is rWA r, vt lOMEOPATttU? PHARI •«T r:. WM£y^i:^^^c-m^ rVk - fc im ^gm&a&mwm GROSVENOR LIBRARY ifca&^g&jyBjfc^ FOUNDED BY THE JOINT MUNIFICENCE OFSETH GROSVENOR AND. THE CITY OF BUFFALO PRESENTED BY Miss Marion Sheldon SYi ^TB8 ^AMERICAN FpUNDA^N ^^ ■■■ --*■ - * ■- — A— •» - - .-.^,-_. . ' .-"■''•':'■„fc^ :<*ii'iiji'*3,ii- y :... ~v ■-- - -y^c?l sS^'iT • v-i ■ ■•• -v. ^aesimund " "Banning Panes Jlibrary 19 O^ M- °* 74 #* ^oa,oeo' ^ r- q ..- ■ :.^ k ..■ o ■■.-.■ ■ .J '--■'• it ■ ._Rapid pulse, severe headache, vomiting, and even delirium. 2fe//taV,.-Early typhoid symptoms. This remedy should be given as soon as typhoid fever is suspected. Bryonia.-mttr 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. Hyoscyamus may some- times be required instead of Bell. _ Mercurius.-CoVious 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. 5* 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, with 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 abdomer 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 nignt 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. 5« 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 ef 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 fevers. (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. 61 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 sma 1, 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, dechne 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 iimos 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 Mias- 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. 1st. It spreads in the course of prevailing witids. 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. [f 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 no! 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 FEVERS. {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 j 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- ventive 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. I.--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 effiorescejtce, 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 , 980 being the normal standard—(3.) The papillae 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, j 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 Condys 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.—It 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 corn- 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 Co'nsequences (Sequelce).—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. Hepars., 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, 7° Eruptive Fevers. Aurum or Puis. (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 Bry., 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 or 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. 7i 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, Puis.; in severe and complicated, Aeon., Bry., Bell., Sulph., Ipec, Merc, Rhus tox., 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 wan?i 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. 13 in.—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 maybe 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, which, 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. 74 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 Veratrum 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 /<».—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.—Tov* 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, m equal parts and directly afterwards, by the aid of a soft puff, to cover the skin with a powder prepared by -™S?ne part of the first trituration of Tart, emetic with eight of violet powder. The glycerine-water causes thepowder to adhere, and pitting is effectually prevented. Ihe process should be repeated as often as necessary If the oatient is a child, his hands should be muffled to keephrfrom scratching, which might lead to ulcera L 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 at 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 predisposing 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.—Revert 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, Verat. vir., Apis (rapid swelling), Arson, (great prostration), Carbo veg., Puis, 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. Nux 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 bich.—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. Sj 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 ana 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 childfien 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. 4* 82 Diseases of ttu. Organs of Breathing. n.—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. in.—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. Carbo 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 tv/o 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. 84 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 86 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. Chamomilla.—Coughs of children during teething, with wheezing breathing, fretfulness, etc. Carbo 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, n. 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. 87 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 88 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. 90 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. vni.—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 mem- 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 Croup. 0* 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. Acotiite 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. Phos. 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 92 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 everything 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. The causes of this disease are somewhat 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 offen- sive breath is not very marked. Though attended with inflammation, 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 strength of the patient, and a teaspoonful of brandy and water may be required every hour or oftener. If a child is known to have been exposed to the disease it is often sufficient as a preventive measure to give three Diphtheria. 