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HOMEOPATHIC
DOMESTIC  PHYSICIAN
containing the
TREATMENT OF DISEASES;
WITH POPULAR EXPLANATIONS OF
ANATOMY, PHYSIOLOGY, HYGIENE AND HYDROPATHY:
AN ABRIDGED MATERIA MEDICA.
BY J. H. PULTE, M. D.,
                  l.i A. ".J».t i./A. .5.4. .1
SECOND EDITION, REVISED AND '. KNLAR^EI). ;^C.RAL!8 OFFICE

                   /SuG.-U'.-iH',)^
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       cinci:
   H. W. DERBY & CO., PUBLISHERS.
NEW YORK : G. P. PUTNAM ; A. S. BARNES <fe CO.

           1851.
/ 
   185|

ftlu^ 1)503
   dim 3-
  Entered, according to Act of Congress, in the year 1831, by .

            H.  W.  DERBY & CO.,

In the Clerk's Office of the District Court for the District of Ohio.
    E.  MORGAN <fc  CO.,

STEREOTYPERS, PRINTERS AND BINDERS,

        111 Main Street. 
PREFACE  TO  THE SECOND EDITION.
   The rapid sale of the first edition (upward of  twelve hun-
dred  copies within  four months) has  convinced  the author,
that his labors have been received with unusual  favor by the
public, whose decision is  the  best test of the usefulness of
such a work.
   In  addition to this public testimony, the author has received
letters of many of his professional brethren from all parts of
the country, approving of the plan and execution of the work.
   Such undoubted  proofs  of its  usefulness, as a manual for
popular use, increased the desire of the  author, to have its
contents  perfected  as much as possible, of which he  hopes
this second edition will give sufficient evidence.
   Beside many corrections and revisions, which almost  any
work  after its first appearance still needs, the reader will  find
whole articles on diseases,  which were not  treated  of in the
first edition; to the list  of  medicines Aloes has  been  added,
as this medicine was considered particularly useful in  many
diseases  coming under domestic treatment;  it has  been  put
at the end of the list of medicines, so as not to interfere with
the arrangement in  the numbers,  as given in the  first edition.
   These  additions to the body of the work, have not swelled
the number  of its  pages, to prevent which, the size  of the
page has been slightly enlarged. 
IV           PREFACE TO THE SECOND  EDITION.

  The author, thankful for the reception with which his work
has been received by the public, would  also express his grate-
ful  acknowledgments to those of his professional  brethren,
who favored him with suggestions for improving this second
edition ; they will find that their wishes have  been fulfilled.
Similar favors from the profession, for the future, will be thank-
fully received by the author, for by such  co-operation alone
will it be possible to arrive at the greatest degree  of useful-
ness and perfection.
                                           The Author.
  Cincinnati, April, 1851. 
PREFACE TO THE FIRST EDITION.
  Of late years a great deal of attention has been bestowed upon the
preparation of popular works on the treatment of diseases, by the med-
ical profession, as well by members of the Homoeopathic as of other med-
ical schools.  This shows, evidently, that the hitherto backward world
of medical science has been caught at last, with the proper spirit of
modern progress, whose distinguishing  feature  in scientific  matters
consists, undoubtedly, in the tendency to popularize abstruse sciences
and make them useful and accessible to the many.
  Homoeopathy has not been in the rear as regards these popular trea-
tises and many  valuable volumes have been issued from the press
within a short time which have facilitated in a great degree the domes-
tic use of the homoeopathic medicines.  This  service, rendered  by the
profession to the public in a liberal and generous spirit, has been am-
ply rewarded by the latter,  in  extending all over the  country, more
rapidly, the blessings of our beloved healing art, and establishing its
title, as a benefactor of mankind, more firmly  in the  hearts of the
people.
  The author well recollects that the first  " domestic physicians" which
appeared, were looked upon with distrust by some of the profession.
But the people in general hailed them as  welcome friends in their  do-
mestic afflictions, where counsel is so often needed at times, when med-
ical aid cannot be obtained.   Imperfect as the first efforts of this kind
must naturally have been, their beneficial results for families, and for
the spread of Homoeopathy, were such that the improvement of these
necessary medical guides was  rapidly undertaken and accomplished.
All honor and praise, however,  must be given to those few in Germany
and America, who made the first attempts to popularize the practice of
Homoeopathy.
  At this  time scarcely one homoeopathic family is without one or
more books on domestic practice, which is a sufficient evidence of their
practical utility.
  Thus have these messengers  of mercy and usefulness traveled with,
and often ahead of, the regular  practitioners of Homoeopathy—the si
lent, but efficient missionaries of truth, declaring it everywhere by
facts and conquests over disease, won by  the people themselves.  The
                                                     (v) 
VI
PREFACE  TO  THE  FIRST EDITION.
 profession in general seems now to regard them as necessary allies in
 the great work of reforming the medical state of the world, and bestows
 a great deal of care on their constantly increasing perfection, by making
 them more practical  and definite, progressing in their improvement as
 the science itself progresses.
  In this spirit the present volume is written and given to the public
 by the author, who has attempted to embody in it the results of  a prac-
 tice of more than sixteen years.
  In the pathology of the work he has followed mostly the views of
 Hufeland, who is generally practically useful, and of Schcenlein, who is
 precise and  scientific.
  In the therapeutics he has endeavored to consult the best authors of
 our school, carefully comparing their views with his own results, which
 are embodied in this work.
  To  increase its general usefulness, popular treatises of Anatomy,
 Physiology, Hygiene, and Hydropathy, have been added, branches and
 parts of medical  science as a whole, which, when  properly understood
 and digested by  the people, will in a great degree aid in  promoting the
 salutary results expected  from the use of a domestic physician.   Beside
 this, a condensed extract of the Homoeopathic Materia Medica, given at
the close  of the book, enables the reader to correct his prescriptions, and
enlarge his general knowledge  of the homoeopathic science.  Thus it is
hoped that, by these additions, the  work is rendered more perfect in a
 twofold manner: first, by giving a more extended knowledge of the hu-
man system  and  its laws  through the treatises on Anatomy and Physi-
ology;  and,  secondly, by making  the  reader acquainted with  those
practical  branches of medicine, Hygiene and Hydropathy, of which,
particularly, the  latter has, within the last  few years, very much en-
grossed the attention  of the profession and of invalids.  In this respect
the author himself does not hesitate to declare that he considers Hydro-
pathy, applied within her proper limits, the handmaid of  Homoeopathy,
 and that these two, combined in this relationship, are destined to con-
quer the medical world.
                                                   The Author.
  Cincinnati, October, 1850. 
TABLE  OF  CONTENTS.
   List of Medicines.........................................xiii
   Introduction.............................................. xvii
   Dietetic Rules............................................xxi


                           PART  1.

     DESCRIPTION AND TREATMENT  OF  DISEASES,

                         CHAPTER I.
                        General Diseases.
   Rheumatism—Acute—Chronic.  Rheumatic  pains or  cold.  Gout.
 Pains in the small of the Back, Loins and Neck.  Pain in  the Hip.
 Hip-disease.  Inflammation of the Knee-joint.  Inflammation of the
 Psoas-muscle.  Cramp in the Legs.   Sweating Feet.  Goitre. Sleep-
 lessness.  Nightmare.  Palsy.   Delirium Tremens.   Epilepsy.  St.
 Vitus's  Dance.  Tetanus.  Trismus.   Lockjaw.  Somnolency.  Leth-
 argy.   Fatigue.   Overheating and  Mental  Exhaustion.  Fainting
 Swooning.   Apparent Death from Hunger—from  Drowning—from
 Freezing—Lightning—Hanging—Choking—from Noxious vapors—
 Fall or Blow—Violent Mental Emotion..........................1

                        CHAPTER II.
                        Casual  Diseases.
  I.  External Injuries.  Fractures of Bones.   Dislocation of Joints.
Wounds and Bruises.  Sprains and Concussions.   Burns and Scalds.
Poisoned "Wounds—Bites and Stings of Insects. Frozen Limbs.
  II.  Poisons—Antidotes.   Animal  Poisons.   Vegetable  Poisons.
Mineral  Poisons.
  III.  Medicinal Diseases.  List of Drugs causing Diseases, and their
Remedies....................................................28
                                                  fvii) 
Viii                  TABLE OF  CONTENTS.
                         CHAPTER III.
                        Cutaneous Diseases.
  1.  Eruptive  Fevers.  Rash.  Nettie-Rash—Hives.  Erysipelas.  St.
Anthony's  Fire.  Measles.  French  Measles.  Scarlet Rash.  Scarlet
Fever.  Chicken-Pox.  Small-Pox.  Varioloid.
  2.  Chronic Eruptions.   Irritation of the  Skin—Itching—Pruritus.
Chilblains.  Excoriations—Intertrigo.   Ringworm—Herpes Circinna-
tus.   Tetter—Herpes.   Itch — Scabies.   Milk-crust—Crusta Lactea.
Scald Head—Tinea Capitis.  Corns—Indurations of the Skin.  Warts
—Verruca?.  Whitlows.  Felons.   Panaris.  Ulcers.  Abscesses.  Tu-
mors.  Swelling  of  the  glands.   Boils—malignant  Boils—Carbun-
cles.  Scirrhus.  Cancer....................................... 45

                         CHAPTER IV.
                             Fevers.
  Explanation  of the term Fever.   Irritative,  Inflammatory, »Torpid
form of Fever.   Common or Ephemeral Fever.  General Inflammatory
Fever.  Nervous or  Typhoid Fever.  Typhus—Different forms of Ty-
phus.  Yellow Fever.  Bilious remittent Fever—Gastric Fever—Inter-
mittent Fever—Fever and Ague—Chills and Fever—Febris Intermit-
tens......................................................... 81
                         CHAPTER  V.
                      Affections of the Mind.
  Sudden Emotions. Hypochondria.  Hysteria. Melancholia. Mania. Ill

                         CHAPTER VI.
                      Affections of the Head.
  1. Congestion or  determination of Blood  to  the Head—Congestio
ad Caput.  2. Vertigo.  Giddiness or Dizziness.  3. Weakness of Mem-
ory.  4. Apoplexy.   5. Inflammation  of  the  Brain — Inflammation
of the brain in children.  6. Sunstroke.  7. Headache,  a. Headache
from Congestion of  Blood to the Head.  6. Headache from Catarrh and
Cold in the Head.  c. Headache from Rheumatism,  d. Headache from
Constipation and Gastric  Derangement,  e.  Headache from  External
Causes.  Sick-Headache.  Nervous Headache—Neuralgia in the Head—
Megrim.   Falling off of the Hair—Allopecia.................... 117

