of dry scales and be mistaken for an entirely different skin disease. In the folds of the skin where there is constant moisture, there may be a thickening of the skin covered with a grayish secretion. During this stage the mouth and throat become sore. Ulcers are frequently seen on the tonsils. Sore, white patches on the border of the tongue and inside of the cheek. Warts, some- times called fig warts, may develop at the lower orifices. There may be severe inflammation of the eyes during the secondary stage from three to six months after the appearance of the chancre. Falling out of the hair is a common symptom of secondary syphilis. As already stated the passing from the secondary to the tertiary 88 ROGERS'^^HOMEOPATHIC GUI'DE. stage is not sharply marked;i During the latter the'disease Effects the deeper structures of the body. The bones and cartilages' are affected/ • Deep- ulcers Occur, perforating1 the rlasal' septum,'that is the cartilage between the nostrils. The roof of the'mouth may'be also perforatedi The bones of the skull' may also'be partly' de- stroyed, t Running or sloughing- ulcers and - abscesses may develop and persist. Gummy tumors are common. Ulcers on the shin- bones; which refuse to heal, ar e frequently seen. Various' nervous diseases may follow years afterwards!'"-Locomotor ataxia is sup- posed to be a result of syphilis. ' • ,- In-the hereditary form of the dis ease may be seen1 air the symptoms, found in the acquired except the chancre. The'child may be ,born--with well marked signs of the' disease, or it'may1 be' healthy looking attbirth. "As a fule the latter is the case1 and after a month or-two the disease shows itself. Hard knots'in the skin about .the wrists and ankles or on the-feet arid hands at birth indi- cate the disease* < ■■-■ ■ •■■ h ■ ■■■-.•■•■•> ......• ■ „..In4hose apparently healthy at birth the disease shows itself be- tween the fourth and- eighth week by snuffles, causing difficulty in massing.. This -may at first be mistaken'for ordinary catarrh, but soon other symptoms will'reveal the true character of-the'affection. The. nasal bonesi may rot, causing, the bridge of' the nose'to become depressed asif broken* The eruption occurs soon after the appear- ance of the snuffles and is first seen upon the buttocks: Cracks form at the corners of the mouth-and ulcers in the mouth. The ' secretion from these sores are very poisonous*.' The wet nurse is very likely to take thedisease from this source and'other members of the family may also take; it.< The hair of the head Or eyebrows ma,y, cfailluQut*!* -Ghildfcen >w4th<< 'hereditary -on edhgeriit&l < syphilis' ROGERS'. .H&MEOPATH.iC GUID.E. 89 rarely thrive .and, usually die ear.ly.( They usually look .wasted and very old- -Their growth, andideweliopment. are slow.; The disease is spmetimes; easdy, recognized by,the_ cranial and facial appearance. A young, man^f -.twenty may not .appear any. more mature than, a boy of ten. ..,-.- ■■,, ,;,The tefeth.haye, a( distinctive,peculiarity.. The, cutting edge of thctooth. is narrower than.the, base and presents, a surfaoe. like a number;of, pegs.plaeed.jaa line.. It.isfthe upper central incisors of the permanent set which tell the story of the parentage. Inflann mation and abscesses of the bones frequently occur, after the. sixth year. .Ulceration .of, the; shin Jaone is not uncommon. »• ,, Prevention.—The skillful,physician ican readily determine whether a case is^syphlitic.„ok ,not, and it • is. best.for the patient to tjejlrthe,tauth, the whole,,&ruth-tand.,nothing ;but the--truth.-. Baring accidental contagion fit is a disease.that one should be-ashafned to possess,,.JUepxosy aloneris:/nore,loathsome. Tbe>-disease--seems to have begn, preordained as; the. penalty for. promiscous.. sexual 'in ter- qpurse. It,has, existed -from ,time immemorialr-and will probably continue to the end of,.time -or until human nature is radieally Changed.^ The, ♦social,.evil/ and. syphilis are> inseparablylinked to- ge,th.ejy;.Moral, puRtyjnust,ever.,remain .the. greatest preventive against,both,,,,In jirnesof warPwhenfmorals are.generally.-at-adis- count, the disease,,has. its greatestde-vielopment. ,■ ;A high- moral and rejjgiou^ sentiment, along- with .early marriages, -limits its growth in a^cprrununity .oration, r i .Young, m en. who -leave -the restraints ol a rjural,home,and come to alarge; -city ha ve, their moral stamina put to^he.sev.erest test.. The seclusion of a .large-city afford every op- pp,rtu,njiyjto gratify any unhallowed-desiresi t The personwho would r^^^uQpes^uAlyj^U, suchiemptatiens, should fivsloi^albaveid* evii go ROGERS' HOMEOPATHIC GUIDE. associations. The easiest way to avoid these is to form good asso- ciations. The church societies afford the best and are the most ac- cessible to a stranger in a large city. Any Christian church will welcome any young man or woman who desires the benefit of its associations. The young man or woman who drinks stands on the brink of destruction. Drink is the gate to the social evil. Idleness affords room for lustful thoughts. Hard work, mentally and physically, is the best sedative for passion. Animal food and stimulating drinks render the passions more excitable The state enacts measures to protect its citizens from the rav- ages of small-pox and other contagious diseases, but whether it should or should not regulate the social evil so as to protect them against syphilis, is a debatable question which has strong advocates on both sides. The physician looking at the question from strictly the professional side of it would favor regulation. He knows, as no one else knows, what havoc is recklessly wrought among innocent mothers and helpless infants. In the tertiary stage the disease loses its power of being communicated to others. Treatment.—"One night with Venus and two years with Mercury " is a significant expression when we come to consider the treatment of syphilis. Mercury in some form or other has been the favorite remedy for three hundred years for this disease, and to be effectual it must extend over a period ot two years, more or less. The old school treatment is now practically limited to two drugs, mercury and iodide of potash, both of which are claimed to be specifics for it. The former is given in the secondary stage and the latter in the tertiary. The mercury is given in one grain doses from two to six times a day or a drachm of mercurial ointment is rubbed ROGERS' HOMEOPATHIC GUIDE. 9i into the skin every evening for six successive days. On the seventh a hot bath is taken and on the eighth the rubbing is resumed. A favorite prescription with the eclectics is a mixture of syrup of Stillingia one ounce to iodide of potash one drachm, taken three times a day in teaspoonful doses. Apparently good results are ob- tained from it when given in the secondary or tertiary stage. On the theory that the chancre was local from the first, local means have been used, but in vain. Excision and cauterizing have proved injurious rather than beneficial. The homeopaths arrived at this conclusion in an early day. The best allopathic authorities now agree with them. That mercury and iodide of potassium are valuable remedies in the treatment of syphilis cannot be denied, nor can it be denied that their use is frequently and shamefully abused. There are a score of homeopathic remedies that may be indicated in this dis- ease. Nitric Acid is particularly useful in the so-called syphilitic sore throat which often arises from the continued abuse of mercury. This remedy is also indicated when there are gray, shallow ulcers inside of the cheeks; chancres with a tendency to bleed call for this remedy, as do also raw, moist surfaces in the folds of the skin. In the first stage of the disease, when the chancre appears, Mercurius Sol is the generally indicated remedy. It ought also to be preventive. Mercurius Iodide is preferred by some, who claim that it will heal the chancre in six weeks and that there will be no secondary symptoms. Two grains ix are given night and morning, first week. At night, second week and every other day, third week. If the chancre shows a tendency to a destructive spreading Mercurius Cor will usually arrest its rapid progress. Hahne- mann says that so long as the spot where the chancre was located 92 ROGERS' HOMEOPATHIC .GUIDE.! has-a-reddish-or blueish-appearance.-the internal disease, has nrjf, been ctfred; When ,the* disease, is -completely,and .radicallyicur,ed the location-tot—the-chancre cannot be.,detected.., The,chancre should.- be -washed carefullv with castile. soap., and .water, thrift times a day and-lint > soaked withatincture iof; calendula, dil'-ited i .to. 4, should be applied after each . washing., H epar SUIpJa i is„ .an.-, other remedy* that us.' useful after the .abuse of mercury*. .It.will hasten the .suppuration of■. a hubo, or ripen. an.-ahscess,. A, fiax^seed, poultice will also aid and contribute, to., the comfort of .-the.patient, The; -following remedies, will at tunes, ,be vindicated; . Phosphorus, Ferrum, Lycopodium, Sulphur, Silecea, Arsenicum, Caxbo Veg, Thuya and. Sepia., ,,,•;•,-. .. . ; . ., The waters of various thermal, springs: are supposed, t.qlxaye,3 curativeaction.upon syphilis., Prominent among these,is. the Hot Springs of. Arkansas. Their, chemical analysis, would .not suggest any .remedial quality. , But the i fact remains that thougands,of patients,,annually ,are cured or are..benefitted , at such places. Thekeat. of .the water, .no ,doubt, hasi a,beneficial effeot.in stimu- lating the-cataneous circulation... At all of .these, spriogs. drugs, are used to,the. best, advantage; Besides, rest and. change qf climate always ract favorably; - , I,,.,,.,....,,,., -The treatmentof syphilis and other venereal diseases afford^a rich field.for quacks,, who. flourish (upon the. jgoorance and credulity of.,the..thousands, of poor., sinful, unfortunates.,. It should be re membered that.they have no .remedies or. means of treating these diseasesfwhich are not within the. reach and at the commandot any skillful family, physician.., Jt should not be forgotten that, even in syphilis the..homeoparhic, treatment is. by far the .most satisfactory rn.the.en4.,, .. wrf, ...*, _,<-„ „„r, Hff( or q„n, ,>3 „.,,, ____ ROGERS' HOMEOPATHIC GUIDE. ^93 jM K. j.i„t»riuiaU. r ^.l .. .^ilJ JI r . . .!,. /ilJ :., JeuL -ilj ;ljiv» «san»il TUBERCULOSIS. j^This disease .may qccyr,in several different parts of the body, but when it affects the lungs it is called consumption.-^, Its. cause was unknown until 1-882, when Dr. Koch demonstrated, to the world that.it.was duelo a.germ which has been named bacillus tubercu losis. Koch's discovery was a brilliant one and paved, the..way to others; in fact it. solved the mystery of infectious apd contagious diseases. The germs of tuberculosis are found in, clusters or knpbs called tubercles, hence the name tuberculosis. ,It is estimatei,that this disease is the cause of one-fifth ot all deaths. It exists .in all countries and in all races, and it has been known to exist from: the days of the early Greek physicians. Latitude has less to do with it than altitude; it being rare on high mountains,. „^£, tIj ,^i\h .w, . . Indians, and negroes are more susceptible ,to the disease, than those of the white races.^ It prevails more in crowded cities than in rural districts. It is common among the domestic animals, especially cattle, the milk and meat of which sometimes, convey the infection T,he germs of the disease are everywhere. A patient in the advanced stage of .consumption will expectorate in twenty-four .hours .from two to four billion germs. .They readily attach,themselves.-,to par- ticles of dust. The expectorations drying and rapidly becomjng dust , are scattered far and wide. One hundred and eighteen samples of dust were collected from hospitals, asylums and priyate, houses where there had been consumptives. Li forty of these samples the germs of tuberculosis were found, and consumption in animals produced by ,them. The germs grow jn a numbcr^of substances, but they thrive best in the serum or watery portion,of the blood, kept at the temperature of the body. They are readily, taken,,intq the 94 ROGERS' HOMEOPATHIC GUIDE. lungs with the dust of the air, and if there is a disturbance of the circulation, a weakened and congestive spot from whence serum is oozing, a fertile field is ready for them. The development of tuberculosis is the natural result. Tuberculosis is not inherited as often as formerly supposed. In fact, hereditary consumption is now considered a thing of rare occurrence. The fact that it is not unusual for several members of a family to have the disease does not prove it to be inherited. It is more likely to be acquired by the intimate associations of a family. It is related that a well-to-do farmer in one of the eastern states had a large and healthy family until one of his sons married and brought home a consumptive wife. She died. Her husband was her nurse. In course of time he died also from the disease. His sister nursed him and within a year after his death she too died of the same disease. And so it went on, one member after another of the family dying until six had been buried. The night after the last funeral the father, be- lieving that the house had something to do with so many deaths in his family, deliberately burned it, with all its contents. A new house was built, but never another death occurred in that family from consumption, though there were several members of it remain- ing. How and how often the disease is inherited are as yet unan- swered questions. It is variously estimated to be inherited in from . ten to fifty per cent, of the cases. Guinea pigs have been inoculated with tuberculosis by an apparently healthy child born of a con- sumptive mother. Persons who handle or experiment upon the dead bodies of those who have died of the disease, whether it be men or animals, are sometimes inoculated upon the hands. Butchers and handlers of hides are subject to local inoculation of the skin. When the disease remains local and forms reddened masses, ROGERS' HOMEOPATHIC GUIDE. 95 like a cluster of inflamed warts usually seen upon the back of the fingers, hands and arms. Tuberculosis frequently occurs in the bones, joints and other parts of the body. Tuberculosis of the joints has been known in the past as white swelling, hip joint or ankle disease. All those diseased conditions known in the past as scrofula have been shown to be tuberculosis. Cold abscesses are usually the result of tuberculosis of the bone. Most cases of rectal fistula are tubercular. Scrofulous sores, often seen about the neck, arise from the same cause. Tuberculosis may occur in the bladder, in the testicle, or in the ovary. Potts' disease of the spine is of tubercular origin. Tuberculosis has been communicated in the fol- lowing ways: Wearing the ear-rings, washing the clothes, by a bite or by a cut from the broken spit glass of a tuberculous subject The breath of a tuberculous patient is not infectious, though the phlegm contains millions of germs. Thousands of persons have the disease and recover. Post mortem examinations of those who have died by accident show that a large percentage of them have had tuberculosis. Statistics show that as high as 60 per cent, have had the disease. The post mortem examination of 125 infants that diea at the Foundling's Home in New York found the bronchial glands tuberculous in every case. Tuberculosis is more common in institutions where the inmates are confined and the amount of fresh air limited. In general, eighteen out of every hundred deaths are caused by tuberculosis. But statistics extending over a period of twenty-five years gathered from thirty-eight cloisters or convents, showed that 63 per cent, of all the deaths in these institutions were due to tuberculosis. The nurses and doctors in consumptive hospitals ."arely take the disease, But husbands frequently take it from wives and wives 9<5 ROGERS', HOMEOPATHIC- GUJ^Ej. from, husbands ,MiJk conveys,,the disease. The milk, from tuber- culous cows,was^ fed. to a number of pigs^and without,scarcely afl exception the .pigs took, the,disease..,,.,Intestinal, tuberculosis, in children.no dowht often; arises from infected milk.. ,Thedisea,se,io probably less, frequently .conveyed J?y Jnfected, meat, because it,is generally cooked, while,..as ,a rule,: milk,.is.-taken rAw.^Any.fopd supposed-to,be infected, sho-uidtbe^thoroughlycooked. . No age. is exempt from tuberculosis. ,Dur4ng,,Jbhe,,fir.st ten .years,jof life,,the disease is more.frequently found in the intestinal,glands,.theihpj^es and the,coyerings.o£.the ;brain,.than,it is. in later years. >ljc^, ^ . , Catarrhal conditions are, favorable for the. development qf tuber- culosis. As ialready. mentioned,,,the, disturbance oi- the .circulation affords a fertile soil, tor the development^, the jgermjS,;, And the natural resistance of the system being, below .par fchey.eeadaly de- velop,., , Pulrnonary consumption, often dates from a neglected, pold. Tuberculosis frequently foilq,w^ .an. injury. In..such cases also the natural resistance p£ the body must, be weakened,: Inhaling impure apd dusty, air render the development of ,,the, disease ,easigfi. Measles, whoopingCOijigh:and exhausting fevers arc.q.ften followed bv tuberculosis. ,T,he (weakened condition again,, no 1 doupk facili- tating its development. It is believed,that,the,germ§, may ,be local- ized.fpr ypars in, some part, and show no,.serious .symptoms until something has, depressed the^nerypus.sxsjem,,when the disease de: ve.lpps suddenly with great violence.,, It is, known that, the, germs from ,a.local infection may all at once„be. distributed throughout Xhe entire system. • -,,,, 1,. , , , , . In cases of this,kind,.called Acute,.General ,JVUUiary„Tur be.rculosis, fh.e patient, after a f ew.weeks ,qf., declining health becomes weak and feverish. Xheipulse. arid temperature increases, . ROGERS HOMEOPATHIC GUIDE. 97 The cheeks are flushed in the afternoon, but pale in the morning- Many other symptoms, suggestive of typhoid, are present. There is but little cough. The temperature will rise to 103 in the evening and perhaps fall to nearly normal in the morning. The irregularity of the temperature distinguishes it from the steady rise of typhoid. Again, the temperature may be highest in the morning, a condition said to be more common in general tuberculosis than in any other disease. The rapid breathing and the livid skin will also distin- guish it from typhoid. In the Pulmonary Form of acute miliary tuberculosis there is a sudden outbreak of the symptoms pointing to marked lung trouble. Ths patient may have had a cough for years or have been supposed to have the disease in a chronic form. An attack of measles or whooping cough may have recently occurred. With some such antecedents as these the disease begins suddenly with the symptoms of an ordinary cold upon the lungs. The breathing is very difficult and very rapid. The cough is marked. The phlegm is mattery and sometimes rusty colored. The lividity of the skin is marked. Temperature may rise to 102 or 103. The disease proves fatal within ten or twelve days or may be prolonged for months. The Meningeal Form of acute general miliary tuberculosis is known as tubercular meningitis, also known as acute hydroceph- alus, or " water on the brain." In this form the tubercles filled with germs develop in the coverings of the brain, sometimes involving the spinal cord. The meningeal form is more common among children between the second and fifth year. It is usually preceded by a tuberculous condition of the lungs or of the glands surround- ing the intestines. The first symptoms of the disease are so insidious that they es- 93 ROGERS' HOMEOPATHIC GUIDE. cape attention. It may begin with a gradual failing of health. The child gets thin, restless, peevish, irritable and loses its appetite. Its disposition is entirely changed. The disease may set in during con- valescence from an attack of measles or whooping cough. Very often it follows a fall upon the head. The first striking symptoms of the disease are usually a headache, with fever and vomiting. Some- times there will be convulsions. The pain in the head is intense. The child puts the hand to the head and sometimes gives a short, sudden cry. Again it may scream until it is exhausted. The vom- iting seems to be without cause. The contents of the stomach are projected out of the mouth with such force as to carry it several feet. There is a peculiar irregularity of the breathing. In the second stage the patient becomes more quiet and all the symptoms usually subside until a stupor sets in, which usually ends in convul- sions and death. This form of meningitis is considered incurable. Scrofula is tuberculosis of the lymph glands. Material from scrofulous glands injected into Guinea pigs invariably develops tuberculosis and proves fatal within a few months. The scrofulous form of tuberculosis runs a slower and milder course. This may be due to a feebler variety of germs. It has been said that scrofula during childhood is a sort of protection against consumption in later years; a vaccination as it were. Yet, an open scrofulous sore is very likely to develop acute general miliary tuber- culosis. A common form of scrofula called Local Tuberculous Adenitis is frequently met in children; especially those living in the impure atmosphere of badly ventilated lodgings. The glands under the jaw are first involved. They are frequently described as enlarged kernels. They may continue to enlarge and develop into ROGERS' HOMEOPATHIC GUIDE. 99 an abscess, which finally breaks. The healing of the opening thus formed is usually a very slow process. The glands about the bronchial tubes may become involved in a similar matter. Another common form of scrofula met in children affects the mesenteric glands of the intestines, called the mesenteric form of local tuberculous adenitis. It is generally known as Tabes mes- enterica. The little patients are puny, wasted and bloodless. Impaired nutrition is apparent. The abdomen is large and distended. Diarrhoea, persistent. The stools are thin and offensive. There is little fever. The half starved, wasted and shriveled appearance is most striking. The disease is sometimes spoken of as consumption of the bowels, but this is not strictly correct, as it is the mesenteric glands about the intestines that are involved. Consumption is pulmonary tuberculosis and is frequently called Phthisis. It is met in three forms: The acute, the chronic ulcerative and the fibriod, or hardened. The acute form is known as galloping consumption, and is met in both children and adults. It is generally precipitated by a cold or some debilitating condition. It is frequently mistaken for pneumonia, the symptoms of which it very much resembles. The fever, however, is more irregular and not so continuous as in that disease. But after the eighth or tenth day instead of a crisis occurring as in pneumonia the symptoms keep right on and even become aggravated. The sweat is profuse and the expectoration mucus and pus like. The detection of the presence of the germ, bacillus tuberculosis, will still perhaps be the only positive proof that the disease is consumption and not pneu- monia. The case may terminate fatally within three weeks or it 100 ROGERS' HOMEOPATHIC GUIDE. may be protracted three months. There is a variety of acute con- sumption called acute tuberculous broncho-pneumonia. It may attack persons apparently in good health, but over-worked or " run-down.' Hemorrhage may be the first symptom. Repeated chills may occur. Temperature high, pulse rapid and breathing accelerated. The loss of flesh and strength is surprising. This form is very frequently met in children alter some infectious disease as measles or whoop- ing cough. The Chronic Ulcerative Phthisic is the class of pu.- monary tuberculosis to which the majority of the cases of consump- tion of the lungs belong. The germs cause tubercles to form. The tubercles decay and ulcerate. Their liquid remains are expecto- rated and a cavity is made. The first cavity is generally found in the right lung just below the middle of the collar bone in front. The next is located usually in a line represented by the spinal border of the shoulder blade when the right hand is placed on the opposite shoulder and the elbow elevated on a plane with the nose and opposite the fifth dorsal spine. Examination should be made, therefore, at the back as well as in front of the chest. The disease is found a third more frequently in the right than in the left lung. The ulceration forming a cavity may destroy a blood vessel and hemorrhage, profuse hemorrhage follow. Cavities may apparently heal and remain quiet for years. Ulceration in the larynx may oc- cur, destroying the vocal cords and causing the loss of the voice. The Symptoms of Consumption, as commonly met, are varied and their development is gradual, even insidious at times. The dyspeptic symptoms are often prominent. The patient shows signs of dyspepsia, becomes pale and bloodless before there are any lung symptoms. Chilis of a malarial type may be the first symp- ROGERS' HOMEOPATHIC GUIDE. iol toms of the disease. Again it may seem to date from a neglected cold, or a hemorrhage may be the first intimation of ill health. Pleurisy may be the first suffering experienced. Of ninety cases of pleurisy with effusion thirty ended in consumption. Huskiness or loss of voice, caused by the tubercular deposit about the cords, may be the first thing that leads the patient to con- sult a physician. Profuse night sweats usually occur. The course of consumption may be divided into three periods: The first embracing the time occupied in the development of the tubercles. The second, in which they soften, and the third, in which the cavities are formed. Pleuritic pain may be an early symptom. It may be present or absent throughout the course of the disease. Cough is one of the earliest and the most constant symptom from the beginning until the end. Dry and hacking at first, but later be- comes loose, when the expectoration is glaring and mattery like. There may be cases without a cough. A case may also be far ad- vanced without any expectoration. The ^first signs of consumption that can be detected in the phlegm by the naked eye are small grayish or greenish gray mat- tery masses. These masses should be examined microscopically. The presence of its germs is the infallible sign of the disease. It is of the greatest iinportance that a microscopical examination be made early. Hemorrhage of the lungs indicates that the disease is already well advanced rather than just beginning. The tempera- ture is one of the most reliable indicators as to the progress of the disease. It should be taken several times a day. The temperature is usually lowest between 2 and 6 a. m., and highest between 2 and 6 p. m. During the early stage when tubercles are forming, and during the period of softening there is always fever. The weighing 102 ROGERS' HOMEOPATHIC GUIDE. scales is another reliable index of the progress of the disease. The weight decreases as the disease progresses. Fibroid Phthisis is the third form of pulmonary tubercu- losis. It is limited to the apex of one lung. A hardening process follows one of the other forms. The cavity becomes surrounded by dense fibrous tissue. This form is chronic, lasting from ten to twenty years, and the sufferer may enjoy fairly good health. The chest is sunken and the shoulder on the affected side is lower. In these cases the heart is often drawn out of place. Treatment.—Any one who has read the preceding pages carefully and understands the nature of tuberculosis will at once see that it is easier to prevent the disease than to cure it. The general idea of the prevention ot this disease may be summed up in a sentence: Guard against everything that is likely to weaken the natural resistance. of the body. The details would require volumes. It would include protection of the feet, of the chest, of the throat, of the stomach and of every other part. Attention not to one thing alone, but to a multitude of little things which, if neg- lected, make inroads upon the vitality. Many cases of consump- tion date from a cold, or a neglected catarrh. The chief cause of catarrh is a disturbed or unequal circulation. Again we may sum up the whole matter of prevention in a single sentence: Preserve a perfect circulation, which is not only of the first importance in the prevention, but of equal value in the treatment of the disease. In many cases the disease is discovered too late to cure. But any one can soon detect any deviation trom health. Treatment should begin then, before the disease has been determined. Change of oc- cupation or of climate made early will do wonders. From an indoor occupation to one outside is generally highly beneficial. Bicycle ROGERS' HOMEOPATHIC GUIDE. 103 riding and other out-door exercises do much to restore tone to a shattered and weakened nervous system. We know of nothing that will improve the nervous system of brain workers so much as bicycling. Debilitate nerves are such constant and essential factors in the development of consumption that one author classes it as a nervous disease. The disease occurs less frequently in a high altitude. A large percentage of the cases of consumption are preceded by dis- turbances of the stomach. A good digestion is another factor of prime importance in the prevention of the disease. Many cases of catarrh cannot be cured until the stomach is put in good order. Pastry, ice cream and iced drinks are foes to a good digestion. A diet of one article of food exclusively for thirty days will almost in- variably produce serious disturbances of the stomach and bowels. It is claimed that consumption of the bowels may be produced in thirty days by a diet of oat meal exclusively. The Salisbury treatment of consumption consists < f a diet of meat and hot water. A pint of hot water is drank an hour before eating the meat, which is the best lean beef prepare 1 nic y and fairly well cooked. Absolutely no other food is allowed. Great success is claimed for his treatment. Burt's prevention and cure of consumption by Suralim>. ntation of Liquid Foodconsists of forcing the patient to take the greatest possible amount of liquid food. His theory is based on the fact that three-fourths, by weight, of the human body is water and that the supply of this element is insufficient in all wasting diseases. By forcing the patient to take from one to two gallons of water by means of palatable drinks and liquid foods he claims to be able to increase the weight of any patient in the first or second stage ot io4 ROGERS' HOMEOPATHIC GUIDE. the disease, from one-half to two pounds a week. The following are a few of the liquids he mentions as being the most common and useful in the treatment of consumption: Pure water, mineral water, Vichy water, water with tar, water with phosphoric acid, water with sugar, water with salt, carbonated water, grape juice, beer, cider, lemonade, orangeade, milk, condensed milk, skimmed milk, butter milk, pulque, wine, wine whey, scraped lean beef water, toast water, barley water, crust coffee water, clam juice, conch clam juice, fluid beef extract, extract of beef (Armour's), Valentine's meat juice: Liebig's beef tea, beet tea, egg nogg, coffee, tea, chocolate, cocoa. rice water, bread jelly, oat meal porridge, oat meal gruel, arrow root, malted milk, gum water, koumiss, lime juice, pine apple juice, strawberry juice, all fruit juices, fruit syrups, fruit jelly waters, malt extracts, and a score of other liquid preparations, consisting almost entirely of water. Our observations of this treatment has not been sufficient to enable us to say how much it will accomplish. That it will make the lean fat is quite certain. In consumption progressive emaciation is one of the positive evidences that the disease is pro- gressing. It is also a well-known fact that abstaining from liquids diminishes the weight rapidly. Since we begun writing on this sub- ject the champion prize fighter, Jack McAuliff, told us that when he is training for a fight he reduces his weight by abstaining, as much as possible, from all liquids of whatever kind. Many other points in matters of diet and health of equal value can be learned from the training which brutal prize fighters undergo for six weeks preparatory to a fight. Another author, Gregg, states that the blood of a consumptive is always too watery, owing to its loss of albumen through the ex- pectoration. He accounts for the rapid emaciation by the fact that ROGERS' HOMEOPATHIC GUIDE. 105 the muscles and many other parts are developed and sustained en- tirely from albumen. The continual loss of albumen by the expec- torations deprives them of their support and they shrink, causing the general appearance ot emaciation. Every time a mucous surface is irritated, whether by a cold, drugs or mechanical means, blood serum escapes, and it is largely composed of albumen. The germs of consumption flourish in blood serum and perhaps the reason that consumption so often dates from a cold is because the germs are first nourished and given a foot- hold in the escaping serum. When the mucous membrane is per- fect there is nothing on its surface that will nourish the germs of consumption. But back of all, what deranges the system and causes the serum to escape so that germs can gain a foot-hold ? That is the question. Deranged nerves must be the answer. Every blood vessel, every gland and every part of the body is supplied by nerves which control the action of that part. The mucous mem- brane is also controlled by the nerves that ramify and supply it- Then to correct any abnormal condition of the mucous membrane or any other part we must act upon the nerves. No wonder many regard consumption of nervous origin. We are, therefore, justi- fied in the conclusion that whatever will improve the general tone of the nervous system will be of value in the treatment of con- sumption. Pure air, change of climate, change of occupation, change of diet, improve the condition of the nerves. The value of homeopathic remedies also becomes apparent. While, as a rule, everything will fail to cure an advanced case of consumption, we feel certain that the indicated homeopathic remedy has and will continue to arrest and prevent the disease in thousands of cases. Yes, ninety per cent, of those in the incipient stage. 106 ROGERS' HOMEOPATHIC GUIDE. It is readily seen that any remedy in the Materia Medica might be indicated, yet the following are those most commonly needed: Arsenicum.—Wheezing respiration; cough on retiring and on rising; shortness of breath on lying down. Baptisia, typhoid symptoms. Belladonna, dry, hollow cough. Bryonia, cough, with stitches in the chest. Cough, with headache, as if head and chest would fly to pieces. Cough at night, compelling one to sit up at once. Calcarea Carb, painless hoarseness, voice hardly audible. Shortness of breach on going up the slightest ascent. Sore, pain in the chest, as if beaten. Chest painful to touch and on in- spiration. Dry cough morning and night. Carbo Veg, painless hoarseness. Great roughness in throat. Rough voice, fails on exercising it. Desire to be fanned. Causticum, hoarseness with rawness. Burning and soreness in the chest. China, suffo- cative night cough, as from the vapors of sulphur. Chest sensitive to touch. Drosera, deep sounding, hoarse, barking cough. Must press hand on chest when sneezing or coughing. Ferrum, ex- :reme paleness of the face, which becomes red and flushed upon the least pain, emotion, exertion or embarrassment; flushes easily. Kali Bichro, expectoration, stringy and tenacious. Kali Carb. cough begins at 3 a. m. Sticking pain in lett chest on deep breath- ing. Worse, when resting. Voice, gone. Cutting pain in chest. Greenish or white masses coughed up. Weakness. Lachesis, hoarseness; hemorrhages; typhoid condition. Often beneficial. Lycopodium. See the Materia Medica, Part II. Phosphorus, dry, tickling cough, with tightness across chest. One of the best remedies, but must not be given too often. Some repeat the dose once in fifteen days. Pulsatilla, useful in lung troubles of females dating from puberty. Longing for fresh air. Downhearted. ROGERS' HOMEOPATHIC GUIDE. io7 Sulphur has perhaps cured more cases ot consumption than any other remedy. For its indications see Materia Medica, Part II. It is needless to remind the intelligent reader that all expecto- rations from a consumptive should be disinfected. Boiling water destroys the germ. So will a five per cent, solution of carbolic acid, or a one per cent, solution of bichloride of mercury. A practi- cal way of disposing of the expectorations is to have the patient spit on a newspaper or into a Japanese paper handkerchief and then burn them. Flies may carry the infection. Spittoons are filthy and dangerous. The floors of the apartment of a consump tive should be dampened before sweeping and the sweepings should be burned. The habit of spitting upon the floors and the sidewalk is a dangerous one, because the expectorations soon dry and become dust, to be blown and carried everywhere. The man who marries a consumptive girl may expect to be a widower s«on after the first child is born; especially is this likely to be the case if she nurses her baby, a thing that a tuberculous mother ought never to do. DYSENTERY. This disease, sometimes called flux, is probably an infectious disease, but the germ that causes it has not yet been fully deter- mined. If contagious at all it is only mildly so, and in this respect it may be classed with typhoid. While it is comparatively rare in the temperate zone it is one of the four great epidemic diseases of the world, being more fatal in the tropics than cholera. It has been more destructive to armies than powder and lead. During the late civil war there were over a quarter of a million cases in the Union 108 ROGERS' HOMEOPATHIC GUIDE. armies. The disease is less prevalent than formerly. Persons of all ages and of all races are subject to it. It is more prevalent dur- ing the summer and autumn. Impure water, poor food, constipation and taking cold are factors in the development of the disease. The disease consists of inflammation and ulceration of the mucous membrane of the large intestines. There are foui varieties ot dvsentery: Acute catarrhal, Tropical, Diphtheritic and Chronic. The Acute form begins with a simple, painless diarrhoea which, in the course of thirty-six hours, develops the characteristic features of the disease, namely; Colicky, griping pains in the abdo- men; frequent stools, with continual straining; 'a never-get-done ' sensation, called tenesmus. The constant desire to go to stool is the most distressing symptom. During the first forty-eight hours the stools are mucus, mixed with blood, but afterward they become jelly like and bloody. The movements may be very numerous, all the way from fifteen to a hundred a day. By the end of the first week the mucus becomes darker and the blood less. Grayish, thready material now passes. Mild cases run a course of eight days. Severer cases may continue four weeks. There is more or less fever at the beginning, The Tropical form of dysentery is peculiar to the tropics. The onset is very much like that of the acute form. So are the stools, at first. But later, the distinguishing feature of'the disease is pres- ent, namely: Liquid stools; from-six to twelve yellowish gray liquid stools are passed daily for weeks. Abscess of the liver and of the lung are frequent complications of this form of the disease. The Diphtheritic form of dysentery may, in the beginning, be mistaken for typhoid. The violence of the sudden onset and the bloody stools so early distinguishes it from typhoid. ROGERS' HOMEOPATHIC GUIDE. 10 The Chronic form of dysentery is not easily distinguished from chronic diarrhoea. There are from four to twelve movements a day. There may be constipation at times. Blood is present in the stools now and then. The ghastly appearance is striking. Treatment.—Dysentery is another disease in which the homeopathic treatment is infinitely superior to that of the old school; especially is this true if the patient is a child. A great number of remedies may be indicated, but the following are the ones most commonly needed. If the attack begins suddenly with a chill followed by high fever with burning hot skin and great restlessness, Aco- nite is indicated during the first stage. But as soon as the tenesmus, the never-get-done straining, with constant desire to go to stool begins, then Mercurius Sol is needed and will, in the great majority of cases, be sufficient to give marked relief. If the stool should now be mixed with shreds or membranes resembling the lining of the bowels, Cantharis is indicated. Should the dis- ease persist after this remedy, then Kali Bichro is to be studied. It will be indicated by long strings of mucus. In case the dis- charges should become exceedingly foul and of a chocolate color, accompanied with a deathly appearance, cold skin and other signs of great prostration, Arsenicum is the remedy needed. But before choosing Arsenicum another remedy having many symptoms similar to it should be studied, that is Lachesis. Should the amount of blood be unusually great and of a dark color, then Hamamelis should be thought of. Pond's extract may be given in teaspoonful doses. A number of other remedies may be indicated during the course of the disease. Belladonna, Podophyllin, Nux Vomica, Nitric Acid, Aloes and no ROGERS' HOMEOPATHIC GUIDE. China are some of the more prominent ones. The last mentioned is particularly useful when the exhaustion is great, the discharges chocolate colored and the odor terribly foul. When all remedies have failed Sulphur should not be forgotten. Its indications are easily found in the Materia Medica, Part II. GERMAN MEASLES. Rubella or Rotheln is an eruptive fever which was once sup- posed to be a hybrid measles or a hybrid scarlet fever, but it is now believed to be a separate and distinct disease. It attacks adults as well as children. Having had measles or scarlet fever is no pro- tection against the disease. It is contagious and spreads with great rapidity. Epidemics of it may be very extensive. The Symptoms develop about ten days after exposure. They are mild and there are no complications worthy of mentioning. It is a much less serious disease than either of those of which it was form- erly supposed to be a species. At the beginning there is headache, pain in head, back and legs, running at nose?; chilliness and slight fever, reaching, perhaps, ioo. The rash appears the first or second day, which first comes out on the face then on the chest and within forty-eight hours it covers the entire body. The other symptoms may be so mild that the rash is the first thing wrong, noticed by the mother. It usually consists of a number of round or oval slightly raised spots, pinkish in color, usually separated at first, but may run together. The color is brighter than that of measles. It remains out two or three days and leaves the skin slightly stained. There is a slight scaling off. The glands about the neck may be swollen. ROGERS' HOMEOPATHIC GUIDE. m The Treatment rarely requires more than Aconite, Bel- ladonna or some other common remedy, for the catarrhal symptoms LEPROSY. This disease is minutely described in the XIII Chapter of Levit cus, and is supposed to be of Egyptian origin. While one of the oldest of recorded diseases, it was not until A. D. 1880', that the germ that caused it was discovered and cultivated. It was found in the tubercular like nodules on the skin. Animals will not take the disease. Baring accidental inoculation it is generally communi- cated through the sexual relations. It is rarely communicated other- wise. Sisters of charity have nursed them for forty years without taking the disease. In respect to its contagiousness it is very much like syphilis. It prevails extensively in hot countries. It is esti- mated that there area quarter of a million of lepers in India. There are a few lepers in America, at Key West, New Orleans, New Brunswick, Nova Scotia and on the Pacific Coast, occurring not in- frequently among the Chinese. There aie a great many cases on the Sandwich Islands. There are 1,100 lepers in the settlement at Molokai. There are two forms of the disease, the Tubercular leprosy and the Anaesthetic. The first begins with over-sensitive and sharply defined patches of reddened skin, which in time develops into nodules. The eye- lashes and eyebrows fall out. The mucous membrane becomes in- volved. The voice fails and is lost. The throat is destroyed and death follows. The eyes may be also eaten out. Other parts way be similarly affected. The second form begins with pain in the limbs and spots of numbness, the opposite of the first in this respect. 112 ROGERS' HOMEOPATHIC GUIGE. Nodules soon develop in these places and break, leaving destruct- ive ulcers. The fingers and toes may become involved and drop off. The course of this form is extremely slow. A prominent minister is said to have had the disease thirty years without impair- ing his usefulness. Treatment.—No cure is known for the disease. A nourish- ing diet is recommended. Some one of the following homeopathic remedies would seem to be indicated: Arsenicum, Hepar Sulph, Lycopodium, Mercurius Silicea or Sulphur. From time immemorial the leper has been shunned and made an outcast from society. In nearly all countries they are located in colonies or hospitals by themselves, the object of charity. GLANDERS. This is an infectious disease of the horse, which is occasionally communicated to man. It is known by the formation of nodules in the nostrils and under the skin of the horse. The germ that produces the disease resembles that of tuberculosis. It may be in- oculated upon a raw surface of the skin. The symptoms develop within three or four days after the germs are deposited. It develops with fever, swelling and redness. The glands enlarge and become nodular. These may suppurate. There are pains and swelling in the joints. Abscesses may form in the muscles. The symptoms are very much like those of blood poisoning. The acute form runs its course in about eight days and it is generally incurable. The chronic form may last for months and terminate in recovery, though death by pyaemia is not uncommon. When the disease is located in the nose it is called glanders, but when in the skin it is known as farcy. The diagnosis in doubtful cases may be verified by inocu- ROGERS* HOMEOPATHIC GUIDE. '13 lating guinea pigs. They will die within thirty hours, the testicles being found swollen and ready to suppurate. In horses a mattei is discharged from one or both nostrils of a grayish or greenish color, mixed with yellow and streaks of blood and sticking like glue to the border of the nostrils. Arsenicum, Lachesis and Sulphur are the best indicated homeopathic medicines. LUMPY JAW. This is a chronic inflammatory affection produced in cattle and hogs by the actinomycosis or ray fungus and known by the name actinomycosis. It is sometimes communicated to man. The disease is usually located about the mouth and throat, hence the name, "big jaw." The disease has been classified into the alimentary, the pulmonary, the cutaneous and the cerebral, according to the part affected. The disease is often mistaken for blood poisoning. It is really a chronic pyaemia. The fever that accompanies it is like that which belongs to suppuration. Its Treatment is like that of pyaemia. EPHEMERAL FEVER. This fever, of slight duration, is sometimes called Febricula. Its causes are varied and its duration three to five days. The cases of ephemeral fever may be grouped according to their supposed origin. Those arising from a mild or abortive type of infectious diseases; those that are dependent upon stomach troubles as often met in indigestion of children; those caused by foul gases; those dependent upon some disturbance unrecognized. This fever begins with a slight indisposition, loss of appetite, headache, flushed U4 ROGERS' HOMEOPATHIC GUIDE. cheeks and high colored urine. There may be in children a slight cough. After two or three or four days the symptoms all disappear leaving no after effects. The indicated homeopathic remedy will usually be Nux Vomica, Aconite, Belladonna Mercu- rius or Pulsatilla. ACUTE FEBRILE JAUNDICE. In 1886 Weil described an infectious disease accompanied by fever and jaundice. The disease sets in suddenly with a chill, headache, pain in the back, legs and muscles. The fever has marked remissions and lasts from ten to fourteen days. Jaundice appears early: Stools, clay colored. Liver and spleen are swollen. Aco- nite, Mercurius and Phosphorus are likely to be indicated remedies. MILK SICKNESS. This disease was quite common in the early settlement of this country west of the Alleghany mountains. It has disappeared with the clearing of the forests and is rarely found except in parts of North Carolina. It is supposed to have originated in eating the flesh and milk of diseased animals. The butter and cheese were also poisonous. The disease was severe and often. fatal. The symptoms were pains in stomach, nausea, vomiting, fever and in- tense thirst. The tongue swollen and tremulous. Many symptoms like typhoid were present, and the odor of small-pox. The disease in cattle was known as trembles. The animal would stagger and all the muscles would tremble. Convulsions in animals as well as in humans frequently occurred, followed by death. While we have ROGERS' HOMEOPATHIC GUIDE. ii? no record of any cases ever being treated by homeopathic reme- dies, the symptoms point strongly to Gelsemium. MALTA FEVER. This is a disease that prevails in Malta, Naples and other places along the Mediterranean. Its true character has not yet been de- termined. It has many of the symptoms peculiar to typho-malarial fever. MOUNTAIN FEVER. This disease is met in those residing on mountains. Whether it is typhoid or malarial is as yet an unsettled question. It not in- frequently proves fatal. Study the remedies of the diseases it re- sembles. SWEATING SICKNESS. This disease is known by a fever, profuse sweat and a fine rash of blisters filled with water. From the character of the rash it is sometimes called miliary fever. There has been 194 epidemics in Europe during the last 160 years. Some of them were confined to a single city and continued from one to three weeks, attacking many people. The death rate was often high. SECTION II Constitutional Diseases. (Non-Infectious.) RHEUMATISM. Rheumatism is one of the most common complaints in the tem- perate zones, but rarely met in the tropics. Its cause has not yet been definitely determined. It has some of the characteristics of an infectious disease, but it is not at all contagious. No case of in- oculation with it has ever been reported. No germ has, as yet, been positively identified with it, although an Italian physician has just claimed to have discovered one. An over-worked or run-down condition with derangements of digestion usually precedes an attack of rheumatism. Defective nutrition and poor blood seem to be essential conditions for the dis- ease. Lactic acid is found in excess in the blood of rheumatics. Dogs and cats injected with a solution of lactic acid die soon after- wards. Their post mortem examinations show a rheumatic inflam- mation of the lining of the heart. Lactic acid is a product ot starchy food. In fact starchy food cannot be utilized in the body 116 ROGERS' HOMEOPATHIC GUIDE. 117 until it is converted by the process of digestion into lactic acid. A condition of the system which is unable to dispose of the excess of lactic acid thus formed is no doubt the rheumatic condition. The chief exciting causes are dampness and suppression of perspiration due to a sudden change from a warm to a cold atmos- phere. Poisonous matters that should pass off are probably retained in the system and become disturbing elements. There are several varieties of rheumatism and different classi- fications by different writers. Three general forms are commonly recognized: Acute, sub-acute and chronic. Other varieties are sometimes described. The muscular may be classed with the sub- acute or chronic. The gonorrheal is an inflammation of the mem- brane in one of the large joints, occurring during the course of an attack of gonorrhoea. Especially is this liable to happen if the urethral discharge has been suppressed. The syphilitic resembles genuine rheumatism, but is due to the poison of syphilis inflaming some of the joints. It does not, however, involve the heart and is usually limited to one or two joints, having none of the wandering character of the regular acute articular rheumatism. Myalgia is only the result of a strain. A group of muscles become painful to touch and on movement, the skin covering them being highly sensitive. Acute Articular Rheumatism is popularly known as in- flammatory rheumatism or rheumatic fever. Fifty per cent, of all cases of this form occur in persons between the ages of fifteen and thirty years. Persons engaged in occupations necessitating expo- sure to dampness and sudden changes ot temperature are more liable to the disease. Smyptoms.—Usually after exposure to cold one of the larger n8 ROGERS' HOMEOPATHIC GUIDE. joints becomes painful, enlarged, hot and reddened. Soon after- wards another is affected in the same way, perhaps in a correspond- ing joint on the other side of the body. Other joints may become involved until nearly all the larger joints are affected. The patient cannot move without great pain. The sweat is profuse and acid The temperature may become very high, but usually ranges from 102 to 104, rising each time the disease appears in a new place. Ex- tension of the disease to the heart is a common and serious compli cation. Chronic organic heart disease is often the result. The dis- ease may affect the coverings of the heart, of the lungs, of the bowels, of the kidneys, or of the brain. Delirium in rheumatism, however, is not always a sign that the disease has located in the brain. It is more often an indication that the blood is heavily loaded with poison. If let alone an ordinary attack of acute rheu- matism would continue about six weeks. Relapses are not uncom- mon. One attack renders the person more susceptible to another. Sub-acute Rheumatism is also called muscular rheuma- tism. The coverings of the muscles are involved. Any movement of the affected part is, therefore, painful. The disease may be ccn- fined to a group of muscles. For instance, the muscles of the neck, when it is known as wry-tieck, or those of the back, when it is called lumbago. The suffering from this form of rheumatism often varies with the weather, being worse a few hours before a storm. No eleva.ion of temperature accompanies it. It is most commonly met in those who have had their feet or hands in cold water for a long time-. For instance, scrub women, window and carriage washers. Chronic Rheumatism usually results from repeated at- tacks of acute rheumatism. Several ot the joints remain enlarged, ROGERS' HOMEOPATHIC GUIDE. tig stiff and painful. Sometimes the disease comes on steadily without any really acute attack. The pain is more seyere at times, varying according to the weather. The muscles, as well as the joints, are usually involved. The muscles about the affected joints become wasted. The disease may affect the coverings of the nerves as well as those of the muscles, in which case the disease is known as rheumatic neuralgia. There is usually tenderness in some particu- lar spot and pain on motion. The use of the various joints affected are always impaired. Certain spinal affections may be accom- panied with enlarged and displaced joints but not so many joints are involved as in chronic rheumatism. Treatment.