93 times a day one or "two grains of Sulpho-Carbolate of Sodium, either dry upon the tongue or dissolved in a swallow of water. This has been proved to be a wonderful prophylactic against the septic poison, whether in scar- let fever, puerperal fever or diphtheria, and even should the disease make its appearance "it is almost always in a mild form in those children to whom this remedy has been administered as a preventive." {Fellows?) Should the fever make its appearance, it is well to put the patient into a warm bath, or at least give a pretty warm foot-bath, with thorough rubbing all over the body, but especially up and down the spine. Then put the patient into bed, giving Bell. every half hour for two hours; then lengthen the inter- vals to one hour. Should the throat show signs of in- flammation, the tonsils bec6me swollen and painful, give Merc, lodat. 2 x, a powder every other hour, in alternation with Bell. The throat should be examined though no complaint may have been made by the patient, as there are many instances in which no throat trouble is complained of while the throat may be filling with a false membrane, and be in the worst possible condition. Should white spots make their appearance in the throat, they should be touched as often as once an hour with a camel's hair pencil wet with alcohol, or alcohol slightly diluted, or be used as a gargle. The strength must be kept up by nourishing food; unhappily, at such times, the stomach often rejects what it should retain. Desire for food is often lost entirely. The sharpest strategy will be found necessary in many instances to induce the little patient to take proper nourishment. Camphor, kept in the mouth, 94 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 100 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., 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. Anlimoniiwi 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 96 Diseases of the Organs of Breathing. 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. q8 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 ; 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., Mercurius, 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. ioo Diseases of the Organs of Breathing. xm.—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., Phos., Hep. sulph., Ipec, Lye, 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. ioi 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 102 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, Scrofulous Consumption. 103 either in a latent or partially-developed state, we strongly recommend the following measures : 1 st. 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 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 may be 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 152 Affections of the Mouth, 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. 153 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. Carbo vegetabilis.—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: r54 Affections of the Mouth, Nose, etc. Horltck's Invalid 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 this food cannot be tolerated, Sugar-of-Milk may be substituted. In most cases, however, this intolerance is due to im- proper methods of preparation.! \ 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 in» 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. 155 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 ; loose, 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. 156 Affections of the Mouth, 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 980, 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 ; 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, 158 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. Aconitum.—Fever—restlessness, flushed face—and when convulsions are threatened. Dose arid 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 Horlick''s Invalid 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, tragacanth, 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. r59 v.—toothache (Odontalgia). 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: i. From Cold.—Merc, Bry., Dulc. (from wet), Cham. (from a draught), or Puis. 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., Puis., or Cham. 6. With Swelling of the Face or Gums.—Cham., Merc, Bell., or Bry. 7. Toothache during Pregnancy.—Nux vom., Bell., Puis., or Cham. In Children—Cham., Aeon., Calc, or Ign. Leading Indications.—Mercurius.—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 worse 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. Pulsatilla.—Throbbing or digging pains, extending from the decayed tooth to the eye, with semilateral headache ; the pains are worse in a warr?i 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. 16/ 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 Affections 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. vn.—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. Mercurius.—Swollen throat; copious accumulation of saliva in the mouth ; swelling of the gums and of the tongue; shooting pain on swallowing; an inclination Mumps. 163 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 and adminstration.—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. vm.—mumps (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 Belladonna.—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 (Bronchocele). 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). t.--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. Aconitum.—Feverish heat, and redness of the skin, and the symptoms are worse at night. Rhus iox.—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 Puis., 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 compress 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 floiuers 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. Ship man's Homoe- 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. Calcarea.—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." 8 170 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. [72 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 ( Verruca). 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. i73 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 (Herpes 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. '75 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.—^////jlox—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.. Lye. Calc, or Hepar sulph., may some- times be required. General Treatment.