                         CHAPTER VII.
                      Affections of the Eyes.
  General Remarks.  1. Inflammation of the Eyelid  and its  Margins.
a. Inflammation and Swelling of the Eyelid,  b. Inflammation of the 
TABLE OF  CONTENTS.                    IX
 Margins of the Lids.  2.  Inflammation of Eyeball—Ophthalmia.  3.
 Chronic Inflammation of the  Eyes.   a. From Gout and Rheumatism.
 &. From Scrofula, Scrofulous Sore Eyes.  c. From Syphilis or Venereal
 Disease,  d. From Abuse of Mercury.'  4. Stye on the Eyelid.  5. Weep-
 ing or Watery Eyes.  6. Cataract—Glaucoma.  7. Weakness of Sight—
 Amblyopia—Blindness—Sudden and Incipient—Amaurosis.  8. Short
 Sightedness—Myopia.   9. Far Sightedness.   10. Squinting—Strabis-
 mus.  11. Falling of the Eyelids—Paralysis.  12. Foreign Substances
 in the Eye..................................................  141

                         CHAPTER VIII.
                       Affections of the Ears.
   1. External Ear and its  surrounding parts,  a. Eruptions and Swell-
 ing of the External  Ear.  6. Mumps—Parotitis.   2. Internal Ear.  a.
 Inflammation of the Ear—Otitis,  b.  Earache—Otalgia,  c. Humming,
 Buzzing of the Ears. d. Hardness of Hearing—Deafness,  e. Running
 of the Ears—Otorrhea.   /.  Polypus of the Ear.  g. Foreign Substances
 in the Ear...................................................  153

                         CHAPTER IX.
                       Affections of the Nose.
   1. Inflammation  or  Swelling of  the Nose.  2. Eruptions on  the
 Nose—Itching of the Nose.  a.  Eruptions on the Nose. b. Itching of
 the Nose.   3. Bleeding  of the Nose—Epistaxis.  4. Cold  in  the
 Head—Coryza—Suppression  of the   Catarrh,  or Cold in the  Head.
 5. Ulceration in the   Nose — Catarrh — Ozsena Narium.  a. Ozse-
 na Narium—Catarrh,  b. Ozsena Antri Highmori.  6. Polypus of the
Nose.  Cancer of the Nose. 7. Foreign Substances in the Nose...  163

                          CHAPTER X.
               Affections of the  Face, Lips,  and  Jaws.
  1. Inflammation and Swelling of  the Face.  a. Erysipelas of Face
 and Lips.   b. Swelling  of the Cheek.  2. Eruptions  of the  Face.  3.
 Face-ache—Neuralgia of the Face—Prosopalgia—Tic  Douloureux.  4.
Warts and Spots on the Face—Cancer of the Face.  5. Paralysis of the
 Face and Jaw. 6. Lockjaw...................................  173

                         CHAPTER XL
             Affections  of the Teeth, Gums,  and  Mouth.
  1. Toothache—Odontalgia.  2. Caries of the Teeth.  Carious Teeth.
 3. Offensive Breath.   4.  Bad taste in the Mouth.  5. Inflammation  and 
X
TABLE OF  CONTENTS.
Swelling of the Tongue—Glossitis.   6. Canker of the Mouth—Stoma-
cace.  7. Inflammation of the Palate.  8. Abscess in the Gums—Gum-
boils—Swelling of the Jaw bone.  9. Scurvy—Scorbutus.   10. Saliva-
tion—Ptyalism.  11. Paralysis'of the  Tongue.   12. Difficulty of
Speech—Stammering.  13.  Ranula or Swelling under the Tongue. 197

                        CHAPTER XII.
                     Affections of the Throat.
  Sore Throat—Quinsy—Angina Faucium. a. Common Sore Throat.
b. Ulcerated and Putrid Sore  Throat—Malignant  Quinsy — Angina
Gangrenosa. Inflammation and Swelling  of the Tonsils—Amygdali-
tis.   Swelling or Elongation of the Palate. ...  .................. 197

                       CHAPTER XIII.
               Affections of the Windpipe and Chest.
  1.  Hoarseness — Raucitas—Aphonia,   a.  Acute  Hoarseness.   b.
Chronic Hoarseness.  2. Ulceration of the Windpipe—Bronchitis.  3.
Croup and Croupy Cough.  4. Influenza.  5.  Cough—Hooping Cough
—Tussis Convulsiva. Inflammation of the Lungs—Pneumonia. Pneu-
monia in Old  People—Pneumonia  Notha. Remarks  on  Pneumonia.
Pleurisy,  a. Real  Pleurisy,  b. False Pleurisy—Stitch in the Side.
Diseases of the Heart,  a.  Inflammation of the Heart.  Corditis.  6
Palpitation of the Heart.  Rheumatism of the heart.  Congestion of the
Chest—Plethora Pectoris.   Hemorrhage of the Lungs—Haemoptysis.
Asthma. Asthma of Millar. Dropsy in the Chest—Hydrothorax.  Pul-
monary Consumption—Phthisis Pulmonalis.  Contusion of the Chest
by a Fall or Blow............................................ 208

                        CHAPTER XIV.
               Affections of the Stomach and Bowels.
  1.  Want of Appetite—Anorexia.   2. Morbid Appetite—Bulimy.  3.
Dyspepsia—Weak Stomach.  4. Waterbrash—Heartburn—Indigestion
—Flatulency—Sour  Stomach—Pyrosis.   5. Biliousness—Gastric De-
rangement.  Nausea—Vomiting.  Sea-Sickness.   Spasms and Pain in
the Stomach—Cardialgia—Neuralgia of the Stomach.   Griping Colic__
Enteralgia—Stomach-ache.  Congestion and Stagnation of Blood in the
Abdomen. Inflammation of the Diaphragm—Diaphragmitis. Abdominal
Inflammation.   1. Inflammation of the Stomach—Gastritis.  2. Inflam-
mation of the Bowels—Enteritis.  Inflammation of the Liver—Hepati-
tis.   Jaundice.   Tetanus.   Inflammation of the Spleen—Splenitis.
Worms.  Diseases caused by the  Presence of  Worms.  Constipation— 
TABLE OF CONTENTS.                    xi
Costiveness.  Diarrhea—Looseness of the Bowels.  Dysentery—Bloody
Flux.  Cholera Morbus.  Asiatic Cholera—Cholera Asiatica.  Piles-
Hemorrhoids.   Itching of the Anus.  Prolapsus Ani.  Rupture—Her-
nia.  Dropsy of the Abdomen—Ascites.  External Injuries of the Ab-
domen......................................................25G

                         CHAPTER  XV.
            Affections of the Urinary and Genital Organs.
  Inflammation of the Kidneys—Nephritis.   Inflammation of the Blad-
der — Cystitis.   Strangury.  ' Dysury.   Ischury.  Anury.  Inconti-
nence of Urine—Enuresis.  Diabetes.   Piles of the Bladder.  Polypus
of the Bladder.   Gravel and Stone in the Bladder—Calculus.  Hemor-
rhage with the Urine—Hsematuria—Mictus Cruentus.  Affections of the
Penis.   Affections  of the Testicles.   Seminal Weakness — Onania.
Eruptions on the Genital Organs. Syphilis.  Gonorrhea,  a. Syphilis—
Chancre,  b.  Gonorrhea—Clap—Gleet.......................... 335

                         CHAPTER XVI.
                        Diseases of Females.
  1.  Menstruation.   Obstructions  of the First  Menses.   Chlorosis—
Green  disease.   Suppression of the Menses.  Painful Menstruation.
Menstruation too Early.  Menstruation too Late and too Scanty.  Men-
struation too Copious—Flooding.   Menstruation of too long Duration.
Critical Period.  Cessation of the Menses—Change of Life.  Prolapsus
Uteri—Falling  of the Womb.   Leucorrhea—Fluor  Albus—Whites.
Pregnancy.   Diseases during  Pregnancy.   Nausea  and  Vomiting.
Pruritus — Itching.   Varicose  Veins.   Spots on the Face.  Miscar-
riage— Abortion.   Premature  Birth.    Regular  Birth.  Labor-Pains.
Cramps, Convulsions, Spasmodic pains.  Adherence of the After-birth—
Placenta.  Treatment after Delivery. After-Pains. Duration of Confine-
ment.  Breast—Nipples—Secretion of Milk.  Sore Nipples.  Ague in
the Breast. Gathered Breast.  Deficiency of Milk.  Suppressed secretion
of Milk.  Milk Bad, too thin, or repugnant to the Child.  Excessive secre-
tion, and involuntary Emission  of Milk.  Weaning.  State of the Bow-
els.  Sore  Mouth of Nursing Women.   Discharge from  the  Womb
during Confinement—Lochia.  Pain—Inflammation in the Abdomen—
Metritis, Puerperal Fever. General Complaints during Confinement. 347

                        CHAPTER  XVII.
                       Treatment  of Children.
  Apparent Death of a New-born Infant—Asphyxia.  Diet of a New
born  Infant.   Colic—Crying of Infants.  Elongation of the  Head 
Xll
TABLE OF CONTENTS.
Snuffles—Obstruction of the Nose—Coryza.  Swelling of the Breasts in
Infants.  Restlessness — Sleeplessness.   Inflammation of the Eyes.
Thrush, or Sore Mouth  of Infants—Aphthse.  Heat—Red  Gum—Heat
Spots.  Excoriations—Rawness of the Skin.  Jaundice.  Erysipelas.
Convulsions or Spasms.  Teething—Dentition.  Constipation.  Diar-
rhea.   Fevers.   Dropsy of the Brain—Hydrocephalus.  Asthma —
Choking Fits—Asthma Millari. Remittent Fever of Infants.  Vacci-
nation.  Cholera Infantum.  Summer Complaint................375
                          PART  II.

              I. ANATOMY  AND PHYSIOLOGY.

  Structure of the Human Organism.  Elements  of the Human Organ-
ism.  Anatomy of the Bones.  Physiology of the  Bones.  The Muscles.
The Teeth.  Digestive Organs.   The Urinary System.  The Respira-
tory and Circulatory Organs.  The Nervous System.   The Skin. .  391

             II. HYGIENE AND HYDROPATHY.

  Hygiene.  Food  and Drink.   Sleep.   Air  and Exercise.  Clothing
and Occupation.  Hydropathy.  Diseases in which to apply it.  Differ-
ent Modes of applying the Cold Water.  1. Ablutions.  2. Shower-Baths.
3.  Partial or Half-Baths. 4. Full-Baths.  5.  General Plunging-Baths.
G.  Local-Baths.   7. Head-Baths.   8. Sitting-Baths — Sitz-Baths.   9.
Foot-Baths.  10. The Drop-Bath.   11. The Douche.  12. Local Appli-
cations (Umschlage) Wet  Bandages.  13. Applications round  one-
half the Body.  Wet Linen  Sheets.  14. Sweating..............418

  III. MATERIA  MEDICA................................. 461
  Glossary.................................................. 521 
LIST  OF  MEDICINES,
         THEIR  SYNONTMES  AND ANTIDOTES.