—Tn no other disease is the poverty of old school treatment so apparent. Salicylate of sodium has not proved the specific that they thought it would a few years ago. However, we must confess that we have seen great temporary relief follow the giving of half a dozen five grain powders of this drug four hours apart. Cod liver oil has been used for a century as a remedy for chronic rheumatism in old persons. Hot salt baths are beneficial in all forms of rheumatism. We have just read of cases of acute rheumatism speedily cured by ice cold applications to the hot and inflamed joints. Liniments and various applications, as a rule, do but little good and often no doubt drive the disease to the heart. The homeopathic treatment is usually more satisfactory in the end. Relapses sometimes occur which are very stubborn. We re- call distinctly a case of relapse where a celebrated homeopathic professor had treated the case with brilliant success until the re- lapse. But afterwards he could make no impression upon the dis- ease. He was discharged from the case and his successor cured it with a single prescription of salicylate of sodium. 120 ROGERS' HOMEOPATHIC GUIDE. A disturbed digestion is a factor in the production of rheuma- tism and its correction is an important measure in its cure. The diet should be changed completely. Many so called rheumatic pains can be cured by drinking, before each meal for a month, a pint of hot water with a little salt in it. Several homeopathic remedies may be indicated in rheuma- tism. In the muscular variety, caused by getting wet, Rhus Tox stands at the head of the iist. It is particularly indicated when there is great restlessness at night. Better by motion and worse before a storm. Bryonia is indicated in acute rheumatism when the joints are swollen, red and hot. The patient is worse from mo- tion. Just the opposite of the indications for Rhus tox. The thirst is great and the sour sweat profuse. Aconite may be very useful in the beginning, when the fever is high and the pain is severe. Arsenicum is strongly indicated when the patient is pale, pinched, thirsty and relieved by hot applications. Belladonna may be useful if there are sharp, tearing pains, coming and going suddenly. The tincture or the twelfth dilution of Chamomilla often gives great relief from the intense pains. It also soothes the great irrita- bility of temper. One cheek red and the other pale is another good indication for its use. Lycopodium maybe needed when there are present its characteristic symptoms as found in the Materia Medica, Part II. Mercurius, Nux Vomica and Pulsatilla are sometimes indicated. Sulphur is one of the most commonly needed remedies in chronic rheumatism, or when there are repeated relapses of the acute form. Phytolacca, the polk root, is also a valuable remedy in chronic rheumatism, as well as an effectual agent in reducing superfluous fat. ROGERS' HOMEOPATHIC GUIDE. 12I ACUTE GOUT. This affection characterized by paroxysms of pain is thought to be due to an excess of uric acid in the blood. It occurs chiefly in those of sedentary habits who indulge to an excess in the luxuries of the table; especially of meats, sweets, sweet wine and malt liquors. Those who have ceased an active, out-door life for a se- dentary one without any change from their formei heavy diet, are liable to the disease. The tendency to gout is hereditary and the disease may affect one strictly temperate in all things. An attack may be brought on by any unusual excess, by a fit of anger, by worry or by exhaustion. It may come on without any warning, again it may be preceded by indigestion, irritability and despond- ency. An attack usually sets in at night. The patient, who is always over thirty years of age, is awakened by severe pain, which is located in the joint which unites the big toe with the foot. There is iever. The pain moderates toward morning and the patient falls asleep, again to be disturbed in a similar way the succeeding night. The joint becomes tender, red, swollen and puffy. The skin finally peels off. Other smaller joints may become involved. The attack gradually subsides, leaving the affected joints somewhat stiffened and swollen. At the height of the attack the amount of uric acid in the blood is increased, while that of the urine is diminished. But as soon as the attack is over the normal amount is again passed off with the urine. The disease may leave the joints suddenly and affections of the stomach, heart or brain follow. Chronic Gout usually results from repeated attacks of the acute form of the disease. Chalk like deposits, consisting of urates, take place about the affected joints. These deposits may be formed 122 ROGERS' HOMEOPATHIC GUIDE. in the lobe of the ear, in the kidneys, in the spleen, and also in the walls of the smaller blood vessels. Treatment.—First of all, the lazy, gluttonous habits must be abandoned. A light vegetable diet and abundant regular exercise in the open air must be taken. In the acute form the following homeopathic remedies may be indicated: Aconite, Arnica, Arsenicum and Bryonia. In the chronic form the main reme- dies are Sulphur, Calcarea Carb, Lycopodium and Si- licea. The remedies indicated in rheumatism may be studied to an advantage. LITH^EMIA. This affection is a modified form of gout. The urine contains an excess of uric acid and urates, also phosphates and calcium oxalate in superabundance. The urine is scanty and passed fre- quently with a burning sensation. Cramps in the legs, eruptions on the skin, noises in the ears, disturbances of vision, palpitation of the heart, cough, headache, dizziness, drowsiness and despondency, are some of the many symptoms that occur in this disease. There is also a sallowness or an unnatural redness of the complexion. The appetite is poor, the taste metallic, the digestion deranged and the bowels constipated. This disease is frequently mistaken for other troubles. It usually terminates in an incurable disease of the kidneys and heart. Treatment.—A careful attention to diet and a study of the Materia Medica in Part II will do much to arrest the progress of this disease, if not indefinitely postpone its worst features. A meat diet should be avoided. ROGERS' HOMEOPATHIC GUIDE. 123 ARTHRITIS DEFORMANS. This affection, properly called rheumatoid arthritis, and im- properly called rheumatic gout, is a destructive disease, involving both large and small joints. It is accompanied with deformity, im- paired mobility and pain. The cartilages uniting the bones become absorbed. The ends of the bones become enlarged and hardened. They elicit a grating sound on being rubbed together. When it affects the fingers they are usually drawn away from the' thumb. The disease usually ccmes on slowly. Only occasionally attended with acute febrile symptoms. It occurs in the exhausted, the poorly ted, the debilitated and those whose surroundings are un- healthy. The very opposite conditions of those affected with gout. It differs from rheumatism in that it affects the smaller joints as well as the larger. In fact it may affect any and all the joints of the body. Treatment.—Improvement ot the surroundings and a better diet are the first essentials. A cure can hardly be expected. But relief may be obtained from Calcarea Phos. or some of the remedies usually indicated in rheumatism. DIABETES MELLITUS. The first sign of this disease that usually attracts attention is the increase in the amount of urine passed. A chemical examina- tion of which, reveals the presence of sugar. Through some de- rangement of nutrition the sugar accumulates in the blood and is excreted in the urine. A tendency to the disease may be inherited. It is more often met in men than in women, and in those over thirty years of age. It seldom occurs in young persons. The disease is 124 ROGERS' HOMEOPATHIC GUIDE. chiefly confined to the intellectual and the highly nervous. Just previous to the beginning of diabetes the patient is often very fleshy. Gout, syphilis and malaria are supposed to be some of the exciting causes of the disease. Mental shocks and worry often precedes it. Injuries of the brain and spine have been followed by diabetes. Symptoms.—The onset of the disease is gradual. The fre- quent passing of water, the great thirst, the voracious appetite and the immense quantity of urine, varying from six to forty pints a day, are the prominent symptoms. The specific gravity of the urine is always greater than the normal, ranging from 1025 to 1045. The color is pale and looks very much like pure water. Analysis shows from one to ten per cent, sugar. In spite of the enormous amount of food eaten the patient, as a rule, becomes rapidly emaciated. The skin is dry and harsh, rarely perspiring. Boils and carbuncles are common complications. The patient is often annoyed by erup- tions and intolerable itching. Gangrene is not an uncommon com- plication, while lung troubles are frequent. Various nervous dis- orders are found complicating the disease. Treatment.—The diet is an important part of the treatment. If carefully followed out according to the rules below, all cases will be benefitted it not cured. The patient may take the following liquids: Oxtail, turtle, bouillon and other clear soups, coffee, tea, chocolate, cocoa and lemonade. No sugar must be used in any of them. Saccharin may be used instead. Soda, potash, apollinaris vichy water and milk may be taken. Of animal foods the following are allowed: Fish of all sorts, salt and fresh, poultry and game, eggs, butter, buttermilk, curds, cream cheese and all fresh meats except liver. The only bread allowed is gluten and bran bread, also almond and cocoanut biscuits. The ROGERS' HOMEOPATHIC GUIDE. 125 starchy foods must be avoided. White bread being perhaps the best example of that class. The vegetables allowed are lettuce, tomatoes, spinach, chiccory, sorrel, radishes, water-cress, mustard, celery and pickles of various sorts. Lemons, oranges and currants are allowed, also nuts. The following must be avoided: Thick soups, liver, crabs, lob- sters and oysters; ordinary bread, including rye, wheaten, brown, white and all such articles, as rice, tapioca, sago, arrow root and vermicella. The following vegetables are prohibited: Potatoes, turnips, parsnips, squashes, beets, corn and asparagus, also beer, sweet wines and sweetened drinks. The main point to keep in mind is that all sugar producing foods must be avoided. Perhaps fifty homeopathic remedies may be indicated in as many diabetic cases. To mention any one or two remedies would be misleading. One must study the Materia Medica, Part II. DIABETES INSIPIDUS. Diabetes Insipidus is an. entirely different disease from diabetes mellitus. About the only resemblance between the two is that in both an immense quantity of urine is passed. In the former the specific gravity of the urine is too low, ranging from 1001 to ioog, while in the latter it is too high, ranging from 1025 to ro45, or even higher. The urine in the former contains no sugar nor, as a rule, any other abnormal element, while that of the latter is loaded with sugar, the characteristic feature by which we recognize the disease. The former is more frequently met in young persons, while the latter is rarely met in persons under thirty years of age. The former is a much less serious disease than the latter. Diabetes insipidus is supposed to originate in some derangement of the nervous system. 126 ROGERS' HOMEOPATHIC GUIDE. It often follows a fright or an injury. There are other diseases in which a large amount of urine is passed of low specific gravity. But in each case it will contain some abnormal element that will distinguish it from the urine of diabetes insipidus. Treatment.—The cause must be removed if possible. Cold drinks should not be taken in large quantities. There are no routine remedies. Apis, Belladonna and Phosphoric Acid are sometimes indicated. Each case must be given remedies according to the symptons. RICKETS. This is a disease belonging to infants. It is known by the im- paired nutrition and by the alterations in the bones. It is found in all parts of the world, but chiefly among the children of the poor, who have been deprived of sun light and of pure air. Too much starchy food, too much cow's milk and poor feeding generally are important factors in the development of the disease. The bones of richitic children contain only about one-third as much lime salts as they should. Symptoms.—The disease comes on slowly, rarely before the sixth month or after the second year. Digestive disturbances, fever, restlessness, irritability and sleeplessness, are usually present. The child is so sensitive all over that it cries whenever it is moved. There is such profuse sweating during sleep that the pillow is wet for some distance about its head. The bones are soft and yielding. The sides of the chest yield so that the "pigeon breast " is formed. Nodules form where the ribs join the breast bone. The ends of the long bones become enlarged, while their shaft bends, as in case of the " bow legged." The head appears large and the open spaces in ROGERS' HOMEOPATHIC GUIDE. 127 the skull, natural at birth, are tardy in closing. Teeth decay early and fall out. The abdomen is often enlarged, giving rise to the so- called " pot bellied." The spine may be curved. The disease is never in itself fatal, but such children do not resist well other dis- eases. Treatment.—The child should have the best food and the purest air. It it is still nursing the health of the mother or nurse should receive the most careful attention. The child should be given other food besides that which it nurses. Cow's milk properly diluted along with strained oat meal gruel is a good addition to its diet. Bovinine, a beef preparation that may be procured at any drug store, is of great value in such cases. The child should be rubbed night and morning with olive oil or cod liver oil. The chief homeopathic remedies are Calcarea Carb and Calcarea PhOS. Other remedies may be needed, such as Belladonna, Sulphur, Lycopodium, Sepia or Silicia. SCURVY. This affection, sometimes called scorbutus, is known by the great debility, the anaemia, the spongy gums and the tendency to hemorrhages that attend it. The disease has been known from the earliest times. It was formerly common among soldiers in the field and among sailors on a long voyage. But since its cause was dis- covered, during the early part of the present century, it has become a rare disease. The disease develops in those who have been for a long time deprived of fresh vegetables or their substitutes. All agree that the disease is caused by an absence in the diet of the salts which vegetables possess. The disease is now occasionally met only in poor houses, lumber camps, mining regions and other 128 ROGERS' HOMEOPATHIC GUIGE. places where vegetables are not obtainable. Depressing influences and unhygienic surroundings are believed to favor the development of the disease. The most recent striking instance of the occur- rence of scurvy was among the prisoners at Andersonville during the civil war. Symptoms.—The disease comes on slowly. The patient loses in weight and steadily grows weaker, also paler. The gums become swollen, spongy and bleed easily. The teeth loosen and may tall out. The breath is foul and the tongue swollen. The skin becomes dry and rough. Very small black and blue spots appear first on the legs and then on the arms and trunk. The slightest bruise or injury causes hemorrhage into the part injured. Nose bleed, hemorrhage from lungs, stomach, bowels and kidneys are not uncommon. The heart palpitates. The soreness of the gums pre- vents the patient from eating much. Constipation is more often present than diarrhoea. The urine often contains albumen. Its specific gravity is high and the color deep. Treatment.—A correction of the diet will speedily cure the majority of the cases of scurvy if not too far advanced. The juice of two or three oranges daily, with plenty of fresh vegetables, will usually be all the treatment necessary. Some cases will require one or more of the following homeopathic remedies: Arseni- cum, Carbo Veg, China, Mercurius, Natrum Mur, Nitric Acid, Nux Vom., Phosphorus or Sulphur. PURPURA. This term indicates a condition where there are black and blue spots in the skin produced by hemorrhages in the skin. The spots ROGERS' HOMEOPATHIC GUIDE. may vary in size from a pin head to the size of a silver dollar. The small ones are called petechial and the larger ecchymoses. At first they are bright in color, but become darker and finally fade, leaving a brownish stain. This condition occurs with a number of diseases. As septicaemia, pyaemia, malignant endocarditis, typhus fever, measles, small-pox. It also occurs after snake bite, poison- ing by certain drugs, as belladonna, mercury, quinine, ergot, iodides and copaiba. It is seen in Bright's disease, scurvy, Hodgkin's dis- ease and in the aged, especially about the ankles and wrists. It may be seen in cases of locomotor ataxia, where there are lightning pains, and in other neuralgiac troubles. Purpura hemorrhagica is a severe form of the disease in which hemorrhages take place from the mucous membrane. When the disease is associated with rheumatic symptoms it is called Pur- pura rheumatica. Simple cases recover in a week or two, but those in which there is considerable hemorrhage may be variously com- plicated and protracted. Treatment.—Improve the diet and surrounding conditions. The following homeopathic remedies should be studied: Phos- phorus, Arsenicum, Arnica, Bryonia, Lachesis and Hamamelis. HAEMOPHILIA. This is a hereditary tendency to uncontrollable hemorrhages. The slightest wounds bleed profusely. Their tendency to bleed has been traced in some families through several generations. In the majority of instances the hemorrhage occurs from the nose. It may continue for hours and even for days. The youneer the person is when the disease manifests itself the less the chances of outgrow- ROGERS' HOMEOPATHIC GUIDE. ing the tendency. Of 152 boys with this weakness 81 died before the end of the seventh year of age. Treatment.—Phosphorus is the best indicated homeopathic remedy for this trouble. China, Ferrum, Arsenicum and Hamamelis maybe of service. SECTION III Diseases of the Digestive System. STOMATITIS. This is ,an affection of the mouth and manifests itself in six forms, Acute, Aphthous, Ulcerative, Parasitic, Gangrenous and Mercurial. Acute stomatitis is sometimes called catarrhal, from the fact that it is a catarrh of the mucous membrane of the mouth, resulting from irritation by something taken into the mouth or by a decayed tooth. It is known by the increased secretions, the unnatural red- ness and heat. Taking food into the mouth causes discomfort. The appetite is poor and the breath foul. The tongue may be swollen, furred and indented. Aphthous stomatitis manifests itself at first by little blisters on the inside of the cheek, the border of the tongue and on the inner surface of the lips. These break and leave small, grayish ulcers with bright red borders. It is more frequently seen in child- ren under three years of-age. It develops rapidly and may disap- pear almost as quickly. It must not be confused with thrush, I3i 132 ROGERS' HOMEOPATHIC GUIDE. which is the Parasitic stomatitis and is produced by a fungus parasite, belonging to the yeast family. Poor food, uncleanliness ot the mouth, acid fermentations arising from remnants of food lodged in the mouth favor the development of parasitic stomatitis. It is not infrequently communicated by unclean spoons and nursing bot ties. We meet this form not only in children suffering from stomach and bowel troubles, but in adults in the last stage of consumption or diabetes. It first appears on the tongue in the shape of raised pearly white patches, which run together and spread to other parts of the mouth. These patches can easily be scraped off and leave no ulcer beneath, as is the case in aphthous stomatitis. The mouth is dry, the opposite of the condition met in the acute form of stomatitis. Ulcerative stomatitis is al3o known by the name,putrid sore mouth. It prevails in jails, camps and institutions with unhealthy surroundings. Poor food, lack of cleanliness of the mouth, decayed teeth, collection of tartar on the teeth favor the development of the disease. It spreads like an infectious disease. Some maintain that this disease and the foot-and-mouth disease of cattle are one and the same. It begins at the margin of the gums, which become red and swollen, bleeding easily. Ulcers form along the gum lines of the upper and lower jaw, covered with a grayish white membrane. There is a profuse discharge of saliva, the breath is foul and chew- ing is difficult. The glands beneath the jaw enlarge. A wash of chlorate of potash is said to be almost a specific for this trouble. Gangrenous stomatitis, also called cancrum oris or noma, is a gangrenous process which starts on the gums or cheek and rapidly destroys the surrounding tissues, burrowing a hole perhaps into the jaw or perforating the cheek entirely. This rare but terrible disease ROGERS' HOMEOPATHIC GUIDE. 133 is only met in children with unsanitary surroundings or in those convalescing from some acute fever, especially measles. The suf- ferers are usually between the ages of two and five years. Mercurial stomatitis is the result of poisoning by mercury. It is sometimes called Ptyalism, on account of the profuse flow of saliva from the mouth. It was formerly very common in the days of heroic doses of mercury, but this cruel treatment, along with bleeding and many other barbarous methods, have been bajiished since the advent of homeopathy. The unfortunate victim of sali- vation by calomel first complains of a metallic taste in his mouth, the -gums swell and become red and sore. The tongue is also swollen, the breath foul and the teeth loosen, sometimes falling out. Treatment.—Each one of the six forms of stomatitis just described requires different treatment. Perfect cleanliness of the mouth is the first essential. Careful attention to the diet and the surrounding? are the next. Washing out the mouth with borax and honey is an old domestic remedy not without merit. A modern preparation, Listerine, diluted to one-fourth or more, is an excellent mouth wash. It renders the mouth clean and sweet. Soap suds, made of the purest soap, is an effectual wash. The following homeo- pathic remedies are frequently indicated: Nux Vom., Sulphur, Mercurius, Nitric Acid, Hepar Sulp. and Baptisia. PTYALISM. This affection is an excessive secretion from the salivary glands. It is met in a number of diseases; certain mental and nervous troublsg, hydrophobia, small-pox and in some other acute diseases. It is very common during the earlier months of pregnancy. It is readily produced by a number ot drugs, chief among these are % ROGERS' HOMEOPATHIC GUIDE. mercury, gold, copper, iodine, jaborandi, muscarin and tobacco. Unless produced by them the following remedies are useful: Mer- curius, Nitric Acid, Ipecac, Arsenicum, Belladonna. When there is an insufficient secretion of saliva the condition is called Xerostimia, and has been cured by electricity; galvanic current. The parotid glands, located on both sides between the ears and the angle of the jaws, sometime inflame as in mumps. The condition is called Parotitis. It is often produced by mumps, but sometimes by other diseases, as typhoid, pneumonia, pyaemia. In which case, if an abcess forms, it is regarded as an unfavorable symptom. DISEASES OF THE THROAT. The following are the chief affections of the throat: (i). Those arising from circulatory disturbances including hyPeroemia, hemor- rhage and oedema. The hyperaemia, indicated by simple redness, may be due to the irritation of tobacco smoke or a result of organic heart disease, which causes the blood to engorge the blood vessels, giving them a bluish shade. The hemorrhage is usually due to some local cause in the throat. The oedema is generally associ- ated with a debilitated condition of the system as found in Bright's disease. The palate and other parts of the throat have a puffy ap- pearance. (2). Acute pharyngitis is sore throat proper. It is also called angina simplex. It involves the tonsils and the entire throat; usually results irom cold, but may arise from various constitutional or digestive troubles. The patient complains of dryness, tickling and soreness on swallowing. If it extends down to the vocal cords hoarseness results. This form usually disappears within a short ROGERS' HOMEOPATHIC GUIDE. 135 time. (3). Chronic pharyngitis is usually the result of repeated at- tacks of the acute form. It is very common in those who drink and smoke and in those who use their voice much, as clergymen. It often results from chronic catarrh. (4). Ulceration of the pharynx' may be divided into six classes: (a) Follicular, such as come from chronic catarrh, (b) Syphilitic, (c) Tuberculous, {d) Pseudo membraneous, as, tor example, the diphtheritic, (e) Fever ulcers, such as occur in typhoid. (5). Acute infectious phlegmon of the pharynx is a throat trouble in which there is much swelling, fever and a rapidly forming abscess. (6). Retro-pharyngeal abscess sometimes follows one of the fevers and is oiten the result of decay of a spinal vertebra just back of the throat, in which locality it is usually found. (7). Angina Ludovici is a cellulitis or inflammation of the neck that is sometimes seen in diphtheria and scarlet fever. TONSILLITIS. This is an inflammation of the tonsil. There is an acute and a chronic form. There are two varieties of the acute, namely, the follicular or lacunar and the suppurative. The first variety is more frequent between the ages of ten and thirty years. Ex- posure and unhygenic surroundings favor its development. Defect- ive drainage and sewer gas are supposed to be exciting causes. It begins with a chill or chilly sensations, and aching in the back and limbs. The fever rises rapidly and may reach 105 in the evening of the first day. There is soreness of the throat and difficulty in swal- lowing. The tonsils are red and creamy mucus is seen in their crevices. One tonsil alone may be affected or one after the other. If both tonsils are attacked at the same time the disease will be 136 ROGERS' HOMEOPATHIC GUIDE. found to arise from some poisoning. The tonsils may be so swollen as to touch each other. The fever usually subsides within a week Tonsillitis often precedes rheumatism. Tonsillitis and diphtheria are often mistaken for each other. To determine one from the other is often a matter of great import- ance. In tonsillitis the tongue is coated and furred, while in diph- theria it is, as a rule, clean. The patches in the former are cream colored, while those of the latter are a dirty gray. In the latter case it tends to spread, while in the former it does not. The fever does not, as a rule, rise so rapidly in diphtheria. When the mem- brane of diphtheria is scraped off it leaves a raw or bleeding sur- face. Such is not the case in tonsillitis. In diphtheria there is usually a swelling of the glands of the neck seen and felt externally. The Suppurative Tonsillitis is commonly called quinsy. The cause and symptoms are very much like those of the acute form. The suffering is more intense, the saliva is more profuse and the tonsils more swollen. Within two to four days they become filled with pus and will "break" if not anticipated with the knife. Early lancing ot the abscess will save the patient much suffering. Treatment.—The indicated homeopathic remedy given early will do much toward relieving or cutting short an attack of tonsil- litis. No doubt but that abscesses may be and are frequently pre- vented by homeopathic treatment. Salicylate of sodium is said to relieve the pain. The chief homeopathic remedies are Aconite, Apis, Belladonna, Mercurius, Hepar Sulph., Lachesis and Kali Bichromicum. The last mentioned.remedy will be of great service in cases where there is much tenacious saliva stretching out into long strings. Belladonna is perhaps more ROGERS' HOMEOPATHIC GUIDE. 13? frequently indicated. Sulphur may be of great service when convalescence is slow. Chronic Tonsillitis is associated with a chronic enlarge- ment or hypertrophy of the tonsils. This condition in children may affect greatly their mental and physical development, by establish- ing in them the evil habit of mouth breathing. The form of the chest and the expression of the face are changea by this habit, which is more noticeable at night when the child is asleep than dur- ing the day. If the mouth breathing continues for a long time the child develops a dull, stupid expression. Even the mind and dis- position may become unnatural from this cause. The mental fac- ulties and the power of attention are actually weakened. The breath of mouth-breathers is always foul. Little cheesy masses are frequently pressed from the tonsil. If they be crushed between the fingers a very foul odor is emitted. The tonsils, when perfectly normal, are scarcely visible. Enlarged tonsils are easily seen. A nasal voice is usually associated with them. Treatment.—There are cases where amputation of the tonsil is justifiable. It is not usually a painful or serious operation. But careful and prolonged homeopathic treatment will generally render such radical measures unnecessary. One of the most effectual remedies in reducing enlarged tonsils is Baryta Carb. Some, however, claim that Baryta Mur. is even better. A dose twice a week should be given for several months. Calcarea Phos. is another remedy frequently, indicated. So is Mercurius Iodide. Patients with enlarged tonsils will often exhibit symptoms calling for Calcarea Carb or Iodide. When all other remedies have failed Sulphur will often produce good results. Phosphorus. Phytolacca and Lycopodium should also be studied in the 138 ROGERS' HOMEOPATHIC GUIDE. Materia Medica in Part II. If the stomach is kept in a good condi- tion by proper diet and by drinking a cup of hot water before each meal in which there is a little salt, and if the skin is kept in a good condition by a cold sponge bath every morning before break- fast, throat troubles will be of rare occurrence. DISEASES OF THE (ESOPHAGUS. The esophagus or gullet may be affected as follows: (1). In- flammation resulting from catarrah, chemical poisoning, hot liquids, diphtheria and other irritations or diseases. There may be a great deal of inflammation in the gullet without any symptoms. In severe inflammation there is usually pain on swallowing and a constant dull pain beneath the breast bone. (2). Spasms of the gullet occur in hysteria, hypochrondria, chorea, epilepsy and especially hydro- phobia. The patient complains of inability to swallow food and even liquids. But a bougie may be readily passed without meeting any obstructions. (3). Stricture of the esophagus may follow the swal- lowing of corrosive sublimate, the healing of an ulcer or from some mechanical pressure, as a tumor. (4). Cancer of the esophagus is not an uncommon disease. It is usually located in the upper third of the tube. The earliest symptom of this affection is difficulty in swallowing, which increases along with rapid emaciation. A person over fifty years of age with these symptoms, along with enlarge- ment of the glands of the neck, has cancer of the gullet. (5). Rup- ture of the gullet may occur from severe or prolonged vomiting. (6). Dilatations and Diverticula may develop in the esophagus. They may follow a narrowing of the tube. The food lodges and the walls bulge until a sac or diverticulum is formed. ROGERS' HOMEOPATHIC GUIDE. I3Q DISEASES OF THE STOMACH. Affections of the stomach are classified as follows: Acute gas- tritis, Chronic gasttitis, Neuroses, Dilatation, Peptic ulcer, Cancer and hcematemesis. Acute Gastritis, also called simple gastritis, acute gastric catarrh and acute dyspepsia, is a common complaint and is usually caused by errors of diet. The fault of the diet may be that the food is unsuitable or too great in quantity, or it may be partly de- composed when eaten, or it may arise from drinking alcoholic liquors. Acute gastritis occurs at the beginning of many of the in- fectious diseases. The most common symptoms of this form of gastritis are headache, depression, nausea, belching, vomiting and an uncomfortable feeling in the abdomen. In severer forms there may be a chill and slight fever; tongue coated, breath foul and frequent vomiting. The duration of an attack is but a day or two. There are the following varieties of acute gastritis: (1). Phl- egmonous gastritis or acute suppurative gastritis, a rare disease in which there is suppuration in the sub-mucous layer of the s:omach. (2). Toxic gastritis, the most severe form of inflammation of the stomach, is caused by swallowing some concentrated acid or a strong alkali or some other poisonous substance, as arsenic, phosphorus or corrosive sublimate. The symptoms are pain in the mouth, throat and stomach, along with vomiting, in the matter of which there is blood. An examination of the inside of the mouth will usually re- veal effects ot the poisoning. In case of poisoning by acid, mag- nesia should be given in milk or white of egg. In case the poison ing is produced by an alkali then a dilute acid is the remedy. 140 ROGERS' HOMEOPATHIC GUIDE. (3), Diphtheritic or membraneous gastritis occurs in diphtheria and a number of other diseases. (4). Mycotic or parasitic gastritis is due to a fungus. Chronic Gastritis, also called chronic dyspepsia ox chronic catarrh of the stomach, is that condition of the stomach in which there is an increase in the mucus, a change in the gastric juice and an impairment of the muscular coats of the stomach so that food lies in the stomach longer than it should. The following are some of the causes of chronic gastritis or dyspepsia: Unsuitable or poorly prepared food; the continued use of certain articles of diet, as too much fat, coffee, tea and alcohol; eating at irregular hours; eating too rapidly; insufficient mastication; drinking ice water during meals; also the use of tobacco. The disease may develop as a re- sult of the debilitating effects of other diseases. There are two forms of chronic dyspepsia, sitnple chronic gas- tritis and sclerotic gastritis. The symptoms of chronic gastritis vary much, but the following are those usually met: Appetite, vari- able; feeling of distress or oppression after eating; painful feeling when the stomach is empty; heart burn; pain on pressure over the stomach; tongue, coated; bad breath; tip and border of tongue very red; saliva, profuse; morning nausea; much belching of gas; bitter fluids come up with the belching; vomiting of food immedi- ately or an hour or two after eating, the matter vomited containing abnormal acids, such as butyric, acetic or lactic, while hydrochloric acid is entirely absent or present in a quantity much less than nor- mal. The bowels are constipated, the head aches and the patient is depressed and constantly out of sorts. Dizziness and melancholia may occur in severe cases. The heart palpitates and there may be a cough, but no fever. Chronic gastritis is now worse and now bet- ROGERS' HOMEOPATHIC GUIDE. I4r ter and may continue indefinitely unless cured. It is the unsus- pected cause of many other troubles. Treatment.—The first step in the successful treatment of chronic dyspepsia is to ascertain, if possible, the cause and remove it. In many cases the cause will be found to be over-eating or rapid eating. Another very common cause is bad cooking. On no other subject of equal importance is there so much ignorance. To be a good cook should be regarded as one of the finest accomplishments that a woman can acquire. Bad cooks cause more suffering than all the saloon-keepers in the world. For the further consideration of the subject of cooking the reader is referred to the Chapter on Dietetics. Some severe cases of dyspepsia will do well upon an ex- clusive milk diet. The milk being diluted one-half by soda water, vichy water or plain water, to a cupful of which has been added five grains of carbonate of soda or a pinch of salt. Skimmed milk or buttermilk will agree with many cases for awhile. Patients may even gain weight on an exclusive milk diet. Six to eight ounces should be taken every three hours, making three to five pints within twenty-four hours. In many cases it will not be necessary to limit the patient so strictly. It maybe necessary only to cut off hot bread, fried articles of food, pies, cakes and other pastry. Ice cream, sweets and fats should be avoided. Toasted bread, not scorched, but toasted to a golden yellow, and brown bread are easily digested. Fruit should be eaten only in the morning before eating anything else. Again, dyspeptics must not get the idea that everything they eat will hurt them. Moderate exercise, a visit to the country or mountains, or a long sea voyage will work wondi:s for dyspeptics. Over-work, mentally and physically, are important factors in the production of dyspepsia. Food will not digest readily when the 142 ROGERS' HOMEOPATHIC GUIDE. body is tired out or the mind worried. Proper rest of body and freedom from worry must be obtained in all cases before a cure can be expected. Many cases will be benefitted by a cold sponge bath before breakfast, especially flatulent dyspepsia. Injections of one to three quarts of warm water, slightly soapy, every other night will relieve the coated tongue and foul breath in many cases. Peroxide of hy- drogen diluted to one-fourth and taken into the stomach will destroy the fermentation and improve the condition greatly. A cup of hot water, to which has been added a teaspoonful of bi-carbonate of soda, will chemically sweeten the stomach. Bad cases of chronic catarrh of the stomach have been promptly cured by repeatedly washing out the stomach. Teaspoonful doses of glycerine has also cured cases of this kind. As already mentioned, hydrochloric acid is usually absent or deficient in all cases of chronic dyspepsia. One hundred drops of the dilute hydrochloric acid taken a quarter of an hour after meals is said to act well. Salt is an essential factor in the development of hydrochloric acid. The use of salt in dyspepsia has, therefore, a scientific basis. The writer has found, by personal experience, the observance of the following two rules an excellent way of not only curing, but of preventing chronic gastritis: (i). Before each meal drink a cup or two of hot water, to which has been added a little milk, sufficient to color it well, and a pinch of salt. (2). During meals and for three hours afterwards drink absolutely nothing. If, after observing these rules, you should suffer from thirst, it is evidence that you have eaten too much or of improper food. During the last few years it has been discovered that many dys- ROGERS' HOMEOPATHIC GUIDE. 143 peptics have some abnormal condition of the rectum, especially the last inch of the bowel, consisting either of piles, or ulcers, or fis- sures, or stricture. The correction of such troubles is usually fol- lowed by the happiest results. A large number of homeopathic remedies may be useful in dyspepaia. The most important ones are the following: Arsenicum, Nux Vomica, Pulsatilla, Lycopodium, Carbo Veg, Podophyllum, Sepia, Bry- onia, Hydrastis, China and Ipecac. Neuroses of the stomach are included in three classes: Gastralgia or gastrodvnia, Nervous dyspepsia and Nervous vomiting. In case of simple gastralgia not associated with any organic disease the patient is suddenly seized with severe pain at the pit of the stomach, which passes backwards and around the lower ribs. At- tacks come on regularly without any reference to food. Pressure upon the stomach usually gives relief while it is continued. Eating often relieves the pain. This affection generally occurs in nervous women who are worried and constipated. More often met in those passing the " change of life." Nervous dyspepsia has oppression and distress after eating, as in cases of chronic gastritis, but the food digests in the proper time. If the stomach is found empty seven hours after eating an ordinary meal of soup, bread and meat, the case is one of nervous dyspepsia. There are three types of nervous dyspepsia, (i). The secretions are normal. (2). They are not sufficiently acid. (3). They con- tain an excess of acid. Nervous vomiting is due, not to any derangement of the stomach itself, but to nervous influences. The patients are, as a rule, female brunettes of a hysterical nature. A peculiarity of the vomiting in such cases is the absence of straining. Without effort or gagging 144 ROGERS' HOMEOPATHIC GUIDE. the mouth is filled with the contents of the stomach. Peristaltic unrest is common in neurasthenia. Shortly after eating an annoy- ing gurgling sound occurs which may be heard at a distance. Rumination is a rare affection in which the food is regurgitated and chewed, as seen in cattle. This is only met in nervous, hysterical persons, epileptics and idiots. A careful study of the homeopathic Materia Medica will detect the indicated remedies for all these. Orificial surgery, massage, electricity, bicycling and the rest cure may all be utilized to advantage in this class of stomach troubles. Dilatation of the stomach may be either an acute or a chronic condition. The acute is rarely seen, yet it occurs whenever a large quantity of food and drink has been quickly taken into the stomach. Chronic dilatation may be due to a-stricture at the pyloric outlet of the stomach, or it may be caused by simple weakness of the mus- cles produced by repeatedly over-filling the stomach. In chronic dilatation the vomiting of enormous quantities is the most pro nounced symptom. The quantity may amount to three quarts, con- sisting of food and liquid. There are also many dyspeptic symp- toms. Peptic Ulcer may be present for months in the stomach without any other symptoms than those common to dyspepsia. The first positive symptom may be a perforation or a sudden hemor- rhage from the stomach. In case of peptic ulcer vomiting does not occur for two hours after eating. The gastric juice is excessively acid. In one-half of the cases there is hemorrhage. The vomiting ot bright red blood strongly suggests ulcer. Pain is the most con- stant symptom of ulcer. It may be a burning, gnawing pain, or it may come on as intense paroxysms of gastralgia. Attacks gener- ally come on about fifteen minutes after taking food. A circum- ROGERS' HOMEOPATHIC GUIDE. *i45 scribed tenderness is another common symptom. Kali Bichrom., Lycopodium and Arsenicum are the most frequently indi- cated homeopathic remedies in case of ulcer of the stomach. Of all cases of cancer one-fifth is found in the stomach. Three- fourths of the patients with cancer of the stomach are over forty years of age, while the majority of those with ulcer of the stomacn are under forty. Cancer of the Stomach may exist and even cause death without exhibiting any positive symptoms by which it could be detected. However, the following eeneral symptoms when combined in one case strongly suggest the disease: Aggravation of previous dyspeptic symptoms; a steady, progressive emaciation; a loss of strength from month to month; a sallow, bloodless com plexion; a tumor in the stomach; continued and diffused pain in the stomach, accompanied by vomiting and slight hemorrhages; the coffee-ground vomit; the continued absence of hydrochloric acid from the secretions of the stomach. The invariable presence of hydrochloric acid in the secretions of the stomach is positive evi- dence of the absence of cancer. Treatment.—Cancer of the stomach is incurable. Such patients do best on a milk diet. Washing out the stomach regu- larly gives relief. Life may be prolonged by a surgical operation, making a new channel between the stomach and the bowels. Hemorrhage of the stomach, also called Hosmalemesis and Gastrorrhagia, may arise from different causes. Hemorrhage of the stomach and hemorrhage of the lungs are distinguished as fol- lows: In the former there will be found previous stomach trouble; in the latter previous lung trouble. In the former the blood is vom- ited; in the latter coughed up. In the former it is acid, dark colore! 146 ROGERS' HOMEOPATHIC GUIGE. and mixed with food, while in the latter the blood is alkaline, frothy and bright red. Treatment.—Hemorrhage from the stomach as well as hemorrhage from other parts may be controlled by tying a cord tightly about a leg or arm or both. DISEASES OF THE BOWELS. The following diseases of the intestines are associated with diarrhoea: Catarrhal Enteritis, Enteritis in children, Diphtheritic or Croupous Enteritis, Phlegmonous Enteritis, Mucous Colitis and Ulcerative Enteritis. Among the primary causes of enteritis or diarrhoea may be mentioned: Improper food; poisons; change of weather; changes in the secretions; nervous or mental influences. Among the sec- ondary causes are found: Infectious diseases; neighboring inflam- mations; disturbances of circulation; conditions accompanying some of the incurable diseases. It should be remembered that diarrhoea is not always produced by catarrh of the bowels; mental disturbances may cause it. On the other hand catarrh of the bowels may sometimes exist without diarrhoea. If the catarrh is in the small intestine the diarrhoea will be less profuse, the pains, colicky, and the stools, yellowish, green or grayish yellow, with particles of food and but little mucus. If the catarrh is confined to the large intestine, the pain is either absent or very intense, the stools are of a uniform consistency like soup and have a grayish granular appearance, often containing much mucus. Tenesmus, that is straining at stool, indicates that the rectum is in- volved. Catarrh of the bowels may be acute or chronic. An attack ROGERS' HOMEOPATHIC GUIDE. 147 of the former may last from two to ten days, during which time there may be four to twenty stools within twenty-four hours. If a very great quantityps evacuated within a short time fainting or col- lapse may occur. The chronic form may follow the acute or may develop independently. Enteritis in Children embraces three forms: (1). The acute dyspeptic diarrhcea. (2). Cholera infantum; and (3). Acute entero-colitis. Diarrhoeas of children can almost invariably be traced to improper feeding. Hot weather and unhealthy surround- ings aggravate them. In a case of the first form the child, appar- ently well, has an increased number of natural stools for a day or two, after which they are more frequent, offensive and contain curds and undigested food. This form may set in abruptly and violently with high fever, vomiting and griping pains. Convulsions may occur. The stools are grayish or greenish yellow. They are never watery, as in cholera infantum. The attack is generally brought on by eat- ing unripe fruit or by drinking tainted milk. Recovery, as a rule, soon takes place, but relapses may occur and the third form develop. In case of cholera infantum the vomiting is incessant and is excited with every attempt to take food or drink. The diarrhcea is uncon- trollable. The stools, frequent and profuse; very thin and watery. At first very offensive, but later odorless and alkaline. The eyes are sunken, the features pinched, and the complexion ashy. The tongue is dry and red, while the thirst is insatiable. Death may oc- cur within twenty-four hours from the beginning of the attack. The child may linger in a stupor. Convulsions may occur. The head may be drawn back and the respirations may be irregular, as in brain trouble. The symptoms of a child with cholera infantum and those of an adult with cholera asiatica are almost identical. £48 ROGERS' HOMEOPATHIC GUIDE. Acute Entero-colitis is the form of diarrhcea that occurs in children after an attack of an infectious disease. It may follow the first form, or it may develop in artificially fed children any time of the year, but especially during hot weathe-. The stools usually con- tain mucus streaked with blood and are passed without pain. An attack lasts from two to six weeks. Cases of this kind may be more severe and are sometimes called acute dysentery. In case of Diphtheritic Enteritis patches or a membrane re» sembling that seen in the throat during an attack of diphtheria form on the lining of the bowel. This condition usually follows some in- fectious disease, or incurable disease, as pneumonia, typhoid, pyae- mia, cancer or Bright's disease. Phlegmonous Enteritis is the name given to the condition when pus forms beneath the lining of the bowel. It is most frequently seen when the bowels are telescoped or in cases of obstruction or strangulated hernia. The symptoms are much like those of peri- tonitis. Mucous colitis is a remarkable affection of the large intestines, in which long strings of tenacious mucus are passed. It may form a cast of the bowel. Attacks are commonly brought on by worry and may continue from one to ten days, attended by severe pain. On account of the severe pain the disease has been called mucous coltc. It has also been called membraneous enteritis and tubular diarrhoea. Ulcerative enteritis includes not only the ulcers of tuberculosis, syphilis and typhoid, but the following forms of ulceration: Folli- cular ulceration, stercoral ulcers, simple ulcerative colitis, ulceration frotn external perforation, cancerous ulcer and solitary ulcer. Con- siderable ulceration may take place in the small intestine without diarrhcea, while a small spot of ulceration in the large intestine may ROGERS' HOMEOPATHIC GUIDE. 149 be accompanied by frequent stools. As a rule, however, diarrhcea is present in all cases of ulceration of the bowels. Small.quantities of pus, shreds and blood are the most positive symptoms of ulcera- tion. Large quantities of pus passed at a time would indicate that it was formed in some other organ and not in the bowel. Profuse hemorrhage also indicates ulceration of the bowel. Treatment of Bowel Troubles.—In the successful treat- ment of all intestinal complaints attended by diarrhcea, two rules must be religiously observed. (1). The patient must be put to bed and kept mentally and physically quiet. (2). The patient must ab- stain from all food, taking absolutely nothing but water until the diarrhcea ceases. This last rule applies more particularly to acute cases, including typhoid. Patients can easily go a week without taking food. In the cure as well as in the production of bowel troubles the diet plays a most important part. Certain foods tend to constipate, while others have an opposite effect. Boiled milk, as a rule belongs to the first class, while meat and fruits usuallyjloosen the bowels. In many, some one article of food is the sole cause of the diarrhcea. In chronic diarrhcea with mucous stools injections of large quan- tities of warm water are often beneficial. In case of infantile diarrhcea during hot weather a warm bath and a carriage or boat ride into fresh, cool air will accomplish wonders. A trip to Lincoln Park or a ride on Lake Michigan has saved thousand of Chicago children during hot seasons. During the memorable heated spell in July, 1887, a three days' sail on Lake Michigan, we are positive, was the only thing that saved the eldest son of the authors. Child- ren with acute diarrhcea should be given plenty of water, but little or no food; certainly no food as long as there is vomiting. Splendid ISO ROGERS' HOMEOPATHIC GUIDE. results are often obtained by washing out the child's stomach, also from washing out the bowel. The following rule may be observed to advantage in some cases: If the stool is alkaline and has a very foul, decayed odor, give no albuminous food, of which the white of the egg and lean meat are the best examples. Give, instead, milk, sugar, crackers, oatmeal gruel, barley water and other cereal prepa- rations. But if the stool is acid, simply sour and not particularly of- fensive albuminous food may be given; bovinine, meat broths and egg preparations will prove beneficial. Beef juice may be obtained by pressing fresh steak, rare and chopped, in a lemon squeezer. Beet juice thus obtained and the white of eggs are two very nour- ishing articles of food that are more readily assimilated than any other. The homeopathic materia medica is particularly rich in its re- sources for the successful treatment of bowel troubles. The results that have attended the homeopathic treatment ot bowel troubles of children are strikingly brilliant. We could readily mention fifty useful remedies for these troubles, but the following are most com- monly needed: Aconite, Arsenicum, Belladonna, Chamomilla, Calcarea Carb, China, Gelsemium, Ipecac, Mercurius, Podophyl- lum, Pulsatilla, Rhus Tox, Sulphur and Veratrum Alb. The particular indications for each may readily be found in the Materia Medica, Part II. Dilatation of the colon or large intestine may occur and no evacuation take place for two or three weeks. Infarction of the bowel is caused by blocking of some of the terminal blood vessels of the mesentery. Severe pain, nausea and vomiting of contents of bowel accompany it. It is the usual cause of colic in horses. Fatal results may follow this as well as dilatation. ROGERS' HOMEOPATHIC GUIDE. 