—Cleanliness, and change of air are of great importance. When the complaint affects the hairy scalp, 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. H/EMORRHA GES (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 (Hozmate- 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 hpwked 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, Am. 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 Hemorrhage. 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, anH 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 it 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. 11.—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 hemorrhoidal 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. Treatment.—-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." ihage or severe efforts. If the patient be robust, and inflam- matory symptoms predominate, Aconitum may be 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 womp—flooding ( Metrorrhagia ). This may occur under various conditions, many of which are of such an intricate character as vo 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 likeiy to be immediately beneficial, without prescribing for the removal of the cause of the haemor- rhage. Aconitum.—Heat and fevenshness, 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 bright-red. Hemorrhagic Diathesis. 183 Secale. —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.—hemorrhagic diathesis, In some patients a predisposition to haemorrhage exists which appears lobe hereditary, and is designated the hemorrhagic 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 hemorrhagic diathesis may not in all cases be hereditary, but caused by diseases of internal organs, 184 Hemorrhage. 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* I.--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: i st. 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 \ 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!' iS6 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. Tofromote 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 L.ien, with steady compression, are more efficient than heaping on a large quantity. If the blood is h-ight-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 tha 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- i88 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 and 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, etc., 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 {2.% 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 injuied, 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. vii.—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 j 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 placer 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. 193 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 faecal 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 im- 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. 1.—Inspiration, them stretched whilst you count; one, two. See figure 1. This is inspiration, or filling the chest with air. Fig. 2.—Expiration. Then turn down the patient's arms, 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 loins 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 198 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; profuse 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. 199 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 battery, 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. 111.— 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 in 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. Lgnatia. — 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, or passed involuntarily, from irritability consequent on the use of alcohol. Aeon., Bell., Calc, Lye, and Sulph., are also, reme- dies in our list often required. Dose, etc., see page 46. VL — 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. Aeon., Bell., Gels., Calc, Canlh., 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. vn. — 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. Spermatorrhea. 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, hc^eback 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 Spermatorrhea. 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. mn im. CONCISE 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., Sulph., etc., are termedpolycrests, 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, therefo're, 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. 211 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 j 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 (cedematous) 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 from 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, Rutagrav. or Hamamelis 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 paifis; severe vomiting, diarrhea 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- redness 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 frontalf 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. Pleurisy ; pneumonia ; 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- Homeopathic Tincture of Camphor. 215 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; 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 torn, 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, HOMCEOPATHIC 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 ofurine) ; procures reaction from cold, congested conditions; is the great anti-choleraic ; and quiets nervous irritability sometimes better than Coff., Ign., or Hyos. 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—Rubinis—preparation is the best. In consequence of its volatile properties, it must be kept separate from all other homoeopathic remedies. XII.--CANTHARIS. 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 VEGETABILIS. 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 fetid flatulence j a burning sensation in Peruvian Bark. 217 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. Carbo Vegetabilis counteracts the injurious consequences of Mercury and Quinine. XIV.--CHAMOMILLA. 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; diarrhea 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 dysmenorrhea, 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. XV.