THE Stepping-Stone TO H OMCEOPATHY AND H EALTH Second American from the Seventh London Edition. (SIXTIETH THOUSAND.) BY E. H. RUDDOCK, M.D., (Exam.) ICENTIATE OF THE ROYAL COLLEGE OF PHYSICIANS; MEMBER OF THE Royal College of Surgeons ; Licentiate in Midwifery, London and Edinburgh ; Physician to the Reading and Berkshire Homoeopathic Dispensary. Author ofThe Homoeopathic Vade Meciivi of Modern Medicine and Surgery“ The Lady s Manual of Homoeopathic Treatment;" “ Consumption ; its Preventive and General Treatment /” etc., etc WITH ALTERATIONS AND ADDITIONS IT TO THE CLIMATE, DISEASES, CUSTOMS Of> AMEI\ICA^S By the American Editor. CHICAGO: HALSEY BROTHERS, PUBLISHERS. 1872. Entered, according to Act of Congress, in the year 1872, By HALSEY BROS., In the Office of the Librarian of Congress, at Washington. Printed at The Lakeside Press. (R R. DONNELLEY.) PREFACE TO THE SECOND AMERICAN EDITION. No apology is needed in bringing before the people of this coun- try a second edition of one of Ur. Ruddock’s best works. Of books on Domestic Medicine there is, to be sure, no lack, and of good books, of this kind there are many ; but the wonderful popularity of Dr. Ruddock’s works could not have been attained had they not possessed superior excellence as books for the peo- ple ; and of them all, “ The Stepping-Stone" seems to have been the greatest success. Its comprehensiveness, conciseness, and practical character in all its instructions for medical treatment of the sick ; together with the great amount of general information and common sense in the use of it, which are exhibited in the hints on diet, hygiene, and kindred physiological subjects, place the work far in advance of any other of its size and scope. At the time of this writing, over 80,000 copies of the book have been sold, and the demand is not lessened. The first American edition of this work had hardly made its way into favor during the first few months after its issue, and the book was just beginning to become known and appreciated in this coun- try, when “ the great fire ” came and destroyed all the printed copies in the publisher’s hands and the plates from which they were printed. In the weeks following the fire—as soon as the sup- ply of the book in the hands of the different book dealers was ex- hausted—the demand from booksellers and from the public gen- erally showed that no other book could take its place, and that there was no alternative but to issue a new edition as quickly as possible. Therefore, as soon as I could get my wits together, and Preface. settle down, after “ the burning,” I was called upon to prepare an edition for the press, and the result follows this preface. I have taken Dr. Ruddock’s latest English edition, have added some new chapters, and such notes and suggestions as would seem of value ; and here and there have made such modifications in the instructions given by the author as would better fit the book for use in this country. The general plan of the work—the arrangement of sections and chapters—is similar to that of the previous edition ; as it seems to me preferable to that adopted by the author in the edition which we, in other respects, copy after. I finish my task with the pleasant thought that the American edition of “ The Stepping-Stone ” will prove a blessing to the many families who will consult its pages in sickness and in health. The American Editor. Chicago, May I, 1872. PREFACE TO THE SEVENTH LONDON EDITION. In issuing the Seventh Edition of this manual, completing sixty thousand copies, the author has again endeavored to express his gratification at the wide appreciation of his humble efforts to ex- tend Homoeopathy, by embodying some of the results of his en- larged experience during the twelve years that have elapsed since the first edition of this book was published, maintaining it on a level with the progressive character of Homoeopathy and medical science in general, and presenting a longer list of complaints, with ampler treatment, than is included in any similar work with which he is acquainted. The present edition has been re-arranged and revised throughout, and, besides fresh matter of a practical charac- ter inserted in many parts, the list of remedies in the Materia Medica has been considerably extended, and now contains brief summaries of forty of our most valuable remedies. Selections from the new A merican remedies are embodied in the list, and are re- peatedly prescribed in the manual. DOMESTIC HOMOEOPATHY. The profession of medicine cannot in this age of progress be treated as a mystery. The aim of the enlightened physician is to make its principles as extensively known as possible, conscious that thereby the greatest amount of good will accrue both to the pro- fession and the public. Still the objection is often urged that do- mestic medical books trench on the legitimate sphere of the pro- fession, and are dangerous in their tendency. Neither objection is valid. Drugs are employed in nearly every household — anti- 6 Preface. bilious pills, Epsom salts, rhubarb, sulphur, magnesia, quinine, etc. We are not, therefore, responsible as originators of domestic treat- ment ; we have rather sought to reform it, by substituting reme- dies and measures, the virtue of which is that they are not only more harmless, but very much more efficacious than those ordi- narily adopted. Departures from health, of a simple and uncom- plicated nature, may often be arrested at their outset by carrying out instructions like those contained in the following pages, but which, if neglected till the symptoms assumed forms which seemed to justify the consultation of a medical man, might become con- verted into serious and even fatal diseases. JUSTIFICATION. A fact which specially justifies the composition of this manual is the necessity of meeting, as far as possible, the requirements of persons residing in localities where professional Homoeopathic treatment is inaccessible. An extensive correspondence with per- sons in various and remote parts of the country, convinces the Author of the importance of making some provision for patients so circumstanced ; at least, till professional men generally have been led to the study and practice of the discoveries of the illustrious Hahnemann. ADVANTAGES OF PROFESSIONAL TREATMENT. While making these statements, it is our duty to recommend that in every serious or doubtful case, or when the treatment herein prescribed is insufficient to effect improvement in a reasonable time, a Homoeopathic practitioner should be consulted. The vast and ever-accumulating resources at the disposal of a professional Hom- oeopath, of which this little manual represents but an inconsider- able fraction, places him on high vantage ground compared with a domestic practitioner. Cases are of daily occurrence in which it is impossible to act in the best manner without an acquaintance with anatomy, physiology, etc. Apparently trifling symptoms which escape the non-professional observer, clever though he may be, immediately attract the attention of the informed eye and ear of the physician, and put him on the alert for further discovery. In- Preface. 7 deed, whenever it is practicable, every departure from health should be watched and treated by a Homoeopathic physician. PROGRESS AND OPPOSITION. In this age of scientific progress it is gratifying to observe that medicine, instead of being in the rear, is advancing to the front ranks, and that Homoeopathy is in the van-guard of medical ad- vancement. This is proved by its rapid spread, and by its power- ful, though indirect influence on medical and surgical practice generally, causing it to do homage to the instincts of humanity, and banishing every measure or drug that is harsh and destructive. It may be satisfactory to the friends of this system to know that hostile resistance to Homoeopathy comes exclusively from persons ignorant of its principles, or inexperienced in its actual results. Its bitterest calumniators, it is believed, have never studied it or tried it fairly. It may be confidently stated that the great majority of medical men if not all out of the ranks of Homoeopathy, are com- pletely in the dark as to its theory and practice and are conse- quently incompetent to give a reliable opinion on the subject ; just as the driver of a stage coach, or the commander of a sailing- vessel, lacks the knowledge and experience to pronounce on the merits of railways or steamers, although all alike are for the transit of passengers and merchandise. With a confidence, therefore, which a knowledge of, and experience in, both the old and new modes of treatment, can alone impart, the Author recommends a trial of Homoeopathy. Let a dozen cases be taken, the symptoms carefully noted, and the treatment herein prescribed faithfully car- ried out, and the results will be so marked that conversion may be confidently predicted. Since the publication of the six former editions of this manual, the writer has received numerous letters from correspondents who have been won over to Homoeopathy by its instrumentality, and are carrying out its various prescriptions with striking and grati- fying success. He has been much cheered by such unsolicited statements, and takes this opportunity of offering his acknowledg- ments for the kindness which dictated the communications referred CORRESPONDENTS. 8 Preface. to. At the same time, he would suggest that, to meet the ignor- ance and prejudice which still oppose the spread of Homoeopathy, the friends of the system will kindly seek to enlarge its usefulness by promoting in various ways the circulation of this book among all classes of the community. Let the manual be read, and its prescriptions fairly tried, and we fear not the result. IMPORTANCE OF HEALTH. The design of this manual is to point out some of the means by which much human suffering may be prevented, bodily functions preserved unimpaired, and life prolonged to the full period of man’s existence. The importance of the subject will be obvious when it is considered how inconsistent physical incapacity and suffering are with moral well-being. When the habits and circumstances of man are inimical to good health, he sinks in all the capacities of his nature. The application, therefore, of means for guarding or restoring the health of the body, provides for the exercise of the intellectual and moral powers in their highest state of perfection. There may be moral benefits and opportunities consequent on weakness and disease ; but who can doubt that those attendant on health and vigor are far greater? Impaired health is a moral as well as a physical disadvantage. Reason asserts this, and experi- ence confirms it. Who has not learned that an important way of “ keeping the body in subjection,” is to keep it free from the un- easy sensations and disabilities that accompany ill health? If this be so, it places the highest value upon the perfection of our bodily organs, and stamps that profession, whose duty it is to promote “ the glory of the Creator and the relief of man’s estate,” as one of the very highest that can be exercised by man. From such a standpoint, we see in every disease cured, the removal of a blot which marred the image of God’s noblest work, and new power given to brighten and lengthen man’s earthly life. Thus, allevi- ating human suffering, and so allowing the fullest exercise of man’s higher nature, we are permitted to be humble followers of Him who “healed all manner of diseases,” and whose wonderful and benefi- cent life has been embodied in the simple phrase, “ He went about doing good.” E. H. RUDDOCK. 12 Victoria Square, Reading, Eng., April, 1871. HINTS TO THE READER. I. The novice in Homoeopathy should first make himself famil- iar with the introductory chapters. II. When the work is consulted for the treatment of any par- ticular disease, the whole section devoted to it should be read before deciding on the course to be taken ; and if difficulty is experienced in choosing from different medicines, the Materia Medica should be referred to, and an endeavor made to grasp the essential fea- tures peculiar to each remedy. III. Persons desirous of being able to act wisely and promptly in any emergency, for the prevention or removal of suffering, should read this manual through. The body of the work, Part II., is devoted to diseases and their treatment; Part III., to Materia Medica. Both should be studied carefully. IV. Readers desirous of a more ample work, are respectfully re- ferred to “ The Vade Mecum of Modern Medicine and Surgery." An attentive study of that work will give a tolerably broad knowl- edge of general disease, and a measure of skill in the use of many valuable remedial agents. The “ Vade Mecum ” will thus form a useful, if not an indispensable, companion to “ The Stepping-Stone.” V. When medical terms are used, they are either explained in the text, or the meaning is appended to the words which seem to require explanation as they occur in the INDEX and in the Clinical Directory at the end of the manual. This Index is very copious, and every point of importance may be found by it. Reference is further made easy by division of the work into parts, chapters, and sections, and by a table of contents at the commencement. VI. A “ Clinical Directory ” is inserted, which, it is hoped, will Hints to the Reader. be found of great use to those who have attentively studied disease and Materia Medica. It contains prescriptions for about five hundred diseases and symptoms, many of which, and of the reme- dies prescribed, are not.referred to in the body of the work. The “ Clinical Directory ” has been carefully arranged, and its sugges- tions of remedies are the result of much experience. CONTENTS. Part I. ON HOMCEOPATHY CHAPTER I. PAGE History of Homceopathy, - 15 Introductory—Early History—Status of Professional Hom- oeopaths—Indirect Influence of Homoeopathy—Homoeo- pathy doing down?—Appeals to Facts—Small doses— Homoeopathy not opposed to Experience—Not Faith— Medicines in Health—Illustrations :—Light, Seed, and the Magnet. CHAPTER II. Advantages of Homceopathy, - - - - - 23 Economy—Success—The Public competent to judge—Hom- oeopathy in Cholera—Constipation—Statistics—Gentle Measures—Jerrold’s Death-bed—The Single Remedy— Medicines Specific—Not Disagreeable — Experimental Practice—Preventive Medicine—Future of Homceopathy. CHAPTER III. Observations on Health, 32 General Hints — Bathing — The Wet-pack — Exercise— Clothing—Light—Fresh Air—Bed-rooms—Water. CHAPTER IV. Medicines, Diet, etc., 42 Forms of Medicines:—Globules, Tinctures, and Tritura- tions—Medicine-Cases — List of Medicines:—Internal and External—Directions for taking Medicines—Hours— Dose—Repetition of Doses—Alternation of Medicines—• Diet:—Milk Diet, Ordinary Diet, Meat Diet, Extraordi- nary Diet—Tobacco and Snuff—Drugs. Contents. Part II. DISEASES: % THEIR CAUSES, SYMPTOMS AND TREATMENT. CHAPTER I. PAGE Fevers, 51 Simple Fever—Typhoid and Typhus—Accessory Measures in Fevers—Preventives—Intermittent Fever, Ague. CHAPTER II. The Eruptive Fevers, 65 Scarlet Fever, Scarlatina—Measles—Small-pox—Chicken- pox—Erysipelas, St. Anthony’s Fire. CHAPTER III. Diseases of the Organs of Breathing, - - - 79 Cold in the Head—Influenza—Hoarseness—Clergyman’s Sore Throat — Cough — Hooping-Cough—Croup:—In- flammatory and spasmodic—Diphtheria—Inflammation of the Lungs and Pleurisy—Asthma—Bronchitis — Chronic Bronchitis—Consumption. CHAPTER IV. Diseases of the Organs of Digestion. - - - 106 Indigestion—Vomiting—Sea-sickness—Colic — Biliousness —Heartburn, Flatulence, etc.—Jaundice—Inflammation of the Inver—Chronic Inflammation of the Liver, Liver Complaint—Diarrhoea—Diarrhoea in Children—Dysen- tery, Bloody Flux—Asiatic or Malignant Cholera—Con- stipation—Worms—Piles—Protrusion of the Bowel. CHAPTER V. Affections of the Head, ...... 137 Headache—Sick-IIeadache, Bilious Headache—Epilepsy, Falling Sickness. Contents. 13 CHAPTER VI. PAGE Affections of the Eyes and Ears, - 144 Inflammation of the Eyes—Bloodshot Eye—Stye on the Eyelids—Foreign Bodies in the Eye—Inflammation of the Ears—Earache—Running from the Ears—Deafness. CHAPTER VII. Affections of the Mouth, Nose, Teeth, and Glands, 15 i Offensive Breath—Thrush, Frog—Teething—Convulsions Toothache—Sore Throat, Quinsy—Mumps—Derbyshire Neck, Goitre. CHAPTER VIII. Affections of the Skin, 165 Itching of the Skin — Prairie Itch — Nettle-rash—Ulcers, Sores — Boils — Chilblains—Chapped-H ands —W arts — Corns — Whitlow —Ringworm. CHAPTER IX. Hemorrhages, -------- 176 Spitting and Vomiting of Blood—Bleeding from the Nose— Bleeding from the Urinary Organs—Haemorrhage from the Womb and Vagina, Flooding—Haemorrhagic Dia- thesis. CHAPTER X. Accidents, --------- 185 Wounds — Bruises — Black-eye — Cuts—Sprains—Fatigue and Over-exertion—Burns and Scalds—Broken Bones— Rupture—Strangulated Hernia—Poisons—Drowning. CHAPTER XI. Miscellaneous Diseases, 197 Rheumatic Fever — Chronic Rheumatism — Lumbago— Gout—Palpitation of the Heart—Incontinence of Urine— Wetting the Bed—Retention of Urine—Spermatorrhoea, Involuntary Emissions. Contents. 14 Part III. CONCISE MATERIA MEDIC A. PAGE Remedies for Internal Use, 208 Aconitum—Antimonium crudum—Antimonium tartaricum —Apis mellifica — Arnica montana—Arsenicum—Bella- donna — Bryonia — Calcarea carbonica — Calendula — Camphora— Cantharis—Carbo vegetabilis—Chamomilla —China—Cimicifuga racemosa—Cina—Coffea—Colocyn- this—Cuprum metallicum — Drosera—Dulcamara—Gel- seminum — Hamamelis — Hepar sulphuris — Ignatia — Ipecacuanha — Kali bichromicum — Lycopodium—Mer- curius — Nux vomica—Opium—Phosphorus—Podophyl- lum—Pulsatilla—Rhus toxicodendron—Silicea—Spongia —Sulphur—Veratrum album—Veratrum viride. Part IV. Clinical Directory, 232 Index, 251 The Stepping-Stone TO H OMGEOPATHY AND H EALTH Part 5. CHAPTER I. ms TOR V OF HOMCEOPA THY. INTRODUCTORY. This small volume is issued as a “Stepping-Stone to Homoeopathy;” a few remarks, therefore, explana- tory of this system of medicine, may appropriately precede its more practical teachings. Life is the noblest gift of God, and good health is one of its greatest accompanying blessings. To pre- serve health in its integrity, or to recover it when lost, are the objects contemplated in the publication of this manual. The reader is requested to pause a few min- utes, before entering on its practical details, in order briefly to consider some of the more prominent fea- tures, and a few of the advantages that would arise from the more general and extended adoption, of Hom- oeopathy. 16 History of Ho?nceopathy. EARLY HISTORY. Homoeopathy is a system of medicine for the cure of all curable diseases, first discovered and adopted nearly eighty years ago (a. d. 1790), by that great phy- sician, Hahnemann. We do not, however, claim for that distinguished man the invention of Homoeopathy; he only removed the obscurity which had hitherto shrouded the subject, and unfolded to mankind a great law of nature, just as Newton discovered the principle of gravitation. Glimmerings of this science had been caught, many centuries before, by Hippocrates and others, but the illustrious Hahnemann was the first.fully to grasp the principle, and to enunciate it as the law of healing, and therefore of universal applicability. At first, its professors were few, and consisted of the im- mediate friends and disciples of Hahnemann ; but ever since, they have been steadily multiplying, so that now medical men, many of them of great intelligence and high principle, are to be found practicing Homoeopathy in every civilized portion of the globe. There are about three hundred avowed legally qualified practi- tioners in Great Britain; but if those who approve the system, and practice it in secret, were added, the num- ber would be more than doubled. STATUS OF PROFESSIONAL HOMOEOPATHS. It is often represented that Homoeopathic medical men occupy an inferior position to those of the old school. The Medical Register, issued under the di- rection of, and in accordance with, an Act of Parlia- Introductory. 17 ment, may be appealed to in proof that the three hun- dred Homoeopathic practitioners of Great Britain hold the same degrees and diplomas, have the same legal rank, and have passed through the same course of study, under allopathic professors, as their brethren of the old school. On the continent, and in America, Homoeopathy is practiced almost co - extensively with Allopathy. INDIRECT INFLUENCE. Many there are who practice Homoeopathically, but have not the courage to avow it; and many others, im- pelled by the influence which this system is everywhere exerting, are greatly modifying their practice. The good thus indirectly effected by the discovery of Hah- nemann is immeasurable. Not only medical men, but tens of thousands of intelligent persons, in every civil- ized portion of the globe, confide in Homoeopathy as the best and truest system of cure. HOMOEOPATHY GOING DOWN ? It is true, the statement is often made by its oppo- nents, that the new system is on the decline. “ Homoe- opathy is going down,” remarked a medical man of the Allopathic school recently. It is going down. Not, however, in the sense he wished. It is sinking deep into the understandings and hearts of the public. Almost everywhere the people are directing their atten- tion to the subject. They try it, and in the hour of sickness confide in it; and if not conversant with the scientific proofs of Homoeopathy, they recognize in it a 18 History of Homoeopathy. power to heal superior to that they have ever exper- ienced under the old plan of treatment. HOMOEOPATHY APPEALS TO FACTS. It is deserving of remark, that in the discovery of Homoeopathy, Hahnemann did not first conceive a theory, and afterwards seek for facts with which to up- hold it. No! At the very starting point, and at each successive step, he relied solely upon facts. What he learned was from facts, based upon carefully conducted experiments. His assertions were grounded upon facts, the result of patiently and oft-repeated investigations. For several years he kept his discovery to himself; at the same time that he was arranging and accumulating evidence founded upon facts, which were diligently collected and closely scrutinized. Homoeopathy is still upheld by facts. It is because it has stood the trial of experience that it has been preserved to the present time, and will be transmitted to the latest generations. SMALL DOSES. Homoeopathy does not mean a small dose, as it is often supposed to do. The grand principle — that which forms the basis of the science — is, like curing like, irrespective of the quantity of the dose. Hahne- mann, after he had discovered the science, employed doses of the usual quantity. Experience and further investigation, however, taught him that smaller doses were not only sufficient and more safe, but that when frequently administered, were more efficient than large Introductory. ones. Apart from this, it is a matter of perfect indif- ference to Hahnemann or his followers whether they administer medicine in large or small doses. If they found large doses more efficient in curing diseases than small ones, they would assuredly administer the former rather than the latter. HOMCEOPATHY OPPOSED TO EXPERIENCE. The results obtained by Homoeopathic practitioners with small doses have been said to be opposed to all previous experience. But the truth is, that prior to the researches of Hahnemann and his followers, we had no experience at all in these matters. It is, conse- quently, just as absurd for medical men to deny that Homoeopathic remedies can effect the cure of disease because such cures are contrary to their experience, who have never tried them, as for a certain king of Siam to have treated as false the statement that in some countries, and in some seasons, water, under the influ- ence of frost, becomes changed from a fluid to a solid, permitting persons to walk upon it, because in his country no such phenomenon had ever been witnessed! Siamese philosophers are not yet extinct. FAITH NOT HOMOEOPATHY. That Homoeopathy is not mere faith or imagination, is proved by its curing the diseases of infants and of patients in delirium, as well as of the inferior animals. The writer is personally aquainted with many intelli- gent farmers who employ none other than Homoeo- 20 History of Homoeopathy. pathic medicines in the treatment of their sick animals. It must be admitted that the farmers of this country are generally shrewd and calculating men, not easily deceived in matters affecting their interests: and as great numbers of them declare that Homoeopathy cures diseases that were incurable by the old method that it cures more quickly at a less cost, and without damage to the constitutional powers of animals, we have the best evidence that the success of Homoeopathy is not the result of mere faith, but of valuable medicines, properly administered. The success of Homoeopathy is anything but the result of faith in those who practice it. Persons are generally slow to believe in it, and seldom have re- course to it, at first, without doubts and misgivings. Benefits are derived in spite of their unbelief. Faith in Homoeopathy comes and grows only as their cure progresses and is complete. The very improbability of a dose so small and so unlike what had been for- merly given, acts, so far as the imagination has any influence upon the cure, unfavorably, instead of the reverse. MEDICINES IN HEALTH. A story is often told of a child swallowing the con- tents of a tube of globules, which created great alarm, but took “no effect.” Supposing the circumstance to have occurred, it does not at all affect the truth of Homoeopathy. Homoeopathic medicines, in the form they are usually administered, are prepared with the view of acting in disease, when the parts are far more sensitive than in a state of health, and much more Introductory. 21 easily affected. A healthy constitution has no suscept- ibility for attenuated drugs; to ensure their action they must be administered in a low or crude form, so as to produce unnatural effects; in short a kind of poison- ing. ILLUSTRATIONS. — LIGHT. A ray of light falling upon a diseased eye will cause pain, or even become intolerable, although in health the same eye is unaffected by the broad light of day. The susceptibility of the eye is heightened by disease. Millions of rays of light afforded pleasure in health, now, one ray gives pain. Just so in reference to the tube of globules, that which will produce no disturbance in health will, in disease, with heightened sensibility, act powerfully. SEED. We borrow another illustration. Small doses may be taken without producing effects, just as seed may be sown without yielding fruit. It were as reasonable to expect a plentiful harvest from seeds scattered on the sea shore, or on a beaten path, as to expect “effects” from infinitesimal doses when the natural accessories are wanting. As seed will not grow unless the soil is congenial and prepared, so small doses will not act if the symptoms calling for their action are absent. THE MAGNET. The disease must have the same attraction for the medicine that the magnet has for iron. You could not History of Homoeopathy. tell by touching the loadstone with a piece of copper that it had any power of attraction ; neither could you tell by taking an attenuation of Aconitum in a state of health, that it had any power. But try the magnet with a piece of iron and Aconitum with a quick pulse, and then their energy will be demonstrated. When it is said the globules took “no effect,” what is meant is, the effects which follow Allopathic doses, viz.: vomiting, purging, extreme pain, etc. And here we have an illustration of the safety of Homoeopathic remedies, and how favorably they contrast with the strong drugs and severe measures often employed under the old system of treatment. Well, indeed, would it have been for thousands of Allopathic patients if bleeding, blisters, purgatives, mercury, etc., had also taken “no effect.” CHAPTER II. ADVANTAGES OF HOMOEOPATHY. We have only space to refer to some of the advan- tages arising from adopting Homoeopathic treatment. ECONOMY. Economy is secured, chiefly, from the shortened duration of diseases. Bleeding, blistering, purging, and other debilitating measures, are discarded, so that, the disease being cured, the patient soon regains his strength, because it has not been expended by exhaust- ing treatment. Tedious convalescence and permanently shattered health too often follow Allopathic drugging. Patients too often suppose they have not fully “ got over ” the disease, when in reality they only suffer from the effects of drugs. To the industrious portions of the community, who live by their labor, an early return to health is of great importance ; and it is a fact of too common occurrence, that much inconvenience and want often result from the injudicious and protracted meas- ures of the old system. HOMCEOPATHIC SUCCESS. In respect to successful treatment, Homoeopathy is immensely superior to Allopathy. Patients who have 24 Advantages of Homoeopathy. been under both systems are best able to judge of their comparative merits, and such almost universally give the palm to Homoeopathy. IS THE PUBLIC A COMPETENT JUDGE ? It may be said, the public is incompetent to judge of such matters; but it is not so; and although it might for a time be deceived, the deception could not last long. In matters affecting its personal interest, the public is remarkably shrewd, and seldom fails to arrive at a sound conclusion. Not only the general public but also physicians the most highly educated in the profes- sion, after due investigation and experiment, have re- nounced the old for the new system of practice ; while some of the most profound scholars and greatest nobles in the land are Homoeopaths. The clergy and minis- ters of all denominations are rapidly embracing the sys- tem. That distinguished sect, so often foremost in the field of philanthropy, the Fripnds, is almost entirely Homoeopathic. So, we venture to affirm, will all be who have the moral courage to inquire, investigate, and think for themselves. HOMCEOPATHY AND CHOLERA. The superiority of Homoeopathic over Allopathic treatment applies both to acute and chronic diseases. When cholera prevailed in this country, two out of every three patients were lost by the old system; on the other hand, Homoeopathy saved two out of every three. We cite the testimony of Dr. McLoughlin, a medical in- Homoeopathy and Cholera. 25 spector appointed by the Board of Health, to investigate cases of cholera, and who was always strongly opposed to Homoeopathy. He thus writes to pne of the sur- geons of the London Homoeopathic Hospital.* CONSTIPATION. Take, as a further illustration of its success, Constipa- tion of the bowels. Allopathy cannot cure this complaint. It can only give aperients or purgatives; and these, so far from removing the evil, in the long run generally aggravate it; whereas, by a little perseverance in the use of her remedies, Homoeopathy cures it. STATISTICS. We confidently refer, in proof of the success of Homoeopathic treatment, to the statistics of the various * British Journal of Homoeopathy, vol. 13, page 681. “ I need not tell you that I have taken some pains to make my- self acquainted with the rise, progress, and medical treatment of cholera ; and that I claim for myself some right to be able to recognize the disease, and to know something of what the treatment ought to be ; and that there may be therefore no misapprehension about the cases I saw in your hospital, I will add, that all I saw were true cases of cholera, in the various stages of the disease ; and that I saw several cases which did well under your treatment, which I have no hesitation in saying would have sunk under any other. “In conclusion, I must repeat to you what I have already told you, and what 1 have told every one with whom I have conversed, that, although an Allopath by principle, education, and practice, yet, were it the will of Providence to afflict me with cholera, and to deprive me of the power of prescribing for myself, I would rather be in the hands of a Homoeopathic than an Allopathic adviser.” 26 Advantages of Homoeopathy. hospitals and dispensaries conducted on purely Homoe- opathic principles in this country, on the continent, and in America. We have not space here to jecord even a selection from that accumulated evidence which has now become so voluminous. Numerous volumes of Homoeopathic clinical information, and the reports of the results of the practice of our hospitals and dispen- saries, are open to the inspection of all; for Homoeop- athy, differing in this respect from every system of quackery, courts investigation. Nothing is considered so inimical to its interests as concealment. Facts so bear out its inherent truth as to carry with them their own irresistible credentials, and these we are confident will eventually remove every impediment to its general study and universal practice. GENTLE MEASURES. Contrast the chamber of the Allopathic, with that of the Homoeopathic, patient. In the former, there is the bleeding-basin, the repulsive leech, the blister and its accompaniments—sores, salves, and dressings — the emetic and its disagreeable results, purgatives, and their disgusting and hurtful consequences. Think of these invading the last and most sacred hours of life, and being often inflicted on helpless infants and terri- fied children, as not merely unnecessary, but pernicious beyond calculation ; often destroying, by such harsh ap- pliances, the very life intended to be saved. Turn now to the chamber of the Homoeopathic patient. He is very ill, but the law of self-preservation is respected, and the “ life’s blood is spared.” No leeches or blisters The Single Remedy. 27 are used ; the linen is clean, and the air is sweet, for there has been no emetic, or purgative, or salivation. Perhaps the only article indicative of sickness is a glass or bottle of medicine, inoffensive alike to both taste and smell, but potent to mitigate the sufferings of the pa- tient, and restore him to health. jerrold’s death-bed. “ Why torture a dying creature, doctor ?” were the words and remonstrance of Douglas Jerrold to his medical attendant within a few hours of his death. The doctor insisted on administering medicine, and cupping, notwithstanding extreme exhaustion. His son and biographer, Blanchard Jerrold, says, “We waved the fans about him, giving him air, and still, at intervals he talked faintly, but most collectedly. The dawn grew into a most lovely summer morning. At ten o’clock the patient was cupped. He could hardly move in bed, and again said, ‘Why torture a dying creature, doctor?’ But the cupping took no effect.” This is a sad picture. Thank God, Homoeopathy is putting an end to such inhuman means, by substituting natural and gentle appliances, such as shall conserve the life-powers, and diminish, not aggravate, existing sufferings. THE SINGLE REMEDY. Another manifest advantage is the giving of only one remedy at a time, thus ascertaining the pure action of each separate drug, and avoiding the confusion result- ing from mixing different substances in one prescrip- Advantages of Homoeopathy. tion. Every remedy has an action peculiar to itself; and it cannot but happen, when several drugs are in- troduced into the system at the same time, that they interfere with each other. If, under such circum- stances good is effected, it is often impossible to deter- mine which one, or how many out of the number, have contributed to the result. Or, if no good follows, and it be necessary to alter the prescription, then it must be also impossible to know what change to make, what portions to omit, what new ones to add. Dr. Paris, a distinguished Allopathic physician, says he was once told by a practitioner in the country, that the quantity and complexity of the medicines which he gave his patients were always increased in the ratio with the obscurity of their cases. “ If,” said he, “ I fire a pror fusion of shot, it is very extraordinary if some do not hit the mark.” A patient in the hands of such a prac- titioner, says Dr. Paris, has a not much better chance than a Chinese mandarin, who, upon being attacked with any disease, calls in twelve or more physicians, and swallows in one mixture all the potions which each separately prescribes. In Homoeopathy we only give one medicine at a time; its action upon the system is then simple and undisturbed; and we are no longer in doubt as to what is doing good. HOMOEOPATHIC MEDICINES ARE SPECIFIC. An important advantage in our medicines is, that they only act on diseased parts. Thus, in affections of the brain, the bowels are not operated on by purga- tives; or the liver, mouth and bones by mercury; or Experimental Practice. 29 the skin by blisters; but such substances are adminis- tered as have been proved to operate directly on the brain itself. So in diseases of the chest; the bowels, liver, and skin are undisturbed, and that part only acted upon in which disease exists. This is a great advantage. Under such treatment disease cannot be produced in healthy parts, and the disappearance of the disease is a sign that it is absolutely cured. HOMCEOPATHY AND CHILDREN. Our medicines are not disagreeable. This is an advantage which every mother can appreciate who knows that her children have a natural and proper dis- gust of old physic.* Adults swallow nauseous draughts and pills in the hope of deriving benefit therefrom ; in the case of children, however, the prospect of benefit is often far more than counterbalanced by the horror and disgust which the abominable compound excites. And further, the diseases of children are influenced most strikingly and favorably by Homoeopathic medi- cines ; and every practitioner has often received the warmest thanks of parents from whose children most alarming diseases have been removed as by a charm. EXPERIMENTAL PRACTICE. We do not try experiments with our drugs on the sick. The practice of trying the effects of drugs on * “ Many a medicine given to children is so horrible that a medi- cal practitioner ought to lie present to count the pulse, and watch the countenance during its administration, just as is properly the case at a military flogging.” Advantages of Homoeopathy. persons suffering from disease is cruel a?id dangerous ; cruel, because it torments the patient already suffering from disease; and dangerous, because it often under- mines the constitution, and interposes obstacles to that natural tendency to recovery which Infinite Goodness has interwoven with life. Homoeopathic drugs, on the contrary, are always tried on medical men and their friends when in health, in repeated doses and suffi- ciently large to ascertain their properties, before ad- ministering the smaller attenuated doses of such medi- cines to the suffering. PREVENTIVE MEDICINE, Homoeopathy is preventive as well as curative. Its medicines have the power of preventing, or arresting at the very outset, many diseases, such as colds, influ- enza, various fevers, cholera, etc. In the practical portions of this work, it will be found that we have suggested preventive as well as curative measures. FUTURE OF HOMOEOPATHY. It may be asked. Will Homoeopathy ever become universal ? We reply, most great discoveries and im- provements have been obstinately opposed at first, but, having truth for their basis, have triumphed in the end. So Homoeopathy, in spite of the bitterest and most unprincipled opposition which it has received from the very commencement, has continued to spread in an ever-increasing ratio, so that now, wherever the sun shines, and the light of European civilization has pene- Future of Homoeopathy. trated, and suffering humanity is found, Homoeopathy is acknowledged and embraced as one of the greatest and most humane of modern discoveries. We have an impressive illustration in the case of Hahnemann, the first expounder of Homoeopathy, who was cruelly persecuted, and finally driven an exile from his native Saxony. Yet now, in the very city of Leipsic, from which he was banished, there adorns a plot of ground a monumental statue, in bronze, of that immortal physician ! If Homoeopathy, then, could not, in its early infancy be destroyed, there is little to fear for it now that it has grown to the proportions of a giant. Nearly all its present adherents have been converted from the old system, through experiencing or witnessing the superior advantages of the new, in the face of those deeply-rooted prejudices which it is difficult entirely to discard. Thousands of families, on the other hand, are now being reared up under Homoeopathic influences who have never espoused, and probably never will, any other system. The tendencies of such will be in the right direction, and they will become its consistent and unwavering advocates. Judging, then, of the future by the light of the past, and believing the saying, “Magna est veritas, et prevalebit,” we are led to the inevitable conclusion that Homoeopathy, founded as it is upon truth, upon an immutable natural law, will ulti- mately become the exclusive and universal mode of curing disease. CHAPTER III. OBSER VA TIONS ON HEALTH. (Hygiene.) GENERAL HINTS. All persons should, if possible, take moderate daily exercise in the open air, or if the weather is unsuitable, in well lighted and properly ventilated rooms. Undue indulgence in every passion, all excessive emotion, as grief, care, anger, must be guarded against. The active requirements of business, as well as all its cares and anxieties, should be strictly confined to ten or twelve hours each day, and the remaining portion of the twenty-four hours appropriated to rest, recreation, and the general improvement of the mind and body. The regular habit should be formed of going to bed early, and rising early. Even children, who generally wake early, should never be compelled to lie in bed, as nature seems to have intended every one to rise early. A passing remark on these topics is all our limited space permits, except on two or three points, to which addi- tional paragraphs are appropriated. BATHING. As an invaluable aid to health, and as a general rule, once a day — certainly not less frequently than every second morning — every person in health should The Wei Pack. 33 bathe or sponge the whole body with cold water, imme- diately following it by friction and exercise to promote the reaction. This tends to health, just as opening a window lets fresh air into a room. Merely washing the hands, face, and neck, is by no means sufficient; the entire surface of the body requires the application of water, not only for the purpose of cleanliness, but as a means of invigorating the capillary circulation, and so fortifying the system as to enable it to resist atmos- pheric vicissitudes. The secret of attaining these ends consists in employing water in such a manner and of such a temperature, and in the body being in such a condition before and after the application, that the re- action or glow shall be most perfect. The best time for a cold bath is on rising from bed, before the body has had time to get chilled. Bathing should not, there- fore, be practiced when the body is cold or cooling, or when it is exhausted by exertion or fatigue, or is natur- ally too weak. A bath should not be taken too soon after a meal; nor should the time spent in the bath be too long; that may vary, according to circumstances, from about one to four minutes.* For information on various forms of baths, and the conditions under which they are admissible, consult the “ Vade Mecum of Modern Medicine and Surgery.” THE WET PACK. Spread a mackintosh sheet or stout blanket or quilt on a mattress; and over it, leaving a margin at the head, * The addition of Sea Salt to the water imparts a stimulating property to the water which favors reaction. 34 Observations on Health. spread a thick linen sheet, wrung out of cold water. The wringing is best effected by two persons, one taking hold of either end, the sheet being doubled, and twist- ing as long as any water can be got out. In fevers, the colder the water is the better; for very delicate persons with feeble reaction, water at 68° may be used. The patient is to be extended on his back, naked, on the wet sheet, so that the upper edge covers the back of the neck, but the lower one is to project beyond the feet; holding up the arms, one side of the sheet is to be thrown over the body and tucked in ; the arms are now placed by the sides, and the other part of the wet sheet is thrown over all, and tucked rather tightly in, turning in the projecting ends under the feet. The mackintosh or blanket is then to be brought over all the sheet, and well tucked in round the neck, at the sides, and over the feet, so as completely to exclude the air. A stout quilt or extra blanket is to be put over all. In a short time the patient will become warm ; the sensation is most agreeable, especially in fevers. The patient may remain in the pack three-quarters of an hour to an hour, then be put into a shallow bath of water at 64°, well washed, dried, and put to bed. It may be repeated once or twice a day, according to circumstances and the violence of the attack. Perspiration may be encour- aged by giving sips of cold water. If the head becomes congested, or the face flushed while in the pack, a cold compress should be applied over the forehead. A little practice will enable any one to apply it. It is invalua- ble in the early stages of all fevers, and in scarlatina, measles, and small-pox, it assists in bringing out the eruption. Exercise. 35 EXERCISE. This is essential to health and long life. No one in health should neglect to walk a moderate distance every day in the open air, if possible in the country, where pure air can be freely inhaled. Other things being equal, this will insure the proper action of every important function. The walk for health should be diversified, including ascents and descents, and varying scenery; and be alternated, when circumstances admit of it, with riding on horseback, with gardening, or simi- lar pursuits. Such modes of exercise, practiced moder- ately and regularly, and varied from day to day, are much more advantageous than the exciting, immoder- ate, and irregular exertions of the ball-room, the hunt- ing-field, the cricket-ground, or the rowing-match. For feeble and infirm persons, carriage-exercise, if it may be so called, and frictions over the surface of the body and extremities, by means of towels and bath gloves, may be substituted for active exertion. The proper periods for exercise are when the system is not depressed by fasting and fatigue, or oppressed by the process of digestion. The robust may take exer- cise before breakfast: but delicate persons, who often become faint from exercise at this time, and languid during the early part of the day, had better defer it till from one to three hours after breakfast. An evening walk, in fine weather, is also advantageous. Exercise prevents disease by giving vigor and energy to the body and its various organs and members, and thus enables them to ward off or overcome influences which tend to impair their integrity. It cures many diseases by 36 Observations on Health. equalizing the circulation of the blood and the distribu- tion of nervous energy, thus invigorating and strength- ening weak organs, and removing local torpor and con- gestion. CLOTHING. Clothing should be arranged with a view to comfort, and according to the requirements of the season. Sum- mer clothes should not be put on too soon, or winter ones too late. Thin-soled boots and shoes are destruc- tive to health. So are stays. The body is strong enough to support itself; while stays often bring on diseases of the lungs and other important organs. The muscles of the body were intended to sustain it erect, but when stays are applied, they soon become indispensable, by superseding the action of the muscles ; and, in accord- ance with a well-known law of the muscular system, when they cease to be used they cease to grow. The following passage on clothing suggests points of great practical importance : “ The clothing may be either insufficient or improper ; and this insufficiency or impropriety may be either constant, as in leaving uncovered the abdomen, thighs, and legs of young children, and the neck, chest, and arms of children and young girls, and in the neg- lect to put on flannels in winter ; or it may be only occasional, as in the adoption of muslin and low-bodied dresses by ladies, and thin- ner neck-ties, vests, and boots by gentlemen for evening parties ; and in the neglecting to add more clothing during sleep. The fre- quency with which disease results in children from the inhuman practice of leaving their digestive, respiratory and other organs, and their extremities exposed to the chilling blasts and varying temperature of our atmosphere, is unfortunately too well known to need that I should enter into any proof; nor need I more than pro- Light. 