151 APPENDICITIS. Where the small and large intestinesjunite there is a fish-worm like appendage from three to six inches long and of the size of a goose quill, which is called the Appendix Vermiformis. It is hollow, being closed at one end, while the other empties into the large intestine. It sometimes becomes the receptacle of apple seeds, shot and simi- lar bodies, composed of dried intestinal matter. These develop in- flammation, abscess, ulceration and perforation, in this part, upon slight provocation, as getting feet wet and cold. Especially is it likely to occur in persons under twenty years of age. Sixty per cent. of all cases occur in persons under thirty years of age and eighty per cent, in males. General peritonitis, resulting in death, is a com- mon sequel of appendicitis or inflammation of the appendix. The disease is indicated by sudden pain and circumscribed tenderness in the region just above the right groin. The center of the area of tenderness will be found at the middle point of a line drawn from the naval to the point of the hip. All the region just above the right groin will have a hard, rigid feel. The disease was formerly called typhilitis and perityphilitis, but these terms are going out of use. About ten per cent, of all cases prove fatal. Many cases are saved by promptly opening the abdomen and letting out the pus. This new operation is universally approved by the best surgeons. Many cases, however, get well of their own account. An ice bag laid over the tender spot is highly recommended. In one case we are satisfied that a mustard plaster was beneficial. In another case, treated successfully, we applied a towel wrung out of cold water and had it reapplied as often as it became dry. Aconite, Bella- 152 ROGERS* HOMEOPATHIC GUIDE. donna and Bryonia were the indicated remedies in these cases. The great danger in these cases arise from the breaking of the ab- scess into the peritoneal cavity, so that the pus comes in contact with the outside covering of the gut which is peritoneum and causes peritonitis. The importance of prompt surgical interference is plain. Intestinal Obstruction may be caused by strangulation, telescoping, knots, twists, strictures, tumors and foreign substances. Strangulation is the most frequent cause of acute obstruction. Intussusception or telescoping is that condition where one part of the bowel slips into another, as the parts of a spy-glass slide into each other. Twists and knots, called volvulus, are the results of a loop of the bowel turned upon its axis. Strictures and tumors may arise from various causes. Abnor- mal contents may consist of the following foreign bodies: Fruit stones, coins, needles, pins or false teeth. A mass of worms or a gall stone may cause an obstruction. Articles swallowed by child- ren rarely cause any trouble. The three principle symptoms of acute obstruction are constipation, pain and vomiting. The pain comes early; at first colicky, but it becomes continuous and very intense. Severe and incessant vomiting soon follows. The con- tents of the stomach are first vomited, then greenish matter and soon afterwards a brownish black liquid, having a fecal odor. In case of chronic obstruction the symptoms are similar, but slower in developing and less violent, but may terminate fatally. Purga- tives should never be given in a case of suspected obstruction of the bowel. Washing out the stomach is highly beneficial. Bella- donna and Lycopodium may be indicated in some cases. Injec- tion ot a large quantity of water is recommended, also inflation by ROGERS' HOMEOPATHIC GUIDE. 153 forcing air into the bowel by a bellows or a valve syringe. If these measures fail to give relief by the third day a surgical operation is the next and last resort. Constipation may be constitutional or it may be produced by sedentery habits, certain kinds of food, or other diseased con- ditions. Inattention to the desire to go to stool is also a cause. An effort to move the bowels should be made every day at the same hour. This habit should be inculcated into children at an early age. A large percentage of cases of constipation are caused by an im- proper diet and may be corrected by eating laxative food. A cup of hot water with salt in it before breakfast tends to relax the bowels. Ripe, juicy fruit, eaten before breakfast, has the same tendency. Hot water salted and a juicy apple before breakfast has cured scores of cases of obstinate constipation. Dilatation of the rectum, the removal of papillae and ulcers that are often present in the rectum, generally cures constipation. Massage of the abdomen is also effective. A cold sponge bath over the abdomen stimulates sluggish bowels. A metal ball, weighing from • four to six pounds, rolled over the abdomen for five or ten minutes every morning, is beneficial. Injections of warm water is less harmful than purga- tive medicine. The Constipation of children is generally due to some fault of the diet. Often the child does not receive sufficient water. Every child, no matter how young, should be given plenty of cool water several times a day. Constipation in an infant often indicates that its food is insufficient. A teaspoonful of glycerine injected into the bowel, whether adult or infant, will usuallly cause an evacuation within three minutes, especially it the lower part of the bowel is constipated. A large number ot homeopathic remedies may be beneficial in 154 ROGERS' HOMEOPATHIC GUIDE. constipation. Remedies prescribed for other conditions often cor- rect the constipation. The following may be studied: Bella- donna, Bryonia, Nux Vomica, Pulsatilla, Lycopodium, Opium, Sepia and Sulphur. DISEASES OF THE LIVER. The liver may be deranged as follows: A condition often oc- curs producing jaundice or icterus; derangement of its bloodves- sels are met, also affections of the bile passage, including catarrhal jaundice and gall stone; cirrhosis or hardening of the liver may take place; abscess may form; new growths or tumors may de- velop; the liver may become fatty, hence the term fatty liver; or it may become waxy or lardaceous when it is called amyloid liver. Our limited space will not permit us to give a technical description of each one of these affections. Catarrhal Jaundice is indicated by the white of the eyes and the skin turning to a lemon yellow. In case of permanent obstruction of the bile duct ot the liver these become olive-green or a bronze color. The urine, sweat and saliva are also sometimes colored. A terrible itching may accompany jaundice. The stools are pale in color on account of the absence of bile in them. Pulse, often very slow. Icterus neatorum is a jaundice of new born in- fants. The mild form is natural while the severe form may prove fatal before the second week. China, Belladonna, Mer- curius, Podophyllum and Phosphorus will usually cover the symptoms of simple catarrhal jaundice. Gall Stone are calculi formed in the gall bladder. They may attain an enormous size. Three-fourths of the cases of gall stones ROGERS' HOMEOPATHIC GUIDE. 155 occur in women. They are present in one-fourth of all women over sixty years of age. Tight lacing is supposed to obstruct the free flow of bile. Biliary or gall stone colic is due to the passing of a gall stone from the gall bladder. The most intense pain is felt in the right side at the lower border of the chest. The pain also ex- tends to the shoulder and to the pit of the stomach. There is a chill and fever. The patient rolls in agony. There is vomiting, profuse sweat and great prostration. Attacks vary greatly in dura- tion. As soon as the stone escapes from the narrow channel the severity of the attack suddenly ceases. Relief is obtained some- times by having the patient drink a pint of olive oil. China and Belladonna are the most serviceable homeopathic remedies dur- ing an attack of gall stone colic. Recently many cases of gall stone have been successfully treated by removing them by a surgi- cal operation. Cirrhosis or hardening of the liver may be caused by alco- holic liquors, malaria, syphilis, tuberculosis, scarlet fever, rickets, heart disease, anthracosis or from coal dust. The most striking symptom of cirrhosis of the liver is the ascites or dropsy of the abdomen, which occurs rather late in the disease. The earlier stages may show no positive symptoms of any kind. The disease is incurable. Abscess of the liver is more common in the tropics and warmer climates. It may occur in any climate as the result of an injury or of pyaemia. New Growths in the liver maybe cancer, sarcoma or an- gioma. Of internal cancers that of the liver is third in order of fre- quency, the womb, first; the stomach, second, and the liver, third. Cancer of the liver is often preceded by cancer in some other part. 156 ROGERS' HOMEOPATHIC GUIDE. When the liver is enlarged and nodular and there is jaundice, along with a pale, sallow complexion and rapid emaciation, it is probably cancerous. Although cancer of the liver may exist without any of these symptoms. DISEASES OF THE PANCREAS. The following abnormal conditions may occur in the pancreas; Haemorrhage, acute haemorrhagic pancreatitis, chronic pancreatitis, pancreatic cysts and cancer. The diagnosis of these various ob- scure conditions requires rare skill. DISEASES OF THE PERITONEUM. The peritoneum is a shut sac composed of serous membrane which lies over, around and between the intestines and other ab- dominal organs. It is very similar to the pleura, which is also a shut sac of serous membrane lying between the lungs and the walls of the chest. Of itself the peritoneum rarely, if ever, develops disease, but it is a fertile soil for diseased germs. They grow in it more rapidly and more luxuriantly than in any other part of the body. Pus germs frequently escape into it from neighboring ab- scesses; as from abscesses in the ovary, in the appendix or in other neighboring organs. Diseased germs may also be conveyed into the peritoneum through a wound, as in case of gun shot, or in case of a surgical operation in which the abdomen is opened. Within six hours after pus germs have entered the peritoneum the most violent inflammation may take place, called Acute General ROGERS' HOMEOPATHIC GUIDE. Peritonitis. Its beginning is generally signalled by a violent chill and severe pain in the abdomen. The pain is general and is aggravated by motion or pressure. The patient lies with thighs drawn up and shoulders elevated. As a rule, the greatest pain is below the naval, but it may be above in case the pus came from an organ above the naval. Coughing and talking, even breathing, aggravates the pain. The abdomen becomes enormously distended. The pulse ranges from no to 150 and the temperature from 104 to 105. In no other disease, except cholera, are the features so pinched and deathly. Death may occur within thirty-six hours trom the be- ginning of the attack, but it more commonly takes place the fourth or fifth day. There is a Localized Peritonitis and also a Chronic Peritonitis. Their names are sufficiently descriptive for the purpose of this volume. Belladonna and Arsenicum are the most serviceable remedies in acute general peritonitis. These remedies may be given in a low potency and frequently; 3X and half hourly. Aconite and Bryonia may be indicated. We have seen great benefit from applying and re-applying to the abdo- men a heavy towel wrung out of ice water. It lowers the tempera- ture, soothes the patient and seems to check the rapid, destructive progress of the disease. Clothes wrung out of hot water and upon which a few drops of turpentine have been placed, are frequently used with benefit. Turpentine is a powerful disinfectant. Tuberculosis and Cancer may occur in the peritoneum and develop peritonitis. Ascites or dropsy is the accumulation ot fluid in the peri- toneal cavity. It may arise from local troubles or it may be due to disease of the heart, of the lungs, of the liver, or of the kidneys. The treatment of ascites depends somewhat upon its cause. In- 158 ROGERS' HOMEOPATHIC GUIDE. fusion of Apocynum, also infusion of Digatalis. taken in tea- spoonful doses every six hours, give temporary relief from the dropsy. Cathartics also give relief. Diuretin is a new drug that extracts the water from the sys- tem very rapidly. It requires seventy-five grains a day to be effect- ive. The strictly homeopathic remedies usually indicated are Arsenicum, Apis, Bryonia, Kali Carb and Sulphur. All remedies frequently fail and tapping, a simple, comparatively pain- less operation, is the only source of relief. Patients with ascites may live for months and years and be tapped a hundred times, re- lieving them of barrels of water. SECTION IV. Diseases of the Respiratory System. DISEASES OF THE NOSE. The nose may be subjected to the following affections: Acute Coryza, commonly called "catarrh" or "cold;" Chronic Nasal Catarrh, including the three forms of rhinitis; simplex, hypertroph- ica and atrophica; autumnal catarrh or hay fever, and epistaxis or nose bleed. The word catarrh is derived from two Greek words and literally means "flowing down." Any mucous membrane in any part of the body is in a catarrhal state when its excretions are excessive. Catarrh cannot exist without a derangement of the cir- culation and the rational method of treating catarrh must always include all means tending to improve the circulation. The circula- tion is controlled by the nervous system. Whatever impairs or im- proves the nervous system affects, likewise, the circulation. Direct irritation of the mucous surface is a common cause of catarrh. The irritation may be either from dust or trom germs. If the skin and bowels are kept in a good condition catarrhal troubles are less 159 i6o ROGERS' HOMEOPATHIC GUIDE. likely to occur. A cold sponge bath before breakfast does much to prevent catarrh. If salt be added to the water the bath will be still more beneficial; it will decrease the chances ot taking cold. Many cases of catarrh are due to stomach trouble and cannot be cured until the stomach is put in a normal condition. Acute coryza or catarrh is usually of only a few days duration, while the chronic may continue indefinitely unless cured. In the chronic form the nostrils feel obstructed and the individual must breath through the mouth. After sleep the mouth and throat are extremely dry. Chronic catarrh of the nose may affect seriously the hearing. In the treatment of catarrh homeopathy is particularly rich in remedial resources. A long list of useful remedies occurs to us. The most common ones are Aconite, Belladonna, Arsenicum, China, Nux Vomica, Sanguinaria, Kali Bichrom, Pul- satilla, Mercurius and Sulphur. Autumnal Catarrh or hay fever comes on late in the sum- mer with symptoms ot a cold. There is also bronchitis, cough and asthma. It is not unusual for attacks to recur every year on the same day of the month. The presence in the atmosphere of the pollen of flowers or of hay is supposed to be an exciting cause. The disease has sometimes been called rose fever because the odor of roses otten bring on an attack. It is related that a lady was seized with an attack by being offered an artificial rose. It is more fre- quently met in those highly educated than among the illiterate. It is believed to have a nervous origin. Epistaxis or nose bleed may arise from local or constitu- tional causes. A blow, or pickinsr the nose, may cause it. It fre- quently occurs during typhoid, diphtheria, pneumonia and other se- vere diseases, also when the menses are suppressed. In the ma- ROGERS' HOMEOPATHIC GUIDE. 161 jority of cases the bleeding ceases of its own accord. Yet cases of persistent bleeding may occur and demand treatment. It may be necessary to plug the nose from behind. This is accomplished by first passing a catheter, with its eye threaded, through the nostril from the front to the back. One end of the thread is caught and brought through the mouth while the other is withdrawn with the catheter. To the end of the thread protruding from the mouth a cotton plug is tied and then drawn into the mouth and up into the nostril from the back part of the throat. If the indicated homeopethic remedy be given it will rarely be necessary to resort to plugging. The following may be studied in the Materia Medica, Part II: Ipecac, Belladonna, China, Aconite, Nitric Acid, Carbo Veg, Phosphorus and Hamamelis. Pond's extract is a reliable preparation of hama- melis and should always be thought of in case of a hemorrhage from any part. The simplest method of arresting nose bleed is to hold the arms above the head, or tie a cord about the arm, or apply ice to the nose or back of the neck. A door key hung down back of the neck is another domestic remedy. DISEASES OF THE LARYNX. The following affections may be found in the throat: Acute catarrhal laryngitis, chronic laryngitis, (edematous laryngitis, membraneous laryngitis, or croup, spasmodic laryngitis, tubercu lous laryngitis and syphilitic laryngitis. Acute Catarrhal Laryngitis is to the throat what acute coryza is to the nose; while chronic laryngitis corresponds to chronic nasal catarrh. Acute laryngitis may arise from cold, irri- 162 ROGERS' HOMEOPATHIC GUIDE. tating gases, over-use of voice, injury, hot liquids or poisons. It is indicated by a tickling in the throat, irritated by cold air and by breathing. There is a dry cough with change of the voice; at first husky, but later it maybe lost. Chronic Laryngitis usually follows the acute. Over-use of the voice is a common cause. It may also result from the inhalation of irritating gases or tobacco smoke. The voice is hoarse or lost and there is a frequent desire to clear the throat. GEdematous Laryngitis is a puffy or dropsical like condition of the throat, due often to some other dis- ease. It may develop rapidly and within an hour or two result fatally. The breathing is difficult and has a sawing sound. Two eminent men in their prime have died of this disease within a few months. Both suffocated. If tracheotomy had been performed no doubt both would hare been saved. Better still, if both had been given Apis the result, we feel sure, would have been quite differ- ent. Membraneous Laryngitis is now generally conceded to be true diphtheritic croup. A strong membrane forms in the throat filling up the upper part of the windpipe, which often pro- duces death by suffocation or blood poisoning. The affection be- gins insidiously and is often mistaken for an attack of acute laryn- gitis; there is hoarseness and a rough cough, known as "croupy cough." After two or three days these symptoms become suddenly worse, usually at night. Paroxysms of difficult breathing occu-, but later the difficulty in breathing is constant. The voice is husk-. at first, but later it is only a whisper. As the air passage of th. throat becomes narrower the color of the lips, face and finger nail, become bluish, as in suffocation. The child tosses in vain for air. The upper part of the membrane can usually be seen by looking into the throat. It has a dirty gray appearance, as the ordinary ROGERS' HOMEOPATHIC GUIDE. 163 diphtheritic patch. The disease usually attacks children between two and five years of age. The treatment of membraneous croup by tracheotomy and intubation is discussed under the heading, Diphtheria. Apis, Kali Bichromicum and Spongia should be carefully studied when treating cases of true croup. Spasmodic Laryngitis, also called laryngismus stridulus, is the condition where the child seems to hold its breath until the face is congested and then there is a relaxation; the air entering the lungs with a high pitched, crowing sound. There is no cough. Spasmodic Croup is very similar to the affection just de- scribed. It is the false croup while membraneous laryngitis is the true croup. The child goes to bed apparently well, but awakens about midnight or a little later with oppressed breathing and a harsh, croupy cough. The symptoms of suffocation may be alarm- ing, but the attack soon passes off and the child rises in the morn- ing as if nothing had happened. Aconite, Spongia and Hepar Sulph. are the only remedies needed. A hot bath or an emetic is beneficial in some cases. Tuberculous Laryngitis is due to tuberculosis of the throat and its first indication is a slight huskiness of the voice, fol- lowed by hoarseness and entire loss of voice. Syphilitic Laryngitis may be inherited or acquired. The history of the case and the accompanying symptoms make the de- tection of this trouble comparatively easy for the skilled physician. DISEASES OF THE BRONCHI. The following affections belong to the bronchial tubes: Acute bronchitis, Chronic bronchitis, Bronchiectasis, Bronchial asthma 164 ROGERS' HOMEOPATHIC GUIDE. and Fibrinous bronchitis. Like that of the nose and throat the mucous membrane of the bronchial tubes are subject to an acute and a chronic catarrhal condition. The former is called Acute bronchitis and the latter chronic bronchitis. The former is a common result of a cold and often is no more than the extension downward of an acute nasal catarrh or coryza. It is often called " cold oruthe chest." It may occur with measles, whooping cough, typhoid, malaria and some other diseases. It is accompanied with a sense of oppression of the chest and tightness or rawness under the breast bone. The cough is rough and rasping. The chest is sore and the paroxysms of coughing cause great distress. The cough is dry at first, but later loose. There may be slight fever, the first week. The natural course of the disease covers a period of two or three weeks. In children and in cases of measles or whooping rough, there is danger of broncho-pneumonia developing and ter- minating the case fatally. The broncho-pneumonia is indicated by very difficult breathing and by a livid color. The habit of taking quinine to "break up a cold" cannot be recommended. Turkish baths, while beneficial, are attended with a risk of taking more cold. The homeopathic remedies, Aconite, Arsenicum, Belladonna, Bryonia and Phosphorus, secure the best results. It is our personal experience that Fer- rum Phos., Kali Mur. and Kali Carb, given in the order named, invariably cut short attacks of acute bronchitis. Aconite and Ferrum Phos are particularly beneficial in the bronchitis ot children. Chronic Bronch itis may follow repeated attacks of the acute, but is more commonly a complication of other diseases, especially of the heart, lungs and kidneys. The general health may be good ROGERS' HOMEOPATHIC GUIDE. 165 and there may be no distress, except occasionally. The cough is variable, changing with the weather. It may entirely disappear during the summer season and return with its usual severity as soon as cold weather sets in. A warm climate the year round is espec- ially suited for such cases. In some cases there is no expectoration, but usually it is abundant. Homeopathic remedies given accord- ing to the general indications can and do accomplish much toward curing such cases. Those mentioned for acute bronchitis should be studied. Bronchiectasis is a dilated condition ot the bronchial tubes, due to a weakening of their walls. This condition may occur independently or in connection with other diseases. A symptom peculiar to this condition is that the patient may pass a whole day without coughing and then a sudden paroxysm come on, during which an immense quantity of phlegm is coughed up. The term, Bronchial Asthma, has been applied to difficult breathing, accompanying a number of diseases not connected with the lungs. The term, cardiac asthma and renal asthma, are sometimes used. The former expressing the difficult breathing occurring in heart disease and the latter that in diseases of the kidney. The term, bronchial asthma, should be limited to difficult breathing arising from an affection of the bronchi alone. Asthma and hay fever re- semble each other in many points. And it is maintained that the only real difference is in their location. Asthma is sometimes hered- itary It is more common in men than in women. A great many things may bring on asthma; anger, dust, strong odors, over-eating or a change of weather. A person may be free from it in one part of the country and suffer greatly in another. A change of resi- dence is generally beneficial. There is no doubt but that it is of a 166 ROGERS' HOMEOPATHIC GUIDE. nervous origin. Many cases have been cured by orificial surgery; correcting the diseased condition of the lower orifices ot the body. Asthmatic attacks usually occur during the night. The patient finds himself unable to breath, with great oppression of the chest. The face is pale, even livid, and the expression is anxious. In very severe attacks there may be cold sweat upon the forehead, a rapid pulse and cold extremities. Attacks may last from a few minutes to several hours. Arsenicum often gives prompt relief. Fibri- nous Bronchitis is a rare affection, in which a tough mem- brane forms a cast of the bronchi and is coughed up during a paroxysm of difficult breathing. DISEASES OF THE LUNGS. The following derangements or affections of the lungs may occur: Disturbances of the circulation, embracing active and pas- sive congestion, also cedema and hemorrhage. Pnewnonia, Chronic Interstitial Pneumonia, Broncho-pneumonia, Emphysema including the three forms: Compensatory, hypertrophic and atrophic, Gan- grene, Abscess, Pneumonokoniosis and New growths or tumors. Congestion of the lungs may be active or passive and arise from a number of causes. The chief symptoms of active conges- tion are chill, fever, cough, pain in the side and difficulty of breath- ing. These symptoms are identical with those of the first stage of pneumonia. We have no doubt, but that a prompt relief of con- gestion of the lungs often prevents pneumonia. Aconite, Bel- ladonna andVeratrum Virdie are very effectual in reliev- ing congestion of the lungs. Veratrum Virdie is especially useful Here as well as In congestion of the brain. ROGERS' HOMEOPATHIC GUIDE. 167 Hypostatic congestion is a passive congestion occurring simply from weakness after a protracted run of fever or of some affection in which the patient has been obliged to lie in one position a long time, being partly the result of the force of gravity and largely from a weakened heart. CEdema of the lungs is a swol- len, puffy condition, similar to cedema in other parts. The air cells and tubes are blocked and suffocation results. It is not a primary disease itself, but a complication occurring with diseases of the heart or kidney. Pulmonary hemorrhage occurs in two forms: broncho-pulmonary hemorrhage and pulmonary apoplexy. The first form is also called haemoptysis; in other words, blood spitting. Haemoptysis, or blood spitting, may result from different causes, while often a grave symptom, it does not always indicate a serious condition. The points of distinction between haemorrhage of the lungs and of the stomach are given under the latter heading. Pulmonary apoplexy is the condition where the hemorrhage is into the air cells and interstitial tissue. Treatment.—In case of hemorrhage of the lungs put the patient to bed and secure absolute physical and mental quiet. A cord may be tied tightly around a limb. Ice may be held in the mouth. Stimulants must not be given. If the patient faints it is nature's way of checking a hemorrhage. We recall a case of fright- ful hemorrhage that we promptly checked by giving the patient tablespoonsful of Pond's extract or hamamelis, the nearest and only thing we had at hand. Little or no food should be given. Hemorrhages are often produced by errors of diet. The remedies mentioned under nose bleed should be studied. We recall a case of persistent hemorrhage of the lungs which was checked by Ly- 168 ROGERS' HOMEOPATHIC GUIDE. copodium. Aconite, Belladonna and Ipecac are likely to be the indicated remedies. Also study the remedies mentioned under hemorrhage of the stomach. Pneumonia, sometimes called lung fever, has recently been shown to be an infectious disease of the lungs, caused by a germ named diplococcus pneumonias. The disease prevails in all climates and is common to all ages. Infants and old persons are especially susceptible to it. In old persons it usually terminates fatally. De- bilitated persons generally are more liable to the disease, but none so much so as those addicted to the use of alcoholic liquors. Each attack renders one still more susceptible to another attack. Symptoms.—Tne patient may feel indisposed for a day or two or the attack may come on abruptly, with a severe chill, lasting from ten to thirty minutes. The temperature rises quickly and an agonizing pain is felt in the side. A short, dry, painful cough soon develops and the respirations become rapid. By the second or third day the patient lies on the affected side. Cheeks, flushed, the nos- trils dilate with hurried breathing, the expression is anxious, the ex- pectorations are tenacious and blood tinged. After seven or nine days the temperature falls within a few hours to normal and the patient as quickly passes from a condition of distress to one of com- fort. The crisis may occur sooner or defer to the twelfth or fourteenth day. In severe cases delirium may be present. The disease may affect one or both lungs. The respirations may be as frequent as 40 or 60 or even 80 a minute, that is two, three or four times as rapid as the normal. It is maintained by good old school authorities that pneumonia will run its course uninfluenced by medi- cines. That it can neither be aborted nor cut short, and further- *'more, that under the most unfavorable circumstances, it will often ROGERS* HOMEOPATHIC GUIDE. i6q terminate abruptly and naturally without a drop of medicine being given. The death rate from pneumonia under allopathic treatment, according to the same authorities, ranges from 20 to 40 per cent. On the other hand, statistics gathered from many sources, show that the death rate trom pneumonia under homeopathic treatment, never reaches 10 per cent. From such conflicting claims we are forced to one of two conclusions. That homeopathic medicine does influence, cut short or abort pneumonia, or that allopathic treatment causes the death of many with this disease, who, if left alone entirely without medicine, would have recovered. Treatment.—The following homeopathic remedies are those usually indicated in pneumonia: Aconite, Belladonna, Bry- onia, Phosphorus, Tartar Emetic and Veratrum Vir- die. The last is probably the most useful of all in controlling the temperature and pulse. It is well to give this remedy throughout the attack. Poultices are not allowed by many physicians, but after treating cases with and without them we are of the opinion that flaxseed poultices are highly beneficial. Chronic Interstitial Pneumonia or cirrhosis of the lung is a gradual process by which connective tissue is substituted for the normal tissue of the lung. It is a fibroid change or hardening. It is a chronic disease extending over many years and the patient may enjoy fairly good health; his only annoyance being the cough and shortness of breath. Patients with this disease are generally mistaken for consumptives, but the two affections arise from differ- ent causes and are not identical. The cough comes in paroxysms and the expectoration is considerable; indications of dilated or sacculated condition of the bronchi, which has already been de- scribed under the term bronchectasis. A fetii odor and hemorrh- 170 ROGERS' HOMEOPATHIC GUIDE. age occur with a large per cent, of the cases. The affected side of the chest is immobile, retracted and shrunken and presents a strik- ing contrast with the fullness of the sound side. A mild climate and such remedies as the general symptoms indicate is all that can be done in the way of treatment. Broncho-Pneumonia, or capillary bronchitis, is an inflam- mation which involves the smallest or terminal branches of the bronchial tubes and the air cells as well, beginning always with the former. Broncho-pneumonia, as a rule, succeeds some infectious disease, as measles, diphtheria, whooping cough, scarlet fever and other fevers. It is a very serious complication in children, causing more deaths than the primary disease. In large cities it ranks in fatality next to infantile diarrhcea. The most common and fatal form of broncho-pneumonia is that which is excited by the bacillus of tuberculosis. In other diseases where there is loss of conscious- ness and sensibility, particles of food may be drawn into the wind- pipe and pass down to the smallest branches of the bronchi and develop broncho-pneumonia. When the patient is under an anaesthetic during a surgical ope- ration about the mouth, foreign particles may be sucked into the lungs and cause the same trouble. Broncho-pneumonia occurs more frequently in children under five years of age. Kicking the clothes off at night and getting chilled accounts, perhaps, for its frequency among them. The death rate, according to old school authorities, ranges from thirty to fifty per cent. Under homeopathic treatment the mortality rate, as far as we can ascertain, is not one-third as great; homeopathic remedies being particularly applicable to this disease in children. Aconite, Ferrum Phos, Belladonna, Bryonia and Chelidonium should be studied. ROGERS' HOMEOPATHIC GUIDE. 171 Emphysema is that condition in which the air escapes from the lung cells into the spaces between the cells. In post mortem examination the bubbles of air look like rows of beads. The chief symptoms are difficult breathing, lividity, barrel-shaped chest and expiration, requiring more time than inspiration; the reverse of the natural. The condition cannot be corrected. Such subjects are very liable to bronchitis and, therefore, should reside in a mild climate. Gangrene of the Lung is the result of some other disease in which the blood supply of a part of the lung has been cut off and decay takes place. It may follow the lodgment of a particle of food in a part of the lung or a clot of blood or a plug of the non- absorbable exudate left by pneumonia, or from a pocket of foul mucus in bronchiectasis. The most striking symptom of gangrene of the lung is the hor- rible foulness of the expectoration which permeates the atmosphere of the entire room. If the expectoration be allowed to stand in a conical shaped glass it will settle into three distinct layers. At the bottom a greenish brown, heavy sediment; next, a thin liquid of a greenish or brownish tint, and on top a thick, frothy layer. If some of the expectoration be placed upon a piece of glass the shreds of lung tissue may be seen. The fever is moderate and the pulse is rapid. The exhaustion is great and fatal hemorrhage may occur. Recovery may take place. The homeopathic remedies usually indi- cated are Arsenicum, Carbo Veg and Silicea. Abscess of the lung may arise from various causes, but when it follows pnemonia it is easily recognized by the aggravation of the general symptoms by the signs of a cavity and by the character of the expectoration. Hepar Sulph, Silicea, Phosphorus and Sulphur should be studied. 172 ROGERS' HOMEOPATHIC GUIGE. Pneumonokoniosis embraces those diseases of the lung^ due to the inhalation of dust, as coal, iron or stone dust. New Growths, or tumors of the lungs, frequently occur after the re- moval of a cancer from some other part of the body. The develop- ment of lung trouble within a year or two after the removal of a cancer indicates recurrence in the lungs. DISEASES OF THE PLEURA. As previously stated, the pleura is a shut sac of serous mem- brane lying between the lung and the ribs. It forms the outer cov- ering of the lung and the inner layer of the chest wall. It may be compared to a flattened bladder without any opening. The diseases of the pleura are as follows: Acute pleurisy, Chronic pleurisy, Hy- drothorax and Pneumothorax. Acute inflammation of the pleura is known as Acute Pleurisy. It may come on with a chill and fever, but, as a rule, it develops insidiously, the only noticeable symptom being the distressing pain in the side, usually telt near the nipple or arm pit. It may, however, be felt in the abdomen or low down in the back. The pain is sharp, severe and aggravated by coughing. The feyer may rise to 102 or 103, but not so high as in pneumonia. The cough is not so distressing as in pneumonia and it may be absent. The expectoration is usually slight and may be streaked with blood. If much fluid accumulates in the pleural cavity, as it may occur in case of pleurisy, there will be shortness of breath upon exertion, owing to the compression of the lung by the distended pleural sac we have just described. The presence of much fluid maybe detected-by comparing the two sides of the chest. The affected side will be fuller. The usual depression be- ROGERS' HOMEOPATHIC GUIDE. tween the ribs will be absent or pressed out. If the fluid in the pleural sac is pus the condition is called Empyema. If the pleural cavity contains only a clear, watery fluid, then the term Hydrothorax is applicable to the condition. Should it contain only air, which is a rare condition, we use the term Pneumo- thorax. Should it contain water and air, then the word Hydro- pneumothorax would be applicable, while pyo-pneumothorax would express the combination of pus and air. In case the right pleural cavity is distended the heart will be found pressed over farther to the left side than normal. Should the distension of the pleural sac reach as high as the collar bone aspiration or tapping is absolutely necessary. It is a simple operation and not attended with much risk or pain, provided it is done by a competent surgeon. When it is determined that there is pus in the pleural sac there should be no hesitation in open- ing it and treating as an abscess in any other part. Failure to do so costs thousands of lives every year. Pleurisy, properly treated with such homeopathic remedies as Apis, Bryonia and Arsenicum, will rarely require tapping. These remedies greatly promote the absorption of fluid in the pleural cavity. If cases have the proper homeopathic treatment from the beginning the unnatural accumulation of fluid in any cavity will be of rare occurrence. Chronic Pleurisy occurs often as a result of acute pleurisy. Fluid may accumulate and remain for months in the pleural cavity, or it may absorb and the walls of the pleura become stuck together at points, hence the term, pleuritic adhesions. Chronic pleurisy is common in consumption and at times the pain is distressing. 174 ROGERS' HOMEOPATHIC GUIDE. The Mediastinum, the space behind the breast-bone and between the lungs, is subject to a number of affections more or less obscure, including tumors, abscesses and inflammation of the lymphatic glands. SECTION V. ---------—■«♦►—--------- Diseases of the Circulatory System. DISEASES OF THE PERICARDIUM. The pericardium is a sac which envelops the heart. Pericar- ditis is inflammation of the pericardium. This condition may arise from direct infection or be secondary to inflammation in some other or neighboring organ. The structure of the pericardium is very similar to the synovial sacs which are found in the larger joints and which is the customary seat of acute articular inflammatory rheumatism. Pericarditis, accompanying or following rheumatism, is a common occurrence Inflammation of peritoneum, another shut sac, is also frequently followed by inflammation of the peri- cardium. It may be the sequence less frequently of a number of other diseases, as acute disease of the b©ne, tuberculosis, scarlet fever or tonsillitis. It may result from extension in pneumonia. There are three forms of pericarditis. The dry, the moist and the adherent. The first is the most common and usually without pain. It can only be detected by the ear of a skilled physician. The second form is the condition in which water gathers in the peri- 175 ROGERS' HOMEOPATHIC GUIDE. cardial sac and surrounds the heart. This form is often accom- panied with considerable pain and distress about the heart. Pres- sure at the lower end of the breast bone usually aggravates it, There is usually much difficulty in breathing. The patient may be obliged to lie upon the left side or sit up in bed to get his breath. The adherent form include the conditions when there are adhesions. Pericarditis in any form is not necessarily a fatal disease. It is one, however, that is more commonly overlooked than any other. The remedies suggested in case of pleuritis should be studied. In case of pericarditis arising from inflammatory rheumatism Cactus, Kalmia and Spigelia should be studied. It is be- lieved that rheumatic pericarditis may be prevented by givine these remedies early, when such a condition is anticipated. Hydropericardium, called dropsy of the heart, is that condition when the pericardial sac contains fluid. It usually occurs with general dropsy arising from heart or kidney disease. . Haemo- pericardium is the condition when there is blood in the pericardial sac. When it contains gas it is called pneumo-pericardium. These conditions are rare, but usually fatal within a few hours. DISEASES OF THE HEART. Inflammation of the lining membrane of the heart is called Endocarditis. The inflammatory process is usually confined to the valves, so that valular endocarditis and endocarditis mean prac- tically the same. It occurs in an acute and a chronic form. The former is distinguished by a tiny vegetation on the valves, gener- ally the result of various infections in other parts of the body. These vegetations undergo changes resulting in thickening of the ROGERS HOMEOPATHIC GUIDE. 177 valves, which may end, in course of time, in organic heart disease. It is in this way that organic heart disease may follow inflammatory rheumatism. Endocarditis is common with pneumonia, also with chorea. As a rule, the patient does not experience any symptoms by which the disease in the simple foim can be detected and ofti n the trained ear of a skilled physician hears nothing by which he can make a positive diagnosis. Chronic Endocarditis, as a rule, results from the acute form and is a slow, insidious process which leads to the deformity of the valves, causing organic heart disease or Chronic Valular Disease, a condition in which the valves are unable to close properly. The inability of the valves to close properly may arise from a change in them or a change in the orifice they guard. Hence, we have the following conditions: Aortic incompetency, aortic stenosis, mitral incompetency, mitral stenosis, tricuspid valve dis- ease, pulmonary valve disease and combined valvular trouble. Persons with great changes in the heart may suffer no inconvenience and live to a good old age, while in other cases an early death may be the result. Hypertrophy and Dilatation of the heart. The former is an enlargement of the heart due to an increase in the thickness ot its muscular walls, while dilatation is an enlargement of one or more of its chambers. Hyperirophy of the heart is nature's way of mending some derangement of the valves or arteries. The most common symptom of hypertrophy is a sense of fullness or discom- fort about the heart, particularly when the patient lies on the left side. Myocarditis is an inflammation of the heart muscle. The arteries that supply the heart itscU may become diseased and the 178 ROGERS' HOMEOPATHIC GUIDE. nutrition of the heart be cut off. In case of protracted fever the nourishment of the heart muscle may be insufficient and it softens just as any other poorly nourished muscle would. The heart muscle may also undergo a Fatty degeneration, a condition common in old age and certain diseases. Certain poisons, such as phos- phorus, may produce it. Phosphorus, homeopathically pre- pared is, therefore, a remedy for a fatty heart. Sudden deaths are generally the result of some disease of the heart muscle. The first symptoms of such a diseased condition is often a fatal one. In fleshy persons dizziness, faintness and a feeble pulse do sometimes indicate a fatty heart. In such cases the diet should be studied to reduce the fat in general. The Neuroses of the Heart include palpitation, irregu- larity of the pulse, rapid pulse, slow pulse and angina pectoris. In perfect health we are unconscious of a heart. Palpitation is usually a nervous disturbance arising from de- rangement in some other organ. Dyspepsia, hysteria, tobacco, tea, coffee, loss of sleep and dissipation generally, may produce it. Orificial surgery, the correction of any derangement of the lower orifices, will generally steady the heart. The condition in which the pulse now and then skips a beat is often corrected by Digi- talis or Gelsemium. Soon after child birth a woman's pulse may be as low as 44 and be natural. A slow pulse is common in those who have had rheumatism, pneumonia, typhoid and diph- theria. Hunger and digestive troubles may produce a slow pulse. Angina Pectoris, a rare disease, comes on with violent paroxysms of pain in the hear*, extending to the arms and neck, with a sensation of dying. Glonoin is the indicated remedy. ROGERS' HOMEOPATHIC GUIDE. 17c False angina pectoris is common and is due to some nervous dis- turbance and may call for different remedies. For affections of the heart in general the following remedies should be studied: Digitalis, Gelsemium. Arsenicum, Rhus Tox, Spigelia, Cactus, Kalmia, Veratrum Alb., Lachesis, Cimicifuga and Glonion. While arsenicum is not supposed to have any special action upon the heart we have seen a rapid, feeble pulse change to one stronger, steadier and twenty beats slower within ten minutes after giving a dose of that remedy; given not for the heart alone, but because the general symp- toms of the patient presented a picture of that remedy; another beautiful illustration of the wonderful and accurate adaptability of the homeopathic law. DISEASES OF THE ARTERIES. Longevity depends very much upon the condition of the arteries. It is said that a " man is only as old as his arteries." The arteries may undergo fatty degeneration, calcification, sclerosis or hard- ening. The latter condition is generally produced by alcohol, lead, gout, syphilis, over-eating and over-drinking. Aneurism is the condition when at some point in its course an artery becomes greatly distended from weakness of its walls. Cases of aneurism have been reported cured by Lycopodium. Valvular troubles have also been improved by its use, SECTION VI Diseases of the Blood. ANEMIA. The reduction of the amount of the blood as a whole or of its corpuscles or of some of its other elements, such as albumen or haemoglobin, is termed Anaemia. This condition may be from different causes. A hemorrhage produces anaemia in proportion to its amount. The total amount of blood in an average sized adult is about ten pounds. The sudden loss of three or four pounds of blood may produce death. Anaemia may be produced by the long continued loss of albumen in Bright's disease and other exhausting diseases. It may also be produced by defective nourishment. Poisonous drugs will produce anaemia, such as lead, mercury and arsenic. The virus of syphilis and malaria are very destructive to the red corpuscles. Hence, anaemia is common in this disease. Chlorosis is a form of anaemia very common among girls be- tween the ages of fourteen and seventeen, who are ill-fed, over- worked, closely confined in badly lighted and ventilated rooms and 180 ROGERS' HOMEOPATHIC GUIDE. 181 who have a great deal of stair climbing to do. Cases may occur under the most favorable conditions. Mental and emotional dis- turbances, no doubt, often cause it. It has followed disappointment in love affairs. Good blood contains about five million blood cor- puscles to a cubic millimeter. In all cases of chlorosis the number is considerably less. But the greatest change is in the amount of haemoglobin, the iron containing element of the blood; it may fall below fifty per cent, of the normal. The amount of iron in the blood is also less. Girls with chlorosis do not lose in weight. Their complexion is of a peculiar yellow green, from which fact it is sometimes called green sickness. The lips, gums and tongue are deathly pale. They get out of breath upon the slightest exertion and have palpitation of the heart. Faint, easily. The appetite is changeable, but there is generally a craving for something sour. In some cases they will eat all sorts of things, as chalk, slate pencils, or even earth. Menstrual disturbances are common in such cases. Constipation is obstinate. Sulphur, Pulsatilla, Ferrum and Arsenicum, along with electricity, will cure most cases of chlo- rosis. We have seen remarkable improvement in such cases fol- low orificial surgery. There is a severe form of anaemia called Pernicious Anaemia, in which the number of red corpuscles is reduced to one-tenth of the normal, while the haemoglobin is relatively increased; the opposite of chlorosis. The skin has a smooth, waxy, blanched appearance. The lips, gums and tongue are bloodless. There is extreme languor and faintness, yet, after months of this trouble, the body remains as plump as usual. Ar- senicum and Apis are usually indicated. Leukaemia is that condition of the blood in which there is a persistent increase of the white blood corpuscles associated with 182 ROGERS' HOMEOPATHIC GUIDE. enlargement of the spleen, or of the lymphatic glands, or of the marrow of the bones. The average number of white corpuscles to a cubic millimeter of healthy blood is about 6,000, while that of the red is about 5,000,000; the normal ratio between the two is about 1 to 800. In leukaemia the white may increase so that this ratio may be 1 to 10 or even 1 to 1. Like anaemia it comes on in- sidiously and the general appearance may resemble that disease. But the patient generally consults a physician first for the enlarged abdomen and shortness of breath, or for enlarged glands. The dis- ease usually terminates fatally within two or three years. Arseni- cum is usually the indicated remedy, although other remedies should be studied. Hodgkin's Disease begins with enlargement of the glands of the neck, of the arm pits and of the groin, along with anaemia. It differs from tubercular enlargement of the glands in that the glands are uniformly enlarged on both sides of the body. The lymphatic glands about the bronchi may enlarge and cause suffoca- tion. Acute cases may terminate fatally within three or four months, while the chronic may live as many years. Phosphorus should be studied for this disease, also Iodine and Arsenicum. Addison's Disease, in the language of the man whose name it bears, is described as follows: " Anaemia, general languor -or debility, remarkable feebleness of heart's action, irritability of the stomach and a peculiar change of the color of the skin." The pigmentation of the skin is usually the first symptom that attracts attention. The color of which may vary from a light yellow to a deep brown or even black. The disease is supposed to originate in the nervous system of the abdomen, especially that part which sup- plies the kidneys. There are a number of other conditions in which ROGERS' HOMEOPATHIC GUIDE. 183 pigmentation of the skin occur. But the great weakness of Addi- son's disease will distinguish it. The disease is usually fatal. The term Blood Poisoning is commonly applied to septi- caemia, but the blood contains poison in case of syphilis, malaria and many other diseases. DISEASES OF THE THYROID GLAND. Goitre is an enlargement ot the thyroid gland and gives a swollen appearance of the sides of the front part of the neck. It is more common in some countries than in others. It is very common in the mountainous countries of Switzerland. Goitre may become so large as to interfere with breathing. Spongia, Cal- carea Carb and Iodine are the chief homeopathic remedies. Electricity is generally effective in reducing goitre. The following tumors may occur in the thyroid gland: Adeno- mata, cancer and sarcoma,. Exopthalmic Goitre, sometimes called Graves's disease, also Basedow's disease, is a goitre accompanied by a bulging out of the eye balls, giving an ox-like look about the eyes. Worry, fright and depressing emotions usually precede the disease. Disturbances of the heart usually precede and accompany the disease. It may disappear in the course of a few months or continue for years. Myxcedema is known by an edematous or swollen condition of the skin about the thyroid gland and adjacent parts. The swelling is inelastic and does not pit on pressure, as in case of true edema. It tends to obliterate and distort the expression of the face: giving an idiotic or imbecile look, which represents the true condition of the mind. The thyroid gland degenerates or shrinks. 184 ROGERS' HOMEOPATHIC GUIDE. The disease occurs five times more frequently among women than among men. It is a slow, but progressive disease and may extend over a period of ten or fifteen years. The disease is very peculiar and is not likely to be mistaken for any other disease, except Bright's. But the absence of albumen in the urine and the absence of pitting on pressure readily distinguishes it from that disease. Such patients suffer greatly from cold. A warm climate is recom- mended. SECTION VII. Diseases of the Kidneys. Most of the information concerning the condition of the kid- neys is obtained by a chemical and microscopical examination of the urine. A diseased condition of the kidney may thus be dis- covered long before there are any other symptoms by which it could be detected by the patient or the physician. A healthy adult should pass on the average three pints of water within twenty-four hours. The passing of a much larger or smaller quantity than this amount for any considerable time indicates something abnormal; an exces- sive amount usually indicating diabetes. A decrease of the amount of urine is met in acute fevers. Pro- fuse .sweating will decrease the quantity of urine, while a sudden change of weather from warm to cold will increase it. The drink- ing of a large quantity of beer or certain kinds of mineral waters will also increase the quantity. The specific gravity of normal urine is not, as a rule, below 1015 nor above 1025; the average being 185 186 ROGERS' HOMEOPATHIC GUIDE. 1020. If it remains long outside of these limits there is a diseased condition somewhere. If above 1025 it suggests diabetes mellitus, or acute Bright's disease. If below 1015 diabetes insipidus or chronic Bright's disease of the interstitial variety. Sugar in the urine indicates diabetes mellitus, while albumen points to Bright's disease. Pus in the urine suggests an abscess of the kidney, while blood in small quantities would lead us to suspect renal calculi or gravel of the kidney. An excess of uric acid indicates disturbances of nutrition. Alkaline urine, bladder trouble. Movable Kidney or floating kidney is sometimes met. It rarely causes any disturbance. Congestion of the Kidneys of an acute nature may be caused by cold, poisons and such irri- tants, as turpentine, cubebs, cantharides or copaiba. There is an intimate relation between the kidneys and the skin. Chilling ot the skin quickly affects the kidneys. The continued absence of sweat is one of the most common symptoms of Bright's disease. Passive congestion of the kidneys may occur in chronic disease of the heart and lungs, also by pressure in pregnancy and dropsy. Hematuria or blood in the urine may accompany a number of diseases or it may be produced by irritating drugs. A common cause is gravel in the kidney or bladder. It may also come from a fall or a blow on the back over the region of the kidney. Blood in the urine gives it a red, smoky color. If the blood comes from the bladder it is present only in the last part of the water passed. If the blood comes from the kidney it will be uniformly mixed with the urine. Whether the blood in the urine comes from the kidney or the bladder may be determined by washing out the bladder. In case it is from the bladder the water will be blood-tinged, but if it is from the kidney the water will be clear. Rest in bed and a milk ROGERS' HOMEOPATHIC GUIDE. 