—CHINA—PERUVIAN BARK. Weakness with easy perspiration, consequent on ex- 2i8 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. It 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 (spermatorrhea) from sexual vices, with undue excitement of the sexual in- stinct, in patients weak, low-spirited, and dyspeptic. xvi.—cimicifuga {or actjea) racemosa. Rheumatic affections, chiefly of the left side, especially when there are uterine difficulties or irregularities; "nervousnessj" 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); amenorrhcea, dysmenorrhcea, 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, diarrhceic motions, discharge of worms, wetting the bed (enuresis), cutting pains in the abdomen, hoarse, hollow cough in children, and other symptoms from inverminous affections. xvm.—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 for 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.--GELSEMINUM SEMPERVIRE1JS. 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 ; hemorrhage from veins ; painful and bleeding piles; tendency to haemorrhage from various parts; vicarious menstruation; dysmenorrhoea 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. Qne 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 hypochondriasis 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 and vomiting, with or without diarrhoea; colic, with loose, fermented, or dysenteric stools, especially in children. Hemorrhage 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 catarrh; 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: 1 st.—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 ; agglutina- tion of the eyelids; ulcers on the cornea; discharge from the ears, soreness, deafness; diarrhea, 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; gonorrhea ; 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 tern, 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. xxxn.—OPIUM. 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 10* 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: Pneutnonia, 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 diarrhea, 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 a.nd 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, remittent- j 2 8 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 bronchitis, 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. Deafness 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) erysipelas; 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. xxxvn.—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; leucorrhcea, 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 230 Concise Materia Medica. 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 ma.ny scrofulous affections. 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; piles and chronic constipation. Sulphur is often of service in arousing dormant ner- Antidotes. *3* 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 diarrhea, 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.—ver'atrum 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., may 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 Coffee, will arrest any unpleasant consequences. Bart XV. 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 oi attention on individuals, and of bringinr in I the focus of thought, as ii; 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.; Lye. (in elderly persons) ; Puis. AFTER-PAINS : Sec. Coff., Puis., Am., Cham., Gels. AGUE : Chin, or Quin. ; Ars. (chronic) ; Phos. ac.Cedron ; Nux v. or Ipec (muchgastric 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. AMENORRHCEA (absence of the monthly period) : Puis., Sep., Coni. (chronic) ; Ferr. (with anosmia) ; Senecio, Sulph. ANAEMIA (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., Lach., 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 ok—Ign., Nux v., Podoph., Merc. Clinical Directory. *35 ANXIETY, CARE, GRIEF, etc.: Effects of—Ign., Aur., Nux v., Phos. ac, Puis. APHONIA (loss- of voice): Aeon.; Caust. (catarrhal) ; Baryta c, Phos., Merc.; Ign. or Bell, (hysterical). Chronic—Kali bich., Hep., Phos., Carb. v., Caust., Merc. APHTHA (Thrush): Borax int. and ext. ; Merc, Ars., Sulph. ] Sulphurous Acid Spray (1 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., Puis., Rhus, Ars., Ferr. Voracious or Depraved—Calc, Cin., Nux v., Sil., 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., Puis. From Worms—Cin., Merc, Ant. crud. BACKACHE (Lumbago): Aeon. alt. Rhus tox. (acute) ; Bry., Cimic, Lye From Exertion—Am., Rhus, Bry. From Painful or Irregular Period—Bell., Puis., 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: Arn. ext. 236 Clinical Directory. BLADDER : Catarrh of—Ammon. mur., Ant. crud., Puis., Ferr., Canth., Cann. Inflammation of—Canth., Tereb., Apis, Aeon. Paralysis of—Baryta carb., Aeon., Nux v., Ars. See also URINE. BLEAR-EYES: Euph., Sulph., Puis., Merc, Ars., Calc. BLEEDING: See HAEMORRHAGE. BLINDNESS: See AMAUROSIS. BLOODY-FLUX: See DYSENTERY. BLOODY URINE: See HEMORRHAGE ; From the Blad- der. BLOTCHES : Ars., Bell., Hep., Ant. crud., Graph., Lyc.Clemat. BOILS : Bell., Sulph., Hep. s. ; Arn. (much pain); Apis (num- erous and small). BONES: Caries (decay) of—Sil., Phos. ac, Sulph., Calc. Curvature of—Calc, Sulph. Exostosis (abnormalgrowth 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 of—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., Puis. CATARRH . See COLD IN THE HEAD. CHANCRE (a syphilitic sore): Merc, Nit. ac, Kali hydriod. CHANGE OF LIFE : See MENSTRUATION : Cessation of. CHAPPED HANDS : Am.-, Calend.-, or Glycerine-cerate. See "also CHILBLAINS. CHICKEN-POX : Rhus tox., Sulph., Ant. t. CHILBLAINS . Petrol., Puis, or Rhus tox. int. and ext. , Phos.; Tamus com., Calend., or Kreas. ext. CHILD-BED FEVER: See PUERPERAL FEVER. CHLOROSIS (green sickness): Ferr., Puis., Ferr. iod., Sepia. Phos., Calc. CHOLERA : Camph., Ars., Cup., Verat. CHORDEE : Aeon. int. and ext.; Bell., Canth. CHOREA (St. Vitus'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. (chronic) COLD-ON-THE-CHEST : 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. 