 1. Aconite.  Aconitum Napellus (plant).  Antidotes—Camphor, Nux
      vom., Wine, Vinegar.
 2. Antimonium crud.   Antimony (mineral). Antidotes—Hepar sulph.,
      Mercury, Pulsatilla.
 3. Arnica.  Arnica Montana (plant).  Antidotes—Camphor, Ignatia,
      Ipecac.
 4. Arsenic.  Arsenicum album (mineral).   Antidotes—For poisoning
      with it: rust of  iron.  For its dynamic effects: China,  Hepar
      sulph.,  Ipecac, Nux vomica, Veratrum.
 5. Aurum.  Aurum metallicum.  Gold.  (Metal.)  Antidotes—Bella-
      donna,  China, Cuprum, Mercury.
 6. Belladonna.  Deadly nightshade (plant).  Antidotes—Coffea, Hyo-
      Bcyamus, Hepar sulph., Pulsatilla.
 7. Belladonna co-.  Is the  two hundredth potency of Belladonna.
 8. Bryonia.  Bryonia alba (plant).   Antidotes—Aconite, Chamomile,
      Ignatia, Nux vomica.
 9. Calcarea Carbonica.   Carbonate of lime.  Antidotes—Camphor,
      Nitric acid, Sulphur.
10. Camphora.  Camphor.   Antidotes—Opium, Nitri spiritus.
11. Cantharis.  Spanish fly (animal).  Antidote—Camphor.
12. Capsicum.  Spanish pepper (vegetable).  Antidote— Camphor.
13. Carbo veg.   Carbo vegetabilis.  Wood  charcoal.   Antidotes —
      Arsenic, Camphor, Lachesis.
14. Causticum.  Caustic of the alkalies.   Antidotes—Coffea, Colocynth,
      Nux vomica.
15. Chamomile.  Chamomilla  (plant).  Antidotes—Aconite, Cocculus,
      Coffea, Ignatia, Nux vomica, Pulsatilla.
16. China.  Cinchona.  Peruvian bark (vegetable). Antidotes—Arnica,
      Arsenic, Belladonna, Calcarea carbonica, Carbo veg., Ipecac,
      Sulphur.
17. Cina.  Wormseed (vegetable). Antidotes—Ipecac, Veratrum.
18. Cina 00.  Is the two hundredth potency of  Cina.
                                                   (xiii) 
XIV                   LIST OF MEDICINES.
19. Cocculus.   Indian  Berries.   Coccle  (vegetable).   Antidotes—
      Camphor, Nux vomica.
20. Coffea.  Coffee  Berries (vegetable).  Antidotes—Aconite, Chamo-
      mile, Nux vomica.
21. Coffea oc.  Is the two hundredth potency of Coffea.
22. Colchicum.   Meadow  Saffron  (plant).  Antidotes — Nux  vomica,
      Cocculus, Pulsatilla.
23. Colocynthis.   Colocynth (vegetable). Antidotes—Camphor,  Caus-
      ticum, Coffea,  Chamomile.
24. Conium. Hemlock (vegetable).  Antidotes—Coffea, Spiritus Nitri.
25. Crocus.  Saffron  (vegetable).  Antidote—Opium.
26. Cuprum.   Cuprum  metallicum.   Copper  (metal).   Antidotes —
      Belladonna, China, Ipecac, Mercury, Nux vomica.
27. Drosera.  Round-leaved Sun  Dew  (vegetable).   Antidote—Cam-
      phor.
28. Dulcamara.  Bitter Sweet.  Woody Nightshade (plant).  Antidotes—
      Camphor, Ipecac, Mercurius.
29. Euphrasia.  Eye Bright (plant).  Antidote—Pulsatilla.
30. Ferrum.  Ferrum metallicum.  Iron  (metal).   Antidotes—Arnica,
      Arsenic, Belladonna, Ipecac, Mercury, Pulsatilla.
31. Graphites.  Plumbago. Pure Black Lead (metal).   Antidotes—
      Arsenic, Nux vomica, Wine.
32. Helleborus (niger.)   Black Hellebore (plant).   Antidotes—Cam-
      phor, China.
33. Hepar  Sulphuris.    Lime  of Sulphur.    Sulphuret  of  Lime.
      Antidotes—Vinegar, Belladonna.
34. Hyoscyamus (niger).   Henbane (plant).  Antidotes—Belladonna,
      Camphor, China.
35. Ignatia.  St.  Ignatius's Bean  (vegetable).  Antidotes—Pulsatilla,
      Chamomile, Cocculus, Arnica, Camphor, Vinegar.
36. Iodine.  Iodium.   Antidotes — Arsenic,  Camphor, Coffea,  Phos-
      phorus, Sulphur.
37. Ipecac  Ipecacuanha  (vegetable).    Antidotes — Arnica, Arsenic,
      China.
38. Jalappa.  Jalap  (vegetable).  Antidote—Camphor.
39. Kali hydriodicum.   Hydriodate of Potassa (mineral).
40. Lachesis.   Poison of the Lance-headed Serpent (animal).  Anti-
      dotes—Arsenic, Belladonna, Nux vomica, Rhus tox.
41. Lycopodium.  Club Moss.  Wolf's Claw (vegetable).  Antidotes—
      Camphor, Pulsatilla.
42. Mercurius  (vivus).   Quicksilver (mineral).  Antidotes—Arnica,
      Belladonna, Camphor, Hepar sulph., Iodine, Lachesis, Sulphur. 
LIST OF  MEDICINES.
XV
43.  Muriatic acid.   Acidum muriatic (mineral).  Antidotes—Camphor,
      Bryonia.
44.  Natrum muriaticum.   Muriate  of Soda (mineral).   Antidotes-
      Arsenic, Camphor, Nitri spiritus.
45.  Nitri  acidum.   Nitric acid (a mineral acid).   Antidotes—Calcarea
      carb., Conium, Camphor, Hepar sulph., Sulphur.
46.  Nux vomica.   Nux vomica (vegetable).  Antidotes—Aconite, Cam
      phor, Coffea, Pulsatilla.
47.  Opium.  White  Poppy (vegetable).  Antidotes—Camphor,  Coffea,
      Calcarea carb., Hepar sulph., Sulphur.
48.  Petroleum.  Rock oil (mineral oil).   Antidotes — Aconite, Nux
      vomica, Cocculus.
49.  Phosphorus.   Phosphor (mineral).  Antidotes—Camphor,  Coffea,
      Nux vomica.
50.  Phosphori acidum.  Phosphoric acid (a mineral acid). Antidotes—
      Camphor, Coffea.
51. Platina.  (Metal.)  Antidotes—Pulsatilla, Belladonna.
52. Pulsatilla.  Meadow Anemone (vegetable).   Antidotes—Chamo-
      mile, Coffea, Ignatia, Nux vomica.
53. Rheum.  Rhubarb (vegetable).  Antidotes—Camphor, Chamomile,
      Nux vomica.
54. Rhus toxicodendron.  Rhus.  Sumach.   Poison  oak (vegetable).
      Antidotes—Belladonna, Bryonia, Camphor, Coffea,  Sulphur.
55. Sambucus (niger).  Elder (vegetable).  Antidotes—Arsenic, Cam-
      phor.
56. Sanguinaria (Canadensis).  Common Blood Root.
57. Seoale (Cornutum).  Ergot  of Rye (vegetable).  Antidotes-
       Camphor, Opium.
58. Sepia.  Inky  juice of the Cuttle-Fish  (animal).   Antidotes—Aco-
      nite, Spiritus Nitri, Vinegar.
 59. Silicea.   Silicious Earth  (mineral).  Antidotes—Camphor, Hepar
       sulph.
 60. Spigelia  (anthelmintica).  Indian Pink (vegetable). Antidotes-
       Camphor, Aurum.
 61. Spongia.  (Marina Tosta).  Burnt  Sponge.  Antidote-Camphor.
 62. Stannum.  Pure tin (metal).  Antidotes—Coffea, Pulsatilla.
 63. Staphysagria.  Stavesacre (vegetable).  Antidote—Camphor.
 64. Stramonium.  Thorn-apple.   Gympsum weed (vegetable).  Anti-
       dotes—Belladonna, Nux vomica.
 65. Sulphur  (mineral).   Antidotes—Aconite, Camphor, Mercury, Nux
       vom., Pulsatilla. 
XVI
LIST OF  MEDICINES.
 66. Sulphuric acid.   Oil of Vitriol (a mineral acid).  Antidote—Pul-
       satilla.
 67. Tartar  Emetic   Tartarized Antimony  (mineral).   Antidotes—
       Cocculus, Ipecac, Pulsatilla.
 68. Tabacum.  Tobacco. Antidotes—Camphor, Ipecac,  Nux vomica.
 69. Thuja (occidentalis).  Arbor Vitas Tree (vegetable).  Antidotes—
       Camphor, Pulsatilla.
 70. Veratrum  (album).  White  Hellebore  (vegetable).  Antidotes —
       Ipecac, Arsenic, Camphor, Coffea, Aconite, China.
 71. Aloes.  Antidotes—Vinegar, Vegetable Acids.

                        TINCTURES.
  1. Arnica, Tincture.           2. Ruta, Tincture.
  3. Symphytum, Tincture.        4. Urtica Urens,  Tincture.

  These tinctures  are  intended for  external use only.   In preparing
them for this purpose, put from four  to ten drops in a teacupful of pure
water;  mix well, and wash with it, or lay cloths, dipped in the mixture,
on the  parts affected.
        NOTICE TO HOMEOPATHIC  PHARMACEUTISTS.