187 diet is the best treatment for haematuria. Belladonna, Phos- phorus or Hamamelis may be indicated. The term, Albuminuria, indicates the condition when albu- men is present in the urine. The white of an egg is an example of pure albumen. If it be put into pure water and boiled it will be precipitated into a white mass. Likewise the presence of albumen in urine is tested by boiling. If no cloudiness or precipitate occurs it is a positive sign that there is no albumen. It the urine becomes cloudy on boiling it indicates either the presence of albumen or phosphates. The addition of nitric acid will cause the phosphates to dissolve and clear up the water, but if the cloudiness is due to albumen it will become only more cloudy upon the addition of nitric acid. Not every person who has albumen in the urine has Bright's disease, but, as a rule, every person with Bright's disease has albu- men in the urine. Albuminuria may arise from eating food very »ich in albumen, violent muscular exertion, violent emotions, cold bathing and dyspepsia, as well as from organic disease of the kid- ney, such as Bright's. Albumen in small quantities may occur in young unmarried persons of both sexes. White of egg, lean meat and cheese are some of the best samples of albuminous food. The quantity of albumen in the urine may be increased or diminished at will by a change of diet. A diet containing the least amount of albumen will be attended with the least albumen in the urine. Al- bumen is generally present in the urine of all cases ot severe in- fectious diseases, such as diphtheria, scarlet fever and pneumonia. Life insurance companies reject all applicants for insurance who have albumen in the urine. Pyuria is the term used to express pus in the urine. In large 188 ROGERS' HOMEOPATHIC GUIDE. abscesses of the kidney the pus may appear only intermittently, while in cases of pus developed from a stone or from tuberculosis of the kidney the pus appears constantly. In case the pus is due to cystitis, that is, inflammation of the bladder, it will be ropy and the urine alkaline and foul. The pus of urethritis, particularly that of gonorrhoea, will appear with the first water passed and there will be local evidences of inflammation of the urethra. If the pus is due to the escape of some neighboring abscess into the urinary passage a considerable quantity will come at one time and then it will cease. There will also be other symptoms that such an ab- scess has formed. Urine containing pus has a white or yellowish white appearance. A, heavy grayish sediment is seen on settling and the fluid above it is turbid. The sediment is sometimes ropy and tough. Urine containing pus is generally alkaline and has a peculiar, toul, stale odor, called ammoniacal. Pus corpuscles may be seen under the microscope. Lithuria, uric acid in the urine, has been discussed elsewhere under the heading, Lithaemia. The amount of uric acid in the urine depends upon the diet. It is least with a vegetable diet and great- est with an animal diet. Fifteen grains of salicylate of sodium, given three times a day, will greatly increase the amount of uric acid in the urine for two days. At the beginning of typhoid fever and a number of other complaints the patient usually suffers a great deal of pain here and there, which is commonly called rheumatic. We have repeatedly observed the fact that salicylate of sodium given for twenty-four hours, five grains every four hours, will re- lieve the pain as if by magic, but have no other or further influence upon the course of the disease. This leads us to the conclusion that Fiich pains are due to an excess of uric acid in the blood and the ROGERS' HOMEOPATHIC GUIDE. i8g salicylate of sodium simply removes the excessof acid. Oxaluria is a combination of oxalic acid and lime that is sometimes found in the urine. A diet of tomatoes, rheubarb and the like increases it. It is associated with dyspeptic disturbances and is included in the term lithsemia. Phosphaturia is a combination ot phosphoric acid and some mineral elements, as potassium, sodium, calcium and magnesium. With lime and magnesia it forms the earthy phosphates, which are sometimes found in the bladder and are passed with the last por- tion of the urine, giving it a cloudy, milky appearance. This con- dition has been mistaken for spermatorrhoea. In severe, wasting diseases, as phthisis, anaemia and the like, the phosphates are in- creased in the urine, but decreased in acute diseases. Indicanuria is the name given to the condition when the urine contains indigo. It is met in peritonitis, empyema and obsti- nate constipation. A milk diet increases it. To test tor indican boil a quantity of nitric acid and to it add an equal quantity of urine. A bluish ring develops at the point of contact. Now add a quantity of chloroform equal to the quantity of acid and urine com- bined. Shake and on standing the chloroform will have a violet or bluish color, due to the presence of indigo in the urine. Uraemia is due to retention in the blood of poisonous ele- ments that should be excreted with the urine. It is usually asso- ciated with inflammation of the kidneys or Bright's disease, but pressure upon the kidneys may produce it or it may occur in cases where the blood is greatly changed, as in case of cholera. Uraemia may be manifested by brain, lung or bowel symptoms. Uraemia may come on suddenly in persons who have had no previous mental dis- turbances and who were not supposed to have Bright's disease. IQ0 ROGERS' HOMEOPATHIC GUIDE. Delusional insanity may occur, followed by suicide. Convulsions may develop suddenly and unexpectedly. Profound unconscious- ness may come on. Various forms of palsies may result. Head- ache in the back part of the head and neck is common. Difficult breathing may come on in paroxysms or it may be continuous. But usually there are attacks of difficult breathing at night, resembling true asthma. The patient must sit up and gasp for breath. There may be nausea and severe vomiting. Or, the bowels may be very loose. The tongue and breath are usually very foul. Treatment.—In case of convulsions from uraemia or from any other cause strip and wrap the patient with sheets wrung out of hot water. Inject into the bowel two or three quarts of warm water. In case of profound unconsciousness arising from uraemia pursue the same course. The homeopathic preparation of Turpentine 3x, may also be given internally. The headache and fullness of the head occurring from uraemia will be relieved by Glonoin, 3X. The asthmatic attacks will be best relieved by drop doses ot Digitalis tincture. The nausea, vomiting and diarrhcea caused by uraemia is best met by Arsenicum 3x. The diarrhcea, however, seems to be nature's way.of getting rid of the poison which the kidneys can- not eliminate. Acute Bright's Disease, or acute diffuse nephritis, is an acute inflammation of the kidneys and may arise from cold, from the poisons of infectious fevers, particularly scarlet fever, from poisonous drugs, as turpentine, cantharides, carbolic acid and the like, from pregnancy and from extensive burns or injury to the skin. Acute Bright's disease from cold comes on suddenly. A puffy con- dition of the face and ankles may be noticed within twenty-four hours. But after fevers it is slower in developing. There may be ROGERS' HOMEOPATHIC GUIDE. 191 nausea, vomiting, chilliness, pain in the back and fever. The urine may be suppressed at first or it may be scanty, highly colored and contain albumen, blood and tube casts. Only four or five ounces may be passed within twenty-four hours. The specific gravity will be 1025 or higher. Serious disease of the kidneys may exist with no other symptoms than a slight puffiness about the eyes and ankles. Acute Bright's disease very frequently develops during the third week of scarlet fever and causes many deaths. Every case of scar- let fever should be carefully watched and guarded until after the third week. Treatment.—Recovery is the rule in case of acute Bright's disease, while the opposite is the usual result of the chronic. The patient should be put to bed aid kept warm by blankets. The diet should be milk or non-albuminous food, such as gruels made of arrow root, oat meal or barley. An exclusive milk diet is usually the best. No meat or eggs should be allowed. Arsenicum, Apis, Belladonna, Rhus Tox, Turpentine and Sulphur may be indicated. Chronic Bright's Disease occurs in two forms: Chronic Parenchymatous Nephritis and Chronic Interstitial Nephritis. The former is attended with considerable dropsy, while in the latter dropsy is either absent or comes on late. The following terms are also used to express the first form: Chronic Desquamative Neph- ritis, Chronic Tubal Nephritis and Chronic Diffuse Nephritis with Exudation. To the second form is applied the terms: Contracted Kidney, Granular Kidney, Cirrhosis of the Kidney, Gouty Kidney and Penal Sclerosis' The first form, Chronic Parenchyma- tous Nephritis, may follow the acute or it may come on insid- iously from a number of other causes, among which may be men- IQ2 ROGERS' HOMEOPATHIC GUIGE. tioned: Alcohol, beer, chronic suppuration, syphilis and tubercu losis. The chronic may come on very much like the acute, or there may be dyspepsia, failing of strength and puffness in the morning of the eyelids and ankles. The urine is scanty, smoky or a dirty yel- low. Albumen is abundant, amounting to one-third or one-half of the volume of the urine boiled. But the positive symptom of the disease is ascertained only by the microscope, namely, the presence of hyaline, granular or fatty tube casts. Dropsy comes on early in this form and is persistent. Uraemic symptoms are common. The heart and eyes are less affected in this than in the second form; we refer to chronic interstitial nephritis. The specific gravity of the urine is usually too low in the latter stages of chronic Bright's dis- ease, the opposite of the condition in the acute. The outlook for a case of this kind of Bright's disease, which has lasted for a year, is not encouraging. Treatment.—A milk diet is best. Albuminous food should be avoided, of which eggs, lean meat and cheese are the best ex- amples. Apis, Arsenicum, Phosphorus, Turpentine, Rhus Tox, Sulphur and many other remedies may be bene- ficial. Mineral waters containing much iron has been highly bene- ficial in some cases. The circulation may be improved and the dropsy lessened by orificial surgery. Chronic Interstitial Nephritis is known under several different names, which we have just enumerated above and which are more or less descriptive of the condition of the kidneys during this form of Bright's disease. It may result from the form we have just described or it may develop independently or it may be pro- duced by a hardened condition of the arteries. The tendency to the disease may be inherited. Errors of diet, an excessive use of ROGERS' HOMEOPATHIC GUIDE. 193 meat and alcoholic liquors are imp ortant factors in causing the dis- ease. Along with over-eating and over-drinking must be mentioned hurried eating, worry and mental strain from great business cares. This form is frequently met in men prominent in business or politi- cal circles. It was this form of Bright's that caused the death of the Hon. James G. Blaine. It rarely occurs in persons und«. r forty years of age. The majority of cases are not discovered until well advanced. It is thought that the disease may remain latent for a long time until some other disease suddenly starts it up. A case in point occurs to us. A may forty-five years old, of sedentary habits, a hearty eater and a great mental worker, was seized with the grip during hollidays. He was confined to bed a few days, but soon returned to his office and began work again as usual. He noticed, however, that he passed a larger quantity of urine than natural and had it examined. Albumen was found in abundance;' also fatty and granular tube casts. But a close examination re- vealed that he had had nausea mornings for months and that for the same length of time he had been obliged to rise several times a night to urinate. His eye-sight had been failing for some time. Asthmatic attacks had troubled him occasionally for some time, attended with pain in the heart. Climbing stairs took his breath. The specific gravity of his urine was 1010 and the amount was fully six pints, but when dropsy set in, a month before his death, it diminished to a pint. He became nearly blind. The distressing attacks of difficult breathing was of daily occurrence. He fre- quently vomited. Matzoon, a milk preparation similar to koumiss, was the only article of food that agreed with him throughout his sickness. Digitalis in the tincture relieved the heart attacks; Glonoin, the headache and fullness; Apis, the rolling of the ROGERS' HOMEOPATHIC GUIDE. head; Arsenicum, the intense thirst and deathly look; Rhus Tox, the backache, and Lycopodium, the coated tongue. While the end was fatal four months after the attack of the grip, treat- ment, we are sure, prolonged his life and made his last days as easy as possible. In this way, also, homeopathic treatment may be said to be successful even though the patient dies. Amyloid, waxy or lardaceous degeneration of the kidney is only a stage in chronic Bright's disease, usually met in those cases following fevers, syphilis, tuberculosis or prolonged suppuration, and which show evidence of enlargement of the spleen or liver. During this stage a large quantity of pale urine of low specific gravity is passed and it may contain pus. Pyelitis includes Consectutive nephritis, Pyelonephritis and Pyonephrosis. It is an inflammation of the lining of the pelvis or cavity of the kidney. It may arise from the irritation of gravel, tubercle, infectious diseases, foul urine, cancer or tumor. Except- ing gravel, the most common cause is extension of inflammation in the bladder to the kidney. When such is the case the body of the kidney usually becomes involved and the result is the surgical kid- ney or acute suppurative nephritis. Pyelitis, associated with levers, usually comes on during convalescence and may have no positive symptoms. The urine is cloudy and acid. Pain and tenderness in the back are usually present. In case of suppurative pyelitis there are chills and fever, which may be intermittent or assume a typhoid character. There may be or there may not be pain in the back. To detect this condition early is important, as it may be the means of saving the patient's life by resorting to a surgical operation for relieving the pus. We recall a case of this kind in which, if we had Known as much a week before as we did after the post mortem ex- ROGERS' HOMEOPATHIC GUIDE. 195 amination, we might have saved the man's life by operating and re- moving the pint of pus in the kidney before it poisoned him to death. In this case we could not discover any pain or tenderness over the kidney, but a great deal in the bladder. He had had catarrh of the bladder for a year. The urine was horribly foul and contained blood and pus. Fever was present two weeks before death and it resembled typhoid so much that one of the consulting physicians was inclined to think it nothing else. Hydronephrosis is a dilatation of the cavity of the kidney from an accumulation of water. It may be congenital or acquired. It may be mistaken for a tumor. The sac may be tapped and the fluid drawn off. Nephrolithiasis, or renal calculus, develops by the solid constituents of the urine, forming concretions or gravel. The con- cretions may form out of a number of substances and may vary in size from a pea to a hickory nut and even much larger. They may form in great numbers. Some escaping with the urine and others remaining for years, causing much or little disturbance. The pass- ing of a large gravel may be attended with the most intense pain, which may be mistaken for biliary colic or intestinal colic. But in renal colic the pain will extend from the kidney to the bladder, in the line of the ureter through which it travels from the kidney to the bladder. As soon as the stone reaches the bladder the intense pain ceases. This fact alone is sufficient to determine the nature of the trouble. An ancient writer describes the passing of renal cal- culus as follows: "Thou art seen to sweat with pain, to look pale and red. to tremble, to vomit well nigh to blood, to suffer strange contortions and convulsions, by starts to let tears drop from thine eyes, to urine thick, black, frightful water or to have it suppressed i96 ROGERS' HOMEOPATHIC GUIDE. by some sharp and craggy stone that cruelly pricks and tears thee." The urine is passed frequently and usually contains blood. Treatment.-A hot bath usually gives the most relief. It may be necessary to resort to chloroform or morphine. Hot cloths or poultices, applied over the region of the pain, may give relief. Persons suffering from gravel should drink daily a large quantity of distilled water, to which has been added the citrate or bicarbonate of potash. Large stones are now successfully and safely removed by a surgical operation; opening up the kidney. The diet should be vegetable. Lycopodium is often indicated. Tumors of the Kidneys maybe either benign or malignant. Clotted blood or bloody casts in the urine points to cancer of the kidney. The symptoms of Cystic disease of the kidney resemb- les those of chronic interstitial nephritis and during life the disease cannot be positively determined. Perinephric abscess, that is an abscess in the tissues about the kidney may occur from an in- jury or trom an extension of a suppurative process in some neigh- boring part, the kidney, the appendix or the bowel. Such abscesses come on slowly. There is pain in the lumbar region, aggravated by pressure and extending down into the hip and inner side of the thigh. The testicle on the affected side is usually retracted. Puffi- ness of the skin is frequently present. In children the disease has been mistaken for disease of the hip joint. The Treatment is to open the abscess and drain out the pus, thoroughly. DISEASES OF THE BLADDER. Diseases of the Urethra must be included with those of the bladder, since it is to the bladder what the spout is to the :ea-kettle. ROGERS' HOMEOPATHIC GUIDE. 197 The average capacity of the bladder is eight ounces, but it may be so contracted as to contain only a few drachms, or it may be so dilated as to hold a gallon. The bladder may be absent, it may be too large or too small, it may be baggy, or sacculated. Besides gravel there has been found in the bladder pins, needles, pieces of straw, glass tubing, pipe stems, lead pencils and many other foreign bodies, inserted at the suggestion of budding sexual instincts. Various injuries ot the bladder may occur. Rupture of the blad- der is generally due to a fall or a crushing. It is indicated by se- vere pain and a fruitless desire to urinate. Collapse or a fatal peritonitis usually follows. The treatment is to open the bladder, wash out and sew up the rent. Perforating ulcer ot the blad- der may occur. Atony of the bladder is due to a weakness of - the muscular wall and is indicated by a corresponding loss of power in expressing the water from the bladder. Every male past middle life notices that he cannot eject as forcible a stream as in boyhood. Atony may come on gradually and even naturally, but it may de- velop suddenly from active disease of the bladder. Retention Of the Urine is a natural consequence of atony. In retention the bladder fills up with urine, but it cannot be passed. Retention should not be confounded with Suppression of Urine. The latter is that condition in which no urine is secreted and none is found in the bladder. Retention may be readily de- tected by examining the abdomen over the region of the bladder. Besides atony, retention may be caused by an enlarged prostate tumor or stricture of the urethra. Voluntary retention may lead to involuntary retention. In certain febrile diseases or after child- birth the bladder may be so benumbed that retention passes un- noticed by the patient. There may be partial retention, indicated io8 ROGERS' HOMEOPATHIC GUIDE. by frequent micturition and dribbling of urine. The urine retained is termed residual. If this amount is four ounces the catheter should be used every twelve hours. If it amounts to eight ounces then the catheter should be used every eight hours. Electricity is beneficial in stimulating the weakened muscles. Gelsemium, Nux Vomica, Belladonna, Cantharis, Conium, Pulsa- tilla and many other remedies maybe more or less useful. Incon- tinence Of Urine, or bed-wetting is common among children. The term nocturnal enuresis is frequently applied to this condi- tion. Belladonna or Pulsatilla, along with moral suasion, is usually all that is necessary in such cases. A long foreskin, how- ever, is often the cause of incontinence of urine in boys, not only at night, but in the day time. Circumcision is the remedy. Inconti- nence or dribbling of the urine in case of adults usually indicates retention. Vesical tenesmus is a straining to urinate, usually more or less continuous, and aggravated after some water has been passed. It occurs with a number of diseases or fevers. Haematuria, or bloody urine, has been discussed in connection with diseases of the kidneys. The blood may c ome from the kidney, the bladder or the urethra. If the blood is from the fore part of the urethra some of it will escape between urinations. Blood from the kidney is usually accompanied with a pain or heaviness in the small of the back. Neuralgia of the Bladder is indicated by frequent desire to pass water. When once asleep or pleasantly occupied the desire is less frequent, but on damp, rainy days, or when worried, the desire is more frequent. The spirits are usually depressed. It is distinguished from cystitis, which is also accompanied by frequent micturition, by the fact that in the former the urine is free from pus, ROGERS' HOMEOPATHIC GUIDE. 109 while in the latter it is not. We have just dismissed, as cured, a case of neuralgia of the neck of the bladder, which was an exceed- ingly aggravated one. The despondency was very great, amount- ing to an attempt of suicide. The treatment consisted in dilating the urethra and the rectum to the limit. Some papillae and hem- orrhoids were removed from the rectum. Within two months the patient, who had been sick a year, was transformed from a pale, bloodless, nervous, suspicious, despondent person, to a most jolly and rosy cheeked young lady. Acute Cystitis is inflammation of the bladder. It is usually confined to the mucous coat or inner layer of the bladder, although the deeper layers and even the peritoneal coat covering the bladder may be involved. Acute cystitis may arise from five different causes: Injury or mechanical irritation, extension of inflammation from urethra, aggravation of a chronic inflammation, drugs and nervous troubles. Whatever the cause, the symptoms are much the same. The calls to urinate are frequent and imperative night and day. Micturition is not followed by relief. There is smarting pain and tenesmus. Heavy burning pain is felt between the legs be- neath the bladder, and over the bladder, radiating down the thigh to the end of the penis and up into the loins. The urine contains pus which is often passed in strings of mucus. Hence, the name catarrh of the bladder. The urine is acid at first, but becomes alkaline. The fever may run high and there may be a dry tongue, restlessness and even hiccough in case of gangrene. Chronic Catarrh or cystitis is the most frequent of all dis- eases of the bladder. It is always the result of some other disease, as a stone in the bladder or kidney, obstruction of the urethra, neuralgia ot the neck of the bladder, excessive acid urine, diseases 200 ROGERS' HOMEOPATHIC GUIDE. ot the kidney. The symptoms of chronic cystitis resembles those of the acute, into which any time it may suddenly develop. The urine is always cloudy and contains pus. The pus may not be seen by the naked eye or it may be precipitated into clots or ropes, if the urine becomes or is made alkaline. To determine the presence of pus in urine add ammonia. Its presence will then be quite apparent. Chronic cystitis is most successfully treated by removing its cause. If a stricture is the cause dilate with steel rounds. If a stone in the kidney or bladder, remove it. If due to foul urine, wash out the bladder regularly. The awful tenesmus that sometimes occurs in cystitis is re- lieved by ten drop doses of the tincture of Hyoscyamus. A tea of triticum repens or couch grass gives great relief and is, in some cases of cystitis, all that is necessary. The chief symptoms of Stone in the Bladder are as fol- lows: Desire to urinate more frequent during the day than at night. Darting, burning pains felt during micturition, but more severe im- mediately after. The pain is generally felt on the under surface of the penis near the end. During urination sudden interruption of the stream, due to the blocking of the passage by the stone. Blood, pus and pains in various parts are only confirmatory symptoms. As just observed in regard to the location of the pain in case of stone in the bladder, it is well to remember that in other diseases of the genito-urinary organs the pain is not always at the seat of diffi- culty. For instance, in case of kidney disease the pain is usually in the groin, the testicle or down the thigh, while in disease of the testicle the pain is in the groin. The benefit to the whole nervous system derived from dilating the urethra in case of an irritable bladder by means of steel sounds is very great. The most ROGERS' HOMEOPATHIC GUIDE. 201 common of all genito-urinary troubles is inflammation of the urethra, called Urethritis, and attended with more or less discharge. There are two forms; the one simple and the other specific. To the latter the term, GonorrhOBa or clap, has been given. Though a companion to syphilis it is an entirely different disease. The only resemblance between them being the fact that both usually involve the sexual organs and both are usually associated»with sexual im- morality. It is impossible, without the microscope, to determine to which form of urethritis some cases belong. A healthy young husband may acquire from his equally healthy young wife or vice versa, a severe urethritis, attended with abund- ant discharge which may appear to be exactly like that of gonor- rhoea. In the discharge of simple urethritis only pus microbes will be found, while in that of specific urethritis or gonorrhoea, a germ known as gonococcus will be present. Gonorrhoea in those in- fected for the first time begins as follows: A period after exposure varying from a few hours to two weeks, but usually within a week, the patient notices a milk-and-water-like fluid at the mouth of the urethra which is reddened and swollen. A tickling or scalding sen- sation is soon felt, especially after urinating. Within forty-eight hours these symptoms are all greatly aggravated. The passing of the urine is attended with the most acute suffering. Tenesmus is also severe. The discharge at first like diluted milk becomes white and thicker and then yellow and then greenish, streaked with blood. After four or five days the symptoms become less severe, but may continue for weeks, the discharge growing less all the time. However, a chronic urethritis called gleet may follow and persist for months and even years. A painful swelling may occur 202 ROGERS' HOMEOPATHIC GUIDE. in the groin. The testicle may swell and be very painful. This is especially liable to happen if powerful astringent injections are used to suppress the discharge. A very common complication is when the inflammation extends to the bladder and develops cystitis. It will be remembered that the inflammation of cystitis may extend, in course of time, to the kidney and suppurative pyelitis or abscess of the kidney result. Thus, instead of being a temporary matter of little consequence gonorrhoea is often attended with serious and long lasting complication which may result in death. Under homeo- pathic treatment such complications are less likely to occur and if they have already been established from violent measures, homeo- pathic remedies will undD the mischief in the most satisfactory manner. During the acute stage no injections should be used un- less it is pure water or a weak solution of peroxide of hydrogen, for the sake of cleanliness. Bathing the penis in a cup of hot water will relieve the severe pain. The homeopathic remedy during this stage is Aconite, 2x, given every hour. Later, Belladonna, Gelsemium and Mercurius may be needed. For complica- tions, Sulphur, Gelsemium, Bryonia, Pulsatilla, Hepar Sulph. and Sepia may be indicated. Complications from sup- pressing the discharge of gonorrhoea have existed for years and the discharge has been re-established by a dose of Sepia; the case then running a regular course, as if it was a recent or fresh in- fection. Stricture of the urethra is another complication usually fol- lowing gonorrhoea. It is the result of the inflamed walls during urethritis, becoming united in places and narrowing the canal of the urethra so much in some cases that the water can hardly pass. Even complete obstruction may occur, or the urine containing pus ROGERS' HOMEOPATHIC GUIDE. may burrow a new canal for its escape. Such a canal is termed a urinary fistula and usually opens somewhere on the under side of the penis. In case of complete obstruction it is sometimes nec- essary to tap the bladder through the abdominal wall. SECTION VIII Diseases of the Sexual System. SEXUAL ABUSE. A complete description of the diseases of the sexual organs and an enumeration of the perversions of the sexual instincts would fill volumes. Excepting self preservation, the perpetuation of the species is the strongest human instinct. The sexual instinct mani- fests itself at an early age and is very liable to be perverted. The habit of self-abuse or masturbation may be formed in boys as early as the fifth year, although usually not until the twelfth or fourteenth year. We have known girls to begin as early as the tenth year. The habit is very common among boys, and is supposed to be less com- mon among girls. But during the past year more cases of girls than of boys have come under our professional care. The damage done to the nervous system was fully as great as in cases of boys. The evil effects of the habit cannot be overdrawn. It takes away the elasticity of the body and the vivacity of the mind. In place it leaves a listless, stupid indifference, with pale, sunken :heeks and hollow eyes. In girls it destroys that indefinable sweet- 204 ROGERS' HOMEOPATHIC GUIDE. ness which is their natural attraction. To one of the opposite sex in a normal condition they are offensive. It is not unusual for th ; face of those who practice the habit to become pimply. Yet a pimply face does not always indicate the habit. A few years ago a young woman of twenty-two came under our care for a horribly pimply face. She was a devoted Christian, engaged in active charity work. She was also wealthy and for four years had traveled far and near, spending money lavishly to have her face cured. During all this time she had never had a beaux. After treating her several weeks and having exhausted all our medical resources in vain upon her case, we resolved to tell her, at any cost, our first im- pression of her case, namely, that she was indulging in a secret habit that was ruining her health and was the prime cause of her pimply face. Imagine our embarrassment, when she positively de- nied, in the most truthful manner, our accusation, and almost led us to believe that a sexual thought had never entered her mind. Again, imagine our surprise when, two days later, she confessed of having indulged in the habit perhaps four hundred times in four years. Never until we accused her did she have the remotest idea that the habit was affecting her health or was at all sinful. She reproached her mother because she had not been instructed and warned against the evil habit. She at once gave up the habit. Our remedies took effect. Within two months afterwards her face was perfectly smooth and she looked five hundred per cent, more attractive. An- other voung woman confessed that at the age of ten years she in- dulged for a time in the habit. Since then she has positively loathed everything sexual and has refused good offers of marriage because of her unnatural repugnance to sexual matters. Though indulged in at such an early age she bears upon her face as well as 2o6 ROGERS HOMEOPATHIC GUIDE. in her mind the unmistakable imprint of the habit. Besides caus- ing mental and physical debility amounting to dementia and even epilepsy, self abuse leaves a weakness that remains long after ,the habit has been overcome. This weakness consists in seminal Josses upon the slightest provocation, followed by a sense of mental and physical exhaustion. These losses, called Spermatorrhoea, usually occur during sleep, being provoked by lustful dreams. Females who have prac- ticed self abuse suffer sometimes in later years in a similar manner. In consequence of which the nervous system is affected seriously. After marriage a premature loss of semen is a common complaint of those who have practiced self abuse during boyhood. This, to a wife in a normal condition, is decidedly disagreeable and has more than once led to divorce or something worse. Total impotency on the part of the male and total indifference on the part of the female may result from self abuse. A towel wrung out of cold, salt water and applied to the privates on retiring is the simplest treatment for spermatorrhoea. Steel sounds passed into the bladder are also highly beneficial. Great good is derived from the steady and per- sistent use of electricity. A fruit and vegetable diet lessens the tendency to seminal losses, while a stimulating diet, including meat, tea, coffee, liquors, peppers and sauces tend to aggravate the trouble. Regular and systematic exercise, not over-exertion, is beneficial. It is needless to say that everything suggesting lewd thoughts must be banished from the mind. The society of a company of refined ladies and gentlemen is of a great advantage. A number of homeo- pathic remedies are of service among which are Nux Vom., Bel- ladonna, Arsenicum, Gelsemium and Calcarea Carb. The rectum should be examined and all irritation there removed. ROGERS' HOMEOPATHIC GUIDE. Rectal trouble, especially constipation, is very common in mas- turbators. A blunting of the sexual instinct is otten occasioned by too frequent indulgence and may lead to repugnance for each other in a couple who had been mutually attractive. Indulgence more than once a week is rarely compatible with the highest degree of health and pleasure. Many a domestic quarrel and divorce pro- ceeding begin with the repugnance mentioned above. A tempo- rary separation is the remedy. Let the one most at fault visit for a tew weeks another climate. Perfect health and perfect love are the essential factors for the highest sexual enjoyment. The pleasure should always be mutual. If otherwise, something is at fault. For only one to participate is unnatural and little better than self abuse. The woman who is too nice to cultivate a passion for her husband ought never to have married. She incurs the risk of being deserted and cannot be pittied much if her husband finds more congenial society than hers. It must never be forgotten by a husband or a wife that ill-health, over-work and worry depresses and even blots out the sexual instinct, while good health, happy surroundings and kind treatment develops it. No woman can have any great amount of feeling for a man who abuses her. If for no higher motive than selfish gratification the wise husband will treat his wife with the greatest tenderness. The various means taken to prevent con- ception are all more or less injurious to the health. The prema- ture withdrawal of the male, called Onanism, is nearly as injurious as self abuse. Injections of cold water often cause long lasting womb troubles. The wearing of a cap of rubber or animal mem- brane over the penis is perhaps the least harmful of all these un- natural and more or less unhealthy measures. The false and per- nicious idea that boys and young men, too young to marry, cannot 208 ROGERS' HOMEOPATHIC GUIDE. live a continent life is doing untold mischief. It is sapping and dwarfing the average young man mentally and physically. Besides, he incurs the risk of acquiring syphilis or gonorrhoea, the evils of which have been fully described elsewhere. The young man who would be an intellectual and physical giant must remain absolutely continent the first twenty-five years of his life. DISEASES OF WOMEN. Besides being liable to suffer most of the diseases that may affect men, women are subject to a number of ailments that are peculiar to their sex. The most common of these, perhaps, are as- sociated with derangements of Menstruation. The menses should return every twenty-eight days and the flow should continue three or four days, without pain. The menses should first appear about the fourteenth year and disappear about the forty-tourth year; lasting about thirty years. They may begin much earlier and do in warmer climates begin as early as the tenth year, or they may be delayed in a cold climate or on account of tardy development generally, until the eighteenth or twentieth year. They may con- tinue to appear as late as the fifty-fifth year. The period during which the menses first appear is called puberty, and is accompanied by a change from girlish to womanly ways. The period during which the menses disappear is called the climacteric period or " Change of life." An absence of the menses after puberty and before the climacteric period, not due to pregnancy or nursing, is called Amenorrhcea. A scanty flow, a suppressed flow and a retention of the flow are included in the term amenorrhcea. Reten- tion may be due to an imperforate hymen. The remedy is an ope- ROGERS' HOMEOPATHIC GUIDE. ration. Pulsatilla and Sulphur are often indicated in amenor- rhcea. When the flow is profuse the term Menorrhagia is used to designate it. A hemorrhage from the womb between men- strual periods is called Metrorrhagia. Vicarious menstru- ation is a periodic flow from some other part of the body in place cf the menses. It is usually from the mucous membrane.. Nose bleed is not an infrequent substitute. Bryonia is the usually indi- cated remedy for vicarious menstruation. Hamamelis and Pul- satilla may be indicated, also Ferrum, Dysmenorrhea is painful menstruation. Naturally, there is no pain with the menses. The pain may be due to neuralgia, to congestion, to obstruction or to the shedding of the mucous membrane of the womb every month. According to the cause different kinds of dysmenorrhcea are named. Neuralgiac dysmenorrhcea is met in those subject to neuralgia or rheumatism in general; who are in a run-down condition. The pain is usually sharp, fixed and localized. It may begin before the flow and stop with its appearance or continue throughout. Ovarian dysmenorrhcea is due to a chronic inflammation of the ovary. The pain comes on between the menses, also a few days before and is re- lieved by the flow. The pain is dull, aching and accompanied with depression of the spirits and nervous troubles, also sympathetic disturbances of the breast. This form is otten brought on by the barbarous habit very prevalent a few years ago among old school physicians of cauterizing the neck of the womb. Sterility usually followed. Congestive dysmenorrhcea is indicated by sudden, severe pains coming on during the flow, accompanied by a decrease of the flow and an increase of the temperature. The pain may be due to cold from getting damp during menstruation, inflammation about the womb, mental shock, excessive flesh in girls or displacement in 210 ROGERS' HOMEOPATHIC GUIDE. married women. Obstructive dysmenorrhcea is known by the spas- modic pains coming on in paroxysms like labor pains. It is due to a naturally small canal or a contraction of it. It may be due to caustics or to a sharp bend in the canal. The pain in membraneous dysmenorrhcea commences with the flow and increases gradually, becoming labor-like until amembrane is expelled. The treatment of dysmenorrhcea depends upon the cause. In the neuralgiac form those remedies must be given which will correct the debili- tated condition, while in case of the obstructive, the obstruction must be removed. The most general remedy in dysmenorrhcea is Viburnum opulus, given in ten drop doses of the tincture, every fifteen minutes. It acts more rapidly if given in hot water. It is particularly useful in the neuralgiac and obstructive forms. Aconite is often of great service in the congestive variety. Bel- ladonna is indicated by severe, bearing down, throbbing pains, also throbbing headache. Caulophyllin, spasmodic pains in those subject to rheumatic troubles of the small joints. Chamo- milla, patient very irritable, with drawing, griping, labor-like pains, followed by the expulsion of clots. Cimicifuga, rheumatic or neuralgiac pains. Cocculus,scanty,irregular, painful menstration, with cramps. Gelsemium, ix, given every fifteen minutes in hot water, relieves that form accompanied by a disturbance of sight and the passing ot a large quantity of pale urine, clear as pure water. Pulsatilla is particularly useful in suppression of menses after getting the feet wet. It should be remembered with Aco- nite in congestive dysmenorrhcea. Silicea may be valuable in chronic cases, where there is an unhealthy skin and an offensive sweat of the feet and an icy coldness of the body. Displacement of the womb is perhaps the next most fre- ROGERS' HOMEOPATHIC GUIDE. 211 quent complaint connected with the female sexual system. Dis- placement may be forward, backward, downward or sidewise. When the entire womb is displaced it is called a version, but if it is only bent upon itself it is a flexion. Thus, we have anteversion and retroversion, anteflexion and retroflexion. In case of ante- version the body of the womb lies too far forward and the neck too far backward. In retroversion just the opposite condition exists. In anteflexion the body of the womb is bent forward, while in retro- flexion it is bent backward. A displacement of the womb down- ward is called prolapsus or " falling of the womb." The symptoms of retroversion and retroflexion are very simi- ilar, except that the very frequent and sometimes painful mictu- rition is much more common in the former than in the latter. In each there is a backache, a heavy feeling at the lower part of the abdomen, inability to walk any distance and going up or down stairs is particularly fatiguing. Inability to walk any distance is quite a reliable symptom of displacement. Spinal irritation and severe headache before menses also point to a displacement of the body of the womb backward. The symptoms of anteversion and anteflexion are much the same. Backache and rectal irritation, however, are much more fre- quent in the former than in the latter. Both are accompanied with irritation of the bladder, difficulty in walking, dysmenorrhcea, ster- ility and leucorrhcea. There are three degrees of falling of the womb. In the first the symptoms are much like those of retro- version. In the second, there is much irritation of the bladder and rectum. In the third, a part of the womb appears externally. In- version of the womb is the condition when it is turned inside out. It may happen during confinement or it may be brought about by a 212 ROGERS' HOMEOPATHIC GUIDE. polypus. Displacement of the ovaries is a common trouble. It is indicated by pain radiating in different directions, by pain during intercourse and by pain during an evacuation of the bowels. Many displacements of the womb cause no inconvenience. Absolute rest in bed during the menstrual period is an important factor in the treatment of any displacement. Mechanical means to support the womb in its natural place are often necessary, though frequently abused. Proper rest, proper exercise and last, but not least, proper dress will do much to correct displacements. Massage and elec- tricity are also of great value. Among the internal remedies that tend to restore the womb to its normal condition and position are: Belladonna, indicated when back aches as if broken and a bear- ing down as if everything would fall out. Secale, displacements following confinement. Sepia, in prolapsus. Nux, in many forms, and Sulphur, in all forms. Calcarea Carb, Conium, Ferrum Iodide, Helonlas and Platina should also be studied. Each one of these is a favorite remedy ot some physician. A tampon, consisting of a wad of cotton soaked with glycerine and inserted overnight into the vagina close up against the neck of the womb, will extract a vast amount of fluid from a congested and over-loaded womb, relieving it of some of its excessive weight so that its ligaments may support it in its proper place. A string at- tached to the tampon will facilitate the withdrawal of the cotton from the vagina. Inflammation of the lining of the womb is called Endome- tritis. Like inflammation of the inner coating of other cavities of the body, it may be acute or chronic. It may affect a part or all of the inner surface of the womb. The acute form may arise from cold, excessive sexual indulgence, unclean instruments inserted into ROGERS' HOMEOPATHIC GUIDE. the womb, gonorrheal infection and from acute infectious diseases. The chief symptoms are a heavy, dragging feeling in the pelvis, hack or thighs, accompanied with frequent and painful micturition. A leucorrhceal discharge soon follows and may be so irritating as to cause inflammation of the vagina, the canal that leads up to the womb. The mouth of the womb is swollen and stands open with a plug of tenacious mucus blocking it. Chronic Endometritis maybe a result of the acute or it may be caused by a tear in the neck of the womb. It may also re- sult from the prevention of conception or the induction of abortion. The affection is not usually accompanied by any particular suffer- ing more than the dragging and bearing down sensation. The patient usually comes to the physician for treatment of Leucor- rhcea, a catarrh of the lining membrane of the genital tract, an- alogous to catarrh of the nasal or bronchial passages. There are three fundamental causes of leucorrhcea: Anaemia, congestion and specific infection. The anaemia may be due to an excessive drain from child bearing and nursing. The congestion may arise from a torpid liver or local irritation, as excessive sexual indulgence or masturbation. The specific infection is either gonorrhoea or syphi- lis. Leucorrhcea may be from the vulva, the vagina, or from the womb. The first is cheesy like, and seldom profuse. The second is milky and alkaline. The third is also, as a rule, alkaline, but not always. Leucorrhcea from the neck of the womb is thick and gelatinous, while that from the cavity, is thinner and more like mu- cus. Gonorrhoeal or syphilitic leucorrhcea is usually acid; a nice point of distinction. The microscope will also reveal the germs of gon- orrhoea. They may be present in the discharge a year after the disease was contracted and sufficiently vigorous to communicate it. 2l4 ROGERS' HOMEOPATHIC GUIDE. When there is a very offensive, watery discharge from the womb, which is sometimes bloody, an examination for cancer should be made. Whatever the form of leucorrhcea its treatment depends upon the cause. The anaemic patient must be built up by good food, by rest, by out door exercise, by a visit away from home and by salt sponge baths, with vigorous rubbing. A leucorrhceal discharge contains a great amount of albumen and anaemia is a natural result of its continual escape. A nourish ing diet of lean beef, mutton, eggs, cheese and milk is necessary to make up for the loss. Injections of very hot water night and morn- ing are highly beneficial in acute endometritis, of which leucorrhcea is the symptom. It may be all the treatment, necessary. Chronic endometritis, however, is not so easily cured. Hot water injections may be beneficial or they may be injurious. In case of offensive leucorrhcea with itching, use Carbolic Acid in the injection. Five drops to the pint of water is sufficient; use Calendula for bloody leucorrhcea; Eucalyptus, for bad smelling leucorrhcea, such as accompanies cancer and Hydrastis, for a profuse yellow leucorrhcea. Open drawers and insufficient protection of the extremities during cold, damp weather, along with the constriction of the circulation by corsets are important factors in the production of leucorrhcea and the correction of these conditions are necessary before a cure can be effected. We have seen some of the worst cases of leucor- rhcea, displacement and womb troubles disappear after dilating the rectum and removing all sources of irritation there. Many so-called womb troubles are secondary to rectal trouble. Dilating the womb is often beneficial. The following internal remedies are useful: Tartar Emetic, when the leucorrncea is from the neck and body of the womb; Belladonna, when the leucorrhcea is due to acute ROGERS' HOMEOPATHIC GUIDE. endometritis; Calcarea Carb,milky leucorrhcea, with cold, damp feet and clammy hands; Mercurius, when there is a profuse, greenish yellow leucorrhcea, worse at night. The iodide is perhaps the best form of the mecurius in case the womb is enlarged. Pul- satilla is one of the best remedies for a thick, creamy leucorrhcea, with delayed or scanty menses. Arsenicum, Kali Sulp., Ly- copodium, Nitric Acid, Phosphorus, Sepia, Silicea and Sulphur should be studied. Erosion of the neck of the womb is simply an abrasion of the epithelium. It is often improperly called, by ignorant phy- sicians, " ulcer of the womb." Ulceration of the neck of the womb rarely occurs, except with cancer. As a rule, erosion is caused by a laceration or tear of the neck of the womb. Sometimes a sew- ing up of the rent is necessary to cure erosion. In no other part of the body may a slight injury produce such serious symptoms as lace- ration. Continued irritation at the point of laceration is very prone to develop cancer. Various hysterical and neuralgiac symptoms may arise from a laceration; also anaemia, menstrual and even men- tal derangements. Operation is often the only remedy. The following are synonyms of Chronic Metritis: Areo- lar hyperplasia, Parenchymatous metritis, Sub-involution and Con- gestive hypertrophy of the Uterus. They express a process by which the womb is unnaturally enlarged. Sub-involution is that condition when the womb is arrested in returning to its normal size after child birth. The symptoms vary, but usually include all those common to displacements and endometritis. An examination is generally necessary to determine and diagnose the condition. The patient should abstain from sexual indulgence and during menstru- ation should remain in bed. The chief remedies are Secale and 216 ROGERS' HOMEOPATHIC GUIDE. Sepia. The following may be indicated: Belladonna, Mer- curius, Sabina, Sulphur Kali Iodide and Conium.. Tumors of the womb may be benign or malignant, as in any other part of the body. A tumor which tends to return after re- moval and also tends to terminate fatally is called malignant. A benign tumor is one of an opposite nature. Fibroid and ovarian tumors, as a rule, belong to the benign class and cancers to the malignant. Tumors are much more common in married than un- married women. This is particularly true of cancers. Profuse flooding is the most prominent and most dangerous symptom of a myoma or fribroid tumor. Very hot water injections have cured many cases of fibroid tumor. Electricity is also a successful agent in reducing them. Calcarea Iodide and Secale are the in- dicated homeopathic remedies. Fibroids, after the change of life, usually disappear of their own accord. Unless there is some special reason their removal by surgical means is not necessary. As already stated, a thin, foul leucorrhcea, occasionally mixed with blood, points to cancer of the neck ot the womb. In fact, 97 per cent, of the cases of cancer of the womb begin at the mouth of the womb. An examination should be made by a competent physician the moment there are any suspicions. Many a life may be saved by operating before the disease has progressed far. The only operation to be thought of is the complete removal of the womb. It done early the danger to life is slight and the prospect of complete recovery is good. A dark red or yellowish nodule on the neck of the womb, which bleeds easily, is likely to be cancer. Arsenicum Iodide is the most useful remedy in cancer. Pelvic Cellulitis is an inflammation of the tissues about the womb. It is believed by some to be identical with pelvic peri- ROGERS' HOMEOPATHIC GUIDE. 