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., Lye, Aeon Chronic—Sulph., Lye, Nux v. alt. Sulph., Podoph., ^EscuL 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., Mere, Iod., Ars. CONTUSION: Arn.; Coni. (ofthe female breast); Ruta (of tht shin-bone) ; all int. and ext. CONVULSIONS : Bell., Cham., Verat. vir.; Cup. (withcramp) ; Gels, (rigidity) ; Opi. (from fright). Also, Enemata of tepid water. See also EPILEPSY. Hysterical—Camph., Moschus, 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, Dros., Coral., 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., Lye, Sulph., Rhus. DEAFNESS : From Cold—Aeon., Merc, Bell., Puis., Dulc. From Enlargement of Tonsils—Merc, iod., Bell., Calc, Phos., Baryt. After Measles—Puis., 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., Fen., Phos., Phos. ac. Nervous—Phos. ac, Ign., Mosch., Iod., Nux v. DELIRIUM TREMENS: Nux v., Opi., Bell, Stram., Hyos. Clinical Directory. 239 DENTITION (difficult): Calc, Cham., Aeon., Kfea. DEPRESSION OF SPIRITS : Ign., Aur., Chin., Nux v., 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., Puis., Ipec. From Cold—Aeon., Dulc, Merc. From Worms—Cin., Ars. With Colic—Coloc, Podo., Verat. Nocturnal—Puis., 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., Puis., Gels. DROPSY : Ars., Apis, Dig., Bry., Chin., Apocy. e 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—Lye, Puis. DYSENTERY : Merc, cor., Ipec, Ars.; Aloes (chronic, withpiles). DYSMENORRHEA: See MENSTRUATION: Painful. DYSPEPSIA : See INDIGESTION. DYSPNCEA (difficult breathing): See ASTHMA, etc EAR: Aching of—Bell., Puis., Merc, Cham., Aeon. Discharge from—Hep. s., Calc, Puis., Sulph., Merc, Caust. SORENESS OF—Mur. ac, Puis.; Caust. (eruption about the ear). , Inflammation of—Aeon., Bell., Puis. Noises in—Aeon., Puis., Mosch., Nux v., 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 SPERMATORRHCEA. ENURESIS : See URINE : Incontinence of. EPILEPSY : Bell., Cup., Hyos., Stram., Verat. vir., Zinc. Ign.; Calc. (chronic, especially in children). EPISTAXIS (bleeding from the nose): Ham. (dark blood), Ipec. (blight blood), Puis, (with deficient period); Bry., Aeon. ERECTIONS : Feeble, Painful—Lye, Phos. ac, Nuphar. Spasmodic—Aeon., Bell. ERUCTATIONS: Bry., Nux v., Puis., Sulph. ac, Lye, Carb. v., Ars. ERUPTIONS : See RASH, LEPRA, ECZEMA, etc. ERYSIPELAS : Aeon., Bell., Rhus, Verat. vir., Apis, Ars., Sulph EXCORIATIONS OF INFANTS: Cham., Calc, Lye, 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—Mere, Hep., Calc, Sulph., Puis. See also OPHTHALMIA. EYES : Inflammation of—See OPHTHALMIA. Sore—Merc, Clematis, Nit. ac, Euphr., Bell, Merc. cor. Squinting of—Bell., Hyos. Weak—Sulph., Phos., Iod., Bell. Wounds of—Arn. alt. Aeon. FACEACHE: Aeon., Bell., Coloc; Spig. (when the eye-balls are affected); Cimie, 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., Puis. 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., Lye, Chin. FLOODING: See MENSTRUATION : Excessive. FLUSHING OF THE FACE : Aeon, (from excitement); Nuxv. (after food); Bell, (with headache). FRIGHT ; Consequences of—Opi., Aeon., Ign. Clinical Directory. 241 FROG: See APHTHA. FROST-BITE : See CHAPPED HANDS: also CHILBLAINS. GALL-STONES: Aeon., Mere, Podoph., Calc, Nuxv. 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., Puis., Gels. GLANDS: Enlarged—Merc, iod., Bell., Hep. s., Iod., Silic, Calc, Phos. GLEET : Cinnabar, Canth., Cannab., Puis., Nux v., Sulph. GOITRE : See DERBYSHIRE NECK. GONORRHCEA : Cann., Merc, Aeon., Canth., Thuja. GOUT: Aeon. alt. Bell, (during an attack). Rhod., Colch., Cimic, Bry., Puis. ; Arn. ext. GRAVEL: Lye, Ant. crud., Nux v., Bry. CREEN-SICKNESS : Ferr., Puis., Sep., Coni. GUM-BOILS: Aeon. alt. Bell, (first symptoms); Mere, Silic. Hep. ; Phos. (toprevent recurrence). GUMS : Scurvy of—Merc, Nit. ac, Carb. v., Ars., Sulph. HAEMOPTYSIS (spitting of blood): See HEMORRHAGE. 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. Fiom the Stomach—Ipec, Ham., Nit. ac. From the Womb—Croc, Sec, Plat., Ipec, Sabin., Cauloph. HANDS : Undue Moisture of—Fluor, ac. Congested—Bell, (redness); Puis. 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., Mere, Nux v., Bry. Congestive—Bell., Glon., Aeon., Nux v. Bilious—Iris, Bry., Aeon., Nux v., Puis., Coloc. Nervous (in one-half of the head)—Ign., Aur., Coff., Cham. Nux v., Phos., Aeon., Spig. Sick—Iris, Ipec, Puis., Nux v., Bell., Ant. crud., Sep. Rheumatic—Aeon., Bry., Nit. ac, Rhus, Spig. 11* 242 Clinical Directory. HEART : Disease of—Cact. g., Dig., Naja., Aeon., Spig., Ars., Phos. Feeble Action of—Dig., Cupr. (ivilh fainting). Inflammation of Membranes of—Aeon. alt. Spig., Bry., Ars. Palpitation of—Aeon., Cact. g., Mosch., Nux m., Phos., Puis. Rheumatism of—Spig., Bry., Cact. g., Cimic. HEARTBURN : Puis., Bry., Carb. v., Sulph. ac, Calc. HECTIC FEVER : Chin., Phos. ac, Ars., Sulph., Sang., Merc. HICCOUGH : Nux v., Aeon., Ign., Sulph. ac. HIP-JOINT DISEASE: Silic, Phos., Calc. e, 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., Puis. HYSTERIC CONVULSIONS: Camph., Mosch., Opi. (from fright) ; cold douche to the face. IMPOTENCE : Phos., Nux v., Agnus e Ferr., Baryta, Chin., Nuph., Phos. ac. INCONTINENCE OF URINE : See URINE : Incontinence of. INDIGESTION : Acute—Aeon., Ipec, Puis., Nux v., Bry., Rhus Chronic—Kali bich., Hep. s., Carb. v., Sulph., Chin., Nux v. In Children—Cham., Puis., 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—Puis., Ant. crud. From Anger—Cham, (with bilious symptoms). From Anxiety, Grief, etc—Ign., Chin., Nux v., Puis. INFANTS : Screams of—Cham., Jal., Aeon. Soreness of—See EXCORIATIONS. Restlessness of—Cham., CofF., Bell., Gels. INFLUENZA: Camph. (the chill stage); Aeon, (chills and heats), Ars., Rhus. INTERMITTENT FEVER : See AGUE. ITCHING OF THE ANUS : See ANUS. Oi the Skin—Aeon., Arg. nit., Mez., Sulph,, Ars., Nux v. ; also Mez. or Verat. vir. ext. JAUNDICE : Aeon., Bry., Mere, Chel. maj., Ars. ; Phos. (malig- nant) ; Chin., Nux v. Clinical Directory. 