  It will be observed that in this " Domestic Physician," Coffea, Bella-
donna, and Cina, are used in two preparations—the third and the two
hundredth. The latter has cc attached to it, as Belladonna °°-, showing, in
the Roman numerals, the potency.  It is expected that the preparations
of these latter for the boxes are made in the greatest purity and genuine-
ness.  They can be procured already in every large city of the Union.
  The potencies of all the other remedies  are designed for  those from
the mineral and animal kingdom in the  sixth, and for those from the
vegetable kingdom in the third potency.  The  tinctures  mentioned in
the " List of Medicines "  should accompany the boxes. 
INTRODUCTION.
  To aid in the search for the proper place in the work,
where a disease  may be found, its different popular names
have always been given, and carefully recorded in the index.
Should, however, the identification of a  disease be  difficult
or doubtful, it  is only necessary to refer, in the book, to the
divisions made as  to the parts of the system which are af-
fected, such as " Affections of the Head,  Chest," etc., where
all the  ailments  of these  parts  are  generally put together.
But there will scarcely ever arise a difficulty in this respect;
the index has  been made  very complete, in  view of saving
the reader time and unnecessary vexation.
  If a disease is found, it is expected that everything will
first be read which  is said  concerning it in the article, before
a selection of a remedy is made ; at the end of each article,
the proper  direction as  to  administration, diet, and regimen,
is  given.  Wherever the attention is directed to the perusal
of the Materia Medica, in  treating on certain remedies, the
medicine in question must be looked for in the Materia Medica,
and  its  symptoms  carefully compared  with those  of  the
patient.  If in the  directions for diet  the  reader is advised to
adhere to the usual homoeopathic  diet in  chronic diseases,
etc., he will find its rules  specified  in the following pages,
under "Dietetic Rules."
  It is necessary to give an explanation in regard to several
remedies, whose  names  will be found different in this work
from those used in  other similar works.   Of the various pre-
       2                                      (xvii) 
XV111
INTRODUCTION.
parations  of Mercury, only one  kind has  been  used,  aWS
whenever this is mentioned, under the name of Mercury, the
Mercurius vivus is understood by it.  This was  done for the
sake  of  not unnecessarily  confusing  the reader with  two
different names for mercurial preparations, which are essenti-
ally the same in their effects and use.  On that account the
Mercurius sublimat. has been left  out entirely.   Its use is,  at
any rate, confined to one disease only (the dysentery), in the
treatment of which  the  Mercurius  vivus supplies its place
completely.
  On the other hand, three remedies, Coffea, Belladonna, and
Cina, appear in two different  preparations  in the book, the
one commonly used bearing the simple name, while the two-
hundredth  potency -of these remedies has a cc- attached  to
them, showing in the Roman numerals the degree of potency.
Although a great many more remedies could have been treat-
ed in the  same  manner, it was not  thought  advisable  to
burden the  book with more therapeutical detail, as it might
interfere  with its other simple and practical arrangements.
These three remedies, however, in their higher potencies,
seemed  to  be almost indispensable, in a useful work of this
kind, as their effects, when properly .indicated, cannot well be
produced by their lower attenuations.   We invite particular
attention to the use of Cinaoc  , in the nervous worm symp-
toms, so frequently experienced in children, in nightly attacks,
which quickly disappear  after  the exhibition  of one  or  two
doses of  Cinacc-.   Every homoeopathic practitioner can soon
satisfy himself in regard  to  the  efficiency of the  highest
potencies, by making the above trial.
  In regard to our views on the preference of higher or lower
attenuations, we would remark, that we consider homceopathi-
cally legitimate and practically useful, all potencies, from the
mother tincture and  first trituration up to the highest dilution,
but that we do not use one exclusively or all indiscriminately.
Practical observation and theoretical researches have  guided 
INTRODUCTION.                   XIX
 us in  applying the various  attenuations with  real benefit,
 which is not so difficult as many practitioners might believe.
 There  are principles  according  to which the different poten-
 cies of a remedy must be applied in different cases.  But to
 enlarge upon this  subject  here, would carry us too far;  we
 content ourselves by  remarking that, for a domestic family-
 chest, we would propose, as a general rule, the third potency
 for  all vegetable  medicines, and the  sixth potency for  all
 mineral and animal medicines.   If this rule was once adopted
 by all writers on homoeopathic domestic practice, their several
 works  might  be used with benefit without subjecting  the
 public to additional expense in  procuring  different  medicine-
 chests for the works of different authors.
   For a successful treatment of diseases, everything depends,
 after the selection of the right, or most homoeopathic remedy,
 on the  genuineness of its preparation.   We would,  therefore,
 advise  our  readers to procure  their  medicine-chests  from
 persons whose competency or recommendations can be relied
 on ; and when in their possession, to take good care of them.
 The vials must not be opened  except when used;  each vial
 must receive its own cork  again, and no  odorous medicinal
 substances must be allowed to be near by, when a vial is opened
 or medicine is taken.  If a remedy is prescribed to be taken
 in water, a clean cup  or tumbler must be selected, the pre-
 scribed quantity of water,  either rain  or river water poured
 in, then the  medicine  added, and,  during its solution, well
 mixed with a clean teaspoon, and  afterward covered well.
 If more medicines than one are prescribed at a time, in water,
 each one  must be dissolved separately  in a teacup, and each
 one receive its own separate teaspoon, which must not  be
 changed durinp- the  administration of the medicine.
  If a vial is empty, it is indispensably necessary, before re-
filling  it, to cleanse it  first  thoroughly with warm water and
dry it perfectly on a stove or  in  the sun, before the homoeo-
pathic  apothecary  is  allowed to fill  it.  Persons  ought to 
XX
INTRODUCTION.
attend to this scrupulously themselves, before presenting them
for refilling; because  much depends  on it, as regards the
genuineness of the medicines.
   The medicines should be kept in a dry place, where no
odors can reach them.   A renewal of their strength, if well
kept, is not necessary for years ; but if the slightest doubt in
this respect should arise, it is better to  have  it renewed. 
DIETETIC RULES.
  The observance of a strict diet is essential to the success of
a homoeopathic treatment, not so much on account of the in-
jury done to the system by the use of improper articles, as
because these might be antidotal  in their effects to the medi-
cine.   On this account,  homoeopathists so generally forbid
coffee, it being an antidote  to  most of their remedies.  For
the same reason, the use  of all other  things  of a medicinal
nature is strictly forbidden, such as spices, perfumeries, per-
fumed waters, soda waters,  spiced ices, etc.
  It is a general  law of nature, to  eat and drink only that
which can sustain life, without producing any other effects,
that is, simple nutriment; and as  medicinal  and spicy sub-
stances,  although sometimes   nutritious,  are  irritating and
stimulating, the strict law of nature excludes them perempto-
rily from the daily use (see "Hygiene").
  Diet in Acute Diseases.—As dietetic rules are given for
each acute disease, separately throughout the book,  it is  not
necessary to mention them in this place.
  Diet in Chronic Diseases.—Consult the chapter on "Hygiene"
on this subject.
  There are certain principles  which must guide us, during
the treatment of chronic diseases, in selecting  the articles of
our diet, even from among those which are generally allowed.
If the patient has  symptoms of fever or irritation, in  any part
of the system, he must avoid all  articles of a  stimulating-
character, sucli as meats, eggs, and butter.   In  such cases,
he should confine himself to a  nutritious vegetable diet, such
                                             ^xxi) 
XX11                  DIETETIC RULES.
as potatoes, turnips, rice, barley, etc.  If the disease appears
mostly in the digestive organs, as a chronic diarrhea, all arti-
cles of a relaxing nature are in themselves injurious, such as
fruits and other green vegetables, soups of meat, eggs, etc.
In cases where constipation is present,  the  opposite course
must be pursued.
  Another consideration is, that  articles of food, which dis-
agree with the patient, although allowed or Avholesome  for
others  under similar circumstances, must be strictly avoided
by him.

                   Aliments Allowed.
  Beef and Mutton baked,  roasted, or boiled, fresh or smoked
Tongue,  lean Ham.
  Venison and wild Fowl.
  Turkeys, Chickens, Pigeons.
  Fresh scale fish, oysters.
  Butter which is  not rancid, mild new  Cheese, raAv or soft
boiled Eggs, or eggs in Soups (except in cases of diarrhea).
Meat Soups, Broths, seasoned Avith salt only.
  All kinds of light Bread and Biscuit (except Soda-Biscuit
and other  Bread made with  the  addition of unusual sub-
stances).
  Puddings, Dumplings or Noodles of Wheat, Indian,  Rice,
and Oat-meal, not  too heavy, fat, nor spiced.
  Cakes composed of Meal, Eggs,  Butter in  small quantity,
and Sugar.
  Food prepared of ArroAvroot, Tapioca, Farina, Sago, Salep,
Oat-meal and the like.
  Irish Potatoes, Sweet Potatoes, Turnips, Carrots, Tomatoes,
CaulifloAver, Spinach and  green  Peas,  or  Beans (except in
Colic and Diarrhea), Rice Hominy, Pearl Barley, dried Peas,
or Beans.
  Roasted or  Boiled, fresh or  dried Fruit, as  Prunes,  dried
Currants, fresh ripe  SAveet Apples,  Peaches, StraAvberries 
dietetic rules.
XXU1
Raspberries, Gooseberries, and other sweet berries, and Grapes
(except in Colic and Diarrhea).
  Water, pure, or sweetened with Sugar, Currant Jelly, Rasp-
berry, or Strawberry Syrup, Toast water.
  Milk, in its different preparations, boiled Milk, fresh Whey,
Buttermilk.
  Decoctions of  Barley, Malt, Oat-meal, Farina, Rice, dried
Fruit.  Cocoa boiled with Milk or Water, pure plain, Choco-
late, weak black  Tea.
  Salt moderately used,  Sugar.
  Ice-creams flavored with StraAvberry and Lemons.