37 test against the cruelty of leaving those parts naked in children, that we find it absolutely necessary to clothe the most warmly in adult life ; and more especially when we reflect that in childhood the body is small and the stock of animal heat insufficient, and the bodily growth in progress ; that growth is retarded and checked by cold and favored by warmth, and that there is absence of reason and experience to teach how to keep up the warmth of the parts exposed ; while in adult life the body is large and the stock of ani- mal heat more adequate, the growth complete, and reason and ex- perience possessed. I am convinced that many of the cases of in- fantile diarrhoea, cholera, constipation, remittent fever, dropsy after scarlatina, marasmus, phthisis, bronchitis, pneumonia, quinsy, hoarseness, and ophthalmia, result from this exposure.”* LIGHT. The importance of sunlight, for physical development and preservation, is much' undervalued. Women and children, as well as men, in order to be healthy and well-developed, should spend a large portion of each day where the solar rays can reach them directly. In very hot weather, during the excessive heat of the day, the shade of a tree, grove, or even an airy house, may be sought, but never our dark parlors and rooms, for the cold “ damp of death” is within them. Even at night, houses are only fit to be occupied that have been purified by the solar rays in the day-time. The value of sun-light, with its accompanying influ- ences, for animal development, may be illustrated by such facts as the following: In decaying organic solu- tions, animalcules do not appear if light is excluded, but are readily organized when light is admitted. The tadpole, kept in the dark, does not pass on to develop- *“ Taking Cold,” by J. W. Hayward, M.D. 38 Observations on Health. ment as a frog, but lives and dies a tadpole, and is in- capable of propagating his species. In the deep and narrow valleys among the Alps, where the direct rays of the sun are but little felt, cretinism, or a state of idiocy, more or less complete, commonly accompanied by an enormous goitre, prevails as an epidemic, and is often hereditary. Rickets, or deformities, crookedness, and swelling of the bones, are very common among children who are kept in dark alleys, cellars, factories, and mines. It has been found that, during the preva- lence of certain epidemic diseases, the inhabitants who occupy the side of the street and houses upon which the sun shines directly, are less subject to the prevail- ing disease than those who live on the shaded side. In all cities visited by the cholera, it was invariably found that the greatest number of deaths took place in narrow thoroughfares, and on those sides of streets having a northern exposure, from which the salutary beams of the sun were excluded. It is said that the number of patients cured in the hospitals of St. Petersburg were four times greater in rooms well lighted than in those confined in dark rooms. This discovery led to a com- plete reform in lighting the hospitals of Russia, and with the best results. FRESH AIR. A proper supply of pure fresh air is essential for the preservation ot ufe and health. Although life may not suddenly be destroyed by breathing an impure atmos- phere, still the vital energies are slowly but surely im- paired ; especially those of growing children and per- sons suffering from disease. Fresh Air. 39 Bed-rooms, in which about one-third of human life is passed, are generally too small, and badly ventilated. The doors, windows, and even chimneys, are often closed, and every aperture carefully guarded to exclude fresh air. The consequence is, that long before morn- ing dawns, the atmosphere of the whole apartment be- comes highly noxious from the consumption of its oxy- gen, the formation of carbonic acid, and the exhalations from the lungs and skin. In an atmosphere thus loaded with effluvia, the sleep is heavy and unrefreshing, par- taking more of the character of insensibility. Due pro- vision for the uninterrupted admission of fresh air, and the free escape of impure air, secures lighter, shorter, and more invigorating sleep. An airy, 7veil-ventilated sleeping apartment, should be regarded as one of the most important requirements of life, both in health and sickness. With few exceptions, the door and window of the bed- room may be left open, except in foggy weather, with perfect safety. A current of air may be prevented from playing on the face of the occupant, by placing the bed in a proper situation, or by suspending a single curtain from the ceiling. We may be permitted to add, we always sleep with a portion of the top sash of the win- dow down, except in very bad weather ; even then the door of communication with the adjoining room or landing, remains open. Water is the natural drink of man, and may always be taken in moderation when thirst is present. It per- forms important purposes in the animal economy, and is absolutely indispensable for life and health. Water WATER. 40 Observations on Health. enters largely into combination with all our food, and acts as a solvent of everything we take. It also acts as a vehicle to convey the more dense and less fluid sub- stances from the digestive tract to their destination in the body. It gives fluidity to the blood, holding in suspension, or solution, the red globules, albumen, fi- brine, and other constituents which enter into the dif- ferent structures of the body, the whole of which are formed from the blood. Not only the soft parts of the body, but even the very bones, or the materials of which they are composed, have at one time flowed in the current of the blood. To prove how essential wa- ter is for the development and maintenance of the ani- mal body, we may state that a calculation has been made which shows that a human body weighing 154 lbs. contains 111 lbs. of water. Such a fact should suggest the necessity for obtaining water pure, and taking it unpolluted by animal and mineral ingredients. Water may be obtained tolerably pure in rain or snow collected in suitable vessels in the open country, away from crowded dwellings and manufactories. Spring, river, sea, surface, well, and mineral water, all contain various substances dissolved in them, which render them, without distillation or filtration, unsuitable for drinking, or even for the preparation of articles of diet. The purest water is obtained from deep wells, bored through the earth and clay down to the chalk (Artesian Wells). For cooking purposes, and even bathing, the purest water that can be obtained is the best. One important object contemplated by the writer of this work is, the removal of a foolish prejudice, which unhappily exists in the minds of many, against pure Water. water, an element which God has provided for His creatures with the most lavish abundance; and of pro- moting, both for internal and external purposes, a more regular use of this invaluable boon and blessing. Pure water has justly been regarded as an emblem of inno- cence, truth and beauty. In a community in which this element shall be used as the chief beverage, and more abundantly for purposes of purification, we may hope to find in the morals of the people reflections of virtue of which water is so vivid a type. And, in a sense which more immediately bears on the subject of this manual, suffering will be more easily controlled by our remedies, and the development of those latent ten- dencies to disease most effectually prevented, which the habits and fashions of the present age seem to favor. CHAPTER IV. MEDICINES, DIET, ETC. FORMS OF MEDICINES. The following brief description of the different forms of medicines used in the practice will afford the begin- ner the necessary information on the subject. The preparations are of three kinds—Globules, Tinctures, and Triturations. Globules, or Pellets, are made of pure sugar, and when prepared for use are saturated with a solution of the medicine desired. They are often more convenient for use than the liquids or powders, especially for ad- ministration to infants. They vary in size, but the size prescribed in this book is about like a coriander seed, and is called by the new measure of the American Pharmaceutical Association, No. 30. Tinctures contain the more active principles of the vegetable medicines, in a greater or less concentrated form, and are supposed to be more decided and rapid in their action, in acute diseases, than globules. It is therefore advisable for those who reside at a distance from medical aid, to be furnished with a selection of the tinctures adapted to sudden and acute diseases, in addition to a complete case or chest of the globules or pilules, especially those numbered 1, 7, 8, 22, 27, 29, 31 and 36, in the list on a succeeding page. List of Medicines. 43 Triturations are in the powder-form, and contain a portion of the original crude substance triturated with a given quantity of sugar-of-milk; they are necessary to the administration of the lower attenuations of in- soluble medicines, such as Calcarea •arbonica, Hepar sulphuris, Mercurius, Silicea, etc. MEDICINE CASES. A medicine-case should be constructed expressly for the medicines, and used for no other purpose; it should be kept locked, under the charge of a responsible per- son, and be protected from light and heat; it should also be kept quite apart from substances which emit a strong odor. Immediately after using a vial, it should be corked again, and the corks or medicines never changed from one vial to another. LIST OF MEDICINES. The following is a list of medicines prescribed in this manual, and the dilutions recommended for do- mestic use : * 1 Aconitum napellus 2 Antimonium crudum 3 Antimonium tartaricum 4 Apis mellifica 5 Arnica montana 6 Arsenicum album 7 Belladonna 8 B-yonia alba 9 Calcarea carbonica LATIN NAMES. DIL. ENGLISH NAMES. 3 Monk’s-hood 6 Crude antimony 6 Tartar emetic 3 Poison of bee 3 Leopard’s-bane 6 White arsenic 6 Deadly-nightshade 3 White bryony 6 Carbonate of lime * For information respecting the properties and uses of the med- icines in the above list, consult the Materia Medica, at the end of the work. Medicines, Diet, etc. LATIN NAMES. 10 Cantharides 11 Carbo vegetabilis 12 Chamomilla 13 China 14 Cina 15 Coft'ea 16 Colocynthis 17 Cuprum metallicum 18 Dulcamara 19 Gelseminum 20 Hepar sulphuris 21 Ignatia amara 22 Ipecacuanha 23 Kali bichromicum 24 Lycopodium 25 Mercurius corrosivus 26 Mercurius solubilis 27 Nux vomica 28 Opium 29 Phosphorus 30 Podophyllum 31 Pulsatilla 32 Rhus toxicodendron 33 Silicea 34 Spongia tosta 35 Sulphur 36 Veratrum album DIL. ENGLISH NAMES. 3 Spanish fly 6 Vegetable charcoal 3 Wild chamomile 3 Peruvian bark 3 Mugwort of Judea 3 Mocha coffee-berries 3 Bitter cucumber 6 Metallic copper 3 Woody-night shade i Yellow Jessamine 6 Sulphuret of lime 3 St. Ignatius’ bean 3 Ipecacuanha 3 Bichromate of potash 6 Wolf’s-foot 6 Bichloride of mercury 6 Oxide of mercury 3 Strychnos Nux vomica 3 White poppy 3 Phosphorus i Mandrake 3 Wind-flower 3 Poison oak 6 Silex 3 Roasted sponge 6 Sulphur 3 White hellebore Also the strong Tincture of camphor, to be kept separately. EXTERNAL REMEDIES. Arnica montana, Calendula officinalis, and Rhus toxicodendron. DIRECTIONS FOR TAKING MEDICINES. Globules may be taken dry on the tongue, but it is better, when convenient, to dissolve them in pure soft water, or half a dozen Globules may be dissolved in a teacup of water and a teaspoonful given at a dose. If Tinctures are used, the required quantity should be dropped into the bottom of a glass, by holding the Hours. 45 bottle in an oblique manner, with the lip resting against the cork; the bottle should then be carefully tilted (see the illustration), when the tincture will descend and drop from the lower edge of the cork. A little practice will enable a person to drop with great exact- ness. Water should then be poured upon the medicine in the proportion of a table-spoonful to a drop. The vessel should be clean, and the mixture kept covered: the spoon used should not be left in the mixture, but wiped after each dose. Fine glazed earthenware spoons are the best for this purpose. If the medicine has to be kept several days, a new bottle may be used, taking care also that the cork is new and sound. The Tritur- ations should be placed dry on the tongue, and gradu- ally swallowed, the mouth having first been rinsed with water. The most appropriate times for taking the medicines, as a rule, are, on rising in the morning, at bed-time, and, if oftener prescribed, about an hour before, or two or three hours after a meal. HOURS. 46 Medicines, Diet, etc. THE DOSE. In determining the quantity and strength of doses several circumstances should be considered, such as age, sex, habits, nature of the disease, etc. As a general rule, without reference to individual peculiari- ties, the following may be stated as the proper dose in domestic practice : For an Adult, one drop of Tinc- ture, four Globules, or one grain of Tritura- tion; FOR A CHILD, ABOUT ONE-HALF THE QUANTITY; for an infant, about one-fourth. A drop is easily divided into two doses, by mixing it with two spoonfuls of water, and giving one spoonful for a dose. REPETITION OF DOSES. In the repetition of doses we must be guided by the acute or chronic character of the malady, the urgency and danger of the symptoms, and the effects produced by the medicines. In violent and acute diseases, such as cholera, croup, pleuritis, convulsions, etc., the reme- dies may be repeated every ten, fifteen, or twenty minutes. In less urgent cases of acute disease, the remedy may be repeated every two, three, or four hours. In chronic maladies, the medicine may be administered every six, twelve, or twenty-four hours. In all cases when improvement takes place, the medicines should be taken less frequently, and gradually relinquished. ALTERNATION OF MEDICINES. To avoid the confusion resulting from mixing differ- ent drugs in one prescription, and to ascertain the pure action of each, Homoeopaths never mix several together; Milk Diet. 47 but in acute diseases, where the symptoms of the malady are not covered by a single remedy, and a second one is indicated, the two are sometimes given in alternation j that is, one medicine is followed by another at certain intervals of time, and in a regular order of succession. But the alternate use of medicines should, as much as possible, be avoided. Except in violent and rapid dis- eases, the author rarely prescribes medicines alternately, and strongly recommends the general discontinuance of that method, as one little calculated to yield exact and definite clinical experience. HINTS ON DIET.* HOMCEOPATHY AND DIET. Homoeopathy is not, as is often stated, a mere sys- tem of diet. The grand rule to be observed is, that patients should partake of easily digestible and nour- ishing food, sufficient to satisfy hunger; and of such drink as nature requires to allay thirst. Nearly all the general remarks that it seems necessary to make in this* place are, that the diet should be regulated by the pa- tient’s observations, intelligently made, as to what kinds of food and drink best agree with him, these being modi- fied by the nature, stage, and progress of the disease un- der which he may be suffering. Meals should be eaten slowly, in a cheerful spirit, and taken at regular inter- vals, usually not more than three in the day; and no severe exercise — mental or physical — should be un- dertaken immediately after a meal. MILK DIET. When this diet is prescribed, it includes all kinds of * See also pages 58 and 59. 48 Medicines, Diet, etc. light puddings, made with milk. Arrowroot, gruel, tapioca, or sago, boiled in milk, rice, etc. Also tea or cocoa, and bread-and-butter. ORDINARY DIET. Meat, prepared for the table so as to retain all its gravy, and vegetables, varied from time to time, and properly cooked, for dinner. Bread, with butter or fruit, and cocoa or tea, with milk and sugar, for the morning and evening meal. Cheese may be used if it agree, and the digestive organs are healthy. In many hospitals the daily allowance of meat is three-fourths of a pound, including bone. Bread as required. MEAT DIET. When this is ordered, meat should be taken twice daily ; but for breakfast, eggs may sometimes be substi- tuted. In other respects, the same as for ordinary diet. EXTRAORDINARY DIET. In hospitals, this includes meat, fish, poultry, etc.; also wine, brandy, or porter, specially ordered by the doctor. The quantity of spirits, wine, or beer, to be taken by a patient, should be regulated by the special order of a medical man, and none taken unless so ordered. Different diseases and different constitutions, how- ever, require varied kinds of food. Thus, in cases of diarrhoea, fruits and vegetables should be avoided, while a confined state of the bowels requires a free use Tobacco. 49 of these articles; also, when febrile symptoms are pres- ent, meat, eggs, butter, and other stimulating food, should be excluded from the bill of fare, and the diet restricted more particularly to fruits and farinaceous articles, or to water and mucilaginous drinks alone. In acute and dangerous diseases no food whatever may be proper, the only admissible article being that for which nature craves, viz., pure cold water, given in small quantities, at short intervals. TOBACCO. Tobacco and Snuff in every form, are highly preju- dicial. Tobacco-smoking often induces thirst and vital depression, and as it is generally accompanied by spit- ting, wastes the saliva, and leads to the worst and most obstinate forms of indigestion. The secretions of the mouth should never be expectorated, unless they are the products of disease, as in catarrh. Tobacco-smok- ing, especially where the habit is acquired in early life, gives an unhealthy character to the blood, produces a sallow hue of the skin, general physical weakness, and stunted growth. And these injurious consequences do not end with the smoker, but are transmitted from parent to child, resulting often in a puny, weak, and unhealthy offspring. Smoking tends to destroy the nervous forces, depriving the individual of that vigor- ous energy which should distinguish both his physical and moral character. We venture to indorse the fol- lowing prediction : “ If the habit of smoking in Eng- land advances as it has done during the last fifteen years, the English character will lose that combination Mcdicines, Diet, 'tc. of energy and solidity which has hitherto distinguished it, and England will sink in the scale of nations.”* DRUGS. Persons under Homoeopathic treatment are particu- larly cautioned against taking herb-tea, senna, salts, castor oil, pills, and other drugs. Caution in respect to aperient drugs is especially required, now that such numerous patent medicines are advertised and sold in every part of the country, doing an incalculable amount of injury. * What is the prospect for the people of the United States of America ? lart M. Diseases and Their Treatment. CHAPTER I. FE VERS. I.—simple fever (Febricula). Simple fever is the mildest form in which a feverish attack occurs, and as it generally disappears in from twelve to thirty-six hours, it is termed an ephemeral disease. Symptoms. — A feverish attack usually commences in the afternoon or evening with alternate chills and flushes, followed by heat and dryness of the skin ; hard, full, quick pulse; dry, coated tongue; thirst; hurried, anxious breathing, and highly-colored and scanty urine. Also, often, pain in the loins, headache, deranged bowels, and loss of appetite. As these symptoms may be precursors of serious diseases, they require prompt attention. Causes.—Suppressed perspiration, exposure to damp or cold, sudden changes of temperature, wearing damp 52 Fevers. clothes; poor or insufficient diet; injuries, internal or external; fatigue, etc.; or it may be a modified variety of one of the forms of fever described in the next section. Treatment.—Aconitum is found to be the chief remedy for all such symptoms as those above indicated; and it will most effectually calm the arterial excitement. Aconitum has been termed the Homoeopathic Lancetj and in all febrile attacks, whether slight or serious, it is the first remedy to be administered. Perspiration fol- lowing its administration is often a welcome indication of its beneficial action. A dose every two or three hours, or, in urgent cases, every half-hour or hour, till perspiration breaks out, when this remedy may be dis- continued. [Dr. J. S. Douglas, of Milwaukee, U. S. A., in his excellent do- mestic manual, “ Practical Homoeopathy,” speaks highly of Gel- seminum in the treatment of fevers generally — and we give place to his instructions the more readily because he has had more expe- rience in the use of Gelseminum than most other well-informed medical men.—Amer. Ed.] Dr. Douglas says: In the early or chilly stage, put a few drops of Gelseminum in a tumbler of water, and add an equal number of spoonfuls of water, and give a spoon- ful every half-hour till the chill ceases, and perspiration is procured, or the pain and fever subside. Then stop it as long as the improvement continues. As soon as the symptoms begin to return, renew it. In a majority of cases, the first dose stops the chill within fifteen or twenty minutes. If the first dose produces no effect, increase it to two, three, or five drops, for there is a great difference in the quantity required by different persons. In many cases one-half or one-quarter drop is sufficient. After a free perspiration is thus produced, the pains subside, and the patient goes to sleep, and when he wakes, is conscious that his “ fever is broken up.” Simple Fever 53 It is important that this treatment should be adopted in the early stage of the attack. I have cured innumer- able cases by this remedy alone. This is applicable to all fevers that come on with chills and pains, as above described, whether catarrhal (from a cold), bilious, typhoid, or rheumatic. When these symptoms are present, Gelseminum is the remedy. If the treatment is not commenced till a later period, it will often succeed, and should be tried as the first remedy, but there is much less certainty of success. But it need not be con- tinued over one day, if it is not obviously doing good. If this fails, and the fever puts on the forms and symp- toms hereafter described, then corresponding remedies must be used. Gelseminum is the best remedy known for simple fever. Aconite is the indispensable remedy for local inflamma- tions, which often exist in fever. This distinction is of great importance, and should not be forgotten. Camphor.—For a sudden seizure of chilliness ; shiver- ing, with lassitude, and general indisposition which has come on rapidly. Two drops of the strong tincture of Camphor on a small piece of loaf sugar, or two or three globules of strong Camphor repeated three times, at in- tervals of fifteen or twenty minutes, may precede Aconi- tum, or it may be alone sufficient. If the fever is more severe and persistent, other medi- cines may be required, the indications for which are stated in the next section. Accessory Means. — The patient should be kept cool and quiet, no stimulating food or drink taken, and all causes likely to occasion mental or bodily excite- ment carefully avoided, See Accessory measures in fevers, page 56. 54 Fevers. II. ENTERIC OR TYPHOID AND TYPHUS FEVERS. Symptoms.—The most characteristic are debility and emaciation; weariness and restless anxiety; ringing noises in the ears, and often deafness; black spots be- fore the eyes ; low muttering delirium ; stupor : and an eruption. The latter, however, may be imperfect, or even absent.* TABULAR DIFFERENCES BETWEEN TYPHOID AND TYPHUS FEVER. TYPHOID. TYPHUS. (1.) Typhoid seldom attacks persons after forty, and is most common in youth, including children. (2.) Is more common among the rich than the poor. (3.) Arises from decomposing animal matter, foul drinking- water, as when a drain leaks into a well, etc. (4.) Comes on insidiously, the premonitory stages lasting a week or more. (5.) The bowels are much affected with diarrhoea, conges- tion, or even ulceration. (6.) The eruption of the skin consists of ROSE-COLORED SPOTS, something like measles, appears in successive crops, and fades under pressure. (7.) Continues at least three weeks, and often five or six, or even more. (i.) Typhus occurs at any age, but more frequently in mid- dle life. (2) Is rare among the wealthy, excepting doctors, students, and visiting clergymen. (3.) Arises from over-crowd- ing, bad ventilation, and destitu- tion ; it spreads by contagion. (4.) Comes on quickly. (5.) The head is chiefly af- fected, and the bowels are but little so. (6.) The eruption is of a MULBERRY COLOR, comes Out only once, and does not disap- pear under pressure. (7.) Runs its course in about a fortnight. *For more detailed symptoms and treatment, see the “ Homoeo- pathic Vade Mecum.” Typhoid and Typhus. 55 TYPHOID. TYPHUS. (8.) The tendency to death is by ASTHENIA (exhaustion) (9.) Is commonly called gas- tric fever. (S.) Tends to death by coma (morbid drowsiness). (9.) Is sometimes called brain fever. Treatment.—First stage.—Verat. vir, Baptisia tinc- toria, or Bry. Great prostration.—Ars., Verat., or Rhus Tox. The Lungs involved.—Phos. and Bry. The Brain.—Bell., Camph., Opi., or Rhus. The Bowels.—Ars., Bapt., Carbo Veg., Ipec., or Merc. Nervous debility following.—Fer. Sulph., China, Ign. Verat. vir.—Rapid pulse, severe headache, vomiting, and even delirium. Baptisia.—Early typhoid symptoms. This remedy should be given as soon as typhoid fever is suspected. Bryonia.—Bitter taste, brown-coated and rough tongue, bilious derangement, nausea, confined bowels, stupifying headache, cough, stitches in the chest, and ir- ritable disposition. When there is furred tongue, rheumatic pains and restlessness, Bry. may be alter- nated with Rhus every third hour. Belladonna.—Violent headache, redness and conges- tion of the face; a wild, red, and fiery appearance of the eyes ; throbbing and distension of the blood-vessels of the temples ; wakefulness and nocturnal delirium, and other cerebral symptoms. Hyoscyatmts may some- times be required instead of Bell. Mercurius.—Copious debilitating perspirations ; foul state of the mouth, throat, breath, etc.; diarrhceic evacuations, greenish or yellowish; thickly-coated tongue; tenderness at the pit of the stomach. 56 Fevers. Opium.—Stupor; slow, stertorous (snoring) breath- ing ; hard, full, slow, or oppressed pulse ; low delirium. Arsenicum.—Great debility, prostration, and rapid sinking, with very small and thready pulse ; burning thirst; diarrhoea, v/ith dark, offensive discharges ; cold perspirations; symptoms worse at night. Rhus Tox.—Foul discharges from the bowels; livid color of the skin ; fading away, or unhealthy character of ‘the eruption ; paralytic symptoms ; extreme weak- ness and prostration ; low muttering delirium ; picking of the bed-clothes; offensive, putrid, or bloody diar- rhoea ; dry, cracked tongue; great thirst, and scanty urine. Carbo Veg.—Offensive smells from the patient; in- voluntary evacuations of a putrid odor; deep-red urine; pinched, sunken countenance ; burning in the abdomen and pit of the stomach ; cold extremities; rapidly sink- ing powers, and scarcely perceptible pulse. Administration.—A dose should be given every one or two hours during the severity of the symptoms ; at other times every three to six hours. Accessory Measures in Fevers and the Sick- Room Generally.—The following points in the nurs- ing of fever patients should receive special attention : (i.) The apartment.—If practicable, the patient should be placed in a spacious, well-ventilated room, which al- lows an uninterrupted admission of fresh air, and the free escape of tainted air. Fresh air can only be insured by an open window or door, or both. It is generally desirable to have a blazing fire in a grate or open fire- place, kept burning mgnt and day, both in summer and winter; this also assists ventilation; but the patient’s Typhoid and Typhus. 57 head should be protected from its direct effects. The poison of the disease being thus diluted with atmos- pheric air, loses its power and so becomes inoperative. The room should be divested of all superfluous furni- ture—carpets, bed-hangings, etc. The light from the windows should be subdued, noise shut out, and un- necessary talking forbidden. (2.) Cleanliness.—The personal and bed linen should be frequently changed, and all matters discharged from the body immediately removed. The mouth should be frequently wiped out with a soft wet towel, to remove the sordes which gather there in severe forms of fever. The patient’s body should be sponged over as com- pletely as possible at suitable intervals with tepid or cold water, as may be most agreeable to his feelings, and quickly dried with a soft towel. Vinegar and water may now and then be substituted for simple water. Vinegar is often very grateful to fever patients. Spong- ing the whole surface of the body should never be omit- ted in fever; it reduces the excessive heat, soothes the uneasy sensations of the patient, and is indispensable in maintaining that cleanliness which is so desirable in the sick-room. Frequent washing with soap and water also tends to prevent the occurrence of bed-sores, by keep- ing the skin in a healthy condition. (3.) Watching patients.—Fever patients should never be left alone, but attended and watched day and night. Their urgent and incessant wants require this, and their safety demands it. Instances have occurred of patients, in the delirium which so frequently attends fever, get- ting out of bed, and even out of the window, during the absence of the nurse, and losing their lives from injury. 58 Fevers. (4.) Beverages. — As a beverage, especially in mild cases, and at the commencement of all fevers, pure water, toast-and-water, gum-water sweetened with a little sugar,* or barley-water, is nearly all that is neces- sary. In acute fever, cold water is like the “ Balm of Gilead.” Both internally and externally it is an agent of supreme importance, and acts favorably by lowering the excessive temperature, and also as a tonic, giving vigor and tone to the relaxed capillaries, in which the morbid action probably chiefly goes on. The use of water will prove a valuable adjunct to the medicinal treatment prescribed, and will accelerate those favorable changes which are hoped for. (5.) Strong support.—If the fever is attended by de- cided symptoms of prostration—feeble pulse, a con- fused and dusky countenance, etc.—Liebig’s extract of meat should be given early ; if the prostration is very * marked, and beef-tea, or Liebig’s extract is insufficient, wine may be added, and even brandy ; also the brandy- and-egg mixture is often of great utility. If the patient enjoys these stimulants, and desires their continuance, they may be regarded as proofs of their utility. Should, however, the wine or brandy aggravate the existing symptoms, their employment should be discontinued. A point of great importance is, that nourishment should be administered with strict regularity; in very extreme cases of prostration, every half-hour or hour, both day * Gum-water is prepared by adding one ounce of gum-arabic, and about half an ounce of loaf sugar to one pint of hot water. Gum is a mild nutritive substance, admirably adapted to inflammation of the mucous membrane, as in catarrh, bronchitis, inflammation of the bladder, etc. Typhoid and Typhus. 59 and night. Frequently, the functions of digestion and assimilation are so greatly impaired, that a large quan- tity of nourishment must be given to sustain the patient till the disease has passed through its stages. Dr. Graves was so strongly impressed with the importance of nourishment, as to have said that he desired no other epitaph than that he fed froers. (6.) Food not to be kept in the sick-room,—Miss Night- ingale’s suggestion on this point is so important, but, we regret to observe, so often disregarded, that we ven- ture to repeat it here. It is this—do not keep the food, drink, or delicacies intended for the patient, in the sick- room or within his sight. The air of the apartment is liable to deteriorate them, and the continuous sight of them to excite disgust. Rather take up for him, at the fitting time, and by way of surprise, two or three tea- spoonfuls of jelly, or as many fresh grapes as he may consume at once, or the segment of an orange. Or, if it is appropriate to his condition, a small cup of beef- tea, covered, with one or two narrow slips of toasted bread, as very much preferable to attempting to swallow even a less quantity from a basinful that has been kept for many hours within reach of the patient’s hand and eye. (7.) Moderation in convalescence.—Relapses are very liable to occur from indulging the appetite too freely during convalescence; and, therefore, toast and black tea, light bread-puddings, white fish, mutton-broth, beef extract, a small quantity of tender chicken, broiled mutton, etc., may only be allowed in great moderation; but never to the capacity of the appetite, till the tongue is quite clean and moist, and the pulse and skin have 60 Fevers. become natural. Even then moderation should be ex- ercised, as the appetite is often excessively craving. (8.) Unnecessary approaches.—These should be guard- ed against by persons in health, especially by the young, in whom susceptibility to disease is strongest. The greatest danger arises from the breath, and on turning down the bed-clothes. Another precaution is, not to visit the sick-chamber after long fasting. The great protective influence, however, is fresh air ; this neutral- izes fever-poison, and should be uninterruptedly pass- ing through the patient’s apartment. With open door and windows, and by avoiding the patient’s breath, and the exhalations from his person, till they become well diluted with pure air, fever cases of the very worst kind may be visited with perfect impunity. (9.) Preventive measures. — To prevent bad forms of fever, the cholera, and other acute and dangerous dis- eases, the following hints should be acted on : absti- nence from alcoholic drinks ; temperance in eating and drinking; healthy amusements, especially in the open air; industrial pursuits, short of great fatigue; the light of the sun and fresh air should be admitted into every room ; all stagnant water should be drained away from the house ; filth—animal and vegetable matters— should not be allowed to accumulate and decompose about sinks or drains ; personal cleanliness should re- ceive due attention, and a sponge, shower, or plunge- bath be taken daily; and, lastly, a bottle of the strong tincture of Camphor, or strong Camphor pills (both of Homoeopathic preparation), should always be at hand, so that when unavoidably exposed to infectious and dangerous influences, a dose may be taken before the Intermittent Fever. poison has extended to the blood. As general prevent- ive means, these hints are of the highest importance, and may be carried out in the confident hope of exemp- tion from the threatened evil. The words of Heberden embody a natural law of the highest importance : “ The SEEDS of VARIOUS KINDS OF DISEASE, LIKE THOSE OF VEGETABLES, WILL ONLY SPRING UP AND THRIVE WHEN THEY FALL UPON A SOIL CONVENIENT FOR THEIR GROWTH.” II. INTERMITTENT FEVER—AGUE. Intermittent fever is so named because the febrile symptoms return in paroxysms, between which they en- tirely pass off. Symptoms.—A paroxysm of ague has three stages— the cold, the hot, and the perspiring. The first stage commences with chilliness and rigors, chattering of the teeth, aching of the back and limbs, oppression of the chest, yawning and sighing. The face is pale, the fea- tures and skin contracted, the pulse frequent and small, the tongue white, and the urine scanty and frequently passed. In the second stage, flushings come on, until the entire body becomes hot, with thirst, bounding pulse, throbbing headache, and restlessness, the urine being still scanty, but high-colored. At length, the third or perspiring stage succeeds, and the patient feels much relieved. Thirst diminishes, the pulse declines in frequency, and the appetite returns ; at the same time there is a red deposit of urates in the urine. A paroxysm usually lasts about six hours, allowing two hours for each stage. The period between the parox- 62 Fevers. ysms, as already explained, is called the intermission; but by an interval is meant the whole period or cycle between the beginning of one paroxysm, and the begin- ning of the next. Pathology.—It is supposed that in the cold stage the blood leaves the surface and the capillaries, and ac- cumulates about the right side of the heart, the large veins and great venous organs of the interior, such as the liver, spleen, and the bases of the lungs ; in the hot stage, the heart re-acts and throws out the blood again to the surface, but with too great force ; in the sweating stage the secretions are re-established, and the proper balance between the large and small blood-vessels is restored. Types.—There are three chief types of ague; ist. The Quotidian, has a paroxysm daily, coming on in the morning from 7 to 9 a.m., and an interval of twenty- four hours. 2d. The Tertian, has a paroxysm every other day, coming on from 10 to 12 o’clock at noon, and an interval of forty-eight hours. 3d. The Quartan, has a paroxysm every third day, coming on from 2 to 4 p.m., and an interval of seventy-two hours. The tertian is the most frequent, and has the most marked hot stage; but the quartan is the most obstinate, and chiefly occurs in the autumn. There is still another type in which, though there is an attack every day, those only resemble each other which occur on alternate days. Effects.—From the recurrence of internal conges- tions in each cold stage, the function of the liver and bowels becomes disordered, the patient is sallow, his limos waste, but his abdomen is distended, and his bowels constipated. The spleen is especially liable to be Intermittent Fever. 63 enlarged, sometimes to a great extent, so as to be felt externally. This condition is popularly called ague-cake. Causes.—The exciting cause of ague is Marsh Afias- ma, which is probably the effluvia from decomposing vegetable matter, and is most rife when the land is dry- ing, after having been previously soaked with water. It is, therefore, most frequent in the spring, and when the rains fall upon the decaying leaves in autumn. Laws.—Malaria obeys the following laws, which, on account of their practical value, are worth noting, ist. It spreads in the course of prevailing winds. 2d. Its progress is arrested by rivers and running streams, and by rows of trees. 3d. It does not rise above the low level. 4th. It is most dangerous at night. Treatment.—This is divided into the palliative and the curative. The palliative is adopted during the paroxysms to mitigate the symptoms, and consists chiefly in imparting warmth during the cold stage ; re- moving the patient’s coverings, and giving cooling drinks during the hot; and supplying him with warm and dry linen when the perspiring stage has passed by. The curative is adopted during the intermission, and is of the greatest importance. The following are the chief remedies in our short list: China. —Ague in marshy districts, with its regular stages, and when there are yellowish complexion, drowsiness, tender or swollen liver or spleen, and wa- tery or bilious diarrhoea. A dose just before a parox- ysm is expected, and every four hours all through the intermission. Arsenicum.—Heat and shivering at the same time, or in alternation, or internal shivering with external heat; 64 Fevers. burning heat, thirst, pains in the stomach, debility, and tendency to dropsical swellings ; also when Quinine or Bark has been used in excess. Ipecacuanha.—Nausea and vomiting, with other gas- tric symptoms. Accessory Measures.—If practicable, residence in a well-drained district, with a dry, bracing atmosphere. If compelled to remain in a malarious atmosphere, the laws of intermittents should be remembered, and the patient not remain out of doors at night, selecting the loftiest parts of the house to sleep in. Air and light should be freely admitted during the middle of the day into the house, but the night air carefully excluded. Light nourishing diet may be taken, but the digestive organs must not be overtaxed. Fatigue and cold draughts of air must be avoided, and the clothing be sufficient to be comfortable. For ampler treatment, see “ The Homoeopathic Vade Mecum of Modern Medicine and Surgery.” CHAPTER II. THE ERUPTIVE REFERS. (Exanthemata.) The Exanthemata or eruptive fevers arise from a specific contagion, run a definite course, are accom- panied by a specific inflammation of the skin, called the eruption, affect some part of the mucous membrane as well as the skin, and, as a general rule, only attack an individual once. The true Exanthemata, including all these charac- teristics, are, the small-pox, measles, and scarlet fever, but there are other less perfect forms, as chicken-pox, nettle-rash, and rose-rash ; even continued fever itself is classed with them. These diseases are called by the Registrar-General Zymotic diseases, a term implying their origin in a poison which acts like a ferment in the blood, and are regarded by sanitary reformers as pre- ventible diseases. They have all a latent period inter- vening between the reception of the contagion and ac- cession of the fever, during which time the patient is to all appearances in good health. T. SCARLET FEVER SCARLATINA. This is a contagious disease, chiefly affecting chil- dren, The second, third, fourth, and fifth years of life are those in which it is most prevalent; after the tenth 66 Eruptive Fevers. year its frequency rapidly declines. The opinion that the disease does not attack children under two years of age is very erroneous. The increasing prevalence of Scarlatina during the present century leads us to assign to it that pre-eminent rank among the causes of the mortality of childhood which was formerly occu- pied by Small-pox; indeed it is probable that as Small-pox has declined since the introduction of vac- cination, Scarlatina has proportionately increased, so that the mortality from it greatly exceeds that from Measles and Small-pox combined. In 1863 the mor- tality from this disease in London alone was 4,982, a year remarkable for the wide-spread character and fatality of this epidemic. Nor were its ravages re- stricted to London, for scarcely a town or district of England escaped. The mortality in towns is double that in the country. Symptoms.—Scarlatina has a latent period of about five days. The disease commences with the ordinary precursors of fever—shivering, hot skin, frequent pulse, thirst, and sore throat, and, often, vomiting. On the second or third day, after these symptoms, the eruption appears, first on the neck and breast, and then over the great joints and body generally, as a scarlet efflorescence, minutely point-shaped, but not raised above the sur- rounding skin so as to be felt; and somewhat resem- bles a boiled lobster-shell. On about the fifth day after its appearance, the eruption generally begins to decline, and gradually goes off, the outer skin desquamating in large flakes. The distinctive characters of Scarlatina are—(1.) The scarlet rash, just described.—(2.) The high temperature of the skin and blood, which becomes Scarlet Fever. 67 higher than in most other fevers, rising often to 105°, 98° being the normal standard.—(3.) The papilla; of the tongue are red and prominent, and may be first seen projecting through a white fur, or, as this fur clears away, on a red ground, and has been termed “ the strawberry-tongue.”—(4.) The. sore throat. The throat is congested and swollen round the soft palate and tonsils, and the mucous membrane of the mouth and nostrils is generally affected. To distinguish Scarlatina from Measles, see under the latter disease, page 72. Varieties.—There are three forms, viz., Scarlatina simplex, in which the skin only appears to be affected; Scarlatina anginosa, in which both skin and throat are involved, (the variety commonly meant by “ Scarlet fever); and Scarlatina maligna, with extreme depres- sion of the vital strength, superadded to the affection of the throat and skin, the fever assuming a malignant character. The tongue is brown, there is low delirium, the eruption is imperfect, darker than usual, and alter- nately appearing and disappearing. The throat is dark, livid, and even sloughy. Often this form of the disease terminates fatally on the third or fourth day, and is always one of such extreme danger that none but pa- tients of very vigorous constitutions, and when skillful treatment is commenced early, survive it. Scarlatina is more prone to assume a malignant form than any other of the exanthemata, and sometimes pre- vails epidemically in low or ill-drained districts. Treatment.—Scarlatina simplex—Bell. alt. Aeon.; Sulph. during convalescence. Scarlatina anginosa— Merc., for ulceration of the throat; Apis, excessive 68 Eruptive Fevers. swelling. Scarlatina maligna—Ailanthus glandulosa, Ars., Apis, Gels., Mur. ac., Phos., Opi., etc. ; also spray of Sulphurous Acid, or of Candy's Fluid diluted—one part of either to about twelve of water. This disease should always be under the care of a homoeopathic physician, as the mildest forms, neglected, have often led to the worst results. Belladonna.—Immediately Scarlatina is suspected, and especially when the rash begins to appear, the swal- lowing becoming difficult, and the throat inflamed, Belladonna should be given every first, second, or third hour, according to the severity of the symptoms, and as long as the eruption is bright-red. This medicine ex- erts a direct power over Scarlet fever, which in its sim- ple form, will frequently yield to its action without the aid of other medicines. Aconitum.—If the fever be severe, a few doses may precede, or be alternated with, Bell. Gelseminum.—In simple cases when the eruption is not clear, when the symptoms are remittent, and for nervous restlessness, etc. Veratrum viride is valuable when there is much head disturbance, vomiting, and very rapid pulse. Mercurius.—Inflamed, swollen, or ulcerated throat. If there be a predominance of the throat symptoms, especially malignant sore throat, Merc, is most valuable. Arsenicum.—Great prostration of strength; cold clammy sweats; frequent, weak pulse; threatened dropsy. Sulphur.—When the disease is on the decline, to prevent secondary complaints. A dose night and morn- ing for several days. Scarlet Fever. 69 General Measures.—The hints on Nursing, page 56, should be studied, and, as far as possible, strictly carried out. Sponging the surface of the body with tepid water, to moderate the great heat and allay rest- lessness, is a most useful measure. A wet bandage to the throat, when it is affected, is a sovereign remedy, and seldom fails to relieve. It should be fastened both at the back of the neck, and at the top of the head, so as to protect the glands near the angles of the jaws. Inhala- tion of steam from hot water is useful when the throat is sore and painful. Also the wet pack, as described page 33. Prevention.