243 JOINTS : Pain in—Aeon., Arg. m., Bell., Bry. Swelling of—Iod.', Puis., Calc. c, Silic. KIDNEYS : Inflammation of—Canth., Tereb., Aeon., Bell. KNEE : Inflammation of—Aeon. alt. Puis., Bry. ; Iod. (much swelling). LABOR-PAINS : Cham., Puis., Coff. False—Puis., Cimic, Cocc, Nux v., Bell. LEAD-COLIC : Opi., Alum, Plat., Bell., Sulph. ac LEGS: Swelling of—See CEDEMA. LEPRA (circular scaly patches on the skin) : Ars., Merc, Sulph. LEUCORRHCEA: Sep., Cocc, Puis., Calc. e, 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—Merc. iod.; also Abdominal Com- press. Inflammation of—Aeon., Bry., Merc. cor. Torpid—Mere, Podoph. LIVER-COMPLAINT : Mere, 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, Am., Lyco., Nux v. LUNGS : Inflammation of—Aeon. alt. Phos., Bry., Chelid.. Ant. t. Congestion of—See CONGESTION. MASTURBATION : Evils of—See SPERMATORRHOEA. MEASLES: Aeon. alt. Puis.; 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 Puis., Ferr., Sep., Phos., Sulph., Sec. Irregular—Sep., Puis., Sulph., Senecio. Painful—Cimic, Cocc, Croc, Bell., Cham., Puis., 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., Puis., Coni., Sulph., Cann. 244 Clinical Directory. Suppressed—Aeon., Puis., 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—Puis., Phos., Plat., Ferr., Sep. Vicarious—Ham. v., Bry., Puis., 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—Puis. ; Aeon, (with fever) ; Bell, (zvith brain symptoms). Too Abundant—Calc. c ; Chin, (with debility). MILK-FEVER : Bry., Aeon., Cham., Verat. vir., Bell. MILK-LEG: Aeon. alt. Ham. or Puis. ; Phos. MILK-SCAB: (vesicular eruption on the face of infants): Rhus tox., Sulph., Viola tri. MISCARRIAGE : Sec, Croc, Ipec, Cedron., Arn., Bell. Threatened—Puis., Cham., Bell., Sab., Arn., 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., Puis., 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 APHTHAE ; also CANKER. MUMPS : Mere, Iod., Bell. NaEVUS (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., Lye, Nux v. NERVOUS DEBILITY : See DEBILITY. Clinical Directory. 2ac NERVOUSNESS : Cham., Coff., Ign., Hyos., Cimic, Gels., Chin. See also HYSTERIA, HYPOCHONDRIASIS, etc. NETTLE-RASH . Apis, Rhus, Ant. crud., Puis (from rich food,. NEURALGIA: In the Face—Aeon., Ars., Coloc, Cham., Spie.. 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., Puis. 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. ; Puis, (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 accumulatio?i of fat) : Ars., Ferr., Calc. e, Sulph. CEDEMA (watery fluid under the skin): Chin., Ferr., Apis, Ars. ONANISM : Evils of—See SPERMATORRHOEA. OPHTHALMIA: Catarrhal—Aeon., Mere, Suiph., Euphr., Bell., Puis. Chronic—Clematis.Erect., Calc. c, Sulph., Mere, Hep., Ars. After Measles—Puis., 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., Puis., Ars. PERIOD: See MENSTRUATION. PARALYSIS : Baryta c, Nux v., Arg. nit., Plumb., Rhus, Phos., Aeon. PERSPIRE : Tendency to—Chin., Mere, Ve'rat., 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, Nux v., ^Escul.; Ham. ext. PIMPLES : Bell, (in the full-blooded); Puis, (in girls); Sulph., Kali bich., Ant. crud., Hep. PLEURISY : Aeon. alt. Bry. ; Phos., Iod., 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, Puis. PROSTRATION : See DEBILITY. PROUD-FLESH : Silic, Fluor ac. PUERPERAL (child-bed) F] 'VER : Aeon., Bell, Bry. PURPLE-RASH : Bell., Cham., Calc. e PRURIGO (apapular eruption, with intolerable itching) : of the Anus—Nit. ac, Sulph. ; also Glyc. of Hydrast. ext. Of the Pudendi—Aeon., Sulph., Sep., Lye, 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 diarrhcea)) Ars. (withprostration). RED-GUM (Infant Rash) : 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 : Coff., Cham., Aeon., Bell., Gels. RHEUMATIC FEVER : Aeon., Bry., Bell., Cimic. RHEUMATISM : Of the Back—See LUMBAGO. Of the Chest (intercostal muscles)— Rhod., Chrys., Bry., Arn. 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. e, 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., Lye ; Rhu* int. and ext. SCALDS : See BURNS. SCARLATINA : Simple—Aeon. alt. Bell. ; Sulph. (convalescence). With Throat Affection—(anginosa)—Mere, Apis. Malignant—Ailanthus gland., Ars., Mur. ac, Carb. v., CondyV 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 SPERMATORRHOEA. SHINGLES : Rhus tox., Sulph. SICK-HEADACHE: Iris, Ipec, Puis., Nux v., Sep. SICKNESS : Ipec. (simple ; Pul. (from rich food) ; Nux v. (fron alcohol); Iris, Ant. t. See also VOMITING. Morning—Ipec, Krea.. Nux v., Puis.; Ars. SKIN: Itching of—Arg. nit., Sulph., Ars., Mez. ; Vera*: vir (painful sensitiveness). See also EXCORIATIONS, PRU RiGO, SCABIES, etc. SLEEPINESS : Opi., Bell., Aeon., Lye SLEEPLESSNESS : Coff., Bell., Hyos., Gels., Verat. vir., Glon., Ign., Aeon. SMALL-POX : Ant. tart., Mere, Bell., Bry., Sulph. SMELL: Loss of—Puis., Mere, Gels., Aeon., Sang., Calc. e, Plumb. SNEEZING : From a Cold—Merc, Ipec, Aeon., Ars. SORE EYES : Merc, Clematis, Sulph., Calc. c, Euphr., Nit. -x. 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. SPERMATORRHCEA : Phos., Chin., Ferr., Phos. ac, Arg. m., Gels. SPINE : Concussion of—Arn., Hypericum. Irritation of—Chin., Ign., Nux v., Gels. SPITTING OF BLOOD : See HiEMORRHAGE : 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—Puis., Nux v., Bry., Lye, Carb. v., Calc. Inflammation of—Aeon., Ars., Bell., Phos. Ulceration of—Ars., Hydrast., Kali bich. STONE AND GRAVEL : Lye, 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 : Puis., 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. Fojtid, under the arms—Petrol.; Carb. v. Tendency to—Chin., Mere, 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. e Clinical Directory. 249 Of the Face—Merc, (from Gum-boil); Bell, or Cham, (from Toothache) ; Apis (from Erysipelas) ; Chin, or Ars. (dropsical). Of the Ffet ((Edema)—Ars., Ferr., Apis, Dig., Chin. Of the Joints—Iod., Bry., Puis., 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: Puis., Merc, Plumb. TEETH : See TOOTHACHE, and DENTITION. TESTICLES : Enlargement of—Puis., 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., Puis.; 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) ; Puis, (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); Puis. 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. 2$0 Clinical Directory. ULCERS : Hydras., Silic, or Kali bich. int. and ext. ; Bell., Lye. 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., Lye, Nux v., Cann. Incontinence of—Lye, 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., Puis., Fluor, ac. VOICE : Loss of—See APHONIA, and HOARSENESS. VOMITING: From Indigestible Food—Ant. crud., Puis., 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 : Lye, 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 ANE- MIA. WEAKNESS : See DEBILITY. WETTING THE BED: See URINE: Incontinence of. WHITES : See LEUCORRHCEA. WHITE-SWELLING : Of the Knee—Bry., K. hydriod., Puis. 