                   Aliments  Forbidden.
  Old smoked, salted Meat and salted Fish, old rancid Butter
and cheese, Lard, fat  Pork, Geese, Ducks, Turtles and Ter-
rapins,  Fish not having scales,  as  Catfish,  Eels, Lobsters,
Crabs, Clams, and Soups, prepared from these  articles of food.
All food prepared with Blood, and much animal fat.  All kinds
of Sausages, particularly such as are smoked.  The flesh  of
all young animals.  All Soups highly seasoned, Sauces, dif-
ferent kinds of Hash, drawn Butter, Pepperpot.
  All kinds of Cakes,  or Pastry, prepared Avith much Fat  or
Aromatics, Honey.  All kinds of colored Sugar-work prepar-
ed by the confectioner, red Sugar, sugared Almonds, or Peach-
kernels.  Nuts of all kinds.
  Radishes,  Celery,  Horse-radish, Garlic, Parsley, Red  or
Cayenne Pepper, Mustard, Saffron, Nutmeg,  Vanilla, Laurel
leaves,  bitter Almonds,  Cloves, Cinnamon, Allspice, Corian-
der, Fennel, Anise, Coffee,  green Tea, spiced  Chocolate.
  All kinds of spiritous  liquors, Brandy, Rum, Whisky, Gin,
Spirits, etc.  Liquors,  or Cordials, and other  drinks, cold  or
warm, which are prepared with spiritous liquors, or spices.
   All artificial and natural Mineral Waters, Mead,  Spruce
Beer, Soda Beer, Porter, Ale.
   N. B.   During the homoeopathic  treatment especial care 
xxiv
dietetic rules.
should be taken by the patient to avoid allopathic medicine of
every description  and form, pills, herb-teas, etc., internally
and externally; particularly all salves, aromatic waters, harts-
horn, smelling bottles, etc.; also, all perfumery, musk, cologne
water, or other aromatic substance, tooth-powders  containing
such ingredients, etc.; especially be careful in using matches,
not to inhale the vapor of the burning sulphur; matches must
be lit only where the vapor can easily escape in a fireplace, or
open hall.  Moderate exercise in the open air, as, also,  a careful
observance of all other hygienic rules  (see the article on Hy-
giene) is strongly recommended. 
PART FIRST.
DESCRIPTION AND TREATMENT
            OF
        DISEASES,
  3                    (xxv) 
 
CHAPTER  I.
GENERAL  DISEASES.
                      Rheumatism.
  Diagnosis.—Pains in the muscles and membranes, together
Avith SAvelling  of the surrounding cellular  tissue, light  red-
ness, and  heat;  caused by having taken cold.
  This is the general appearance of all rheumatic affections ;
yet their degrees and complications are so numerous, that it
would almost require a separate treatise to do justice to such
an extensive subject.  We confine ourselves, here, to the more
practical subdivision of acute and chronic rheumatism.
  Beside,  Ave Avould remark that rheumatism, particularly in
the acute form, can exist in any part of the  system, creating
there such an inflammation as the affected organ is naturally
disposed to,  adding to it only its own rheumatic  character.—
For instance :  a  patient is  attacked with rheumatism in the
arms or limbs ; this at  once leaves those muscles, and falls on
the pleura, Avhere it generates a  pleurisy, not of the  usual
kind,  but one which has the rheumatic character—a rheuma-
tic pleurisy.   In  the same manner, Ave speak of rheumatic
pneumonia, rheumatic  inflammation of the eye, heart, etc.—
The best means to detect the rheumatic character, in cases of
this kind, is to investigate whether the disease, in  its  acute
form, has appeared after taking cold, by suppressing or  dis-
turbing the action of the skin, or, whether,  in its chronic type,
the chano-es of  the atmosphere  influence its severity.  In
                                               (1) 
2                   general diseases.

such cases, Ave refer the reader to the  respective chapters,
Avhere the diseases of these organs are specially treated.
  There exists an intrinsic difference betAveen rheumatism and
gout.  (See this article.)
  To prevent attacks of rheumatism and annihilate within  us
the predisposition to it, we must avoid all sudden changes  of
temperature and all excesses, which can create local and gene-
ral debility.  We ought  to strengthen the system  against  in-
jurious external influences,  by cold Avashing and bathing,  by
acquiring regular habits, and folloAring the rules, as laid doAvn
in the chapter on " Hygiene."

        a.  Acute  or  Inflammatory Rheumatism.
  This form of rheumatism, especially, developes itself  after
taking cold, or  after any check  of perspiration, sudden and
severe enough to unfit the whole skin for its proper  function
of exhaling the imperceptible gases.  First, an uncomfortable
sensation and  restlessness will appear, followed by chilliness
and feArerishness in alternation, thirst, constipation, and accele-
rated pulse; then the rheumatic pains appear in places where
they either fix themselves,  creating  swelling, heat, and red-
ness, or wander to other parts, where they repeat  the  same
process, while those first  attacked  heal  gradually and  get
well.  In acute rheumatism, Ave  sometimes find a  dry skin ;
at other times, a very moist one, drenched with a Avatery per-
spiration, which does not relieve the patient.  The perspira-
tion, which will relieve the patient, is greasy, thick, glutinous,
 and smells acrid or  sour.
   Treatment.—Aconite—In the beginning, Avhen the fever is
 high, the skin dry and hot, with excessive thirst and redness
 of  the cheeks; shooting or  tearing pains, worse at  night  and
 by the touch, extreme irritability of temper.
   If this remedy, after having been applied for eight or  ten
 hours, has mitigated the fever by producing general perspira-
 tion, yet the local pains remain in the muscles and joints, give, 
           acute or inflammatory RHEUMATISM.          o

  Bryonia, in the same manner, when the pains are worse by
motion or at night, when there is headache, fever, sAvelling  of
the joints, and gastric derangement, Avith constipation.  Alter-
nates Avell Avith Aconite or Rhus.  (See this remedy.)
  Belladonna, Avhen Bryonia does not relieve, or Avhen the
parts are much  SAVollen, very red, shining, and the  patient  is
sleepless at night, complaining of dryness in the  mouth and
throat, and congestion to the head.  Both remedies may  be
given in alternation, with advantage.
   Chamomile, when, in the  parts affected, there  is  a  sensa-
tion of numbness or paralysis, worse at night, the patient  is
feverish, restless, agitated, irritable, trying to  relieve himself
by turning in the bed ; the pains often ascend into the  head,
ears, and teeth, Avith chilliness and  a bruised  sensation  after
sleep.
  Arnica: Bruised or sprained  sensation  in the joints  of the
hands, feet and in the small of the back, Avith hard, red and
shining  SAvelling;  feeling of numbness and  crawling  in the
affected parts; the pains  are aggravated by motion; the pa-
tient is thirsty and irritable; (alternates well Avith Rhus).
  Xux   Vomica,  in  alternation  with  Chamomile, Avhen  the
parts are numb, cold air aggravates,  temper is irritable, bowels
constipated.   The pains are principally located  between the
shoulder blades; in the small of the back, and in the loins.
  Pulsatilla—the same  feeling of numbness and  paralysis,
but relieved by exposure to cool air, the patient Avants to be un-
coA-ered, and is of a mild temper and Avhining mood, Avorse
in the night; the pains have a great tendency to  change
places.   (Shifting or wandering Rheumatism.)
  Mercury—pains increased in the heat of the bed, or toward
morning—also, Avhen the patient perspires profusely without
being relieved by it.  Lachesis suits well  after Mercury.
  Dulcamara—in an  attack of rheumatism which immediately
folloAVS a severe  exposure to cold;  the pains set in at  night,
are Avorse during repose, Avith but little fever. 
4                   GENERAL  DISEASES.
  Rhus — principal  indication  for its  use is:  pains  worse
during rest, or as if the flesh was torn from the bones; worse
in cold, damp iveather.   This remedy, when the latter symp-
toms are present, alternates Avell with Bryonia.  (See Bilious
Rheumatic Affection.)   It is, also, of great use, when there is
paralytic weakness or trembling of the extremities, on moA'ingthem.
  N. B.  See also the remedies, stated under " Chronic Rheu-
matism."
  If the pains in the limbs should cease suddenly, followed
soon by difficulty of breathing,  anxiety, Aveakness, or pains in
the region of the heart, Avith A'iolent palpitation, give Aconite,
Belladonna,  Spigelia, Pulsatilla,  Arsenicum  or Lachesis, as
their detailed symptoms under "Rheumatism of the Heart" will
indicate.
  Administration—Dissolve twelve globules  of the selected
remedy in half a teacupful of water, and give every two hours
a teaspoonful; discontinue after four teaspoonfuls have  been
given,  for  eight or twelve hours, during Avhich time the
effect must.be looked for before another remedy is  selected.
As  soon  as the patient is better, all medicine must be stopped,
until he gets much worse again.
  Diet and Regimen. — As regards nourishment, the patient
must absolutely  abstain from all meat, or soups of meat,  even
long after the  convalescence.   He can have, howeA-er, gruels
of farinaceous substances, oatmeal, farina, rice,  etc., toast-
Avater and cold Avater; during the  fever, Avarm lemonade  and
oranges.   Cover the patient Avell  with blankets,  as  many as
his  comfort dictates.  Around the SAVollen joints and other
parts affected, breast or neck, put avooI,  just from the sheep,
or,  at  least, unwashed.  This  has, frequently,  a very  good
effect.   If possible, consult a homoeopathic physician.

b. Chronic  Rheumatism, or commonly called Rheumatism.
  If a person is  severely troubled by chronic rheumatism, let
him at once apply to a homoeopathic physician, who will give 
ACUTE AND INFLAMMATORY RHEUMATISM.         5
him relief, if it is at all in the power  of medicine to  do so.
But, frequently, the reactive force of nature is already so
much Aveakened, that it first requires  to  be strengthened,
which can  only be done by a systematic hydropathic treat-
ment.   However, in cases of  rheumatism, where the  system
is  yet  strong, the  medicines,  as detailed beloAV, may be
used, and  will be found efficacious in  a majority  of them.
Beside  the remedies recorded under  "Acute Rheumatism,"
Avhich may also be used for chronic rheumatism, the following
are the principal ones:  Ignatia, Thuja, Arnica, Dulcamara,
China, Veratrum, Arsenic, Phosphorus,  Caustic, Sulphur, Sepia.
   Symptomatic Detatl. — Ignatia: Contusive pains, or as if
the  flesh were detached from  the bones;  worse at night,
ameliorated by change of posture.
   Thuja:  Tearing, pulsative pains, as from .ulceration under
the  skin, with a feeling  of  coldness and torpor  of the parts
affected.  Pains Avorse during repose,  or in the Avarmth of the
bed.   Pain in the right shoulder and arm,  better  on movement.
   Arnica:  Pains as if the parts Avere  strained or bruised, Avith
a  feelino- as if they were  resting  on too  hard  a surface;  a ting-
ling in the hand, red and shining swelling, worse Avhen attempt-
ing move.  (Suitable before or after China, Arsenic, Rhus.)
   ^Dulcamara:   Pains after getting cold and wet, worse at
nio-ht, during repose, and without much fever.
   * China :  Pains, worse on the  slightest touch, with easy per-
spiration, the sore parts  feel very weak, almost paralyzed.
   Veratrum : Pains as if from a bruise ; worse by warmth and
bad weather ; better by walking ; very weak and trembling.
   Arsenic:  Burning, tearing pains,  insupportable at night,
 worse by cold air, and mitigated by external heat.
   Phosphorus:  Tearing and drawing  pains, excited by the
 slightest chill; headache, vertigo, and oppression of the chest.
   ^Caustic:  The pains are insupportable in the open air; less
 severe in  a room,  or in bed;  also, when there is paralytic
 weakness with rigidity and incurvation of the parts affected. 
6
GENERAL DISEASES.
   Sulphur:  In almost all cases of chronic, and  after a spell
 of inflammatory rheumatism, Avhenthe pains yet linger about.
 Often after Aconite, Belladonna, Bryonia, Mercury, or Pulsatilla.
   Sepia:  For rheumatic affections  in tall, slender persons,
 especially females.
   Administration. — In chronic  rheumatism, the remedies
 ought not to be repeated often; every three or four days, one
 dose (four to six glob.) is enough.   After a remedy has been
 tried for ten  or fourteen days, another may be chosen, if no
 improvement has appeared.
   Diet and Regimen.—The patient  must abstain, during the
 treatment, from all meats, at least, as much as possible ; must
 not expose himself to the changes of the weather, and should
 Avear, on his  skin, flannel underclothes, except while using hy-
 dropathy ; in which case, he can do without them.