217 tonitis, a localized peritonitis. Others regard them as two dis- tinct affections, the former the milder. The following symptoms are common to both: Chill or chilliness, fever, pain, tenderness and exudation. The exudation is a plastic fluid, which solidifies and forms adhesions, sticking parts together that are not naturally united; perhaps changing the womb from the most movable organ in the body, naturally, to a fixed and stationary one. Recovery is the rule, although death may occur. One attack is likely to be fol- lowed by others. Pelvic Abscess is generally a suppuration of an exudate thrown out during an attack of pelvic cellulitis. The abscess is generally accompanied by chill, fever, profuse perspiration, throb- bing pain. It may break into the vagina, rectum, bladder or groin. It should be treated as an abscess in any other part. Open, wash out, disinfect and drain. The remedies likely to be indicated in pelvic cellulitis, pelvic peritonitis and pelvic abscess, are Aco- nite, Apis, Arsenicum, Mercurius and Terebinthina. Hepar Sulp may be given to hasten suppuration. Pelvic Hematocele is a general term which may be ap- plied to all effusions of blood into the pelvic cavity. The blood collects, as it were, in a sac and gives a tumor-like appearance. The blood collects as the result of a rupture of a blood vessel, due to lowered vitality and accident. Hematocele comes suddenly and is often attended with collapse and many symptoms common to severe hemorrhages elsewhere. The treatment is the same as in case of other hemorrhages. Salpingitis is an inflammation ot the Fallopian tubes, the connecting canals between the ovaries and the womb. The in- flammation may be in the form of an acute or chronic catarrh and 218 ROGERS' HOMEOPATHIC GUIDE. the result of extension of inflammation from neighboring parts, especially endometritis following abortion and gonorrhoea, It will again be noticed that the evil effects of gonorrhoea are far reaching and long lasting. Gonorrhoeal salpingitis is a common cause of sterility in women and may derange the tubes so as to render the woman an invalid for life. Salpingitis may have a tubercular origin. The symptoms of acute salpingitis cannot be distinguished from those of acute pelvic peritonitis. Ovaralgia, or neuralgia of the ovary, may arise from the same causes as neuralgia in other parts. It may also be induced by profuse leucorrhcea, stone in the kidney, worms in the rectum, fall- ing of the womb, tumors, erosion, laceration, retained faeces, irrita- tion in distant parts of the body, excessive or incomplete intercourse or unsatisfied sexual desire. An attack comes on suddenly and is usually confined to one ovary. The pain is intense, cutting or cramp like, extending down the thigh or tip into the abdomen. It has neither chill nor fever. It is better by hard pressure. The general treatment is much like that for leucorrhcea. The cause must be removed. During an attack hot applications in some form give the most relief. Injections of hot water may be given in the vagina and in the rectum. Belladonna or Colocynth may give relief. Valerianate of Zinc is highly recommended. The most effectual treatment must be done between attacks, giving whatever remedy is indicated. Electricity has done us splendid service in many cases. Ovaritis is an inflammation of the ovary and occurs in an acute and a chronic form. The acute may be caused by child bed tever, suppression of menses, extension of inflammation from the womb or peritoneum, gonorrhoea, cold water or astringent injec- ROGERS' HOMEOPATHIC GUIDE. 2lg ttons, excessive sexual indulgence, abortion, acute eruptive diseases and the use in the womb of unclean instruments. The symptoms are very similar to localized peritonitis. The chronic may result irom the acute or arise from poisonous drugs, displacements, caut- erization of neck of womb, or from rheumatism which has been driven from another part by local applications. The chief symptom of ovaritis is a pain in the ovarian region or groin; dull, aching, burning pain, made worse by walking or riding over rough places. Ovaritis is always worse during menstruation. Belladonna and Apis are the chief remedies. Bryonia, Colocynth, Lache- sis, Mercurius, Platina and Thuya may be of service. It would require a volume, to describe minutely, all the various kinds of ovarian tumors. They may be benign or malignant. The ovarian cyst, which is simply a collection of fluid in a sac, is perhaps the most common tumor, arising in the ovary. It may reach an en- ormous size and collect several gallons of fluid. The surgical treatment ot ovarian tumors is more successful than the medical. But little danger is now connected with the removal of an ovarian tumor of a benign character. A fev/ cases of ovarian tumor have been reported cured by the use of Apis for several months. The ailments of pregnancy is discussed in the section, Mother and Child. SECTION IX. Diseases of the Nervous System, DISEASES OF THE NERVES. An inflammation of the nerve fibres is called Neuritis. It may be local or general. To express the latter condition the term multiple or polyneuritis is employed. Localized neuritis may arise from cold, injury or inflammation in a neighboring part. While the multiple may be due to infectious diseases, organic poisons or de- bilitated conditions occuring from cancer, tuberculosis or anaemia. In case of localized neuritis a boring, stabbing pain is felt in the region supplied by the affected nerve. The skin may be reddened or swollen. The pain is variable. Numbness and a partial loss of the sense of touch may also occur. Multiple neuritis may begin with the symptoms of acute rheumatism or there may be no fever, but various paralyses occur, the most striking of which are the foot and wrist drop. That is, the wrist or foot suddenly loses its power and drops. In the acute form the disease may terminate fatally within ten days by the paralysis extending upward to some of the vital organs. We recall a case of a woman who had seemingly just 220 ROGERS' HOMEOPATHIC GUIDE. 221 recovered from an attack of peritonitis. She over-worked, appar- ently took cold and took some very strong medicine. There was at first numbness of the fingers and toes which steadily increased, extending upwards until it reached the heart and lungs on the tenth day and caused her death. She was perfectly conscious to the last minute and knew that death was coming. Her last words were: " Why did I ever allow them to persuade me to take allopathic poisons and desert my homeopathic physician ?" The allopathic physician who gave her the strong drugs made another mistake in giving in the death certificate the cause of death, spinal sclerosis. The paralyses following diphtheria and excessive use of alcoholic liquors are due to multiple neuritis. Neuromata is a nerve tumor. The pain in the stump of an amputated limb is due to tumors of this nature. The olfactory nerve, the nerve of smell, may be affected so that the sense of smell is completely lost, or abnormally keen, or entirely perverted. Perversion is common in the epileptic and the insane. , Disturbances of the optic nerve are very often associated with disease in some other part of the body. A careful examination of the eye may throw a great deal of light upon the condition of the system generally. Bright's disease, albuminuria, syphilis, leukaemia, tobacco and certain mineral poisons are sometimes accompanied by optical disturbances. Meningitis and tumors of the brain are often shown by certain changes within the eye. Sciatica is an inflammation of the sciatic nerve, the large nerve which supplies the hip and leg. It is a common complaint in those of a rheumatic or gouty tendency. The trouble may come on suddenly, but, as a rule, gradually. The pain, extending down one 222 ROGERS' HOMEOPATHIC GUIDE. leg, is of a burning and gnawing character. It is a trouble that is easily recognized. It is often the result of some tumor in the pelvis. Rectal troubles frequently cause it. If due to any local irritation the first step in treating the disease is to remove the cause. Bry- onia, Rhus Tox, Ignatia and Colocynth are sometimes of service in treating it. DISEASES OF THE SPINAL CORD. Affections of the spinal cord are so numerous and so complex that the scope of this volume will only permit a hasty enumeration of some of the more common and prominent affections. Injury, tuberculosis, syphilis and other infections are prominent factors in the production of a number of spinal troubles. A number of spinal affections are indicated by loss of sensation or over sensation in places and by inability to perform certain movements or by the presence of paralysis in certain parts. Locomotor Ataxia is a common spinal trouble. Out of 300 cases of this disease there was a history of syphilis in 89 of them. Excessive fatigue, over-exertion, sexual excesses, exposure to cold and wet, are all supposed causes. Sharp, stabbing pains in the legs, called lightning pains, are peculiarly characteristic of this disease. We were present at the bed side of a man with this disease when a paroxysm of pain came on so severe that the head of the thigh bone was broken off with a distinct snap by a strong contraction of the muscles of the leg. There is a gradual loss of locomotion from year to year until walk- ing is impossible and general paralysis usually terminates the life of the victim. Want of reaction of the pupils to light and loss of ROGERS' HOMEOPATHIC GUIDE. 223 knee jerk are early symptoms. These, along with the lightning pains, are sufficient to distinguish this incurable disease. DISEASES OF THE BRAIN. Headache, properly speaking, is not a disease; it is rather a symptom or sign of disease. Headache is a common accompani- ment ot a number ot diseases. Disturbances and disorders of the brain, heart, stomach, kidneys, liver, bowels and sexual functions are often accompanied by headache. In connection with the various fevers there is usually a head- ache. The exciting causes of headache are therefore numerous. There are necessarily many varities of headache. Thus, we speak of gastric, billious, nervous, menstrual and many other forms of headache. Headaches occur in different parts of the head; in the front, in the back, on top, at one side. It may be a dull, steady ache, or it may be throbbing or piercing. One headache may be better when quiet, another when moving; one headache may be better out-doors while another is better in-doors. One maybe better while lying, another while standing. One may be better after eat- ing, while another may be worse. Special mention should be made of a severe form of headache called sick headache. It comes in paroxysms and is usually confined to one side of the head. There is often associated with it disturbances of the vision. This form of headache is believed to be a hereditary, nervous weakness. It has been observed that it occurs in persons and families of a peculiar nervous type. When a person becomes mentally or physically exhausted he has an attack of sick headache. We are of the opinion, however, that sick headache is ROGERS' HOMEOPATHIC GUIDE. either caused or generally aggravated by some local irritation in some parts of the body, from the eye, nose, mouth, teeth or stomach, bowels or sexual organs. We have cured cases of long standing by means of surgery. Excitement, fatigue of mind or body, disturb- ance of the stomach, or the eating of some particular food often pre- cipitates an attack of sick headache. One of the striking features of sick headache is its coming in paroxysms. It may recur the same day every week, every fortnight or every month. Again, it may not recur with any regularity. The patient can often tell when the attack is coming on by the peculiar disturbances of the vision, blurring of the sight, flashes of light in zigzag lines. After the disturbance of vision the headache begins in a small spot with a sharp boring pain and gradually spreads over the head. Nausea and vomiting are common. The patient is very much prostrated; scarcely able to lift the head. The slightest noise or light aggravates the condition. An attack lasts from one to three days. It rarely occurs after middle age. Women are the greatest sufferers from this disease. This form of headache may be pre- vented, or the attacks rendered less frequent, by careful attention to the general health. Labor and worry must be lessened; more time must be given to rest and out-door exercise. All habits likely to produce it must be avoided, as well as anything that would weaken the general system. Many cases have been cured by abstaining from the use of tea and coffee. Other cases have been cured by the wearing of properly fitted glasses. One or more of the Homeopathic remedies mentioned below, selected according to the symptoms of the case, will either cut short or lesson the severity of the attack. - Homeopathic remedies, carefully selected and given between attacks will tend to render less frequent their recurrence. ROGERS' HOMEOPATHIC GUIDE. 225 The treatment of headache in general is necessarily as varied as its causes. Almost any remedy in the Materia Medica may be found useful in some kind of headache. We will give indi- cations for those only which are more commonly used and refer the reader to the Materia Medica given in Part II, to study those more rarely indicated. Aconite.—Useful in headaches occurring in the first stage of fever, when the skin is hot and dry and there is great restlessness, feeling as if the brain would press through the forehead, dizziness on rising. Congestion of the head. Head burning hot. Sunstroke. Arnica.—Headache or Menineitis, following an injury of the head. Arsenicum.—Catarrhal headache; the head hot and the scald very sensitive; cannot bear to have the hair touched. Face pale and pinched. Thirsty, but dread to dnnk, because one feels worse after drinking. Belladonna.—Violent, throbbing, stabbing headache. Pains come and go suddenly. Sleepy, but cannot sleep. Headache worse when leaning forward. Dizzy on stooping. Rush ot blood to the head. Meningitis. Apoplexy. Dilated pupils. Boring of head in the pillow. Takes cold from every draught of air. Cannot bear noise or bright light. Worse when lying down. Bryonia.—Head aches as if it would split, worse on stooping or on moving. Wants to keep perfectly still. Gets faint on rising. China.—Throbbing headache, following loss of vital fluids. Brain seems to beat in waves against the 3kull, feeling as if the head would burst. Sleeplessness. Better with eyes open. Stitches from temple to temple; better by pressing. Headache better by standing or walking. Headache in the bad? part of the head fol- 226 ROGERS' HOMEOPATHIC GUIGE. lowing after sexual excesses. Brain feels bruised. Ringing in ears, with weak, faint spells. Glonoin.—Headache following exposure to the sun. Throbbing temples, feeling as if the skull was too small. Presses head with both hands. Feeling as if all the blood was going to the head. Palpitation of the heart. Blood vessels in the temples look and feel like cords. Nux Vomica.—Headaches from dissipation. Loss of sleep. Irregular meals. Debauch. Intoxicated confusion in the head. Sight and hearing disturbed, feeling as if the head was larger than the body. Headache from sedentary habits. Stimulants; from strong odor, anger, worry and excessive study; irritable and ner- vous; feeling as if had not slept well. Pulsatilla.—Headache after eating rich food. From over- loaded stomach. From suppression of menses. From excessive study; from abuse of coffee and stimulants. Worse in the evening. Worse in warm room. Better in open air. Down-hearted. Disgust for fat. One sided headache. Sanguinaria.—Headache begins in back of head; spreads upwards; settles over right eye. Better in dark room; must lie still. Periodical sick headache begins in the morning, increases during the day; lasts until evening; can't bear to have anyone walk across the floor. Cerebral Meningitis is an inflammation of the coverings of the brain. Syphilis and abscess of the ear are frequent causes of meningitis. Tubercular and infectious meningitis have already been described in another section. Fever, delirium, vomiting, con- vulsions, drawing back of the head, along with ear trouble, suggest meningitis or abscess. In meningitis the eyes are often crossed and ROGERS' HOMEOPATHIC GUIDE. 227 the lids sometimes droop. The pupils are sometimes unequal. At first they are usually contracted, but later they may be very much dilated. Meningitis is always accompanied by more or less fever. An ice bag to the head has a quieting effect. Veratrum Viride, Belladonna, Gelsemium and Nux Vomica are usually of service. Many other remedies may be indicated. A congestion or an excess of blood in the brain is termed Hy- peremia of the brain, while the opposite condition is called Anajmia. The headache and delirium that accompanies many diseases are probably due to congestion of the brain. AnaBmia of the brain is indicated by fainting. In case of anaemia from profuse hemorrhages there is drowsiness, giddiness, inability to stand, flashes of light and noises in the ear. The natural treatment of anaemia of the brain is to place the head lower than the body. Apoplexy is due to hemorrhage in the brain. As a rule, there are no warning symptoms. The patient is usually seized in the full enjoyment of health, while engaged in the performance of customary duties. Occasionally the attack may be preceded by numbness or tingling sensations. In some cases the loss of con- sciousness is sudden. In others it may come on gradually, several minutes elapsing before there is complete unconsciousness. The patient cannot be aroused. The face is livid or of an ashen-gray hue. The pupils are usually dilated. The breathing is slow, noisy and may be irregular. The pulse is full and slow. The urine and feces are passed involuntarily. The arm or leg on the affected side drops dead, while on the other side it falls more slowly. The cheek is more relaxed on the paralyzed side. The attack may occur dur- ing sleep. Small hemorrhages do not produce unconsciousness, but 228 ROGERS' HOMEOPATHIC GUIDE. Hemiplegia, a paralysis of one side of the body. It is complete when the arm, leg and one-half of the face are paralyzed. Partial, when only one of these are involved. If hemiplegia is slight the paralyzed parts may recover within a few days. If severe, it may require months. The leg usually recovers before the arm. If the right side is affected there may be paralysis of the tongue. Apo- plexy is sometimes mistaken for epilepsy, alcoholism, uraemia, or opium poisoning. Hemorrhage from injury may produce the same symptoms as those produced by weakened arteries, as in case of apolexy, but the outcome is more favorable. The clot formed in case of hemorrhage by accident sometimes may be successfully re- moved by a surgical operation. Hemiplegia is common among children. In most cases the affection comes on with convulsions and loss of consciousness. As the child recovers consciousness it will be noticed that one side is paralyzed. The child may out-grow the paralysis or it may not. Mental imbecility and epilepsy may result. Children are sometimes paralyzed by an injury at birth. Embolism is a clot ot blood formed somewhere in the circu- lation and carried to the brain, lodging there and cutting off a large part of the circulation. Thrombosis is the clotting of blood about an embolus. Embolism comes on suddenly, while thrombosis is more gradual. It is often difficult to tell whether the apoplexy is due to hemor- rhage, embolism or thrombosis. An ice bag should be put to the head and hot bottles to the feet. The head should be elevated. The bowels should be evacuated. Stimulants are not necessary. At first the limbs should be rubbed gently. After two weeks, electricity may be employed. After con- tractions have formed, electricity is useless. The prospects of com- ROGERS' HOMEOPATHIC GUIDE. 229 plete recovery from complete hemiplegia are poor. The leg may re- cover, but the use of the arm is usually lost. If the hemiplegia re- mains three months and contractions form the case is hopeless. Localization has been studied so that the exact location of troubles in the spine and brain can now be determined with con- siderable precision by the disturbances they cause in sensation and motion. Aphasia is loss of speech, due to a disturbance in the speech centers of the brain. Encephalitis is inflammation of the brain. It is usually the result of extension of inflammation from some neighboring part or from a distant part by the blood. Meningitis generally occurs with encephalitis. When due to an injury or an operation the symptoms maybe acute, consisting of fever, headache, delirium, vomiting and chills, but when it is an extension from some other part, then it may develop more severely and extend over a period of weeks or months. Drowsiness and irregular fever are the chief symptoms. Its symp- toms very much resemble those of tumor of the brain. Cerebral Tumors are indicated by the following three per- sistent symptoms, occurring at the same time: Severe headache, vomiting and inflammation of the optic nerve. There may be also giddiness, convulsions and mental disturbances. Spasms of a single muscle of the face, arm or leg, with tingling, indicates the location of the tumor. Syphilitic tumors of the brain are the only ones that yield to treatment. Iodide of Potassium and Mercury are the favorite remedies of many, for syphilitic tumors. If the persist- ent headache yields by the use of these remedies it is good evidence of the nature of the tumor. A few tumors of the brain have been successfully removed. ROGERS' HOMEOPATHIC GUIDE. Paralysis Agitans, or shaking palsy, begins slowly after an injury and is easily recognized by the trembling. It is incurable. Acute Chorea, or St. Vitus Dance, is a common disease among children and is known by the irregular, involuntary contrac- tion of the muscles. The patient unintentionally makes all sorts of grimaces and contortions. The disease is usually preceded by some debiliating disease or circumstance, as over-study or poor food. The disease usually yields to proper treatment. Arsenicum is often indicated. Infantile Convulsions are fits or spasms, which involve the whole body. They occur more frequently in children. They may be caused by digestive disturbances, irritation during teething, rickets, fever, congestion of brain and infantile hemiplegia. A con- vulsion may come on without any warning, but usually it is pre- ceded by restlessness, twitching, grating of the teeth. Usually be- gins in the right hand. The eyes are fixed and starring, or rolled up. The face becomes purple and distorted and the head drawn back. If due to indigestion or the beginning of an infectious dis- ease, there is usually but one convulsion, but if due to intestinal trouble, there may be several. Convulsions arising from stomach trouble, infectious fevers and teething, are not so serious as when occurring from other causes. The first step in the treatment of convulsions, as in all other troubles, is to remove the cause. Dur- ing the attack, chloroform may be used to relax the rigidity. A sheet wrung out of hot water and wrapped around the naked patient is a convenient and one of the most satisfactory ways of bringing the patient quickly out of the spasm. The bowels should be evacu- ated by an injection ot water or glycerine. Belladonna is the most useful remedy in preventing and relieving a convulsion. Nux ROGERS' HOMEOPATHIC GUIDE. 231 Vom. and Gelsemium are also useful. Veratrum Viride and an ice cap may be needed if there is great heat of the head. Epilepsy is a loss of consciousness with or without a con- vulsion. A transient loss of consciousness without a convulsion is called petit mal; with convulsion, grand mal. Three-fourths of all cases of epilepsy begin before the twentieth year. Epilepsy devel- oping in an adult is usually due to some local irritation. The ascribed causes of epilepsy are heredity, alcoholism, syphilis, in- jury of the skull, sexual abuse, fright and local irritation. In case of grand mal there is usually a localized disturbance or sensa- tion preceding the convulsion, which is called the aura. The disturbance of sensation, or aura, may be in a finger or a toe, or in the stomach. An aura in a definite locality is of great diagnostic value in determining the exact location of the disturb- ance in the brain. The psychical aura consists of disturbances or perversions of sight, taste, smell and hearing, as odd sounds, flashes oi light, unpleasant tastes and odors. The patient may scream and drop as if shot. The head is drawn back or to the right, the hands ire clinched, the face livid, the jaws set and the mouth frothy. The tongue is usually bitten. The fits may occur at night and one be an epiletic for years without knowing it. The violent part of the attack usually lasts but a minute or two. The patient then drops into a state resembling deep sleep. Petit Mal consists of a transient unconsciousness without a convulsion. The patient may be at the table eating when suddenly he stops talking in the middle of a sentence, the knife or fork drops, the eyes become fixed and the face slightly pale, In a moment or two consciousness is regained and the conversation is resumed as if nothing had happened. After the attack the patient may perform 232 ROGERS' HOMEOPATHIC GUIDE. some irresponsible acts, as undressing or tearing up a book. As saults of violence have been made, giving rise to legal questions. Jacksonian Epilepsy is not accompanied with loss of con- sciousness. Prior to the attack the patient experiences a peculiar sensation in the face, the arm or leg. This is followed by a series of spasms of the muscles of the affected part, which the patient watches with interest. Many cases of epilepsy are and can be cured. The treatment must depend somewhat upon the cause. It is said, Julius Caesar and Napoleon were epileptics. Children, with epilepsy, should be taught self control. Indulgence in whims weaken the moral force. We have seen hundreds of epileptic-like "Onvulsions in male children cured by circumcision. Five years ago an epileptic woman came under our care. After trying everything else in vain we operated upon the clitoris and rectum. She has not had a convulsion since. A systematic wash- ing out of the intestines with three or four quarts of water has been followed by relief. A number of cures have been reported by each one of the following remedies: Cannabis Indica, Bella- donna, Glonoin, Calcarea Ars, Cuprum, Cocculus, Nux Vomica, Argenticum Nit., CEnanthe Croc, In- digo, Plumbum and Silicea. Neuralgia is a painful affection of the nerves, generally caused bv debility. It may occur in the face, head, neck and arm, be- tween the ribs, in the back, at the tip of the spine, in the feet, in the heels, in the stomach and other internal organs. Neuralgia may re- cur with a marked regularity. The treatment should be directed toward removing all irritation and building up the general health. For instance, if a decayed tooth is the cause it must be removed. ROGERS' HOMEOPATHIC GUIDE. 233 . Belladonna, Gelsemium, Arsenicum. China, Nux Vomica and many other remedies may be indicated. Professional Spasms is a term used to express those affections following continuous and excessive use of a set of muscles, such as writers cramp, palsy of piano and violin players, telegraph operators, milk maids, weavers and cigarette rollers. Persons who write from the middle of the arm or elbow are rarely affected. The outcome is good if the part is rested for a sufficient length of time. The galvanic current is of service in treating such troubles. Tetany is a paroxysmal or continued spasm of the extrem- ities, occuring in those debilitated and otherwise deranged. The fingers, wrists, arms, toes and feet are all drawn inward. This con- dition may last for a few hours or many days. Hysteria has been defined as that condition in which ideas control the body and produce changes resembling various diseases. It is commonly met in women, but may occur in men and boys. Heredity and education are important factors in producing it. Excessive study and the indulgence of every whim tend to develop it. Fright, love affairs, grief and domestic cares are among the exciting causes. Self abuse is also a cause of this affection in boys and girls. An attack may set in with alternate laughing and crying, or there may be a sensation of a ball rising in the throat. The patient may drop down as in an epileptic fit, but it will be noticed that they never fall into the fire or any where it will hurt them. They drop down easy, upon a soft spot. They may present many symptoms resembling a convulsion. But the tongue will not be bitten, as in case of epilepsy. The patient may present symptoms of paralysis and the case resemble one of true hemiplegia. In fact, there is no form of paralysis which the hysterical person may not 234 ROGERS' HOMEOPATHIC GUIDE. imitate. There may be a " catching " breathing, such as is seen when one is dashed with cold water or as in brain trouble. There may be hysterical deafness and hysterical blindness. A hysterical cough may occur and has been mistaken for whooping cough. Even hemorrhage of the lungs may be simulated. The picture of all sorts of stomach troubles may be seen in the hysterical patient. It may seem impossible to swallow food. The patient may actually starve to death. There may be the most distressing flatulency. The patient may seem to have serious joint affection. But when they are put under an anaesthetic the joint is found movable and perfectly sound. As a rule, there is no fever, but some of the cases of high temperature that have been recently recorded, 112 to 120, are believed to be hysterical. Not the slightest dependence can be placed upon the statements of a hysterical person. They often deceive relatives, friends and physicians. One of the great- est surgeons in the world was led to believe that knee joint disease was present in a case. A young woman under our care, who had apparently been bed-ridden and helpless for years, was discovered to walk about nights as well as any one, when she supposed no one would know it. In the treatment of hysteria harsh means are never justifiable, however provoking some cases may be. The physical condition should be carefully examined and congenial employment found. The bowels and lower orifices of the body should be examined. All sources of irritation should be removed. Electricity and mas- sage are highly beneficial. The best results are obtained away from the home of the patient, isolated and under the care of an intelli- gent nurse. Hypnotism has been used beneficially in hysteria. Ignatia is often indicated in hysteria. ROGERS' HOMEOPATHIC GUIDE. 235 Neurasthenia is the term used to express a weak and ex- hausted condition of the nervous system. The symptoms are varied and general. The patient may be so physically exhausted as to be confined to bed. The least mental exertion causes a sense of great exhaustion. It may be impossible to add up a column of figures, and the dictation of a letter, a source of great worry. Trifles annoy such patients greatly. A trip abroad or a long rest are beneficial. Orificial surgery, along with the indicated homeopathic remedy, will do wonders for many of these cases. Traumatic Neurosis expresses the deranged conditions that follow a shock, which otten resembles neurasthenia or hys- teria. Hence, we have the terms, " railway brain " and " railway spine." A mental shock or a great mental strain may produce it. The symptoms may not develop for sometime after the injury or shock. The victim is nervous, irritable and changed mentally. He dwells continually upon his condition and complains of a great many things that would suggest conditions that do not exist. Three years ago a sleeping-car conductor, whose car rolled down the banks of a Canadian railway, came under our care about three months after the accident. He would have convulsions to order and he could suffer the most excrutiating pain at various points in the spine when his attention was directed to them, but when his mind was diverted no tenderness could be found. He re- covered after a year. Hypericum is often useful in spinal injuries. SECTION X Unclassified Affections. POISONINGS. Alcoholism is an affection so common that it needs no de- scription. Apoplexy, however, has been mistaken for it by ignorant police officers. The unconsciousness of drunkenness is rarely so profound but what the victim can be aroused somewhat, while the apoplectic patient cannot. Chronic alcoholism is best treated by confining the patient in a retreat, where the habits and diet can be regulated. Homeopathic remedies, given according to the symp- toms, are of great value in treating chronic drunkenness. A per- son with delirium tremens should be tied in bed and closely watched, as they are very liable to escape. Several months ago a lady brought l.er husband to us at midnight because he saw snakes and lizards ail about his feet. When he walked from his carriage to our office door he stepped so high in order to step over the snakes that per- sons on the street halted to see what was the matter. On sitting down in the office he saw a big lizard on the office chair. He com- 236 ROGERS' HOMEOPATHIC GUIDE. ^37 plained of a wave-like sensation coming up his back and spreading over his head. We gave him Gelsemium. Within an hour he saw no more snakes and has seen none since. It is a disease and must be treated as such. The great attention that has been re- cently given to the subject of alcoholism will doubtless result in more successful treatment. Thus tar, treatment is a failure in many cases. We digress from our subject to say, that any young woman had better commit suicide than to marry a man addicted to drink. Nux Vomica and Arsenicum are often indicated in drinkers. Morphia Habit is even worse than the liquor habit. A large percentage of cases are the direct result of allopathic treatment. The true homeopathic physician rarely finds it necessary to give morphine. Our old school friends are too ready with the hypo- dermic syringe as a panacea for every pain. The indicated homeo- pathic remedy will not only give relief as quick as morphine, but it will cure, while morphine deadens and suppresses. The successful treatment ot the morphine habit requires the patient to be put in a position where he is under absolute control. The confirmed opium eater is sallow, emaciated, gray, prematurely aged, restless, irritable and troubled usually with itching. Except when under the influ- ence of the drug, the pupils are dilated and sometimes unequal. Persons addicted to the morphine habit are notorious liars. Lead Poisoning is a common complaint among lead work- ers, painters, plumbers and glaziers. The lead gains entrance to the system through the skin, the lungs or the digestive organs. Poisoning may occur from the use of cosmetics containing lead. Lead poisoning may show itself in an acute form in which there is vomiting, convulsions, epilepsy, delirium, neuritis and rapidly de* 238 ROGERS' HOMEOPATHIC GUIDE. veloping anaemia, or it may be chronic, manifested by anaemia; a blue line on the gums, caused by the lead being converted into black sulphide by the sulphuretted hydrogen from the tartar of the teeth; coiic, its the most common symptom; lead palsies beginning slowly with wrist drop or spreading rapidly, paralyzing all the muscles in a few days. Inflammation of the optic nerve and trembling are common symptoms of lead poisoning. The arteries of lead work- ers become hardened, as they are in kidney and heart trouble. Alumina is the chief remedy in lead colic. The following remedies may be of service: Belladonna, Hepar Sulp., Nux Vom., Opium, Platina and Stramonium. Arsenical Poisoning may occur in an acute form or in a chronic form. When it occurs in the acute form it is usually the result of accident or suicidal intention. Paris Green or " Rough on Rats " is often the form in which it is taken. Shortly after it is taken there is intense pain in the stomach, vomiting and later colic and diarrhoea, with tenesmus. About three years ago we were called out of bed to see a young married woman who, as a result of a domestic quarrel, spread three teaspoonsful of " Rough on Rats " on a piece of cake and deliberately ate it. Half an hour later, when we arrived, she presented symptoms resembling those of cholera morbus. At a glance we saw in her symptoms the picture of Arsenicum and without delay gave her this remedy. An aggravation followed immediately, so severe that she confessed what she had done. The vomiting was encouraged, the bowels were washed out and large doses of dialyzed iron given. She suffered severely for forty-eight hours but finally recovered. Within six hours after taking the poisoning, cramping of the muscles begun at the toes and gradually extended upwards, taking in those of the ROGERS' HOMEOPATHIC GUIDE. 239 abdomen, then those of the chest and finally those of the face. The contractions in the face distorted her features strangely. Her mouth was held firmly, several hours, in the position of one whistling and during this time she was unable to speak. Arsenic is used in the manufacture of a great many articles, as artificial flowers, carpets, wall paper, glazed, green and red paper. The most common symp- tom of chronic poisoning by arsenic is anaemia, with a pale, pinched deathly look. Ptomaine Poisoning. In the decomposition of animal matter by bacterial germs, putrefactive alkaloids known as ptomaines and toxines are formed and sometimes these are highly poisonous. It is now believed that these products are the poisons in all infectious diseases. Cases of severe poisoning have followed the eating of sausage, pork pie, head cheese, beet veal and mutton. One day in July, 1891, four hours after eating veal and new corn, the writer was seized, while several miles from his office, with a colic which felt like ten thousand fine needles sticking in the intestines. It was accompanied by a profuse cold sweat all over the body and deathly palor. There was fainting and gasping for breath, also a feeling as if the heart was too large for the chest. As soon as his wife arrived she gave Camphor; tea drops of the tincture in a teaspoonful of water. Less than ten seconds the cold sweat changed to warm and rapid improvement followed. He was, how- ever, confined to bed for a week, during which time he received Arsenicum. The sequel showed that the poisoning was so great as to cause intestinal hemorrhage and the loss of more than a quart of blood. It also explained the cause of the cold sweat and other syrnpioms of the collapse of hemorrhage. The case, without doubt, was one of ptomaine poisoning. Cases of ptomaine poison- 240 ROGERS' HOMEOPATHIC GUIDE. ing sometimes occur after eating cheese or ice cream, shell fish and fish. Grain Poisoning sometimes occur from ergot fungus or by various poisonous seeds becoming mixed and ground with grain into meal or flour. Accidental or Suicidal Poisoning requires prompt treat- ment. If the patient will not or cannot tell, a search of the house will usually give some clue to the nature of the poisoning. In case of acids, water containing salt or baking soda should be given. The white of eggs, as a rule, is beneficial in all poisons. If there is not already vomiting, it should be produced by mustard water. If the vomiting persists after the stomach is emptied, hot water and Ipecac should be given to reduce the irritability. If the poison be an alkali, as muriate of amonia, caustic, potash or carbolic acid (an alkali), give vinegar, lemon juice or sweet oil. Do not try to produce vomiting. If the poisoning is from an overdose of Aconite, evacuate the stomach and give strong coffee. If due to Arsenic, fly paper, Fowler's solution or Rough on Rats, give dyalized iron and a drink of mucilage or white of eggs. If Belladonna, give Opium and excite vomiting. If Corrosive Sublimate, give white of eggs and milk. If Digitalis, induce vomiting and move the bowels by injection, also give coffee and vinegar. If due to poisonous gases, place patient in open air, wash face and chest with cold water and give Opium. If due to Opium, Morphine or Laudanum, give strong coffee and Belladonna. Rub, whip and walk the patient about. We used these means successfully in case of a woman who drank an ounce of Laudanum and^was unconscious six hours. If due to the poison ivy, give Apis, Arsenicum or Rhus. Bathe skin with Chlorate of Potash and apply Vaseline, If by ROGERS' HOMEOPATHIC GUIDE. Strychnine or Nux Vomica, give tincture of Opium in twenty drop doses. For tobacco poisoning, give Nux Vomica and plenty of tresh air. In opium poisoning the pupils are contracted. OTHER AFFECTIONS. Sunstroke is a condition produced by exposure to excessive heat. Two forms occur: Heat exhaustion and heat stroke. Pro- longed exposure, with physical exertion, may be followed by ex- treme exhaustion and collapse. The surface is cool, the pulse feeble and rapid and the temperature very much below normal. Persons whose work confines them to close rooms and who are not exposed to the direct rays of the sun may have this form. Heat stroke oc- curs in those who are exposed to the sun while working hard. It is commonly met in workmen in large cities who are exposed to the sun and who, at the same time, drink liquors. In this form, the temperature may rise to 107, even to 112. Death may occur within an hour, or the victim may drop dead, as if shot. It usually comes on with a pain in the head, dizziness, oppression, nausea and vomit- ing. Unconsciousness follows. Returning consciousness and fall- ing of the temperature are favorable symptoms. The after effects of heatstroke may remain for years; the victim never being able afterward to endure with comfort a temperature above 80 in the shade. The treatment for heat exhaustion should be of a stimulating nature. The patient may have to be given stimulants and be placed into a warm bath, while in heat stroke the patient is most suc- cessfully treated by being packed in ice. At least, the head should be surrounded with ice. The ice cap is the most satisfactory if pro- 242 ROGERS' HOMEOPATHIC GUIDE. curable. Belladonna, Aconite, Glonoin, Opium and Nux Vomica are the usually indicated remedies. Obesity is an excessive accumulation of fat and if not posi- tively a diseased condition it is not evidence of the highest degree of health. It is often followed by some wasting disease, as diabetes. Over-eating, while not always the cause, is a common factor in the production of excessive fat; so is insufficient exercise and the drink- ing of malt liquors. The fat may be reduced by regulating the diet, taking more exercise and less sleep. If all the bread eaten be toasted and if all the liquid drank be hot water before meals, the reduction of fat will be satisfactory. Fat persons should eat meat but once a day and take starchy food in a limited quantity. They should abstain from the use of milk, coffee, beer cold water, sugar and potatoes. Phytolacca and Arsenicum tend to reduce flesh. Ascaris Lumbricoides is a worm varying from four to twelve inches in length and is found chiefly in the intestines of children. The worms may migrate rinto the stomach and be vom- ited. They are, as a rule, passed with the stool. The child is rest- less, irritable, picks its nose and has a white ring about the mouth. Cold injections of salt water are recommended. Cina is the usually indicated homeopathic remedy. Trichiniasis is produced in man or animal by eating meat containing a parasite called trichina spiralis. The embryo of the parasite lies in an egg which is embedded in the muscular part of the meat. When the meat enters the stomach, the gastric juices digest the shell of the egg and, as it were, hatch out the embryo parasites, which in the course of three days are full grown. They, in turn, within four or five days, lay eggs which go wandering about ROGERS' HOMEOPATHIC GUIGE. 243 through the system and finally locate in the muscles, " the seat of election," and in about two weeks develop into the full-grown muscle trichina, causing an inflammation in the muscle. These, in the course of six weeks, become encapsulated; that is, three or four of them will become surrounded by a wall or layer and be completely housed in, as it were. Here they may remain for months and years until the muscle becomes meat and is taken into the stomach of man or some other animal, when the capsule is digested and a new generation hatched out. Tsenia Saginata is the common tape worm of this country. It may become fifteen or twenty feet in length, it is made up of segments. When fully developed the segments are flat, oblong and about half an inch in length and one-fourth of an inch in width. Persons usually learn that they have a tape worm by discovering these segments in the stool. Tape worm is due to eating infected raw beef. In Europe, a different form is common, due to eating raw pork. While writing this section we successfully removed a tape worm as follows: In the evening, after eating nothing but baked herring during the day, the patient took two ounces of an emulsion of male fern and pumpkin seeds. The next morning she took two ounces more, and an hour later a dose of castor oil. A two drachm dose of the etheral extract of male fern or felix mas taken after fasting and followed two hours later by a purgative of castor oil or citrate of magnesia will generally bring a part if not all the worm. The worm will continue to grow until its head is re- moved. The head is square and has four large sucking disks. SECTION XI Affections of the Mind. INSANITY. In the discussion of insanity the terms illusion, hallucination, delusion and imperative conceptions are frequently employed and should be defined at the beginning. Illusion is a disturbance of vision. The objects seen by the patient are actually present, but are seen distorted and with attributes which they do not possess. In case of Hallucination the objects seen by the patient are not and have not been present. Delusion is a false idea or conclu- sion which no amount of facts or reasoning can change. It is the result of a weakening of the logical apparatus. Delusions are either expansive or depressive. A person possessed with an expan- sive delusion thinks himself a king or some important personage, or very wealthy, or it may assume an erotic or religious phase. While one afflicted with a depressive delusion imagines he has some in- curable disease or is being persecuted, poisoned or pursued. Genu- ine delusions are those which have been created by the patient. Spurious are those acquired by the feeble minded through imita- 244 ROGERS* HOMEOPATHIC GUIDE. tion. It is of great importance to determine whether a genuine delusion is systematized or unsystematized. In the former, the patient will present a number of arguments in support of his delu- sive idea, while in the latter, they can give no reason beyond simply affiming their delusion. For instance, if a person physically sound imagines that he has an incurable disease and enumerates a num- ber of alleged symptoms to prove it, he is afflicted with a depres- sive, genuine, systematized, hypochondriacal delusion. If he is unable to give any reason for his belief then his delusion is unsyste- matized and he is in the first stage of paretic dementia or mel- ancholia. Imperative Conceptions are false ideas that occur to the insane, but they are able to reason themselves out of them and at times realize their absurdity, yet they influence them. They are seized with the morbid impulse to kill, to steal or to burn, just as a sane person is sometimes moved to jump out of a window or from a roof. Insanity is not a disease, but a symptom which may arise from several different morbid conditions of the brain, the organ of the mind. All cases of insanity may be divided into two groups: Pure Insanities and Complicating Insanities. To the first group belong all those cases in which the insanity was the most prominent ailment of the patient and the first to develop. The second group includes those cases in which the insanity is the result of and secondary to some other disease, occurring first in some part of the body other than the brain. Of the pure insanities two great classes are recog- nized. One class, Simple Insanity, includes all those mental dis- orders which affect persons of a previously sound mind just as lung fever may a person who previously had sound lungs and had been perfectly well. The other class, Constitutional Insanity.com- 246 ROGERS' HOMEOPATHIC GUIDE. prises those cases which are the outgrowth of a previously weakened condition of the brain and nerves; due to heredity, infantile brain disease, injuries of the skull or the use of narcotics. Of the twenty- two kinds of pure insanities, fifteen belong to the first division, simple insanity, and seven to the second, c nstitutional insanity. Simple insanity is divided into two classes. To one, belong those cases in which no organic change of the brain can be discovered. To the other, those in which active organic changes may be dis- covered. To the first class,belong the following: Simple Mania, Simple Melancholia, Katatonia, Transitory Frenzy, Stuporous In- sanity, Primary Confusional Insanity, Primary Deterioration, Sec- ondary Confusional Insanity, Terminal Dementia, also Senile De- mentia and the Insanity of Pubescence. To this class of simple insanity belong most of the curable cases. To the second class belong the following: Paretic Dementia, Syphilitic Dementia, De- lirium Grave and Dementia from Coarse Brain Disease, such as tumors, hemorrhages or meningitis. Constitutional Insanity in- cludes the following: Alcoholic Insanity, Hysterical Insanity, Epi- leptic Insanity, Periodical Insanity, Idiocy, Cretinism and Mono- mania. The Complicati ng Insanities, those in which the insanity is secondary to some other disease, may be classified as follows: Trau- matic, Choreic, Post-febrile, Rheumatic, Gouty, Phthisical, Sym- pathetic and Pellagrous. Space will not allow us to define each one of the above forms of insanity. Only a few of the most common can be noticed. Mania is an exalted state in which all restraints are removed and the mental faculties are exceedingly active. In short, at first the marjac resembles a person slightly intoxicated, and when the disease has progressed he is like one considerably intoxicated. He \ ROGERS' HOMEOPATHIC GUIDE. cannot bear contradiction. He laughs without cause and cries with- out reason, or raves with anger at the slightest interruption. Melancholia is characterized by mental and physical de- pression. While every expression of the maniac shows exaltation, every look and act of the melancholiac reveals sadness and suffer- ing. While the maniac indulges in ambitious schemes or contem- plates with satisfaction his own greatness, the melancholiac broods over and is overwhelmed by his worthlessness and sinfulness; per- haps commits suicide. Senile Dementia is a degree of mental enfeeblement in old age, greater than natural. Senile dements very often claim that they have been robbed and will often place their money or property in the hands of any one but their friends. They lose their way on the streets. Do not recognize their homes. Roam about the house at night watching for thieves. Trembling is an invariable symptom Df senile dementia. A few months ago the writer was called upon to give expert testimony as to the sanity of a man sixty-eight years old who had deliberately murdered his wife by stabbing her thirty- eight times while she was asleep. He had deliberately planned the murder. Days before, he had purchased the dagger for the express purpose of killing her. He bided his time and in midday, when all the children were away, he committed the deed. He then proceeded to the police station and gave himself up. Indignation ran high. Every one said he ought to hang. Even his lawyers felt so and had no hopes of saving him from the gallows. But when the trial came and all the testimony taken in regard to all his peculiarities, the judge and jury readily accepted our diagnosis of senile dementia and sent him to an asylum. Paretic Dementia is dependent upon some organic change 248 ROGERS' HOMEOPATHIC GUIDE. in the brain and is marked first by absent mindedness, in which the patient can't tell what he was thinking about. Later the gait be- comes tottering; the hand-writing, irregular; the spelling, incorrect; the morals, loose; the sense of honor, blunted, and indecent expo- sure of the person, common. Chronic Hysterical Insanity makes the patient change- able, emotional, fretful, careless and superficial in their behavior and thoughts; they are vain, egotistical and desirous of notoriety or sympathy or both. Periodical Insanity is a mental disorder which recurs after more or less regular intervals. Its recurrence may be associated with menstruation, hence the term, menstrual insanity, has been sometimes used. It may also arise from an injury to the skull or from alcoholic excesses. Dipsomania is a species of periodical in- sanity; the patient is seized with a desire for drink, which overrules every restraint and all sense of decency, for a debauch. Klepto- mania is also a variety of periodical insanity, in which the morbid impulse is to steal. Some patients with periodical insanity have mania and melancholia in alternation. To this combination the term, circular insanity, is sometimes applied. Periodical insanities are more common in females than males. Monomania, or paranoia, as more commonly called, is char- acterized by a fixed delusion, usually of persecution or of being wronged. The continual harping upon one subject is believed to be a prominent factor in producing monomania. A physician will be more successful in examining a supposed in- sane person by presenting himself as a physician. Most insane patients are communicative. If not, their looks reveal their in- ROGERS' HOMEOPATHIC GUIDE. 