—During the prevalence of scarlatina, a dose of Belladonna should be given night and morn- ing to children who have not had the disease. The first dilution, or even the strong tincture, is best for this purpose. Should the disease occur notwithstanding this treatment, its severity will be much mitigated. After Consequences {Sequela).—There are several sequelae that may follow Scarlatina, especially in un- healthy subjects or districts, or when the disease has not been skillfully treated.—(1.) Inflammation and swelling of the glands of the neck, which in scrofulous children attain a large size, often suppurate, and burrow under the muscles of the neck. Merc. Hepar s., or Calc. should be administered immediately any swelling is ob- served. (2.) The inflammation of the throat may be extended along the Eustachian tubes (little canals which extend from the throat to the ear), producing deafness by their obstruction, or by suppuration of the tympanum (drum of the ear), or by some other mischief of the ear. The remedies recommended are Bell., Merc., 70 Eruptive Fevers. Aurum or Puls. (3.) But the most frequent and dan- gerous sequel is anasarca (dropsy), which takes place about the twenty-second day from the commencement of the fever. It is worth notice that dropsy is more frequent after a mild than after a severe form of Scarla- tina, owing probably to the disease not having expended all its force, some of the poison remaining in the sys- tem ; or it may be due to the want of caution in such cases during convalescence. Apis, Arsen., or Pry., are the chief remedies. Apis is generally a prime remedy in post-scarlatinal dropsy. 11.—measles (Rubeola, Morbilli). Measles is a disease of childhood, usually unattended with danger, unless improperly treated ; in adults it is a severe, or even dangerous malady. Like Scarlatina and Small-pox, it is highly contagious, often epidemic, and generally attacks the same patient only once. Symptoms.—Ahout eight days after the reception of the infection, the disease is ushered in with the symp- toms of a common cold, such as sneezing, running from the nose, red, swollen, and watery eyes, a hoarse, harsh, cough, and fever. On about the fourth day, the erup- tion appears on the face and neck, and soon after on the whole body. It is in the form of minute pimples, which multiply and coalesce into blotches of a more or less crescentic form, slightly raised above the surround- ing skin, so as to be felt, particularly on the face, which is a good deal swollen. In four or five days the fever abates, and the eruption declines, a bran-like scurf being afterwards thrown off the skin. Measles. Measles differ from Scarlatina in several respects. The eruption is rough, so that on passing the hand over the skin considerable inequalities may be detected, and is of a darkish scarlet color; in Scarlet Fever, the rough- ness is absent, and the rash is of a bright scarlet color. The sneezing, lachrymation, and other catarrhal symp- toms which characterize the primary stage of Measles, are usually absent in Scarlet Fever. Treatment.—In mild forms, Puls.; in severe and complicated, Aeon., Pry., Bell., Sulph., Ipec., Merc., Rhus fox., Arsen., etc. Aconitum.—Febrile symptoms, either at the outset, or during the progress of the disease. See also Verat vir., under Small-pox. A dose every third or fourth hour, as long as may be necessary. Pulsatilla.—Almost specific in measles ; especially when symptoms of cold, derangement of the stomach, and much phlegm in the chest are present. It is'most useful after the fever has been modified by Aconite; or in the absence of fever it may be given alone. Belladonna.—Considerable affection ,of the throat, dry, barking cough, restlessness, and tendency to de- lirium. A few doses, at intervals of two or three hours Bryonia.—Imperfectly developed or suppressed erup- tion ; stitching pains in the chest, difficult breathing, cough, etc. In addition to this remedy, a sudden re- cession of the eruption might necessitate a warm bath. Seepage 157. Sulphur.—After the eruption has completed its natu- ral course, and the other remedies are discontinued. A dose night and morning for several days. After Consequences (Sequelce).—Measles is often 72 Eruptive Fevers. succeeded by diseases of the lungs, eyes, ears, bones, or some affection of the skin. These are often far more serious than the malady itself, and generally require professional treatment. They may sometimes be pre- vented by the administration of Sulphur as just directed. Sequelae are infrequent after Homoeopathic treatment. Measles and Consumption. — Tubercular disease of the lungs, or, more often, of the bowels, is by no. means an infrequent sequel in delicate or strumous children. Cases of this nature are often under our care, and from long observation we have reason to be- lieve that such a connexion is far from uncommon. Whenever, therefore, a child makes but a slow or im- perfect recovery after an attack of measles, more par- ticularly if there be tenderness, pain, or enlargement of the abdomen, diarrhoea or irregular action of the bowels, a grave constitutional disease may be suspected, and no time should be lost in obtaining professional Homoe- opathic assistance. Diet and Regimen.—The same as directed under Fevers, pages 58, 59. The wet pack, see pages 33, 34, is useful at the commencement of the fever. It is especially necessary to guard the patient from cold, and, except during the very height of summer, a fire should be kept burning in his room. Exposure may cause the eruption to recede, and bring on bronchitis or pneumonia. The patient should be kept in bed. Preventive Measures.—Measles is contagious, and may generally be prevented, or modified, by giving chil- dren who have not had the disease a dose of Pulsatilla morning and night during the prevalence of the disease. Small-Pox. 73 hi.—small-pox ( Variola). This is a most contagious disease, and is distinguished as the distinct, in which the pustules are separate, and the confluent, in which they run into each other, and form large continuous suppurating surfaces. Symptoms.—The attack commences like most other fevers, and about twelve or fourteen days after the re- ception of the poison. There are chilliness, heat, head- ache, a thickly-furred, white tongue, a deep flush upon the face, a feeling of bruised pain all over the body, but especially in the back and loins; more or less pain or tenderness at the pit of the stomach, and sometimes vomit- ing. When the pain of the back and vomiting are vio- lent, they may be regarded as the precursors of a severe form of the disease. On the third day the eruption appears in the form of red spots, or small hard pim- ples, feeling like shot in the skin. It first comes out on the forehead and front of the wrists, is gradually ex- tended over the body, and may also be seen upon the palate. The eruption being completed, the fever sub- sides, the pustules begin to fill like boils, are depressed in the centre, and surrounded by a circular inflamed ring. The eyelids, face, and hands are swollen, and the fea- tures obliterated. A peculiar, disagreeable odor now begins to emanate from the patient, whi9h, once smelt, cannot be forgotten. In about eight days from the first appearance of the eruption, the pustules break and dis- charge their contents ; scales then form, which dry up, and, in a healthy state of constitution, fall off in the course of four or five days, leaving purplish spots, which do not fade away before the sixth or eighth week. Eruptive Fevers. Diagnosis.—In the early stage, Small-pox is chiefly distinguishable from the other eruptive fevers by severe pain in the back, and vomiting; also by the dots giving to the finger the sensation of small shots imbedded in the skin. This latter is a most useful sign to distinguish it from scarlatina and measles. Dangers.—The greatest danger arises from the secondary fever, about the ninth to the twelfth day, when the pustules are ripening ; for then the fever is likely to return, the vital strength having already been much exhausted. In a confluent case, fatal chest symptoms may arise, or it may be followed by abscesses in various parts of the body, by ulceration, or by opacity of the cornea and loss of sight. Treatment.—Antimonium tart, should be given as soon as Small-pox is suspected, and is a chief remedy in the disease. The spasmodic retching, nausea, and hoarse cough, often very distressing, may be relieved by this medicine. Aconitum, every third hour, for fever, headache, and restlessness, or Veratrnm viride if there be much sick- ness with the fever, and very rapid pulse. If the head symptoms are very severe, see also Bell. Belladonna.—Stupor or delirium, severe headache, or ophthalmia. Bell, has a direct action upon the brain ; it also tends to retain the eruption upon the surface. Apis.—Considerable swelling of the face and eyelids, the latter often becoming closed. If the swelling is at- tended with hoarseness and pain in swallowing, Apis and Bell, should be alternated. Mercurius.—Ulcerated throat, salivation, and diar- rhoea, with bloody stools. Small-Pox. 75 Rhus tox.—Valuable during the eruptive stage, when there is severe pain in the loins and back, and marked prostration. Coffea.—Great restlessness and inability to sleep. A few doses only will be required. Carbo veg.—Low typhoid symptoms, with a tendency to putrescence. Also Arsenicum, etc. Accessory Means.—As soon as the eruption appears, the patient should be placed in a moderately dark room, in which there is ample provision made for the uninter- rupted admission of fresh air, and the free escape of tainted air. He should be kept cool, and the sheets and linen be frequently changed. As soon as the eruption is well out, the whole surface should be smeared over with bacon fat, the anointing being repeated twice or thrice daily. A piece of boiled bacon, with the skin on, cut horizontally, leaving about one-fourth of an inch of fat adhering to the skin, may be used to anoint the eruption. It completely prevents pitting, and allays irritation. As the pimples begin to ripen into pustules, and before they break, Dr. Belcher directs the skin to be sponged with glycerine and rose water, in equal parts, and directly afterwards, by the aid of a soft puff, to cover the skin with a powder prepared by mixing one part of the first trituration of Tart, emetic with eight of violet powder. The glycerine-water causes the powder to adhere, and pitting is effectually prevented. The process should be repeated as often as necessary. If the patient is a child, his hands should be muffled to keep him from scratching, which might lead to ulcera- tion. Whenever the skin becomes hot or irritable, great relief will be afforded by sponging it with water, and 76 Eruptive Fevers. well drying it with a soft towel. When the pustules have burst, powdered starch should be freely applied to absorb the matter. Diet. As in Fevers. See pages 58, 59. Vaccination.—This is the great preventive means. Its performance is now rendered compulsory during the first three months. In vaccination there are three pre- cautions to be observed : (1.) The vaccine lymph used should be taken from a child free from scrofula and any constitutional taint. (2.) The matter should be inserted in four places in each arm, it having been found that the protective power of vaccination is in proportion to the number of the resulting cicatrices (scars), that being the most efficient which leaves the most and the best cicatrices. (3.) It should be repeated zX the age of pu- berty, the great changes which take place at this period of life rendering its repetition necessary. iv.—chicken-pox ( Varicella). This is a pustular eruption, similar, in its appearance, to Small-pox, for which it is at first often mistaken. It differs from Small-pox in the slighter degree of fever which attends it; in the pustules becoming filled with a watery fluid about the second or third day, which is never converted into yellow matter, as in Small-pox; and in its rapid course. Generally, on the third day the pus- tules dry up, forming crusts or scabs. Treatment.—It generally requires little medical assistance, but merely attention to diet, as in inflam- matory fever. If the fever is considerable, Aconitum every four or six hours. As a rule, Rhus tox. is the best Erysipelas. 77 remedy, under the action of which the disease soon dis- appears. For headache and disturbance of the brain, two or three doses of Belladonna. v.—erysipelas (St. Anthony's Fire). Idiopathic erysipelas arises from constitutional causes, and commonly affects the face and neck; traumatic erysipelas follows injuries, and may occur on any part. Symptoms.—Simple erysipelas, the variety treated of here, is marked by a spreading, inflammatory redness of the skin, with puffy swelling, tenderness, burning, and a painful sensation of tingling and tension. The color of the skin varies from a light-red to a dark-red or purplish color, becoming white under pressure, but assumes its former appearance on the removal of that pressure. An attack is often ushered in with shivering, languor, headache, and sometimes nausea, vomiting, or diarrhoea. Causes.—Debility, and loss of resisting power from disease ; the habitual use of stimulants; exposure to cold; impaired digestion; wounds; badly ventilated or crowded apartments; and certain conditions of the at- mosphere. A recent wound or bruise is a chief exciting cause; neglect of cleanliness, intemperance, unwholesome food, and bad air, are the predisposmg causes. Treatment.—Aconitum.—Considerable fever; in- flammation and tenderness of the parts. It is mostly required before the rash appears, but may be given, if indicated, at any stage. A dose every three hours. Belladonna.—Severe cutaneous inflammation, bright- red, the eruption being without vesicles. Violent head- 78 Eruptive Fevers. ache, thirst, constipation, and thick urine, usually attend this form of the disease. Bell, is often advantageously alternated with Aeon, in the early stages of the disease. Rhus tox.— Vesicles (little bladders), whether on the face or body, with swelling, shining redness of the parts, and restlessness. A dose every second or third hour. Other remedies are, Feral, vir., Apis (rapid swelling), Arsen, (great prostration), Carbo veg., Puls, and Sulph. Accessory Measures.—In mild cases, no external application is required, unless fluid exudes, which may be absorbed by dusting powdered starch over the sur- face. In severe cases, warm fomentations, and after- wards flour or fine starch should be sprinkled over the parts. When the eruption is obstinate, we have found a lotion of Verat. vir. successful. If matter forms, in- cisions, poultices, and bandages may be necessary. Diet.—Gum-water, barley-water, or pure water to allay thirst. Bad and tedious cases require beef-tea, and good nourishment, at regular intervals ; and, sub- sequently, a change of air. CHAPTER III. DISEASES OF THE ORGANS OF BREATHING. i.—cold in the head (Catarrh, Coryza). This is a very common complaint, and often the precursor of many serious and fatal diseases. It con- sists of inflammation of the mucous membrane of the air passages of the nose, throat, etc. Symptoms.—It usually comes on with slight shiver- ings, pain and a feeling of weight in the head, redness of the eyes, obstruction of one or both nostrils, accom- panied by a discharge of thin, colorless fluid. These symptoms are usually soon followed by sore throat, hoarseness, sneezing, dry cough, chilliness, general weakness, more or less fever, quick pulse, and loss of appetite. Causes.—Exposure to wet, changes of temperature, insufficient clothing, and especially deficient warmth when the body is cooling after having been heated. Treatment.—Aconitum.—This is a remedy of great power, and undoubtedly surpasses every other in effi- cacy at the beginning of a cold, or in the precursory stages of all diseases resulting from a cold. If appro- priately and early administered, it will generally remove all the morbid symptoms consequent on cold, restore 80 Diseases of the Organs of Breathing. health, and so obviate the necessity for any other medi- cine; a dose every second or third hour. If the cold has resulted in any of the diseases so often following it, Aconitum may be alternated with, or substituted by, one of the annexed, or some other remedy, according to the directions given in other parts of this manual. Camphor.—This remedy is only suited to the chill or cold stage, when its prompt administration, in two-drop doses, or the Camphor pills, every half-hour or hour, repeated several times, will often terminate the disease in the first stage. It should be chosen in preference to Aconitum during the chill stage, and especially when the patient has still to be exposed to changes of tem- perature. Arsenicum.—Coryza, with copious, watery, acrid dis- charge, and soreness of the surrounding parts; flow of tears, and lassitude ; especially for weak and wheezing patients. Mercurius.—Sneezing; soreness of the nose, with thick discharge ; profuse perspiration; sensitiveness to cold, and aggravation of symptoms towards evening. JYux vom.—Sense of weight and pressure in the fore- head ; discharge during the day and stoppage at night; “ stuffy cold.” Pulsatilla.—Loss of appetite; diminished or perverted taste and smell; much thick yellow or green discharge from the nose; heaviness and confusion in the head, worse in the evening, or in a warm room. Kali Inch.—Chronic Catarrh, with hoarseness, tough stringy sputa, chronically inflamed or ulcerated throat, cough, etc. An additional indication is a concurrent affection of the digestive mucous membrane. Cold in the Head. 81 Sulphur.—Chronic catarrh, with free discharge. Dose and Repetition.—See page 46. Diet.—»As for fever, if there is much present; if no fever, the usual diet. The Hot Foot-Bath.—The following will often arrest colds and fevers in their incipient stages : On retiring to bed, the feet should be put in hot water, the water rising nearly to the knees ; the patient should be undressed, but abundantly and warmly covered ; the temperature of the water should be maintained and in- creased by fresh additions of hot water for ten, twenty, or thirty minutes, according to the strength of the patient, and until perspiration breaks out about the face. The pa- tient should then get into a warm bed, be well covered with clothes, and the perspiration encouraged by drink- ing freely of cold water. On rising in the morning the cold plunge-bath should be taken, or cold sponging over the whole surface of the body, followed by vigorous friction. Prevention.—Persons liable to cold on slight ex- posures, should take a cold sponge, shower, or plunge- bath, daily, at all seasons of the year, Delicate persons may begin by using tepid water for a few days, gradu- ally lowering the temperature till it reaches the natural coldness. The writer strongly deprecates the habit of washing in warm water. Proper clothing, regulated by the season, is of great importance for all, especially for children and young girls. Catarrhal wheezing patients, going out on a cold day, or passing from a warm to a cold room, may advantageously use a Respirator, if of good construction ; keeping the mouth shut and breath- ing through the nose, is however a better protection. Diseases of t/u Organs of Breathing. ii.—influenza (Catarrhus Epidemicus). This is an epidemic catarrh, and is so called from the Italian word which means “ influence,” because it arises from some peculiar condition or contamination of the atmosphere. Symptoms.—These differ but little from common cold, except that the general debility is greater and more persistent. There are chilliness, anxiety, heat, headache, pain of the back and limbs, cough, nausea, suffusion of the eyes, sneezing, an acrid discharge from the nostrils, with great depression of strength. Treatment.—Camphor or Aconitum„ and, if after- wards necessary, Arsenicum, Mercurius, Bryonia, etc., according to the indications ; see under “ Cold in the head.” Arsenicum is generally a prominent remedy. Diet and Regimen.—Beef-tea and farinaceous food, with repose in bed. If there is much fever with loss of appetite, toast-and-water or barley water will be most suitable, adopting, as the fever abates, a generous diet. III. HOARSENESS. Hoarseness is a frequent accompaniment of a com- mon cold. Treatment.—Aconitum—Dryness, roughness, and sensation of fullness in the throat, with feverishness. Belladonna.—Hoarseness with constriction and sore- ness of the throat. Dulcamara.—Hoarseness arising from exposure to damp or wet. Mercurius.—Hoarseness, with a thick discharge from Hoarseness. 83 the nostrils, tickling, and burning in the throat, shiver- ing, and disposition to perspire. The symptoms are aggravated in the evening, in the cool air, and by speaking and eating. Hepar sulphur.—Weak and hoarse voice ; wheezing breathing. It is indicated in old standing cases, and in persons who have taken large doses of Mercury. Phosphorus.—Hoarseness, with dryness and soreness of the throat and chest, especially in the chronic form of the affection, and for patients having a consumptive tendency. Carlo veg.—Obstinate chronic hoarseness, worse in damp weather, after talking, and in the evening; and for patients who have been dosed with Mercury. Wet Compress for the Throat.—This is an ex- cellent domestic application in various affections of the throat, and may be used preventively or remedially, in the following manner : Wring a piece of linen or flan- nel out of cold water, and wrap it, in two or three thicknesses, round the throat; cover the compress with oiled silk, or gutta-percha tissue, and over this two or three thicknesses of flannel to maintain the warmth. When this is applied, the patient should retire to bed, and he will generally have the satisfaction of finding his throat difficulty much relieved by the morning. In obstinate cases, the compress should be re-wetted once or twice during the night, and also worn in the day- time, re-wetting it every three or four hours. When the compress is taken off, the throat and chest should be bathed with cold water, followed by a good rubbing with a towel. However often repeated, the wet compress never relaxes the throat. Diseases of the Organs of Breathing. iv.—clergymen’s sore throat. The following remedies are recommended for the sore throat and hoarseness to which clergymen, public speakers, and singers, are liable; in the incipient and acute form, Aeon.,' Bell., Spong., Dros.; in the chronic, Hep. s., Carbo veg., Kali bich., Caust., Bary. c., Calc., Sulph. For symptoms and general treatment, see “ The Vade Mecum of Modern Medicine and Surgery.” Prevention.—The morning bath; a uniform and equable exercise of the voice: the wet compress, and the cultivation of the beard. On the two latter we sub- join a few remarks. Cultivation of the Beard.—The beard should be permitted to grow, as it affords an excellent protection to the delicate organs of the voice, in the case of per- sons subjected to their undue or irregular exercise. After a public address, the tissues in the vicinity of the throat become relaxed, and on leaving the place of assembly and entering the open air, the unbroken force of the atmosphere breaks upon these parts, inducing chronic affections of the throat and bronchial tubes, while the natural respirator—the fine-flowing beard— which our Maker intended to be one of the distinguish- ing features of the male sex, unshorn, would have effec- tually protected these important parts. Hair planted on the human face by the wisdom and goodness of our Creator, has its uses, and we may add, its beauties. Let the young man, therefore, never become a slave to the false .and pernicious fashion which compels him to shave off the beard, as it is found contributory to the Cough. 85 health, if not to the personal improvement, of those who wear it. See also under Chronic Bronchitis. v.—cough ( Tussis). Cough, like hoarseness, is rather a symptom of some more general disease, than a disease in itself. It is often the forerunner or attendant of some of the most fatal diseases of our climate, and should, therefore, never be neglected. There are many varieties of cough, but our prescriptions are only intended for such as are common and uncomplicated. Cases that persist, in spite of one or more of the annexed remedies, should be regarded as too serious to be treated merely by the aid of books. Treatment.—Aconitum.—A dry, hard, cough, ac- companied with inflammatory symptoms—flushed face, headache, thirst, scanty urine, confined bowels, restless- ness, etc. Ipecacuanha. — Irritating, nervous, and spasmodic coughs, attended or followed by vomiting. The chest is oppressed by the accumulation of mucus in the air vessels, rendering breathing difficult, almost to suffoca- tion. Belladonna.—Short, dry, hollow, convulsive cough, generally worse at night, in bed, excited by a sensation of tickling in the throat, and accompanied by a flushed face and headache. Dulcamara.—Loose cough from getting wet, with much phlegm and oppression at the chest. Bryonia.—A hard, dry cough, attended with pain in the side, chest, and head ; cough aggravated by passing from warm air to cold, or vice versa ; loose cough, with Diseases of the Organs of Breathing. white or yellow expectoration, sometimes streaked with blood. Hepar sulphur.—Irritating cough, with hoarseness and smarting in the throat, excited or aggravated by cold to the surface of the body, or exposure to atmospheric changes. Phosphorus.—Dry cough, excited by tickling in the throat; hoarseness, and pains or soreness in the chest, with rusty-colored, bloody, or purulent expectoration. Chcimomilla.—Coughs of children during teething, with wheezing breathing, fretfulness, etc. Carlo vegetabilis.—Cough on taking the least cold; obstinate hoarseness or loss of voice. Kali bich.—Cough, with gray or yellow expectora- tion, preceded by great wheezing, accompanied with difficult breathing, and followed by dizziness. Sulphur.—Obstinate dry cough, with tightness in the chest, and retching; loose cough, with expectoration of whitish or yellowish mucus during the day, and dry cough at night, attended with headache, spitting of blood, etc. Dose, etc.—See page 46. Beverages.—Gum-water, barley-water, and other mucilaginous drinks, or if preferred, simple cold water, in small quantities, at frequent intervals; these are highly useful in almost every variety of cough. Preventives.—Cold bathing, or sponging the whole surface of the body every morning as directed under Bathing, pages 32, 33. Clothing adapted to the varying conditions of the atmosphere. See Clothing, page 36. Exercise, if possible, every day in the open air, beyond the boundaries of a town or city. Familiarity with a free Hooping- Cough. atmosphere affords a security against excessive sensi- bility to variations of the weather. Morning air is the best, damp or confined air, or the air of crowded assem- blies, should be avoided. vi.—hooping-cough, whooping-cough—(Pertussis). This is an epidemic and contagious disease, usually of a mild character in children of healthy constitutions, but a distressing and sometimes a fatal malady in the delicate or scrofulous. Symptoms.—It generally commences as a common cold, accompanied by a cough, which returns in fits at intervals ; but in about a week the cough recurs at shorter intervals, in paroxysms of extreme severity, the child turning red or almost black in the face, and ap- pears as if choking, during which the lungs are emptied of air to the last degree, and then a long, sonorous in- spiration, taken to refill them, constitutes the “whoop.” The attacks recur every two or three hours, or, in severe cases, oftener, and sometimes blood escapes from the nose, mouth, and even from the ears. The fits pass off with the expectoration of a glairy, ropy mucus, and sometimes sickness. If dentition is going on, convul- sions are not infrequent. Whooping-cough is sometimes complicated with measles, small-pox, bronchitis, etc., which add to the difficulties of treatment. Cause.—A specific poison communicated through the atmosphere, the nature of which is at present un- known, but which irritates the pneumogastric nerve. Treatment.—As this disease begins in a common cold and cough, the early treatment will be found under Diseases of the Organs of Breathing. these diseases, the prompt adoption of which will often prevent its development. The general history and symptoms of the patient must be fully considered. Ipecacuanha.—In the early stages of the disease, espe- cially after the use of Aeon, or Bell., when there is dry, hard cough, which threatens suffocation ; excessive vomiting of mucus; watery or bloody discharges from the eyes and nose. A dose every two or three hours. Drosera.—In the whooping stage, when the cough is loud and hoarse, the paroxysms are frequent and violent, causing perspiration and vomiting of food or slimy mu- cus. Drosera is generally sufficient in uncomplicated whooping-cough ; if there are scrofulous or gastric symptoms, other remedies are required. Veratrum.—Great exhaustion, cold perspiration, invol- untary escape of urine during the cough ; pains in the abdomen and groin ; anxious expression. Cuprum.—Paroxysms of whooping-cough, causing convulsions, rigidity, and almost a suspension of the breath, followed by vomiting and extreme prostration. Opium.—Stupor, irregular breathing, constipation. A few doses are often useful when other remedies do not produce the desired change. Bryonia or Phosphorus, every three or four hours, when the whooping-cough is complicated with diseases of the chest. Cina.—Whooping-cough with worm symptoms,— picking at the nose, itching at the fundament, irregular appetite, dark appearance under the eyes, etc. Cina is often used in alternation with Belladonna, especially if there are indications of water in the head. Accessory Means.—In warm, fine weather, the pa- Spasmodic Croup. 89 tient may remain in the open air during a portion of each day , exposure to damp and draughts should be strictly avoided. Fits of anger should be guarded against, as they add to the violence and frequency of the paroxysms. Infants must be watched constantly, taken up as soon as a fit comes on, and placed in a fa- vorable position. In obstinate cases, change of air, if only for a short distance, will prove of great utility. Diet.—Light, digestible food, only in moderate .quantities, avoiding all stimulants. If fever is present, animal food may be withheld for a day or two. Toast- and-water, barley-water, or gum-water, are grateful and soothing. VII. SPASMODIC CROUP CHILD-CROWING. ( Laryngismus Stridulus). This affection is distinct from Croup proper, described further on, for it is a purely nervous disease, inducing spasm of the glottis. It occurs at the youngest age, be- fore the end of the first dentition. Symptoms.—It comes on suddenly, usually in the night, with a spasm of the muscles of the throat, so that the child struggles to get his breath, with a choking noise, and becomes livid in the lips. It generally oc- curs during dentition or irritation in the stomach and bowels. Under proper treatment the attack usually soon passes off, but sometimes it is premonitory of dis- ease of the brain. Treatment.—Aconitum, in alternation with Spongia, should be given every few minutes till improvement ensues. Diseases of the Organs of Breathing. Gelseminum is an excellent remedy when the above do not meet the case. Administration.—The remedy may be given in drop- doses in half a teaspoonful of water every ten minutes for three or four times. After the attack is passed, the medicine should be given three or four times a day for two or three days, to prevent another attack. Accessory Means.—Fomentation to the throat, by means of a sponge wrung out of hot water; the warm bath ; and the removal of any known exciting cause. vm.—croup (Angina Trachealis). Croup proper is a peculiar inflammation of the mucous membrane of the trachea, (wind-pipe), the vessels of which exude a fibrinous or albuminous material, which concretes and forms a false membrane. It is a serious and dangerous disease, as death may occur suddenly from convulsisns, spasm of the glottis, exhaustion, the formation of a coagulum in the heart, or from the merm> braneous growth filling up the wind-pipe, and so chok- ing the patient. The disease should be placed under the care of a professional homoeopath as quickly as possible. Symptoms.—It begins as a catarrh, with a peculiar barking cough, and afterwards, usually at night, the symptoms become aggravated, with paroxysms of dyspnoea, rapid breathing, quick, wiry pulse, thirst, hoarse voice, loud brazen cough, and great distress, the child throwing its head back to put the wind-pipe on the stretch. The metallic ringing-sound, heard in the inspiration and cough, has been compared to the crow- ing of a young cock, or to the barking of a puppy. The disease is often fatal in from two to four days. True Croup is less frequent than Laryngismus Stridu- lus—Spasmodic Croup (see pages 133-4), and generally occurs after the primary dentition to near puberty. Causes.—Damp and unhealthy situations ; sudden changes of temperature ; wet feet; poor or scanty food or clothing ; previous illness ; etc. One attack predis- poses to another. Treatment.—Aconitum—Great heat, thirst, short dry cough, and difficult breathing. In urgent cases, a dose every fifteen minutes ; in less urgent, every one or two hours. Aconite is often of priceless value in the early stage of the disease ; it may be given in alterna- tion with one of the following remedies, if indicated. Spongia.—If Aconite produce perspiration, but the difficult breathing continue, Spongia should be substi- tuted, particularly if the breathing be labored, loud, and wheezing, and the cough hoarse, hollow, barking, or whistling, and worse towards evening, the patient look- ing anxious, pale, and as if he would be suffocated. Hepar Sulphur.—Loose cough, having the ringing or brassy sound peculiar to croup, with a constant rattling in the chest, during which the patient tries in vain to get relief by expectoration. Other remedies are—Iod., Kali Bromidum, K. Bich., Brom. Blios. or Carbo Veg. is very useful in removing the hoarseness and cough which often remain after an at- tack of Croup. Administration.—In severe cases, every fifteen to thirty Diseases of the Organs of Breathing. minutes ; in mild, or during improvement, every four or six hours. Accessory Means.—A warm bath, and hot-water applications to the throat, are highly advantageous. The feet should be kept warm, there should be no strings or tight articles round the neck, and everthing avoided that would be likely to excite or irritate the patient. During an attack, as a beverage, water only is admissible. In convalescence, milk-and-water, ar- rowroot, gruels, beef tea, and, gradually, more sub- stantial food. IX. DIPHTHERIA. It is reasonable to conclude that this disease is not very well understood, when we consider how often it is fatal, notwithstanding the infallible remedies recom- mended in its treatment. The causes of it are obscure; the blood in the first instance is poisoned ; then we have the general symptoms, as lassitude, fever, sore throat, covered with a false membrane, looking like wash-leather; acrid discharge from one nostril; en- larged glands in the neck, offensive breath, sometimes delirium, sometimes stupor. The peculiar false mem- brane in the throat and the offensive breath are said to be characteristic of the disease, though we are also told that in some Cases the false membrane does not appear, and it is equally certain that in some cases the offensive breath is not very marked. Though attended with in- flammation, it should be borne in mind, that it is a disease in which there is great prostration of the vital powers, hence means must be used to keep up the Diphtheria. 93 strength of the patient. As regards the treatment, as soon as any appearance of cold presents itself give Camph. j if the symptoms of a cold are very marked, put the patient to bed, and give a teaspoonful of the solution every fifteen or twenty minutes, till perspira- tion ensues; after that, less frequently. If the throat should show signs of inflammation, give Merc. dulc. 2d, every two hours, and gargle or swab out the throat with Camphor solution every hour between. Put a thin slice of pork in a thin bandage and tie it about the throat. This treatment will usually suffice for the milder cases. For those which are more severe, give Merc, iod. 1, with the Camphor gargle as before, while the fever is high ; and Ars. iod. when the fever begins to subside. Where the disease seems to be a combination of Croup and Diphtheria, Kali bichrom. is the remedy, a dose every hour or two. A small quantity— as much as will lie on a five-cent piece—may be put into some boiling water, and the child may inhale the fumes; it may be kept boiling near the child, and thus keep the atmosphere impregnated with it; the fumes of Camphor are also useful sometimes in these cases. Where the false membrane is thrown out, the danger is not passed : the strength must be kept up by nourishing food ; un- happily, at such times, the stomach often rejects what it should retain ; here the Ars. iod. is of use, but the other remedies sometimes come into play — these must be consulted in the Repertory. Other children should be kept apart from the patient as much as pos- sible, and a piece of Camphor kept in the mouth, by those who must be exposed to the breath of the patient, Diseases of the Organs of Breathing. may prevent infection.—Dr. G. E. Shipman, in “ Homoe- opathic Guide.” x.—inflammation of the lungs (Pneumonia), and pleurisy (Pleuritis). Pneumonia affects one or both lungs, or, in technical terms, is single or double. The right lung is more lia- ble to attacks than the left, and the lower lobes suffer oftener than the upper. In Pleuritis, the inflammation affects the pleura or serous membrane investing the lungs and lining the cavity of the thorax. These dis- eases frequently co-exist, require similar medicines, and should be treated, if possible, by a homoeopathic prac- titioner. Symptoms.—Shivering; headache; hard, wiry pulse, about ioo in a minute, and other symptoms of fever; the breathing is hurried, the patient refuses to take a full breath, and breathing is often interrupted by a “stitch” or “catch,” by a cough which is short and painful, by lying on the affected side, and by pressure. This is pleurisy. In pneumonia, the skin is burning, especially about the ribs and arm-pits; there is no moisture in the nostrils, and the eyes are tearless; the breathing is much more hurried than in pleurisy, but there is only pain of a dull aching character; the cough is frequent and short, and there is spitting of rusty- colored phlegm. Causes.—Atmospheric changes, sudden checking of the perspiration, mechanical injuries, etc. Treatment.—Aeon., Bry., Bell., Ant. tart., Phos., Am.r etc. Inflammation of the Lungs. 95 Aconitum is pre-eminently suitable, either alone or in turns with other remedies, whenever inflammatory symptoms run high, and the secretory functions are suspended. Bryonia.—Labored, short, catching, and rapid breath- ing ; stinging, shooting, or burning pains in the side, aggravated by inspiration ; the cough is painful, dry, or with expectoration of glairy sputa; the patient is weary, disposed to retain the recumbent posture, irritable, restless, etc. Phosphorus.—Pains in the chest of a severe sticking character, excited or increased by breathing or cough- ing; the breathing is short, the cough dry, or with ex- pectoration of a rusty color. Antimonium tart. — Greatly oppressed breathing; cough attended with much rattling of mucus; nausea; profuse expectoration ; violent throbbings of the heart, and a feeling of suffocation. Arsenicum.—Tedious cases, with extreme prostration of strength, and painfully oppressed breathing. Sulphur.—When the prominent symptoms have yield- ed to Bry. or other remedies. General Treatment.—See “Accessory Measures in Fevers,” pages 56-61. External applications of heat—hot flannels, linseed-meal poultices, etc.—afford much relief. Bleeding in every form must be avoided. XI. SPASMODIC ASTHMA. Symptoms.—As designated, this is a spasmodic dis- ease, recurring in paroxysms, characterized by great difficulty of breathing, a feeling of tightness across the Diseases of the Organs of Breathbig. chest, wheezing cough, and discharge of phlegm. The air-tubes of the lungs are encircled by minute bands of muscular structure, which, like other muscular fibres, may be affected with spasms. These spasms contract the air-tubes, and the difficulty of breathing, and the wheezing respiration are caused by the air being forced through the narrowed channels. An attack often comes on suddenly at night or towards morning, attended with a distressing sense of suffocation, the patient springing up, or even flying to an opened window, wheezing loudly, till after an uncertain time, perhaps an hour, it passes off with expectoration of mucus. Causes.—Atmospheric changes ; smoke, dust, gases, metallic and other particles floating in the air; certain odors, as of hay, ipecacuanha, or vapor of sulphur ; ir- regularities of diet, especially heavy suppers; and he- reditary influence. It is not peculiar to any age, chil- dren as well as adults being liable to it. Treatment.—Ipecacuanha.—A feeling of tightness of the chest; panting and rattling as if the wind-pipe were full of phlegm ; coldness, paleness, anxiety, and sickness. During an attack, a dose every ten or fifteen minutes ; afterwards, every three or four hours. Arsenicum.—Short, anxious, and wheezing breathing, aggravated at night by lying down, and upon the least movement; with attacks of suffocation, spasmodic con- striction of the chest, and pale, sunken, or bluish face. It is especially required in asthma from suppressed erup- tions, and in feeble and impoverished constitutions. Veratrum.—Violent paroxysms, with cold perspira- tions, and extreme prostration. Nux vomica.—Suitable for robust persons, and for Bronchitis. 97 attacks occurring about three or four o’clock in the morning, or after a heavy meal, or for patients of too studious habits, or addicted to stimulants. Aconitum.—Often very useful during a paroxysm, with tumultuous action of the heart, oppressive anxiety, labored breathing, etc. Sulphur.—Chronic Asthma, apparently connected with some constitutional taint, and after the unsuccessful use of other remedies. In obstinate cases other remedies are necessary. Accessory Means.—The diet should be strictly moderate, simple, and digestible, as disorders of the stomach often occasion an attack. Suppers are espe- cially to be avoided. In some cases the food should be weighed, the meal-hours fixed, and strictly adhered to. Cold sponging in the morning, with frictions; moderate and agreeable exercise in the open air; and a strict avoidance of the usual exciting causes are here to be observed. The atmosphere best suited to the patient depends entirely upon idiosyncracy, as some can only breathe a mountain air, and others only in the fogs of London. xii.—bronchitis. Bronchitis is inflammation of the mucous lining of the bronchial tubes, and is a diffused disease, extending more or less through both lungs, thus differing from cold or catarrh, which only affects the lining membrane of the nose and throat. Patients often describe it as “ a cold in the chest." It most frequently occurs in old persons, though it sometimes affects children. 98 Diseases of the Organs of Breathing. Symptoms.—The disease begins with febrile symp- toms, headache, lassitude, and anxiety; these are soon attended with a feeling of tightness or constriction in the chest, especially the front portion; oppressed, hur- ried, anxious breathing, with wheezing or whistling sounds; severe cough, at first dry, then with viscid and frothy expectoration, and sometimes streaked with blood, subsequently becoming thick, yellowish, and purulent. The pulse is frequent, often weak ; the urine scanty and high-colored; the tongue foul; there are throbbing pains in the forehead, and aching pains in the eyes, aggravated by the cough, with other symp- toms of fever. The usual cause of death in bronchitis is the complete obstruction of the bronchial tubes with adhesive mucus resembling that expectorated during life. The unfavorable symptoms are cold perspirations covering the skin : pale and livid cheeks and lips ; cold extremities ; extreme prostration j rattling, and a sense of suffocation in the throat; and complete insensibility, ending in death. In favorable cases, however, the dis- ease begins to decline between the fourth and eighth day, and under suitable treatment, soon disappears, or assumes the chronic form. Causes.—Exposure to cold draughts of air, to keen and cutting winds, sudden changes of temperature, in- sufficient clothing, inhalations of dust, or other irrita- tive substances. Treatment.—Aconitum.—A rapid and full pulse, hot skin, frontal headache, palpitation of the heart, dizziness, constipation, and other febrile symptoms. A dose every one or two hours till improvement takes place. Bronchitis. 99 Kali bich.—This remedy has great power in Bronchi- tis, especially when chronic, with accumulations of tena- cious, stringy mucus, difficult to expectorate; cough, and dyspnoea. Ant. tart.—Valuable in the second stage, especially in the aged, when there is a copious accumulation of mucus, and the expulsive efforts are feeble, with parox- ysms of cough, wheezing, dyspnoea, palpitation, etc. Bryonia.—Heat, soreness, and pain behind the ster- num (breast-bone), and an irritative cough, with scanty, sometimes blood-streaked, expectoration. It is most useful when the large air-tubes are involved, and less so when the inflammation extends to the smaller; but in diffused bronchitis, Bry. is inferior to Ant. tart. Bry- onia is very useful in the acute attacks of children, with suffocative cough, rapid difficult breathing, great agita- tion, and anxiety. Consider, also, Phos. Additional Remedies.—Ipec., Arsen., Bell., Carbo veg., Mercurias, Spong., and Sulph. For dose, etc., see page 46. Diet.—During an attack, gum-water, barley gruel, jelly, etc. Cold water, or toast-water, is the most appro- priate drink. In elderly or feeble patients exhaustion is liable to come on, requiring nutritious support, and, perhaps, stimulants. Accessory Measures.—The patient should be kept in a warm atmosphere (65 to 70 degrees), which should be moistened by steam or evaporation of water. Ven- tilation of the apartment, however, should not be neg- lected. Hot linseed-meal poultices applied to the chest are beneficial, as they relieve congestion. Diseases of the Organs of Breathing. 100 XIII.—CHRONIC BRONCHITIS. This form of bronchitis is common in advanced life. The milder varieties are indicated only by habitual cough, shortness of breath, and copious expectoration. Many cases of winter cough in old people are examples of bronchial inflammation of a low, protracted character. Treatment.—Kali bich., Carbo veg., Bry., Arsen., Bhos., Hep. sulph., I pec., Lyc., Calc., and Sulph. See “ Bronchitis,” and the “ Materia Medica.” Preventive Means.—The first and most important is cold bathing in the morning, that particular form of bath being adopted which is found most useful or con- venient. (See Bathing, page 32.) Another preventive is the Beard, which protects the respiratory passages against the effect of sudden changes of temperature. We may regard the beard as a kind of natural respirator, the shaving off of which is a frequent cause of acute and chronic bronchitis. Can we doubt the wisdom and beneficence of the Creator in giving this ornament to the male sex, which is so frequently exposed to atmos- pheric vicissitudes, and withholding it from the female, who, as the keeper-at-home, requires no such appendage ? Hair is an imperfect conductor of heat, and placed round the entrance to the lungs, acts like a blanket, which is used for warmth in cold weather, or to prevent the dissolving of ice in hot weather. In many instances, the beard would protect lawyers, clergymen, and other public speakers, as also singers, from the injurious ef- fects of rapid variations of the atmosphere, from which professional men so often suffer. It has been observed that the Jews, and other people who wear the beard, Scrofulous Consumption. 