                Rheumatic Pains or Cold.
             (In Chest, Stomach, Limbs,  etc.)
   These pains appear on different parts of the body, after tak
ing cold, in persons naturally inclined to rheumatic affections
 If they manifest themselves in  the chest, they resemble  a
pleurisy, for Avhich the same remedies Avill be suitable ; if they
appear in the stomach and boAvels, they resemble a colic;  to
which article Ave refer the reader for  the suitable remedies; if
the pains are in the head, ears, or teeth, see these headings.
  In every case of this kind, the patient must be kept Avarm,
and should perspire.

                    Gout.  (Arthritis.)
  Diagnosis.—The symptoms of this disease are very similar
to those of inflammatory rheumatism ; consequently, the reme-
dies Avill be almost the  same.  It is characterized by pains  in
the joints,  with inflammatory SAvelling and a feeling of dislo-
cation ;  or, in  chronic cases, Avith a swelling of the joints,
caused by deposits in them of a calcareous substance, which 
GOUT.
7
impedes their movements and causes  them to make a crack-
ing noise.  There is always connected with an attack of gout,
flatulency, acid stomach, and other derangements of the diges-
tive organs.  The principal differences  between rheumatism
and gout are: rheumatism attacks more the muscles  and
membranes—gout,  more  the  joints; rheumatism is hardly
ever complicated with derangement of the digestive organs;
gout is never without that—has, beside, permanent swelling
of the joints, by  calcareous deposit, which rheumatism never
has.  Rheumatism  is  caused  by taking cold; consequently,
depends  on external causes; while gout is generated by in-
ternal  causes, amounting, sometimes,  to hereditary predispo-
sition.   Both diseases, however, can intermix with each other,
one taking the form of the other.
  We acknoAvledge an acute and chronic form of gout; recom-
mending for both the same  remedies, Avhich Ave  recorded
under the two  forms of rheumatism.   We would add  only
one more remedy to this list;  it is
  Antimon. crud., when the attack is attended  with nausea and
a white-coated tongue;  pains#are worse  after eating, in the
night,  after drinking wine,  and in the heat of the sun;  miti-
gated during repose, and in the cool air.
  To make the selection of remedies easier, we will give  a
tabular view of them, in the different gouty complaints.   Their
details will be found under "Rheumatism."
  For inflammatory  gout;  Aconite, Antimon.  crud., Bryonia,
China, Xux vomica, Arsenic, Pulsatilla, Arnica.
  For the same, with gastric derangement: Antimon. crud.
  For the shifting, wandering, flying gout: Pulsatilla, Arnica,
Xux vomica.
  For gout with great swelling: Antimon. crud., Arnica, Bryo-
nia, Rhus,  China, Sulphur.
  For the gouty  nodes and lumps: Antimon. crud., Bryonia,
Calcarea, Carbo vegetabilis, Graphites, Lycopodium, Phosphorus,
Sepia. 
8                   general  diseases.
   For  gout  in persons addicted  to  spiritous  liquors: Xux
 vomica, Aconite, Sulphur, Calcarea.
   For gout in persons called high livers: Pulsatilla, China,
 Antimon. crud., Sulphur, Calcarea.
   For those Avho  sometimes work in the water:  Pulsatilla,
 Sulphur, Calcarea, Dulcamara, Rhus,  Sarsaparilla.
   For gout confined  to the big  toe  (Podagra):  Pulsatilla,
 Arnica.
   For the stiffness of the limbs,  which remains after an attack
 of gout or rheumatism, give Colocynth.
   Administration, Diet and Regimen, the same as in "Rheu-
 matism."

    Pains in the  Small of the Back, Loins and Neck.
                    Xotalgia.   Lumbago.
   Diagnosis.—Violent pain in the region of the small of the
 back and loins, more or less permanent, sometimes  periodical,
 but mostly excited by  seemingly external causes.  This spe-
 cies  of lumbago (bach and loin-ache) occurs,  frequently,  after
 any quick motion  of the back, as in  rising  from a stooping
 position.   The patient  is suddenly seized Avith a violent  pain
 as if produced from an arrow shot into the part; it pins  him,
 as it were, into a  fixed attitude,  from Avhich he cannot stir
 Avithout suffering torture, and forces him to keep quiet.
  If such a rheumatic  pain suddenly affects  the muscles  of
 the neck, forcing the patient to keep A'ery quiet, commonly called
 Kink or Crick in the neck, it has the same origin, and requires the
 same treatment, as lumbago.  Rubbing the neck Avith a soft Avarm
 hand untiringly for half an hour, frequently cures it effectually.
  Although this disease is  essentially rheumatic in its charac-
 ter and process, yet its foundation is constitutional; sometimes
 a predisposition is  acquired by  overstraining  the muscular
system by hard labor during exposure to Avet and cold,  or
when there  is a  disposition to hemorrhoidal congestion  of
blood (piles) to these parts, which may sometimes increase to 
LUMBAGO — notalgia.                  9
a real inflammation of the spine, the spinal marrow (myelitis), or
go over, if not cured, into a chronic spinal affection.
  Treatment.—Aconite is  the principal remedy in the com-
mencement,  and does more  to  relieve the patient at once,
than the  lancet can accomplish, which the old school  ahvays
applies  in such cases.
  Arnica, alternately with Rhus, if this disease is  really the
result of falling, overlifting, or any other mechanical injury.
  Bryonia, if the pains in the back are pressing ; the  patient
cannot walk erect;  Avorse after the slightest motion,  or current
of cold  air; patient feels chilly; head and limbs ache.
  Rhus, in alternation Avith Bryonia, if the patient  feels very
weak, trembling, has  to get  up sometimes to ease himself;
throAvs himself about in the night.   After external injury, see
Arnica.
  Bellad., after Aconite and Bryonia, under similar symptoms,
but more suitable for  fleshy  females during the (change  of
life) critical period ; in alternation with Rhus, Avhen the fever-
ishness  attending the  attack  is complicated with restlessness,
dryness of mouth and throat,  headache.
  Xux vomica, if the parts feel as if tired, or very much fatigued,
during  the attack; pains are  worse by motion and  turning in
bed; constipation, irritability  of temper.  Suitable for persons
with a disposition to piles, or addicted to spiritous  liquors.
  Mercury, in alternation Avith Xux vomica, if catarrhalic dis-
eases, influenza, etc., prevail, or  a  tendency to dysentery;  or
if the patient feels very Aveak, perspires a great deal Avithout
relief, worse  at night.
  Pulsatilla: Resembling the pains under Xux vomica, but
caused  by obstructions or irregularity of the courses (menses)
in younger females of a mild, sensitive, or phlegmatic char-
acter.
  Administration.—Same as in " Rheumatism."
  Diet and  Regimen.—Also the  same.  We Avould  advise
those afflicted with this disease, to lie down immediately on a 
10
GENERAL DISEASES.
 mattress, or something similar, and not attempt to brave it out,
 as the phrase is;  because the  medicine will not be able to
 cure as quickly, and chronic Aveakness of the back remains,
 together Avith a liability to a return of the disease.

              Pain in the Hip.  Hip Disease.
                Sciatica.   Coxalgia.   Coxagra.
   Diagnosis.—Pain in the region of the hip joint, extending
 to the knee, even to the foot, accurately following the course
 of the sciatic nerve.  Its continual  severity may impede  the
 motion of the foot, producing stiffness and contraction, disturb-
 ing the rest at night, and thereby inducing general uneasiness
 and emaciation.
   In sciatica, or pain in the hip, the pain manifests itself only
 on the outside of the hip  and leg, during repose as well as du-
 ring motion, showing its neuralgic character; while, in coxagra
 (morbus coxarius),  the pain appears only during motion and in
 stepping, showing its inflammatory character;  running in front
 to the knee, protruding and lengthening the leg.   It can ter-
 minate in suppuration (white swelling).
   These diseases are of great importance, and ought not to be
 neglected,  but immediately  put under  the  care  of a skillful
 homoeopathic physician,  as scrofula is either  their remote
 cause, or excited by them, especially  in children, in Avhom
 they often occasion the so called  spontaneous limping (coxalgia
 infantilis) and white swelling, particularly Avhen badly treated
 at first by allopathic remedies.
   Treatment.—The principal remedies in these  diseases  are
those already enumerated under the  headings of "Rheuma-
tism" and " Gout."   We Avill give them here again, to facili-
tate the selection:
  In  sciatica (ischias):  Chamomile,  Bryonia, Rhus,  Arsenic,
Ignatia, Xux vomica, Pulsatilla.
  In  coxagra (hip  disease):   Colocynth, Belladonna,  Hepar,
Lachesis, Silicea,  Mercury, Sulf)hur. 
PAIN IN THE  HIP--HIP DISEASE.            11
  In spontaneous limping, Mercury and Belladonna in alterna-
tion ;  every few days, a dose:  Rhus,  Colocynth,  Pulsatilla,
Sulphur,  Calcarea.
  Symptomatic Detail.—Aconite, in  alternation with  Bella-
donna  or  Bryonia, Avhere  the  attack  is accompanied with  a
great deal of fever.
  Belladonna,  in the inflammatory stage (see Aconite), when
the pain is increased on the slightest movement, with limping,
and on the parts affected the skin is red and shining; dryness
of the throat; burning fever.   After it, Mercury.
  Bryonia, under similar symptoms as Belladonna, but  partic-
ularly where the parts affected are  more  painful than red ;
constipation.  After it, Rhus.
  Rhus :  Darting, tearing, or dragging pains in the hip-joint,
Avith tension and stiffness in the muscles ; worse during repose,
or when rising from a sitting posture.
   Chamomile:  Pains worse at  night in bed, after  having re-
cently taken cold;  patient  is irritable; does not know Avhat he
Avants.
  Mercury:  Sharp, cutting, burning  pains; Avorse  at night,
or during movement; profuse perspiration without relief.   After
Belladonna; before Hepar.
  Ignatia:  Cutting pains, ameliorated by change  of position,
temperament  mild, yet vacillating between  high and low
spirits.
  Pulsatilla: Pains worse in the evening or night, and when
seated; relieved in the open air; temperament phlegmatic; mild
disposition.
  Xux vomica:  Pains Avorse in the morning;  worse in the open
air;  temperament irritable, morose; constipation.
  Arsenic: Burning pains, with great  restlessness, obliging
the patient to move the limb ;  pains appear periodically, or in
spells  (alternate with China); mitigated by external heat;
patient wants to lie down,  feels very weak;  emaciation of the
limb after long suffering (in alternation with Silicea). 
12                  GENERAL DISEASES.
   Colocynth.   This is the first and principal medicine  in hip
diseases, acute or chronic, particularly Avhen there is the sensa-
tion  of  a tight band around the hips and back, and the pains
run down from the region of the kidneys into the leg; sponta-
neous limping; pains are Avorse lying on the back, or after a
fit of anger or indignation.
  Hepar after Mercury, when  this has not relieved.
  Silicea, when the disease assumes the chronic form, after
Hepar;  or, where emaciation  has taken place, in  alternation
with Arsenic, and, afterward,  with Iodine.
   Sulphur, in chronic  cases, where  other remedies have not
entirely relieved.
  Lachesis: Emaciation, with tearing and contracting pain  in
the joint; dread of exercise;  deeply penetrating suppurations,
(in alternation with Silicea).
  Administration.—In the sciatica (ischias),  as well  as the
febrile stage of the coxagra, give the medicines  as required  in
the acute form  of "Rheumatism,"  (see  this article).  In
the chronic  form  (suppurative stage) of coxagra, give, the
remedies as stated in " Chronic Rheumatism."
  Diet  and Regimen.—The same as in "Rheumatism," but
without  outward applications, save cold-water bandages, in
any  stage of the  disease,  when the patient can  bear them,
and feels relieved after them.