249 sanity. The chronic insane often have their pockets filled with bits of paper, tin foil and other things equally valueless. A delusion is not sufficient proof of insanity. If it be accom- panied with trembling of the outspread fingers and a difference in the size of the pupils, the presumption of insanity is strong; point- ing also to the variety known as paretic dementia. Systematized, fixed delusions, are only found in monomania and hysterical insan- ity. Persons suffering from insanity following a tever usually re- cover in the course of a few weeks. During pregnancy and after confinement, mania sometimes occur, and acts of violence may be done. Recovery is the rule. Anger, fright and excessive joy have often led to insanity. Intellectual labor is rarely a cause of insanity. Proper mental labor is one of the best preventives of insanity. Self abuse and excessive sexual indulgence have been properly re- garded from time immemorial as frequent causes of insanity. The treatment of insanity by homeopathy is much more satisfactory than by the old way. The statistics from those insane asylums in New York, Massachusetts and Minnesota, in which the patients receive homeopathic treatment exclusively, show two and three times as many recoveries as do those from asylums in charge of the allopathic school. No doubt but what there are now thous- ands of persons confined as incurable who could be cured by homeo- pathic treatment. Orificial surgery has already to its credit the cure of a great many cases of insanity. Three, under our care within a year. Rest, massage, exercise, electricity, amusements and a nour- ishing diet are important in the successful treatment of the insane. A large number of homeopathic remedies may be useful, but the following are some of the most common with their most promineni indications; 250 ROGERS' HOMEOPATHIC GUIDE. Aurum, suicidal tendency; hypochrondriasis; religious mel- ancholy. Ignatia, silent grief. Kali Phos, weeps a great deal from religious melancholy. Pulsatilla, weeps, prays and laments. Lycopodium, full of ungrounded fears. Nux Vomica, afraid of coming to want; quarrelsome. Belladonna, starts easily; strikes, bites and attempts to run away; gay, merry craziness; sui- cidal mania; child bed mania. Natrum Mur, dwells on past un- pleasant occurrences. Cimicifuga, sobs and cries; imagines the whole world against her. Phosphorus, extreme melancholy; loathes life. Stramonium, talks constantly; gay, dances, laughs and sings; is obscene. Hyoscyamus, wants to go naked, filthy in habits; complete loss of all modesty. Anacardium, incipient dementia; becomes profane; stupid and childish. Aco- nite, acute mania; fearful and apprehensive; result of fright. " Blues." Many sane persons experience a depressed, gloomy feeling which is often due to errors of diet or some other indiscre- tion. A light diet and a cold sponge bath before breakfast or a hot bath before retiring will do much to overcome it. Home-sick feel- ing and inclination to weep will otten disappear after a few doses of Pulsatilla or Phosphoric Acid. Pleasant employment drives away " blues." A good diversion of the mind is to clean up and arrange one's room, trunks, drawers and books. SECTION XII Diseases of the Skin. SYMPTOMS. The objective symptoms of cutaneous diseases are classified as follows; Primary: Macules, papules, tubercules, wheals, tumors, vesicles, blebs and pustules. Secondary: Scales, crusts, excoriations, fissures, ulcers, scars and stains. Macules are spots of discoloration on the skin without elevation or depression. Freckles and moth patches are examples of macules. Papules are pimples; a small, pointed, circumscribed, solid elevation, situated superficially on the skin. Tubercules are small, solid, deep-seated swellings about the size of a pea. Wheals are whitish or pinkish elevations of a transient nature. The swelling following a bee sting or nettle poisoning is an example of a wheal. Tumors are soft or firm eleva- tions, usually large and prominent. Vesicles are small circumscribed elevations filled with a watery, cloudy fluid, the serum of the blood. Fever blisters are examples of vesicles. Blebs are the same as vesicles, only that they are much larger; may be from the size of a 251 ROGERS' HOMEOPATHIC GUIDE. pea to that of an egg. - Blebs are seen in case of ivy poisoning. Pustules are circumscribed elevations containing pus. Of the sec- ondary objective symptoms, scales, crusts, also called scabs and scars, also called cicatrices, are so familiar as to need no descrip- tion. Excoriations are the result of a superficial peeling off of the skin by an injury, as a scratch. Fissures are cracks, such as seen in chapped hands or lips. Ulcers are spots where not only the skin, but the sub-cutaneous tissue is lost from disease. Stains are dis- colorations left by a cutaneous disease. An eruption is said to be confluent when the parts that compose it become so numerous and so close as to present one continuous eruptive surface. Discrete, when there remains patches of healthy skin between the parts of the eruption. The subjective symptoms are those which cannot be seen, but are felt by the patient; itching, tingling, burning, pain, tender- ness and heat; over sensitiveness and deficient sensation. The causes of skin troubles may be divided into internal and external. Among the internal causes are heredity, constitutional tendencies, organic or functional diseases of the internal organs, age and sex, certain articles of food and drug poisoning. The ex- ternal causes are climatic influences, irritants and parasites. Diseases of the stomach, bowels, liver, kidneys and womb are common causes of a number of skin troubles. There are eight general classes of skin troubles: (i). Disorders of the glands. (2). Inflammations. (3). Hemorrhages. (4.) Hy- pertrophies. (5). Atrophies. (6). New Growths. (7). Neuroses. (8). Parasitic Affections. The following seventeen skin diseases are the most common and represent 8i per cent, of all skin troubles, They are named in the ROGERS' HOMEOPATHIC GUIDE. 253 order of their frequency. The figures following each represents the percentage of its frequency of occurrence: Eczema, 30.4; syphi- lis cutanea, 11.2; acne, 7.3; pediculosis, 4; psoriasis, 3.3; ringworm, 3.2; dermatitis, 2.6; scabies, 26; urticaria, 2.5; pruritus, 2.1: sebor- rhcea, 2.1; herpes simplex, 1.7; favus, 1.7; impetigo, 1.4; herpes zoster, 1.2; verruca, 1.1; tinea versicolor, 1. The location of a skin trouble often gives some idea of its nature, as many have favorite localities and are more likely to be found in those places than elsewhere. " The scalp, is the most common seat of seborrhoea, the tineae, eczema, sebaceous cysts, psoriasis and alopecia areata; the tore- head, of acne; the nose, of lupus, rosacea and eczema; the upper lip, of herpes and eczema; the lower lip, of epithelioma; the chin, of sycosis and tinea tricophytina; the angle of the mouth, of epi- thelioma; the ears, of eczema; the front of chest, of keloid and tinea versicolor; under the clavicle, ot sudamina; region of the nipple, of scabies and Paget's disease; the side of chest, ot zoster; the elbows and knees, of psoriasis; the interdigits and front of wrists, of scabies; back of the hands, of lichen and eczema; the palms, of syphilide; the buttocks, inner ankle and toes in children, of scabies; the dorsum of penis, of scabies; the scrotum, of eczema, psoriasis and chimney-sweepers' cancer; the front of the leg, of dermatitis contusiformis; the leg, if running around or lengthwise, of zoster; the whole body, of pemphigus foliaceus and dermatitis exfoliativa; and the flexures of joints, of eczema and scabies." Eczema, or teter, includes thirty per cent, ot all cases of skin disease. It belongs to the second class, inflammations, and it is de- fined as an acute, sub-acute or chronic inflammatory disease, char- acterized in the beginning by Vie appearance of erythema (spots of 254 ROGERS' HOMEOPATHIC GUIDE. redness), papules, vesicles or pustules, or a combination of these lesions with a variable amount of infiltration and thickening, ter- minating either in discharge with the formation of crusts, in absorp- tion, or in desquamation (peeling off), and accompanied by more or less intense itching and a feeling of heat or burning. There are, therefore, four primary types of eczema, named ac- cording to the character of the eruption at first: Erythematous, papular, vesicular and pustular. All cases begin as one of these types, but may lose their distinctive peculiarities and develop into the common clinical or secondary types: Eczema rubrum and ec- zema squamosum, or the rarer secondary forms eczema fissum, eczema sclerosum or eczema verrucosum. In the beginning an eczema is very often of an erythematous type, indicated by smooth, red, inflamed blotches. It may immedi- ately become papular indicated by small, solid, pointed elevations or pimples forming, or it may become vesicular, indicated by the formation of vesicles, that is, small, circumscribed elevations filled with a watery fluid. If the vesicles fill with pus then the eczema becomes the pustular type. Two or more of the four primary types may be found combined. Squamous Eczema is secondary to the erythematous or papular form. It is characterized by scales and a red thickening of the skin with a tendency to crack, especially if located about the joints. It is common on the scalp and runs a chronic course. Eczema Rubrum is known by its red, raw-looking, weeping, oozing or discharging surface, attended with more or less red, angry, thickening of the skin. The discharge from the raw surface, con- sisting of serum, occasionally of blood, sometimes dries into thick. yellow or reddish brown crusts, so that the whole diseased surface ROGERS' HOMEOPATHIC GUIDE. may, for a time, be completely hidden. This is a common form of eczema and is usually secondary to the vesicular, pustular or other primary types. Eczema is often a very obstinate and persistent disease and generally worse in cold weather. It may be due to general or local causes. Among the general causes may be mentioned gouty and rheumatic tendency, derangements of digestion, general debility, exhaustion of the nervous system, dentition and a hereditary taint. Among the external causes are heat, cold, sharp, biting winds, ex- cessive use of water, strong soaps, vaccination, dyes and dyestuffs, chemical irritants and the like. All the causes, however, may be stated in one, namely: Faulty nutrition of the skin. Eczema is not contagious. The successful treatment of eczema may require both local and constitutional means. Among the general measures are: Fresh air, exercise, regular habits, plain, nutritous diet and the avoidance of pork, salted meat, acid fruits, pastry, gravies, sauces, cheese, pickles, condiments, coffee, tea, also beer, wine and other stimulants. In case the itching is intense it may be relieved by the applica- tion of cloths wrung out of hot water. Bran washes, boiled starch or linseed poultice will give relief. A lotion composed of one drachm of carbolic acid, one ounce of glycerine and one pint of water is useful in pruritus where the itching is intense. In chronic eczema benefit will often follow the use of a jelly made as follows: Boil continuously one drachm of gelatine and two drachms of glycerine in three drachms of water until they form a transparent mass. Then, add one drachm of oxide of zinc. When desired for use liquefy by heating and then apply with a brush. For inveterate cases, an ointment is highly recommended made as fol- 256 ROGERS' HOMEOPATHIC GUIDE. lows: Mix one drachm of the oil of white birch with one ounce of vaseline. Frequent washing retards the recovery of eczema. The next most frequent skin disease after eczema is Syphilis Cutanea. It may show itself as a macular, papular (rarely vesi- cular), pustular, bullous (blebs), tubercular or gummatous eruption. The eruption belonging to the secondary stage of syphilis is often preceded by fever, loss of appetite, muscular pains and headache. They are usually accompanied by enlargement of the glands, sore throat, patches in the mouth, rheumatic pains and falling out of the hair. The eruptions during the tertiary stage, occurring a year or more after the contraction ot the disease, is usually of a tubercular, gummatous or ulcerative type. They cover a limited amount of the surface and have a marked tendency to form distinct circles or semi-circles. Pain in the bones and decay of bones may accom- pany this form. Syphilitic eruption is usually of a dull, brownish-red or ham-red. It rarely if ever itches. A point of difference between it and ec- zema. The first eruption usually seen in syphilis is of a macular or erythematous type and shows itselt from six to twelve weeks after the appearance of the chancre. Unless properly treated it remains out from one to two months. The eruption is generally abundant, but the face, back of the hands and feet may escape. Compound Syrup of Stillingia and Iodide of Potassium mixed in the proportion of one ounce of the former to one drachm of the latter is a favorite Eclectic prescription. It causes a rapid disappearance of the erup- tion. It should be taken three times a day in teaspoonful doses. After syphilis cutanea in point of frequency comes Acne. It is a chronic inflammatory disease of the sebaceous glands, usually of the face. It may appear as papules, tubercules or pustules, or as ROGERS' HOMEOPATHIC GUIDE. 257 a mixture of these. Acne usually occurs between the ages of fifteen and thirty. The eruption is irregularly scattered over the face and may occur over the neck and shoulders. The papules, tubercles or pustules, which ever form it may take, vary in size trom a pin head to a pea. The immediate cause of acne is over-secretion or retention of sebaceous matter in the glands of the skin. The indirect causes of acne are indigestion, constipation, menstrual irregularities, sexual abuse, general debility, lack of tone in the muscular fibres of the skin, scrofulosis, drugs, such as Iodides and Bromides, internally, and Tar, externally. Working in a dirty or dusty atmosphere tends to block the glands and produce acne. The disease is more common in those of light complexion. It is obstinate, but curable, after months of treatment. There are a number of varieties of acne. There is also a form called Acne Rosacea that is quite different from simple acne. It is a chronic inflammation of the skin, especially over the nose and cheeks. Dilatation of the blood vessels in these regions is very marked and serve to distinguish the disease. We cured a case of this kind of four years standing by thirty-five treat- ments of electricity. There has been no return of the disease after four years. We have recently dismissed another pronounced case of acne of a pustular character. The patient had treated in vain almost continuously for four years. After three months of treatment with electricity, using the galvanic current principally, the face be- came smooth. During the first month, we evacuated daily from six to twenty pustules on her face. Homeopathic remedies and ori- ficial surgery were also employed in connection with the electricity. The greater part of the credit of cure is believed, however, to be- long to the electricity. A wash with a saturated solution of boracic 258 ROGERS' HOMEOPATHIC GUIDE. acid is quite satisfactory. Facial massage is also beneficial. Wash- ing the face with soap and water and then • sponging with very hot water gives good results. The fourth most frequent skin affection is Pediculosis, that local or general cutaneous condition due to the presence of the ani- mal parasite, the pediculus or louse. Psoriasis is the next most frequent skin trouble. It is a chronic inflammatory disease, known by dry, reddish, variously sized, rounded, sharply defined, scaly patches. It is most common between the ages of fifteen and thirty. Its favorite location is on the outside of the elbows and in front of the knees. It may be con- fined to the scalp. The face, hands, soles of the feet and nails usually escape. There is usually some itching, but it is not trouble- some, as in eczema. The size of the patches vary from that of a pin-head to a silver dollar, and they may number from twenty to a hundred. At the beginning, each patch is a red, scaly pimple, the size of a pin-point or a pin-head. It increases gradually and in the course of several days or weeks reaches the size of a dime or larger. Then, it remains stationary for some time or disappears. Its centrar portion vanishing first. The eruption is always dry; another point of difference between it and eczema. Psoriasis is a very chronic disease; patches may remain indefinitely. It is usually better in warm weather. The cause of the disease is unknown. In some way it is dependent upon the condition of the general health. It is a common disease and met in persons in all walks of life. It is not contagious. Psoriasis is distinguished from squamous eczema by its history; especially, the way it begins, the dryness of the eruption, and by its sharply defined, circumscribed, scattered, scaly patches. The scales of squamous syphilide are usually a dirty gray and ROGERS' HOMEOPATHIC GUIDE. 259 scanty. The patches of syphilis are coppery in color and rarely have scales; besides, there are papules to be found. The face, palms and soles of the feet are often the seat of a syphilitic erup- tion, but rarely, if ever, of psoriasis. A distinguishing peculiarity of the full grown patches of psoriasis is that they give the appearance as if drops of mortar had fallen upon the skin. When the central portion of a patch clears up it leaves a ring. Two rings sometimes touch, making the figure 8. When the patches have healed they leave no stain or scar. The scales are of a silvery white. Rubbing with cod liver oil is bene- ficial. One drachm of the oil of white birch mixed with one ounce of vaseline makes a good ointment. The following preparation is highly recommended: One drachm of Chrysarobin rubbed up with one drachm of Salicylic Acid in one ounce of gutta-percha. It should be applied thinly to the affected parts with a brush. Tinea Trichophantina is the scientific name for ring- worm, a contagious vegetable parasitic disease, due to the invasion into the skin of the vegetable parasite, trichophyton. Ringworm presents a different appearance upon the scalp, upon the bearded region and upon the body. When it is on the scalp it will be noticed that the hairs within the affected region, break off and leave a " stubble " like appearance and the swollen hair follicle resemble "goose skin." When it is located in the beard, the term, " Barbers itch," is often applied. The treatment is to kill the parasite and render the soil in which it thrives sterile by the appropriate internal remedy. The most useful lotion is one grain of Mercuric Bichloride to one ounce of water. The hairs should be pulled out. A Sulphur ointment is useful. Dermatitis is a term employed to designate those inflamma- 26o ROGERS' HOMEOPATHIC GUIDE. tions of the skin caused by irritants, such as excessive heat or cold, caustics and other chemicals; also, those produced by taking cer- tain drugs internally. Dermatitis traumatica include all those inflammations of the skin due to injury, including those produced bv parasites, by scratching and by chafing from bandages and tight- fitting garments. Dermatitis calorica includes burns and frost-bites. Mild burns may be treated by applying Bicarbonate of Soda in powder or saturated solution. In case of severe ones, use a five per cent, solution. Boracic Acid is claimed to be even better than Soda. Dermatitis venenata include all inflammations of the skin due to contact with poisonings. Ivy poisoning is a good ex- ample of this variety of dermatitis. Boracic Acid lotion is also beneficial in this form of dermatitis. The next skin disease in the order of frequency is Scabies, commonly called itch. It is a contagious, animal parasitic disease, attended by itching. The favorite location of this parasite is in the tender and protected regions between the fingers, on the under side of the wrist, in the arm pits, about the nipples of females, about the privates and anus and the thigh. The face and scalp is not, as a rule, invaded. The eruption may be in the form of vesicles, papules and pustules. The disease is highly contagious and is most com- monly contracted by sleeping with those affected or by occupying a bed in which they have slept. Burrows are twisted, straight or zig- zag, dotted, slightly elevated, dark gray or blackish thread like formations, varying from one-eighth to one-half inch in length, made by the female parasite burrowing a channel in the skin and deposit- ing in its track fifteen or twenty eggs. The presence of the bur- rows is sufficient to distinguish the disease. The treatment consists of a thorough scrubbing with soap ROGERS' HOMEOPATHIC GUIDE. 261 and hot water, followed by the application of a Sulphur ointment, made by mixing one part of Sulphur with eight parts of vaseline, plain cosmoline or lard. Urticaria is next in the order of frequency. It in- cludes hives and nettle rash. It consists of wheals, that is, evanes- cent whitish, pinkish or reddish elevations, variable in size and shape and attended by itching, stinging or pricking sensation. It makes its appearance suddenly and remains but a few hours. The disease disappears and reappears in a capricious manner. It is generally the result dietetic errors. The stomach and bowels should be evacuated by an injection. A lotion of vinegar and warm water will relieve the itching. Pruritis is a disease in which the sole symptom is itchftig. There are no objective symptoms whatever. The parts, however, may become irritated by the patient's continual scratching. It is more frequently met in advanced age. It may be general, but is very often located about the privates and anus. It is sometimes very distressing during the last months of pregnancy. The disease is caused by a depraved state of the nervous system. It is com- monly met with digestive disturbances, liver troubles, diabetes mel- litus and uric acid troubles. It is also met in the insane. Pruritis is likely to be mistaken for pediculosis. Pruritis tries the skill of the physician as well as the pa- tience of the patient. Lotions of Soda or of Boracic Acid, or Car- bolic Acid, with water, glycerine and alcohol, give temporary relief Or, Carbolic Acid may be mixed with lard, lanolin or petrolatum, may be applied. If the skin is very dry, to an ounce of one ot these, from five to thirty grains of Carbolic Acid, three to twenty grains of thymol or ten to thirty drops of chloroform mav be added. 262 ROGERS' HOMEOPATHIC GUIDE. Seborrhcea is a disturbance of the sebaceous glands, known by an excessive or perhaps abnormal secretion of sebaceous mat- ter, appearing on the skin as an o«ly coating, crusts or scales. It is usually seen on the scalp and face. The oily form of the disease is indicated by an unnatural oiliness across the nose and about the forehead. Sometimes, it occurs with Acne Rosacea. On the scalp the disease is manifested by dandruff. Comedo has for its synonyms, black-heads and flesh worms. They are yellowish or blackish elevated points in the skin about the size of a pin-head, due to a disorder of the sebaceous glands. If the skin abou: the black-heads be squeezed a cheesy substance in the shape of a worm will be pressed out. Washing the face with green soap and then steaming it will remove many. The successful treatment requires attention to the general condition ot the patient. Herpes Simplex is an acute inflammatory disease of the skin, known by vesicles from the size of a pin-head to that of a pea, occurring generally on the face or privates. This form of herpes is often seen on the lips after a fever; hence the name, fever blister. When the disease occurs upon the privates the term, herpes pro- genitalis, is used to designate it. When occurring in this region it shows a disposition to recur. The disease remains for a week or two. Application of Spirits of Camphor will give relief, also a so- lution of Boric Acid. Herpes Zoster, sometimes called shingles, is an acute in- flammatory disease, consisting of a number of vesicles located upon an inflammed base along the line of some nerve trunk, such as be- tween the ribs or along the back or over the eye. The breaking out of the eruption is generally preceded by neu- ralgiac pains. The vesicles soon dry up, forming a yellowish or ROGERS HOMEOPATHIC GUIDE. 263 brownish crust. These drop off and sometimes leave a scar. The disease is limited to one side and is due to an inflammation at some point in the nerve. A mild galvanic current is beneficial. The patient must be treated constitutionally. Some physicians oppose local applications and depend entirely upon internal remedies. They maintain that the skin trouble is only an expression of internal derangement. To a certain degree, they are correct. Evil may result from improper local applications. The disease may be suppressed and cause more serious troubles within. This is especially true of applications to the scalp. What- ever application is made it should be designed to accomplish two things and nothing more, namely, cleanliness and protection. Ap- plications which do this and nothing more are proper and it is wrong to neglect to use them. Soap and water, pure oils, boracic acid, starch and Sulphur powder are always allowable. Almost all skin diseases may be greatly benefitted by means of orificial surgery. A thorough stretching of the rectum, when it is unnaturally contracted, will improve the cutaneous circulation and consequently the nutrition of the skin. In general, all skin diseases are due to faulty nutrition. The curative resources of homeopathy in skin troubles are very great. The indicated homeopathic remedy will often make surprising cures, but may fail. In the early days of our practice, while attending a confinement, the husband offered us twenty-five dollars to cure him of salt rheum of the hands, a variety of eczema. We undertook the case. We have confined his wife six times since, but have not yet cured his hands. The Internal Remedies for affections of the skin are numerous, but the following have a special action on the skin: Ar- senicum, burning, itching, painful after scratching; pale, dry, 264 ROGERS' HOMEOPATHIC GUIDE. bran-like scales; better by warm applications. Belladonna, hot, bright red ani smoothe. Hepar Sulp., unhealthy, suppurating skin; every slight injury maturates; skin very sensitive around ulcers. Apis, urticaria, sting ot bees or insects; intolerable itching at night. Ta/tar Emetic, thick, pustular eruption as large as a pea. Dulcamara, nettle rash over the whole body. Graphites, itching eruption, from which oozes a corrosive, sticky fluid, looking like honey, in many parts of the body; excoriation of skin, especially in children. Ledum, eruptions which burn and sting, like bites or stings ot insects. Lycopodium, itching, "liver spots," chronic urticaria. Mercurius, yellow skin; ulcer bleeding easily; base lardaceous; margins turn out, looking like raw meat; useful in syphilitic eruptions; round, coppery spots shining through the skin; useful in herpetic eruptions, also pustular eruptions. Natrum Mur, herpes, blisters on burning spots; white scales on the scalp; eczema in bend of joints; oozing acrid fluid; crusts with deep cracks; ulcers bleed and burn when dressed. Nitric Acid, warts, painful to touch, and bleed easily; fungus-like growths on the skin which bleed easily. Phosphorus, ulcers bleed on appearance of menses; blood boils; jaundice; dry, scaly skin; numerous fine, purple spots. Phytolacca, barber's itch; ring worm; syphilitic red spots; psoriasis. Psorinum, suppressed eruptions; eczema behind ears, on scalp, bend of elbows and arm pits; skin has a dirty look, as if the patient never washed. Pulsatilla, moles and freckles; measles; veins enlarged and inflamed. Rhus Tox, burning, itching eruptions; eczema, surface raw, excoriated; thick crusts, oozing and offensive; urticaria from getting wet. Secale, boils heal slowly; feeling as if mice were creeping under the skin; purpura hemorrhagica. Sepia, yellow saddle across the upper ROGERS' HOMEOPATHIC GUIDE. 265 part ot the cheeks and nose; moist places in the bend of the elbows and of the knees; brown or claret-colored tetter spots; herpetic eruption on lips and about the mouth; brown-red herpetic spots; moist eczema with itching and burning. Silicea, in females, violent itching of privates; eczema; ulcers, with thin, foul pus, sometimes bloody. Stramonium, suppression of an eruption or it fails to come out. Sulphur, the king of skin remedies, itching all over; burning all over; creeping sensations; voluptuous itching; nettle rash; itching hives; boils; skin rough, scaly, scabby; sore- ness in folds of skin; comedones. Thuja, wart-like excrescences on back of hand, on chin and elsewhere; warts, large, seedy, some- times oozing moisture or bleeding. SECTION XIII Diseases of the Eye and Ear. EYE AFFECTIONS. The Lids are subject to the same affections as other parts of the skin, such as eczema, cancer, erysipelas, abscess, acne or warts, and require the same treatment as when occurring in other parts. Ectropion is a turning of the lid outward so that the inner sur- face is exposed, giving it a red, raw, angry appearance. Entro- pion is an opposite condition; the lid turns in too much, so that the skin covering of the lid is in contact with the eyeball. Ptosis is a drooping of the upper lid. Blepharitis Ciliaris is an inflammation of the edge of the lid. It is sometimes called blepharitis marginalis. It is caused by exposure to irritating influences, general debility, filth and by inflam- mation in neighboring parts. At first, the lid is congested. Soon it becomes swollen, shiny and smooth. Little pustules appear about the roots of the lashes and leave small ulcers or fissures. The dis- charge from these dry into small, yellow scabs, sticking the lashes 266 ROGERS' HOMEOPATHIC GUIDE. 267 together. The lashes often fall out. This disease is obstinate and has a tendency to recur. The local treatment consists in absolute cleanliness of the edge of the lid, the scabs must be soaked off with warm water several times daily and afterward pure cosmoline rubbed on the cleansed and dried margin. The internal remedies are Aconite, in acute cases; hot, dry and sensitive to the air. Ar- gentum Nitricum, profuse discharge, sticking the lids together. Arsenicum, in chronic cases; burning; the margins thick, red and raw; discharge, acrid. Aurum Met. granulated lid; syphi- litic or scrofulous troubles. Calcarea Carb, very useful in lid troubles of sickly children who sweat much about the head. Can- tharis, very useful in chronic cases with hard, red, swollen lids. Graphites is perhaps the most useful remedy of all. Especially indicated when there is eczema about the face or head, as well as on the lid; moist eczema, with fissures and a tendency to bleed. Also very useful in a scurfy condition of the lids. Mercurius Cor, profuse, thin, water, burning discharge from eyes; lids, thick, swollen, red and sensitive; removal of scabs followed by bleeding. Nux Vom, lids troubles, with stomach troubles. Pulsatilla, very useful in many cases; cures styes. Silicea, no remedy more generally useful; removal of small scabs, followed by much bleed- ing. Sulphur, often useful. The Conjunctiva forms the outer covering of the eye-ball and the inner covering of the eye-lid, so that when the eyes are closed it folds upon itself, making a shut sac not wholly unlike the shut sac of the pleura or of the pericardium, or of the peritoneum. Hyperaemia of the conjunctiva is a common trouble, due to over- use or abuse of the eyes by reading manuscript in strong artificial light or in a light too weak, by the bad practice of reading on the 268 ROGERS' HOMEOPATHIC GUIDE. cars and by the worst habit of all, reading in bed by artificial light. There is no discharge, but the blood vessels, naturally invisible, be- come bright red and are seen to be superficial to and movable upon the eye-ball. There is smarting, itching and heaviness of the lids, worse towards evening. To overcome hyperaemia, all injurious uses of the eyes must be given up and it may be necessary to wear carefully fitted glasses. Bathing the closed eyes with hot water or cold water to which has been added vinegar, or hamamelis, or salt, is often beneficial. Bath- ing with very hot water for five minutes three or four times a day will often be sufficient. Conjunctivitis is an inflammation of the conjunctiva. There are several forms. The Catarrhal form is often preceded by hy- peraemia. It is caused by exposure, eruptive diseases, injuries, bad surroundings, foreign bodies, contagion and over-use of the eyes. It is manifested by a sensation of sand in the eye, smarting, itch- ing, watery discharge. Sticking together of the lids, mucus or pus like discharge. Lids grow red, swell and become stiff. The blood vessels in the conjunctiva become very prominent. The catarrhal form sometimes runs into the Purulent, which is indicated by a thick pus like discharge, which is highly contagious. This form needs the most skillful treatment. Absolute cleanliness must be observed. Towels, basins and other articles must be disinfected before being used by another. The eye must be cleansed every hour. This form is frequently met in new born infants and known as Ophthalmia Neonatorum. A large percentage of blind- ness is due to it. In some States there are stringent laws requiring midwives to report, within twenty-four hours, all cases of ophthal- mia neonatorum. We have been successful by having the eyes ROGERS* HOMEOPATHIC GUIDE. 269 wiped out every hour with a clean bit of old linen soaked in a so- lution of boric acid. A fresh, clean bit of linen should be used each time and great care taken not to infect the well eye in case but one is affected. We give Pulsatilla internally. Vilas says that one drop of a one grain solution of silver nitrate dropped between the lids night and morning, and a powder of Argentum Nit, 30X, every three hours internally, will cure all cases, if taken in time. The dangers of purulent conjunctivitis are that the cornea will become involved and ulcers form, resulting in sloughing and loss of sight. Gonorrhoeal conjunctivitis is a variety of purulent conjunctivitis. It is the result of getting the gonorrhoeal poison into the eye. It is very likely to occur in new born infants whose mothers are suffering from the eonorrhcea. Nurses taking care of cases of gonorrhoeal conjunctivitis should exercise every precau- tion lest they carry the infection on their fingers to their own eyes. The following case came under our observation lately: A man seventy years old, living alone and poorly cared for, bathed his fore- head with coal oil to cure neuralgia. It set up a violent dermatitis on the right side of the forehead, which extended down into the right eye, causing purulent conjunctivitis and finally resulting in the loss of the eye. The left was saved only by a skilled specialist, Dr. Paul. Conjunctivitis Granulosa is a granular inflammation of the conjunctiva, indicated by a peculiar roughness of that part lining the lids. It is often highly contagious. Some constitutional trouble usually accompanies it. It is met in those of indolent habits and intemperate in eating and drinking. If, in a case of conjunctivitis the up turned lid' reveals the lines of meibomian glands down in the conjunctiva running to the border of the lid, like so many pil- 270 ROGERS' HOMEOPATHIC GUIDE. lars in a row, the case is one of catarrhal conjunctivitis, but if they cannot be seen it is a case of purulent or granular conjunctivitis or something more severe. Pterygium is ajriangular shaped piece of membrane lying on the conjunctiva resembling somewhat a bat's wing. The base of the triangle is usually towards the nose, while the apex lies near the pupil. It is caused by exposure to winds and chronic inflam- mations. The Internal Remedies for conjunctivitis are as follows- Aconite, valuable in the early stages of all forms. Apis, lids swollen and stinging, with a general appearance as if had been stung with a bee. Argentum Nit, its value, locally and in- ternally, has already been mentioned in connection with the purulent form in infants. Arsenicum, useful in first stages of the catar- rhal and granular forms; burning pains at night; attacks, periodical; shift from one eye to the other. Belladonna, useful in first stages, during hyperaemia and catarrhal form; useless in the purulent form; smarting, burning, dryness and heat. Hepar Sulph, in case of suppuration ot the cornea. Mercurius, profuse burning, mucus and pus discharge; thin, acrid and excoriating discharges; conjunc- tivitis due to syphilis. Nitric Acid, gonorrhoeal form. Pulsa- tilla, useful in all forms; especially, those following measles or colds; also, in infants. Rhus Tox, result of getting wet while over-heated. Sulphur, often indicated by the general symptoms. The firm, dense, curved membrane which forms the transparent front of the eye-ball is named, Cornea, from its resemblance to horn. It is covered with the conjunctiva. In youth, the cornea is perfectly transparent, but in old age its margins become more or less opaque from fatty degeneration. The circle of opacity thus ROGERS HOMEOPATHIC GUIDE. 271 formed resembles in shape a rainbow and is named arcus senilis. The cornea contains no blood vessels except at its margin. Only in diseased conditions are they seen upon it. Keratitis is inflammation of the cornea. It is due to inflam- mation in adjacent parts, bad nutrition, constitutional disease, in- juries and exposure. The disease is indicated by pain, watery dis- charge, inability to endure the light, contraction of the pupil and impaired vision. There are two general classes of keratitis: Sup- purative and non-suppurative. Keratitis may involve a whole or a part of the eye. Opacities frequently result. An opacity may be superficial or it may be deep. The former is curable. An opacity may be so situated as not to obstruct the vision, or it may shut out the sight entirely. The cornea may become so swollen as to burst, causing loss of the eye. This disease requires the careful attention of a skilled specialist. The object is to discuss it sufficiently to give an idea of its gravity. Hepar Sulp is likely to cure more cases than any other remedy, especially if the suppurative form. Argentum Nit is useful in the form following opthalmia neona- torum. Rhus Tox, superficial form, resulting from getting wet when over-heated. Graphites, when there is eczema in neighbor- ing parts. Mercurius, useful in the superficial form, but not in the deep. Pulsatilla, in the pustular form. Silicea, small, round ulcers, with a tendency to perforate. Spigelia, sharp, shooting pains, with deep ulceration; eye-ball feels too large for the orbit. Sulphur, sharp, shooting pains, as if needle or splinter was being stuck into the eye. The Iris is an iridescent, exquisitively colored membrane, the opening in which is called the pupil, hanging as a vertical screen in front of the lens of the eye. Iritis is an inflammation of the iris. ROGERS' HOMEOPATHIC GUIDE. The chief causes are syphilis, exposure, rheumatism and extension of inflammation from other parts. The characteristic symptoms are: Changes in the color of the iris and alterations in the form and mobility of the pupil. The disease needs prompt treatment by a specialist. The treatment is necessarily internal. Vilas men- tions thirty-four homeopathic remedies that may be useful, and there are as many more that may be occasionally useful. Besides all the remedies already mentioned in eye troubles, the following should be studied: Kali Iodide, syphilitic iritis. Mercurius Dulcls. iritis with corneal ulceration. Bryonia, iritis from rheu- matism. Lachesis, pains in eyes and teeth; pains change from eyes to other parts. The Crystal ine Lens is a transparent bi-convex body about nine millimeters in diameter and three or four in thickness, sus- pended vertically in a transparent capsule, just behind the iris. The lens becomes harder and less elastic as age advances. By the same stages it changes from a colorless substance in youth to a straw color and finally, in old age, it is a brownish, amber color. It also enlarges with advancing age, but if it becomes cataractous it grows less. A cataract is an opacity ot the lens or the capsule that encloses it, or both. The symptoms of cataract are a growing dimness of vision; distant objects look hazy and surrounded by a halo; later, vision for near objects is likewise impaired, and ability to see better in a dim light. On examining the eye sometimes a gray opacity can be seen filling the exact space occupied by the lens. Cataract is not an unusual accompaniment of old age, but it may be present at birth, or it may be produced by an injury. It may occur in connection with diabetes or some other disease con- nected with the kidney. Cataracts are classed as hard or soft The ROGERS' HOMEOPATHIC GUIDE. 273 hard or senile is gray at the outer edge and yellowish gray at the center. They are usually uniform and striated; occuring in per- sons over fifty years of age. Soft cataracts occur generally in younger persons and are known by a lighter, bluish tint and are not likely to be striated, that is, streaked. The progress of senile cat- aract is variable; sometimes slow and sometimes rapid. May even cease to grow for a time. Senile cataract of one eye will sooner or later be followed by cataract of the other eye. Cataract may be produced by ergot, sugar, salt or alcohol. Cures or beneficial re- sults have been reported from Cannabis, Conium, Phos- phorus and other internal remedies, also by galvanism and mas- sage. But senile cataract is curable only by operation. When cataracts reach a certain stage of development they are said to be ripe for operation. Over ninety-five per cent, of the ope- rations on cases of uncomplicated cataract are successful. The patient can then see by the use of cataract glasses. The Choroid is a posterior covering to the eye and is some- what analagous to the sclera or cornea in front. Diseases of the choroid are not easily diagnosed. Some of them may be detected by the ophthalmoscope in the hands of a specialist. The Retina consists of a fine net-work of nerves, spread out upon the concave surface of the posterior wall of the eye-ball. It is simply an expansion of the optic nerve, and the mirror, as it were, which receives and transmits images to the brain. In the normal state of the eye the crystaline lens focuses exactly at the retina. In short-sightedness the focus is in front, while in far- sightedness the focus is behind it. The office of spectacles is to supplement defects in the crystaline lens so that the focus of the rays of light will be exactly at the retina. 274 ROGERS' HOMEOPATHIC GUIDE. Retinitis is an inflammation of the retina. It is only detected by the ophthalmoscope. It may occur as the result of neglected hypersemia of the retina, disease of the heart, or abdominal organs. pregnancy, Bright's disease, diabetes, syphilis or brain affections. An examination of the eyes by an ophthalmoscope often reveals confirmatory evidence of some of the preceding diseases. This is especially true in case of Bright's disease. The Vitreous Humor is a jelly-like substance filling the space between the crystaline lens and the posterior wall of the eye. It is nearly colorless and contains about ninety-eight per cent, water. It is enclosed in a delicate membrane, called hyaloid. The Aque- ous Humor fills the space in front of the lens and back of the cornea. It is nearly water. If evacuated, it will rapidly re-secrete. Glaucoma is one of the most dangerous affections of the eye. It is supposed to be due to the pressure of an over-secretion of the fluids or humors of the eye, due to irritation or inflammation of some part. It is characterized by severe neuralgiac pains over the eye, in forehead, temple, nose, with severe general symptoms, high fever, nausea and vomiting. In the beginning, the disease has been mis- taken for typhoid, also for brain trouble. Before the onset of an acute attack there may be certain premonitory symptoms. A sense of fullness or swelling of the eye-ball, periods of dimness, increas- ing far-sightedness, pupil sometimes dilated. A halo or rainbow is seen on looking at a candle. The outer ring of which is red and the inner, bluish green. These premonitory symptoms may appear, disappear and reappear repeatedly, while the intervals between their recurrence grows shorter, until the acute attack sets in. Un- less the disease receives prompt attention, total blindness results. About the only treatment is an operation called Iridectomy, ROGERS' HOMEOPATHIC GUIDE. 275 which consists of making an incision in the cornea and allowing the pent-up excessive fluid to escape. This usually secures relief and saves the vision. Bell., Bry., Gel. and Spigelia give relief. Many eye troubles are dependent upon derangement of other parts of the body. Two cases of almost total blindness, which had baffled the best oculists, were cured by an operation upon the rec- tum. While on the other hand, disorders of the eyes may cause severe general troubles. Many a case of headache has been cured by wearing properly fitted spectacles, and a number of cases of "epilepsy have been reported cured by the same means. Recently, a Chicago physician has made a hobby of curing almost all dis- eases by straightening the eyes and relieving the nervous system of all unnatural tension, just as other physicians are claiming to cure almost every disease by stretching the rectum and the other lower orifices. These hobby riders have some foundation for their enthu- siasm, but they need the check of a judicial and broadly educated mind, to discriminate between the cases needing their pet treatment and those that do not. In conclusion, let it be remembered that the homeopathic treat- ment of eye affections has been repeatedly demonstrated to be in- finitely superior to all others. AFFECTIONS OF THE EAR. All kinds of foreign bodies may get into the ear. Great care should be exercised in removing them. Blind probing may cause ierious damage or even death. Inspissated Cerumen, that is, dried or hardened ear-wax, may be found in the canal of the ear and should be removed as any other foreign body. It should be 276 ROGERS' HOMEOPATHIC GUIDE. regarded as an abnormal condition. Its removal is often followed by great improvement in hearing. The presence of hardened ear- wax may be indicated by ringing, pain, sense of fullness or reeling and sraggering. The throwing off of whitish scales from the canal of the ear indicates trouble of the throat and of surrounding parts. Discharges from the ear may come from the external part of the canal of the ear, the middle part or from the cavity of the skull. Boils in the external canal of the ear are very sensitive and painful. The best treatment is to open them and apply hot water. A trouble- some eczema is often met about and within the ear. Applying hot water gives relief from the itching. The middle ear is subject to acute and chronic catarrh. Acute Catarrh of the ear is due to colds in the bead, eruptive diseases, continued fevers, ex- posure to wet. It is indicated by a sense of fullness in the ear, hardness of hearing, noises in the ear, pain worse at night, dizziness and sometimes nausea and catarrh of the throat. Acute catarrh is an inflammation which secretes mucus, but stops short of producing pus. The milder form of the disease may be accompanied only by an uncomfortable stuffiness and a slight roaring, and but little deafness. Chronic Catarrh of the ear is due to debility, syphilis, phthisis, chronic weakness repeated attacks of acute catarrh, diph- theria, scarlet fever and sometimes due to exhausting illness. It is indicated by a sense of fullness, deafness, dryness, cracking in ears as if air bubbles were bursting, noises ot various kinds, scantiness of ear-wax. The earliest symptoms are the roaring and growing deafness. All the symptoms are aggravated when one is tired and exhausted. There are two varieties: One is distinguished by moisture and the other by dryness. The former vields to tr u.nent ROGERS' HOMEOPATHIC GUIDE. 277 much more readily than the latter, which is sometimes improperly called nervous deafness. Chronic catarrh needs prompt and continued treatment by a skilled specialist. Delays are dangerous. Acute Suppuration of the ear may result from prolongea acute catarrh, which always precedes it. In this disease, all the symptoms of acute catarrh are present, much intensified. The pain is very intense and is generally referred directly to the ear, though extending to the temple, eye and back part of the head. The pus will cause a bulging out of the drum head, something that any quantity of mucus will not do. On account of the Eustachian tube, the canal from the ear to the throat being closed by the catarrhal condition, the pus is shut in behind the drum head forming an ab- scess. The tendency of pus is always to burrow in the direction of the least resistance. Hence, perforation of the drumhead is the common result, yet it may burrow through the thin bone that sepa- rates the ear from the brain and very serious consequences follow. The established rule for the treatment of abscesses in other parts holds good here. Make an incision in the drum head and remove the pus. Hot water will relieve the pain. If the drum head has not been perforated the pain may be relieved by dropping in the ear a few drops of a two to five per cent, solution of atropia sulphate. He- par Sulp., useful in hastening and in arresting suppuration. Ar- senicum, where there is great debility. Aconite, valuable in early stage. Mercurius, acts on Eustachian, and drum head. Belladonna, throbbing pain, wild expression, delirium. Arseni- cum, also has great exhaustion, humming and loss of hearing. Chronic Suppuration of the ear is commonly called ROGERS' HOMEOPATHIC GUIDE. Otorrhoea. Among the causes are: Previous inflammation and dis- ease of the bones of the ear, diphtheria and scarlet fever. The disease is indicated by an offensive, purulent discharge from the ear. The canal of the ear is reddened by contact with the irritating pus. The first step in the treatment is absolute cleanliness of the canal of the ear. General treatment of the patient is usually needed. Polypi often results from otorrhoea. Cerebral Abscess may occur by the pus burrowing through the skull into the brain. Besides those mentioned for the acute form, the following should be, studied: Calcarea Carb, Aurum Met., Mercurius, Sul- phur, Nitric Acid and Silicea. It is a common occurrence to meet persons suffering from some ear trouble dating from an attack of scarlet fever or measles. But, it is exceedingly rare to find such a case following homeopathic treatment of scarlet fever or measles. We have never seen but one. The amount of ear and eye troubles that have been and may be prevented by homeopathic treatment, is beyond comprehension. SECTION XIV. The Principles of Surgery. MEDICINE AND SURGERY. The relation of the field of medicine and the field of surgery may be compared to that of two overlapping circles. They have some portions in common and it is often difficult to tell where one leaves off and where the other begins, while other parts are so dis- tinct that one could not possibly be mistaken for the other. If a healthy person falls and breaks his arm it is, unquestionably, a surgi- cal case. A homeopathic surgeon was called several miles to am- putate a leg that was covered with tumors. Instead of amputating he gave Natrum Mur. Within six weeks, all tumors disappeared and perfect use of the leg was regained. A man, some three weeks after an apparently light injury, had a severe chill followed by high fever. During the next four days, we used every remedy that could possibly be indicated. His temperature continued high and symp- toms of dissolution threatened. An incision in the abdomen let out a pint of pus. Within twelve hours afterwards his temperature was normal and continued so. A speedy recovery followed. A cele- 279 280 ROGERS' HOMEOPATHIC GUIDE. brated London physician amputated one leg of an old lady for senile gangrene. The disease appeared in the other foot and he insisted on amputating that one also. But she refused and passed into the hands of a homeopathic physician, who cured her with Secale. No doubt but what the first leg might have been saved by the same means. Thousands of lives are lost every year for want of surgical interference in empyema following pleuritis. A safe medical adviser should be, therefore, a surgeon as well as a physician, and a physician as well as a surgeon. INJURY AND REPAIR. Whenever an injury occurs the tissue cells in the track and on the borders of the wound are destroyed, together with a quantity of blood cells, along with the serum. These are killed and are very similar, if not identical, with fresh meat. In the preservation of fresh meat, an idea of the fundamental principle of treating wounds may be gained. Fresh meat may be preserved from decompo- sition by one of three ways: Removing all moisture, as in case of dried beef. Extracting all heat, as in case of frozen meat, or in protecting it from s[erms, as in case of canned or salted meat. It is at once seen that three conditions are absolutely necessary before decomposition can take place. Moisture, heat and germs. If any one of these conditions are absent, decomposition will not occur. In the treatment of wounds, the preservation of the dead parts from decomposition is the first essential. We cannot remove all moisture from a wound, nor can we extract all heat. The only condition we can utilize is to protect it from germs. This implies absolute clean- liness and protection from the first until the wound is healed. It is ROGERS* HOMEOPATHIC GUIDE. 281 only within the past five years that surgical cleanliness has been understood. Upon it, depends the success or failure of every im- portant surgical operation. A wound which is perfectly clean is called an aseptic wound. One that is infected with germs, is called septic. To disinfect a wound is to wash it with a disinfecting or germicidal fluid. The tendency ot all wounds in healthy persons is to heal immediately. They will heal promptly without inflammation if they are not irri- tated. Irritation may be mechanical, chemical or parasitic. We are surrounded with germs that can only live in dead matter. They cannot live in live matter. When they gain entrance to the dead discharge from an open wound they thrive and produce a chemical poison, which becomes an irritant, producing a condition known as inflammation or wound fever. Wound fever or inflammation is the result of continued irritation, whether it be mechanical, chemi- cal or parasitical. Inflammation is distinguished by redness, swell- ing, heat and pain. In addition to these local signs, inflammation is always accompanied by an increase of temperature and a quickened pulse. If very great, the respirations will be quickened, the appe- tite lost and all the secretions diminished. In acute inflammation, the temperature may reach 105, but in chronic, it is slight. The proper treatment of wounds at once becomes apparent, namely: Cleanse of all foreign matter of whatever kind and then put on an air tight or antiseptic dressing, so as to keep out all germs and then immobilize so there can be no mechanical irritation. An anti- septic dressing is some substance that is antagonistic to the exist- ence or reproduction of germs. It is of a germicidal or disinfect- ing nature. The most powerful disinfectant is corrosive subli- mate or Bi-Chloride of Mercury. It is also a dangerous poison. A 282 ROGERS' HOMEOPATHIC GUIDE. solution of i to i.ooo may be used to disinfect the unbroken skin, but in washing a wound it should not be used stronger than i to 5,000. Salivation, dysenteric diarrhoea, vomiting, collapse and death have followed its use in too strong a solution. It is ruinous to steel instruments. It is generally used to wash out septic wounds. Bits of gauze, which have been boiled in a solution of this disinfectant, are now commonly used in operations in place of sponges, to soak up the blood from the wound. Wounds are often dressed with gauze prepared in the same way. Gauze, however, into which Iodo- form has been incorporated, is probably used more frequently for dressing wounds. Iodoform is a yellow, horribly smelling powder, that is used very generally in the dressing of wounds. The com- mon practice is to dust the wound with the Iodoform powder and then over it bind Iodoform gauze. The horrible odor is very objec- tionable, yet, we must confess, that we have not yet seen any other dressing quite so satisfactDry. The Iodoform powder tends to check the hemorrhage or oozing trom the wound and keeps it dry; a very important point, as we have just observed that moisture is essential to decomposition; germs cannot thrive without moisture. Iodoform is not such a powerful germicide as the bi-chloride of mercury, yet cases of poisoning have followed its use. Carbolic Acid is used ex- tensively in surgical practice, but it is far from being all that could be desired. According to Koch, instruments to be absolutely disin- fected, should be soaked in a five per cent, solution two days. One part in forty of water, is the ordinary strength used in cleansing wounds; one in twenty, for instruments and sponges. Poisoning may follow its use, indicated by an olive green urine, headache, nausea, giddiness and great depression and even collapse. Eucalyptus is a good substitute for carbolic acid. Boric Acid is ROGERS' HOMEOPATHIC GUIDE. 