101 rarely suffer from bronchitis, or analogous disorders; and so may be considered as examples of the utility of the beard. XIV.—PHTHISIS PULMONALIS SCROFULOUS CON- SUMPTION. % Phthisis (from thio to consume) is a disease of the constitution, in which there are deposited in the lungs certain morbid bodies called tubercles, and in which the processes of suppuration and ulceration are set up for their discharge. Although no period of life is exempt, phthisis is most frequent in the course of youth, espe- cially from the 18th to the 22nd year, and, of all the diseases that claim our attention, is the one that has proved most destructive of human life. When once fully developed it is generally supposed to be incurable ; but in the early stages of the disease, while the tuber- cles are yet small and but slightly irritated, our pre- ventive and remedial measures may be brought to bear with much hope of success. Symptoms.—The early symptoms of consumption are obscure, and consist chiefly of cough; shortness of breath on moderate exertion; wandering, irregular pains, and constriction about the chest; excessive sen- sitiveness of the lungs to cold air ; impaired digestion; debility and loss of flesh without any assignable cause; haemoptysis; flushing of the cheeks, and quickening of the pulse in the evening, followed by disturbed sleep, and early morning perspirations. Spitting or coughing up of blood generally takes place, and often gives the first intimation of the real Diseases oj the Organs of Breathing. nature of the malady, and its occurrence before or soon after the setting in of a cough, always indicates great danger. As the disease advances, breathing becomes very distressing, the sputa more purulent; and exhaus- tion and emaciation, from impairment of the digestive functions, are most confirmed and progressive symp- toms. Other organs often become implicated, especially the intestinal canal, in which a deposit of tubercles takes place, producing diarrhoea. From thickening or ulceration of the respiratory mucous membrane, huski- ness or loss of voice is produced. The skin covering the parts on which the patient lies is apt to become sore and inflamed, and even to perish from the pressure of the attenuated body. Aphthae of the mouth, pharynx, etc., or oedema of the feet, ankles, and even legs, ensue, and the long and weary struggle is at last terminated by the gentle approach of death. The physical signs yielded by auscultation and percus- sion tend to remove that uncertainty which formerly prevailed on the subject; but as these signs can only be appreciated and interpreted by a medical man, they are not further referred to in a domestic work. All doubtful cases should be early submitted to professional Homoeopathic treatment. Causes.—Tubercular phthisis is generally hereditary, but it may arise in early life from an enfeebled condi- tion of the system induced by a confined and impure atmosphere, unhealthy or too long prolonged occupa- tions, innutritious food, anxiety, etc., to which a he- reditary predisposition and the scrofulous constitution powerfully contribute. Treatment.—Where tubercles exist in the lungs, Scrof ulous Consumption. 103 either in a latent or partially-developed state, we strongly recommend the following measures : ist. Highly nutritious and easily-digestible food. The diet should be nourishing, digestible, and sufficiently abundant, including animal food once or twice daily, or occasionally fish, stale home-made bread, farinaceous puddings, green vegetables, mealy potatoes, milk, light- ly-boiled eggs, etc. Condiments, pastry, and all articles of food that occasion nausea, eructations, or other symptoms of indigestion, are to be avoided. The diet may include Cod-liver oil, in small quantities, except during active febrile symptoms, when it is inadmissible. The continued use of oil, judiciously given, controls the expectoration and night-sweats, soothes the cough, and checks emaciation. 2nd. Daily exercise in the open air, employed in such a manner as to bring all the muscles, especially those of the chest and upper extremities, into moderate and agreeable action, and with the body in an erect posture, as in walking. Riding on horseback is also favorable, as affording a large amount of fresh air, the exercise not exciting great difficulty of breathing. In unfavorable weather, some of the well-contrived apparatus for arm and back exercise, especially that of the cross-bar, should be used in the house with open windows. 3rd. Bathing, followed by vigorous friction, is an im- portant measure, and except in confirmed consumption, is generally beneficial. The water may be applied in the form of baths, sponging, or wet sheets, and may even include sea-bathitig. Weak children and delicate patients may use tepid water, and gradually reduce the temperature. When admissible, the best plan is rapidly 104 Diseases of the Organs of Breathing. to plunge a child in water, which obviates the exposure consequent on sponging, and insures a quick and com- plete reaction. A healthy action of the skin will thus be promoted, and the general circulution equalized. Cold bathing is injurious when the surface is rendered cold and pale, and the patient is left languid and de- jected. In such a case warm salt-baths should be first used. 4th. Residence in a moderately-warm climate. Warm air soothes the trachea and bronchial tubes, and the external warmth tends to keep the blood to the surface of the body, and so obviates congestion of the lungs; and further, the warm air being rarified, less oxygen is inspired, and less carbonic acid given off, so that less vigorous breathing is required ; and, also, the liver in the warmer climates seems to take on some of the offices of the lungs. The climate, however, must be dry, as damp is prejudicial. The writer is strongly convinced that entire change of climate, if adopted before the dis- ease has produced irreparable changes in the lungs, is the most effective and permanent remedy. 5th. Lastly, all excesses are to be avoided, whether in the pleasures of the table, wine or liquors, business, in- tellectual pursuits, or in the gratification of any passion which overstimulates and fatigues mind and body. By the early and persevering adoption of these sug- gestions, and the administration of appropriate Homoe- opathic remedies, much might be done towards the prevention of consumption, as well as the restoration to comparative health of tuberculous persons. We have often administered our remedies with marked and permanent benefit to consumptive patients, but do Scrofulous Consumption. not prescribe any of them here, as the treatment of con- sumption should always be conducted by a physician. Experience in the treatment of a large number of pri- vate and dispensary patients enables us to encourage hope even in grave and complicated cases. In the early stages of the disease, a cure can often be effected ; even when considerably advanced, life may be prolonged for many years ; and in the last stages of the disease, the patient’s sufferings may be mitigated to a marked degree.* *For the pathology, symptoms, signs, causes, and medical, gen- eral, and preventive treatment of phthisis, see “ On Consumption, with Special Reference to its Preventive Treatment,” by the Author. CHAPTER IV. DISEASES OF THE ORGANS OF DIGESTION. i.—indigestion (Dyspepsia). Digestion is the process which food undergoes in the stomach, and other organs, for the formation of chyle, a milk-like liquor, from which blood is formed for repair- ing the continued waste of the animal body; this pro- cess goes on in health easily, quickly, and completely. Indigestion is a disease in which there is a deviation from this healthy function in one or more of the quali- ties just named—it maybe painful, slow, or incomplete. Symptoms.—Impaired appetite ; flatulence; nausea and eructations, which often bring up bitter or acid fluids; furred tongue, and offensive breath, especially in the morning; confined or relaxed bowels ; heartburn; pain, weight, and inconvenience or fullness after a meal; headache ; palpitations, and other symptoms. Causes.—Excessive eating; too short an interval between meals ; irregularities in diet; food of a heavy, indigestible, fat, sour, flatulent, or bad quality; eating too quickly ; imperfect mastication ; warm and relaxing drinks; the use of spirituous liquors, tobacco, or the excessive use of tea or coffee; purgative drugs; too little out-of-door exercise ; excessive bodily or mental exertion ; late hours ; exposure to cold and damp, etc. Indigestion. Business, or family cares and anxieties, are also frequent causes of dyspepsia. “ The battle of life ” is too often fought with almost overwhelming anxieties and disap- pointments, or with muoh mental and bodily wear and tear, and the digestive organs are often the first to suffer. Treatment.—The use of medicines and the observ- ance of such rules and habits as are suggested a little further on, must ever go hand-in-hand ; for the former, however carefully selected, will alone be unavailing in the end. Nux vomica.—Distension, tenderness, and fullness of the stomach after meals; heartburn, sour acid risings; flatulence; hiccough ; frequent vomiting of food and bile; sour or bitter taste in the mouth ; the head is con- fused, as after intoxication ; the patient feels indolent and sleepy after a meal, and unfitted for mental or phy- sical exertion ; the complexion is sallow ; and there may be frequent but ineffectual urging to-stool. Nux is par- ticularly indicated in too studious or anxious persons, of a dark or bilious complexion, who take too little open-air exercise, eat too much, or drink alcoholic liquors. A tendency to piles is a further indication for this remedy, as also for Sulphur, which may often ad- vantageously follow it. Pulsatilla.—Disposition to mucous derangements ; heartburn, with acid, bitter, or putrid taste in the mouth ; thickly-coated tongue, with a whitish fur; nausea; fre- quent mucous evacuations, with little pain, and chiefly at night; indigestion, from greasy or flatulent food. As a rule, Puls, is best suited to women, or to persons of a mild and timid disposition. Bryonia.—Aversion to food and craving for stimulants; 108 Diseases of the Organs of Digestion. waterbrash or eructations after eating; pressure and a sensation as of a stone in the stomach; colicky pains; stitch-like pains, extending from the pit of the stomach to the shoulder-blade bones ; torpor of the bowels; irritable disposition. Ant. crud.— The mucous membranes are loaded with mucus, causing slow digestion with fermentation ; nausea, or vomiting of mucus or bile ; foul eructations, or tasting of the food ; escape of flatulence of a foetid odor, soon reproduced ; alternate constipation and diarrhoea; hawking, and expectoration of phlegm; milky-white, thickly-coated tongue; irritability of the bladder, with mucous deposit. A further indication for Ihis remedy is a concurrent affection of the skin—pimples on the face, sores on the lips or nostrils, pustular eruptions, chil- blains, etc. Kali bich.—Slow digestion; thickly-coated, yell os visit tongue ; bitter taste, nausea, and sour eructations. It is specially curative when the digestive and mucous membrane are simultaneously involved (Hughes). China.—Indigestion from exhaustmg discharges, or residence in an aguish district, with a feeling of sinking, relieved by food, but soon returning; or simple, gen- erally painless, diarrhoea, leaving the patient exhausted. Ipecacuanha.—Simple retching and vomiting from gastric disturbance, without inflammation of the stomach or any grave affection of the mucous membrane. Hepar sulphuris.—Chronic indigestion ; nearly all kinds of food disagree ; also if Mercury has been used in excess. Sulphur.—As intercurrent remedy, when only partial relief has followed the use of other remedies ; also in Indigestion. 109 chronic cases. It is more particularly required in indi- gestion following or associated with eruptions, piles, constipation, etc. Dose and administration.—See page 46. Accessory Measures.*—Dyspeptic patients must correct all improper habits, pay strict attention to the quality and quantity of food, and the hours at which it is taken. Directions for particular cases cannot be given, as what agrees with one is often injurious to an- other, the rule being to select such food as is found easy of digestion. The following habits have been pointed out as requiring correction : Eating too much at one time ; eating too seldom or too often ; too great a variety of food at the same meal; imperfectly chewing the food ; the too hasty resuming of bodily or mental occupations after a meal; sedentary habits ; neglect of personal cleanliness ; habits of drinking, smoking, or chewing tobacco, and opium-eating ; the excessive use of tea and coffee, and eating unripe fruits and vegeta- bles. It is especially necessary that the dyspeptic’s stomach should never be overloaded. If possible, the meals should be taken regularly and with cheerful companions, avoiding reading and study, and dismissing business anxieties from the mind, which should then be free from all injurious tension. Persons much occupied should not eat full meals during the hours of toil; a light repast is best in the middle of the day, making the principal meal at six or seven in the evening, when the work of the day is finished. Heavy meals in the hours of physical labor, without sufficient * The use of Galvanism is often of great benefit. Diseases of the Organs of Digestion. rest, is almost certain, eventually, to lead to indigestion.* In the list of articles to be avoided by the dyspeptic, we particularly notice the following : hard, dried meats; veal, pork, sausages, salmon, lobsters, crabs, cheese, pastry, flavored soups, new-baked bread, too much tea or coffee, or any liquid, and all substances known to disagree. As a rule, which possibly may admit of some exceptions, malt liquors, wines, and spirits, are injurious. Feather beds, and too much sleep, should be avoided ; the patient should retire early and rise early; bathe or sponge the body every morning with cold water, and take moderate exercise daily in the open air. Further, a generally cheerful and tranquil state of mind is necessary. In addition to Cocoa for the morning, and tea for the afternoon meal, the moderate use of pure water is al- most the only fluid required in health. This liquid, so often despised, and even considered by many as preju- dicial, is one of the best means for preventing or curing indigestion. Too much cold water, however, should not be taken at meal-times. II. VOMITING. Causes.—Indigestion, of which vomiting is often a prominent symptom ; too much or improper food; pregnancyf ; disease of the brain or derangement of the nervous system; cancer of the stomach ; obstruc- tion of the intestines ; most of the eruptive fevers, etc. * Some severe cases find their only relief in the use of “ carbon crackers.’’ f For the treatment of “ Morning Sickness ” in pregnancy, see “ The Lady’s Homoeopathic Manual.” Prognosis.—Nausea and vomiting occurring in dis- eases of the brain, or in epilepsy, are unfavorable indi- cations ; in pregnancy, or hysteria, they are merely symptomatic of irritation conveyed by the nervous sys- tem to the stomach. If vomiting afford relief, it is a favorable indication, but if the symptoms preceding sickness are not relieved by it, but increase, the disease must be regarded as serious. Treatment.—This must be regulated according to the cause which produces it. Ipecacuanha.—Simple copious vomiting, with extreme nausea. Ant. crud.—Nausea, thickly-furred white tongue, eructations, loss of appetite, etc. Nux vomica.—Vomiting with dryness of the mouth, disturbed sleep, and constipation. It is especially indi- cated when vomiting follows the use of strong drink, indulgence at table, or late or irregular hours. Arsenicum.—Vomiting, with burning in the stomach and throat, great weakness, purging, and coldness of the hands and feet. It is indicated in malignant or can- cerous disease of the stomach. Pulsatilla.—Vomiting from fat food, or eating too freely, with dizziness, looseness of the bowels, and when the smallest quantity of food brings it on. Arnica.—Vomiting from a fall or injury. Dose and administration.—See page 46. x\ccessory Means.—In violent vomiting and long- continued retching, small pieces of ice are grateful and soothing. Liebig’s extract of beef-tea, in small quanti- ties, till ordinary food can be taken. Diseases of the Organs of Digestion. in.—sea-sickness (Nausea Marina). Symptoms.—These need not be described, as they are so well known to persons embarking for the first time, especially during the early part of the voyage, and when stormy weather prevails. Cause.—The motion of the vessel. The seat of the affection is in the brain, with which the stomach is in close sympathy. Persons of delicate nervous organiza- tion are subject to similar derangement from the oscil- lations of a carriage, or the movements of a swing. Treatment.—Nux vomica.—The complaint maybe prevented or modified by taking this remedy thrice daily, for several days previous to embarkation. It is useful also after the sickness is over, and may be alter- nated with Arnica if the muscles have been severely strained and feel sore. Arsenicum.—Severe and prolonged sea-sickness with great weakness. Coccuius, Veratrum, and Petroleum, are also recom- mended. Petroleum is the best curative agent in our experience. For convenience, and to prevent injury to the general stock of medicines, those likely to be required for sea- sickness should be procured in a separate case. Accessory Means.—For a week before embarking, indigestible food, overloading the stomach, and other irregularities, should be avoided. During the early part of the voyage, unless the weather be very unfavor- able, the traveler should remain on deck as much as possible, in a recumbent posture, and avoid looking at the motion of the waves. Colic. iv.—colic (Enteralgia). Symptoms.—Common colic is characterized by se- vere twisting, griping, tearing pain round the navel, recurring in paroxysms, but relieved by pressure, so that the patient lies on his belly, pressing his abdomen with his hands, writhing in agony. There is a frequent desire to relieve the bowels, but often nothing passes except a little flatus. Febrile symptoms, as in inflam- mation of the intestines (enteritis), are absent, and the pulse is not quickened, unless it becomes so from anxie- ty. The symptoms abate when vomiting, eructation, or a discharge from the bowels takes place. Causes.—Cold; a mass of heterogenous, acrid, indi- gestible food ; worms, constipation. A condition re- sembling colic may also arise from stricture of the in- testines (intussusception). Painter s colic arises from the poison of lead. Treatment.—The chief remedies are Coloc., JVux vom., Pry., Cham., and Verat. Colocynth.—Violent pains, compared to stabbing, cut- ting, clawing, or pinching, with diarrhoea. Nux vomica.—Colic from indigestible food, suppressed period, or during pregnancy, with severe, contracting pains, ineffectual efforts to relieve the bowels, or alter- nate constipation and relaxation. Cha7nomilla.—Cutting, tearing, and pinching pains ; bilious or windy colic; watery, slimy, yellow or green- ish diarrhoea, particularly in children. Administration and dose.—See page 46. Accessory Means.—An injection of a pint of tepid water often gives immediate relief. of heat Diseases of the Organs of Digestioti. to the abdomen, or a warm bath, are also useful meas- ures. Persons subject to colic should avoid food of a flatulent character, wear flannel round the abdomen, and keep the feet dry. V.—BILIOUSNESS. What are popularly called “ Bilious attacks,” and supposed to be due to derangements of the liver, are almost invariably symptoms arising from, and common to, Indigestion, such as furred tongue, vomiting of bile, giddiness, sick headache, etc. One of the following remedies, according to the particular symptoms, with a restricted, simple diet for the following twenty-four hours, and cold water ad libitum, will usually complete the cure : Nux vom., Pod., Puls., Iris., Kali bich., I pec., B?y., Merc., Verat., or Ars. The whole section on “ Indigestion ” should be consulted. [“ Biliousness,” being much more common in America, and par- ticularly “ at the West,” we give more space to the subject by add- ing the following from “Practical Homoeopathy,” by Dr. J. S. Douglas.—Amer. Editor.] Biliousness.—This is not a scientific term, but one which most persons understand. One feels languid, dull, sleepy, especially after dinner ; he gets easily tired, his appetite is impaired; often there is a dull headache and tendency to constipation, and the complexion loses its freshness, and becomes of a dull or dirty appear- ance. People generally understand that these are bilious symptoms. They are not unfrequently the precursors of bilious fever, or jaundice. Podophyl. is generally the only necessary remedy ; a single dose will often remove all these unpleasant feelings in a few days. If not, con- tinue it three times a day. If there is a tendency to Jaundice. chilliness or an inactive state of the bowels after a day, take Nux at night and Podoghyl. in the morning. This course for a short time will save a fit of sickness and a doctor’s bill. VI. HEARTBURN, FLATULENCE, ETC. These are only different symptoms of Indigestion, and their treatment may be gathered from the article on that subject. vii.—jaundice (Icterus). Symptoms.—Yellow tinge of the skin and whites of the eyes ; high-colored urine, staining the linen yellow ; light or clay-like stools, constipation, but sometimes, especially in children, diarrhoea; bitter taste in the mouth; slow pulse; dejection of spirits; and, often, febrile symptoms. When there is an obstruction from a gall-stone, the sufferings are most acute ; the pains come on in parox- ysms, often with vomiting and hiccough. Causes.—Arrested secretion of bile, and its accumu- lation in the blood ; or obstructed elimination, so that it again enters the circulation. The condition may be due to atmospheric changes, the impaction of a gall- stone, unrestrained fits of passion, etc., or, most fre- quently, to dietetic transgressions, dissipation, etc. Treatment.—Mercurius.—This is a valuable reme- dy, especially after the inflammatory symptoms have been modified by Aeon, or Bell. A dose every three hours. China.—This remedy is chosen in preference to the Diseases of the Organs of Digestion. former if the patient has been mistreated with large doses of Mercury. Chamomilla.—Jaundice in passionate or fretful pa- tients, especially children. Nux vomica.—Jaundice attended with costiveness, sensitiveness in the region of the liver, and connected with sedentary habits or indulgence in spirituous liquors. Other remedies are often necessary, but domestic treatment should never be trusted to when professional can be obtained. Accessory Means.—Cold water, to appease thirst; Liebig’s Extract of Meat; toasted bread, scalded with hot sweetened water and a little sugar ; roasted apples. Spongio-piline, or flannel, wrung out of hot water, re- lieves pain. See under “ Chronic Inflammation of the Liver” VIII. INFLAMMATION OF THE LIVER (Hepatitis). Symptoms.—An acute attack sets in with rigors, fol- lowed by other symptoms of fever, as hot, dry skin, thirst, headache, constipation, and often cough. There are pain and tenderness of the right side, the pain ex- tending to the top of the right shoulder, and sometimes down the arm, and is aggravated by taking breath ; the breathing is short, thick, and thoracic ; and there is sickness, with some degree of jaundice. Causes.—Acute inflammation of the liver is most frequent in India, from the climate and diet not suiting European constitutions ; in this country, it arises from cold, and is then seated in the serous peritoneal cover- ing, and resembles pleuritis. Dram-drinking often leads Liver Complaint. 117 to a hard, contracted condition of the liver, called Cir- rhosis, which leads to dropsy. Treatment.—Aconitum.—Feverish symptoms, dis- tress, restlessness, inflamed, yellow-colored tongue, and severe pains. A dose every two or three hours. In se- vere cases, the strong tincture of the root may be used. Mercurius.—Yellow tinge of the whites of the eyes (conjunctiva) ; sallow skin ; yellowish coating of the tongue, and foul taste. Bryonia.—Shooting or stinging pains, obstinate con- stipation, especially after Aeon. Nux vomica.—Hepatitis from intoxicating drinks, excessive or stimulating food, or too little out-of-door exercise. Arsenicum.—Extreme cases, with great weakness, in- tense pain, vomiting of bile, and exhausting diarrhoea. General Treatment.—See “ Accessory Measures in Fevers,” page 56. IX. CHRONIC INFLAMMATION OF THE LIVER—LIVER COMPLAINT. Symptoms.—Languor, depression, and often a kind of dread of some impending evil. The liver itself may be enlarged or dimished in size, and there is sallowness of complexion, and often emaciation. Causes.—Intemperance; too little out-of-door exer- cise ; misfortune ; mercurial preparations, such as calo- mel and the blue pill. Treatment.—Similar remedies to those prescribed in the preceding section. Accessory Means.—Water will be found a valuable Diseases of the Organs of Digestion. auxiliary. Cold sponging or bathing, with vigorous fric- tion immediately afterwards, is highly recommended. The patient should shun stimulants, live regularly, and avoid rich food, pastry, spices, coffee, etc. Two hours at least out of every twenty-four, should be spent in out-of-door exercise, such as walking, gardening, or on horseback. If these suggestions are early carried out, before the disease has led to the disorganization of the gland, a cure may be expected, and earthly existence rescued from the disabilities and sufferings inseparable from disease. X. D1ARRHCEA LOOSENESS OF THE BOWELS PURGING. Common diarrhoea is a functional disorder, consisting of frequent liquid faecal evacuations, without inflamma- tion of the intestines, Causes.—Unusual, excessive, acrid, or indigestible food, especially unripe or decaying raw fruits; pork, veal, etc.; putrid or diseased animal food ; atmospheric influences ; mental emotions, etc. Diarrhoea is often a symptom of other diseases, as hectic and phthisis, when it is called colliquative diar- rhoea, because it appears to melt down the substance of the body ; the diarrhoea of typhoid fever; bilious diar- rhoea, from excessive flow of bile, as in hot weather, or after passing a gall-stone ; and serous diarrhoea, with watery discharge. Looseness of the bowels is also a very common precursor of cholera, when that disease is epidemic. When diarrhoea arises from indigestion or dissipation, it may be regarded as an effort of nature to expel sub- Purging. s'ances which might otherwise give rise to more serious disturbance. Treatment—Camph., Ant. crud., Puls., Chin., Cham., Ipec., Verat., and A ns. are the chief remedies. Camphor.—In sudden and recent cases, with chilliness, shivering, cold creeping of the skin, severe pain in the stomach and bowels, cold face and hands, or cramps in the legs or stomach. Two drops on a small piece of loaf sugar, repeated every twenty or thirty minutes, for three or four times. Ant. crud.—Watery diarrhoea, with white furred tongue, disordered stomach, nausea, and eructations. Pulsatilla.—Mucous diarrhoea, occurring chiefly at night, with little pain; the tongue is coated with a whitish fur; the taste is diminished or altered, and there are generally nausea, foul or acrid eructations, etc. Puls. is curative in diarrhoea from eating fat or rich food. China.—In simple summer diarrhoea, this remedy is very efficacious. Mercurius.—Diarrhoea with clay-colored or green stools. Dulcamara.—Catarrhal diarrhoea, watery or yellowish, with little or no pain; traceable to damp, particularly in the summer and autumn. Chamomilla.—Watery, bilious, or slimy stools of a yellowish, whitish, or greenish color, or resembling un- digested food, particularly during teething. Pinching pains, sour breath, and fretfulness, are additional indi- cations. Veratrum.—Choleraic diarrhoea, with copious watery discharges, occurring in gushes, and accompanied with severe vomiting, debility, etc.; involuntary diarrhoea. Diseases of the Organs of Digestion. Arsenicum—Diarrhoea accompanied or ushered in by vomiting, with great heat of the stomach, ascending to the throat, resembling heartburn ; a burning sensation attending the discharge of the faeces ; coldness of the body, pallid and sunken face, and great prostration. It is chiefly suited to chronic diarrhoea, with symptoms indicating organic disease. Administration.—A dose every one, two, or three hours, according to the violence of the symptoms, or after every movement of the bowels, until relieved. Accessory Means.—Rest in the recumbent posture; the extremities kept warm ; sudden changes of tempe- rature avoided. Individuals subject to diarrhoea on slight causes, and having a feeling of coldness about the body, should wear a flannel roller round the abdomen. Night air and late hours predispose to attacks. Except in severe cases, moderate out-of-door exercise should be taken daily. Mental excitement and physical ex- cesses of every kind should be avoided. Diet.—Food should be given cool and sparingly, consisting of light non-irritating substances—sago, tapioca, milk, arrow-root, baked rice-puddings, white- fish, etc.; bland drinks ; no coffee, spices, acids, eggs, fruit, or stimulants should be allowed. X. DIARRHCEA IN CHILDREN. Healthy infants have usually two or three movements of the bowels in twenty-four hours. If the discharges become much more frequent, unnatural in color, watery, and accompanied with pain, treatment is necessary. Treatment.—Chamomilla.—Diarrhoea during teeth- Dysentery. 121 ing, or from cold, with colic, crossness, and restlessness; greenish, watery, bilious, frothy, and offensive dis- charges. Ipecacuanha.—Summer diarrhoea, (see China, page 2x3), with vomiting; diarrhoea from overloading the stomach. Pulsatilla.—Loose, greenish, bilious discharges, with flatulence or griping from indigestion, especially in fair and delicate children. Podophyllum is highly recommended by Dr. Shipman, in his excellent manual, for diarrhoea of teething chil- dren, especially with falling of the bowel. Merc., Calcarea carb., or Dale., may be required. Administration.—A dose every two or three hours, or after every movement of the bowels. See the preceding section, and also those on “ Teeth- ing," “ Worms," and “ Thrush." XI. DYSENTERY BLOODY FLUX. Dysentery—inflammation and ulceration of the large intestine—is most frequent and violent in India, the Chinese seas, and other hot climates. In this country it is generally only subacute; but in all cases it is most likely to take the chronic form. Symptoms.—This intensely painful disease is gen- erally attended with thirst, dry skin and tongue, head- ache, and other symptoms of fever. The most marked symptom of dysentery is frequent, painful desire to stool, with great straining—Tenesmus—without any evacuation, except a little mucus and blood, shreds of fibrine which the patient sometimes thinks to be the 122 Diseases of the Organs of Digestion. coats of his own bowels, and lumps of hardened faeces —scybalce. In hot climates its attacks are acute and violent, the pain being very severe around the navel and at the bottom of the back-bone. The bladder often sympathizes with the rectum, exciting frequent efforts to pass water. Causes.—Exposure to sudden and extreme changes of temperature, as from the heat of day to the cold and damp of night; insufficient protection from cold and wet; as sleeping on the ground ; intemperance ; a poor or irregular diet, etc. It is therefore often epidemic among people reduced by privation, particularly soldiers in camps. The effluvia from dysenteric evacuations are infectious, and consequently a cause of spreading the disease. Treatment.—Aconitum.—If febrile symptoms are well marked, the early use of this remedy often arrests the disease at its onset. It should be administered several times, at short intervals. Mercurias corrosivus.—Bloody evacuations, with pain and extremely severe straining. Colocynth.—This is often required after Merc., espe- cially when the colicky pains occur periodically, are very severe, and the discharges are mixed with green matter or lumps. If Merc, has not been previously ad- ministered, it may be alternated with Coloc. Arsenicum.—Burning pain with the evacuations ; excessive weakness ; coldness of the extremities; cold breath ; faeces and urine putrid and offensive, often in- voluntary. Ipecacuanha.—Autumnal dysentery, with nausea, se- vere straining, and colic ; the evacuations are first slimy, Asiatic Cholera. 123 afterwards bloody. Often advantageously alternated with Bryo?iia. Administration.—In severe cases, a dose every twenty or thirty minutes ; in mild, every two or three hours. Accessory Means.—The patient should maintain a reclining posture in bed, in a well-ventilated apartment, and in severe cases use the bed-pan instead of getting up. Local applications afford great relief, the best of which is the cold compress, i. e., two folds of linen, or a napkin, wrung out after immersion in cold water, and applied over the bowels, covered with oiled-silk, and secured by a flannel bandage round the whole abdo- men. If the pains are very severe, flannels wrung out of hot water should be applied over the abdomen, a second hot flannel being ready when the first is re- moved. The drink should consist of cold water, gum- water, milk, etc.; the diet must be restricted to arrow- root, cocoa, broths, ripe grapes, etc. Animal food and stimulants should be withheld except during recovery and in chronic cases, when extract of meat should be taken. Cold and sudden changes of temperature should be carefully avoided. XII. ASIATIC OR MALIGNANT CHOLERA. In this disease, which resists the efforts of the old sys- tem, Homoeopathy has won brilliant triumphs. Its suc- cess in the prevention and cure of cholera,* and other violent diseases, has contributed greatly to its rapid spread in every part of the world. Treatment.—This disease should, if possible, be * See Dr. Macloughlin’s testimony, pages 25-26. 124 Diseases of the Organs of Digestion. always treated by a Homoeopathic practitioner. We shall only briefly indicate some of the remedies and measures which have been found most useful. Camphor is one of the first and most important medi- cines to be administered, under whatever form the dis- ease presents itself. Its special indications are, sudden prostration, the body generally becoming cold ; pains in the stomach and bowels ; irregular pulse, cold sweat on the forehead • giddiness; noise in the ears; swelling of the abdomen from wind ; and severe purging:—Two to five drops of the strong tincture on sugar, or in a spoonful of water, every five or ten minutes ; as soon as the patient becomes warm, the doses may be given less frequently, and discontinued when full perspiration takes place. At the same time the patient should be placed in a warm bed, and have hot-water bottles ap- plied to the feet. Arsenicum.—Violent burning pains in the stomach ; excessive thirst; suppression of urine; clammy sweat, weak, tremulous pulse; cramps, and entire prostration of strength. It is the great remedy when the time for curing with Camphor has passed. Veratrum.—The chief indications for this remedy are violent and continuous vomiting and purging ; a shriveled appearance of the skin ; cold tongue; cadaverous and pinched appearance of the face. Cuprum.—Spasm or cramp, and convulsions. Preventive Measures.—During the prevalence of Cholera, there are usually premonitory symptoms, such as general uneasiness, bitter taste in the mouth, fullness and pressure at the pit of the stomach, cramps, and rumbling in the bowels; these symptoms should be Constipation. promptly checked. Much time may be saved, and life spared, by families providing themselves with a small case of Homoeopathic remedies, including a small bottle of Arsenicum and Veratrum ; also a bottle of Camphor, which must be kept by itself. The following advice is worth remembering: “ In an epidemic of Cholera, the means to avoid an attack are, to maintain cheerful- ness of spirit (remembering that the disease is not contagious); using a temperate but generous diet; avoiding suppers ; keeping early hours ; sleeping in the highest room in the house ; and carry- ing a small bottle of strong camphorated spirit in the pocket, for the use of others as well as yourself; and if compelled to pass the neighborhood of foetid drains, ditches, or other suspected places, moistening the tongue with a drop of the camphorated spirit before inhaling the stench, it being known to Homcepathists that Camphor is the antidote to most of their infinitesimal medicines, so it is an antidote to the cholera poison suspended in the air, and inhaled into the lungs in an infinitesimal quantity, provided the Ca?nphor is applied before the poison has begun to operate on the blood.— //. A'elsall, M.D. XIII. CONSTIPATION CONFINED BOWELS. A tendency to costiveness is not so grave a symptom as many persons suppose it to be ; indeed, individuals thus predisposed generally live long, unless they injure themselves by purgatives ; while those who are subject to frequent attacks of diarrhoea are soon debilitated, and seldom attain old age. The common idea that aperients contribute to health, not only in sickness, but also occasionally in health, and that impurities are thereby expelled from the body, is very erroneous. The fallacy of this notion may be easily demonstrated. Let purgatives be taken for a week, and however good 126 Diseases of the Organs of Digestion. may have been the state of health previously, at the termination of this period all sorts of impurities will be discharged, especially after taking jalap and calomel. As this is an invariable result, even in the case of those who have never been ill, it proves that impurities are produced by those drugs. In sickness, also, purgatives are most injurious. Disease weakens the whole system; “the bowels, therefore," says Dr. Yeldham, “ in common with the legs, the arms, the stomach, the brain, and every other organ, partake of the general debility, and become de- prived of that power by which, in a state of health, they are ena- bled to discharge their proper functions. Why should they, more than the other organs, be impelled to the performance of a duty to which, at the time, they are totally unequal ? “ Again, under the process of disease, the whole vital power is devoted to the struggle which is going on in the affected part. The attention of the system is, as it were, drawn off as well from the bowels as from every other organ not immediately engaged in the contest. On this account, also, they remain quiescent ; and any interference with that quietude, by diverting the vital energy, weak- ens that force which nature requires to be undivided, to enable her to conduct her combat with disease to a successful issue—an addi- tional reason why purgatives should be avoided. “ Constipation is an effect, not a disease : otherwise there might be some show of reason in the use of aperients. But, being merely a temporary loss of power, we can no more restore that power by forcing the action of the bowels, than we can impart strength to a weakened leg by compelling it to walk. In the latter instance, we should instinctively rest the part, until, by the removal of the dis- ease, motion might be resumed. The same reasoning applies with equal force to the removal of constipation. The exercise of a little patience, and the employment of judicious means for the eradica- tion of that disordered condition on which the inaction depends, would as infallibly restore the bowels to their duty, as in every other instance the effect must cease when the cause is removed.” Constipation. 127 Causes.—Sedentary habits; dissipation; an improper quality or quantity of food ; the use of superfine flour ; mental anxiety ; diseases of the liver ; exposure to the action of lead, as in painters; want of contractile power in the coats of the rectum; mechanical obstruction of the contents of the bowels; inflammatory disease of the intestines, brain, or spinal cord, or their membranes. But a frequent cause of constipation is loss of tone of the mucous lining of the bowels, from the habitual use of purgatives. An important point will be gained if we can bring persons to consider constipation simply as a result of other causes, and a want of balance in the general sys- tem ; and when measures shall be directed to the cor- recting of this condition as the only rational means of curing constipation. Constipation and Old Age.—Daily evacuation, which, perhaps, should be the rule in youth and middle life, is an excess in advanced life, when thrice or even twice a week is often sufficient. It is desirable that this physiological fact should be known, as old persons often trouble themselves needlessly on this point. Treatment.—If headache, dry tongue, hot skin, or other distressing symptoms co-exist with constipation, one of the following remedies may be selected : Nux vomica.—Constipation, with frequent ineffectual inclination to stool; irregular action of the bowels ; constipation, with nausea and sickness in the morning, distension and heaviness of the stomach, ill-humor, fullness or pain in the head, uneasy sleep, etc. It is well adapted to constipation following intoxicating 128 Diseases of the Organs of Digestion. drinks; eating too much or too great a variety of food at one time ; excessive study, and sedentary habits. Bryonia.—Constipation from torpor of the bowels (thus differing from the ineffectual or irregular action of the previous remedy); constipation, with chilliness, headache, and irritability, or associated with rheuma- tism, or heat of the weather. Opium.—Constipation, from a general paralytic con- dition, leading to inertia of the intestines ; obstinate constipation, with a feeling as if the anus were closed; hard and lumpy stools; headache, dizziness, dry mouth, thirst, listlessness, and dusky face ; also in chronic cases, from too little out-of-door exercise. Podophyllum. — Constipation, with flatulence and headache, depression of spirits, and disposition to “ bilious ” condition of the system. Lycopodium.—Constipation, with itching and tight- ness of the anus; rumbling and flatulence in the abdo- men ; waterbrash, heartburn; the bowels feeling warm, dry, and. distended. Sulphur.—Habitual costiveness, piles, burning and itching of the anus, etc. It is also valuable as an inter- current remedy, and frequently aids the action of Nux. Dose and Repetition.—See page 46. Accessory Measures.—No medicine can be of per- manent benefit if the bad habits which led to the con- stipation are persisted in. Moderate walking exercise is useful, particularly in the morning in the country. AVater* is an extremely valuable adjunct, both for in- ternal and external use. Cold baths, especially the shower and sitz, are strongly recommended as being * See the article on “ Water,” page 39. Constipation. 129 of easy application. The wet compress at night is often an invaluable remedy; also injections, as recommended further on. Regularity in attending to the calls of na- ture is important; the best time to solicit the bowels to act is in the morning, usually after breakfast. By fixing the mind on this operation for a few days, the bowels will generally respond, and constipation be sometimes removed by attention to this point alone. Diet.—Meals should be taken with regularity, ani- mal food eaten sparingly, but vegetable and ripe fruit freely. Oatmeal porridge, with treacle, may be taken for breakfast; and brown bread should be preferred to white. If brown bread is not eaten exclusively, a little should be taken with nearly every meal; its effects will thus be more uniformly exerted through the alimentary canal than if only taken occasionally. Strong or green tea, spirituous liquors, highly-seasoned food, and late suppers, should be avoided. Injections.—In obstinate and protracted constipa- tion, and when the lower bowel is obstructed with faecal matter, in too large masses, or too hard and dry for discharge, and the means before suggested prove inef- fectual, the enema may be used as a certain means of obtaining the desired relief, while it reduces the tem- perature of the rectum, and removes the sensation of congestion. At the same time, the use of the enema does not interfere with the administration of any Hom- oeopathic remedy necessary to cure the disease, of which the constipation is a symptom. The injection should consist of about a pint of water, and should be care- fully injected up the rectum by means of the enema syringe. On commencing to use injections, the water Diseases of the Organs of Digestion. for this purpose should not be lower than 720, and gradually reduced to 64°. Un-irritatingin its operation, and acting directly on the seat of obstruction, an injec- tion is greatly preferable to deranging the whole ali- mentary tract with strong drugs, which, after the un- natural excitation, only settle back into a state of greater debility and torpor than before. xiv.—worms (Helminthia). Intestinal worms being the products of certain mor- bid states, the treatment should be directed against the disease itself, rather than against the product it engen- ders. The effect of most allopathic remedies is, at the best, to excite a discharge of the worms from the sys- tem, without correcting the morbid condition on which their existence and reproduction depends. Varieties.—There are three chief species of worms which infest the human body, viz., Oxyuris vermicularis, Ascaris lumbricoides, and Tania solium. 1. —The Oxyuj'is vermicularis, or thread worm, infests the rectum (lower bowel). It is small, about a quarter to half an inch long, occurs chiefly in children, and oc- casions much local irritation. The chief symptom is intolerable itching within and about the anus in the evening, aggravated by the warmth of bed ; also pick- ing of the nose, foetid breath, depraved appetite, and disturbed sleep. 2. —The Ascaris lumbricoides, or round worm, also exists in children, its habitat being the small intestines, where it feeds on the chyle, and attains a length of six to twelve inches. The symptoms, often obscure, Worms. are—pains in the belly, fretfulness, grinding of the teeth, disturbed sleep, or convulsive attacks ; also itch- ing of the nose and anus. The child becomes sallow, its limbs waste, but its belly is enlarged, hot, and tense; the appetite is uncertain, often v&racious; the breath is offensive, and the stools contain much slimy mucus. The worms sometimes travel upward into the stomach, and are vomited, or downward into the colon, and are passed with the stools. 3.— Tcenia solium, or the tape worm, is nearly white, flattened, and oPa. jointed structure ; it attains a great length, even many yards, by repetition of the joints ; and exists both in adults and children. The symptoms being masked, its presence is unsuspected until portions are passed in the stools, the head still remaining. There is seldom more than one worm present at a time, yet each joint possesses an ovary, and its eggs are millions, but they are discharged with faeces, and are devoured by unclean animals—swine, ducks and rats ; in these creatures they become developed, but not always into tape-worms, for they appear to go through several gen- erations before returning to the jointed form. They are probably introduced into the human body by eating unwholesome animal food, especially tripe and sausage- skins imperfectly cooked. It is supposed that the ova sometimes reach the circulation, and in the liver or other organs are developed into encysted Entozoa, com- monly called Hydatids. General Symptoms.