      Inflammation of the  Knee  Joint.   (Gonitis.)
  Inflammation and swelling of this important  joint,  requires
the use  of Aconite  and Belladonna,  Bryonia, Rhus, Lachesis,
Mercury, one after the other, if the first two have not  allayed
the inflammation.   If suppuration threatens, Avhich is indicated
by the  SAvelling  not going down after  the  severest fever is
over, give Sulphur; in eight days Silicea, and consult medical
aid.
  Administration of Aconite,  Belladonna, and the other reme-
dies, the same as in "Acute Rheumatism." 
INFLAMMATION OF  THE PSOAS MUSCLE.
13
  Diet and Regimen.—Also  the same, but without any out-
ward application, save cold-water bandages, Avhen the patient
feels relieved by them, at any  stage of the disease.

      Inflammation of  the Psoas  Muscle.  (Psoitis.)
  Diagnosis.—Pain in the region  of the kidneys, hip, ana
downward to the leg, which  cannot be stretched,  or drawn
near to the abdomen, without pain; increased, also, by turn-
ing, when lying and hfting, with a feeling of numbness of the
affected side; walking  is possible only by hobbling, with  the
body bent forward.   Although not often  fatal, yet it is very
important in  its consequences, as its issues may give rise to
lingering diseases.  If suppuration takes place, by not pre-
venting it in time, the matter  discharges itself in the abdomen,
and causes death; or it sinks  down farther and farther, until
it reaches, sometimes, even the knee, before it escapes;  fre-
 quently,  the  spine becomes affected and is rendered  carious
 in such cases.  The causes of this disease are, beside exter-
 nal injuries, rheumatism and  piles.
   Treatment.—Give,  first, Aconite, and  Bryonia, in alterna-
 tion,  every two, three, or four hours, a dose (four glob.);
 afterward, Bellad. or Xux vom., if not relieved within twenty-
 four hours, and when the pains increase during motion; Rhus
 and Pulsatilla, however,  Avhen the pains are worse during
 rest; Mercury and Chamomile, when the pains are worse at night.
    Staphysag., when the  pains are  beating, indicating incipi-
 ent suppuration.
    Colocynth, when the disease assumes the chronic form.
    If possible, consult a physician in this important disease.
    Administration,  Diet, and  Regimen, as in "Affection of
  the Knee Joint."
                     Cramp in the Legs.
    Some persons are habitually addicted to cramp in the legs,
  from various  causes.  The  first  remedy, which every one
  naturally will resort to,  is,  to rub the parts taken with the 
14
general diseases.
cramp, either Avith the hands or a rough towel, which, in a
short time, will destroy the spasm.  Another expedient is, to
jump on the cold floor of the room, if the cramp occurs in the
calves of the legs, and Avhile in bed; but, if it should occur
frequently in the night, take
   Veratrum, every night a dose (four glob.), for a few nights ;
or, if it occurs in pregnant females,
  Secale, in the same manner.
  If the cramps  occur more in  the  day time, take Rhus, in
the morning, in the  same manner.
  Colocynth relieves the remaining stiffness,  also cramps,
occurring in the night.
  Sulphur, Lycopodium, and Sepia, may be taken in intervals
of four or six days, to prevent the return of the cramps.
  Diet and Regimen, as in all chronic diseases.

                    Sweating Feet.
  This is a complaint with which a  great many persons  are
afflicted.   It is generally connected with a  qualitative cor-
ruption of the secretions, by which  a bad smell is emitted,
thereby rendering the complaint very disagreeable.  It  can
be easily  suppressed by alum and  sugar-of-lead  ablutions;
but he who ventures to do so, risks  being taken Avith  blind-
ness, deafness, asthma, consumption, etc.
  Homoeopathy  possesses remedies, .which,  when applied
rightly, will insure a permanent and safe cure.
  Treatment.—Rhus,  inwardly,  every third evening,   six
glob., to be continued for, at least four weeks, after which two
weeks  must elapse before  the  next remedy may be taken.
During the first four weeks, bathe the feet every other even-
ing,  in cold water, into which four drops of the mother tinc-
ture  of Rhus (to be had in any homoeopathic  pharmacy)
have been dropped.
  Silicea,  is the  next remedy  after Rhus,  if this has   not
already ameliorated the complaint;  to be taken in the same 
goitre — sleeplessness.
15
manner.   In this  way,  alternate with these  two remedies
until better, or apply to a homoeopathic physician, who has
more  remedies  at his command,  which, however,  can be
chosen, only according to the individual  constitutionality of
each one's case.

                    Goitre.  (Struma.)
   This disease consists in a SAvelling of the thyroid gland,
in front  of the throat.  It  is, in the  majority of cases, of  a
scrofulous origin; depends, sometimes, however, on an en-
demical cause it, occuring most frequently on mountains, espe-
cially  at their base, and in their valleys.
   Treatment.—Take, internally,  Spongia,  every evening  a
dose (six glob.), and wash externally with a solution of the
tincture of Iodine  diluted in  alcohol, every evening, until  it
disappears.
   If this treatment does not disperse the goitre within two
months,  apply to a homoeopathic physician, Avho has  other
remedies, suitable for each individual case.
   Diet, as usual in chronic diseases.

                Sleeplessness .  ( Agrypnia.)
   This disease consists in  an impossibility to  sleep, without
 any apparent external or internal cause to  disturb the sleep
 If it continues for months and years,  a serious  disturbance  of
 all functions must ensue.  In infants, particularly, it becomes
 a  distressing circumstance for mothers and  nurses, as we
 often are unlble to find out its cause.
    Treatment.— Coffea and Belladonna, two doses m alterna-
 tion (in children,  Coffea ~ and Bellad. -), every hour one
 dose  (four glob.) frequently allay the over-excitement of the
 nervous system.
    If this will not do one night, try, on the  next,
    Hyoscyamus, especially after severe illness.
    Ignatia, when caused by grief, indignation.
         4 
16                 GENERAL diseases.
  Xux vomica, Avhen from study and meditation in hypochon-
driacs.
   Opium, after fright and fear,  or in old people,  or  where
frightful visions appear when closing the eyes.
  Pulsatilla, when having indulged too freely in eating.
  Aconite, when caused by agitating events and anxiety.
  If caused by drinking tea or coffee, see their antidotes in
the articles respecting these substances.
  In children, beside Coffea and Bellad., are recommended
Cham., Jalap, and Rheum., when it is caused by colic.  See
this article in "Diseases of Children."
  Beside these remedies,  a sponge-bath of cold water every
evening when going to bed, is  strongly recommended.  See
Hydropathy.

                 Nightmare.   (Incubus.)
  A well knoAvn troublesome disease,  consisting in a  heavy
pressure on  the precordial region, which impedes breathing,
creating thereby  many images of fancy,  monsters, robbers,
bears, etc.   It occurs mostly in the first hours of sleep, and,
if recurring every night, would  certainly injure the general
state of health.
  It is caused either by an  overloaded stomach, congestion
of the  blood to the abdomen,  or to the precordial region,
when lying on the back.
  Treatment.— Persons  liable  to  this  disease  must first
avoid the  above mentioned exciting  causes, and  then the
following remedies Avill have their effect:
  Aconite: Especially in women and children, when feverish-
ness, oppression of the chest, anxiety, and inquietude, prevail.
  Xux vomica, after drinking spiritous  liquors, eating  a  full
meal in the night, or by sedentary habits.
   Opium:  The principal  remedy in severe attacks, snoring
respiration, eyes half open, face covered Avith cold  perspira-
tion, and convulsive movements of the limbs. 
PALSY.
17
  Beside these remedies, daily exercise in the open air, the
use  of cold water  internally, and externally in  shower or
sponge baths are recommended.