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 Arn. ext. WRY-NECK: Nux v., Bell., Bry., Mere ZONA: (Shingles): Rhus i**.. Aeon., Sulph., Lye INDEX* (See Hints to the Reader, page 9). ■» i*or diseases not included in this index, consult the Medica ; " also the " Clinical Directory." Materia Aconitum, the Homoeopathic Lancet, Advantages of Homoeopathy, Ague, ..... Air, fresh, importance of, Alternation of medicines, Anasarca (dropsy) after Scarlatina, Aphthae (thrush), Asiatic cholera, Ascarides, .... Asthma, .... Bacon-fat prevents pitting in small-pox, Bathing, Beard, cultivation and use of, . Bed-rooms, ventilation of, . Beef tea, . . Beverages, Bilious headache, Biliousness, Black eye Bleeding of the nose, Bleeding from urinary organs, Bleeding from the bowels, • 52 23 . 61 38, 56, 64 . 46 70 . 152 123 . I3<. 96 • 75 32, 81, 103, 157 84, 100 39 • 59 58 . 140 114 187 178 . 181 183 * Many diseases not included in this index are referred to in the " Clinical Directory." *52 Index. Bleeding from wounds, Blood-shot eye, . . , Bloody-flux, . Breath, bad, Boils, . Broken bones, Bronchitis, acute, Bronchitis, chronic, Bronchocele (goitre), Bruises, .... Burns, . . . . Camphor as a prophylactic, Castillon's powders, Catarrh (cold in the head), Catarrh, epidemic, Cephalalgia (headache), Chicken-pox (varicella), Child-crowing, Chinese practice of medicine, . Chilblains, .... Cholera, Asiatic, Cholera, Homoeopathic treatment of, Cholera, Dr. MacLaughlin's testimony, Chronic Bronchitis, . Cleanliness, . . . Clergyman's sore throat, Clothing, Cold m the head (catarrh), . Cold in the chest (bronchitis), . Colic, .... Comstock's rational food, Constipation, Contusions, . Consumption, Convulsions, Corns, . Coryza (a kind of catarrh), Index. Cough, . Cough, Whooping, Cretinism, . Croup, . . - . Cultivation of the beard, Cuts, ..... Deafness, . Delicacies for the sick, Derbyshire-neck, . . . . Diarrhoea, .... Diarrhoea of children Diet, hints on, .... Diet, ordinary, . Diet, extraordinary, Diet, for infants, .... Difference between Aconite and Gelseminu Diphtheria, . Directions for taking medicines. Dentition (teething), Dose of medicines, Dose, repetition of, ... Douglas, Dr. J. S., treatment of fevers, Dropsy after scarlatina, Drugs, beware of, Drowning, .... Dysentery (bloody-flux), Dyspepsia, . . Early rising, Ears, inflammation of, . Earache, ... Economy of Homoeopathy, Enteralgia (colic), Epilepsy (falling sickness), Epistaxis, . Erysipelas, . Evacuation of bowels, 254 Index. Exanthemata (eraptive fevers), Exercise, Experimental practice, External remedies, , Extract of beef, Eyes, inflammation of, Eye, bloodshot, Falling sickness, Fatigue, Febricula, Fever, brain, Fever, gastric, Fever, simple, . Fever, typhoid and typhus, Fever, intermittent, Flatulence, . Flooding, Forms of medicines, Foreign bodies in the eye, Food in the sick-room, Foot-bath in colds and fevers Fractured limbs, Fresh air, Frog (thrush), Furunculi (boils), Future of Homoeopathy, Gelseminum, uses of, . Gentle measures of Homoeopathy, Goitre, . Gout, Gum-water, Hahnemann, Half-holidays, . Haemorrhage, Hsemorrhagic diathesis. Index. Haemorrhoids (piles), Headache, Heart, palpitation of, Heartburn, Hernia, , Herpes circinnatus, Hepatitis (inflammation of the liver), Hints on diet, History of Homoeopathy, . Hives, .... Hoarseness, Homoeopathy, advantages of, Homoeopathy, economy of, Homoeopathy, success of, . Homoeopathy and cholera, Homoeopathy and children, Homoeopathy preventive, Homoeopathy, the future of, Homoeopathy, history of, Homoeopathy, grand principles of, Homoeopathic medicines are specific, Hooping-cough, Hot foot-bath, . Hours for taking medicines, Hygiene, observations on, Icterus (Jaundice), Incontinence of urine, Indigestion, Infant's Food, . Influenza, .... Injections, Intermittent fever, Introductory, Inflammation of the lungs, Inflammation of the liver, Inflammation of the eyes, Inflammation of the ears, 256 Index. Involuntary emissions, Itching of the skin. Itch, . Itch, seven years' Jaundice, . . . . Jerrold's death-bed, Light, .. List of medicines, Liver complaint, Looseness of the bowels, Lumbago, . . . . Lungs, inflammation of, MacLaughlin, Dr.. his testimony, . Malaria, laws of, Malignant scarlatina, Marsh miasma, Materia Medica, Meat diet, Measles, . . , . Measles, differ from scarlatina, Medicines, alternation of, . Medicines, directions for taking, Medicines, forms of, Medicines, list of, Medicines, names of, Medicines, cases, care of, Metrorrhagia, Milk diet, Morbilli (measles), . Mumps, Names of medicines, . . Nettle rash, Nocturnal enuresis, . Nursing the sick, Index. Observations on health, - Odontalgia (toothache), Offensive breath, - Ophthalmia (inflammation of the eyes), Ordinary diet, Otalgia (earache), Otitis (inflammation of the ears), Otorrhoea (discharge from the ears), Pains in the loins, Palpitation of the heart, Parotitis (mumps), Phthisis (consumption), Piles, --.. Pleurisy (pleuritis), Pneumonia (inflammation of the lungs), Poisons, - Prairie itch, - - Prevention of disease, Prevention of cholera, - Protrusion of the bowels, Prolapsus ani, - Prurigo, - Purgatives injurious, Purging, - Pyrexia (simple fever), Quinsy (sore throat), - Recreation, Retention of Urine, - Repetition of dose, Rheumatism, - Ringworm, - Rheumatic fever, Ror.nd-worms, .... Rubeola (measles), Running from the ears, Runture, 258 ffulex. Salt-water bath, Scarlet fever (scarlatina), Scalds, Scrofulous consumption, Sea-sickness, Self-abuse, Sequelae (after consequences) of scarlatina, Seven years' itch, Sick-headache, Simple fever, . Small dose of Homoeopathy, Small-pox, Sore throat, Sore throat, clergyman's, Sores, Spasmodic croup, Spermatorrhoea, Spitting of blood, Sprains, Statistics on Homoeopathy, Status of Professional Homoeopaths, Stimulating food and drinks in fevers, St. Anthony's fire (erysipelas), Strangulated rupture, Strangury, . . . ■ Stye on the eyelid, Success of Homoeopathy, . Sunshine necessary to health, Tape-worm, Teething, ... The single remedy, Thread-worms, Throat compress, Thrush, ... Tobacco, bad effects of, Tonsilitis, .... Toothache, 33 • 65 189 IOi 112 206 69 167 140 5' 18 73 161 . 84 169 . 89 205 176 188 25 ■ 16 • 58 77 193 204 . 146 23 • 37 131 iS5 27 130 84 152 49 162 159 Index. 259 PAGE Ulcers, . . . . . 169 Urine, incontinence of, . . . . 203 Urticaria (hives), . . . . . . 