—Sudden changes in the color of the face ; dark semi-circles under the eyes; copious flow of saliva; nausea; insipid, acid, or foetid odor of the breath; a voracious, alternating with a poor, appe- 132 Diseases of the Organs of Digestion. tite; itching of the anus ; talking, and grinding the teeth during sleep ; thick and whitish urine ; tightness and swelling of the lower part of the abdomen; fre- quently emaciation, and, sometimes, convulsions, de- lirium, etc. Perhaps the only irrefragable sign is the presence of worms in the stools, or in the matter vom- ited. Treatment.*—Aconitum.—At bed-time, for fever, restlessness, and burning and itching at the seat. Cina.—A valuable remedy for thread worms (ascari- desJ, or round worms (lumbrici), wi$h the following symptoms : boring at the nose, livid circles round the eyes, tossing about, or calling out suddenly during sleep, epilepsy or convulsions, nausea and vomiting, griping, itching at the anus, and white and thick urine, sometimes passed involuntarily. Mercurius.—Diarrhoea, slimy stools, distension of the abdomen, difficult teething, and augmented secretion of saliva. Ni/x vomica.—For both thread and round worms, hard stools, and after indigestible food. Ignatia.—Intense itching at the seat, nervousness, epileptic attacks, etc., especially in mild, sensitive persons. Sulphur.—For worm-colic, and after the prominent symptoms have disappeared, to complete the cure. Calcarca.—After discontinuing the other remedies, in patients having an hereditary predisposition to worms, and with scrofulous symptoms. Dose and repetition.—See page 46. * In addition to the treatment here described, the tape-worm re- quires other remedies, and often in massive doses. Piles, Accessory Means.—The food should be simple, easy of digestion, and taken only at regular hours; pastry, sugar, sweetmeats, and sweet-made dishes, strictly avoided. Salt, as a condiment, should be taken with the food. A draught of spring-water should be swallowed on rising, and the whole body, the abdomen in particular, bathed with cold water in the morning, and afterwards rubbed till the whole skin is in a glow ; daily exercise taken in the open air; also injections as recommended in the next paragraph. Injections.—These are most useful as means for expelling the worms; half a pint of water, in which a spoonful of common salt has been dissolved, once or twice repeated, will often suffice to relieve a patient thus troubled. Afterwards, a simple cold or tepid injection should be used regularly about three times a Aveek, for two or three months, to wash away the slime in which the ova exists. But the general and medicinal treat- ment can only be relied on for improving the health and preventing their re-formation. xv.—piles (Hemorrhoids). These consist of small tumors, sometimes outside (external piles ), and sometimes within (internal piles) the opening of the lower bowel, either with or Avithout bleeding. They vary in number, from one small in- tensely painful swelling, to numbers clustering together like a bunch of grapes. These swellings are attended Avith pricking, shooting, burning, or pressive pains, in- creased on going to stool, and sometimes with dull pains in the loins. Blood is often passed with the Diseases of the Organs of Digestion. evacuations, sometimes only in drops, but at other times in considerable and even alarming quantities. Causes.—Obstinate constipation ; drastic purgatives; heating or stimulating food or drink; a luxurious life; sedentary habits ; pressure of the enlarged womb upon the vessels of the pelvis during pregnancy ; * sitting on cold stones, or on warm or soft cushions; excessive horseback-exercise ; and over-excitement of the sexual organs. Treatment.—Aeon., Ham. vir., Merc., Nux vorn., Car bo veg., Phos., and Sulph. Nux vomica.—A valuable remedy in almost every form of piles, especially in persons of sedentary habits, confined bowels, or addicted to the use of intoxicating drinks, strong coffee, etc. See also Sulph. Sulphur.—Chronic piles, from abdominal plethora, or with itching and burning of the anus, and especially when associated with constipation. The evacuations are often mixed with blood; there is great pain, and the tumors protrude considerably, and are pushed back with difficulty; also, smarting pain in passing water. Sulph. is often alternated with Nux, the latter admin- istered at night and the former in the morning; or Sulph. following Nux to complete the cure. Carbo veg.—A burning sensation at the anus, and discharge of blood with the stools, which are consti- pated. Arsenicum.—A burning sensational from hot needles, and general prostration. * For the treatment of piles during pregnancy, see “ The Lady’s Manual,” by the Author. Protrusion of the Bowel. Aconitum.—Profuse discharges of blood, throbbing and inflammatory symptoms in the parts. Dose and Repetition.—See page 46. Diet and Accessory Means.—Patients should avoid highly-seasoned dishes, coffee, pepper, spices, alcoholic beverages, and all kinds of indigestible food. Light animal food, properly cooked vegetables, and ripe fruits form the most useful diet. Sedentary habits, too much standing, the use of cushions and feather-beds are preju- dicial. The pain attending blind piles may be relieved by ablution with cold water, or in tepid water if that is found more agreeable.* Bleeding piles may be relieved by drinking half a tumbler of cold water, and then lying down for an hour. The horizontal position should be maintained as much as possible, especially for ten or fifteen minutes after an evacuation; this gives great re- lief, and favors recovery. An occasional injection of about half a pint to a pint of water up the lower bowel, by means of the enema syringe, acts most beneficially, by constricting the blood-vessels, softening the Leces* and obviating straining at stool. The wet compress is also recommended as a preventive, directly the first symptoms are noticed ; and also curatively, with other means pointed out. xvi.—protrusion of the bowel (Prolapsus Afli). This unpleasant complaint is occasioned by long- continued constipation or diarrhoea, purgatives, strain- * Hamamelis cerate is said to be an excellent application, and the “ Distilled Extract ” of Hamamelis is of great value in bleed- ing piles. 136 Diseases of the Organs of Digestion. ing, and laxity and delicacy of constitution. Although not confined to them, it is most frequent in children. Treatment.—Ignatia.—This remedy is often spe- cific, and is generally the first to be used.* A dose thrice daily, for two or three days; afterwards, night and morning. Nux vomica.—Prolapsus, with costiveness and strain- ing at stool. Mercurius.—Prolapsus, with itching, discharge of a yellowish mucus (white piles), and diarrhoea; hard, swollen abdomen. Lycopodium.—Obstinate cases, and when other reme- dies only partially cure. Sulphur.—For similar conditions. Accessory Means.—When the bowel protrudes, it should be replaced by laying the child across the lap, and making pressure on the protruded part with the fingers, previously lubricated with oil or lard. Bathing the parts with cold water, night and morning, and in- jections of water are very useful. The action of the bowel in the evening, just before going to bed, should be encouraged. The diet should be wholesome and unstimulating. * American physicians prescribe Podophyllum with great suc- cess. CHAPTER V. AFFECTIONS OF THE HEAD* i.—headache (Cephalalgia). Headache may be merely an incidental symptom of a general disease, such as indigestion, common cold, typhus, or deranged menstruation ; or it may be a more or less local affection, resulting from some irritation of *From statistical returns of the Registrar-General of births, marriages, and deaths, in England and Wales, we learn that dis- eases of the head—congestion of the brain, apoplexy, paralysis, epi- lepsy, etc.—have rapidly multiplied of late years, being as three to one when compared with earlier, more simple, and less competi- tive times. This augmented brain affection is no doubt the result of the overtasked energies and feverish excitement in which great numbers live, and of the large amount of stimulants taken to sus- tain that excitement. Hence it is our honest conviction that if the suggestions contained in the present work be faithfully observed, they will lead to the moulding afresh of our commercial and social habits. Daily exer- cise and recreation in the open air, true temperance, a less selfish and anxious pursuit of wealth, and a knowledge of the chief causes of disease, must materially reduce the present superfluous physical and mental wear and tear, and conduce to a more healthy, because a more natural mode of life. The more com- plete application of the early closing and weekly half-holiday movements to all departments of business, benefiting alike the employer and the employed, would also greatly contribute to the 138 Affections of the Head. the cerebral nerves. Chronic headache should be treated by a Homoeopathic physician. Treatment.—This must be regulated by the cause. Belladonna.—Pains throbbing, tearing, or shooting from one point to another; fullness, pressure, and heaviness above the eyes, aggravated by mental efforts, noise, or light; congestion of blood to the head, with redness of the face, glistening of the eyes, and exces- sive sensitiveness to external influences. A dose every hour until relieved ; afterwards less frequently. Bell, is often useful after, or alternately with, Aeon. Aconitum.—Heat in the head from excitement, and aggravated by motion, with a sense of coldness in the rest of the body; cold water to the head gives relief; also in sick-headache, with vomiting of bile, etc. In rheumatic, bilious, and apoplectic headaches, the strong tincture of the root is recommended. A dose every half-hour, hour, or two hours, until the symptoms are modified; afterwards less frequently. diminution of diseases of the heart. Having regard to the health as well as the happiness of the industrial classes, we strongly urge all employers to pay wages on Friday, and to give the weekly half-holiday on Saturday, our plea being strengthened by the expe- rience of years, that work is better done when it is not excessive or unrelieved by recreation. Rest and out-of-door amusements are to the human frame what oil is to the wheels of the iron machine. To the whole community, then, we commend the rule, Never Shop after Twelve on Saturday, and thus help to secure for the city clerk, the busy shopman, and the toiling artisan, relief from his du- ties at noon on Saturday, to enjoy amid the scenes of nature, or in the bosom of his family, the unbending of his back, and the un- wrinkling of his brow, and insuring, from lighter hearts and invigor- ated bodies, greater diligence and better work. Headache. Iris.—Sick headache with much vomiting of bile, pains in the forehead and right side of the head, aggra- vated by movement. Nux vomica.—Headache from intoxicating drinks, sedentary habits, too close attention to business ; head- ache with nausea or vomiting of sour and bitter sub- stances ; stupefying headache with giddiness and heavi- ness in the head, in the morning after unrefreshing sleep, or after meals, and connected with other symp- toms of indigestion. It is well indicated by a dark or bilious complexion, an irritable disposition, and irregu- lar action of the bowels. Headache caused by intoxi- cating beverages, may require the strong tincture. Podophyllum.—If the patient is inclined to bilious derangement, indicated by dull feeling in the head, low spirits, constipation, or frequent urging, with small stool. Pulsatilla.—Headache from rich food, with acidity of the stomach, heaviness of the head, pain on one side of it, shooting into the ears, paleness of the face, fret- fulness, and shiverings. Also in women, from sup- pressed period. Bryonia.—Headache from cold, most troublesome in the morning, or after a meal; digging or tearing pains, * and a feeling as if the contents of the head would pro- trude on stooping. Rheumatic Headache ; headache during hot weather; also with bleeding of the nose, burning and watery eyes, or torpor of the bowels. Opium.—Headache with stupor, heaviness, a wander- ing expression, sluggish action of the bowels, and after a fright. 140 Affections of the Head. Ignatia.—Headache from grief, and in nervous or hysterical patients. Ckamomilla, Cojfea, Mercurous, Glonoine, etc., are also remedies sometimes required. Dose and Repetition.—See page 46. Preventive Treatment.—An attack of headache may sometimes be warded off by a dose or two of Nux vomica (if from indigestion), or of Aconitum (if from a cold), if taken immediately the first symptoms are ob- served. General Treatment.—The cause should, if possi- ble, be ascertained and removed. In cases of difficulty, an observant physician can generally detect the cause, and, almost as often, point out the cure. Highly stimu- lating food and drinks, especially Spirits, strong tea and coffee, should be avoided; there should also be regu- larity as to meals, proper adaptation of clothing to the requirements of our changeable climate, a healthy action of the bowels, and a sufficient amount of recre- ation taken daily in the open air. II. SICK-HEADACHE. This is the headache of indigestion, and is often er- roneously called Bilious Headache. Symptoms.—Giddiness, dizziness, swimming in the head, sickness, etc. The headache is stupefying or agonizing, generally commences in the morning, and is often confined to one spot on the side of the head, on the forehead, or over the eye. Causes.—Errors in diet; indulgence in wine; sed- entary habits ; or it may occur in a person whose diges- Epilepsy. 141 tion has been previously impaired without any imme- diate dietetic infraction. Treatment.—Bry., Iris, Ipec., Puls., Nux vom., or Bell. —See the preceding section, and that on “ Indi- gestion.” An attack of sick-headache may be broken up imme- diately in almost every instance by taking, as soon as the first symptoms are perceived, five or six drops of mother tincture of Ipecac, in a half teacup of water. Stir it well and drink all at once. If not entirely relieved in half an hour repeat the dose. Patients subject to sick-headache, will find the dis- position to it overcome by taking the 30th potency of Nux vomica and Calcarea, on alternate days, each day a dose, for three or four weeks. hi.—epilepsy (Epilepsia)—falling sickness. Symptoms.—Sudden and complete loss of conscious- ness, with foaming and convulsions, followed by sleep. Epilepsy means literally a seizure j for often in a mo- ment the patient falls to the ground, struggling, foam- ing, and insensible. Sometimes a fit is preceded by depression of spirits, a gloomy mood, drowsiness, or the aura epileptica, a peculiar sensation, compared to a stream of warm or cold air, the trickling of water, or the creeping of an insect. Causes.—Hereditary tendency; injuries, or mal- formation of the head; local irritation; derangement of the nervous or sexual system ; self-abuse ; fright, or fits of rage ; the irritation of worms ; the sight of other epileptics, etc. The evidence of hereditary tendency 142 Affections of the Head. exists in the fact that two or more cases of epilepsy frequently occur in the same family, far more frequently than it would do if it were a mere coincidence. Still, evidence of local irritation as a cause should be sought after, so that it may, if possible, be removed. Treatment during a Fit.—Tight articles of cloth- ing must be loosened, particular care being taken that there shall be no pressure on the vessels of the neck; the patient should be placed in a cool, airy place ; the head and trunk slightly raised; a cork or linen pad placed between the teeth to prevent the tongue, which should be pushed back, from being bitten, and the pa- tient prevented as much as possible from injuring him- self, without restraining him beyond what is absolutely necessary. After the fit, the patient should be allowed to sleep. Treatment between Fits.—Belladonna. — Great irritability of the nervous system, the patient starting at the least noise ; convulsive movement of the muscles of the mouth and face, and jerking in the limbs, dilated pupils, or fixed or convulsed eyes; intolerance of light; stammering; congestion of blood to the head; and when an attack commences with a sensation of crawling in the upper extremities. Ignatia.—Nervous, sensitive patients; when anxiety or grief has been an exciting cause, and there are deep sighs between or before an attack. Nux vomica.—Indigestion ; irregular action of the bowels ; great irritability between the fits : the patient takes too little out-of-door exercise. Opium.—Fullness of blood; deep and lethargic sleep Epilepsy. between the paroxysms ; also if the fits are traceable to fright. Chamomillci.—In children from gastric derangements; an attack is preceded by colicky pains, and followed by sudden stretching of the limbs, clenching of the thumbs, often sour vomitings, paleness of one and redness of the other cheek. Where, however, true brain symptoms are present, Cham, must yield to Bell. Phosphorus.—Epilepsy associated with, or conse- quent on, self-abuse. Cina.—From the irritation of worms. Sulphur.—Epilepsy following a suppressed eruption or discharge ; chronic cases; also as an intercurrent remedy. Cuprum is also a good remedy in some chronic cases. Administration.—For the premonitory symptoms, a dose every one, two, or three hours ; during the inter- vals, twice or thrice daily. Accessory Means.*—Regular exercise and amuse- ments, but not carried to the point of fatigue ; plain, nourishing food, in moderate quantities ; cold ablutions every morning. Patients with a tendency to plethora or congestion should wholly abstain from stimulants. Violent emotions, excesses of every kind, more espe- cially sexual, must be strictly avoided. * The current from a galvanic battery, rightly applied, is of great benefit. CHAPTER VI. AFFECTIONS OF THE EYES AND EARS* I.—INFLAMMATION OF THE EYES (Ophthalmia). Ophthalmia is a general term for inflammation of the mucous membrane which lines the eyelids and the front part of the eye-ball. There are several varieties, such as Catarrhal Ophthalmia, from cold; Strumous Ophthalmia, from a strumous (scrofulous) habit, marked by extreme intolerance of light; Purulent Ophthalmia, of several varieties, and from different causes ; Gonor- rhoeal Ophthalmia, from direct contact of gonorrhoeal matter. Symptoms.—Soreness in the ball of the eye, attended with a pricking pain, and a feeling as if there were sand or a little fly under the lids; great heat and severe pain in the eyes, often extending into the head; redness and swelling of the parts; extreme sensitiveness to light; scalding tears, and a secretion of mucus gluing the lids together. Causes.—Injuries; foreign bodies under the eye- lids ; rapid changes of temperature, especially draughts of cold air; sudden suppression of eruptions or dis- * For many important diseases affecting these organs, not even mentioned in this small manual, the reader is referred to “ The Vade Mecum of Modern Medicine and Surgery.” Inflammation of the Eyes. 145 charges ; crowding together, especially in filthy dwell- ings ; severe exertion of the eyes. Chronic inflamma- tion of the eyes points to a scrofulous constitution. Treatment.—Belladonna.—Excessive sensibility to light; redness of the eyes and margins; pressing pains in the eyes, especially on moving them, penetrating deeply into the head ; discharge of burning tears, and violent headache. Aconitum.—Ophthalmia, with general febrile symp- toms,—quick pulse, dry skin, thirst, etc. A dose every two or three hours. Mercurius.—Ophthalmia, with a copious watery dis- charge, afterwards changing to mucus and pus; sensa- tion as of sand under the lids, redness of the eyes, with swelling of the vessels, itching and shooting pains, pus- tules and scales on the lids ; the pains increase in the evening, and on exposure to cold, and there is aggluti- nation in the morning. Calcarea carbonica.—Chronic ophthalmia, in scrofu- lous, debilitated children : secretion of mucus, causing the lids to stick together in the morning. A dose twice daily. Hepar Sulphur.—Chronic, scrofulous ophthalmia, especially if much calomel has been administered. It is generally most beneficial after the acute symptoms have yielded to such remedies as Aeon, and Bell. Sulphur.—Frequent relapses in scrofulous persons ; or it may follow other remedies after the more urgent symptoms have subsided. Arnica.—Inflammation from external injuries. It may be used both internally and externally. Accessory Measures.—If inflammation has been 146 Affections of the Eyes and Ears. caused by sand, dust, lime, flies, or hairs of the lids, the irritating body should be immediately removed ; and if the inflammation is considerable, a shade should be worn. To prevent the eyelids from being cemented together in the morning, they should be smeared with a little olive oil by means of a camel’s hair brush, or with simple cerate, at bed-time. The only further local ap- plication admissible in domestic practice is a piece of lint, wetted with tepid or cold water, except the Calen- dula lotion in cases of injury. Patients in crowded and unhealthy towns should remove for a time to the coun- try, where they may take daily out-of-door exercise in a pure and bracing air. The food should be plain and nourishing, the habits early and regular, and frequent bathing should be practiced. Chronic, especially stru- mous ophthalmia, requires Cod Liver Oil. Persons predisposed to ophthalmia should guard against un- necessary exposures during easterly and north-easterly winds. II. BLOODSHOT EYE. Treatment.—Two or three doses of Aconitum at in- tervals of about three hours. At the same time the eyes should be frequently bathed with cold or tepid water. If from mechanical causes, the Arnica lotion (six drops of tincture to a wine-glassful of water) may be used. Also Arnica, internally, may be administered. If the condition be chronic or apt to recur without mechani- cal injury, Arsen, should be taken thrice daily for a week. hi.—stye on the eyelids (Hordeolum). The stye is a painful little boil projecting from the margin of the eyelids. Inflammation of the Ears. Treatment.—Pulsatilla is the chief remedy, and the first to be used in the absence of inflammation. It will not, however, prevent a tendency to return. Sulphur.—To remove the tendency to recur. Silicea and Calcarea.—Scrofulous patients, predis- posed to styes ; the remedies may be administered each for a week or ten days in succession, allowing an inter- val of two or three days between ; afterwards, if neces- sary, the course may be repeated. Administration.—In acute cases, every three hours ; in chronic, morning and night. Auxiliary Treatment.—Fomentations of tepid water; if pus form, a bread-and-water poultice at night. IV. FOREIGN BODIES IN THE EYE. If a particle of sand, a fly, or a hair get under the lids, the flow of tears is usually sufficient to dislodge the substance ; otherwise, it can generally be removed by wiping the eye gently with a soft, moistened handker- chief, or a feather, or by using a bent bristle, the two ends being held by the finger and thumb. If small pieces of flint ox iron are fixed in the front of the eye, they should be carefully picked out with a needle or point of a lancet. When the foreign body shall have been removed, a weak Arfiica lotion may be applied to the eye on lint or soft linen. V. INFLAMMATION OF THE EARS (Otitis) EARACHE ( Otalgia ). The conditions thus described are the most common affections of the ear. 148 Affections of the Eyes and Ears. Symptoms.—Sudden pain, sometimes so acute as to cause delirium; tenderness and soreness; unnatural noises ; deafness, or morbid sensibility to sound ; more or less redness and swelling of the ear passage, etc. Causes.—Cold currents ; imperfectly drying the ear after washing ; injudicious bathing ; probing or syring- ing an inflamed ear, etc. Treatment.—Aconitum.—Recent inflammation from cold. Belladonna.—Tearing pains in the head, leading to delirium. Pulsatilla.—Sticking or tearing pains in and behind the ear, swelling, and a feeling as if the ear were closed. It is specially suited to the earache of children, and after the inflammatory symptoms have been controlled by the former remedies. Chamomilla.—Earache from cold or suppressed per- spiration ; stabbing, tearing pains in the ears ; extreme sensitiveness, susceptibility, and irritability. Mercurius.—Pains in the ear extending to the cheeks and teeth ; discharge ; swelling of the glands, etc. Sulphur.—After the use of other remedies, as an in- termediate one, or to complete the cure. Dose and Administration.—See page 46. Accessory Means.—Hot fomentations, poultices, or the steam of hot water, to mitigate the pain. VI. RUNNING FROM THE EARS (OtorrllXa). Is commonly met with in scrofulous children, and should be treated professionally. Treatment.—Mercurius.—Thick, bloody, or fetid Deafness. 149 discharge ; tearing pains in the side of the head or face ; swelling and tenderness of the glands about the ear; also when the complaint follows Scarlatina, Measles, Small-pox, etc. A dose thrice daily. Hepar Sulphur is preferable if the patient has been dosed with Mercury. Pulsatilla.—Simple discharge from the ear with deaf- ness, in non-scrofulous children. Arsenicum.—Excoriating discharge in feeble consti- tutions. Calcarea.—Tedious cases, especially in strumous chil- dren. Accessory Measures.—Change of air often is neces- sary. Country air in a dry salubrious district, or sea air in the autumnal months, is generally of marked utility. vn.—deafness (Surditas). Causes.—Deafness is generally a symptom of some other disorder, such as inflammation of the ears, severe cold, or chronic disease of the ear. It may also be oc- casioned by loud noises, or by the accumulation of ear- wax and other substances lodged in the ear-passage. Prognosis. —Deafness of recent date may generally be quickly cured by skillful Homoeopathic treatment; long-standing cases are often obstinate. Treatment.—Pulsatilla —Recent deafness from cold, with noises in the ears. Mercurius.—Catarrhal deafness with swollen glands of the neck and throat; suddenly suppressed discharge from the nose or ears; roaring and buzzing sounds in the head. Also deafness after Small-pox* Affections of the Eyes and Ears Nux vomica.—Buzzing, tingling, or whistling noises, particularly whilst eating, with disordered digestion. Calcarea carbonica.—Sensations as of obstructions in the ears; humming noise; throbbing; dryness of the ear or discharge. Phosphorus.—Deafness of nervous patients, or follow- ing any nervous disorder. Administration.—In recent cases, a dose every four hours; in chronic, twice daily. Accessory Means.—Hard ear-wax, or any foreign substance, causing deafness, should be early removed by skillful hands, after first gently syringing the ear with warm water. All nostrums, to be dropped into the ear, should be eschewed. CHAPTER VII. AFFECTIONS OF THE MOUTH, NOSE, TEETH, AND GLANDS I. OFFENSIVE BREATH. In perfect health, the odor of the breath is sweet and agreeable, on the contrary, foetid breath points to dis- ordered digestion or respiration, scurvy, malignant sore throat, etc. The breath is offensive and infectious during the progress of the eruptive, typhoid, and pesti- lential fevers; but in no disease is it so extremely offen- sive as in gangrene (mortification) of the lung; indeed, this condition maybe recognized by this symptom alone Treatment.—If offensive breath arises from indiges- tion, or any other complaint, proceed according to direc- tions given in other parts of this manual. Competent advice, however, founded upon all the circumstances of each case, is almost invariably required. If unable to obtain professional advice, the following medicines may be tried : Carbo vegetabilis.—Putrid odor of the breath from decayed teeth, or bad condition of the gums ; large doses of mercury, or other causes. A dose thrice daily, for eight to ten days, or longer. Mercurius.—Foetid breath from sore mouth or throat. A dose thrice daily for several days. Nux vomica, or Pulsatilla, night and morning for a Affections of the AT outh, Nose, etc. week, may follow either of the former remedies.—Sul- phur, in the same manner, may complete the course. After waiting a few days, the course may be repeated. Accessory Means.—As inattention to the mouth and teeth is sometimes a cause of foetid breath, the remedy in this case is obvious, viz., careful cleansing of the teeth and mouth after meals, especially when ani- mal food has been eaten. Decayed and useless stumps are generally best removed. There should also be care- ful attention to diet; the internal and external use of water ; pure air; exercise, and such other means as are indicated in the Observations on Health, page 32. The sections on “Indigestion” and “Toothache” should also be consulted. 11.—thrush (Aphtha)—frog. Symptoms.—Small vesicles or white specks appear upon the lining membrane of the mouth, and are some- times so connected as to form a continuous dirty diph- theritic-like covering over the tongue, gums, palate, etc. In some forms of the disease, microscopical parasitic plants are developed in the mucous membrane, which are readily transferred to the mother’s nipples. The disorder may also extend to the stomach and bowels, setting up violent diarrhoea, and such general disturb- ance as to require the greatest skill and care to prevent a fatal issue. In adults, the disease is the result of some other malady, and is always serious. Causes.—A delicate or strumous constitution ; insuf- ficiency or unhealthy condition of the mother’s milk; Thrush. or in infants who are fed with the bottle or spoon, an unsuitable quantity or quality of food ; want of cleanli- ness; general disease. Treatment.—Borax.—The child’s mouth should be washed with a weak solution of borax (four grains to one ounce of water), by means of a soft brush. It has a specific power over this affection, and will cure it probably quite as well if used internally only, and if the disease is limited to the mouth, without the aid of any other remedy. Mercurius.—Is indicated by dribbling saliva, diar- rhoea, offensive breath, etc.; if administered when the white specks first appear, it is often alone sufficient. A dose every six hours, for several days. Arsenicum.—If the affected parts become brown or black, and have an offensive smell; or if the disease extends to the stomach and bowels, and is attended by exhausting diarrhoea. A dose every four hours. Carbovegetabilis.—This has similar indications to the last, and may be given if that remedy fails to effect more than a partial cure. Sulphur.—May follow any remedy, if the latter does no further good; when the thrush has nearly subsided, to prevent a relapse; and where there are eruptions on the skin, or sour-smelling breath. A dose night and morning. General Directions.—Cleanliness, ventilation, fresh air and proper diet are essential. When thrush is due to ill health in the mother or nurse, the infant should be at once weaned, and fed with the following excellent substitute : Affections of the Mouth, Nose, etc. Neave’s Farinacious Food.*—Considerable expe- rience in its use justifies us in recommending this as the best substitute, in the majority of cases, for the mother’s milk, as well as a valuable article of diet for feeble con- stitutions generally. Competent chemical analyses have found the preparation to contain every constituent necessary for the perfect nourishment of the infantile body, and this has been abundantly confirmed by what we have frequently observed as the result of its early and exclusive use. A great advantage in the adoption of this diet is, that any interference in the action of the bowels is altogether unnecessary, as by varying the quantity of milk mixed with the food, the most regular action is secured. In cases in which farinaceous food cannot be tolerated, Sugar-of-Milk may be substituted. In most cases, however, this intolerance is due to im- proper methods of preparation.! * Comstock’s Rational Food, manufactured in America, and sold by homoeopathic pharmaceutists and druggists, is a similar prepa- ration, and will bear the same recommendation. f Probably no preparation has been used with greater and more marked success as infant’s food in cases of weak digestion or faulty assimilation than Castillon’s Powder. Though it is simply a com- bination of mucilaginous and starchy substances, with a small pro- portion of carbonate of lime of a peculiar preparation, yet, when combined with pure milk (according to the directions for use), the resulting substance is found to possess such nutritive and medical virtues as to make the Powder an indispensable necessity ii» the treatment of many cases of diseased conditions of the stomach and bowels of weakly infants. This preparation was formerly well-known to medical men and only tolerably successful, but is now greatly improved by Mr. C. S. Halsey, who uses a homoeopathic trit. of calc, carb., instead of the crude carbonate employed in the original recipe. There are numerous instances on record, where children — who, Disorders of Teething. in.—disorders of teething (Dentition). Teething is an important process in the development of a child, and in delicate children is often accompanied by various local and general symptoms of disorder, some of which are referred to under the following remedies. Other complaints, such as Constipation, Diarrhoea, Con- vulsions, etc., may be treated according to the instruc- tions given in this book, under those headings. Causes of Disordered Dentition.—Excessive quantities of food, or improper food ; keeping the head too hot; local affections of the gums ; strumous consti- tution, etc. The period at which the milk teeth appear is important. Too early dentition taxes the constitu- tion beyond its powers of endurance; too late dentition indicates a feeble or scrofulous constitution. In the latter cases, professional treatment should, if possible, be obtained. Treatment.—Aconitum.—Heat, redness, pain, swol- len gums, and restlessness. Aeon, is often invaluable during dentition. Chamomilla.—This remedy may follow Aeon, for dry cough; short breathing; and fretfulness; flushed cheek; loos green or frothy stools. A sovereign remedy in many of the ailments of dentition. from difficult teething, or other causes, constitutional or hereditary, were pining away as the result of distaste for food, or from inability to retain and digest any of that given them —have yet taken with avidity the food prepared from these Powders and thrived upon it, the disease of the bowels quickly disappearing without other medi- cal treatment. They can be obtained from homoeopathic physicians and phar- maceutists, and from respectable druggists. Affections of the Moiith, Nose, etc. Sufferings in the head, sleeplessness, crying out and tossing about; the feverishness is not such as to call for Aconite or the head symptoms for Belladonna. Coffea.—Morbid excitability, sleeplessness, restlessness, and frequent changes. It is especially indicated in the absence of fever. Belladonna.—Congestion to the head ; cerebral ex- citement; convulsive movements of the limbs; sleeping with the eyes partially open ; redness of the eyes. Calcarea. — Slow or late dentition, especially in scrofulous children subject to loose bowels, with loss of flesh and strength. Silicea.—Similar symptoms to those of Calcarea, especially when the teeth, though on the point of com- ing through, are still tardy. This medicine, as also the former, generally obviates the necessity of lancing the gums. Silicea is valuable in rickety children. Mer., Kreos., Ipec., Nux vom., Sulph., etc., are also sometimes required. Accessory Treatment.—See page 158. IV. CONVULSIONS DURING TEETHING. Causes.—Irritation of the brain from pressure of a tooth upon an inflamed gum, or anything which over- excites the nervous system; disease of the brain ; an insufficient supply of blood to the brain, as in badly-fed children, or an impure supply of blood, as in the erup- tive fevers; the irritation of worms ; fright; powerful emotions of the mother; indigestion. The remote causes are, hereditary predisposition, too early or too late marriages, etc. Convulsions During Teething. 157 Treatment.—Loosen all clothing about the neck, chest, and body; raise the head, sprinkle the face with water, and admit plenty of fresh air. A warm bath, however, is generally advisable. A physician should be summoned if possible. Warm Bath.—Immerse the child in warm water up to its neck, and directly afterwards apply a cold, wet towel to the head, or a large sponge after dipping it in cold water; the cold towel or sponge may be applied for about three minutes, but the child kept in the bath for ten or fifteen minutes. The temperature of the bath should be about 98°, or what is agreeable to the back of the hand, and this temperature should be fully main- tained till the child is taken out, by additions of hot water carefully poured down the side of the bath. The bath should be given in front of a good fire, and a warmed blanket be in readiness to wrap the child in directly it leaves the bath. The warm bath is of great service in convulsions ; it draws the blood from the overloaded brain to the general surface of the body. Belladonna.—Convulsions with determination to, or inflammation of, the brain, hot and flushed face j dilated pupils, etc.; it is especially useful in stout children. It should be given early, and repeated every fifteen min- utes for several times. A drop of the tincture in a tea- spoonful of water, or one or two globules on the tongue. Gelseminum.—When there is spasm of the throat, threatening suffocation and general convulsions. When the brain is the seat of the affection, and Bell, does not relieve. Chamomilla.—Spasmodic twitching of the eyelids and muscles of the face, one cheek red, and the other pale , Affections of the Mouth, Nose, etc. clenched thumbs. It is most suitable for irritable chil- dren, and in fits from disorders of the digestive func- tions. True brain symptoms point to Bell, in preference. Opium.—Convulsion from fright, followed by stupor, labored breathing, confined bowels. Cuprum.—Red, bloated face; shrieking before an at- tack ; convulsive movements, the paroxysm resembling an epileptic seizure, but the brain symptoms are less active than those that indicate Bell. Aconiium.—Fever—restlessness, flushed face—and when convulsions are threatened. Dose and repetition.—See page 46. Accessory Treatment.—Diarrhoea during denti- tion, unless excessive, should not be interfered with. It may be regarded as an effort of nature to relieve con- gestion of the brain. “ Keeping the head cool and the feet warm,” washing the child in cold water daily, and allowing it to be much in the open air, tend to prevent determination to the head. Purgatives are to be avoid- ed, and the bowels regulated by suitable diet, or by Homoeopathic treatment. Costiveness in infancy is due to errors in diet, and if obstinate, or if worms be pres- ent, injections of water may be used. The mother or nurse should abstain from all indigestible food. For children brought up by hand, we strongly recommend Neave's Farinaceous Food, referred to in the article on Thrush. If prepared according to the directions, it is the most valuable diet for infants.* \ * When there is faulty assimilation of food, and the child has diarrhoea and grows thin and puny, the Caslillon powder—a combi- nation of sago, iragacanth, and salep—with the trituration of Calca- rea, makes a diet of great excellence, one which has saved the lives of many children, and made them strong and well. Toothache. v.—toothache (Ouoxialgia). Causes.—Decayed teeth, sudden changes of tempera- ture, indigestion, pregnancy,* or general ill-health. Neuralgic toothache occurs in paroxysms, and comes and goes suddenly. Treatment.—If strong Kreosote, or Laudanum, has been used locally, the mouth should be thoroughly cleansed before taking any of the medicines recom- mended further on. Leading Symptoms in Toothache.—In the fol- lowing classification the remedies are named in the or- der in which they are most frequently required : 1. From Cold.—Merc., Bry., Dulc. (from wet), Cham. (from a draught), or Fids. 2. Rheumatic Toothache.—Bry., Merc., Am., Bell., or Aeon. 3. From Decayed Teeth.—Merc., Kreosote. 4. Nervous Toothache.—Gels, or Ign., Cham., Coff. 5. Pains extending to neighboring parts.—Merc., Bell., Puls., or Cham. 6. With Swelling of the Face or Gums.—Cham., Merc., Bell., or Bry. 7. Toothache during Pregnancy.—Nux vom., Bell., Puls., or Cham. In Children—Cham., Aeon., Calc., or Ign. Leading Indications.—Mcrcurius.—Decayed teeth, with tearing pains extending over the side of the face, and to the glands and ears ; pains aggravated by eating or drinking anything cold, or by cool or damp air; swelling of the face, soreness of the gums, gum-boils, profuse flow of saliva, perspiration, etc. * See the “ Lady’s Manual,” by the Author. 160 Affections of the Mouth, Nose, etc. Aconitum.—Full-habited patients, with flushed face, hot, swollen gums, thirst, restlessness. Belladonna.—Drawing, lacerating, or shooting pains, affecting several teeth, the ears, and side of the face, worse at night, in the open air, or by contact, determin- ation to the head, swelling of the cheek, etc. Chil- dien are often delirious, or there may be spasms and convulsions. Chamomilla.—Toothache from a draught, suppressed perspirations, or from mental emotions ; jerking, shoot- ing, violent pains, which affect the ear or one side of the face, are wrorse at night, after eating, and after taking anything hot; there exist agitation and restlessness, and one cheek is often flushed and the other pale. Es- pecially suited to the toothache of children. Pidsatilla.—Throbbing or digging pains, extending from the decayed tooth to the eye, with semilateral headache ; the pains are worse in a warm room, in the evening, and in bed, but are mitigated by cold air or water. It is most suited to mild persons, of light com- plexion, and to females, especially with suppressed or scanty period. Nux vomica.—Toothache from sedentary habits, stimulants, or coffee, with indigestion, irregular action of the bowels, etc. The pains are worse at night, in the morning on waking, or when engaged in mental labor. Bryonia.—Rheumatic toothache, worse in warmth, but relieved temporarily by cold applications. Administration.—Every fifteen or twenty minutes till the pain is mitigated ; afterwards, every three or four Sore Throat. 161 hours. After three or four doses have been taken without benefit, another remedy may be selected. Accessory Treatment.—Brush the teeth in the morning, after eating animal food, and at bed-time. They should be brushed on their inner as well as on their outer side, and up and down, and not merely from side to side, using a medium soft brush, and the dentri- fices prepared by Homoeopathic chemists. The digestive organs should be maintained in a healthy condition by means of proper food, and correct habits. Chewing or smoking tobacco, the habitual use of strong drinks, drugs, chewing ice, or taking food ex- tremely hot, are likely to injure teeth naturally good. In some cases the only remedy is extraction, especially if the tooth be loose, much decayed, and unfit for mas- tication ; in other cases the pain may be speedily re- moved by Homoeopathic remedies. If the caries be recent and slight, the decayed portion may sometimes be removed, and the cavity filled with a suitable mate- rial, thus preserving a useful member for years. A qualified dentist should be consulted. Preventive Means.—The face, temples, ears, and neck should be well bathed with cold water every day, and afterwards rubbed with a dry towel; also the mouth kept sweet and clean by rinsing it with cold water, and Phos. taken once a day for several days. vi.—sore throat (Dolor faucium) Simple soreness or swelling of the throat, uncompli- cated by ulceration, quinsy, or syphilis, is a very com- mon accompaniment of cold in the head, and is gen- 162 AJpections of the Mouth, Nose, etc. erally easily curable by Aeon., when the throat is very dry and rough, and there is a hard dry cough ; by Bell., if there be great redness of the parts, with a raw or scraped sensation ; or by Merc., if the throat feels swol- len, the glands sore or enlarged, with slight deafness. See the Section on Cold-in-the-head. vii.—quinsy (Cynanche Tonsillaris). This consists of inflammation of the tonsils and of the subjacent mucous membrane. Symptoms.—Heat, redness, and rapid swelling of the tonsils, with hoarseness, severe throbbing pain, difficult swallowing and expectoration, and general fever. If prompt and skillful means be employed, the pain, swelling, and other inflammatory symptoms gradually subside; otherwise matter forms, indicated by rigors, throbbing, and darting pains, extending to the ears. Causes.—The predisposing are, scrofulous constitu- tion, abuse of mercury, and previous attacks of Quinsy; the exciting are, cold, atmospheric changes, wet feet, etc. Treatment.—Aconitum.—Sore throat, with general feverish symptoms—chills, thirst, headache, dizziness, and restlessness. Generally required at the commence- ment. Belladonna.—Acute, bright-red, sore throat, with heat, dryness, and painful difficulty in swallowing, flushed face and headache. A valuable remedy, either after, or in alternation with, Aconitum. Mercunus.—Swollen throat; copious accumulation of saliva in the mouth ; swelling of the gums and of the tongue; shooting pain on swallowing; an inclination Mumps. to swallow the saliva, although painful; a disagreeable taste in the mouth ; foetid odor of the breath ; ulcers on the sides of the mouth ; pains extending from the throat to the ear. Dose andadminstration.—In acute cases, a dose every one or two hours, at first; in sub-acute, every three or four hours; during convalescence, every six or twelve hours. If swallowing be extremely difficult or impossible, two drops of the tincture of the remedy selected, on a small piece of sugar, placed on the tongue ; or the globules may be placed on the tongue. Accessory Means.—In severe cases, a hot poultice across the throat extending nearly to each ear; in mild cases, the wet compress, described page 83, may be ap- plied. Frequent inhalation of the steam of hot water, or a warm milk-and-water gargle, will be found sooth- ing and useful. The patient should remain in-doors, and, in bad cases, in bed. viii .—m u m p s ( Parotitis ). This complaint consists of inflammatory swelling of the salivary glands, especially those below the ears, fre- quently with pain, soreness, and difficulty in moving the jaws. A curious circumstance connected with this dis- ease is, that as the swelling of the neck and throat sub- sides, there is liability to swelling and tenderness of the testicles of the male, and the mammae in the female, especially when the swelling subsides suddenly, as on exposure to cold, or from cold applications, Treatment.—Mercurius is the first and chief reme- dy, and is generally sufficient to effect a cure. A dose three times daily. 164 Affections of the Mouth, Nose, etc. Belladomia.—Severe pain, with a tendency to delir- ium ; mumps following measles, or with an erysipelatous inflammation. Pulsatilla.—Useful when the breasts or testicles are affected. Accessory Means.—The parts may be fomented two or three times a day with warm water, and in the interval, covered with a flannel bandage. The patient should be protected from cold, damp, or excitement. IX, DERBYSHIRE NECK GOITRE (Brotichocele). A chronic enlargement of the thyroid gland. The swelling is painless, and attended with but little danger, unless it so increases as to interfere with swallowing and breathing. Women are more subject to it than men, in the proportion of twelve to one. It is commonly met with in chalky districts and mountainous countries, and in the latter is often associated with cretinism. Cause.