283 non-poisonous and may be used in a saturated solution or dusted on the wound in powder form. It is not so effective as other disin- fectants. Peroxide of Hydrogen is very useful to destroy pus. It has came into general use within three years. It is a non-poisonous fluid, resembling water, and may be injected into any pus cavity. It is becoming deservedly popular as a pus destroyer. Suppuration, that is, the formation of pus in a wound, is generally believed to be due to the presence in the wound of pus microbes and that suppuration cannot occur without them. The pus microbe called, Staphylococcus Pyogenes Aureus, is the one most commonly met in acute abscesses, while the Streptococcus Pyogenes is the one generally met in such grave affections as pyaemia and progressive gangrene. Pus consists chiefly of dead, white, blood corpuscles, debris of tissue and jerms floating in a highly albuminous fluid. White Blood Corpuscles are the natural protectors of the system against the germs of disease. When one of them and a germ come in contact the result is the death of one or the other. If the system is in a good condition the white blood corpuscle is generally triumphant. An Abscess is a circumscribed collection of pus enclosed in a cavity of its own formation. Abscesses are either acute or chronic, according to the intensity of their symptoms and the rapidity of their development. The local symptoms of abscess are at first the same as inflammation. An ordinary boil is a good example of a superficial abscess. Pus is forced to the surface in the line of the least resistance. Hepar Sulph. either arrests or hastens the formation of an abscess. As soon as an abscess has formed, the 284 ROGERS' HOMEOPATHIC GUIDE. rule is to open it. In case of felon, much pain and suffering may be prevented by opening at once. An abscess should never be squeezed. Abscesses should be washed out with some disinfecting solution. Corrosive sublimate is commonly used. But the great English surgeon, Sir Joseph Lister, has returned to the use of Carbolic Acid; disagreeing with Koch and claiming that it is the best and most satisfactory disinfectant of all; a half hour being sufficient time to disinfect instruments in a solution of i to 20. Deep abscesses should have a rubber tube or a strip of Iodoform gauze inserted to keep them open so that they may drain thoroughly. Deep abscesses are not always easily recognized They may be indicated by a severe chill, high fever, throbbing pain and an in- flammatory oedema, that is, a tender, swollen, doughy feeling, in the middle of which there is a soft spot. Chronic abscesses are commonly called Cold abscesses. They are usually due to tubercular infection, but occasionally may be of syphilitic origin. The former is surrounded by a wall called pyo- genic membrane. The latter is not. Cold abscess may exist for months. A common location is near the spinal column, due to tubercular disease of the spine. A slight elevation of temperature usually accompanies cold abscesses. In evacuating them, every an- tiseptic precaution should be employed lest true suppuration follow, by the wound becoming infected with pus germs as well as tuber- cular germs. The greater success that now attend surgical operations is due almost entirely to Antiseptic Precautions. Before every operation, the skin over and about the region where the incision is to be made, should be thoroughly cleansed, as follows: Shave off all hair. Scrub with green soap and water. Wash with Corrosive Sub- ROGERS' HOMEOPATHIC GUIDE. 285 limate, 1 to 1,000. Then bind on and leave over night gauze satu- rated with Carbolic Acid and Glycerine and covered with oiled silk. Just before operating, remove the gauze and wash the part with absolute alcohol or ether. Towels saturated with a solution of Cor- rosive Sublimate or Carbolic Acid should be spread about the place to be operated. The instruments should be placed in a basin of carbolized water, 1 to 20, half an hour before the operation and kept there throughout the operation except when in actual use. After the operation, instruments should be plunged into boiling water and afterwards carefully wiped and dried. The hands of the operator and of the assistants should be thoroughly disinfected by scrubbing with soap, water and nail brush. All particles of dirt must be re- moved from under the nails. The hands should then be washed in a solution of Corrosive Sublimate, 1 to 1,000, or Carbolic Acid, 1 to 20, and afterwards washed in pure water or absolute alcohol. Noth- ing should come near the region to be operated upon without being disinfected. Bits of Corrosive Sublimate gauze are now generally used as sponges. If sponges are used, they should be soaked for hours in a solution of Carbolic Acid, 1 to 20. The water used to wash out the wound made during the operation should be thrice boiled and kept in an air-tight receptacle or jar. If the wound is septic from the presence of pus then it should be washed out with a solution of Corrosive Sublimate, 1 to 5,000. We have already de- scribed how a wound should be dressed. If large or septic, make drainage by inserting a rubber tube or a strip of gauze or a piece ot cat-gut thread, leaving one end hang out of the wound. Then bring the edges of the wound together and hold there by stitches of silk or cat-gut or silver wire. These should, also, be kept in a solution of Carbolic Acid until used. Over the wound Iodoform should be r 286 ROGERS* HOMEOPATHIC GUIDE. dusted and then over it Iodoform gauze should be bound, covered with cotton and a bandage. The dressing may be left on from one day to a week, according to the symptoms. Increasing pain, sore- ness and fever, or hemorrhage or oozing, would call for a redressing. An idea of the marvelous progress of surgery may be gained from the simple fact that when President Garfield was shot, only twelve years ago, no antiseptic precautions whatever were taken. Anti- septic treatment had scarcely been heard of and the cause of in- flammation and suppuration were unknown. That they were, in any way, due to a germ, had hardly been thought of. If the commonest citizen should receive to-day such treatment as Garfield received, it would be considered the worst kind of malpractice. Anaesthetics are agents employed to render the patient un- conscious or insensible to pain during an operation. The chief gen- eral anaesthetics are Chloroform and Ether. The use of both were discovered about the year 1844. Cocaine is the common local an- aesthetic. It came into use about ten years ago. " Which is the safer anaesthetic? " is a question that comes up for discussion every year in medical meetings, just as the tariff questions comes up at every Presidential campaign. Ether is generally supposed to be the less dangerous. But the recent death of a distinguished New York editor by this anaesthetic while undergoing an operation at the hands of two very eminent surgeons of that city, has again con- firmed the fact that death may occur from either. To whom and how it is given are more practical questions. Ether is a powerful irritant of the mucous membrane. It must not be given in case of lung or kidney trouble. On account of the profuse flow of saliva it produces, it cannot be used for operations about the mouth. Ether must not be used at night. It is liable to ROGERS' HOMEOPATHIC GUIDE. 287 ignite with the lamp or gas light. Horrible cases of burning have occurred from this cause. Ether is said to stimulate the heart while Chloroform depresses it. Ether kills by suffocation; Chloro- form by paralyzing the heart. The evil effects of Ether last for hours, even days. It may cause severe vomiting and is liable to rupture the stitches in case of large wounds of the abdomen. The vomiting may be controlled by giving coffee or a quick acting ca- . thartic, such as citrate of magnesia. Infants and old persons bear Chloroform better that Ether. Death from Chlorofor n occurs on the table during the operation. Death from Ether may not occur for several hours afterward; even the next day, and be attributed to some other cause. There is no telling how many deaths do occur from Ether. But a death from Chloroform is always known. It is estimated that Chloroform causes one death in io,q;o and Ether one in 25,000. A mixture of one part of Chloroform and two of Ether has given us good satisfaction. The ACE mixture, consist- ing of one part Alcohol, two parts of Chloroform and three parts of Ether is highly praised. Packard, of Boston, is advocating the use of etherized air, consisting of a mixture of Ether and air, in the proportion of one drop of the former to one cubic inch of the latter. Besides economy and simplicity, it has much to recommend it. Rules. Patient should not eat any solid food for four hours before taking an anaesthetic, nor any liquid food for two hours. The heait should always be examined. The urine should be examined before giving Ether. Vaseline rubbed over the face will prevent the fumes from burning the skin. The eyes should be closed for the same reason. False teeth, tobacco and every other loose article in the mouth must be removed, lest they fall into the wind pipe and produce suffocation. All constricting bands about the neck and 288 ROGERS' HOMEOPATHIC GUIDE. waist must be loosened. The patient must be placed in a reclining position. The anaesthetic must not be crowded at first. It is well, in case of timid patients, to allow them to hold the anaesthetic until they become familiar with it. Both breathing and pulse should be watched. Shallow or irregular breathing calls for a temporary with- drawal of the anaesthetic. In giving Chloroform, a few drops should be sprinkled upon a napkin and held an inch from the nose, allowing plenty of air to mix with its vapor. Ether may be confined in a cone and requires less mixture of air with its fumes. In case of threatened heart failure, lower the head until it touches the floor, and elevate the legs and body. Draw out the tongue with tongue forceps, an article that should always be at hand. Perform artificial respiration. Dilate the rectum. If no rectal speculum is at hand, insert two fingers of each hand, back to back, and stretch with all the force at command. We have found this new way very satisfactory. Hypodermic syringe loaded with brandy should always be at hand. Ammonia held to the nose or repeated slapping of the face with the end of a towel wrung out of cold water will tend to revive the patient. A patient is said to be under an anaesthetic when all rigidity of the limbs has ceased; the arm lifted up drops as a dead weight; the eye-lid can be raised without resistance and the finger can be pressed against the eye-ball without any signs of sensibility. An Ulcer is any sore left by the destruction of the superficial parts of the skin or mucous membrane. A Felon or Boil is the result of some slight injury, as a scratch becoming infected with pus microbes. Incision should be made early. Bed-sore, or decubitus, is due to feeble circulation in some part that has been subiected to long continued pressure, as in cases of typhoid and ROGERS' HOMEOPATHIC GUIDE. 289 ether tedious diseases. Bed-sores are best prevented by washing suspicious spots with a solution of Tannic Acid. Gangrene is death of a part. There are two varieties. The moist and the drv The former is rapid in its progress, while the latter is slow and ii commonly met in old age, in which case it is called Senile Gan- grene. A suppuration of the tissues just beneath the skin is called a Carbuncle. It is commonly located on the back of the neck. A carbuncle is usually distinguished from a boil by the fact that it has more than one opening; often several. A hypodermic injection of equal parts of Carbolic Acid and distilled water at a number of points in the circumference of the carbuncle, is highly recommended. Shock is the impression made upon the nervous system by an injury. It varies from a transient sense of weakness to profound depression, with unconsciousness, or even death. The chief symp- toms of shock are: Paleness and coldness of the skin; cold, clammy sweat on the forehead; rapid, feeble pulse; shallow, irregular res- pirations; a falling of the temperature below normal; usually, the patient lies with eye-lids half closed, conscious, yet paying no atten- tion to what is going on around about him; the face is without ex- pression; may be able to speak, but the mind is feeble; in the worst cases they may look on with a dreamy indifference, while their broken bones and crushed limbs are being dressed, with no sense of pain whatever. Reaction from shock is indicated by a fuller and less frequent pulse, a more natural condition of the skin and return to conscious- ness. The shock from a surgical operation can be very much les- sened by securing tranquility of mind and nerves before the opera- tion, by a rest in bed a few days before, by operating in the morn- 2Q0 ROGERS' HOMEOPATHIC GUIDE. ing and by keeping the body of the patient warm during the opera- tion. Shock needs prompt treatment. If it occurs during a surgi- cal operation, the operation must be suspended. The head, lowered. Bottles of hot water and warm blankets must be placed about the patient. Hypodermic injections of brandy should be given. Cam- phor is one of the best remedies for shock. Put a drop or two of the tincture upon the tongue. A hypodermic injection composed of equal parts of Brandy, Ether and Spirits of Camphor, is highly recommended. Death from shock may occur within a few minutes after the injury, or it may not for several hours. To stop the Hemorrhage is the first requirement in treating a wound. Direct pressure upon the bleeding part will usually check it. A piece of folded linen will often answer temporarily. A stream of hot water, as hot as can be borne, directed upon the oozing sur- face, will check the bleeding from the smaller blood vessels. Iodo- form gauze tends to check oozing. The larger vessels should be picked up and tied. If this cannot be done at once, tie a handker- chief or towel, with a knot in it, tightly about the limb or part, so as to bring pressure on the bleeding vessel. The treatment of hem- orrhage, occuring with the various diseases, is given elsewhere; also, nose bleed. Contusions are produced by blows from some hard, blunt object, or by a violent squeeze. Blood may be forced into the skin, giving it a black and blue appearance, but the skin is not broken. There is 1,0 open wound at the beginning. Contusions vary from a slight bruise to absolute crushing. The sooner the discoloration of the skin occurs the more superficial the injury. Arnica and very hot water are useful in all contusions. A lotion composed of two drachms of Muriate of Ammonia and two ROGERS' HOMEOPATHIC GUIDE. 291 ounces each of alcohol and water, is a very satisfactory application in both Contusions and Sprains. Apply by moistening a piece of thin gauze. Burns and Scalds are essentially the same. They are classi- fied according to their depth. Extensive burns, though superficial, are followed by profound shock. In fact, one-half of the fatal cases die from shock during the first forty-eight hours. A deep burn in- volving a small area of the surface is far less serious than an ex- tensive superficial burn. In burns, the same care should be taken as in other wounds to prevent septic tever and suppuration. It is no more necessary that they should occur with burns than with other wounds. The principle treatment of all burns is to protect the in- jured part from the air, prevent decomposition and make few changes of dressings. Blisters should be pricked, allowing the fluid to escape and the epidermis to return to its place. The pain from a burn may be relieved by washing with a solution of Bi- carbonate ot Soda or a solution of Boric Acid. The latter is highly recommended. Powdered charcoal, bound over the burn, is said to relieve the pain and heal as if by magic. It is surely a good disin- fectant. Burns of the throat from inhaling steam are relieved by inhaling the spray from an atomizer containing dilute Sulphuric Ether. Camphor should not be forgotten in the shock from a burn. Arnica is useful in all cases. Opium may be necessary for children, to prevent convulsions following the great irritation of a burn. Hernia, or rupture, is the escape of a part of the contents of a natural cavity of the body through a rent in its walls. The most 292 ROGERS' HOMEOPATHIC GUIDE. common rupture is that met near the groin where the intestines sometimes escape through a rent in the abdominal wall. This form is called inguinal hernia. If it extends down into the scrotum, it is called scrotal hernia. A carefully fitted truss should be worn. Hernia may be cured by injections of some astringent substance. The radical cure con- sists in cutting down and sewing up the rent. Even after this is done and healed up, it is necessary to wear a truss for a long time. Fractures of bones are treated by placing the broken pieces as near as possible in their original position and maintaining them there by suitable splints and bandages for a period of three to six weeks. Splints made of Plaster of Paris, moulded to the parts, are very satisfactory. Diseases of the bones and joints are frequently due to tuber- culosis. The so-called white swelling or hip-joint disease is due to tuberculosis. The disease in the early stage in the joints may be cured by an injection of an emulsion of Iodoform and Glycerine. Ten per cent, of the former to 90 of the latter. later stages of the disease require an operation for the removal of the diseased por- tions. Homeopathy and Surgery go hand in hand. Many a case may be saved from the surgeon's knife by the indicated homeo- pathic remedy. Homeopathic treatment before and after a surgical operation will do much towards preventing complications and hast- ening recovery. The superiority of homeopathy in surgery has been demonstrated in the surgical wards of the Cook County Hospital, Chicago. SECTION XV Mother and Child. CONCEPTION. Consists in the implantation of one of the microscopic germs, called spermatozoa, of the semen of the male in one of the eggs discharged from the female ovary. This implantation takes place somewhere within the womb or its appendages. Conception is most likely to occur immediately before or within the first two weeks after menstruation. The injuries done by the prevention of con- ception are discussed under the section, Diseases of Women. PREGNANCY. There are no positive signs of pregnancy before the fourth or fifth month after conception. There are many symptoms, however, that are strongly suspicious. First of all, the non-appearance of the menses. Yet the menses may cease from a number of causes. Morning sickness, consisting of nausea and vomiting in the morn- 293 294 ROGERS' HOMEOPATHIC GUIDE. ing, is another common symptom. It may be due occasionally to other causes. The pregnant woman, after vomiting, can eat again immediately, with relish. Morning sickness usually continues from the beginning of the second month to that of the fourth. It may continue longer and be so troublesome that nothing can be retained in the stomach. Dirty, yellow blotches, called liver spots, often appear on the face during pregnancy. The breasts enlarge and the pink circles about the nipples become brown or black. The breathing has a peculiar labored character. No perceptible enlargement of the abdomen occurs until about the fourth month, or even later. The disposition undergoes a marked change. Sometimes, they are even peculiar and not unfrequently very irritable. Some enjoy the best health when pregnant, while others are miserable throughout. At the end of four and a half months, the mother usually, for the first time, feels the movements of the child in her abdomen. The date of confinement can be foretold quite acurately by counting forward four and a half months from the first time life is felt. The best rule for the pregnant woman to observe is to be natural. Let her take plenty of exercise, without tiring; plenty of food, without over-eating; plenty of sleep, without becoming lazy. It is by far better that she have some congenial, active employment throughout pregnancy up to the hour of confinement. We have in mind a female physician, the mother of three children, who attended to her professional duties up to the hour of confinement, just as if she had not been pregnant. As a result of her great activity, she always had easy labors; never sick over an hour. It is a very great mistake for pregnant women to sit' around with neither mental nor physical labor to do. Every muscle of the mind and body should ROGERS' HOMEOPATHIC GUIDE. 295 be exercised daily in the open air. We say mind deliberately be- cause the state of the mother's mind during pregnancy is reflected in the off-spring. A tendency to despondency, to murder, to steal, to drink, to fight, as well toward the high and noble, is often noth- ing more nor less than the imprint of the mother's mind while pregnant. Intercourse during pregnancy is believed to develop in the child a tendency to sensualitv. Intercourse while nursing, some- times affects the child badly. Confinement is often preceded by a looseness of the bowels and a decided sinking of the abdomen. These occur about twenty- four hours before confinement. For days and even weeks before confinement there may be irregular pains here and there in the ab- domen, called false labor pains. The real pains of labor come on at regular intervals. At first, perhaps half an hour apart. They gradually become more frequent until they occur every five min- utes. They may be only three minutes apart. The physician should be present when the pains recur regularly, as often as every five or ten minutes. If the bowels have not moved freely just before the pains come on they should be evacuated by an injection of warm soap suds, to which has been added five drops of Carbolic Acid. The privates should be thoroughly bathed with soap and carbolized water. The room for confinement should be large, with plenty of ventilation, but no direct drafts. It is very important that the heating facilities should be perfect. The mattress should be covered with a rubber sheet and over it again a clean linen sheet. The night-gown and shirt should be pinned above the waist and a clean sheet hung on a cord and the cord tied around the waist, so that the sheet answers in place of a skirt, and is the only covering below the waist. After delivery the 296 ROGERS' HOMEOPATHIC GUIDE. cord about the waist is untied and the sheet, which is generally very much soiled, can then be easily removed. After which the unsoiled shirt and night-gown can be drawn down. If these pre- cautions are not taken every article of clothing will be soiled and it will be npcessary to change all the clothing of the patient; not any easy thing to do on account of the exhaustion. Every woman is more or less injured or torn by the great stretching of the parts to allow the child to be delivered. The wounds produced should be dressed antiseptically, just as any other wound should be. Read the section previous to this one. A nap- kin of Iodoform gauze or Corrosive Sublimate gauze will be agree- able to the patient and do much toward preventing child bed fever, a disease that is rare wherever antiseptic precautions are used. An injection into the vagina up to the womb of a quart of warm water, to which there has been added ten drops of Carbolic Acid, is also a necessary precaution. It should be repeated daily; oftener, if there is any fever. Soon after labor, the abdomen some- times becomes very tender. It should receive prompt treatment. It may be relieved quickly, as follows: Place by the bed a large kettle of boiling water. Lay over the abdomen a cloth rung out ot Hamamelis. Over this apply dinner plates that have been dropped into the kettle of boiling water. Change the plates every three minutes for thirty minutes. If all soreness has not disappeared at the end of three hours use the plates again in the same manner for thirty minutes. In case, peritonitis occurs and the abdomen becomes distended, the temperature reaching 104 or more, apply to the abdo- rren a heavy bath towel wrung out of ice water. Reapply as often as it gets warm. Retention of urine frequently occurs after delivery. For ROGERS' HOMEOPATHIC GUIDE. 297 several hours there may be no desire or ability to urinate. After waiting a reasonable time, Gelsemium should be given. If this is not followed in due time by a passing of the urine, the catheter should be used to draw it. Immediately after delivery, it is custom- ary to place a bandage around the abdomen. It is sometimes omitted without any bad results. The breasts usually fill with milk on the third day. Its com- ing is often preceded by some discomfort, restlessness, elevation of temperature and headache; occasionally a slight, nervous chill. It should be remembered that fatal septicaemia may announce itself in almost the same way. Unless close observation is made, one may be mistaken for the other. We have known of more than one mis- take of this kind. In septicaemia or child bed fever, the chill is usually pronounced and there is a sudden cessation of the flow. A stopping of the flow within the first three or four days should awaken alarm. If any soreness of the abdomen should occur with the stoppage of the flow, apply the hot plates as just described and give repeatedly injections of hot, carbolized water. The rush of milk into the breasts may be so great as to produce enormous distention and pain. If not properly cared for at such a time, a broken breast may occur. Every woman who has had the misfortune to have one, will testify that they would rather have six children than one broken breast. We believe that a broken breast can always be prevented in the following simple manner: As soon as the breasts begin to be uncomfortable by the accumu- lation of milk in them, wrap the entire chest tightly with a bandage twenty yards long and three inches wide. Soft, white flannel makes the best bandage. Begin applying the bandage by wrapping it three times around the waist below the breasts and then three times under 298 ROGERS' HOMEOPATHIC GUIDE. the arms above the breasts. Then carry it over the shoulder and back again around the waist and then over the other shoulder. Re- peat until both breasts are covered and tightly bound down, with nothing but the nipples exposed. Within an hour after the bandage is put on, the milk should drain freely from both nipples. The band- age may be reapplied daily as long as necessary. Ointments, milk pumps and rubbing the breasts will be unnecessary. We have used the bandage for nine years and in hundreds of cases without a failure. The patient experiences immediate and great relief. We recall one severe case where the relief from the bandage was so great that the husband immediately presented us with the finest overcoat that could be made. During the first four days after delivery, the mother should be kept perfectly quiet. She should not even raise her head from the pillow. The nurse should do it for her. All visitors should be kept out. The nurse should keep her own hands, person and clothes clean. They should be thoroughly disinfected before she assumes charge of the case. She should wash her hands often in carbolized water. The diet of the mother until after the third day should be simple and non-stimulating. No meat should be allowed during the first three days. The Perineum, the space between the front and back passage, may be ruptured down to the rectum, in cases where the head of the child is very large, or in cases improperly handled. It is best to sew up such tears immediately after delivery. It can be done quickly, with scarcely any pain. Every antiseptic pre- caution should be employed in performing this operation. In case of profuse hemorrhage immediately after delivery of the child, press and rub deep over the abdomen until the womb is felt to contract into a hard ball, the size of a man's double fist and ROGERS* HOMEOPATHIC GUIDE. 299 remains contracted. Take pillows from under the woman's head. Elevate the foot of the bed several inches. A chair will answer as a block or support in case of an emergency. A half teaspoonful of the fluid extract of Ergot may be given and repeated in ten minutes. A cord maybe tied about one leg. Ipecac may also be given. Hemorrhage is often due to retention of a piece of the after birth. It is likely to persist until it is removed. An effective means of stopping sudden and profuse hemorrhage is for the physician to insert his hand, thoroughly cleansed, into the womb and scrape out with his fingers whatever remains that should come away. We have injected vinegar, successfully, in case of severe hemorrhage. . As soon as a woman learns that she is pregnant.it is well for her to put herself under the care of a good homeopathic physician and take such homeopathic remedies as may be from time to time indi- cated. Arsenicum is often indicated in morning sickness; also, after delivery when the flow is foul. It tends to prevent septic troubles; Pulsatilla, also. Claims are made that if this remedy is given during pregnancy it will facilitate the proper turning of the child in the womb, so that the head will be born first, as it should be. and not the feet or buttocks. Sulphur is also very useful for morning sickness; especially when there is vomiting at six o'clock in the evening. Bryonia is generally called for to increase the flow after confinement. Belladonna is often indicated in con- finement cases Abortion is the expulsion of the fcetus before the third month and Miscarriage, its expulsion between the third and seventh month. Premature labor is delivery between the seventh and ninth month. Criminal abortion is an abortion brought about in- tentionally . Criminal abortion is usually accomplished by drugs or 300 ROGERS' HOMEOPATHIC GUIDE. by some instrument inserted into the mouth of the womb. There is nothing more ruinous to a woman's health, and very rightly, in most States, it is a penitentiary offense for a physician to induce an abor- tion. As a rule, half a dozen confinements will do less harm to a woman's health than one criminal abortion. A large proportion of the diseases of women date from abortion or miscarriage. THE BABY. After delivery, the baby's mouth should be cleared of everthing that may obstruct it. The cord should not be severed until all pulsations in it have ceased. This requires from five to twenty-five minutes. If the cord is cut before pulsation ceases, the child is more likely to be feeble and cross. Many testify to this peculiar fact and, it coincides with our own observations. The child may be simply oiled or washed and dressed. Great care should be taken that the child does not take cold by washing. It is better not to wash a feeble child until the next day. The eyes, however, should be cleansed.in all cases. The child should be well wrapped up and laid on its left side in a warm place and let alone. It needs no food except what it can obtain from the mother's breasts. It should be put to the breast regularly every four hours. If absolute regularity is observed, it will make the child good and save the mother from many a sleepless night. To feed the child every time it cries is positively wrong and the most common cause of stomach trouble. No matter how much it cries, wait until the regular time to feed it. It may and should be given a teaspoonful of water when it cries persistently. Babies should be given plenty of water, especially in waim weather. During the first month, babies naturally sleep about ROGERS' HOMEOPATHIC GUIDE. 301 twenty hours out of every twenty-four. In spite of the best care, they are sometimes colicky and cross during the first six weeks. It may be necessary to give them Chamomilla, Colocynth, Ipecac or some other internal remedy. But never give soothing syrups. They, as a rule, contain some injurious opiate. An infant's bowels should move from three to five times within twenty-four hours. A frothy, green stool indicates indigestion and colic. Con- stipation indicates insufficient nutrition. The mother's diet quickly affects the child. We recall a case, not at all unusual, where the mother ate cucumbers one day and buried her infant the next day as a direct result. Green vegetables, unripe fruits and ice cream are particularly liable to derange the digestion of the mother and seriously affect the child. The mother should not nurse the child after any strong emotions, as anger or fright. We recall a case where some of the plaster on the ceiling fell and frightened a young mother. The noise aroused the baby and she immediately nursed it. Within an hour or two, we were called, to see the baby on ac- countof convulsions. Speaking of Convulsions reminds us that feeble health and convulsions in male children are very frequently due to a long foreskin. All male children should be examined early and, if necessary, circumcised. The old Jewish rite has much to commend it. While we have discussed convulsions in another section, we would repeat, that the best way to relieve a child in a convulsion is to strip it entirely and wrap it in a sheet wrung out of very warm water. Cold water will answer, if no warm water is at hand. About the sheet wrap a blanket. Belladonna is the usually indicated remedy in convulsions. Every mother should nurse her baby whenever possible and, also, nurse it through the second summer. It must be remembered 302 ROGERS* HOMEOPATHIC GUIDE. that, with the best care, the death rate among babies is very great, and that nothing increases an infant's chances of dying so much as to be deprived of its natural food, which its mother's breast alone can supply. A wet nurse is the best substitute for the mother. Cow's milk is the artificial food, generally used. In its naturalstate.it is too thick and contains too much cheesy matter. It also lacks milk sugar and readily becomes acid. Great care should be taken to keep nursing bottles clean. When not in use they should be soaked in water containing Bi-car- bonate of Soda. The stopper is liable to become sour. Milk may come from an unhealthy or improperly fed cow. It may be contaminated after it is drawn from the cow. For very young infants cow's milk should be diluted to one-third of its original strength with water and lime water. A teaspoonful of sugar of milk should be added to each bottleful of the mixture. There are many prepared foods on the market. It is well to give them in combina- tion with milk. Condensed milk sometimes gives good satisfaction temporarily. It requires diluting to about one tenth. Mercurius Sol is one of the most useful remedies in case of stomach and bowel troubles of infants. It is indicated by a coated tongue. Aconite is useful for restlessness. Belladonna is very fre- quently indicated. Jerking and sudden crying call for it. SECTION XVI. Dietetics. CLASSES OF FOOD. Excepting air, water, minerals and fruits, every article of food belongs to one of three classes: The fats, the starches or the albu- minoids. Butter is the best example of the fatty foods. It is almost pure fat. Rice, sago and potatoes are good examples of the starchy foods. The white of the egg and the lean" of beef are examples of the albuminoids. An article of food may be made up of all classes, yet it is classified according to the one which predominates. To prevent confusion of terms it should be remembered that the albuminoids are the albuminates, the proteids and the nitro- genous articles of food. While, the fats are the hydrocarbons and the starches the carbohydrates. An ideal diet should be made up lrom all three classes of food. The amounts of albuminoids and fats should be equal, while the amount of starches should be three times as great as either. Those of any class may take for a time the place of either of the others, but if long continued the body will not be well nourished. The amount of fats taken may vary more 3°3 ROGERS' HOMEOPATHIC GUIDE. than either of the others. The seasons and temperature affect the quantity needed. The most constant requirement of the system is for the albuminoids or nitrogenous substances. Nitrogen is essen- tial to all life. If lean meat alone be the diet, a large quantity will be needed to meet the wastes of the body. But if a small quantity of fat be added to the diet, the quantity of the lean meat or albu- minoids needed will be much less. The following articles are named in the order ot the amount of albuminoids they contain. The percentage of each is also stated: Skim cheese, 44.8; cheese, 33.5; cooked lean beef, 27.6; peas, 23; white of egg, 20.4; raw lean beef, 19.3; raw lean mutton, 18.3; white fish, 18.1; veal, 16.5; yolk of egg, 16; entire egg, 14; oat- meal, 12.6; corn meal, 11.1; wheat flour, 10.8; fat pork, 9.8; rye meal, 8; rice, 6.3; buttermilk, 4.1; new milk, 4.1; skim milk, 4; cream, 2.7; potatoes, 2.1; cabbage, 2; butter and fats, 1; beer, 1; arrow root and sugar, o. Now, when we name these articles of food in the order of the amount of starch they contain there is a very great change. Arrow root, 82; rice, 79.1; rye meal, 69.5; barley meal, 69.4; wheat flour, 66.3; corn meal, 64.7; oatmeal, 58.4; peas, 55.4; potatoes, 18.8; parsnips, 9.6; carrots, 8.4; cabbage, 5.8; turnips, 5.1. If we name them in the order of the amount of fat they contain, there is still another change. Butter and fats, 83; dried bacon, 73; green bacon, 66.8; fat pork, 48.9; fat mutton, 31.1; cheddar cheese, 31.1; yolk of e%g, 30.7; fat beef, 29.8; cream, 26.7; cheese, 24.3; tripe, 16.4; veal, 15.8; roast beef, 15.4; entire egg, 10.5; corn meal, 8.x; oatmeal, 5.6; barley, 3.9; new milk. 3.9; poultry, 3.8; white fish, 2.9; barley meal, 2.4; peas, 2.1; rice, 0.7; potatoes, 0.2; arrow root, o. It will be noticed that arrow root has neither fat nor albumen, but contains 82 per cent, starch. It leads the list of the starches. Butter and fats ROGERS' HOMEOPATHIC GUIDE. 305 have no starches and but one per cent, of albumen, but contain 83 per cent, fat and heads the list of fats. Skim cheese heads the list of the albuminoids. It contains no starch and but 6.3 per cent, of fat. After it, in the albuminoids follow ordinary cheese, roast beef, peas and white of egg. The white of egg is the purest example of albuminoid. It contains neither starch nor fat. It will be noticed that dried peas are particularly rich in albu- minoids and starch. The cereals are all rich in the starches. Corn meal contains more fat than any other cereal. Potatoes contain little besides starch. More than half of the body is water, 58.5 per cent. If the articles of food be named according to the amount of water they contain, they will appear as follows: Beer, 91; porter, 91; cabbage, 91; skim milk, 88; buttermilk, 88; new milk, 86; car- rots, 83; turnips, 82; white of egg, 78; white fish, 78; salmon, 77; potatoes, 75; eels, 75; poultry, 74; entire egg, 74; ox liver, 74; lean beef, 72; lean mutton, 72; veal, 63; cream, 66; cooked lean beef, 54; fat mutton, 53; yolk of egg, 52; fat beef, 51; skim cheese, 44; fat pork, 39; ordinary cheese, 368; green bacon, 24; arrow root, 18; peas, 15; oatmeal, 15; rye meal, 15; wheat flour, 15; barley meal, 15; butter, 15; dried bacon, 15; corn meal, 14; rice, 13. The following twelve elements enter into the composition of the human body: Carbon, hydrogen, oxygen, nitrogen, sulphur, phos- phorus, chlorine, iodine, potassium, calcium, magnesium and iron. The first four in large quantities; the last eight, in small quantities. Food must contain all these elements. It is from this fact that the idea of the " twelve tissue remedies" was developed by Schussler. That is, disease is due to a lack of one or more of these elements and the cure consists in supplying the deficiency. All foods contain mineral salts. The following are the principal ones: Potash, sodd, 306 ROGERS' HOMEOPATHIC GUIDE. lime, magnesia, iron oxide, phosphoric acid, silicea. In naming the various foods according to the amount of mineral salts they contain, they will appear in the following order: Cheese, 5.4; lean beef, 5.1; skim cheese, 4.9; lean mutton, 4.8; veal, 4.7; fat beef, 4.4; fat mut- ton, 3.5; ox liver, 3; oatmeal, 3; dried bacon, 2.9; peas, 2.5;fat pork, 2.3; barley, 2; butter and fats, 2. Fruits consist almost entirely of water, sugar and mineral salts. Green vegetables are especially rich in salts, in proportion to the amount of solid matter they con- tain. A pound of fresh vegetables will contain, by weight, no' more than one or two per cent, of salts, but if the large amount of water which they contain be extracted, they will form about ten per cent. of what remains. By a few moment's study one can readily classify almost any article of food, and be able to form combinations that will make a diet that wffl nourish the body properly. In the combination of meat, bread and butter, we have all three classes of food. Thus, the meat contains the albuminoids; the bread, the starches, and the but- ter, the fat. If potatoes be added, it simply increases the amount of starch. It will be remembered that at least three times as much of the starches are needed as of the albuminoids or fats. A diet of oatmeal, eggs, beef and cheese would contain too much of the albu- minoids. The system would soon rebel, showing itself, perhaps, in biliousness, if not in some more serious manner. Meat and eggs at the same meal would also make too much of the albuminoids. Eggs, potatoes and butter would be better. Cheese and potatoes represent all three classes of food. If macaroni, which contains 76 8 per cent, starch, should be added, the starches alone would be increased. A diet of arrow root, macaroni, crackers, potatoes and rice would be faulty, because all the articles belong to the starchy ROGERS' HOMEOPATHIC GUIGE. 307 class. A diet of butter, cream, cheese, fat pork and smoked ham (36.5 per cent, fat) would also be faulty, because all the articles be- long to the fatty class. [The following table, abridged from Parkes, shows the compo- sition of the chief articles of diet, and is also used for calculating diet tables. Figures of other authorities differ slightly: Articles. Beefsteak............ Fat pork............. Smoked ham......... White fish........... Poultry.............. White wheaten bread Wheat flour.......... Biscuit............... Rice................. Oatmeal.........___ Maize ............... Macaroni ............. Arrow root........ Peas (dry)............ Potatoes............. Carrots................ Cabbage............. Butter............... Egg (1-10 for shell).., Cheese............... Milk (sp.gr. 1032).... Cream............... Skimmed milk....... Sugar............... Water. Proteids Fats. Carbo-hy'rates. 74.4 20.5 3.5 39.0 9.8 48.9 27.8 24.8 36.5 78.0 18.1 2.9 74.0 21.0 3.8 40.0 8.0 1.5 49.2 15.0 11.0 2.0 70.3 8.0 15.6 1.3 73.4 10.0 5.0 0.8 83.2 15.0 12.6 5.6 63.0 13.5 10.0 6.7 64.5 13.1 9.0 0.3 76.8 15.4 0.8 83.3 15.0 22.0 2.0 53.0 74.0 2.0 0.16 21.0 85.0 1.6 0.25 8.4 91.0 1.8 5.0 5.8 6.0 0.3 91.0 73.5 13.5 11.6 .... 36.8 33.5 24.3 86.8 4.0 3.7 4.2 66.0 2.7 26.7 2.8 88.0 4-0 1.8 5.4 30 96.5 Salts. 1.6 2.3 10.1 1.0 1.2 1.3 1.7 1.7 0.5 3.0 1.4 0.8 0.27 2.4 1.0 1.0 0.7 2.7 1.0 5.4 0.7 1.8 0.8 0.51 The absolute amount of food required by an adult in twenty- four hours depends upon a number ot conditions. The amount of each class of food is also dependent upon and varies according to different conditions. Every one knows that the fats produce heat and that not so much fat is needed in hot weather. As a general 3o8 ROGERS' HOMEOPATHIC GUIDE. rule an adult engaged in moderate work requires every twenty-four hours, of fats, 3 ounces; of albuminoids, 5 ounces, and of starches, 14 ounces. At rest, of fats, 1 ounce; ot albuminoids. 3 ounces, and of starches, 12 ounces. At laborious work, of fats, 3 ounces; of albuminoids, 7 ounces, and of starches, 18 ounces. The average amount of dry food needed is about 23 ounces. But food, as ordi- narily eaten, contains from 50 to 60 per cent, water. Some foods are more completely absorbed than others. For in- stance, sugar is completely absorbed, while the residue from gelatine is fifty per cent. It passes off as waste matter from the bowels. Animal food is more completely absorbed than vegetables. The residue from the latter being fully twice as great as that from the former. Water is the most necessary article of food. Without water one can live but a few days. About three-fifths of the body is water. Pure water has no taste. Impure water is the chief if not the only source of such diseases as typhoid and cholera. The inorganic im- purities may be removed from water by filtering. Germs may be killed by boiling the water for half an hour. A more effectual way of sterelizing water is simply to raise it three times to the boiling temperature and then let it cool after each time. Whenever typhoid or cholera, or any other bowel complaint prevails all drinking water should be boiled. Absolutely pure wafer has great dissolving power. Gravel is often dissolved by it. There are numerous mineral waters on the market consisting of pure water, impregnated by nature with some mineral or minerals. Many are artificial. Mineral waters should not be drank unless specifically prescribed by a physician. Many springs in Europe have become famous for the cure of cer- tain troubles. The specific therapeutical values of mineral springs ROGERS' HOMEOPATHIC GUIDE. 309 of this country have not yet been determined. That Vichy water is of great value in case of a sour or irritable stomach, is a well estab- lished fact. A mineral iron water is believed to be also of value in Bright's disease. The value of hot water in case of chronic catarrh of the stomach, has been discussed in the section on diseases of the stomach. Water should be drank when the stomach is empty. If drank while eating or after eating, digestion is disturbed. There is no drink that can take the place of pure water. Many persons do not drink enough water, while others drink too much. In certain nerv- ous troubles, not enough water is drank, while in diabetes and Bright's disease, the craving for water is intense. The effects of taking large quantities of water is discussed under the head of Suralimentation. Milk is the natural food of the young. This fact we learn from nature. A glance at the table on page 307 shows that it is nearly ninety per cent, water and contains all three classes of foods in nearly equal amounts. The large proportions of water and fat are well adapted to the needs of infants whose bodies it will be re- membered are at least four-fifths water, but for adults, whose bodies it is estimated require 23 ounces of solid food every twenty-four hours, milk is not so good. It would require nine pints of milk to supply 23 ounces of solids. If one took nine pints of milk, he would take an excess of fats and of albuminoids. Bread added to milk increases the starch and makes the proportions of the three classes about what they should be for an ideal diet. Bread and milk is, therefore, a scientific as well as a palatable diet. A person, however, can live and do well for weeks on a diet exclusively of milk. In some diseases such a diet is necessary. Many persons have the 3io ROGERS' HOMEOPATHIC GUIDE. erroneous idea that they cannot take milk; that it makes them bilious. Any person can take milk, if they start with small quanti- ties; not more than six tablespoonsful at a time, beginning at 7 a. m. and repeating every hour and a half until 10 p. m. Three table- spoonsful given every hour and a half, from 7 a. m. to 10 p. m., makes a total of one pint. Six tablespoonsful at a time, equals one quart. Twelve, two quarts and eighteen, three quarts, all that is needed to nourish the patient. The patient may begin with three tablespoons- ful and gradually increase the amount each day. Milk curdles at the beginning of digestion. If the curds are not dissolved again, they will be vomited up or evacuated from the bowels as curds. Carbonate of Magnesia or lime water or Vichy water added to the milk will prevent this difficulty. The taste of milk may be made palatable to those who dislike it, by boiling it with a stick of cinna- mon. Milk should always be sipped and mixed with the saliva of the mouth. In this way, the heavy lump in the stomach felt by some will be avoided. Skim milk and buttermilk often agree when sweet milk does not. Kumyss is fermented milk made by adding yeast and sugar of milk to sweet milk. It contains about one per cent of alcohol. It is deservedly popular. Matzoon is a new preparation of milk resembling kumyss. We have never had milk in any other form satisfy our patients so well. They never grow tired of it. Sweet cream diluted, sweetened and salted is a nutritious and palatable diet, often retained by very weak stomachs. Predige^tecl milk, made by adding pepsin to raw milk and boiling, does well in some cases. It should always be kept in mind that milk is a food and not a beverage. It should never be taken simply to quench thirst. Milk readily becomes contaminated with germs and foul odors. Too great care cannot be taken to keep the milk vessels ROGERR' HOMEOPATHIC GUiDE. 311 absolutely clean and covered, away from all impurities. The use of milk and hot water, to which salt has been added, is discussed under the head of diseases of the stomach. Many cases of long standing dyspepsia may be cured by an exclusive milk diet. The consti- pation that usually accompanies such a diet may be overcome by injections ot water every other day or by taking liquorice powder. Milk is the ideal diet for Bright's diseass. Many a case of insomnia, restlessness and bad dreams, along with indigestion and backache, may be readily overcome by an exclusive milk diet for a few days. Ninety-nine physicians out of a hundred use an exclusive milk diet in typhoid. We have our patients during the first week abstain from all food except water. During convalescence we give milk diluted, beginning with a very small quantity. Flesh alone does not supply all the requirements of an ideal diet. One should not live on a purely meat diet. A glance at the table on page 307 shows that all meats are entirely lacking in the starches. They do, however, contain more or less fat, which may, in a way, take the place of starch. At this writing, the World's Fair Congress of Vegetarians is being held in Chicago. As a rule, vege- tarians are simply non-meat eaters. The most of them eat eggs, butter, cheese, milk, nuts and fruits, as well as all the vegetables. Another glance at the table on page 307 shows us that it is no diffi- cult matter to arrange a diet without meat, which will contain all three classes of food in proper proportions. The chief value of meat as a diet is the albuminoids; or, more properly speaking, the proteids, which they supply. Meat contains no starch and a variable amount of fat. But cheese contains more protein and more fat than the best beef steak. Peas contain almost as much ot the proteids as meat, besides a very large amount of starch. But, it is a fact, 312 ROGERS' HOMEOPATHIC GUIDE. that the proteids of meat are more readily digested than those of vegetables. This, perhaps, accounts for the fact that meat eaters get hungry sooner than vegetarians. The greater part of the human race are non-meat eaters. Some of the strongest nations physically eat little or no meat. Many notable examples of great age and activity might be cited among the vegetarians. It is claimed that cancer, consumption and other diseases are less prevalent among vegetarians. Whether this claim is true or not, we do not know. But our own observation convinces us that a meat diet, during an attack of an infectious disease, renders the disease more severe; or, in other words, it always has seemed to us that it made the germs of the disease thrive more vigorously. We do not know, however, but what any albuminous food might do the same. We are inclined to think that perhaps eggs, cheese or peas would aggravate an in- fectious fever just as much as meat does. Since writing the pre- ceding, we notice that the eminent French physician, Dujardin- Beaumetz, says: " Food containing the least amount of albumen is best in fevers." According to our observation, feeding the patient " to keep his strength up " during a fever, is the best way to keep him down. We believe the germs are fed more than the patient. Albuminous or nitrogenous substances afford the most fertile soil for germs of disease. Nitrogen is an essential element toA all life. There is no life where there is no nitrogen. The albuminoids or proteids alone contain nitrogen. It is not found in starch or tat. The albuminates are used to supply the waste of tissue and fluids of the body, especially the muscles, the nerves and the blood. Fat and starches both serve to save excessive waste of albumen. As already observed, a small quantity of fat added to lean meat lessens greatly the amount of lean meat needed. Fats economize the albuminates. ' ROGERS* HOMEOPATHIC GUIDE. 