168 Uses of medicines, ..... 208 Varicella (chicken-pox), . . . "j6 Variola (small-pox), ..... 73 Ventillation, importance of, . . . -38 Vomiting, . . . . no 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, ..... 87 Worms, ....... 130 Wounds, ....•• 185 For the Maiden, Wife and Mother. Ruddock & Ludlam's Lady's Manual Of Homoeopathic Treatment. One of the Most Useful Works Extant. The American Edition thoroughly Revised and Enlarged from the Last English Edition. It contains information for the want of which many a woman suffers permanent loss of health. The whole range of func- tions and diseases incident to the physical life of wo- man is treated with care and precision. "THE CALENDAR" Is a novel feature of the work, and is in itself worth the price charged for the book. 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They are pleasant to take; they are harmless. ______________________ No. I—For Fevers, Chills, Congestions, etc. No. 2—For Strangles, Glanders, Distemper, Influenza, Quinsy, Nasal Catarrh, Sore Throat, etc. No. 3—For Bronchitis, Coughs, Pleuro Pneumonia, Inflammation of Lungs, etc. No. 4—For Indigestion, Constipation, 111 Condition, Over-fed, Staggers, etc. No. 5—For Rheumatism, Strains, Spavin, Lameness, etc. No. 6—For Urinary and Kidney difficulties, Diseases of Bladder, difficult and painful Urination, etc. No. 7—For Worms, Botts, Grubs, Debility, etc. No. 8—For Colic, Diarrhoea, Dysentery, Belly Ache. No. 9—For Mange, Grease and Skin Diseases. PRICE, PER BOTTLE, 50 CENTS. A handsome wood case, with lock and key, filled with the first eight remedies, for $4.50, sent free on receipt of price. For sale by Druggists and Pharmacies. HALSEY BROTHERS, 27 Washington Street, 29 La Fayette Avenue, CHICAGO. DETROIT. -*--SOME + OF--*- SPECIAL REMEDIES. Carbo-Peptine Wafers Are very successful in Dyspepsia, Indigestion, Heartburn, Waterbrash, Nausea, Morning Sick- ness, etc. These Wafers are compressed triturates of the best known homoeopathic remedies for the above dis- eases. They are highly recommended in cases where there has been an over-indalgence in the use of stimu- lants. Distress from eating and eructations of gas from stomach will readily yield to Carbo-Peptine Wafers. This elegant preparation is sold in bottles of 100 doses, 50c. Halsey Bros.' Neuralgia Cure Is an old and well-tried homoeopathic remedy in a new form. Facial Neuralgia, Neuralgic Headache, etc., will be relieved, and many old chronic cases permanently cured. Per bottle, 50c. Chestnut Pile Ointment. Made from the horse chestnut combined with Collinsonia and Carbolic acid with Petroleum jelly, forms an emol- lient which locally treats haemorrhoids with ease and benefit. Sold in large nickel screw top jars, 50c. Petro Calendula. Prepared only by Halsey Bros, is the sine qua non of emollients, is a toilet preparation of elegance, is a balm for wounded and abraded surfaces, and will do more than any other salve or household ointment. The physician or patient will use no other ointment in preference to this, after trying a box of our improved Petro Calendula. Jars, 25c; in 1 lb. cans, $1.50. Halsey's Elixir Coca With hydrastis and calisaya bark, offers to the medical profession and the general.public "a Tonic" that without a question is recreative, stimulating and recuperating to those weak, depressed and exhausted. The "worn out" man of business, the frail "house plant" wife, the child "crammed" for graduation at school, can, by the judicious use of this admirable tonic, combine a sound mind with a sound body. The daily administration of the Elixir does not interfere with taking the indicated remedy pre- scribed by the physician. Price, in pint bottles, $1.00; in gallon jugs, $5.25. Bronchial Syrup Has become very largely known among the medical pro- fession as a harmless homoeopathic fluid remedy for all diseases of Throat and Lungs proceeding from Colds, including Coughs, Bronchitis, Inflammation of the Lungs, Croup, etc. For tickling in the throat and coughs that are hard to stop with the regular medicines, Halsey's Homoeopathic Bronchial Syrup will be found useful in the highest degree. Sold in 2 oz. vials, 50c. Lacteal Syrup. Our original and exclusive preparation for producing larger secretions of milk in nursing women. It is the only thing of the kind that we know of, and it was intro- duced by Halsey Bros, some ten years ago on the formula of Prof. R. Ludlam. A trial shows its importance. Pint bottles, $1.00. Cibil's Fluid Extract of Beef, Unlike the other preparations of beef in this market, is palatable, even if eaten out of the can or bottle. It is the only delicious, nourishing beef that we can cordially and intelligently recommend. It is made in Buenos Ayres, where the cattle are so cheap that they can make unstinted use of the best and juiciest parts. The digest- ibility and nourishing potency of this strong broth or soup renders it by far the best article for the invalid or the convalescent. Sold in 4 oz. jars, 55c; 9 oz. jars, $1.00 ; 16 oz., $1.75. Halsey's Homoeopathic Salt Rheum, Cure, per box___.............____..............$1 00 Halsey's Homoeopathic Lirer Powder, for Torpid Liver, Dyspepsia, Disordered Stomach, etc.........................._____......... 50 Halsey's Carbon Crackers, for Dyspepsia, Heartburn, Flatulence, etc., per box________ 75 Halsey's Bitter Wine of Iron Tonic, per bottle...................................... 1 00 Halsey's Calendula Jelly, an elegant prepa- ration for Chapped Hands, Lips, etc., or Chapped Surfaces, even where there is bleed- ing. It has wonderful healing properties, per bottle............__________.....________ 25 All Preparations of ours can be ordered through any Druggist or Pharmacy. HALSEY BROS. "i" 1^j*3PSZjL ■7i r-,:."^r PENALTY FOR INJURIES TO PROPERTY. State of New York, Laws of 1892. Ch. 378, Sec. 43. Whoever intentionally injures, defaces or destroys any property belonging to or deposited in any incor- porated library, reading room, museum, or other educational institution, shall be punished by im- prisonment in a state prison for not more than three years, or in a county jail for not more than one year, or by a fine of net more than $500, or by both such fine and imprisonment. \0 : ^i^^^^f^^S ^°^^q% rf '^j'ff ^'f^'fj ?^'&'%'t?'^J tl'v< » i / !■■> HI \\ •I ?./-v. • :. * i 11 : i :i I