—A specific action of water taken as a bever- age, from rocks of magnesian limestone. Difficult la- bors, uterine ailments, twists of the neck, etc., may be exciting causes. Treatment.—Spongia is the principal remedy for reducing the swelling, a dose night and morning for a week ; then, after pausing a few days, the course may be repeated as often as it does good. Calcarea, Mer. iod., Iodine, Sulphur, etc., are remedies often required. We have sometimes conjoined external applications of the same drug as used internally with ex- cellent results. If indigestion or uterine disease exist, it should, if possible, be corrected. CHAPTER VIII. AFFECTIONS OF THE SKIN. (Cutaneous Diseases). I. ITCHING OF THE SKIN (Prurigo). This condition consists of an eruption on various parts of the body, sometimes nearly imperceptible, which occasions the irritation. Causes.—Rich, indigestible food, stimulating drinks, extreme heat or cold, a constitutional taint,chronic dis- ease, etc. Treatment.—Sulphur.—Severe itching, with dry- ness of the skin, worse in the evening, or in bed. This is a prominent remedy. A dose twice or thrice daily for a week. Carbo veg.—Obstinate cases, and when Sulphur only partially cures. Acomtum.—Feverish heat, and redness of the skin, and the symptoms are worse at night. Rhus tox.—Itching, with swelling and tingling, and redness. Arsenicum.—Itching with burning, or an eruption emitting a small drop of watery fluid like sweat; chronic cases with constitutional feebleness. Calc., Merc., Hepar., and Puls., are also remedies in our list, sometimes required. 166 Affections of the Skin. Accessory Measures.—Medicated ointments should not be used, as they might transfer the disease from the skin to some internal organ, where it would become far more serious. In severe cases temporary relief may be obtained by bathing the parts with alcohol and water, in equal proportions, or sponging the skin with a warm infusion made by pouring boiling water on bran. Very troublesome prurigo, is much benefited by a warm bath (see page 157), which is both soothing and curative; it should be taken in the evening or when the patient has not to be again exposed to atmospheric changes, and followed next morning by the wet sheet squeezed out of cold or tepid water, rapid drying, and friction. If the irritation be limited, the use of a wet cotnpress over the parts will also be beneficial, although at first it may increase the irritation. Scratching must be avoided. The skin must be strengthened by daily ablutions with cold or tepid water—sponging, shower-baths, etc.; also by regular exercise in a bracing air. Too stimulating food or drink, pastry, fat or indigestible articles, and irregular hours of meals, must be avoided. Without good hygienic measures, medicines will be of little per- manent utility. Itch (Scabies).—All is not itch which itches. The itch is a vesicular eruption produced by the presence of the acarus scabiei or itch mite : the insect is not found in the vesicle, but a short distance from it. A faint red line marks the course of the canal which he has bur- rowed from the vesicle to his place of residence. The eruption is found chiefly between the fingers, about the joints, and in the bends of the elbows , seldom, if ever, on the face. the itching is much more intense after getting warm in bed. Sulphur should be given inter- Prairie Itch. 167 nally once or twice a day, and the parts affected washed with a lotion of Ledum, or smeared with lard. If lard alone does not answer, use lard and Sulphur ; as much flowers of sulphur as will cover a five-cent piece (nickel) well mixed with a tea-cup of lard. This may be well rubbed into the surface affected.—Dr. Shipman sHomoe- opathic Guide. PRAIRIE ITCH SEVEN YEARS* ITCH. This distressing ailment is very common on the prai- ries of the Mississippi Valley, and is thought by some to be caused by certain chemical substances peculiar to the soil of that region. The eruption appears much like that of the common itch—but affects the hands less than other portions of the body. The vesicles usually show themselves first upon the under surface of the thigh and arms. In bad or neglected cases, the whole surface of the body becomes more or less involved, covering the person with small eruptions containing a watery, acrid fluid which, when the intense itching leads to violent scratching, is discharged, and excori- ates the surrounding surface, soon causing a crop of scabby ulcers, filled with yellowish matter. The erup- tion sometimes affects the scalp, and the hair is filled with these running sores, so that the patient is rendered a great sufferer, and an object of disgust to all around him. The disease can be cured by proper treatment, but seems to affect the system for several years, so that after intervals of many weeks or even months, it will seem to be breaking out afresh. Treatment.—Hepar sulph. 6th three times daily, using externally a lotion of the 3rd trituration of the 168 Affections of the Skin. same medicine dissolved in glycerine, ten grains to the ounce. After three days obtain the 30th attenuation of Hepar sulph., and give a dose morning and night. Cases which have been neglected until the surface of the body or of the head is much excoriated, are best treated by abundant applications of Tar ointment, be- sides the internal remedy mentioned above. At any fresh appearance of the eruption, give promptly the 30th of Hepar. 11.—nettle rash—hives ( Urticaria). Symptoms.—Similar to those produced by nettle- stings. There are white elevations in irregular streaks or wheals, especially well marked after scratching or exposure to cold; much itching; the eruption often disappears suddenly from one part and shows itself in another: the spots contain no fluid, and end in scaling of the skin. It is not contagious, and may trouble the same patient again and again. Treatment.—Apis.—Urticaria with stinging or burning itching and much swelling. Ant. crud.—From gastric disturbances. Dulcamara.—From cold, with much stinging. Rhus tox.—From eating shell-fish, etc. Aconitum.—With feverishness. Calearea.—Chronic nettle-rash, especially in scrofu- lous patients. General Treatment.—Smearing with bacon fat gives great relief. Also a solution of Saleratus in water. A general warm bath is also very soothing and aids the Ulcers. 169 cure A dry, uniform, and moderate temperature, plain food, exercise in the open air, cold bathing, and great cleanliness, are most essential. III. ULCERS—SORES.* Ulcers may exist as the result of burns, bruises, inflam- mation, varicose veins, or constitutional disturbance. “ The constitutions most liable to ulceration are those which are deoiluated by intemperance or privations, tainted with syphilis or scrofula, or broken down by the excessive use of mercury, or in which the blood is impure from inaction of the liver, skin and kid- neys. The parts most disposed to it are those in which circulation is most languid, such as the lower extremities. On this account, tall persons are more frequently affected with ulcers than short ones.” Treatment.—Ulcers require great care, and many can only be successfully treated by a Homoeopathic practitioner. Kali bich.—Ulcers on the leg, deep, with hard bases and overhanging edges. Belladonna.—Painful ulcers, having an erysipelatous halo. Arsenicum.—Ulcers with burning pain, easily dis- charging blood or thin matter, and presenting a livid appearance. Carbo veg. may follow, or be alternated with, Ars., if the ulcer have an offensive smell. Silicea.—Simple ulcers. Hep. sulph., or Sulph., may also be required. General Treatment.—A little soft linen or lint, * For details, etc. see the “ Vade Mecum.” 170 Affections of the Skin. wetted in cold water, placed on the sore, covered with oiled-silk, and lightly bound up with a bandage. Or Calendula lotion in the same manner. Ulcers on the legs require rest, the horizontal posture, and constitu- tional treatment. Out-of-door exercise should be taken, especially during recovery, but much standing, or sit- ting with the leg hanging down, is unfavorable. iv.—boils (Furunculi). These are inflamed, pointed tumors, painful and ten- der, of a deep red color, terminating in suppuration. Boils generally indicate a disordered condition of the blood, as the result of insufficient, poor, or indigestible food, anxiety, insufficient rest, etc. Treatment.—Belladonna.—An excellent remedy for arresting and destroying boils in their early stage. Hepar sulphur.—Pain of a pulsative character, indica- tive of suppuration, the point of the tumor changing to a whitish or livid color. This medicine facilitates the * suppurative process, and may prevent its extension afterwards. Sulphur.—To prevent a recurrence of boils. General Treatment.—As soon as Hepar sulphur is indicated, a poultice, covered with oiled-silk, should be applied, and over all, one or two thicknesses of flan- nel. As soon as the poultice gets cold it should be re- newed until suppuration is completed.* To prevent a * In “ The Homoeopathic Guide ” (Dr. Shipman) it is recom- mended to bind upon the boil the half of a ripe tomato, which re- moves the inflammation quickly. When tomatoes cannot be had, the Tomato poultice or the Tomato cerate is used. They can be had of the Pharmaceutist. Chilblains. 171 recurrence of boils, attention must be directed to their causes. If derangement of the digestive organs be the cause, abstinence from seasoned dishes, pastry, sweet- meats, etc., is necessary; at the same time, a generous diet, including animal food once a day, should be adopted. Correct diet, cold bathing, and recreation in the open air, will go far towards eradicating a predis- position to boils. v.—chilblains (Perniones). Chilblains consist of a low kind of inflammation of the skin, generally of the hands or feet, and are attend- ed with itching, tingling, burning, swelling, and some- times ulceration. Chapped Hands.—This affection consists of slight inflammation of the skin of the back of the hands, which becomes cracked or “chapped.” It occurs in frosty weather, when it sometimes gives rise to much inconvenience and pain. It requires similar external treatment to Chilblains * Causes.—Exposure to cold, damp, or to sudden changes of temperature ; constitutional tendency. Treatment.— Tamus communis, in nearly all cases, either removes the disease, or affords material relief. Unbroken chilblains should be painted morning and night with the strong Tincture of Tamus, or it may be used as a lotion. Should the skin be broken or ulcers exist, Calendula should be substituted for Tamus, and * The Calendula and Glycerine Jelly is a most excellent and ele- gant preparation for chapped hands and lips.* It can be had of any Homoeopathic Pharmaceutist. 172 Affections of the Skin applied as a lotion, or in the form of cerate. Internal treatment is generally required for chilblains. Arnica.—Hard, shining skin; pain and itching of the parts. At the same time the strong tincture of Arnica may be used externally for unbroken chilblains. Belladonna.—Inflammation, pulsative pains, fiery red- ness, and swelling. Arsenicum.—Burning pain, accompanied by ulcera- tion, especially in emaciated children. Sulphur.—Chilblains of a blue-red color, with itch- ing, aggravated by warmth. Also to remove the con- stitutional tendency. Accessory Means.—If ulceration takes place, apply poultices to the parts, or other mild applications until relieved. Pork, salted meats, and all irritating or indi- gestible articles of food, should be excluded from the dietary. Extremes of temperature are to be avoided, such as a cold stone floor, and warming the feet on a fender, or the hands close to the fire. After washing them, the hands should be well dried. The soreness of chapped hands may be much mitigated by wrapping them in a water bandage and covering them with oiled- silk on retiring to bed. vi.—warts ( Verrucce). Treatment.— Thuja.—The warts should be painted once or twice daily with the matrix tincture : at the same time a dilution of the same medicine may be taken internally night and morning. The internal use of Thuja is especially necessary when the warts appear in Corns, 173 crops. This course may be followed for a week or ten days, and if improvement ensues, as it almost invariably does, the treatment should be continued longer. If Thuja does not succeed, Rhus tox., may be substituted, and used both internally and externally in the same way. Sulphur, once a day for a week or two, is an excel- lent remedy for numerous and obstinate warts upon the hands. It is also useful after other medicines, to eradicate the predisposition. vii.—corns (Clavi Pedis). Causes.—Long continued pressure or friction, or both combined. Treatment.—If treatment is required in addition to that pointed out under “ accessory means,” the fol- lowing remedies may be considered ; Calcarea, Sulph., Silicea. A dose of the selected remedy morning and night, for a week or ten days. After waiting a few days, if necessary, the same or another remedy may be administered. Accessory Means.—Corns can only be eradicated by wearing easily-fitting boots and shoes, frequently wash- ing the feet, and change of stockings. As soon as corns appear, the surrounding skin should be softened by a warm foot-bath, the hard head of the corn gently extracted with the finger-nail, or some convenient in- strument, and the thickened skin pared off with a sharp knife; the corn should then be dressed with Arnica- lotion (thirty drops to a wine-glassful of water), and next morning a piece of Arnica-plaster, or an Arnicated corn-plaster, having a hole punched out of its centre, applied. The dressing may be repeated until the in- convenience is removed. 174 Affections of the Skin. viii.—whitlow (Panaris). This is an inflammatory swelling at the end of the finger, with a tendency to suppuration. Causes.—Cutting the nail to the quick ; a bruise, burn, or other mechanical injury ; the introduction of poisonous or acrid matter into scratches on the finger; unhealthy constitution. Treatment—Silicea.—This is one of the first and best remedies for whitlow, and if administered early will often prevent its maturation. If necessary, at the same time, a warm bread-and-milk poultice may be applied, and the finger held in a raised position. Aconitum and Belladonna, in alternation, every three hours, if there be much pain, redness, throbbing, thirst, restlessness, etc. Hepar sulphur, every four hours, if suppuration is going on. Poultices as for Boils. ix.—ringworm (Heipes circinatus). % Symptoms.—Small round vesicles, filled with clear or yellow fluid, mostly on the head, at the roots of the hair, and on various parts of the skin. The rings or patches vary in size from a shilling to that of a crown- piece. There is much itching, and in old-standing cases the whole scalp may be implicated; but the gen- eral health is rarely disturbed. Shingles.—When ringworm encircles the waist, it is called Shingles or Zona. It occurs in inflamed patches Ringworm. of clustered vesicles in the form of a band, nearly al- ways on the right side of the body.* Causes.—It is an epidemic affection, but ill-health, poor food, dark and badly-ventilated dwellings, etc., favor the spread and activity of the affection. Treatment.—Rhus fox.—Red, painful, and irritable skin, secreting greenish matter, and there is nocturnal itching. A dose every four hours. Sulphur.—Obstinate eruption, or when fresh places break out, with smarting and itching. A dose thrice daily for four or five days; afterwards twice daily for a week or two. Sepia, Ars.. Lyc. Calc., or Hepar sulphmay some- times be required. General Treatment.—Cleanliness, and change of air are of great importance. When the complaint affects the hairy seal]), the hair should be cut short and the head washed with tepid water, using a little mild soap. The patient’s towels, hair brushes, combs, sponges, etc., should, on no account, be used by those unaffected. The hair and head should be well brushed, so as to ex- cite the vital action of the skin by the friction. A nutri- tious diet is recommended; also an occasional tepid bath. Scrofulous, emaciated children may require a teaspoonful of cod-liver oil twice a day. Sudden and extreme changes of temperature should be avoided. Popular remedies—ink, tobacco-water, etc., are dan- gerous. CHAPTER IX. HAEMORRHAGES (Losses of Blood). The term “ haemorrhage ” means the escape of blood from those vessels in which it is naturally contained, whether the discharge be external, or into one of the internal cavities of the body. Profuse or long-continued haemorrhages being dangerous, and the results, even after the discharge of blood has ceased, often so serious, it is most undesirable, except in emergencies, to trust to domestic treatment. In consideration, however, of the frequently unexpected nature of such occurrences, the impossibility of securing at all times the immediate attendance of a medical man, and the importance of being prepared to act promptly to afford temporary re- lief, we devote a short chapter on the immediate treat- ment of several forms of haemorrhage of most frequent occurrence. i.—spitting (Haemoptysis) or vomiting (Hcemate- mesis) of blood, from rupture of a blood- vessel. It is not necessary here to determine whether the blood comes from the lungs or stomach, as the imme- diate treatment should be the same in either case. It may be stated, however, that when blood comes from the lungs it is of a bright red color, is discharged with Spitting or Vomiting of Blood. 177 coughing, or is hawked up, and is often frothy; but when from the stomach, it is of a dark color, is vomited, and is sometimes mixed with food. Calmessand judg- ment are especially necessary, as the discharge of con- siderable quantities of blood is otherwise likely to cause such alarm, both in the patient and his friends, as to unfit them for carrying out those prudent measures which are necessary for recovery. Treatment.— Aconitum. — Chiefly indicated when flushed face, palpitation, and anguish accompany the haemorrhage; or for the premonitory symptoms in fre- quent attacks, such as shiverings, quick pulse, palpita- tion, etc. One drop of tincture, in a spoonful of water, repeated in ten or fifteen minutes, or in one, two, or three hours. For the immediate treatment, see under “ Accessory Means.” Arnica.—Haemorrhage from a fall, blow, or severe exertion. If inflammatory symptoms predominate, Arn. and Aeon, may be administered alternately. (Hamame- lis is often a better remedy.) Ipecacuanha.—Paleness of the face, frequent inclina- tion to vomit, short cough, expectoration streaked with blood. Often useful after Aeon., and before the admin- istration of China or Ars. China.—Chiefly required after haemorrhage for re- moving the consequent debility. Its chief indications are, frequent taste of blood, shivering, flushes, dizziness, feeble pulse, cold hands or feet, fainting, etc. Arsenicum.—Difficult breathing, extreme palpitation of the heart, anguish, burning heat and thirst, small and quick pulse. 178 Hcemorrhage. Accessory Means.—The patient should immediately lie down on a sofa or mattress, with the head and shoul- ders elevated. All tight-fitting articles of dress should be removed, and the patient kept cool and quiet, and on no account be allowed to talk. There must be no crowding round him, no noise or confusion, and the room be kept cool and airy, at about 55° Fahr. No food is for some time admissible, and the only drink that can be allowed is a little cold water, or the sucking of ice. Should faintness occur, no alarm need be ex- cited, as ’t is often nature’s method of arresting the bleeding. After the haemorrhage has ceased, the pa- tient must still be kept cool and quiet, and the diet be light and unstimulating, while the position of the body should be such as to favor the efflux of blood from the bleeding organ. These measures are necessary to ob- viate a recurrence of the symptoms. Sometimes haem- orrhage is vicarious, as in females, when bleeding from the nose or stomach takes the place of the menstrual discharge. In such cases the treatment should be di- rected to the establishment or restoration of the monthly period. Caution.—As before suggested, the general and medicinal hints here given are only intended for cases of emergency; and the patient should be placed as quickly as possible under the care of a Homoeopathic physician. II.—BLEEDING FROM THE NOSE (Epistaxis). Bleeding from the nose is of frequent occurrence in children; a fit of sneezing or coughing, a slight blow, Bleeding from the Nose. 179 severe exercise, or even the heat of summer, often serving as the exciting cause. Bleeding from the nose also occurs in the course of many diseases, or at their termination, and often affords considerable relief It should not be interfered with unless it is excessive, re- curs too frequently, or takes place under a weak state of the system. When it arises from injuries, or in pa- tients already reduced by disease, and is excessive, remedies should be given. Causes.—Undue fullness of the blood-vessels of the head; local disease of the nostrils ; or a constitutional haemorrhagic diathesis. In men it frequently succeeds suppression of the haemorrhoidal discharge, and in young women it may be vicarious of the menstrual func- tion. Under peculiar conditions of the constitution, epistaxis often occurs periodically in some adult per- sons, and then its cessation, without judicious treatment, may become a source of danger. T reatment.—Aconitum.—Bleeding after being over- heated, or in plethoric persons, with fever, strong pulsa- tions of the arteries of the temples and neck, and full and hurried pulse. A dose every twenty to thirty minutes, for several times. Arnica.—Haemorrhage from external violence, a blow, fall, or excessive bodily exertion, preceded by heat and itching of the nose. Pulsatilla.—In females, from suppressed or scanty monthly discharge, Pulsatilla or Bryonia, according to the symptoms present.* China —If the loss of blood has been such as to * See “ The Lady’s Manual.’’ uy the Author. 180 Hemorrhage. weaken the patient, producing paleness, fainting, etc. A dose three or four times daily for a week or ten days. At the same time the food should be nourishing, and taken at regular hours, avoiding, of course, over-reple- tion. Accessory Measures.—So long as the haemorrhage continues, the patient should be kept standing, that po- sition favoring fainting, which, as before remarked, often arrests bleeding. All stimulating food and drink must be withheld, and every circumstance likely to quicken the circulation avoided. Cold is a most successful means of arresting haemor- rhage ; it may be applied to the nose or forehead by a handkerchief wetted in cold water, or by ice, or by the sudden application of cold water to the neck or back, or by placing a cold key or any other iron instrument to the spine. In these latter instances, the influence of cold is not restricted to the part to which it is imme- diately applied ; the bleeding is arrested by the sympa- thetic constriction of blood-vessels which it produces in remote parts. In most cases, however, the simple plan of causing the patient to raise his arms above his head, and holding them so for a little time, promptly arrests haemorrhage. Plethoric patients, predisposed to this complaint, or t,o congestions, should lead a temperate life, avoid stimulants, use frequent ablutions of cold water, and take moderate exercise daily in the open air, avoiding at the same time sudden changes of temperature. Im- moderate exertion and much stooping are injurious. Delicate persons, of spare habit, on the other hand, will be benefited by nourishing food. Bleeding from the Urinary Organs 181 III.—BLEEDING FROM THE URINARY ORGANS ( Hcematuria ). The source of the haemorrhage may be the kidneys, the bladder, the prostate gland, or the urethra. Causes.—Haemorrhage from the kidneys may be due to the irritation of renal calculi, blows on the loins, con- gestion resulting from scarlet fever, inflammation, and from such diseases as typhus, scurvy, etc. Haemorrhage from the prostate gland,bladder or urethra, may be caused by the introduction of instruments, the irritation of stone, venereal disease, abuse of Spanish-fly, or by the exist- ence of an ulcer or tumor, of which, indeed, it is often the first manifestation. Diagnosis.— Haemorrhage from the bladder may be recognized by the discharge taking place principally after the escape of urine ; and the quantity is also greater, and often the clots are larger and more irregu- lar, than when derived from the kidneys ; the severe pain in the lumbar region, the intimate admixture of the blood with the urine, and other symptoms that accom- pany the bleeding from the kidney, are not present. Treatment.—Similar remedies to those prescribed for “ Retention of urine,” which see. Cantharis.—Discharge of pure blood in drops, or copiously blended with the urine, especially when asso- ciated with difficulty in passing water, scalding urine, and spasmodic pains in the region of the bowels. Camphor.—If the disease has arisen from the use of Spanish-fly (Cantharis), after the allopathic method ot administering that poison. Arnica.—Haemorrhage from external violence, strains, 182 Hczmorrhage or severe efforts. If the patient he robust, and inflam- matory symptoms predominate, Aconitum may he alter- nated with this remedy. A dose every hour for several times; afterwards Arnica only,every four or six hours. Accessory Means.— Demulcent drinks, such as lin- seed-tea, gum-water, etc., may be taken in considerable quantities. The cold compress, covered with oiled-silk, over the loins, if the haemorrhage proceeds from the kidneys, or over the whole region of the bladder, if the bleeding proceeds from that organ, will mitigate the pain and favor a more rapid cure. IV.—HAEMORRHAGE FROM THE WOMB—FLOODING ( Metrorrhagia ). This may occur under various conditions, many of which are of such an intricate character as ;o be quite unintelligible to non-professional readers; indeed, it would require a considerable treatise to describe the various functional and organic derangements of the womb, of which haemorrhage is but a symptom. We will, therefore, only suggest such remedies and measures as may be used until medical aid can be obtained, and those most likely to be immediately beneficial, without prescribing for the removal of the cause of the haemor- rhage. Aconitum.—Heat and feverishness, at the commence- ment. of the discharge, or when the first symptoms are present; when there is excitement, palpitation, etc., especially in full-blooded patients. A dose every hour for several times- afterwards, one of the annexed Ipecacuanha.—Copious flooding, and when the dis- charge is aright-red. H Diathesis. See ah'. —Discharge dark and offensive, with great pain, increased by movement or coughing; loss of con - tractive power in the uterine fibres, pale face, coldness of the extremities, extreme weakness. Arnica.—Either alone or in alternation with Aeon when the haemorrhage follows a fall, strain, mis-step, over-exertion, or mechanical injury. Accessory Means. The patient should lie down quietly on a hard mattress, and move as little as possi- ble ; the mind be kept calm, and order and ouietness maintained in the apartment. In very urgent cases, cloths saturated with cold water should be suddenly applied to the vaginal orifice. Bleeding from the Rectum, see “ Haemorrhoids ’ and “Dysentery.” V.—HAEMORRHAGIC DIATHESIS, In some patients a predisposition to haemorrhage exists which appears to be hereditary, and is designated the /uemorrhagic diathesis. This condition probably consists in defective contractility of the arteries, which may also be fragile or soft from diseased processes, and so are unable to resist the forces of the circulation, especially in congestion ; and of loss of coagulability of blood, from a defective or altered character of the fibrine, the chief agent in coagulation, and of some change in the red corpuscles. Hence the most trivial wound bleeds almost uncontrollably, and even life may be jeopardized by a slight injury or surgical operation. The htemorrhagic diathesis may not in all cases be hereditary, but caused by diseases of internal organs, 184 Hccwori hage. such as the liver and spleen, which exert a deleterious influence upon the constituents of the blood. The knowledge of the existence of such a diathesis is most important, as it would materially modify the medical and surgical treatment of the patient. The use of Hydrate of chloral as an anaesthetic and sedative, which has become so common of late, has led to dangerous results, on account of its seeming to destroy the coagu- lability of the blood after long-continued use, so that patients employing it are in great danger from even a slight wound, or any cause of haemorrhage. CHAPTER X. ACCIDENTS* 1.—WOUNDS. Wounds of the soft parts are of four kinds.—Incised, made by clean cutting instruments; punctured,', the depth exceeding the breadth, such as stabs; lacerated, the parts being torn and the lips of the wounds irregu- lar ; and contused, or bruised, the surface being broken. Treatment.—The following are the chief points: ist. To arrest the bleeding. In most cases, the eleva- tion of the part, keeping the bleeding surface upper- most, the application of cold, moderate pressure, and the coaptation of-the edges of the wound after cleaning them, will suffice. A Calendula f lotion will serve to arrest haemorrhage, and check suppuration. In severe wounds involving arteries, the parts should be laid open by a surgeon, and the wounded vessels ligatured. See also further on. 2nd. The removal of foreign bodies.—Dirt, hairs, glass, clots of blood, etc., should be speedily removed by the fingers, forceps, or sponge and water. 3rd. To bring the injured parts into nice apposition.— * For ampler details of treatment, and other accidents not in- cluded in this manual, consult the Author’s “ Vade Mecum of Modern Medicine and Surgery.” f See Materia Medica, “ Calendula 186 Accidents. Any muscular fibres likely to prevent complete union should be relaxed or divided, and after the sides of the wound have been accurately adjusted, they must be kept so by strips of adhesive plaster, first applied to that side of the wound which is most moveable, and then secured to the other. But, in extensive wounds, where plaster would be insufficient, sutures (stitches) should be em- ployed. 4th. To promote adhesion.—To secure this, the part should be kept at rest, and, if the injury be severe, the patient should remain in bed. 5th. When a wound is dressed, say once in every twenty-four hours, a rag should be wetted with warm water, and laid over the dressing, so that it may be removed without the risk of disturbing the surfaces which may have partially united. Often the lotion may be renewed by removing the oiled-silk only, and pour- ing a little lotion on the rag or lint by means of a spoon, and then replacing the oiled-silk. 6th. To control dangerous bleeding, as from a sharp cutting instrument. If the blood flows in a steady stream, and is dark colored, it is from a vein, and can generally be checked by applying cold water, and ex- posing the cut surface to the cold air. But if large veins be wounded, they should be compressed with the fingers, or by a bandage. A few thicknesses of linen, with steady compression, are more efficient than heaping on a large quantity. If the blood is bright-red, and flows in jets, it is arterial, and the same means must be adopted as just pointed out, unless the bleeding is ex- cessive, in which case a handkerchief should be tied round the limb, near the wound, and between it and the Bruises. 187 heart; a stick inserted under the handkerchief, and a firm compress over the course of the blood-vessel; the stick should then be twisted until it stops the circula- tion, and, consequently, the bleeding. But such means are only temporary, as wounded arteries of size require to be ligaturedby a surgeon before bleeding can be per- manently arrested. If no surgeon can be obtained, a clever manipulator should grasp the wounded artery with a pair of forceps, and draw it slightly and gently forward, so that it may be securely tied by means of a strong ligature of silk. 7th. Should a wound or bruise be followed by con- stitutional disturbance, fever, chills, and throbbing in the parts, internal medicines should be administered. Arnica (as prepared for internal use) and Aconitum will generally meet the requirements of such cases, and should be administered every one to three hours in al- ternation for several times. Belladonna.—A few doses, if the injured part is very painful and swollen. Hepar sulph., when suppuration is established. Silicea, if the suppuration is unhealthy. 11.—bruises (Contusions), black eye, etc. Treatment.—In the less severe form of bruises, which alone comes under domestic treatment, the ob- ject should be to excite as speedily as possible the ab- sorption of extravasated blood. The bruised part should, if practicable, be raised, and a warm Arnica lotion (one part of the tincture to ten of water) applied by means of lint saturated with the lotion, covered with oiled- 188 Accidents. silk, and secured by a bandage. A black eye may gen- erally be prevented by Arnica lotion, applied immedi- ately after the injury. in.—CUTS. Treatment.—A moderate-sized cut requires nothing more than the bringing together of the edges of the gaping wound, and maintaining them so by narrow strips of strapping plaster ; then, if necessary, the appli- cation of lint, saturated with Calendula lotion * covered with oiled-silk, and a bandage over all. In two or three days the plaster should be removed without disturbing the union, and replaced by new. See also the section, “ Wounds.” iv.—SPRAINS., Treatment.—The chief point is to keep the parts at perfect rest, by means of a roller nicely applied, and to control the motions of the joint by a splint. In some cases the application of rags, saturated with Arnica or Rhus-lotion, and covered with oiled-silk, will hasten the cure. When the pain and swelling subside, the joint may be partially liberated, and gentle motion allowed; but the greatest care must be observed for several weeks in using the limb, as the injury may easily be reinduced, and then the cure becomes difficult and tedious. V. FATIGUE AND OVER-EXERTION. If the feet are swollen or blistered, or the ankles ache * See Materia Medica, “ Calendula." Burns a&d Scalds. 189 after walking*, a warm foot-bath may be used, to which a teaspoonful of the strong tincture of Arnica is added, the relief afforded being immediate and permanent. If the hands or wrists ache from excessive or unaccus- tomed exertion, they may be bathed in about a pint of water, to which twenty or thirty drops of Arnica have been added. If necessary, in one or two hours, the application may be repeated. In muscular fatigue from long-continued, or short but severe, exertion, affecting the hips, thighs, qtc., a hip-bath, to which a drachm of the strong tincture of Arnica has been added, is an ex- cellent remedy. The patient should remain in the bath about five minutes. Whatever kind of bath is used, and to whatever part applied, it should be warm if used in the evening or immediately after exertion, but cold in the morning, Apart from the external use of Arnica, that remedy should always be taken internally, as it has a wonderful therapeutic effect in such cases. VI. BURNS AND SCALDS. Severe injuries from burns or scalds, especially those implicating large surfaces, are very dangerous, and often fatal. The subjoined treatment has reference only to slight cases. Treatment.—A most important object to be attained is to cover the injured parts with some suitable material that will exclude atmospheric air, and which should not be removed till the cure is complete. The following are the local applications most frequently used : Carbolic Acid and Olive Oil.—One part of the Acid (as prepared for medicinal uses) to six parts of Olive Oil, 190 Accidents. is found to be invaluable in most cases, slight or severe. It is cleaner, more easy of application, and more sooth- ing than most other remedies. One layer of lint put on at first should never be removed ; this should be kept saturated by the removal of outer layers from time to time. When the wound is healed it is easily and com- fortably dispensed with. As a domestic remedy, it is recommended always to be kept ready for burns and scalds, just as Arnica, Calendula, etc., are kept ready for other kinds of accidents. Flour or Starch.—In the event of the above not being at hand, the burnt surface may be first moistened with Cantharides-lotion (five drops to an ounce of water) ; then fine wheaten flour or finely powdered starch should be uniformly and thickly applied by an ordinary dredger, so as to form a thick crust and exclude the air. It should be repeated when any portions fall off. Having selected the local remedy, the points of great- est importance are, its immediate application to the burn, the complete exclusion of atmospheric air, and the changing of the dressings as infrequently as possible, not, indeed, until they have become loosened or foetid from the discharges. A complete change of dressing often causes pain, depression, and the detachment of the new skin, and so retards the cure. If, after the removal of the first dressing, ulcers exist, Calendula or Glycerine cerate will be a most suitable application. If there is much discharge, it should be carefully and frequently removed, and the parts kept as cleanly as possible. Internal treatment, except in slight cases, is always necessary, and must be suited to the part injured, its Broken Bones. 191 extent, and the constitutional symptoms present. As a general rule, Aconitum, early, does good, by allaying febrile symptoms, mitigating pain, and moderating re- action. vn.—broken bones (Fractures). A few words on broken bones seem necessary in this manual, as a surgeon is not always immediately accessi- ble, and it is necessary to be prepared to act till surgi- cal attendance can be had. Symptoms.—A fractured or broken bone may gen- erally be detected by having felt it snap ; there is also some deformity, such as bending or shortening, and if the upper end of the bone is held firmly by the hand, the lower part may be moved independently; also if the broken ends are rubbed against each other a grating noise (crepitus) may be heard. There will, further, be pain, loss of power of the broken part, and other symp- toms. Fracture is said to be simple when there is no wound of the skin. Compound when there is such a wound. Causes.—Mechanical violence is the most frequent; but muscular contraction is sometimes a cause. Old age, paralysis, and some other diseases, and prolonged disuse of a limb, render bones very liable to fracture from trifling causes. Immediate Treatment.—The patient must be moved gently, and special care taken to prevent the broken bones being forced through the flesh and skin. He should be placed on a stretcher or litter, and taken to his home or to a hospital. A litter may be made of 192 Accidents. a couple of poles and a horse-cloth or sack; even a door or hurdle may serve the purpose. Placed on this, and carried by two men, is much better than removing him in a cart or carriage. It is important not to be in a hurry, as an injury is often greatly aggravated by carelessness or too hurried measures. When a sur- geon is within a moderate distance, after making the patient as comfortable as possible, it is better to wait a little, so that he may superintend the moving. If there is a wound in the skin and much bleeding, see “Wounds,” page 185. When the patient has been placed on a firm bed or mattress, and the injured part examined, the surgeon will bring the broken ends of the bone into close appo- sition, and in their natural form, and having done so, maintain them in perfect contact, and at rest, till firm union has taken place. To maintain the proper shape and length of the limb, bandages, splints, and various apparatus are required. Beyond the mere management of such accidents, however, till he arrives, a surgeon only can treat such cases. A broken leg should be fastened to the whole one by handkerchiefs at the ankle, and above and below the fracture, before the patient is removed. Fracture of the arm requires the immediate sup- port of a sling, which may be made by a handkerchief fastened round the neck. Broken ribs require a flannel bandage, about two hands broad, round the chest, and having shoulder straps to keep it up. A rather tight-fitting bandage lessens the movement of the chest in breathing, and is a great comfort. Rupture and Strangulated Hernia. viii.—rupture (Hernia)—and strangulated HERNIA. Nature.—Rupture is a protrusion of some portion of the intestines through the walls of the abdomen, causing a swelling. If such a portion of the intestine becomes constricted in any way, so that the contents of the bowel cannot pass onwards, and the circulation of blood is impeded, it is said to be strangulated. Symptoms.—A painful, tense, and incompressible swelling; flatulence, and colicky pains ; obstruction ; desire to go to stool, and inability to pass anything, unless there be any fsecal matter in the bowel below the rupture. If relief is not obtained, inflammation sets in, with vomiting, extreme pain, small wiry pulse, etc.; and, finally, mortification, with cessation of pain, and death. Causes.— Weakness of the abdominal walls from dis- ease, injury, or congenital deficiency; violent exertion, as in lifting; immoderate straining, as in passing urine through a stricture, or in relieving the bowels. Treatment.—Lose no time in trying to push the tumor back into the abdomen, as the patient lies with his legs drawn up, and the hips raised. If not quickly successful, lay the patient on a board, placed so as to form a steep inclined plane, so that the patient’s feet and hips are very much higher than his head ; he should be firmly held in this posture by an assistant, when, by pressure on the swelling, and often without any, the bowels will fall towards the chest, drawing with them the constricted portion. If the rupture resists these measures, the best surgeon within reach should be ini- 194 Accidents. mediately sent for. To prevent a recurrence a suitable truss should be worn, and it is important that the truss should be exactly adapted to the case, if possible under instructions of a physician. ix.—POISONS. When it is known that a deleterious substance has been swallowed, as arsenic and other mineral poisons, opium, poisonous fish, alcohol, etc., vomiting should be immediately excited, by tickling the back of the throat with a feather or with a finger, and if this fails, by the administration of an emetic. The following is a conven- ient emetic : mix a teaspoonful of mustard in a tea- cupful of warm water, for a child, or a dessert-spoonful in a breakfast-cupful of water, for an adult. This may be repeated as often as necessary, and followed by copious draughts of warm water, so as to empty the stomach as completely as possible. The treatment of cases of poisoning must, however, be considerably modified according to the nature of the poison, and a medical man should be summoned im- mediately, while the temporary measures before sug- gested are resorted to. X. DROWNING. No time should be lost. The two points to be aimed at are—immediately to restore breathing, and, next, warmth and circulation. The mouth should be cleansed, the tongue drawn forwards, the patient placed on the back, with the head and shoulders a little raised. Take Drowning. 195 hold of both arms above the elbows, and draw them gently and steadily upwards above the head, and keep Fig. i.—Inspiration. them stretched whilst you count, one, two. See figure i This is inspiration, or filling the chest with air. Fig. 2.—Expiration. Then turn down the patient’s arras, and press them gently and firmly against the sides of the chest while 196 Accidents. you count, one, two. See figure 2. This empties the chest of air. Repeat these movements about fifteen times in a minute, until natural breathing takes place. Next try to promote circulation. Rub the limbs up- wards with firm pressure, to favor the return of blood to the heart. Promote warmth by the application of hot flannels, hot bottles wrapped round with flannel, heated bricks, or by any means at hand, to the pit of the stomach, the arm-pits, between the thighs, and to the soles of the feet. If the services of a second person are available, the processes should be performed simultaneously. CHAPTER XI. MISCELLANEOUS DISEASES. I. ACUTE RHEUMATISM RHEUMATIC FEVER. Symptoms.—This disease sets in with general febrile disorder, followed by the. attack of acute inflammation of the fibrous structures of one or more of the larger joints—the shoulder, elbow, knee, ankle, etc. The af- fected joints are swollen, tense, slightly reddened, very painful, and the pain so increased by movement that a patient says he has lost the use of the limb. The skin is hot, but covered with a sour sweat, having an offen- sive odor; the pulse is round and full; the urine turbid ; but the head is unaffected. Palpitation, and continued pain in the heart, are unfavorable symptoms. The in- flammation is liable to metastasis from one joint to an- other, or to other fibrous structures, as the pericardium, the valves of the heart, etc. (See also under “ Gout.”) Muscular Rheumatism is variously named ; when the muscles on one or both sides of the loms are affected, and the pain is increased by movement of the back, it is termed Lumbago (see next section); when the region of the hip joint, following the course of the sciatic nerve to the knee, or even to the foot, Sciatica ; when the muscles of the chest, False Pleurisy; when the neck Miscellaneous Diseases. Crick in the Neck, etc. The treatment, however, is nearly the same in the different varieties. Causes.— Exposure to cold and wet; sudden sup- pression of perspiration; and especially evaporation from wet clothes, causing chill. It occurs most often in young people, from twenty to thirty years of age, or younger. Joints which have been sprained, long and excessively exercised, or otherwise injured, are particu- larly prone to suffer. Treatment.—Aconitum.—Acute rheumatism, chief- ly at the commencement; violent shooting or tearing pains, aggravated by touch; swelling and redness of the affected parts; impaired appetite; high-colored and scanty urine, and other febrile symptoms. A dose every second or third hour. Bryonia.— Lancinating or stitching muscular pains, worse on movement or touch ; rheumatism affecting the muscles of the chest, causing catching or painful breathing (false pleurisy ). Rhus tox.—Pains worse during rest, or on first moving the limb, but relieved by continued movement; deep, tearing, or bruised pains ; rheumatism from getting wet, aggravated by damp or cold weather. Mercurius.— Puffy swelling of the affected parts; the pains seem to be in the bones, and are worse with warmth and at night \ prof use perspiration without relief. Colocynth.— Lacerating, stitching pains, affecting the nerves, as Sciatica and Tic-doloreux ; rheumatic-gout. Pulsatilla.— Wandering rheumatism ; rheumatism re- lieved by cold; sensation of torpor in the limbs; pale face; diarrhoea, etc. Sulphur.— Rheumatism in scrofulous patients ; and Chronic Rheumatism. after other remedies, to complete the cure; also as an intercurrent remedy in obstinate cases. Dose and Repitition.— See page 46. Accessory Means.— During the fever, the patient should remain in bed, and the diet be restricted to water, milk-and-water, barley-water, gruel, etc. Warm baths, or hot compresses, are both useful and comforting. Wet-packing (see page 33) of the whole body, or of the affected parts, according to circumstances, is a most useful adjunct.