313 Fat enters into all the tissues. By its decomposition heat and force are produced. Both mental and muscular force. It is stored up in the body in greater or lesser quantities, in reserve, as it were, for emergencies. The amount of fat used and needed depends directly upon the amount of work performed. We have already observed rriat the amount of fat needed was more variable than either of the other classes of food. An animal fed on fat alone soon dies. Starches do not enter into the tissues of the body, but are con- verted into other substances, contributing greatly to heat and me- chanical force, also to an increase of the albuminoids and fats. If we desire to increase the muscular parts and not increase the fats, we must give an abundant of albuminates and little of the starches or carbohydrates. We have a practical example of this in the train- ing of a prize fighter. He eats largely of lean meat and sparingly of vegetables. Meat is mostly digested in the stomach and the starches in the intestines. In case of stomach derangement purely, meat is usually the first food the patient refuses. On account of the large percent- age of meat digested and absorbed, the residue, is small. As a con- sequence the stools are smaller and less frequent where th<* diet is largely animal than it is when the diet is wholly vegetable. Whether the vegetarian idea is correct or not, a diet largely of meat taxes the stomach and kidneys, and probably contributes to the development of rheumatism and gout. Meat once a day is a safe compromise. Oftener is too much for the average person. Meat three times a day is beastly in more senses than one. The value of meat is very much affected by the manner in which it is cooked. It should never be fried. In fact, no article of food should be fried. Meat should be cooked so as to retain the rich juices, 314 ROGERS' HOMEOPATHIC GUIDE. Cereals or grains are usually classed with the vegetables, but another glance at the table on page 307 shows us that they differ very widely from those we commonly think of as vegetables in the quantity of water they contain. For instance, rice contains but ten per cent, of water while potatoes contain seventy-four per cent. A person cannot live indefinitely on a cereal diet alone. Salisbury made the experiment of feeding four well and healthy men on an exclusive oatmeal diet for a month. The oatmeal was made palat- able by being seasoned with salt, butter and pepper. Cold water was drank between meals and a pint of coffee, seasoned with sugar and milk, was taken at meals. Constipation, flatulency and colic soon developed, accompanied by dizziness, restless sleep, horrible dreams and weakness of legs. By the thirtieth day, each of them was having from eight to eleven evacuations from the bowels with all the other symptoms of a well established case of chronic diarrhcea. At the close of the thirtieth day, the oatmeal diet was suspended, a dose of Rochelle Salts given and a purely meat diet taken for the next four days, at the end of which time the men were well again. A study of the table again shows us that oatmeal alone as a diet contained a great excess of starch and that the bowels were unduly taxed, to digest it. He made a similar experiment on six strong, healthy men, with baked beans. They, too, soon de- veloped symptoms of bowel trouble. By the tenth day each one developed symptoms of progressive paralysis or locomotor ataxia. By the sixteenth day, they dragged their legs and wobbled when they walked and could not raise their feet clear of the floor. By the nineteenth day, they were each having from ten to thirteen stools every twenty-four hours and, on account of the seriousness of their symptoms, the diet had to be suspended. Each one lost from nine- ROGERS' HOMEOPATHIC GUIDE. 315 teen to twenty-five pounds in weight. Beans are very rich in starches, but deficient in the fats and albuminates. The alarming symptoms developed in the men were produced simply by a diet that did not contain the three classes of food in proper proportion. It should be noted that these men also speedily recovered after a few days, on a diet exclusively of beef steak. The same experiments were made with bread, rice, wheaten grits, hominy, sago, tapioca, potatoes, green peas, string beans, green corn, beets, turnips, squash, asparagus and the various meats. From four to six men were fed exclusively upon each one of these from seven to forty-five days. They could live upon any one exclu- sively of the first seven from forty to forty-five days before serious disturbances occurred. The diseased conditions that followed the exclusive use of each of the seven were very similar. Flatulence, weak heart, oppressed breathing, singing in ears, dizziness, head- ache, backache, constipation first, chronic diarrhcea afterwards, cold feet, numbness in extremities, general lassitude and weakness. Green peas ranked next to the first seven, but the exclusive use of either green corn, turnips, beets or squash, was soon followed by grave symptoms, Asparagus irritated the kidneys so that it was not safe to continue its exclusive use longer than seven days; after a few days the victim was scarcely able to walk. The experiments with meats showed that they, especially beef and mutton, can be lived upon exclusively, much longer without causing diseased con- ditions than the best vegetables. Cases are recorded where per- sons suffering from some grave disease have subsisted upon beef alone for years and become perfectly well. Eggs, fish, pork, veal, chicken, turkey and game may each, for a time, support life, but the continued and exclusive use of any one of them is likely to be fol- 316 ROGERS' HOMEOPATHIC GUIDE. lowed by meat dyspeps;a and scorbutic troubles. Meat dyspepsia is indicated by oppression and load about the stomach, with the sen- sation of a ball in the throat and the gulping of wind tasting like "rotten eggs." These experiments, in the light of what we have already learned about diet, are sufficient to show us that the relation between diet and health are closer than is commonly suppose*!. Dietetics is a most important branch of knowledge that is not sufficiently studied or understood. Probably the origin of three-fourths of all diseases could be traced to errors of diet. Ignorance of hygienic cooking is universal. Poor cooks are injuring the health of the American peo- ple more than all other agencies combined. To be a good cook is really a fine accomplishment of which any woman should be proud, no matter what her station in life may be. Fruits consist chiefly of sugar, saltsand water. The fruit salts are very essential to perfect health. Fruit, in some form, should be eaten once every day. The best time to eat fruit is in the morning before breakfast, when the stomach is empty. If eaten when the stomach is full or before digestion is completed, they are lkiely to disagree or cause some disturbance of digestion. If eaten before breakfast, they will do more than physic to keep the bowels in a good condition. They will also soothe the nerves and sweeten '. the temper. Rules. One should not eat when very tired, angry or excited. Rest before eating. Better sleep before eating a hearty meal than after. Drink before eating rather than during or after. Eat fruit when the stomach is empty. Do not continue long on one diet. Do not eat a great variety of food at one meal. Secure variety by eat- ing different articles at different meals. Eat slowly and chew ROGERS' HOMEOPATHIC GUIDE. 317 thoroughly. Be regular at meals. If faint between meals, drink a cup of hot water and take a dose of Sulphur. Coffee, tea and other stimulants are not necessary and often injurious. Do not " piece " between meals. It requires from two to five hours to digest most articles of food. If a new supply of food is taken into the stomach before it is empty, derangement is the natural result. PART II Materia Medica. THE DOSE AND PHARMACY. The quality and not the quantity is the important feature in homeopathic medicines. A pound at a dose of any remedy may do more harm, but it can never do more good than a single grain. The smallest quantity of the indicated remedy, that is, the remedy which has indications exactly similar to the symptoms possessed by the patient, will be effectual, while a large amount of a remedy not in- dicated will have no effect; at least, no good effect. The quantity ot the dose is, therefore, largely arbitrary. Pellets made from pure cane sugar are frequently used as a vehicle for homeopathic remedies. They are medicated by being saturated with the remedy in liquid form. The pellets are made in various sizes ranging from No. 8, the smallest, to No. 80, the largest. The number given to any size of pellet is determined by laying ten of equal size in a line and in close contact with each other; the length of the line given in millimeters is the number by which the particular size is designated. A number 30 pellet is about as large as a pigeon shot. It is the size 3i8 ROGERS' HOMEOPATHIC GUIDE. 319 commonly used. Five to ten of them, taken dry into the mouth, is a dose; five for children and ten for adults. The pellets may be dissolved in a part of a'glass of water; in the proportion of two pellets to each teaspoonful of water. A teaspoonful of the liquid will, then, be the dose for children and a tablespoonful for adults. If the remedy to be used is in liquid form and not in a lower dilution than 2x, it may be mixed in water in the proportion of one drop for each teaspconful of water. A teaspoonful of the mixture will be a dose for children and a tablespoonful for adults. If the remedy is in powder form, that is, in trituration, as it is commonly called, a quantity the size of a pea is the dose for children and the size of a large grain of corn for adults. A powder the size of two grains of corn may be put into half a glass of water. The dose, then, for children, would be one teaspoonful and for adults, one tablespoonful. Medicine thoroughly dissolved in water is more readily absorbed, less medicine is required and seems to act more satisfactorily^ If the water is warm it acts still more quickly. Crude drugs are generally diluted or attenuated several times before being used homeopathically. If the crude drug is in the form of a tincture, one part of it is mixed with nine parts of alcohol. The mixture is labeled ix. One part ot this mixture is also mixed with nine parts of alcohol and the second mixture thus formed is labeled 2x. One part of the 2x mixed with nine of alcohol makes the 3X. Higher dilutions are made in the same manner. One part of a given dilution mixed with nine parts of alcohol, makes the next higher dilution; 30X, 2cox and even higher dilutions of some drugs are made and used with good results. It the crude drug is in the form of a powder or trituration, sugar of milk instead of alcohol, is used as the neutral vehicle by which the attenuation or 320 ROGERS' HOMEOPATHIC GUIDE. thinning process is accomplished. One part of the powder of the crude drug is ground up or triturated with nine parts of sugar of milk to make the ix trituration. One part of the ix is triturated or ground with nine parts of sugar of milk to make the 2x. Higher potencies are made in a similar manner. The centesimal scale is sometimes used instead of the decimal. The proportions, then, are one part of the drug to ninety-nine of the neutral vehicle, the alco- hol or sugar of milk, instead of one to nine, as in the decimal scale. The X mark following the number on the label indicates that the drug was prepared according to the decimal scale. Remedies are usually given in potencies varying from 2x to 30X. Tinctures and potencies running up to the hundreds and thousands are occasionally given. The 3X and 6x, called the third and the sixth, are given almost universally. The general rule is not to repeat the dose so long as there are signs of improvement. Most physicians, however, repeat the dose about every two hours in acute cases and every four or six hours in chronic cases. In case of emergency, as croup, convulsion or chill, doses may be repeated every ten minutes for four or six times and then less frequently, according to improvement. Some physicians, in cases of chronic troubles, repeat the dose of slow, deep acting remedies, such as Sulphur, Silicea, Sepia, Calcarea Carb, in high potencies, but once a day or once a week, or even but once a month. They claim splendid results. The great majority, however, repeat the dose three or four times a day. The fundamental principle of homeopathy does not consist in the giving of small doses of diluted drugs, as many suppose, but in the giving to the sick person that drug which, if given in crude doses to a well person, produces symptoms similar to those possessed ROGERS' HOMEOPATHIC GUIDE. 321 by the sick person. A collection of the symptoms produced by crude drugs upon healthy persons constitutes the Homeopathic Materia Medica. A definite symptom which is invariably pro- duced in the well and as invariably cured in the sick by the same drug, may be called a characteristic indication of that remedy. Symptoms vary in their therapeutic value. General symptoms, such as"loss of appetite," "poor circulation," "fever," "headache," are too general and indefinite. Forty remedies may produce a head- ache. But a headache which begins at the nape of the neck and spreads over the top of the head, finally settling over the right eye, is definite and calls for Sanguinaria. It is the unusual and pe- culiar symptom that is of the greatest value in giving a clue to the indicated homeopathic remedy. In the succeeding pages, the lead- ing characteristics are preceded by two dots, thus: J. They have been repeatedly verified by hundreds and thousands of physicians and they may be relied upon with implicit confidence. Give but one remedy at a time. The remedies in parenthesis have symptoms similar to those they follow and should be compared. The reme- dies preceded by a star belong to the " twelve tissue remedies " of Schussler. ACONITE. J Mental distress, fear, anxious, feverish, nervous, restless, (Ars., Rhus). Useful in the first stage of many troubles, after fright, injury, anger, chill, exposure to cold, dry wind. Skin, hot, dry, red, (Bell). Pulse, full, rapid, (Bell., Vera Vir.). ; Sudden fever. Burn- ing, pressing headache in forehead. Sensitive to light, noise, odors. Throat and windpipe sensitive. I Hoarse, dry cough, or croup com- 322 ROGERS' HOMEOPATHIC GUIDE. ing on suddenly middle of night. Abdomen, hot, swollen and sen- sitive. Can't urinate. Tries often; passes drop, by drop. (Apis, Ars., Bell., Canth.) Stool, like chopped herbs. Bright hemorrhage. Numbness of left arm; also in legs after sitting. Cold feet. Ovaritis from taking cold during menses. Useful in acute inflammation in any part. APIS. Puffiness of skin or mucous membrane. Local dropsy. Stupor, interrupted by shrieks. Chronic meningitis. Absent-minded. Awk- ward. Eye-lids swollen, puffy, (Ars., Kali Carb). Baggy under eyes, Ears, nose, lips and face puffy. Waxy, pale. Inside of throat puffy, glossy red. Fever, without thirst, (Puis., Gels.). Bruised feeling in intestines. Anus feels raw. Stools pass with every mo- tion of body, as if anus stood open. Stools, involuntary. Uncon- scious of stool. Right ovary enlarged, with pain in left side of chest. Suffocation. Sleepy. Intolerable, itching, stinging like bee sting. (Ars.) Trembling. Feeling as if toe or foot too large. Feet swollen, pale, waxy. Urine suppressed, or passed unconsciously. Frequent, painful urinations. Urine bloody or albuminous. Useful in diph- theria, Bright's, erysipelas, urticaria, cystitis, ovaritis. ARNICA. J Bruised, sore feeling. First and most useful remedy in com- plaints from bruises, sprains, contusions, concussion. Strained eyes; over-exertion of any part. Mental as well as physical over-work. Whole body excessively sensitive. Dreads the slightest jar of the ROGERS' HOMEOPATHIC GUIDE. 323 bed, (Bell.) Bed too hard. Head hot; body cold. Foul breath. Belching like rotten eggs. ARSENICUM. I Anxious restlessness, (Aeon., Rhus). J Rapid emaciation. J Worse after midnight. 2 Better by warmth. J Worse from drink- ing. J Drinks little and often. J Vomits as soon as food or drink reaches stomach. J Constant dread of death when alone or on going to bed. Face deathly pale, blue, dirty yellow. Features sunken and nose pinched. Cold sweat, (Veratrum Alb.), or dry skin with bran-like scurf. Eye-lids swollen, (Apis, Kali Carb). Watery diarrhcea, with vomiting, (Veratrum Alb.) 5 Burning in stomach, in anus, in eyes, in any part. Stools foul. Useful in any disease hav- ing any three of the foregoing symptoms. Useful in gastritis, J ma- laria, blood poisoning, asthma, cholera morbus, cholera, cancer, car- buncle, Bright's, epilepsy, anaemia, dropsy. BAPTISIA. 2 Falls asleep while answering. Confusiou of ideas. Mutter- ing delirium. J Feels scattered into pieces. Can't go to sleep be- cause he can't get himself togeiher. Unable to think. Dull, bruised feeling in back part of the head. Face, dark red, besotted looking. Putrid sore throat. Can swallow liquids only. Abdomen, tender, especially right side. I Breath and all discharges foul. Drowsy, delirious stupor. Chilly all day. Whole body sore. (Am.) Very useful in the beginning of typhoid and other troubles in which the blood is poisoned; diphtheria. 324 ROGERS' HOMEOPATHIC GUIDE. BELLADONNA. 5 Flushed face, throbbing blood vessels, bounding pulse, wild delirium. JJ Furious, bites, strikes and tears things, (Hyos., Stram.) Desires to escape. J Intense, throbbing headache, worse by motion or noise. Violent throbbing. £ Shooting, stabbing pains. Pupils dilated. Can't bear light. Face, glowing, red and hot. Skin hot and moist. ' Throat dry, bright red and raw. Swallowing, difficult; feels constricted. Nausea. Dreads the slightest jar, (Arnica) Urine retained, passes drop by drop, (Aeon., Apis, Ars., Canth., Nux). Pressing down. Feeling as if womb would fall out. Voice, husky, hoarse. Dry cough. Hoarse cry. J Sleepy, but can't sleep. " Smoothe, bright scarlet redness of skin. Moans in sleep. Useful for sudden, violent fevers with great congestion; especially of the head. Chief remedy in scarlet fever, tonsillitis, congestive headache, delirium. BRYONIA. 5 All symptoms worse by motion. J Stitching, tearing pains. Irritable temper. (Nux, Cham.). Depressed, (Puis.) Morning headache; pressing in forehead, in back of neck and down into the neck. J Lips, mouth and tongue very dry (Ars.) Toothache better by cold water. All complaints better by lying on the painful side. Constipation. Stool, hard and dry. Coughs on entering a room. Stitches in chest on coughing or breathing, (Kali Carb). " Joints red, swollen, stiff, painful on slightest motion. Nausea on sitting up. J Dreams or talks in sleep about business. In delirium says he wants to go home. Useful in headache from indigestion, in rheumatism, meningitis, bronchitis, pneumonia, pleurisy, typhoid. ROGERS' HOMEOPATHIC GUIDE. 325 CACTUS. J Sensation of a constriction about the heart, as if held in the grasp of an iron hand; as if it was squeezed; as if the heart had not room enough; as if cord around lower part of chest. Right sided headache and neuralgia. Congestion to head. As if would suffocate from constriction of throat. Hemorrhage of stomach, of lungs, of bladder, of bowels. Constriction of vagina. Oppression of chest. Attacks of suffocation. Sleepless. Intermittent fever without sweat. Paroxysms recur daily at same hour. Useful in heart disease, especially after rheumatism; angina pectoris. CALCAREA CARB. 2 Cold, clammy hands and feet. Swelling of glands of neck. Scrofulous, emaciated, but pot bellied. Backward in teething. Heat sweats while sleeping; sweats from slightest exertion. Tooth- ache trom slightest draft. Longing for eggs, chalk, slate, coal. Sour stomach after everything. Girls backward in menstruating. Menses return from least excitement; too profuse or two scanty. Leucor- rhcea. Bone diseases. Tuberculosis or so-called white swelling of joints. Dizzy and out of breath going up but a short flight of stairs. Useful in all cases of poor nutrition. Headache of school girls. Results from sexual abuse. CAMPHOR. 2 First remedy in cholera or cholera like symptoms. Cold, clammy sweat, with vomiting. (Veratrum Alb.) Icy cold all over. Nose pinched and cold; tongue, cold; breath, cold; limbs, cold. 326 ROGERS' HOMEOPATHIC GUIDE. Very useful in shock. Pulse, very weak or not perceptible. First remedy when taking cold. Feeling as if cold air was blowing over covered parts. Excessive sexual desire in females. Cramps in calves. In suppressed eruptions, especially of measles. Urina- tion, painful. CHAMOMILLA. 5 Excessive sensitiveness. ; Peevish, iritable. (Nux). Snapish. Dislikes to be spoken to. Useful during teething. Child quiet only when carried. Wants everything. Refuses everything. Convul- sion from teething, anger, stomach or bowel irritation. Soothes the excitable. "The Opium of homeopathy." Stools green, watery, slimy, foul, like chopped egg and spinach. Colic. Sleepless. (Bell.) One cheek red. Violent, rheumatic pains. CHINA. J Excessive sensitiveness of the nervous system. J All svmp- toms aggravated by touch, motion, physical or mental effort. Weak- ness following great loss of blood, semen or after diarrhcea or pro- longed nursing. Profuse sweat. Lacks energy. Dullness, Skin and eyes yellow. Bloody leucorrhcea. Throbbing headache. (Bell.) Aching in back part of head after sexual excess. Scalp, sensitive. Roaring in ears. Pupils dilated. Belching. Dyspepsia. Impotence. No hunger, no thirst. Can't loose sleep. CINA. 5 Picking of the nose. J White and bluish about mouth. J Sickly blue rings about eyes. Hungry soon after eating. The worm em- ROGERS HOMEOPATHIC GUIDE. 327 edy. Worm spasms. Grinding of teeth while asleep. Constipation of children. Child wakens frightened. Pitiful weeping. Irritable. (Cham., Nux, Bry.) Wants everything. Urine milky. COLOCYNTHIS. Severe, colicky pains, obliging patient to bend double. Ter- rible, twisting, drawing, griping, cutting pain about the naval. Colic so severe presses abdomen against something hard for relief. Feel- ing as if intestines were being squeezed between stones. Colic from eating fruit or from drinking cold water when over-heated. Cutting in abdomen as if from knives. Vomiting and diarrhcea from anger. Painful menstruation. Stitches in the ovaries. Suppression of menses from chagrin. Bitter taste. (Aeon.) Useful in neuralgia of any part. Especially sciatica. Bloody, mucous stools after eat- mg. Glaucoma. DIGITALIS. Extremely slow, intermittent pulse. Faints; cold sweats; deathly look; Bluish lips. Deathly nausea. Dropsy; distending abdomen with suppression of urine. Nightly emissions. Menses suppressed, with hemorrhage from lungs. Sensation as if heart stood still. Pulse, feeble, irregular; sometimes violent. Valvular disease. Fingers "go to sleep." Weakness of left arm. Skin, eye-lids, tongue, lips and nails blue. GELSEMIUM. Fever without restlessness, Drowsy, languid and quiet. Op- posite of Aconite. Trembling and weak. Complete relaxation; mental and muscular prostration. Limbs give out from least exer- 328 ROGERS' HOMEOPATHIC GUIDE. tion. Feeling as if heart would stop unless one kept moving. Op- posite of Digitalis. Dizzy; staggers; vision blurred, or double. Eye-lids droop. Tongue, numb and thick. Tingling here and there Diarrhcea after excitement. Sexual weakness; emissions upon slight provocation. Nervous chill. Paralysis following diphtheria. Bladder, weak. Pulse, weak, slow. Often useful in first stage of catarrhal, eruptive, bilious, remittent and typhoid fever. Neuralgia with menstruation; meningitis; convulsions; pain in neck; fever without thirst. (Puis., Apis). GRAPHITES. 5 Moist, sticky, scabby eruption; moist, itching eczema, with a honey-like fluid; massive, dirty crusts on head, matting the hair; painful and sore to touch; moist and raw behind ears; bleeding cracks behind ears, corner of eyes, nose, mouth, about nipples, anus, or in skin of hands. Lids red and margins scurfy. Ulceration of cornea. Pustules on cornea and conjunctiva. Catarrhal deafness; hears better amid noises. Smell acute; nostrils sore and blocked with dried, foul scabs. Constant sensation of cobweb on face. Sickening, rotten taste mornings; burning blisters on tongue; aver- sion to meats and sweets. Eruptions and ailments from suppressed menses; acrid leucorrhcea. Sad, tearful, (Puis.); music brings tears; fidgety; apprehensive; thick nails; herpes zoster; cancer of breast and womb; removes scabs; obesity. HEPAR SULPHUR. 5 Tendency to maturate. I Every little injury of skin suppu- rates. Scabs, itch and easily torn off, leaving a raw, bleedin°- sur- face. Ulcers, sensitive, bleeding easily; foul, corroding discharge. ROGERS' HOMEOPATHIC GUIDE. Constant foul odor from body. Sweats easily. (Calc. Carb, China, Phos.) Unhealthy skin. Violent itching. Conjunctivitis, with much pus. Pimples and pustules around ulcers. Sensation of splinter sticking in throat. Desires vinegar. Tonsillitis. Croup. (Aeon., Spong.) Croupy cough. Bronchitis. Abscess in any part. Hastens or arrests suppuration. KALI BICHROMICUM. 2 Excessive secretion of sticky, tough, stringy mucus; acts upon the mucous membrane of eyes, ears, nose, throat, bronchi, stomach, rectum, kidney and liver, producing catarrh, erosion and often ulceration. Ulceration of eyes and tars. Nose dry, ulcerated, foul, filled with clinkers of tough, green plugs. Syphilis of mouth. Hawks tough, stringy mucus mornings. Diphtheria. Diphtheritic or membraneous croup. Pearly deposit. Hoarse cough; hoarse; voice gives out; difficult breathing; wheezing; dyspepsia; catarrh or ulceration of stomach. Nausea and vomiting of drunkard^. Diarrhcea, brown, frothy; expectorations so tough strings out to the floor. Neuralgia every day at same hour. Deep, yellow ulcers. LYCOPODIUM. ■ Full of gas. 2 Hungry, but loses appetite after first mouth- ful. Excessive appetite. More eaten, more craved. Hungry after eating. 2 Wakes in the night hungry. 2 A1* symptoms worse at 4 p. m.; better at 8 p. m. 2 Red sand in the urine. Rectum con- tracted, causing chronic constipation. Weeps. (Puis., Graph.) Sensitive spirit. Ailments from fright, vexation or chagrin. Throb- bing headache. (Bell., China). Hair falls out. Eyes inflamed and 330 ROGERS' HOMEOPATHIC GUIDE. stuck together; can't endure light; sees spots. Styes, granulated lids. Oozing behind ears. (Graph.) Nose obstructed; thick, yel- low discharge. Snuffles. Fan-like motion of nostrils. Complexion muddy, pimply. Ulcers in mouth. Feeling of a ball rising in throat. Enlarged tonsils. Everything tastes sour. Pit of stomach sensi- tive. Rumbling in left side of abdomen. Coughing hurts abdo- men. Violent colic from passing stone from gall bladder or kidney. Dropsy. Anus raw. Sexually weak. One foot hot. Expectorates small, greenish, yellow masses. Pneumonia. Enlarged veins on legs. Numbness. Gouty. Sweat immediately after chill. Diph- theria beginning on right side. MERCURIUS SOL. (Viv.) ■ All symptoms worse at night and from the warmth of the bed. Worse when sweating. The effects of mercurial and syphi- litic poisoning are almost exactly similar. Tongue coated, showing impress of teeth. Stools bloody and slimy, with much straining. Dysentery. Feeling o? iron hoop about head. Syphilitic eye troubles. Vision dim. Foul, bloody discharge from any part. Inflamed glands. Teeth, loose. Gums, spongy, bleed easily. Throat, dry. Saliva, profuse. Frequent urging to urinate. (Canth., Apis, Bell.) Foreskin, sore. Privates, raw and itch. Breath, foul. Night sweats. Skin and whites of eyes yellow. Mercurius Cor. J Dis- charges, corrosive, burn. Violent inflammations of mucous mem- brane. Burning in eyes, throat, bladder, rectum. Acute Bright's. Albuminous urine. Cystitis. Dysentery. Great straining when bowels move or urine pass. Scrofulous, gonorrhoeal or syphilitic in- flammation of eyes. Mercurius Iodide, called Yellow Iodide, ROGERS' HOMEOPATHIC GUIDE. 331 acts especially upon the glands of the throat. Biniodide Of Mercury, called Red Iodide, is useful in throat troubles; worse on the left side. NUX VOM. Bad effects from continued errors of diet, irregular or seden- tary habits, highly seasoned food, stimulating drinks, strong drugs, mental strain, sexual excess and dissipation in general. Ill-humored, (Cham.) Inclined to swear. Head feels too large; confused, as if had not slept well. "* Nose runs all day; stops at night. Snuffles. No appetite. Nausea. Dyspepsia, from worry and study. Bilious. Desire to move bowels, but can't. Piles. Urine dribbles. Emis- sions. Falling of womb. Morning sickness. Rawness in chest. Lumbago. Unsteady gait. Convulsions. Trembles. J Awakens at 3 a. m. Thinks much for an hour. Falls asleep. Wakens late more tired than on retiring. Load in stomach. PHOSPHORUS. Small wounds bleed much. Mucous membrane pale. Tall, slender, nervous blondes often need it. Emaciation. (Ars.) Nj mental or physical energy. (China) Gloomy. Chronic menin- gitis. Softening of brain. Dandruff. Sparks before eyes on trying to go to sleep. Blows blood from nose. Nose swollen. Mouth bleeds. Cotton sensation in throat. Palate, elongated. Thirst for cold drinks or something juicy. Vomits blood. Empty, faint feel- ing in stomach. (Sulp.) Profuse, painless diarrhcea. Chronic con- stipation. Stool, cigarette size. Piles. Impotent, yet desire great. Lascivious. Weakness from excess. Windpipe painful. Oppressed 332 ROGERS' HOMEOPATHIC GUIDE. breathing. Congestion and heaviness of chest. Crackling in lungs; beginning of tuberculosis. Feet, icy cold. Locomotor axtia. Night sweat. (China, Calc.) Useful during convalescence from many diseases. Bluish hue. Fatty degeneration. Anaemia. Chlorosis. Purpura hemorrhagica. PULSATILLA. "Blues." Homesick. Cries easily; tears flow at the men- tion of her symptoms. Feels better out-doors. Can't breathe in- doors. Turns up nose at the mention of fat meat. Fever without thirst. (Apis, Gels.) Headache from eating pastry or fat. Even- ing headache. Styes. Catarrh of eyes, ears, nose, throat. Pain- less leucorrhcea. Suppressed menses. Suppressed gonorrhoea with swollen testicle. Mumps. All discharges, bland, thick, yellowish or greenish. Rumbling in bowels (Lye). Night diarrhcea. Men- strual colic. Measles. Snuffles. Chlorosis, which iron has failed to cure. Wandering rheumatism. Inflamed veins. RHUS TOX. Better by motion. Opposite of Bryonia. Restless. (Aeon.) Feels comfortable in each new position only for a few minutes. Effects of getting wet while over-heated; over-exertion. Muscu- lar rheumatism following getting hands or feet cold or wet. Left sided troubles. Can't remain in bed at night; must walk about; can't sit still. Inflamed eyes. Mumps. Erysipelas spreading from left to right; dark colored; burning, itching eruption; eczema; raw surface; thick crusts; offensive oozing. Hives from getting wet. Typhoid when bowels are loose. Pains, as if flesh were torn from ROGERS* HOMEOPATHIC GUIDE. 333 bones. Soreness and stiffness of muscles. Eruption of painful white vesicles. Worse before a storm. SULPHUR. g Weak, empty, hungry, faint feeling in the stomach about 11 a- m. 2 Top of head hot. Rumbling and gurgling in bowel?. (Lyco., Puis.) Painless diarrhcea, driving patient out of bed at 5 a. m. 2 Soles of feet hot; must uncover them at night or place them against a cool surface. Rush of blood to head. Feels too warm; wants doors and windows open, (Puis.) Chronic diarrhcea. Pre- vents cholera. May be useful in any disease, as sulphur enters every particle of protoplasm. The king of skin remedies. Itching piles. Hot flushes. All discharges, acrid and burn. Walks stoop- ing. ; Offensive odor from body, notwithstanding frequent washing. Itching all over. Skin rough, dirty, scabby. Fetid sweat about privates. J Lips very bright red. Painful smarting of eyes. Eyes blur. Itching pimples. Children dread being washed. Foolish pride over trifles. Sweat of arm pits stains clothing red. MINOR REMEDIES. Abies Nigra. Sensation of an undigested, hard-boiled egg in the stomach. Abrotanum. Marasmus of children. ^Esculus. Severe aching pain across hips. Piles, protruding and purple. In- effectual urging to stool; rectum feels as if full of sticks; back gives out when walking, j^thusa. Child can't take milk; passes it in curds, or vomits forcibly and falls asleep. AgariCUS. Burn- ing, shooting pains in spine, sensitive to touch. Agnus Castus. Premature decline of sexual power. Ailanthus. Purplish ap- ROGERR' HOMEOPATHIC GUIDE. pearance in malignant scarlet fever. Allium Cepa. Acute catarrh with profuse, bland secretion from eyes and nose. Aloes. Diarrhcea; hastens to stool after eating; passes without exertion; faeces and urine escape together. Alumina. Rectum seems too dry; constipation of nursing infants. Ammonium Carb. Ma- lignant scarlet fever, with much swelling of throat and stupor. Ammonium Mur. Faeces covered with mucus. Cold between shoulders; catarrh of chest. Anacardium. Brain fag; insan- ity; inclined to swear; sensation of a.plug or band; suspicious; loss of memory. Antimonium Crud. Thick, milky, white coating on tongue; fretful, sulky. Antimonium Tartar, or tartar emetic. Rattling of mucus in the chest, with vomiting and drowsi- ness; pneumonia; bronchitis; small pox; pustules; debility; cold sweat; suffocation; new born infants purple; whooping cough. Apocynum. Dropsy. Use teaspoonful doses of tincture, Ar- gentum Met. Chronic hoarseness; laughing provokes cough; expectoration like boiled starch. Argentum Nit, Mucus and pus mixed in all discharges from the part of the mucous membrane affected; ophthalmia; gonorrhoea; catarrh of stomach; dysentery; corners of eyes look like pieces of raw meat; green stool; sensa- tion of splinter in throat; spinal irritation; epilepsy; brain fag, with irritability and trembling; melancholia. Arsenicum Iodide. Consumption and other debilitating diseases; night sweats; eczema; psoriasis. Arum Triphyllum. Discharges from nose mak^s the skin raw wherever it touches; corners of mouth cracked and bleeding; diphtheria and malignant scarlet fever. Asafcetida Sensation of ball rising in throat; hysteria. Aurum. Third stages of syphilis; suicidal tendency; fatty degeneration of the heart, liver, kidneys. ROGERS' HOMEOPATHIC GUIDE. 335 Baryta Carb. Enlarged tonsils; fatty tumors; aneurism. Benzoic Acid. Odor of urine exceedingly strong, offensive, pungent. Berber is. Sticking, digging, tearing, throbbing pain in region of kidney, extending to bladder and urethra; back stiff and lame; rises with difficulty. Bismuth. Terrible neuralgia of stomach; pain extends to spine; temporarily relieved by cold drink. Borax. Dread of downward motion; sore mouth and diarrhcea of infants; leucorrhcea like white of egg. Bromium. Croup; hoarse; loss of voice; paroxysms of suffocation; every in spiration excites cough; sudden choking. * Calcarea Flourica. Enlarged blood vessels; piles; blood tumors; aneurism; bony tumors. * Calcarea Phos. Tonic dur- ing convalescence; chlorosis; anaemia; craves bacon; night sweats; teething, slow; scrofulous; Pott's disease; school girl headache Calcarea Iodide. Cures fibroid tumors. * Calcarea Sulp. Useful wherever there is pus. Cannabis Indica. Gonorrhoea with chordee, or painful erections. Cannabis Sativa. Terrible burning and smarting in urethra; worse after urinating. Can- tharis. Constant urging to urinate, scanty discharge and violent, cutting, burning pains in urethra before, during and after urinating. Capsicum. Terrible burning and straining on urinating or mov- ing bowels. CarbO Animalis. Cancer of womb or breast; old, foul ulcers; acne; dyspepsia. Carbo Veg. Full of gas; body cold; skin blue; breath cold; belches; colic; hemorrhages; col- lapse of exhausting diseases. Caulophyllum. Rheumatism of small joints; labor pains too weak. Causticum. Loss of voice; urine passes on coughing or sneezing; paralyses about face. Ced- ron. Symptoms return with clock-like regularity. Chelidonium Constant pain under right shoulder blade; liver remedy. Cicuta. 336 ROGERS' HOMEOPATHIC GUIDE. Convulsions with terrible contortions. Cimicifuga. Rheu- matic, neuralgiac, choreic affections in hysterical women, arising from womb; painful menses. Clematis. Swollen testicle after suppression of gonorrhoea. Cocculus. Sea sickness; dizzy, as if intoxicated; paralytic tendency. Coccus Cacti. Laryngitis, bronchitis and whooping cough. Coff ea. Morbid acuteness of all the special senses; excessive nervous excitability; sleeplessness. Colchicum. Tearing pains; terribly worse at night; gout; rheu- matism; weak. Collinsonia. Piles, with heart trouble. Con- ium. Old persons; hardened glands; enlarged prostate; cancer; cough on lying down; dizzy on turning over; results of continence. Corallium. Whooping cough, Crocus. Hemorrhages, black; jumping sensation inside. Crotalus. Yellow fever; blood poi- soning. Croton tig. Diarrhoea forcibly shoots out of the rec- tum; eczema. Cuprum. Convulsions; cramps in cholera; whoop- ing cough; epilepsy. DiOSCOrea. Bilious colic; must stretch out; opposite of Colocynth. Drosera. Hoarse, spasmodic cough; whooping. Dulcamara. All symptoms worse in cold, damp weather; ca- tarrh; rheumatism. Eucalyptus. Malarial fevers. Eupa- torium Perf. Aching and soreness in muscles; violent bone pains; vomits bile after chill; malaria. Ferrum. Anasmia; green complexion; chlorosis; better by gentle motion. * Ferrum Phos. Resembles Aconite and Rhus. Useful remedy in sudden fever of children. Glonoin. Throbbing in brain; congestion; arteries stand out on temples; face pale; sunstroke; angina pectoris; apoplexy; insanity. Hamamelis. Dark hemorrhage; enlarged veins. Helleborus. Water on the brain; rolls head; boring into pil- ROGERS' HOMEOPATHIC GUIDE. 337 low. Helonias. Weak, tired, dragging, aching, burning across back and hips. Hydrastis. Weak, faint; catarrh with ropy discharge; erosion. Hyoscyamus. Acute mania and delirium occuring during other diseases; typhoid; illusions; hallucinations; sleepless; night cough. Hypericum. Useful after injuries ot spine or nerves of hands or feet. Ignatia. Silent grief; sighs; now laughing, then crying; changeable; hysterical. Iodium. Emaciated, but hungry; scrofulous; croup; goitre. Ipecac. Persistent nausea and vomiting; stool, green as grass; hemorrhage of womb. Iris. Burning from mouth to anus. Kali Carb. Sticking pains; upper lids puffy; coughs at 3 a. m.; anaemia; pre- vents miscarriage; backache. Kali Iodide. Resembles mer- cury; antidotes mercury; syphilis; scrofula; rheumatism. *Kali Mur. Resembles Bell. Thick, white discharges. * Kali Phos. Brain fag; insomnia. Useful for convalescents. *Kali Sulp. Thin, bright, yellow or greenish discharges. Kalmia. Rheuma- tism of heart; slow, weak pulse. Kreosotum. Acrid, foul dis- charges; burning leucorrhcea; consumption; cancer; carbuncle. Lachesis. All symptoms worse after sleep; throat sensitive ex- ternally; left sided sore throat; diphtheria; blood poisoning. Ledum. Rheumatism of smaller joints; punctured wounds; sting ot insects; violent itching. Leptandra. Tar black stool; bilious. Lilium Tigrinum. Bearing down as if womb would fall out; palpitation; leucorrhcea. Lithium. Rheumatism of heart with eye trouble; gout; small joints. Lycopodus. A sub- stitute for Digitalis. Magnesia Carb. Stools green, frothy, like frog pond scum; acid dyspepsia. * Magnesia Phos. Sharp, cutting pains; colic; spasms. Mezerum. Syphilis and scrofula; after abuse of mercury. Millefolium. Bright red hemorrhage 338 ROGERS' HOMEOPATHIC GUIDE. from lungs. Muriatic Acid. Great debility in long lasting fevers. * Natrum Mur. Long lasting, badly treated cases of malaria; chill every other day at u a. m.; craves salt; fingernails get blue. * Natrum Phos. Acid dyspepsia; sour vomiting. ♦Nat- rum Sulp. Liver troubles; uric acid. Nitric Acid. Syphilis after abuse of mercury; bleeding ulcers. Nux Moschata. Drowsiness; hysteria. Opium. Fright; constipation; epilepsy; stupor; snoring respirations; blue face. Oxalic Acid. Soften- ing of spine. Petroleum. Eczema; herpes; ulcers; sea sick- ness. Phosphoric Acid. Mental dullness; physically weak; homesick; disappointed love; spermatorrhoea. Physostigma. Contracted pupils; tetanus; chorea; ataxia; paralysis of the in- sane. Phytolacca. Syphilitic and gonorrhoeal rheumatism; resembles Mercury and Kali Iodide; lumps in breast; reduces fat. Picric Acid. Brain fag; neurasthenia; great prostration. Platina. Mental and womb trouble combined. Plumbum. Neuralgia; sciatica; paralyses of legs. Podophyllum. Bilious troubles; painless morning diarrhoea; jaundice. Rhododendron. All symptoms worse before a storm, or by cold and dampness. Ruta. Bxuises of bones and sprains. Sabina. Hemorrhage of womb. Sanguinaria. Cures Polypi; sick headache; bronchial troubles. Secale. Hemorrhage of womb or bowel; gangrene; fibroid tumor. Sepia. Displacement of womb; bearing down sensation; yel- low blotches on face; bilious; palpitation. * Silicea. Long last- ing suppurations; abscesses; ulcers; felons; boils; carbuncles; bone decay; scrofula. Spigelia. Facial neuralgia; spreads from one point; rheumatic eye trouble; symptoms rise and decline with the sun. Spongia. Croup; dry, wheezing sawing respi- ration; suffocation, Stannum. Lung trouble, with much ex- ROGERS' HOMEOPATHIC GUIDE. 339 pectoration of balls of sweetish mucus; chest weak. Staphis- agria. Scrofula of glands and bones; styes; decayed teeth; sexual excesses. Stillingia. Secondary and tertiary syphilis. Stramonium. Delirium and acute mania; hallucinations of terrible things; incessant talking; hydrophobia. Terebin- th ina. Suppression of urine; blood and albumen in urine. Teucrium. Polypi. Thuya. Warts about anus following gonorrhoea; bad effects of vaccination. Trillium. Hemor- rhage of womb. UstilagO. Hemorrhages from fibroid tumors or womb. Valerian. Hysteria; insomnia. Veratrum Alb. Cholera like conditions; cold sweat on forehead; terrible colic; cramps in calves; violent, watery vomiting and purging; feeble pulse. Veratrum Virdie. Intense congestion of brain and lungs; very high temperature; rapid, full, strong pulse; pneu- monia; meningitis; sunstroke; insanity. Viburnum Opulus. Painful menstruation; very useful. Zincum. Exhaustion of brain and spinal cord; brain fag; chronic headache and neuralgia; fidgety feet. INDEX OF SUBJECTS A. Abortion, 299. Abscess, 283. Acne, 257 Actinomycosis, 113. Addison's Disease, 180. Adenitis, 98. Albuminuria, 787. Albuminoids, 304. Alcoholism, 236. Amenorrhcea, 208. Anaesthetics, 284. Anaemia, 180, 227. Aneurism, 179. Angina Pectoris, 178. Anthrax, 80. Antiseptic Precaution, 284. Aphasia, 229. Apoplexy, 227. Appendicitis, 151. Arsenical Poisoning, 238. Arthritis Deformans, 123. Arteries, 179. Ascaris Lumbricoides, 242. Ascites, 157. Asparagus, 315. Asthma, 165. Asiatic Cholera, 69. Atony of Bladder, 197. B. Baby, 300. Baked Beans, 314. Basedow's Disease, 183. Bed Sore, 288. Bi-Chloride, 281. Bladder, 196. Black-Heads, 262. Blepharitis, 266. Blood, 78, 180, 183. Blues, 250. Boils, 288. Bones, Broken, 292. Boric Acid, 282. Brain, 223. Breasts, 297. Bowels, 146. Bright's Disease, 190. Bronchitis, 163. Bronchi, 163. Bronchiectasis, 165. Bubo, 87. Burns, 260, 2qi. C. Cancer, 145. Carbolic Acid, 282. Carbuncle, 289. Catarrh, 159. Cataract, 272. Cerebro Spinal Fever, 49. Cereals, 314. Characteristics, 321. Child Bed Fever, 78, 296. Chicken Pox, 13. Cholera, 69. Cholera Infantum, 147. Chlorosis, 180. Chorea, 230. Choroid, 273. Chloroform, 286. Circumcision, 301. Cirrhosis, 155. Clap, 201. ROGERS' HOMEOl Comedo, 262. Continued Remittent Fever, 55. Consumption, 99. Constipation, 153. Congestion of Lungs, 166. Conception, 207, 293. Convulsions, 230, 301. Conjunctiva, 267. Contusions, 290. Confinement. 295. Cord, 300. Croup, 162. Crystaline Lens, 272. D. Decomposition, 281. Desquamation, 16. Dengue Fever, 60. Delusions, 244. Dermatitis, 259. Diphtheria, 24. Dilutions, 7. Diabetes, 123, 125. Dietetics, 303. Dilatation of Stomach, 144. Dilutions, 319. Diuretin, 158. Displacement of Womb, 210. Dose, 318. Dropsy, 157. Dysentery, 107. Dysmenorrhcea, 209. E. Ear, 275. Eczema, 253. Ectropion, 266. Embolism, 228. Emphysema, 173. Endo-carditis, 176. Endo-metritis, 212. Encephalitis, 229. Enteritis, 147. Entropion, 266. Ephermeral Fever, 113. Epilepsy, 231. Epistaxis, 160. Erosion, 215. Eruptive Fevers, 12. Erysipelas, 76. THIC GUIDE. 341 Ether, 286. Eucalyptus, 282. Evidences of Health, 3. Exophthalmic Goitre, 183. Eye, 266. F. Fats, 304,313. Fatty Degeneration, 178. Febricula, 113. Felon, 284, 289. Fevers, 11. Fever Diet, 312. Fibroid, 216. Fibroid Phthisis, 102. Flexions of Womb, 211. Flesh Diet, 311. Flesh Worms, 262. Fractures, 292. Fruits, 316. G. Gangrene, 171, 280, 289. Gastritis, 139. Gastralgia, 143. Gastrodinia, 145. Gaul Stone, 154. German Measles, no. Glanders, 112. Glaucoma, 274. Goitre, i83. Gout, 121. Gonococcus, 201. Gonorrhoea, 201. Gonorrhoea! Rheumatism, 117. Grain Poisoning, 240. Grand Mal, 231. Graves' Disease, 183. H. Hahnemann, 5. Haematemesis, 145, Haematuria, 186. Hallucination, 244. Haemorrhage, 40, 290. Haemorrhage of Stomach, 145. Haemorrhage of Lungs, 167. Haemorrhage of Bladder, 186. Haemorrhage of Kidnevs, 186. Haemorrhage of Child Birth, 298. 342 ROGERS' HOMEOPATHIC GUIDE. Haemophilia, 129. Haemoptysis, 167. Heart, 176. Headache, 223. Hematocele, 217. Hemiplegia, 228. Hernia, 291. Herpes, 262. Hives, 261. Hodgkin's Disease, 182. Hydrophobia, 81. Hydropericardium, 176. Hypertrophy of Heart, 177. Hyperemia of Brain, 227. Hydro-nephrosis, 195. Hydro-thorax, 172. Hysteria, 233. I. Illusions, 244. Imperative Conceptions, 245. Indicanuria, 189. Inflammation, 281. Influenza, 62. Insanity, 244. Injuries and Repair, 280. Inspissated Cerumen, 275. Intermittent Fever, 53. Intestinal Obstruction, 152. Iodoform, 282. Iritis, 271. Iridectomy, 274. Irritation, 281. Itch, 260. J- Jacksonian Epilepsy, 232. Jaundice, 154. Joints, 292. K. Keratitis, 271. Kidneys, 185. Kumyss, 310. L. La Grippe, 62. Laceration, 215. Larynx, 161. Laryngitis, 161. Leprosy, in. Lead Poisoning, 237. Leukaemia, 181. Leucorrhcea, 213. Lids, 266. Lithaemia, 122,188. Liver. 154. Lock Jaw, 85. Local Tuberculosis, 98. Locomotor Ataxia, 222. Localization, 229. Lumbago, 118. Lungs, 166. Lumpy Jaw, 113. M. Malarial Fever, 53. Malta Fever, 115. Matzoon, 310. Materia Medica, 318. Measles, 18. Meat, 310. Mediastinum, 174. Melancholia, 247. Meningitis, 49, 226. Meningeal Tuberculosis, 97. Menstruation, 208. Menorrhagia, 209. Metritis, 215. Metrorrhagia, 209. Milk Sickness, 114. Milk, 309. Mind, 244. Miscarriage, 299. Mountain Fever, 115. Mother and Child, 293. Morning Sickness, 293. Monomania, 248. Morphia Habit, 237. Mumps, 65. Muscular Rheumatism, 118. Myalgia, 117. Myocarditis, 177. Myxcedema, 183. N. Nervous System, 220. Nervous Dyspepsia, 143. Nephritis, 190. Nephrolithiasis, 195. ROGERS' HOMEOPATHIC GUIDE. 343 Nettle Rash, 261. Neuralgia, 232. Neurasthenia, 235. Neuritis, 220. Neurosis, 143. Neuromata, 221. Nose, 160. O. Oatmeal, 314. Obesity, 242. Obstruction of Bowels, 152. CEsophagus, 138. Olfactory Nerve, 221. Ophthalmia, 268. Opiates, 9. Optic Nerve, 221. Otorrhoea, 278. Ovaralgia, 218. Ovaritis, 218. Ovarian Tumor, 219. Oxaluria, 189. P. Paliatives, 9. Palpitation, 178. Pancreas, 156. Paralysis Agitans, 230. Paretic Dementia, 247. Patent Medicine, 8. Pernicious Malarial Fever, 56. Peptic Ulcer, 144. Peritoneum, 156. Peritonitis, 157. Pericardium, 175. Pericarditis, 175. Perinephric Abscess, 196. Pellets, 318-319. Pelvic Cellulitis, 216. Pelvic Peritonitis, 216. Pelvic Abscess, 217. Pelvic Hematocele, 217. Petit Mal, 231. Periodical Insanity, 248. Pediculosis, 258. Peroxide, 283. Perineum, 298. Pharmacy, 318-320. Phosphaturia, 189. Phthisis, 99. Pleura, 172. Pleurisy, 172. Pneumonia, 168. Pneumonothorax, 173. Pneumonokoniosis, 172. Poisonings, 236. Polypus, 338. Potencies, 319-321. Premature Labor, 299. Pregnancy, 293. Prevention of Conception, 207. Prevention of disease, 9. Professional Spasms, 233. Pruritus, 261. Psoriasis, 258. Ptomaine, 239. Pterygium, 270. Ptyalism, 133. Pulmonary Tuberculosis, 97. Pulmonary Hemorrhage, 167. Pulse, 4. Purpura, 128. Purpura Hemorrhagica, 129. Pyelitis, 194. Pyaemia, 79. Pyuria, 187. R. Relapsing Fever, 52. Renal Sclerosis, 191. Respiratory System, 159. Retina, 273. Retention of Urine, 296. Rheumatism. 116. Rheumatic Neuralgia, 119. Rickets, 126. Ring Worm, 259. Rules of Diet, 316. Rupture, 291. S. Saint Vitus Dance, 230. Salpingitis, 217. Salisbury's Experiments, 314. Scalds, 291. Scabies, 260. Scarlet Fever, 14. Sciatica, 221. Scorbutus, 127. Scurvy, 127. 344 ROGERS' HOMEOPATHIC GUIDE. Scrofula, 98. Septicaemia, 78. Self Abuse, 204. Sexual Abuse, 204. Senile Dementia, 247. Seborrhcea, 263. Senile Gangrene, 280, 289. Shaking Palsy, 230. Shock, 289. Sick Headache, 233. Skin, 251. Small-pox, 21. Spermatorrhoea, 206. Spinal Cord, 222. Spectacles, 272. Splints, 292. Sprains 291. Statistics, 6. Starches, 313. Starch, 304. Stomach, 139. Stomatitis, 131. Stone in Bladder, 200. Suralimentation, 103. Sub-Acute Rheumatism, 118. Suicidal Poisoning, 240. Sun Stroke, 241. Surgery, Principles of, 279. Suppuration, 283. Syphilis, 84. Syphilitic Rheumatism, 118. Sweating Sickness, 115. T. Table of Foods, 307. Taenia Saginata. 243. Tape Worm, 243. Temperature, 4. Tetanus, 85. Tetany, 233. Tetter, 253. Thrombosis, 228. Tinea Trichophytina, 259. Throat, 134. Thyroid Gland, 183. Tonsillitis, 135. Traumatic Neurosis, 235. Trichiniasis, 242. Triturations, 319-321. Tumors, 216. Tumors of Brain, 229. Tuberculosis, 93. Typhoid fever, 34, 44. U. Ulcers, 288. Unclassified Affections, 236. Uraemia, 189. Urine, Normal, 3. Urine, Retention, 197. Urine, Suppression, 197. Urine, Incontinence, 198. Urinary Fistula, 203. Urethra, 196. Urethritis, 197. Urticaria, 261. V. Valvular Diseases, 177. Version of Womb, 211. Vesical Tenesmus, 198. Vegetarians, 311. Vicarious Menstruation, 209. Vitreous Humor,274. W. Water, 308. Ways 01 Cure, 5. What is Disease? 4. White Blood Corpuscles, 28 ' Whooping Cough, 66. Women, Diseases of, 208. Wounds, 281. Wry-neck, 118. y. Yellow Fever, 46. ERRATA. Page three, line thirteen, read " the," not " they." Page five, line seventeen, read "have," not "has." Page five, line twenty-six, read "interpreted," not "interpeted." Page six, line seven, read " should," not "would." Page ten, line ten, read "are," not "is." Page fifteen, line eighteen, read " are," not " is." Page twenty-two, line three, read "bears," not "bear." Page twenty-nine, line one, read "yields," not "yield." Page thirty-four, line twenty-six, read "are," not "is." Page thirty-five, line eighteen, read "increases," not "increased." Page thirty-eight, line fifteen, read "increases," not "increased." Page sixty-one, line twenty-two, read "one," not "on." Page ninety-nine, line eighteen, read "fibroid," not "fribroid." Page ioo, line nine, read "phthisis," not "phthisic." Page 107, line nine, read "it," not "them." Page 177, line ten, read "valvular," not "valular." Page 192, line three, read "puffiness," not "puffness." Page 193, line ten, read "man," not "may." Page 207, line seventeen, read "depress," not "depresses." Page 207, line nineteen, read "develop," not "develops." Page 227, line ten, read "accompany," not "accompanies." Page 232, line eleven, read "weakens," not 'weaken." Page 234, line nine, read "he," not "they." Page 235, line seven, read "is," not "are." Page 236, line ten, read "he," not "they." Page 283, line five, read "come," not "came." Page 284, line twenty-five, read "attends," not "attend." Page 310, line two, read "he," not "they." Page 311, line seven, read "disease," not "diseases." Page 216, line two, insert a comma after Sulphur." Page 245, line twenty-eight, "affect" between "may" and "a." Page six, line twenty-two, omit "about." Page twenty-three, line twenty-four, omit "any." 35i LIS TERINE An Antisseptic Agent, of Great Utility to Promote and Maintain Personal Hygiene Individual Prophylaxis. I IOXCDIMC is a n°n_tox'c< non-irritating, and non-escharotic anti- B|0 | tnlllt septic; composed of ozoniferous essences, vegetable anti- septics and cenzo-boracic acid; misci-ble with water in any proportion, and in agreeable strength sufficiently powerful to make and maintain surgical cleanliness—asepsis—in the treatment of all parts of the human body. These properties have won for Listerine a first place in the lying-in room and and in the treatment of catarrhal conditions ot the mucous surfaces of every locality. Listerine alone in teaspoonful doses, or diluted with one or two parts water or glycerine, will give entire relief in those forms of Dyspepsia which, are a-sociated with the formation of gases, acid eructations and fermentative action, in the con- tents of the stomach. The vapor evolved by the use of Listerine in the sick-room, by means of spray or saturated clothes hung about, is actively ozonifying and rapidly oxidizing in its effect upon organic matter afloat in the chamber, and imparts an agreeable odour to the atmosphere. An ounce ot Listerine in a pint of warm water forms a refreshing, purifying, and protecting application for sponging the body during illness or health. A few ounces added to the bath enhances muscular tonicity and refreshing effect. For the preservation of the teeth, and for maintaining the mucous membrane of the mouth in a healthy condition, Listerine is indispensable. As a spray or gargle in tonsillitis, diphtheria, or scarlet fever, both for the patient and as a prophylactic for those who are in more or less constant attendance, Listerine. diluted with four parts of water, or water and glycerine, is a pleasant and sufficiently powerful agent. Descriptive literature may be had upon application to the Manufacturers— LAMBERT PHARMACAL CO., of St. Louis, U. S. iW~ Be assured of the genuine by purchasing an original package (14-oz bottle.) STARTLING CLAIM. PROGRESS continually overtakes the future. New discoveries are ever being made. The impossible things of one age, become the servants of the next. In this day of skepticism, perhaps there is no Physician or Layman to whom one could mention a hair tonic with- out being looked upon with suspicion. We predict, however, that within five years from to-day, the medical world will accept the hitherto mooted idea that a bald headed man can have a new growth of hair produced. This assertion no doubt will be regarded by physicians as the expression of a " Crank." But let us ask one question: Have not the " cranks " of one generation been regarded as the intellectual athletes in the next ? FREWIN'S HAIR RESTORER is not a patent medicine, but it will grow hair on the baldest heads; it matters not of how long standing, or what the cause. It will restore the grayest hair to its original color, possessing all the luxuriant properties of youth. It is not only a pleasant hair dressing, but will effectually re- move dandruff. It will cost you but one cent to write a postal card asking for evidence. We have the evidence and you can have it by writing and asking for it; and if you are troubled with baldness, dand- ruff, falling hair, or graying hair, you can receive such marvelous benefits that you will become a living adver- tisement for this most meritous discovery. All orders by mail promptly filled. Address: FREWIN HAIR RETORER CO., 604 Chamber of Commerce Bldg,, Chicago, III. £ V MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONAL LIBRARY OF MEDICINE NATIONAL LIB IVNOIIVN 3NIDICI3W dO Aavaan TVNOIIVN 3NIDIQ3W dO Aavaail TVNOIIVN 3NIDIQ3W dO s ? 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