* CHRONIC RHEUMATISM. Chronic rheumatism requires similar remedies to the acute form, Bry. and Rhus being the chief Bry. when the joints are mostly affected and all movement is pain- ful ; Rhus when the pain is worse during rest, but re- lieved by continuous motion. Merc, may also be re- quired. Persons liable to it should wear flannel and warm clothing generally, and avoid damp and cold. Warm salt-vapor or hot-air baths are useful. After the use of warm bathing, cold should be gradually tried, as it tends to prevent subsequent attacks. Friction, with Arnica or Rhus Liniment, are beneficial, especially in local and limited forms of rheumatism. Errors in diet should be guarded against, as attacks are very likely to follow derangement of the digestive organs. * Where medical treatment does not give the desired relief, the best resort is gal-anism, either by the application of the current from a suitable bactery, or by wearing the Voltaic bands and soles. 200 Miscellaneous Diseases. II. LUMBAGO PAINS IN THE LOINS. See page 197. Aconitum.— Sudden and acute cases, especially in alternation with Rhus. Rhus tox.— Chronic lumbago; pains worse during repose, and at night; lumbago from getting wet. Bryonia.— Intense pains, causing the patient to walk stooping, increased by movement or a draught of air, with shivering or biliousness. Arnica.— From over-lifting, a sprain, or a blow on the loins. Liniments, medicated with the same remedy as ad- ministered internally, rubbed into the affected parts, are very useful. hi.— gout (Podagra). The ancient name of this complaint, podagra — foot pain — indicates the parts usually first affected. Causes.—Gout generally occurs in elderly gentlemen who live luxuriously, and suffer much from heartburn} and other symptoms of acid dyspepsia. The predispos- ing cause is often heriditary. Distinctions between Gout and Rheumatism : 1. Gout rarely occurs till about or after the middle period of life ; rheumatism attacks the young. 2. Gout chiefly affects the small joints — the metatar- sal joint of the great toe ; rheumatism the large joints. 3. Gout is often associated with chalk-stones (urate of soda) ; rheumatism is not. 4. Gout is decidedly heriditary; rheumatism is less so. Palpitation of the Heart. 201 5. Gout is not attended with profuse acid sweats; rheumatism is. • 6. Gout is often the punishment of the luxurious and indolent; rheumatism is the lot of the hard-working and the exposed. Treatment.— Aconitum.—; Fever symptoms, espe- cially at the commencement and in plethoric patients. Nux vomica.— Attacks traceable to stimulants, luxu- rious living, with indigestion or irregular action of the bowels. Bryonia.— Gout implicating the chest, or with bilious symptoms; pains increased by movement. Ant. crud.— Nausea, white-coated tongue, with in- crease of pains after food. Gouty nodes. Colch. and Ledum are also recommended. Accessory Means.— Flannels wrung out of hot water, or spongio-piline after immersion in hot water, often do good. Preventive Treatment.— The patient should be well nourished, but the consumption of animal food diminished, and the tendency to acidity of the stomach guarded against by avoiding pastry, greasy food, twice- cooked meat, raw vegetables, and stimulants. Moderate and regular exercise in the open air, and the sponge- bath every morning. IV. PALPITATION OF THE HEART (Palpitatio COrdis). In a normal condition we are scarcely sensible of the heart’s beat; when, however, its pulsations become much increased in force or frequency, the unpleasant sensation known as palpitation is experienced. 202 Miscellaneous Diseases. Causes. — The predisposing are, nervous tempera- ment, hysteria, a full habit, and diseases of the heart. The exciting causes are, excessive joy, long-continued anxiety, grief, fear, or other mental emotions; severe exertion, excessive use of tea, coffee, and other stimu- lants ; profuse discharges from the body; menstrual derangements, etc. Treatment. — The subjoined hints are intended for simple cases, unconnected with organic disease of the heart. If possible, palpitation should always be treated by a physician. Aconitum.— Palpitation from excitement, or \vl pletho- ric patients, with anxiety, coldness, numbness of the extremities, or a sensation as if the heart ceased to beat; short and hurried breathing; hot and flushed face. Belladonna. — Oppression, tremor, palpitation ex- tending to the neck and head ; congested face. Gelseminum. — Nervous palpitation. Spigelia.—Palpitation attended with pain at the heart. Igtiatia. — Palpitation caused by long-continued, si- lent grief. Coffea. — Wakefulness and nervous restlessness ; pal- pitation from sudden joy. Chamomilla. — Palpitation from passion. Opium. — Palpitation caused by fright, with drowsi- ness and labored breathing. Pulsatilla. — Hysterical symptoms, and in females, suffering from deranged period. Administration. — During a sudden attack, a dose every twenty to thirty minutes, as the symptoms decline, or in mild cases, every three, six. or twelve hours. Accessory Measures. —- The causes should be Wetting the Bed. 203 avoided. Pure air, cold water internally and externally, moderate exercise, a contented disposition, and light, nourishing, and regular diet, are excellent auxiliaries. v. — incontinence of urine (Enuresis). In this disease there may be partial or entire loss of power to retain the urine in the bladder, with frequent urging. Causes. — Paralysis of the muscular fibres which surround the neck of the bladder, from injuries, tedi- ous and protracted labors,* the pressure of tumors, calculous deposits, syphilitic diseases, the irritation of worms (see the next section), etc. Treatment. — Cantharis.— Acute inflammation of the urinary organs, with irresistible desire to urinate, and discharge of only a few drops of bloody and acrid urine. Gelseminum. — Involuntary urination from a relaxed or paralytic condition of the neck of the bladder. Mercurius. — Incontinence traceable to a cold, or to syphilis. Nux vomica. — Urine retained with difficulty, of passed involuntarily, from irritability consequent on the use of alcohol. Aeon., Bell., Calc., Lyc., and Culph., are also reme- dies in our list often required. Dose, etc., see page 46. vi. — wetting the bed (Nocturnal Enuresis). Causes. — Irritation of worms ; too large a quantity of fluids, especially if warm, and taken towards even- *For urinary difficulties in pregnancy, see “ The Lady’s Homoe- opathic Manual.” 204 Miscellaneous Diseases. ing; improper food or drink, giving rise to acrid urine; constitutional weakness. Treatment—One or more of the following reme- dies. It is often obstinate, and requires professional treatment. Acdn., Bell., Gels., Calc., Canth., Cina, Nux. Cina. — Enuresis from the irritation of worms. Belladonna. — Irritability of the urinary organs, with- out any irritating property in the urine, especially in delicate and too sensitive children. See also the preceding article and the Materia Medica. Accessory Means. — All salty, and very acrid arti- cles, malt liquors, spirits, tea and coffee, should be avoided. Meat may be eaten in moderate quantities, but little fruit, and no flatulent food. Milk-and-water, or cocoa, may be taken in the morning, but nothing hot to- wards night. Cold water and mucilaginous drinks may be taken in moderation, as they diminish the sharpness of the urine. The patient should sleep on a hard mat- tress, take exercise in the open air, and have shower- baths or daily ablutions with cold water. The whole process of ablution, including drying with a large towel, should not occupy more than five or six minutes. vii. — retention of urine (Strangury). This, the opposite condition to the former, often arises from similar causes, and requires nearly the same remedies. It is a symptom of many diseases, is often extremely'painful, and in many cases life is jeop- ardized. The treatment should, therefore, if possible, be confided to a Homoeopathic physician. Treatment.— Aconitum.— Inflammatory symptoms, often in alternation with some other remedy. Spermatorrhoea. 205 Camphor. — Spasms at the neck of the bladder, espe- cially if caused by Cantharides (a drop on a piece of loaf sugar every fifteen minutes for three or four times). Cantharis. — Urging to pass water, with cutting and tearing pains. Nux vomica. — Painful, ineffectual efforts to urinate, from the use of wine or spirits, and for spasmodic stric- ture. Sulphur. — Cases complicated with piles. Arnica. — Retention from mechanical injury, or the irritation of calculi. Accessory Means. — The introduction of the cathe- ter, so often resorted to under the old treatment, is fre- quently superceded by the more efficient remedies we employ; still it may be necessary in some cases, but requires professional skill. External applications, such as warm baths, hot or cold cloths, fomentations and in- jections, will greatly aid the medicines in restoring the functions of the parts, if there is not organic disease. Relief may often be obtained by directing the patient to step suddenly, with naked feet, on to the cold floor, or into cold water The diet must be sparing, and in severe cases restricted to demulcent drinks, such as gum-water, barley-water, and gruel. A simple, and often successful method, is to plunge the hands deeply into cold water, and move them about as in the act of wading. VIII. SPERMATORRHOEA INVOLUNTARY EMISSIONS. In the preceding editions of this manual, the subject of this section has been incidentally mentioned under one or two medicines in the Materia Medica, and in 206 Miscellaneous Diseases. the twelve years that have now elapsed since the first edition was published, the author has been consulted by many hundred persons, in various parts of the kingdom, suffering from seminal weakness, proving that the evils of this affection are wide-spread as well as serious. The author’s correspondence with patients leads him to conclude that the disease is much overlooked or under- rated by medical men generally ; although, probably, in some cases his treatment has been adopted from an in- disposition to consult personally a medical man in the patient’s neighborhood on such a subject. Causes.—The discharge alluded to generally occurs as the result of a bad habit—self-abuse, either accident- ally acquired, or learned from associates, especially in schools, and continued under the influence of a mor- bid imagination, and often in ignorance of the conse- quences of the vicious practice. Other causes may be, morbid condition of the urethra, or of the rectum; sexual excesses frequent excitation of the sexual pas- sion ; irritation from worms, piles, horseback exercise, etc.; disease of the brain or spinal marrow, etc. Effects.—The effects of spermatorrhoea are—de- pression of spirits, often very marked ; loss or weakness of memory and other senses ; indigestion, with oppres- sion after food, flatulence, headache, etc., sunken eyes, and loss of the healthy tints of the lips and face, the patient looking older than his years. If indulgence in the habit has been long continued, the effects, which need not be here particularized, are more serious and general. Happily, a course of judicious treatment is sufficient in nearly every case to effect a cure. Treatment. — The treatment, both medical and Spermatorrhoea. 207 hygienic, must be varied in almost every instance, and includes all available methods for establishing the con- stitutional strength, soothing local excitement and irri- tability, and forming healthy habits both of the mind and body. The Medical treatment involves the administration of Homoeopathic remedies (only two or three are des- cribed in this work—China, Phosphorus, etc.), the selec- tion and the dose of which can only be determined by the local and general symptoms of individual cases. An important feature in the medical treatment should be the correction of any concurrent affection with which the patient may suffer. The Hygienic treatment involves influences of wide extent, and associated with the commercial, social, and moral relationships of the patient, such as occupations, recreations, books, meals, sleep, bathing, and mental and moral discipline. The management of these sev- eral points must be regulated according to the exigen- cies of each case, and involve details which cannot be described here. Preventive Treatment.—Measures for preventing the precocious development of the sexual instincts or keeping them in subordination, are pointed out in the author’s Vade Mecum of Medicine and Surgery. iPart Ml. CINCISE MATERIA MEDICA. In this chapter we have only pointed out a few of the leading indications for the use of about forty remedies —including those in the list, page 43, and a few others which are very useful. Many, such as Aeon., Nux vom., Ars., Snlph., etc., are termed polycrests, or many-healing remedies — medicines possessing curative power in many diseases. For a fuller description of each the reader is referred to larger works. In prescribing for so many complaints from such a limited list of remedies, it is necessary to remark that the Homoeopathic Materia Medica includes several hundred medicines; domestic practitioners, therefore, who restrict themselves to these thirty or forty must not, in cases of failure, conclude that they have exhausted the resources of Homoeopathy, nor despair of hope when so wide a range of appliances is available to the professional man. I. ACONITUM NAPELLUS. The English names of this plant are—Wolfsbane, because it proves exceedingly poisonous to wolves, and Monkshood, because its beautiful blue flowers resemble Aconitum Napellus. 209 the hood which monks used to wear. “ This medicine,” says Hempel, “ constitutes the back-bone, as it were, of our Materia Medica ; ” there being scarcely an acute disease in which it is not more or less required. The prominent uses of Aconitum are as follows: Chiefly at the commencement, and often in the course, of all feverish and inflammatory affections. Its special indications are—thirst, and dry, hot skin; chills and shiverings, succeeded by burning heat; strong, rapid pulse ; restlessness, anxiety, flushing of the face ; pain ; quick or labored breathing; dry cough, with fever; deficient, hot, and high-colored urine ; first stage of cold-in-the-head, etc. It probably surpasses all other known remedies in its power of controlling the circula- tory system, and triumphantly supersedes the lancet and the leech. “To enumerate,” says Dudgeon, “the diseases for which it is suitable would be to mention the acute inflammation of every possible order and tissue of the body; and if it be not for all of these the sole remedy, it is almost always useful either previous to, or in alternation with, another remedy which has perhaps a more specific relation to the part affected.” Had Hahnemann’s labors extended no further than the dis- covery and demonstration of the wide and inclusive curative power of this great remedy, they would have entitled him to the gratitude of countless myriads of his fellow-creatures in every succeeding generation. He most appropriately ranks it as first and foremost in his Materia Medica, not because its name begins with the first letter of the alphabet, but because of its transcend- ant power and extended sphere of action; he terms it 210 Concise Materia Medica. a precious plant, whose efficacy almost amounts to a miracle. II. ANTIMONIUM CRUDUM. The beneficial action of this remedy is chiefly re- stricted to affections of the mucous membrane and the skin, and more especially when those surfaces are con- currently diseased. The mucous membrane both of the stomach and the alimentary canal is loaded with mucus, producing eruc- tations, foul, bitter, or tasting of the food ; nausea, and sometimes vomiting; foetid flatulence ; loss of appetite ; constipation, alternating with diarrhoea; mucous dis- charge from the anus ; secretion of tenacious mucus, with much hawking for its removal; milky-white tongue; slow digestion, with drowsiness, loss of strength, etc. It is an excellent remedy in that morbid condition of the intestinal canal which favors the production of worms. Skin.—Pimples or blotches ; rough irregular erup- tions on the nose or cheeks ; tubercular eruptions about the roots of the beard ; scald-head, with unhealthy, co- herent crusts; sore eyelids or ears, parts easily becom- ing sore ; ill-conditioned, unhealthy appearance. III. ANTIMONIUM TARTARICUM. The chief sphere of action of this medicine lies in the mucous membranes, the skin, and in the lungs. In large doses it produces a kind of catarrhal inflammation, be- ginning in the lining membrane of the throat, and ex- tending to the trachea and bronchial tubes, and even Arnica Montana. 2 11 exerting its irritant influence on the lung tissues them- selves. We should, therefore, expect that Tartar Emetic would prove a valuable remedy in certain kinds of in- flammation involving these parts. Experience has amply justified this expectation, and in catarrhal croup, bronchitis, and pneumonia, it has proved a most useful remedy. On the skin it produces a pustular eruption resem- bling that of small-pox ; it also produces the vomiting, and that peculiar alteration of the blood, which are characteristic of small-pox. As it might be supposed, then, Ant. tart, has been found a remedy of the first importance in this disease, and, if timely used, scarcely requires the aid of any other medicine. The vomiting to which this remedy is homoeopathic is nervous and sympathetic rather than gastric, and is attended by nausea, cold and pale skin, and great prostration. IV. APIS MELLIFICA. Rapid swelling (oedematous) of various parts ; erysipe- las, with great oedema; nettle-rash, and itching-stinging eruptions, with swelling; stings; hoarseness and dry cough, with urinary difficulties; frequent urging and inability to pass water; dropsy after scarlet-fever; etc. V. ARNICA MONTANA. Its chief uses are—in affections resulting fiom in- juries ; tingling of the skin ; convulsive and spasmodic affections, lock-jaw, active discharges of blood, vomit- ing and spitting of blood, and other complaints result- 212 Concise Materia Medica. ing from bruises, falls, etc.; severe concussions, such as often occur in railway accidents, or in the hunting field, without leaving external marks of violence; pains, sup- posed to be rheumatic, from long, heavy, physical toil; concussion of the brain ; immediate treatment after operations and childbirth ; rheumatic pains ; stitch-in- the-side; fatigue; chilblains, with hot swelling and tingling; swelling of the breast; soreness of the nip- ple , etc. External Use.—The chief uses of this agent are for the following conditions: Bruises, concussions, in- cisions, fractures, sore nipples, after extraction of teeth, etc.—The discoloration, stiffness, swelling, and soreness consequent on bruises by blows or falls, may be almost entirely prevented by the prompt use of this remedy. Its striking and rapid remedial effects, however, depend greatly upon the promptitude with which it is applied after the injury. Formula.—A lotion may be made by mixing from ten to twenty drops of the strong tincture in about half a teacupful of water ; the bruised parts should be bathed with this lotion, or linen cloths saturated with it applied and covered with dry cloths or oiled-silk, to prevent its evaporation. Generally, the administration of Arnica as prepared for internal use, will hasten the cure. Caution.—In some constitutions the application of Arnica-lotion produces a very troublesome eruption closely resembling erysipelas. For such constitutions, Ruta grav. or Flamamelis virg. is a safer remedy. VI. ARSENICUM. Cold, influenza, asthma, bronchitis, with difficult ex- Belladonna. 213 pectoration, wheezing breathing, etc.; fevers—inter- mittent, typhoid, and putrid, with great thirst, debility, etc.; diseases marked by depressed and almost exhausted vitality ; cholera, in the more violent forms of the dis- ease ; diseases in the stomach and bowels, especially when accompanied with great prostration or burning pains j severe vomiting, diarrhoea with watery, green or dark, burning stools; skin-diseases, particularly those of a scaly nature ; eruptions about the mouth and other parts, attended with burning, and the discharge of a thin, watery fluid ; old or obstinate ulcers, with burning or itching, or with a bloody, thin or foetid discharge; and dropsical complaints. VII. BELLADONNA This medicine almost ranks in importance with Aconite in inflammatory diseases, characterized by bright- rediuss of the parts, pain, intolerance of light and sound, and other symptoms of the head. It is often required after Aconite, or in alternation with it, in inflammation of the eyes, with dilated pupils, dread of light, etc.; sore throat with redness and sense of rawness ; tooth- ache with throbbing, and congested face; complaints marked by congestion in the head, or attended with con- vulsions, neuralgia, and delirium. Affections of the brain and nervous system ; eruptive fevers, especially simple scarlatina (for which it is often specific) and ery- sipelas (not vesicular) ; violent headache, especially frontal, with throbbing and redness, aggravated by movement; rheumatic inflammations with hot swell- ings, swollen glands ; etc. Its power in preventing at- 214 Concise Materia Medica. tacks of epidemic scarlatina, as well as of curing that disease, has not only been asserted by Hahnemann and Hufeland, but has been abundantly established by facts. VIII.—BRYONIA. Pletirisy j pneumonia j dry, severe cough, with a sen- sation of tickling under the breast-bone ; cold-in-the- chest; stitches, and shooting pains in the chest, acutely increased by coughing, a deep inspiration, or even movement; derangements of the liver and bowels; lumbago, sciatica, rheumatism of the joints, and all rheumatic affections in which the pain is aggravated by movement; bilious headaches, rheumatic fever, jaundice, etc. The prominent gastric symptoms are—water brash ; bitter or sour risings ; pressure on the stomach, or sensation as if a stone were there ; and constipation from inertia of the bowels. An irritable state of temper, and a gloomy depression of spirits, are additional indi- cations for Bryonia. IX. CALCAREA CARBONICA. This remedy is chiefly used in scrofulous, rickety, and tuberculous affections.—Glandular swellings of the neck and abdomen; eruptions around the eyes, and agglu- tination of the lids; difficult or delayed dentition, with heat and swelling of the gums ; deafness, with snapping and roaring noises in the ear, and chronic disease of the ear; chronic diarrhoea; incipient consumption of the bowels : swelling of the mesenteric glands ; cough, with foetid or bloody expectoration, or difficult breath- Homoeopathic Tincture of Camphor. ing; obesity, from a lax condition of the tissues, or, on the other hand, emaciation ; diseases of females, when the menses appear too soon and are too abundant j ster- ility ; leucorrhcea ; chronic headache, worst in the morn- ing, from mental fatigue; also in inveterate and obsti- nate diseases of the bones (rachitis) and skin. As a general rule, Calcarea is best adapted to affections of women and children, and to chronic diseases. x.—calendula officinalis (Marigold.) This remedy exerts a most favorable influence in promoting the union of wounds with the least resulting scars, and with the smallest amount of suppuration. Cuts, whether accidental or inflicted in operations, or injuries, in which the flesh is much tor7i, and which do not heal without the formation of matter; wounds penetrating the joints; etc. In all such cases it is much preferable to Arnica, especially in constitutions having a tendency to erysipelas. It controls haemor- rhage (but to a less extent than Hamamelis), and re- lieves the severest pains attending accidents. XI.—CAMPHOR, HOMOEOPATHIC TINCTURE OF. This remedy is valuable in the invasive stage of influ- enza (when its administration will often terminate this complaint); derangements in general with chilliness and shivering ; malignant cholera, in the incipient stage of the disorder; excessive, sudden prostration of the ner- vous system from any cause; fainting and dizziness; cramps in the arms, legs, or abdomen; severe purging. 216 Concise Materia Medica. “ It is antidotal to almost all the drastic vegetable poisons ; relieves strangury (difficult passage of urine) ; procures reaction from cold, congested conditions; is the great anti-choleraic ; and quiets nervous irritability sometimes better than Coff., dgn., or Ilyos. This is its whole clinical value, and a great one it is—in a nut- shell.” (Holcombe). In sudden attacks, two drops may be taken on a small piece of loaf-sugar, and repeated every fifteen or twenty minutes, for three or four times ; in cholera, four drops, administered in the same man- ner, every ten, fifteen, or twenty minutes. The strong- est—Rubini's—preparation is the best. In consequence of its volatile properties, it must be kept separate from all other homoeopathic remedies. XII. C ANTHARIS. Affections of the urinary organs; pain in the loins ; scanty, scalding, and even bloody urine; tenderness about the bladder; strangury ; suppression of urine from acute congestion ; etc. External Use.—In burns and scalds with threat- ened or actual blisters ; for lotion—ten drops of the strong tincture to a tea-cupful of water. Cantharidine pomade, is good for recent falling off of the hair after illness, etc. XIII. CARBO VEGET ABILIS. Affections of the digestive organs, with oppression after eating; flatulent distension of the stomach, with acidity or heart-burn ; burning and contractive pain and emission of fcetid flatulence j a burning sensation in Peruvian Bark. the lower bowel; tendency to diarrhoea ; piles ; worms ; toothache, with spongy or ulcerated gums ; hoarseness, loss of voice, and sensitiveness to variations of weather; chronic nettle-rash ; itching and burning of the skin ; unhealthy, burning, foetid ulcers. Carlo Vegetabilis counteracts the injurious consequences of Mercury and Quinine. Chiefly in diseases of children and women, affecting the nervous, biliary, and uterine systems. Convulsions, arising from teething, anger, or pain in the bowels; neuralgia, with tearing, dragging, and lancinating pains ; toothache, the pains being worse at night, tearing and stitching, with swelling of the cheeks, and a feeling as if the teeth were elongated ; difficult dentition, when one of the cheeks is red and hot, the gums swollen and sen- sitive, the child irritable, and convulsions are indicated; diarrhoea of children, from cold or teething, when the stools are watery, slimy, green, or yellow, and preceded by cutting pains; dentition-fever, with crossness, rest- lessness, and irregular circulation, one cheek being hot, the other cold; catarrhal cough of children, with hoarseness and rattling of mucus in the throat. The action of this remedy upon the sexual system of women is very marked, especially in dysniejiorrhoea, and in va- rious derangements during pregnancy; after-pains. Also for the consequences of passion, and when pains seem to be intolerable, owing to the extreme sensitive- ness of the patient. XIV.—CHAMOMILLA. Weakness with easy perspiration, consequent on ex- XV. CHINA PERUVIAN BARK. 218 Concise Materia Medica. haustive discharges—loss of blood, diarrhoea, prolonged nursing, sexual excesses, etc.; consequences of inter- mittent and other miasmatic fevers, purgatives, mer- cury, broken rest, etc. 11 is homoeopathic to many forms of fever of a periodical type; debility marked by disposi- tion to sweat, especially exhausting night-sweats ; diar- rhoea, especially summer-diarrhoea, with or without pain, and when the discharges are slimy, bilious, or mixed with undigested food, and very offensive ; loss of appetite; bilious taste ; flatulence; jaundice; enlarge- ment of the spleen, with a dirty-yellow complexion ; debilitating seminal emissions (spermatorrhoea) from sexual vices, with undue excitement of the sexual in- stinct, in patients weak, low-spirited, and dyspeptic. xvi.—cimicifuga (or racemosa. Rheumatic affections, chiefly of the left side, especially when there are uterine difficulties or irregularities; “ nervousness; ” pains in the left side below the breast in females ; pain in the lumbar region; crick-in-the- back ; headache, with aching-pain in the eyeballs; pal- pitation of the heart; sinking at the stomach (not of gastric origin); amenorrhoea, dysmenorrhoea, and men- orrhagia ; disorders of pregnancy and the critical age; etc. XVII.—CINA. Homoeopathic to the condition which produces intes- tinal parasites, and to affections arising from their irri- tation , especially thread-worms, indicated by picking the nose, grinding the teeth, convulsions and spasms, Cuprum. 219 voracious appetite, alternating with poor appetite, itch- ing at the seat, diarrhoeic motions, discharge of worms, wetting the bed (enuresis), cutting pains in the abdomen, hoarse, hollow cough in children, and other symptoms from inverminous affections. XVIII. COFFEA. This remedy is chiefly used for morbid sensitiveness and irritability of the nervous system, especially when following tidings of a joyous character ; fretfulness and wakefulness of children; nervous toothache ; almost in- supportable pains during or after labor; nervous suffer- ings of highly excitable children or hysterical women. XIX.—COLOCYNTH. This drug has not a wide range of action, and is chiefly prescribed Sox colic of a griping, flatulent charac- ter, with diarrhceic evacuations ; neuralgia, sciatica, etc. xx.—CUPRUM. Derangements of the nervous system, characterized by cramps, convulsive movements, etc. : St. Vitus’dance; epilepsy, with violent convulsions, paleness of the face, dizziness, and great debility; general nervous affec- tions accompanied by spasm and emaciation ; cramps and vomiting of cholera ; extreme pain in the bowels, with prostration, sallow complexion, and vomiting; some cases of hooping-cough; etc. 220 Concise Materia Medica. XXI. DROSERA. Hooping-cough, with suffocative symptoms, vomiting, or bleeding from the nose, especially when the “whoop” has become fully developed, and after the use of Ipe- cacuanha and Belladonna ; also in spasmodic cough gen- erally, with a tickling sensation in the throat, vomiting, or wheezing breathing, and a feeling of suffocation. XXII. DULCAMARA. Various affections—such as cold in the head, nausea, catarrh of the bladder, mucous diarrhoea, etc.—result- ing from exposure to damp or a thorough wetting; itching and stinging eruptions on the skin, and other conditions following a cold. If taken immediately after exposure to damp, Dulcamara will often entirely prevent the ordinary consequences of a cold. XXIII. GELSEM1NUM SF.MPERVIRENS. This drug, one of the new American Remedies, has a sphere of action apparently midway between that of Aeon. and Bell, in some respects. On the nervous system, it is useful in—nervous shiverings without chilliness; excite- ment of hysteric patients; languor, etc., from night- watching; neuralgic face-ache, with twitchings of the muscles near the affected part; spasmodic croup, when Aeon, fails or the brain is involved ; simple sleepless- ness of children, or from mental excitement. In scar- latina it is useful when Aeon, and Bell, fail to bring out the eruption bright, especially in young children; also Hepar sulphuris. 221 in this and other fevers when there is a tendency to remittency. Weakness of sight, v ith dimness or double vision, with dull heaviness in the head, and dizziness; palpitation of the heart; pure nervous toothache—Gels. may be applied locally; many ailments of children during teething, as sleeplessness, pain with sudden out- cries, spasm of the glottis, etc.; wetting the bed ; acute pain in the muscles, from over-exertion; etc. XXIV. HAMAMELIS. Varicose veins; haemorrhage from veins ; painful and bleeding piles; tendency to haemorrhage from various parts; vicarious menstruation; dysmenorrhcea from disease of the ovaries; discoloration, as from a bruise. External Use.—Ham. is sometimes a good sub- stitute for Am. when the latter does not agree with the patient. It is a good application for bleeding piles, etc. One part of the strong tincture to four of water. XXV. HEPAR SULPHURIS. This is a compound of Sulphur and Calcarea, and has points of resemblance to each, influencing the skin like Sulphur, and the glands like Calcarea. It has also an action differing from either of these remedies sepa- rately. It is chiefly prescribed in inflammatory affec- tions of the windpipe and air-passages,—croup, wheezing breathing, hoarseness; consumptive cough, etc.: also for scrofulous, enlarged glands discharging matter ; ab- scesses ; scald-head ; salivation and other consequences resulting from large doses of Mercury. Like Silicea, but to a less extent, it favors the suppurative process. 222 Concise Materia Medica. XXVI.—-IGNATIA. This remedy is especially valuable for the conse- quences of grief in persons, females particularly, of a highly sensitive temperament, who often change from high spirits to a low state of despondency; nervous headache ; hysteric, convulsive, or spasmodic disorders, consequent on grief, disappointment, or ill-humor, with the sensation of a ball rising in the throat (globus hysteri- cus ) ; nervous affections of girls at puberty, and of women at the critical period ; also some of the symp- toms of hypocho?idriasis in the male sex; convulsive affections of infants and children from worms ; pro- lapsus ani; etc. XXVII. IPECACUANHA. Chiefly used in affections of the respiratory and diges- tive organs. Spasmodic, suffocative cough, vith tick- ling in the throat, sometimes with nausea, vomiting, bloody expectoration, or bleeding from the nose; spasmodic-asthma, especially at night, hooping-cough, during the spasmodic stage, with rattling breathing; hay-fever, and some varieties of bronchitis. Derange- ments of the digestive organs, characterized by simple nausea atid vomiting, with or without diarrhoea ; colic, with loose, fermented, or dysenteric stools, especially in children. Hcemorrhage from various organs, the blood being bright-red, with anxiety, pale face, vomit- ing, etc. XXVIII. KALI BICHROMICUM. Affections of the mucous membranes and the skin. On the respiratory mucous lining it has great power, espe- Mercurius. 223 cially in chronic bronchitis, with much tough, stringy mucus, difficult to expectorate; cough, with wheezing, difficult breathing; chronically ulcerated throat; hoarse- ness ; chronic catarrhj membranous croup; polypus of the nose. It is curative in catarrhal and strumous oph- thalmia, and in syphilitic affections of the eye. In the digestive tract it is valuable in chronic dyspepsia, with heartburn, eructations, nausea, thickly-coated, yellowish tongue, bitter taste, etc. An additional indication for its use is a simultaneous affection of the respiratory and digestive mucous membrane. Affections of the skin, within the sphere of the action of this remedy, are chiefly pustular eruptions, ulcers of the legs, (see also Calendula as an external remedy), especially of a syphi- litic character, and pimples on the face. XXIX. LYCOPODIUM. Chronic affections of the digestive organs, which are atonic; pain, sensitiveness, or distension of the abdo- men ; water-brash; chronic constipation; gravel and stone ; moist eruptions; scald-head ; glandular swell- ings ; rheumatic complaints ; scrofulous ulcers ; loss of hair. XXX. MERCURIUS, There are various preparations of Mercury used by Homoeopathic practitioners, but in this manual we have chiefly referred to two, as under: ist.—Mercurius Solubilis.—The following are a few of the morbid conditions for which this remedy is prescribed: Glandular affections, with swelling and 224 Concise Materia Medica sometimes suppuration; sore throat, with, swelling, pain, difficulty in swallowing, and ulceration; profuse flow of saliva from the mouth, with a foetid odor; thrush ; cancrum oris ; toothache from decay, with aching, tear- ing pains, extending to the temples and glands, and a tendency to gum-boils ; jaundice, yellowness of the skin and of the whites of the eyes; ophthalmia j agglutina- tion of the eyelids; ulcers on the cornea; discharge from the ears, soreness, deafness ; diarrhoea, frequent desire to relieve the bowels, preceded by chilliness, with green-, clay-, or various-colored, slimy and offen- sive evacuations, especially the diarrhoea of infants and children; torpid liver, with deficient secretion of bile, as shown by pale, foetid, and costive stools, dull pain in the right side, poor appetite, and dejection of spirits; long round worms ; syphilitic and scrofulous swellings of the glands in the groins; gonorrhoea j syphilitic ul- cers, etc. Two marked symptoms indicating this remedy are, aggravation of the pains and general symp- toms at night, and profuse perspirations that afford no relief. 2nd.—Mercurius Corrosivus. — Dysenteric affec- tions, with tenesmus (straining), burning pains in the abdomen, and discharge of blood and mucus; cirrhosis; scrofulous, rheumatic, and syphilitic ophthalmia ; gonor- rhoea, in the first stage, with sharp pain on urinating; syphilitic eruptions, etc. XXXI. NUX VOMICA. This remedy is suited to functional gastric derange- ments from a depressed condition of the nervous sys- Nux Vomica. 225 tem, especially the following: Constipation, with ineffec- tual desire for stool; constipation alternating with relaxa- tion, the action being “ inharmonious and spasmodic waterbrash, heartburn, flatulence, the symptoms being of a spasmodic character; headache, with giddiness, flushed face, constipation, and other symptoms dependent on gastric conditions ; acute indigestion, with nausea and violent vomiting, headache, trembling hands, and other affections following intoxication. Chronic congestion of the liver; spasmodic asthma; dry coryza ; irritable bladder, and spasmodic stricture, from abuse of alco- hol. The pains which point to Nux arise from spasm, and not from inflammation. It is especially valuable in affections resulting from sedentary habits, too close brain-labor, want of out-of-door recreation, anxiety and business cares, night-watching, the use of tobacco, in- dulgence at table, and from the use of alcohol. It is best adapted to persons of spare habit, firm fibre, and of energetic, irritable, or hypochondriacal disposition, with tendency to irregular action of the bowels, and piles. The symptoms come on • or are worse early in the morning, and are increased by taking food, or by mental effort. Obstinate constipation, from paralytic obstruction, or want of peristaltic action of the intestines; lead colic; paralytic retention of urine; recent affections from fright, or sudden violent emotions ; apoplectic conditions, with stertorous (snoring) breathing, and slow and full pulse; typhus fever, with sleepiness, listlessness, and partial retention of urine ; general mental and physical xxxii.—OPIUM. 226 Concise Materia Medica. torpor. As may be inferred from the last indication, Opium is often useful in that nervous insusceptibility in which remedies, although clearly indicated, fail to effect improvement; in such cases, Opium often restores the lost nervous impressionability, and places the patient in a condition to be benefited by the appropriate remedy. XXXIII. PHOSPHORUS. This remedy is chiefly valuable in affections of the lungs, and in long-continued, exhausting diseases, of which the following is an epitome: Pneumonia, espe- cially in children; chronic bronchitis, with consider- able constitutional irritation; hoarseness; dry cough, or cough with expectoration of mucus, sometimes with blood; chronic cough ; phthisis (consumption), in which it is of signal use, moderating the cough, diarrhoea, and congestion of the lungs; chronic wasting diarrhoea, and hectic ; chronic inflammation of the stomach and bowels; atrophy of the liver, and other hepatic affections; ma- lignant jaundice; fatty degeneration, in any part; typhus and other fevers, with atonic condition of the brain, and want of vital reaction ; also physical and nervous weakness from loss of animal fluids, especially from sexual excesses and self-abuse. XXXIV. PODOPHYLLUM. Adapted to diseases of children while teething ; worm diseases. Softness of the flesh, with debility, in children. Moistness of the skin, with preternatural warmth. Sallowness of the skin, in children. Pulsatilla. 227 Sleepiness in the day time, with rumbling in the bowels. Too heavy sleep at nignt, restless sleep of children. Fever, attended with constipation. Giddiness and diz- ziness, with a sensation of fullness over the eyes. Roll- ing of the head during difficult dentition, in children. Perspiration of the head during sleep, with coldness of the flesh while teething. Grinding of the teeth at night during dentition. Satiety from a small quantity of food, followed by nausea and vomiting. Loss of appetite. Gastric af- fections attended by depression of spirits, rumbling in the abdomen, sensation of heat in the bowels, accom- panying the inclination to go to stool,—cramp-like pain. Constipation, with flatulence and headache. Diarrhoea immediately after eating or drinking. White slimy stools, cholera infantum. Frequent chalk-like stools, which are very offensive, with gagging and excessive thirst, in children. Hot, watery stools. Copious evacu- ations, with blueness under the eyes. Diarrhoea of children during dentition. Falling of the bowel. (Dr. G. E. Shipman.) XXXV.—PULSATILLA. Mucous dyspepsia, with thickly-coated, rough tongue, nausea and vomiting of bile, mucus, or of a bitter, sour fluid, with diminished or altered taste; indigestion from fat, pork, pastry, or other rich food ; mucous diarrhoea, with little pain,chiefly at night; heart-burn. It assists in cleansing the tongue, moderating the catarrh, and checking the diarrhoea in measles, chicken-pox, retniilenl- 228 Concise Materia Medica. fever, and other diseases of children. In the respiratory mucous membrane it is chiefly useful in catarrhal affec- tions and sub-acute bro?ichitis, with much mucous dis- charge. Pulsatilla is much used in profuse lachryma- tion, agglutination, twitching, styes, and other affections of the eyelids, especially of a sub-acute character and in scrofulous persons. Deaf?iess from catarrh, or follow- ing measles, with noises in the ears ; earache of chil- dren, with purulent discharge. Varicose veins, and em- barrassed venous circulation, especially during preg- nancy. In gout and rheumatism, it is chiefly indicated when the attacks are sub-acute, and the pains shift from one part to another. The most remarkable property, however, of this remedy is its action upon the female sexual system, as in tardy, scanty, or suppressed men- struation; leucorrhoea; false, delayed, or deficient labor- pains; retained placenta (after-birth); excessive after- pains ; suppression of the lochia, and a deficient secre- tion of milk. Administered some time previous to la- bor, it facilitates that process. It is also useful in swollen testicle, and other affections of the male organs. Generally, however, Pulsatilla is more suited to the fe- male sex, or rather to persons of gentle disposition, of fair complexion, easily excited to laughter or weeping, and with a tendency to relaxation rather than constipa- tion. XXXVI. RHUS TOXICODENDRON. This remedy is chiefly used in Rheumatism, and in affections of the skin. Rheumatism, sub-acute and chronic, worse during rest, and on first attempting to move, but relieved after a little movement; lumbago, Spongia. 229 especially after the use of Aconite ; rheumatism ; sciatica; paralysis, partial or complete, especially from exposure of the back to damp and cold ; vesicular (eruptions like little bladders) erysipelasj chicken-pox; ringworm; shingles ; scald-head ; etc. External Use.—Rhus is an extremely valuable remedy as an external application in sprains, injuries to ligaments, tendons, joints and the membranes investing the joints. Also in extensive superficial burns. The stings of insects, old chilblains, and sometimes warts, are relieved or cured by its use. xxxvii.—SILICEA. Scrofulous ulcers ; glandular and lymphatic swellings: affections of bones (rickets); housemaid’s knee ; ring- worm ; scalded head; corns; whitlows ; foetid smell of the feet; leucorrhoea, etc. It is most suited to chronic diseases, and to those which involve organic rather than functional changes. Silicea is remarkable for its power over the absorbent and exhalant vessels, especially those of the joints, sheaths of tendons, etc. It promotes the kindly sup- puration of abscesses of all kinds, with good or bad pus, and tends to moderate suppuration when it is excessive. XXXVIII.—SPONGIA. We have inserted this remedy in our list, not because it is in very frequent demand, but because it ought to be at hand whenever required. Its grand use, alone, or more generally in turns with Concise Materia Aledica. Aeon., is in croup, especially in the earliest stage, when it will frequently terminate an attack in a short time. It is also useful in dry, hard, barking cough, worse at night; in hoarseness, with dry cough and obstructed breathing; in croupy cough, such as frequently pre- cedes or follows croup ; in goitrous enlargements ; etc. XXXIX.—SULPHUR. This drug has a specific action upon the skin, and less so upon the mucous membranes; in a minor de- gree it affects all parts of the animal economy. In af- fections of the skin it is indicated by an irritation or itching, which yields an agreeable sensation on scratch- ing, and is aggravated by the warmth of bed ; eruptions, chiefly papular, but sometimes vesicular ; boils, pre- ventively and curatively; chilblains; whitlows; scald- head, and in many scrof ulous ajfections. Sulph. is strictly homoeopathic to boils, since it is well known that they often result from the excessive use of this drug, as in drinking sulphur waters. “ I know a lady,” says Dr. Hughes, “ who accompanied her husband to Harro- gate ; and, although herself in good health, joined him in drinking the waters. When she returned home, she came under treatment covered with boils.” In affections of the mucous tract, Sulph. is chiefly required in those of the eyes, the urethra, and the rec- tum, as in strumous and catarrhal ophthalmia : incon- tinence of urine ; chronic gonorrhoea; prolapsus of the womb ; burning and itching of the anus j piles and chronic constipation. Sulphur is often of service in arousing dormant ner- Antidotes. 231 vous energies, so as to render the system susceptible to the action of medicines indicated. Opium, has a like property. XL. VERATRUM ALBUM. It is very useful in autumnal diarrhoea, when vomit- ing is superadded to the purging. English and Asiatic cholera; diarrhoea and painful gripings ; violent vomit- ing and purging, short of that sudden deadly collapse which indicates Arsenicum. Cramps in the bowels or limbs ; headache with vomiting; cold sweat and cold- ness of the whole body ; black vomit; great weakness and convulsions; vomiting during pregnancy. It is often beneficial in the convulsive stage of hooping-cough. XLI. VERATRUM VIRIDE. Fever, with severe headache and brain-symptoms, rapid pulse, and sickness ; remittent fever of infants ; the in- vasive stage of scarlatina, measles, etc., with head- symptoms as above; erysipelas, especially the vesicular variety: here it may also be applied externally—thirty drops of the strong tincture to half-a-pint of water; congestion of the head during teething; pneumonia; etc. Inflamed corns, bunions, etc., mdy be touched with the strong tincture. ANTIDOTES. In the event of an over-dose of any of the above medicines having been administered, two drops of the strong Tincture of Camphor, or a strong infusion of Cojfee, will arrest any unpleasant consequences. Hart FfcL CLINICAL DIRECTORY. The object of the Clinical Directory is to enlarge the utility of this manual by prescribing for numerous dis- eases and conditions, arranged alphabetically, that could not otherwise be included in the work, and to give at a glance some of the leading remedies that the author, and many other practitioners, have found valuable. To use this portion intelligently, a knowledge of Materia Medica is essential, as it is only intended to refresh the memory of the initiated; it will, however, be found of great service if consulted in connection with a good Materia Medica. As far as can be, the remedies are arranged in the order of their importance, or in that in which they are most likely to be required. This cannot, however, al- ways be taken for granted ; indeed, in some cases, our brief list may not include the true homoeopathic remedy at all. Individuality and idiosyncrasy may greatly modify the choice. The perfection of prescribing lies in its concentration of attention on individuals, and of bringing into the focus of thought, as it were, the mor- bid symptoms and signs present, with the various cir- cumstances of parentage, habits of life, proclivities to Clinical Directory. 233 diseased action, and any peculiarities which may affect the patient. Finally, as a set-off to many short-comings in this Directory, we take the liberty of adding that it consists of prescriptions that have been largely tested and amply confirmed by clinical (bed-side) experience. *** The contractions alt., int., and ext., signify alternately with, internally, and externally respectively. CLINICAL DIRECTORY. ABSCESS: Acute—Bell, or Aeon. alt. Hep. s.; Merc, iod., Ars. Chronic—Sil., Calc., Sulph., Phos. Mammary—Bry. (for the earliest symptoms) ; Bell. alt. Hep. s.; Phos. (chronic cases) ; Merc., China. ACID DYSPEPSIA (Heartburn) : Carb. v., Bry.,'Nux v.; Lyc. (in elderly persons) ; Puls. AFTER-PAINS : Sec.. Coff., Puls., Arn., Cham., Gels. AGUE : Chin, or Quin. ; Ars. (chronic) ; Phos. ac.,Cedron ; Nux v. or Ipec. (much gastric disturbance). ALOPECIA (loss of hair)-. From Previous Illness, Grief, etc.—Phos. ac., Ign., Calc., Sil., Chin., Canth..ext. in pomade. From Mercury—Carb. v.. Hep. s. With Frequent Headache—Fluor, ac., Nit. ac., Phos., Sep., Sulph., Calc. - ALCOHOL : Effects of excessive use of—Nux v., Opi., Ars.; Ant. t. (gastric irritation). AMAUROSIS (complete or partial loss of vision) : Bell., Euphr., Hyos., Gels., Nux v., Chin. AMENORRIKEA (absence of the monthly period) \ Puls., Sep., Coni. (chronic) ; Ferr. (with a mania) ; Senecio, Sulph. AN/F.MIA (deficiency or poverty of blood): Ferr., Chin., Phos. ac., Ars., Sil. ANGER : Effects of—Cham., Aeon., Hyos., Coloc. ANGINA PECTORIS (breast-pang)-. Ars., Dig., Samb., Verat., Cact., Lacli., Verat. vir., Strych. ANKLES: Swelling of—Ars., Chin., Bry., Phos., Ferr., Apis. Also rest. Weakness of—Calc., Phos., Sulph., Sil. ANUS : Itching of—Sulph., Nit. ac. ; Cin., Ign., or Merc. (from worms) ; Ars., Aeon, (burning itching with dryness) ; Sulphurous Acid ext. Prolapsus of—Ign., Nux v., Podoph., Merc. Clinical Directory. 235 ANXIETY, CARE, GRIEF, etc.: Effects of—Ign., Aur., Nux v., Phos. ac., Puls. APHONIA (loss of voice)-. Aeon.; Caust. (catarrhal); Baryta c., Phos., Merc.; Ign. or Bell, (hysterical). Chronic—Kali bich., Hep., Phos., Carb. v., Caust., Merc. APIITH/E (Thrush): Borax int. and ext. ; Merc., Ars., Sulph.; Sulphurous Acid Spray (i part to 12 of water). APOPLEXY: Aeon., Opi., Bell., Glon., Nux v. Predisposition to—Strict temperance in eating and drinking ; avoidance of excitement, heated rooms, etc. APPETITE : Loss of—Chin., Nux v„ Puls., Rhus, Ars., Ferr. Voracious or Depraved—Calc., Cin., Nux v., Sib, Verat. ASCARIDES: See THREAD-WORMS. ASCITES (dropsy of the abdomen) : Ars., Apis, Dig., Chin., Lyco. ASTHMA: Ars., Aeon., Ipec., Lob., Euphr., Caust. Of Children—Samb., Ipec., Ant. tart., Ars., Cupr. ATROPHY (wasting): Iod., Calc., Sulph., Phos., Ars., Puls. From Worms—Cin., Merc., Ant. crud. BACKACHE (Lumbago): Aeon. alt. Rhus tox. (acute); Bry., Cimic., Lyc. From Exertion—Am., Rhus, Bry. From Painful or Irregular Period—Bell., Puls., Sec., Cocc., Plat. ; Chin, or Ign. (spinal irritation). From Spinal Irritation—Chin., Ign., Nux v„ Gels. BALDNESS: See ALOPECIA. BARBER’S ITCH : Ant. tart., Cinnab., Ars. BED-SORES: Calend. (external use); also Calend. or Arn- plaster. In bad cases the patient should be placed upon a water-bed. Prevention of—Washing the parts exposed to pressure morn- ing and evening with tepid water ; and, after drying with a soft towel, a little glycerine or glycerine-cream should be rubbed evenly over the part. This is one of the best preventives of bed-sores. When there is much redness, and the skin is unbroken, a little diluted alcohol or brandy should be applied. BELCHING: See ERUCTATIONS. BILIOUS ATTACKS: Iris, Ipec.; Cham, (in children and ex- citable females) ; Bry., Aeon., Nux v., Ars. BITES AND STINGS: Ledum, Apis, Rhus, Canth., all int. and ext. BLACK-EYE : Am. ext. 236 Clinical Directory. BLADDER : Catarrh of—Ammon, mur., Ant. crud., Puls., Ferr., Canth., Cann. Inflammation of—Canth., Tereb., Apis, Aeon. Paralysis of—Baryta carb., Aeon., Nux v., Ars. See also URINE. BLEAR-EYES: Euph., Sulph., Puls., Merc., Ars., Calc. BLEEDING: See HAEMORRHAGE. BLINDNESS: See AMAUROSIS. BLOODY-FLUX: See DYSENTERY. BLOODY URINE: See HAEMORRHAGE; From the BLAD- DER. BLOTCHES : Ars., Bell., Hep., Ant. crud., Graph., Lyc., Clemat. BOILS : Bell., Sulph., Hep. s. ; Am. (much, pain) Apis (num- erous and small). BONES : Caries (decay) of—Sil., Phos. ac., Sulph., Calc. Curvature of—Calc., Sulph. Exostosis (abnormal growth of)—Aur., Merc. iod. Pains in—Merc., Aur., Mez., Ars., Asaf. ; Merc. iod. (very se- vere). BOWELS: Inflammation of—Aeon., Bell., Coloc., Merc, cor., Ars., Bry. Pain in—See COLIC. See also CONSTIPATION, DIAR- RHCEA, ANUS, etc. BRAIN : Concussion 6f—Arn. alt. Aeon, or Bell. Congestion of—Glon., Bell., Aeon. Fever—see TYPHUS-FEVER. Inflammation of—Aeon., Bell., Bry., Hyos., Opi. BREAST : See ABSCESS : Mammary. BREAST-PANG: See ANGINA PECTORIS. BREATH : Fetor of—Merc., Carb. v., Spig., Aur., Aeon. BREATHING: Difficult—See ASTHMA, BRONCHITIS, CROUP, etc. BRIGHT’S DISEASE: Ars., Phos., Merc, cor., Tereb., Canth. BRONCHITIS: Acute—Aeon., Bry., Ipec., Phos., Kali bich. In Children—Phos., Ant. tart. In the Aged—Carb. v., Ant. tart., Senega, Squill. Chronic—Kali bich., Hep. s., Phos., Carb. v., Ars. BRUISES: Arn. (externally). See also CONTUSION and ECCHYMOSIS. BUNIONS : Verat. vir. or Arn. (as a paint) BURNS AND SCALDS - Canth., Rhus, Kreas., or Urtica, ext., very dilute. Clinical Directory. 237 CANCER : Ars., Hydrast., Coni. CANKER OF THE MOUTH : Merc., Ars., Carb. v., Nit. ac., Sulphurous Acid Spray. CARBUNCLE: Ars., Bell., Sil., Canth., Lach., Carb. v. CARIES : (decay) of Bones—Sil., Phos. ac., Aur., Nit. ac., Merc, iod. Of Teeth—Kreas., Merc., Staph. CATARACT : Coni., Phos., Cann., Sil., Sulph., Puls. CATARRH . See COLD IN THE HEAD. CHANCRE (a syphilitic sore) : Merc., Nit. ac., Kali hydriod. CHANGE OF LIFE : See MENSTRUATION : Cessation of. CHAPPED HANDS : Arn.-, Calend.-, or Glycerine-cerate. See also CHILBLAINS. CHICKEN-POX : Rhus tox., Sulph., Ant. t. CHILBLAINS . Petrol., Puls, or Rhus tox. int. and ext. , Phos.; Tamus com., Calend., or Kreas. ext. CHILD-BED FEVER : See PUERPERAL FEVER. CHLOROSIS (green sickness)-. Ferr., Puls., Ferr. iod., Sepia, Phos., Calc. CHOLERA : Camph., Ars., Cup., Verat. CHORDEE : Aeon. int. and ext. ; Bell., Canth. CHOREA (St. Viins's Dance) : Cupr., Agar., Verat. vir., Artem., Bell., Ign., Cimic., Ars. CIRRHOSIS (a diseased contracted liver) : Phos., Merc. cor. COLD-IN-THE-HEAD: Aeon., Ars., Merc.; Nux v. (stuffy cold) ; Euphr., Kali bich., K. hyd., or Sulph. fchronic) COLD-ON-TIIE-CPIEST : Bry. alt. Aeon, or Phos. COLD FEET : See FEET COLIC. Coloc. (with diarrhoea); Nux v. or Plumb, (constipa- tion ) ; Iris (flatulent colic). Lead—Opi., Alum. Menstrual—Cocc., Plat., Nux v., Sec. CONGESTION OF THE BRAIN : Aeon., Bell., Glon., Opi., Gels. Of the Liver—Merc., Bell., Aloes., Bry., Chin., Ars., Iod., Aeon. Of the Lungs—Aeon., Phos., Verat. vir., Bry. CONSTIPATION: With Frequent Ineffectual Efforts: Nux v., Coloc. From Inertia of the Intestines—Bry., Opi., Lyc., Aeon. Chronic—Sulph., Lyc., Nux v. alt. Sulph., Podoph., HLscul. 238 Clinical Directory. CONSUMPTION : Phos., Ars., Phos. ac., Ferr. iod., Dros., Calc, iod., Lyco. ; also Aeon, or Bry. (for occasional symptoms). Of the Bowels—Iod., Calc., Ferr., Sulph., Merc., Iod., Ars. CONTUSION: Arn.; Coni. (of the female breast) \ Ruta (of the shin-bone) ; all int. and ext. CONVULSIONS : Bell., Cham., Verat. vir. ; Cup. f with cramp) ; Gels, (rigidity) ; Opi. (from fright). Also, Enemata of tepid water. See also EPILEPSY. Hysterical—Camph., Mosehus, Ign., Hyos. CORNS: Calc., Sulph. Also Arn .(simple), or Verat. vir. (in- flamed), ext. use of. CORPULENCY : See OBESITY. COUGH : Catarrhal—Aeon., Bell., Bry., Caust. Chronic—Kali bich., Sulph., Phos., Bry. Croupous—Spong., Hep., Cup. Hooping—Ipec., I)ros., Corah, Nit. ac. ; Verat. vir., Gels., or Bell. (head-symptoms). Hysterical—Coral., Hyos., Ign. COURSES: See MENSTRUATION. CRACKS OF THE LIPS, etc.: Graph.; also Arn.-Calend.-, or Glycerine-cerate. CRAMPS : In the Abdomen—See COLIC. In the Calves—Verat., Nux v. ; Arn. (from fatigue) ; Bell., Cupr., Gels. In the Stomach—Nux v., Dioscor., Cocc. CRICK-IN-THE-NECK : Aeon. alt. Bell.; Cimic., Bry. CRITICAL AGE : See MENSTRUATION: Cessation of. CROUP : Aeon. alt. Spong., Iod., or Hep. CYANOSIS (blue disease): Dig., Ars., Cup. CYSTITIS (inflammation of the bladder): Canth., Tereb., Apis. DANDRIFF (scurf in the head)-. Ars., Graph., Lyc., Sulph., Rhus. DEAFNESS: From Cold—Aeon., Merc., Bell., Puls., Dulc. From Enlargement of Tonsils—Merc, iod., Bell., Calc., Phos., Baryt. After Measles—Puls., Sulph., Bell. After Scarlatina—Bell., Hep. s., Calc. After Small-Pox—Merc., Sulph., Bell. From Nervous Diseases—Phos., Phos. ac., Chin. DEBILITY. From Loss of Animal Fluids—Chin., Ferr., Phos., Phos. ac. Nervous—Phos. ac., Ign., Mosch., Iod., Nuxv. DELIRIUM TREMENS: Nux v., Opi., Bell., Stram., Hyos. Clinical Directory. 239 DENTITION (difficult): Calc., Cham., Aeon., Krea. DEPRESSION OF SPIRITS : Ign., Aur., Chin., Nuxv., Plat.; Merc, or Podoph. (from disordered liver). DERBYSHIRE NECK : Spong., Merc, iod., Iod., Brom. DETERMINATION OF BLOOD : See CONGESTION. DIABETES (excessive flow of sugary urine)-. Phos. ac., Ars., Uran. nitras. DIARRHCEA: From Indigestible Food—Ant. crud., Puls., Ipec. From Cold—Aeon., Dulc., Merc. From Worms—Cin., Ars. With Colic—Coloc., Podo., Verat. Nocturnal—Puls., Chin., Rhus. Summer—Chin., Verat., Cham., Ars. In Children—Cham., Merc., Rheum, Ipec., Dulc., Ars., Podo. In the Aged—Phos., Ars., Chin., Ant. crud. DIPHTHERIA : Bell., Phyto., Kali permang., Merc, iod., Ars., Lach.; also, Phyto. or Sulphurous Acid locally. DIZZINESS: Aeon., Bell., Nux v., Cocc., Bry., Puls., Gels. DROPSY : Ars., Apis, Dig., Bry., Chin., Apocy. c. Of the Abdomen—See ASCITES. Of the Brain—See WATER IN THE HEAD. Of the Chest—Dig., Ars., Bry., Helleb. Of the Extremities—See CEDEMA. Post-Scarlatinal—Apis., Ars., Canth., Helleb. Of the Scrotum—Iod., Rhod., Graph. DROWSINESS : Opi., Aeon., Bell. After Dinner—Lyc., Puls. DYSENTERY : Merc, cor., Ipec., Ars. ; Aloes (chronic, with piles). DYSMENORRHCEA: See MENSTRUATION: Painful. DYSPEPSIA : See INDIGESTION. DYSPNCEA (difficult breathing)-. See ASTHMA, etc. EAR: Aching of—Bell., Puls., Merc., Cham., Aeon. Discharge from—Hep. s., Calc.. Puls., Sulph., Merc., Caust. Soreness of—Mur. ac., Puls.; Caust. (eruption about the ear). Inflammation of—Aeon., Bell., Puls. Noises in—Aeon., Puls., Mosch., Nuxv., Sulph. • also Sulphur- ous Acid Spray. ECCIIYMOSIS (blackness under the skin): Arn., Rhus, Ham., Mur. ac. ECZEMA (a non-contagious smarting eruption): Ars., Calc., Merc., Rhus. EMACIATION : See ATROPHY ; also DEBILITY. 240 Clinical Directory. EMISSIONS: See SPERMATORRHOEA. ENURESIS: See URINE: Incontinence of. EPILEPSY : Bell., Cup., Ilyos., Stram., Verat. vir., Zinc., Ign.; Calc. (chronic, especially in children). EPISTAXIS (bleeding from the nose): Ham. (dark blood), Ipec. (bright blood). Puls, (with deficient period); Bry., Aeon. ERECTIONS: Feeble, Painful—Lyc., Phos. ac., Nuphar. Spasmodic—Aeon., Bell. ERUCTATIONS: Bry., Nux v„ Puls., Sulph. ac., Lyc., Carb. v., Ars. ERUPTIONS : See RASH, LEPRA, ECZEMA, etc. ERYSIPELAS : Aeon., Bell., Rhus, Verat. vir., Apis, Ars., Sulph. EXCORIATIONS OF INFANTS: Cham., Calc., Lyc., Sulph. Also, Hydrast. or Calend. ext.; or the parts may be dusted over with finely-powdered starch. Preventive—Tepid washing, followed by careful drying, morn- ing and night. EYELIDS: Agglutination {gumming) of—Merc., Hep.,Calc., Sulph., Puls. See also OPHTHALMIA. EYES : Inflammation of—See OPHTHALMIA. Sore—Merc., Clematis, Nit. ac., Euphr., Bell, Merc. cor. Squinting of—Bell., Ilyos. Weak—Sulph., Phos., Iod., Bell. Wounds of—Arn. alt. Aeon. FACE ACHE: Aeon., Bell., Coloc ; Spig. {when the eye-balls are affected); Cimic., Cham., Sticta. See also GUMBOIL. FAINTING : Mosch., Camph., Ign., Verat., Iod., Chin., Cocc. FALLING-SICKNESS: See EPILEPSY. FATTY DEGENERATION : Phos., Ars., Ferr. FEET : Blistered, etc., from walking—Arnica-bath. Cold—Sep., Puls. The daily use of the skipping-rope. Wear- ing voltaic soles. Fcetid Sweat of—Silic., Petro., Nit. ac., Graph. FEVER : Simple—Aeon., or Verat. vir. FISTULA: Silic., Fluor, ac., Calc.; also Hydrast. ext. FITS, See CONVULSIONS, and EPILEPSY. FLATULENCE : Nux v., Carb v., Lyc., Chin. FLOODING: See MENSTRUATION : Excessive. FLUSPIING OF THE FACE : Aeon, (from excitement); Nuxv. (after food); Bell, (with headache). FRIGHT: Consequences of—Opi., Aeon., Ign. Clinical Directory. 241 FROG : See APHTHrE. FROST-BITE : See CHAPPED HANDS : also CHILBLAINS. GALL-STONES: Aeon., Merc., Podoph., Calc., Nux v. GANGLION (an encysted tumor on a tendon on the foot or back of the hand): Ruta, Arn., Iod., Silic., Calc. GASTRIC FEVER : See TYPHOID-FEVER. GATHERINGS : See WHITLOW, ABSCESS, BOILS, etc. GIDDINESS : Bell., Nux v., Bry., Aeon., Puls., Gels. GLANDS: Enlarged—Merc, iod., Bell., Hep. s., Iod., Silic., Calc., Phos. GLEET : Cinnabar, Canth., Cannab., Puls., Nux v., Sulph. GOITRE : See DERBYSHIRE NECK. GONORRHOEA : Cann., Merc., Aeon., Canth., Thuja. GOUT : Aeon. alt. Bell, (duringan attach). Rhod., Colch., Cimic., Bry., Puls. ; Arn. ext. GRAVEL: Lyc., Ant. crud., Nux v., Bry. CREEN-SICKNESS : Ferr., Puls., Sep., Coni. GUM-BOILS: Aeon. alt. Bell, (first symptoms); Merc., Silic., Hep.; Phos. (toprevent recurrence). GUMS : Scurvy of—Merc., Nit. ac., Carb. v., Ars., Sulph. HAEMOPTYSIS (spitting of blood): See HAEMORRHAGE. HAEMORRHAGE: From the Bladder—Canth., Tereb., Ham., Arn. From the Anus—See PILES. From the Lungs—Ipec., Phos., Ham., Arn., Millef., Aeon. From the Nose—Aeon., Ipec., Ham., Nux v., Bry., Arn. From the Stomach—Ipec., Ham., Nit. ac. From the Womb—Croc., Sec., Plat., Ipec., Sabin., Cauloph. HANDS : Undue Moisture of—Fluor, ac. Congested—Bell, (redness) ; Puls. alt. Sulph. blueness and cold- ness). HAIR : Loss of—See ALOPECIA. HAY-FEVER : Sabad. int. and by olfaction ; Euphr., Ipec., Ars., Kali iod. HEADACHE : Chronic—Plat., Arg. nit., Plumb., Zinc. Catarrhal—Aeon., Bell., Merc., Nux v., Bry. Congestive—Bell., Glon., Aeon., Nux v. Bilious—Iris, Bry., Aeon., Nux v., Puls., Coloc. Nervous (in one-half of the head)—Ign., Aur., Coff., Cham. Nux v., Phos., Aeon., Spig. Sick—Iris, Ipec., Puls., Nux v., Bell., Ant. crud., Sep. Rheumatic—Aeon., Bry., Nit. ac., Rhus, Spig. Clinical Directory. 242 HEART : Disease of—Cact. g., Dig., Naja., Aeon., Spig., Ars., Phos. Feeble Action of—Dig., Cupr. (with fainting). Inflammation of Membranes of—Aeon. alt. Spig., Bry., Ars. Palpitation of—Aeon., Cact. g., Mosch., Nux m., Phos., Puls. Rheumatism of—Spig., Bry., Cact. g., Cimic. HEARTBURN : Puls., Bry., Carb. v., Sulph. ac., Calc. HECTIC FEVER : Chin., Phos. ac., Ars., Sulph., Sang., Merc. HICCOUGH : Nux v.. Aeon., Tgn., Sulph. ac. HIP-JOINT DISEASE : Silic., Phos., Calc. c„ Ars., Sulph. ; Aeon, and Bell, (at first, and when necessary) ; also perfect rest. HOARSENESS : Baryta, Caust., Phyto., Hep., Phos., Spong., Carb. v. See also APHONIA. HOOPING-COUGH : Ipec., Dros., Coral., Cup., Verat. ; Gels., Verat. vir., or Bell, (head-svmptoms). HYPOCHONDRIASIS : Aur Arg. m., Ign., Nux v., Lyco., Anac, HYSTERIA : Ign., Plat., Asa., Hyp. per., Valer., Cocc., Gels., Puls. HYSTERIC CONVULSIONS : Camph., Mosch., Opi. (from fright) ; cold douche to the face. IMPOTENCE : Phos., Nux v., Agnus c. Ferr., Baryta, Chin., Nuph., Phos. ac. INCONTINENCE OF URINE : See URINE : Incontinence OF. INDIGESTION : Acute—Aeon., Ipec., Puls., Nux v., Bry., Rhus. Chronic—Kali bich.. Hep. s., Carb. v., Sulph., Chin., Nux v. In Children—Cham., Puls., Nux v., Sulph., Ant. c. In the Aged—Ant. crud., Kali bich., Carb. v., Nux v. From Cold—Aeon., Ars., Merc., Bry. From Fat or Rich Food—Puls., Ant. crud. From Anger—Cham, (with bilious symptoms). From Anxiety, Grief, etc.—Ign., Chin., Nux v., Puls. INFANTS : Screams of—Cham., Jal., Aeon. Soreness of—See EXCORIATIONS. Restlessness of—Cham., Cofif., Bell., Gels. INFLUENZA : Camph. (the chill stage) ; Aeon, (chills and heats) ; Ars., Rhus. INTERMITTENT FEVER : See AGUE. ITCHING OF THE ANUS : See ANUS. Ot the Skin—Aeon., Arg. nit., Mez., Sulph,, Ars., Nux v. ; also Mez. or Verat. vir. ext. JAUNDICE : Aeon., Bry., Merc., Chel. maj., Ars. ; Phos. (malig- nant) j Chin., Nux y. . Clinical Directory. 243 JOINTS : Pain in—Aeon., Arg. m., Bel!., Bry. Swelling of—Iod., Puls., Calc, c., Silic. KIDNEYS : Inflammation of—Canth., Tereb., Aeon., Bell. KNEE : Inflammation of—Aeon. alt. Puls., Bry. ; Iod. {much swelling). LABOR-PAINS : Cham., Puls., Coff. False—Puls., Cimic., Cocc., Nux v., Bell. LEAD-COLIC : Opi., Alum, Plat., Bell., Sulph. ac. LEGS: Swelling of—See CEDEMA. LEPRA {circular scaly patches on the shin): Ars., Merc., Sulph. LEUCORRHCEA: Sep., Cocc., Puls., Calc. c„ Silic.; Krea. (cor- rosive); Coni, {chronic). Also frequent ablutions, moderate exercise in the open air, sufficient rest, and nutritious, digesti- ble diet. LIVER : Enlargement of—Mete. iod.; also Abdominal Com- press. InflaMxMATION of—Aeon., Bry., Merc. cor. Torpid—Merc., Podoph. LIVER-COMPLAINT : Merc., Podoph., Nux v., Sulph., Nit. ac., Phos., Lyco. LIVER-SPOTS: Sulph., Borax, Lyco. LOCK-JAW : Aeon., Bell., Am., Nux v., Gels. LOWNESS OF SPIRITS: See HYPOCHONDRIASIS. LUMBAGO: Bry. ; Rhus {chronic) ; Cimic., Arn., Lyco., Nux v. LUNGS: Inflammation of—Aeon. alt. Phos., Bry., Chelid.. Ant. t. Congestion of—See CONGESTION. MASTURBATION : Evils of—See SPERMATORRIIfEA. MEASLES: Aeon. alt. Puls.; Bry., Bell.. Sulph., Gels., Merc. MEGRIM : See HEADACHE, Nervous. MELANCHOLIA :’ Aur., Ign., Plat., Phos., Zinc., Sulph. See also HYPOCHONDRIASIS. MEMORY: Weakness of—Phos. ac., Anac., Zinc., Opi., Ars. MENSTRUATION : {the monthly period): Delay of the First Puls., Ferr., Sep., Phos., Sulph., Sec. Irregular—Sep., Puls., Sulph., Senecio. Painful—Cimic., Cocc., Croc., Bell., Cham., Puls., Plat., Ham., Ign., Gels., Sec., Verat. Excessive—Sec., Croc, (dark and clotted); Sab. {bright red); Aeon., Calc, c., Ipec., Chin, (after excessive discharge). Scanty—Sep., Puls., Coni., Sulph., Cann. Clinical Directory. 244 Suppressed—Aeon., Puls., Bell.; Coni. (chronic) ;'Sep., Plat., Rhus. Sudden suppression requires, in addition to one of the remedies quoted, a hot hip-bath, after which the patient should retire to a warmed bed. Recurring too Early—(in less than a month from commence- ment of previous period)—Calc. Carb., Ign.; Krea, (offensive discharge'); Sec., Nux v. Recurring too Late—Puls., Phos., Plat., Ferr., Sep. Vicarious—Ham. v., Bry., Puls., Phos., Senecio. Too Short Duration—See Scanty. Too Long Duration—See Excessive. Cessation of—Chin, or Ferr. (profuse discharge); Lach. or Sang, (flushes) ; Cimic. (sinking at stomach, etc.) MESENTERIC DISEASE : See CONSUMPTION OF THE BOWELS. MERCURY : For Effects of Large Doses of—Nit. ac., Hep. s., Carb. v. MILK : Suppressed or Scanty—Puls. ; Aeon, (with fever); Bell, (with brain symptoms). Too Abundant—Calc. c.; Chin, (with debility). MILK-FEVER : Bry., Aeon., Cham., Verat. vir., Bell. MILK-LEG: Aeon. alt. Ham. or Puls. ; Phos. MILK-SCAB: (vesicular eruption on the face of infants)-. Rhus tox., Sulph., Viola tri. MISCARRIAGE : Sec., Croc., Ipec., Cedron., Arn., Bell. Threatened—Puls., Cham., Bell., Sab., Ami, Sec., Cedron. At the same time the patient should lie down on a mattress, in a cool, well-ventilated room, till all danger is past, and avoid hot drinks. Prevention of—Sec., Calc, carb., Cimic., Chin., Cedron. MOLES : Carb. v., Sulph. ; Calend. ext. MONTHLY PERIOD : See MENSTRUATION. MORNING SICKNESS : Ipec., Krea., Nux v., Puls., Iris. MOSQUITOES : StIngs of—Ledum ext. If a sting of a mos- quito or wasp remain in the skin, the open end of the tube of a small key should be pressed firmly over the part. MOUTH : Sore—See APHTHA ; also CANKER. MUMPS : Merc., Iod., Bell. NALVUS (a natural mark or blemish) : Thuja. NAUSEA: Ipec., Cocc., Lob., Tabacum, Nux v., Ant. t. NECK : Crick in the—Bry., Cimic., Aeon., Bell. Stiffness of—Bell., Bry., Lyc., Nux v. NERVOUS DEBILITY : See DEBILITY. Clinical Directory. 2 45 NERVOUSNESS : Cham., Coff., Ign., Hyos., Cimic., Gels., Chin. See also HYSTERIA, HYPOCHONDRIASIS, etc. NETTLE-RASH . Apis, Rhus, Ant. crud., Puls {from rich food). NEURALGIA : In the Face—Aeon., Ars., Coloc., Cham., Spig., Gels., Sticta. In the Head—Bell., Nux v., Sticta, Cimic. In the Back—Nuv v., Oxal. ac., Cimic., Verat. In the Leg—(Sciatica)—Coloc., Ars., Nuv v., Cann. In the Side —{intercostal)—Rhod., Ars. NIGHT-MARE : Nux v., Puls. A light diet, out-of-door exer- cise, and a sponge bath daily, are recommended ; and avoid- ance of suppers, stimulants, fatigue, and heavy and close bed- clothes. NIGHT-SWEATS: Chin., Ars., Phos. ac., Merc. See also HEC- TIC-FEVER. NIPPLES: Sore—Sulph.; also Calend., Hydras., or Arn. ext. NOSE-BLEED: Aeon., Bry., Ipec., Ham. v. ; Puls, (in women) ; Chin, (in weak persons). NOSE : Sore—Ars., Sulph., Aur., Caust.; Iod. (with fcetor). NUMBNESS AND TINGLING: Aeon,, Rhus, Nuxv., Arg. nit. OBESITY (excessive accumulation of fat): Ars., Ferr., Calc, c., Sulph. CEDEMA (watery fluid under the skirt): Chin., Ferr., Apis, Ars. ONANISM : Evils of—See SPERMATORRHOEA. OPHTHALMIA: Catarrhal—Aeon., Merc., Suiph., Euphr., Bell., Puls. Chronic—Clematis,Erect., Calc, c., Sulph., Merc., Hep., Ars. After Measles—Puls., Sulph. After Scarlatina—Bell., Hep. s., Merc. After Small-pox—Merc., Sulph. Scrofulous—Calc, c., Iod., Graph., Hep., Sulph., Merc, cor., Ars. Syphilitic—Merc, cor., Nit. ac., Thuja, Aur. In Infants—Arg. nit., Calc, c., Sulph., Merc. PAINS : See NEURALGIA, RHEUMATISM, etc. PAINTERS’ COLIC : See COLIC. PALPITATION : Mosch. (nervous); Aeon., Spig., Bell., Cact. g., Phos., Puls., Ars. PERIOD : See MENSTRUATION. PARALYSIS : Baryta c., Nuxv., Arg. nit., Plumb., Rhus, Phos., Aeon. PERSPIRE : Tendency to—Chin., Merc., Verat., Carbo veg. See also SWEAT. 246 Clinical Directory. PHOTOPHOBIA (intolerance of light): Bell., Merc, cor., Euphr., Calc., Ign. PHTHISIS: See CONSUMPTION. PILES : Sulph., Ham., Collin., Aloes, Nuxv., yEscul.; Ham. ext. PIMPLES : Bell, (in the full-blooded) ; Tuls. (in girls) ; Sulph., Kali bich., Ant. cruel., Hep. PLEURISY: Aeon. alt. Bry. ; Phos., lod., Ars. POLYPUS : Merc, iod., Kali bich., Teucr., Calc. PROLAPSUS . Of the Anus—Ign., Nux v., Podoph., Merc. Of the Womb—Stann., Sec., Bell., Sepia, Nux v., Sulph. PROSTATITIS (Inflammation of the prostate gland) ; Thuja, Puls. PROSTRATION : See DEBILITY. PROUD-FLESH : Silic., Fluor ac. PUERPERAL (child-bed) FEVER : Aeon., Bell., Bry. PURFLE-RASPI: Bell., Cham., Calc. c. PRURIGO (apapular eruption, with intolerable itching) : OF THE Anus—Nit. ac., Sulph. ; also Glyc. of Hydrast. ext. Of the Pudendi—Aeon., Sulph., Sep., Lyc., Collin. ; Glyc. of Hydrast. ext. Of the Scrotum—Petro., Merc, cor., Nit. ac., Rhus, Aeon. Also frequent ablutions with tepid or cold water. QUINSY : Bell., Baryta carb., Merc. iod. , Kali permang. (as a gargle, gr. vi.. ad. aq des. 5 viii.) RASH : During Teething—Cham. ; Ant. crud. (with diarrheea)) Ars. (withprostration). RED-GUM (Infant Hash) : Ant. crud., Bry., Cham. RELAXED BOWELS : See DIARRHCEA. RELAXED THROAT : Kali bich., Hep. s., Baryta carb., Phyto., Phos. REMITTENT FEVER: Gels, (especially in children)-, Ars., Verat., Chin., Ipec., Rhus. RETENTION OF URINE: Canth., Nuxv., Opi., Aeon., Campn., Cann. RESTLESSNESS OF CHILDREN: Cofif., Cham., Aeon., Bell., Gels. RHEUMATIC FEVER : Aeon., Bry., Bell., Cimic. RHEUMATISM : Of the Back—See LUMBAGO. Of the Chest (intercostal muscles)—Rhod., Chrys., Bry., Am. Of the Heart—Spig., Cimic., Cact. g., Bry. Of the Joints—Ruta, Bry., Rhus, Cimic., Caust. Of the Neck—Bry., Rhod., Chrys. Clinical Directory. 247 Chronic—Rhus tox., Arn., Sulph., Rhod., Chrys., Cimic., Kali Hydriod. RICKETS : Silic., Calc, c., Salph. Also out-door air, cold salt- water baths, and a spoonful of pale cod-liver oil twice a day. RINGWORM : Of the Scalp—Sep. ; also Sulphurous ac. ext. Of the Skin—Tellur., Rhus, Sep., Sulph. RUSH OF BLOOD : See CONGESTION. SALIVATION : From Mercury—Nit. ac., Iod., Hep. s. Non-Mercurial—Merc. SCABIES (the Itch): Sulph. int. and ext. SCALD-HEAD : Calc. Phos., Ars., Sulph., Ant. crud., Lyc. ; Rhus int. and ext. SCALDS : See BURNS. SCARLATINA : Simple—Aeon. alt. Bell. ; Sulph. (convalescence'). With Throat Affection—(anginosa)—Merc., Apis. Malignant—Ailanthus gland., Ars., Mur. ac., Carb. v., Condy’s Fluid topically. Preventive—Bell, mother tincture. SCIATICA : Coloc., Rhus, Ars., Nux v., Cann. SCORBUTUS (Scurvy): Merc., Nit. ac., Carb. v., Ars. SCREAMS OF INFANTS : Cham., Aeon., Jal., Bell. SCROFULOUS AFFECTIONS : Iod., Calc. c„ Sulph., Phos. SCURVY OF THE GUMS : See GUMS. SEA-SICKNESS : Petrol., Cocc., Tab. SELF-ABUSE : Evils of—See SPERMATORRHCEA. SHINGLES : Rhus tox., Sulph. SIC K-FIE AD AC IIE : Iris, Ipec., Puls., Nux v., Sep. SICKNESS : Ipec. (simple ; Pul. (from rich food) ; Nux v. (from alcohol); Iris, Ant. t. See also VOMITING. Morning—Ipec., Krea.. Nux v., Puls.; Ars. SKIN: Itching of—Arg. nit., Sulph., Ars., Mez. ; Verat vir. (painful sensitiveness). See also EXCORIATIONS, PRU- RiGO, SCABIES, etc. SLEEPINESS : Opi., Bell., Aeon., Lyc. SLEEPLESSNESS : Coff., Bell., Hyos., Gels., Verat. vir., Glon., Ign., Aeon. SMALL-POX : Ant. tart., Merc., Bell., Bry., Sulph. SMELL : Loss of—Puls., Merc., Gels., Aeon., Sang., Calc, c., Plumb. SNEEZING : From a Cold—Merc., Ipec., Aeon., Ars. SORE EYES : Merc., Clematis, Sulph., Calc, c., Euphr., Nit. tx. 248 Clinical Directory. SORE THROAT: Aeon., Bell., Merc. ; Kali permang. or Phyto. as a gargle. SORENESSS OF INFANTS : See EXCORIATIONS. SPASMS AND CRAMPS : Camph., Nux v., Coloc., Verat., Cocc., Gels. SPERMATORRIICEA : Phos., Chin., Ferr., Phos. ac\, Arg. m., Gels. SPINE : Concussion of—Arn., Hypericum. Irritation of—Chin., Ign., Nux v., Gels. SPITTING OF BLOOD : See HAEMORRHAGE : From the ' Lungs. SPRAINS : Rhus tox., Arn. or Ruta, int. and ext. SQUINTING : Bell., Hyos., Gels., or Stram. (cerebral causes); Cina {from worms) ; Spig., Phos. STAMMERING : Bell., Hyos. ST. ANTHONY’S FIRE : See ERYSIPELAS. STERILITY : Phos., Plat., Coni., Baryta c., Cann., Sep., Borax. STIFF-NECK : Bry., Cimic., Bell. STINGS: Led., Apis, or Rhus int. and ext. See MOSQUITOS ; also BITES. STITCHES IN THE CHEST : Bry., Aeon., Cimic., Phos. STOMACH : Acidity of—Puls., Nux v., Bry., Lyc., Carb. v., Calc. Inflammation of—Aeon., Ars., Bell., Phos. Ulceration of—Ars., Hydrast., Kali bich. STONE AND GRAVEL : Lyc., Nux v., Calc., Cann., Canth. STRICTURE OF THE URETHRA : Aeon., Nux v., Canth., Cann. ST. VITUS’S DANCE : Agaricus, Bell., Cup. m„ Artem., Stram., Zinc., Ars., Cimic., Ign., Verat. vir. STYE : Puls., Sulph., Merc. SUMMER-COMPLAINT: Chin., Iris, Bry., Ant. crud. SUNSTROKE: Camph., Bell., Glon., Gels., Verat. vir. SUPPURATION : Silic., Hep. s. ; Chin, {when very profuse). SWEAT : Undue—Phos. ac., Calc, c., Sulph., Phos., Samb., Verat. Fcetid, under the arms—Petrol.; Carb. v. Tendency TO—Chin., Merc., Verat., Carb. v. See also NIGHT- SWEATS. SWEATY FEET AND HANDS : Sil., Nit. c„ Petro., Graph. SWELLINGS: Dropsical—Ars., Apis. Glandular—Merc., Bell., Hep. s., Calc. c. Clinical Directory. 249 OF the Face—Merc, {from Gum-boil); Bell, or Cham, {from Toothache) ; Apis {from Erysipelas); Chin, or Ars. {dropsical). Of the Feet {(Edema)—Ars., Ferr., Apis, Dig., Chin. Of the Joints—Iod., Bry., Puls., Bell. White—Bry., Iod., Silic., Calc, c., Sulph. SYPHILIS : Merc., Thuja, Nit. ac., Arg. nit., Aur. TAPE-WORM : Fil. mas., Kous., Sabad., Cin., Sulph., Ign. TASTE IMPAIRED: Puls., Merc., Plumb. TEETH : See TOOTHACHE, and DENTITION. TESTICLES : Enlargement of—Puls., Clematis, Spong., Arn., Aur., Aeon. Also the use of a suspensory bandage. Wasting of—Iod., Coni. TETTERS : Dry—Merc., Iod., Ars., Petro. Moist—Aeon., Rhus, Ars., Phyto., Graph., Calc., Sulph. THREAD-WORMS: Cina, Teucrium, Ign., Chin. THROAT : Sore—Aeon., Bell., Merc., Hep. s., Puls. ; Phyto. as a gargle. THRUSH : Borax, Merc., Ars., Sulph.; also Sulphurous Acid Spray. TIC-DOULOUREUX : See NEURALGIA. TONGUE: Coated—Ant. crud. {milky-white); Kali bich. (yel- lowish) ; Puls, {roughish white); Rhus (brownish). Swollen—Bell., Merc., Aeon., Mur. ac. Ulcerated—Merc., Nit. ac.; Hydras, as a wash. TONSILS: Enlarged—Bell., Merc, biniod., Calc, phos., Kali hydriod., Baryt. Inflamed—See QUINSY. TOOTHACHE : Aeon. alt. Bell, (redness of face, with throbbing); Puls. From Decayed Teeth—Krea., Merc., Staph., Phyto. ; See GUM-BOIL. Nervous—Coff., Cham., Ign., Gels. Of Children—Cham., Kreas. Of Pregnancy—Bell., Nux v., Cham., Coff. TREMORS: Nervous—Aeon., Ign., Chin., Coff., Bell. ; Nux v. (from stimulants). TUBERCULOSIS (the condition of the body in which tubercles are deposited)-. Iod., Phos., Calc, c., Ferr. iod. TUMORS : See SWELLINGS. TYPHOID- (ENTERIC-) FEVER : Bapt., Ars., Mur. ac., Rhus- TYPHUS-FEVER: Aeon., Bry., or Verat. vir.; Ars., Hyos., Bell., Phos. 250 Clinical Directory. ULCERS : Hydras., Silic., or Kali bich. int. and ext. ; Bell., Lyc. In the Leg—Bell. Ars.; Merc. (syphilitic); Caust. ; Hydras, int. and ext. URINE : Bloody—Canth., Tereb., Ham. Burning or Scalding—Canth., Cann., Gels., Aeon. Fcetid—Tereb. Painful Passage of—Apis, Canth., Lyc., Nux v., Cann. Incontinence of—Lyc., Eup. per., Bell. ; Cin. (from worms) ; Caust., Phos. ac., Gel. s. (in the aged) ; Canth., Ferr. Retention of—Canth., Nux v., Opi., Camph. VARICOSE VEINS: Ham. v„ Puls., Fluor, ac. VOICE : Loss of—See APHONIA, and HOARSENESS. VOMITING: From Indigestible Food—Ant. crud., Puls., Ipec., Iris. Chronic—Kreas., Ars., Hydras. Of Blood—Ipec., Ham. v., Nit. ac., Chin. WALKING: Delay of the Power of—Calc, c., Phos., Sulph. WAKEFULNESS : Coff., Bell., Gels., Glon. WARTS : Thuja, Rhus tox., or Nit. ac. int. and ext. ; Sulph. WASTING: See ATROPHY. WATER-BRASH : Lyc., Nux v., Carb. v„ Bry., Ars. WATER : In the Chest—Bry , Ars., Dig., Apis. In the Head—Hell., Bell., Apis, Verat. vir. or Gels. (convul- sions). WATERY BLOOD: Ferr., Chin., Phos., Sep. See also ANAE- MIA. WEAKNESS : See DEBILITY. WETTING THE BED: See URINE: Incontinence of. WHITES : See LEUCORRHCEA. WHITE-SWELLING : Of the Knee—Bry., K. hydriod., Puls. WHITLOW : Silic., Fluor, ac., Hep. See also ABSCESS and BOILS. WHOOPING-COUGH : See HOOPING-COUGH. WIND: See FLATULENCE. WORM-FEVER : Aeon., Cin., Sil. WORMS : Thread—Cina, Teucrium, Ign., Chin. Long Round—Merc., Spig., Sulph., Aeon. Tape—Fil. mas., Cin., Sulph., Kous. WOUNDS: Calend., Ham. or Am. ext. WRY-NECK: Nux v„ Bell., Bry., Merc. ZONA : (Shingles): Rhus tox., Aeon., Sulph., Ly& INDEX* (See Hints to the Reader, page 9). For diseases not included in this index, consult the “ Materia Medica ; ” also the “ Clinical Directory.” PAGE Aconitum, the Homoeopathic Lancet, . . .52 Advantages of Homoeopathy, .... 23 Ague, . . . . . . .61 Air, fresh, importance of, ... 38, 56, 64 Alternation of medicines, . . . . .46 Anasarca (dropsy) after Scarlatina, ... 70 Aphthae (thrush), . . . . .152 Asiatic cholera, ...... 123 Ascarides, . . . . . . .130 Asthma, ....... 95 Bacon-fat prevents pitting in small-pox, . . .75 Bathing, . 0 . . . 32, 81, 103, 157 Beard, cultivation and use of, . . . . 84, 100 Bed-rooms, ventilation of, . . . . 39 Beef tea, . . . . . . .59 Beverages, ...... 58 Bilious headache, ... . . . . 140 Biliousness, . . . . . .114 Black eye ....... 187 Bleeding of the nose, . . . . .178 Bleeding from urinary organs, .... 181 Bleeding from the bowels, . . . .183 * Many diseases not included in this index are referred to in the “ Clinical Directory.” 252 Index. PAG* Bleeding from wounds, . , . . .186 Blood-shot eye, . , , . . .146 Bloody-flux, ....... 121 Breath, bad, ...... 151 Boils, . . . . , . . .170 Broken bones, ...... 191 Bronchitis, acute, . . , . . .97 Bronchitis, chronic, ..... 100 Bronchocele (goitre), ...... 164 Bruises, . . . . . .187 Burns, ....... 189 Camphor as a prophylactic, .... 60 Castillon’s powders, . . , . . .154 Catarrh (cold in the head), .... 79 Catarrh, epidemic, . . . , . .82 Cephalalgia (headache), . . . . .137 Chicken-pox (varicella), . . , . .76 Child-crowing, ...... 89 Chinese practice of medicine, . . . . .28 Chilblains, . . . . . . .171 Cholera, Asiatic, . . . . . .123 Cholera, Homoeopathic treatment of, . . 24 Cholera, Dr. MacLaughlin’s testimony, . . .24 Chronic Bronchitis, ...... 100 % Cleanliness, . . . - . . -57 Clergyman’s sore throat, . . . . .84 Clothing, . . . . . . 36, 86 Cold m the head (catarrh), ..... 79 Cold in the chest (bronchitis), . . . . -97 Colic, . . . . . . .113 Comstock’s rational food, ..... 154 Constipation, . . . . . . 25, 125 Contusions, , . . . . 187 Consumption, ...... 101 Convulsions, . . . . . .156 Corns, ...... 173 Coryza (a kind of catarrh), . . . . *79 Index. PAGE Cough, . . , . . . . .85 Cough, Whooping, . . . . . -87 Cretinism, . . . . . . .38 Croup, . . . . . . .go Cultivation of the beard, , . . . .84, 100 Cuts, ........ 188 Deafness, ....... 149 Delicacies for the sick, . . . . -59 Derbyshire-neck, ...... 164 Diarrhoea, ....... 118 Diarrhoea of children . . . . .120 Diet, hints on, . . . . .47, 59, 109, 129 Diet, ordinary, ...... 48 Diet, extraordinary, . . . . . ’ . 48 Diet, for infants, . . . .- . .154 Difference between Aconite and Gelseminum, . . 52 Diphtheria, ...... 92 Directions for taking medicines, . . . . -44 Dentition (teething), . . . . . 15 5 Dose of medicines, . . . . . .46 Dose, repetition of, ..... 46 Douglas, Dr. J. S., treatment of fevers, . . . 52 Dropsy after scarlatina, ..... 70 Drugs, beware of, . . . . -5° Drowning, ....... 194 Dysentery (bloody-flux), . . . . .121 Dyspepsia, ....... 106 Early rising, . . . . . . . 32 Ears, inflammation of, .... 147 Earache, 147 Economy of Homoeopathy, .... 23 Enteralgia (colic), ...... 1x3 Epilepsy (falling sickness), .... 141 Epistaxis, . . ...... 178 Erysipelas, . . . . . . .77 Evacuation of bowels, ..... 125 254 Index. PAGK Exanthemata (eruptive fevers), .... 65 Exercise, . . . . . . 35, 86, 103 Experimental practice, . . . . .29 External remedies, , . . . 44 Extract of beef, ... . . . -59 Eyes, inflammation of, . . . . 144 Eye, bloodshot, ...... 146 Falling sickness, ...... 141 Fatigue, . . . « . . 188 Febricula, . . .... 51 Fever, brain, . . . . . . *55 Fever, gastric, . . . . . .55 Fever, simple, . . , . . . . 51 Fever, typhoid and typhus, .... 54 Fever, intermittent, . . . . . 61 Flatulence, . . . . . . .115 Flooding, . . . . . . .182 Forms of medicines, . . . . , 42 Foreign bodies in the eye, ..... 147 Food in the sick-room, ..... 59 Foot-bath in colds and fevers . , . .81 Fractured limbs, ...... 191 Fresh air, ...... 39, 56 Frog (thrush), ...... 152 Furunculi (boils), ...... 170 Future of Homoeopathy, . ... 30 Gelseminum, uses of, . . . . . . 52 Gentle measures of Homoeopathy, ... 26 Goitre, ........ 164 Gout, ....... 200 Gum-water, •. *. , . . . . 58 Hahnemann, ....... . . . 31 Half-holidays, ...... . . . 138 Haemorrhage, ...... . . . 176 Haemorrhagic diathesis, .... . . . 183 Index. 255 PAGE Haemorrhoids (piles), . . . . . 133 Headache, ....... 137 Heart, palpitation of, .... 201 Heartburn, ....... 115 Hernia, 193 Herpes circinnatus, . . . . . -174 Hepatitis (inflammation of the liver), . . .116 Hints on diet, . . . . .47, 50, 109, 129 History of Homoeopathy, . . . . .15 Hives, ........ 168 Hoarseness, . . . . . . . 82 Homoeopathy, advantages of, . . .23 Homoeopathy, economy of, . . . *23 Homoeopathy, success of, . . . . .23 Homoeopathy and cholera, . . . . .24 Homoeopathy and children, .... 29 Homoeopathy preventive, . . . . *3° Homoeopathy, the future of, . . . .30 Homoeopathy, history of, . . , . . 15 Homoeopathy, grand principles of, . , .18 Homoeopathic medicines are specific, . . . .28 Hooping-cough, ...... 87 Hot foot-bath, . . . . . . .81 Hours for taking medicines, .... 45 Hygiene, observations on, . . , . .32 Icterus (Jaundice), • . . . . . 115 Incontinence of urine, ..... 203 Indigestion, t . . . . . 106 Infant’s Food, . •. . . . . .154 Influenza, . . . . . . . 82 Injections, . . . . . 129 Intermittent fever, ..... 61 Introductory, . . . . , . .15 Inflammation of the lungs, .... 94 Inflammation of the liver, .... 115, 117 Inflammation of the eyes, . , . . 144 Inflammation of the ears, ..... 147 Index. PAGE Involuntary emissions, . . ... . 205 Itching of the skin, ...... 165 Itch, ....... 166 Itch, seven years’ . . . , , .167 Jaundice, ....... 115 Jerrold’s death-bed, . . . . . .27 Light, .. . . . . . . 37i 64 List of medicines, . . . . . -43 Liver complaint, . . . . . .117 Looseness of the bowels, . . . . .118 Lumbago, . . . . . . . 200 Lungs, inflammation of, . . . . -94 MacLaughlin, Dr., his testimony, . ... .24 Malaria, laws of, . . . . . .63 Malignant scarlatina, . . , . 68 Marsh miasma, . . . . . .63 Materia Medica, ...... 208 Meat diet, . . . . .' .48 Measles, ....... 70 Measles, differ from scarlatina, . . . .71 Medicines, alternation of, . . . . .46 Medicines, directions for taking, . . . >44 Medicines, forms of, ..... 42 Medicines, list of, . . ... . >43 Medicines, names of, ..... 43 Medicines, cases, care of, , , , . *43 Metrorrhagia, ...... 182 Milk diet, . . , , . . .47 Morbilli (measles), ...... 70 Mumps, ....... 163 Names of medicines, ..... 43 Nettle rash, ....... 168 Nocturnal enuresis, ..... 203 Nursing the sick, . . . , . .56 Index. page Observations on health, ..... 32 Odontalgia (toothache), . . . . .159 Offensive breath, ...... 151 Ophthalmia (inflammation of the eyes), . . . 144 Ordinary diet, ...... 48 Otalgia (earache), ...... 147 Otitis (inflammation of the ears), .... 147 Otorrhoea (discharge from the ears), .... 148 Pains in the loins, ...... 200 Palpitation of the heart, ..... 201 Parotitis (mumps), ...... 163 Phthisis (consumption), ..... 101 Piles, 133 Pleurisy (pleuritis), . . . . , -94 Pneumonia (inflammation of the lungs), ... 94 Poisons, ....... 194 Prairie itch, ...... 167 Prevention of disease, . . . . . .60 Prevention of cholera, . . . . .124 Protrusion of the bowels, ..... 135 Prolapsus ani, ...... 135 Prurigo, . . . . . . .165 Purgatives injurious, ..... 125 Purging, ........ 118 Pyrexia (simple fever), . . . . .51 Quinsy (sore throat) ...... 162 Recreation, . . . . . .137 Retention of urine, ...... 204 Repetition of dose, ..... 46 Rheumatism, ....... 197 Ringworm, . . . . . .174 Rheumatic fever, . . . . . .197 Round-worms, . . . . . .130 Rubeola (measles), . . . . . .70 Running from the ears, ..... 148 Rupture, ....... 193 Index. • PAGE Salt-water bath, ...... 33 Scarlet fever (scarlatina), . . . . -65 Scalds, ....... 189 Scrofulous consumption, ..... 101 Sea-sickness, . . . . . .112 Self-abuse, ....... 206 Sequelae (after consequences) of scarlatina, . . 69 Seven years’ itch, ...... 167 Sick-headache, ...... 140 Simple fever, . . . . . . . 51 Small dose of Homoeopathy, . . . .18 Small-pox, . . . . . -73 Sore throat, . . . . . .161 Sore throat, clergyman’s, . . . . .84 Sores, ....... 169 Spasmodic croup, . . . . . . 89 Spermatorrhoea, . . . . . . ' 205 Spitting of blood, . . . . . .176 Sprains, ....... 188 Statistics on Homoeopathy, . . . . .25 Status of professional Homoeopaths, . . , 16 Stimulating food and drinks in fevers, . . -58 St. Anthony’s fire (erysipelas), .... 77 Strangulated rupture, . . . . . . 193 Strangury, ....... 204 Stye on the eyelid, . . . . . 146 Success of Homoeopathy, ..... 23 Sunshine necessary to health, . . . . <37 Tape-worm, ...... 131 Teething, . . . . . . .155 The single remedy, . . . , . . , 27 Thread-worms, . . , . . . .,130 Throat compress, ...... 84 Thrush, ....... 152 Tobacco, bad effects of, ..... 49 Tonsilitis, ....... 162 Toothache, . . . . . .159 Index. PAGE Ulcers, . . . . . . . 169 Urine, incontinence of, .... 203 Urticaria (hives), ...... 168 Uses of medicines, ...... 208 Varicella (chicken-pox), . . . . . 76 Variola (small-pox), ..... 73 Ventilation, importance of, . . . -38 Vomiting, . . . . . . . IIO Vomiting of blood, ...... 176 Warm bath, ...... 157 Watching patients, . . . . . -57 Water, purity of, . . . . *39 Warts, ........ 172 Wet compress for throat, ..... 84 Wet pack, . • . » . . . .33 Wetting the bed, . . . 203 Whitlow, . • • . . . 174 Whooping-cough, . . . Ay 1 • • 87 Worms, . /4V • /» . . 130 Wounds, . I . . • • i85 ESTABLISHED, - - - - A. D. 1855. THE CHICAGO H omoeopathic Ph armacy, HALSEY BROTHERS, 704 State Street, - - - CHICACO. A complete assortment of Homoeopathic Goods of all kinds, and of the most reliable character, will be found at the Chicago Pharmacy at reasonable prices. Medicine Cases and Books, of all styles, sizes and prices, for domestic use in the family ; arid for the treatment of horses, cattle, and other domestic animals. Remedies sold by the single vial or dozen vials. Old cases neatly refitted and refilled, and single vials refilled, if desired. As to the reputation of the establishment, reference is made to the Homoeopathic physicians of city and country throughout the Northwest. Prices of Medicines. One drachm vial, 15c. .... per dozen, $1.50 Two “ “ 20c. .... “ “ 2.00 Half ounce “ 30c. .... “ *' 3.00 One “ “ 50c. .... “ 5.00 Two “ “ 85c “ “ 9.00 Four “ “ 1.25 . . . “ “ 12.00 Prices of Cases of Medicine for Family use vary from $1.00 to $10.00, or even $20.00 ; the $8.00 and $10.00 styles are favorites. Further particulars will be given on application, with stamp. COMPOUND CARBON CRACKERS, FOR DYSPEPTICS. COMPOSED OF RECENTLY CALCINED WILLOW CHARCOAL, ETC., COMBINED WITH ORAHAM FLOUR. On account of the difficulty and unpleasantness of taking Charcoal, it has not hitherto been employed, either by physician or patient, as much as its Valuable Medicinal Properties demand. This objection is now overcome, as these Biscuits are not only free from disagreeable taste, but are palatable and highly nutritious. Recently Calcined Willow Charcoal is a powerful Disinfectant and Absor- bent, and when administered internally, is a valuable Remedy for Dyspepsia, Heartburn, Waterbrash, Acidity of the Stomach, Nausea, Constipation and kindred complaints, especially those attendant on Pregnancy. It is employed in these complaints with the most favorable results by eminent physicians, both in Europe and America. Amongst others, M. Belloc found it espe- cially efficacious in Gastralgia, etc., and his observations were confirmed by the French Academy of Medicine ; other noted men recommend its use, for whose opinion see United States Dispensatory, etc. The Biscuits should be taken three or four times a day, and may be used at meals in place of ordinary bread. For infants, soften one or two in milk or water, and give to prevent Acidity of Stomach, Flatulence, etc. N. B.—Persons suffering from Fetid Breath, arising from disordered digestion or decayed teeth, will find these an effectual and pleasant remedy. Price 75 cents for box containing three dozen Biscuits. Sold wholesale and retail at Chicago Homoeopathic Pharmacy, 704 State Street. "TIROSH," UNFERMENTED GRAPE JUICE. Made from the Catawaba Grape, possessing the delicious Aromatic Flavor peculiar to that Grape, which in other Wines is lost by the process of fermentation. This Wine contains no Alcohol, is NOT STIMULATING- NOE EXCITING, And is peculiarly suited to the necessities of Delicate Consti- tutions and Irritable Stomachs has been thoroughly tested during the last few years, and with the most gratifying results, in Inflammation of Stomach and Bowels. For Sale In Quart Bottles, $1.50; per dozen, $15.00. Chicago Homceopatiiic Pharmacy, IIALSEY BROTHERS. THE CELEBRATED VOLTAIC CURE FOR NEURALGIA, RHEUMATISM Sc ALL NERVOUS DISEASES. DR. HALL’S VOLTAIC ARMOR BANDS AND SOLES, A Scientific and Rational Method of Curing All diseases originating in a disturbed condition of the electrical or vital- izing forces of the body, such as Cold Feet, Nervous Headache, Rheumatism, Neuralgia, Dys- pepsia, Paralysis, St. Vitus’ Dance, Fits, Cramps, Weak Joints, Soiatica, Contracted Sinews, Sprains, Hip Complaints, Spinal Affections, and all Nervous Disorders. These Electrical appliances dan be depended on as a remedial agent of positive reliability in all such complaints, and will save thousands from complicating their afflictions by resorting to injurious remedies and improper applications. The Voltaic Armor, Soles and Bands Are made on the principle of the VOLTAIC PILE, and being perfectly flexible, can be worn under the feet or on any part of tne body without the least inconvenience. THEY EE ST 0 EE THE EQUILIBEIUM OP ELECTEIC ACTION IN THE SYSTEM, And impart life and vigor to every organ of the body. For restoring exhausted vital energy, and in all diseases having their origin in the loss of vital power, through excess, sedentary habits, or the use of powerful and pernicious drugs, the Armor may be used with the fullest assurance of success. Circulars giving more full description of the Apparatus, also numerous and reliable testimonials of the beneficial results of the use of the Armor are in our possession, and will be forwarded to parties desiring them. Soles .$1.00 per pair. Bands for the Arm 1.5O each. Bands for the Knees 2.00 “ Bands for the Waist 3.50 “ PRICE. Bands for the Wrist $1.00 each. yand for Head or Neck.. 1.75 “ Bands for the Thighs.... 2.25 “ In ordering, state the size of the boot or shoe worn, also the width required or, if bands, state the part of the body they are intended for. Sent to all parts of the United States on receipt of the above prices. Address HALSEY BROTHERS, 704 State St., Chicago. THE Carbolate of Iodine Inhalant, Cutlers’ Pocket Inhaler supercedes all other Inhaling Tubes and contrivances. It is equally adapted to the mouth and the nostril. No steam required—no blowing necessary. The great obstacle to successful treatment by Inhalants that the bottles and apparatus now used are complicated and inconvenient, is by this curious little instrument entirely overcome. It is as simple as a tin whistle, and may be carried in the pocket as handily as a penknife or a pair of scissors. No danger of breaking; no possibility of spilling ; always ready, and may be used in the house or out of doors, lying down or sitting up, with the same ease and facility as a cigar, or a lady’s smelling bottle. The Superior Advantages claimed for the Pocket Inhaler, are: 1st. Its cheapness, simplicity and efficiency. 2d. In the treatment of the patient, any number of inhalations in a given time may be prescribed and administered without inter- fering in the least with his ordinary business or convenience; this renders it in catarrh and bronchial affections invaluable. 3d. In administering the inhaling fluid (even ether or chloro- form) the quantity may be graduated to a single drop with a certainty that none of the vapor will be wasted. 4th. It admits of the use of the most concentrated solutions (advised by a physician) without danger. The Carbolate of Iodine Inhalent is put up in a neat case with the Inhaler, or can be obtained separately if desired. Price of In- haler and Inhalent, $2.00. HALSEY BROTHERS, 704 State Street, Chicago. MEDICAL BATTERIES. A COMPLETE STOCK. OF Electro-Magnetic Instruments Kept constantly on hand at the CHICAGO HOMCEOPATHIC PHARMACY. A book giving explicit instructions in the use of Electricity as a Curative Agent, accompanies each Instrument. A circular with prices, sent on application, with stamp. HALSEY BROS. The Fountain Syringe. As no family can afford to be without a Syringe, attention is called to the above article, which has come into almost universal favor within the past two years, as the best thing of the kind. It is “ SELF-ACTING.” All that is required in using, is to fill the rubber bag or reservoir, hang it above the patient’s head, and apply the proper discharge pipe. It has five pipes, a Nasal Douche, and Spray for SPRINKLING CLOTHES, Which last alone is worth the price of the whole. PRICE, $2.00 and $3.00. Halsey Brothers.