                   Palsy.  (Paralysis.)
  This affection of  the nerves of voluntary motion, is one of
those diseases, to remove which, it requires the greatest skill
of a physician;  and, by  bringing it under our notice  here,
we intend merely  to warn our readers not  to waste  time,
health,  and money, in using a variety of nostrums  which
might be recommended for it; but to apply at once to a skillful
homoeopathic  physician,  who can effect a cure in a majority
of  cases.    Beside, we  will record a few remedies, with
which such a  cure may be commenced.
  If, from debility  caused by loss  of fluids,  China, Ferrum,
Sulphur.
  If from  suppression of an eruption  or habitual discharge,
Lachesis,  Sulphur,  Caustic.
   If from rheumatism, Bryonia,  Rhus, Arnica, Lycopodium.
   If from apoplexy, Ipecac, Lachesis, Lycopodium.
   If from handling white-lead, or exposure to the fumes of lead,
 Opium, Bellad., Platina,  Pulsatilla.
   If  the facial muscles are paralyzed,  Bellad.,   Graphites,
 Caustic.
   If  the  tongue, Bellad., Opium,  Stramonium, Hyoscyamus,
 7lftcTi p *izs
   If  the arms, Bellad.,  Lachesis,  Xux vomica, Opium, Ly-
copodium.
   If  the  lower  limbs,  Cocculus, Opium, Xux  vom., Stannum,
 Silicea.
   Electricity and Galvanism may be used in this disease with
the greatest advantage, as also  the cold water in bathing and
drinking.  See  "Hydropathy." 
18                  GENERAL  DISEASES.
            Delirium Tremens.  (Mania a potu.)
   This  terrible  disease  is almost exclusively confined to
 drunkards and opium-eaters, who are taken,  especially when
 exhausted otherwise, with  a delirium  and frenzy,  in which
 appearances of  horrible monsters,  animals, figures  of all
 kinds, frighten  their  imagination,  combined with  ravings,
 convulsion fits, and complete inability to sleep.  In the long
 and sleepless hours,  they  converse incessantly with these
 supposed realities, by  which they  wear out their  strength
 more and more.
   Treatment.— Opium is the  specific in this  disease, if it is
 caused by ardent spirits, as  this drug is itself able to produce
 such a disease.   Give of it, every hour or two hours, a dose
 (one or two drops of a  diluted tincture  of opium), for at least
twenty hours, to see its effects.  After this, give Bellad., Xux
vom.,   Sulphur, one after  the  other, each,  for twenty-four
hours, every three or four hours a dose (six glob.), or Calca-
rea carbonica, if frightful images appear as soon as the patient
shuts  the eyes, or Avhen he  talks in his sleep, groans, cries,
dreams fantastically and frightfully.   If nothing will produce
sleep,  give Lachesis  and Arsenic, in alternation, eA'ery three
hours a dose (four glob.).
   Let  the patient drink freely of ice water, as  the best stimu-
lus which can be substituted.   For solid  nourishment, giA'e
him hard toasted bread; as soon as he is  convalescent, give
him a  good beefsteak,  bread, and water, on which he has to
subsist for a long  time.  In this way, I have  cured very bad
cases,  and had the satisfaction  to see them not only restored
to health again, but to  usefulness  and  their friends,  as  they
never relapsed into their former error.

                  Epilepsy. ( Epilepsia.)
   Diagnosis.— Convulsive  motions, Avith  loss  of conscious-
ness ;  falling doAvn, Avith cries, foaming at the mouth, the
thumbs flexed into the palms of the hands.   The loss of con- 
EPILEPSY--ST. AITUS'S DANCE.
19
sciousness is the most essential symptom, not the Aiolence of
the convulsions.  The weakest convulsion, with unconscious-
ness, is epilepsy,  Avhile the most violent  convulsion, but with
consciousness, is  not epileptic.
  Most of the epileptic patients can be cured, but it requires
the attendance of a skillful homoeopathic practitioner.  We
refrain, therefore, from mentioning here any more of the treat-
ment of this disease, but that which relates to the attack itself.
  Treatment.—A patient in an epileptic fit  must be  placed
in a position  in which  he  cannot hurt  himself; give him,
however, full liberty-of his OAvn actions, Avithout holding him,
or forcing open his  thumbs, which is of no use.  Let him
smell on  Camphor spirits.   If convenient, put between his
teeth  a cork or piece of wood, to prevent his tongue  being
injured. As soon as possible,  giArehimone dose (four glob.)
of Belladonna;  or if his face is dark and congested, his breath-
ing very hard and snoring,  a dose of Opium (four glob.).

              St. Vitus's Dance.   (Chorea.)
  Diagnosis.—Involuntary motions of single members or the
whole body, Avandering from one part to the other.  The pa-
tient retains full  consciousness, Avhich is  a distinctive feature
of this  disease from epilepsy.   It varies very much in degree ;
occurs most frequently at the time of the development of pu-
berty, from the  seventh to  the sixteenth  year, more among
the female sex, more in moist regions  on the sea-coast than in
more  elevated  places.   It  may occur, also,  as  an epidemic,
and is then  infectious, particularly Avhen large crowds  meet.
It is not a dangerous disease, but troublesome, and may lead
to other derangements;  ought to be attended  to, therefore,
immediately, as,  in such a case, it can easily be cured.
  Treatment.—As Ave recommend our readers to apply, in a
case of this kind, to  a homoeopathic physician  at  once, we
limit our remarks on the treatment to a feAV remedies, which
may be given in  the beginning. 
20
general diseases.
   Ignatia, every evening a dose (six glob.) for  eight  days;
 after it,
   Sulphur,  every other evening a dose (six glob.) for eight
 days, and then discontinue  for three or four weeks, to  await
 the effect.
   Diet and Regimen.—No greasy substances, no coffee or tea,
 but good plain food.  Try to divert  the  attention of the  pa-
 tient from his disease;  never speak of it in his presence.

              Tetanus.   Trismus.   (Lockjaw.)
   Diagnosis.—Constant spasmodic contraction of one muscle,
 or all the muscles.  According to the parts affected and the
 direction in which the body is drawn, the disease has received
 different names ; which distinction  does not come, however,
 within the limits of our description, as such severe diseases
 as these will require medical aid.  We intend here  to  ppeak
 more especially of one form of tetanus, called trismus or lock-
 jaw, which is of frequent occurence in southern latitudes, and,
 from its quick termination, requires prompt action, and, there-
 fore, domestic attention.

                  Lockjaw.  ( Trismus.)
  It arises immediately after a wound has  been  inflicted, in
 consequence  of  the violent pain and nervous irritation,  in
 which case it proves fatal  in a Arery short time;  or it occurs
 in the first few days after the  infliction  of a wound, during
its inflammatory stage, or from eight to ten days afterward,
while the wound is healing and suppurating, without any pain
 and inflammation.   The exciting causes are, mental affections,
taking cold,  corrupt air, foreign bodies in the wound, tension,
 and  distraction of single fibers  in  the  wound.   The  most
 dangerous are the stitch-wounds in tendonous parts, as in the
 sole of the foot and the  palm of the hand.   The pulse fre-
 quently remains  normal,  the head free, yet there  is  great
 anxiety  and oppressed breathing. 
SOMNOLENCY--LETHARGY.
21
  Treatment.—Enlarge the wound, if possible, and poultice
it with bread and milk.  Beside, give the following remedies :
  Arnica.  In the beginning, externally, in a wash or fomen-
tation ; internally, in  globules  or drops, every tAvo  hours a
dose (four glob, or one drop).
  Belladonna and Lachesis, in  alternation, in the same dose
and  time, if the spasms increase.   If no improvement after
twelve hours takes place, give Opium and Hyoscyamus, in the
same manner.
  Secale, if the patient feels worse in the warmth.
  Ignatia, if the patient grows worse, whenever touched or
handled.
  Rhus and Ignatia, in case the body is bent backward, in the
form of an arch.   Administer it in the same manner.
  Stramonium, in the  same form of lockjaw, if the two former
remedies were of  no avail.
  Diet and Regimen.—The same as in fevers.

                 Somnolency.   Lethargy.
  Diagnosis.—A sleep, continued beyond the natural time, for
days or weeks.  During this  time, short  intervals  of waking
intervene, but  the patient soon relapses into  sleep  again.
Nourishment can  be  given only by injecting fluid aliments;
otherwise, the functions of life  are not disturbed.
  In such cases, a physician will be consulted;  but, up to the
time of his coming, the following medicines may be given.
   Opium, if the pulse is full and slow, the breathing snoring,
and the face very red, even dark;  every three  hours a dose,
or until better.
  Belladonna, if the head is hot and the feet are cold; pulse
accelerated and hard.
  Lachesis,  if the pulse is very weak; beside,  Aconite, Vera-
trum, Pulsatilla, Phosphoric acid, one after  the other, if ne-
cessary. 
22
GENERAL DISEASES.
     Fatigue,  Overheating, and Mental Exhaustion.
  Arnica, for a feeling as if the body were bruised, after over-
exertion of the body, and too long and fast traveling on foot;
wash the fatigued limbs in  water, with which a few drops of
the Arnica tincture has been mixed.
  Rhus :  Pains in  the joints.  After Arnica, if this was not
sufficient.  In alternations  with Bryonia, if there are shooting
pains in the small of the back on moving.
   China: Weakness  after loss  of fluids,  or heavy  perspi-
rations.
   Veratrum, if persons are so fatigued as to cause fainting, in
alternation with Ipecac.
   Coffea  and  Camphor,  in alternation,  when the system is
exhausted by disease, abstinence from food, or violent exercise.
   Cocculus and Xux Vom., if  caused by long night-watching.
  Aconite, if, with weakness,  there is palpitation of the heart,
pain in the side, difficulty of  breathing, aching  in the limbs,
from running fast;  and then  in alternation Avith Bryonia.
   Cocculus, if the least  exertion  causes fatigue, followed by
Veratrum and  Calcarea, if  necessary.
  Administration.— Dissolve twelve  glob, of a remedy in
half a teacupful of  water,  and give, every half-hour or hour,
a teaspoonful,  until better.
  If overheated by bodily exercise in the summer, take a little
brandy and water, and no cold drinks until restored again; or if
possible,  take a Avarm bath for twenty minutes.   If the limbs
feel sore, rub with Arnica, or alcohol in which soap is dissolved.
  For mental exhaustion by over-study or anxious night-watch-
ing, take  Xux  vomica; if  very much  excited and sleepless,
Coffea; if  Avith fullness of  the head, Belladonna.
            Fainting, Swooning.  (Syncope.)
  Nervous persons, particularly females, are subject to faint-
ing fits, excited by  various causes, external or internal.   The
first thing to be done is, to lay the patient quietly on a bed or 
FAINTTNG--SAVOONTNf:.
23
couch, Avhere  the fresh  air is accessible; loosen everything
tight  about the neck, chest, and stomach, and sprinkle cold
water in the face, for a minute or two; during this time some
one has procured spirits of camphor, which now may be held
under the nose, to be inhaled.  This, in most  cases, is suffi-
cient to restore the patient for the time, Avho  must now be let
alone, to gather strength.  If the cause of the fainting can be
ascertained, one of the folloAving remedies may be  given, to
destroy the bad consequences  which the  attack may have on
the nervous system.
   If caused by fright, Aconite, Opium, Sambucus, Staphysag.,
 Veratrum.
   By excessive joy,  Coffea, Aconite, Opium.
   By anger, Pulsatilla, Platina, Xux vom., Chamomile.
   By excessive pain,  Veratrum, Aconite,  Chamomile.
   By the slightest pain, Hepar.
   By grief, mortification, Ignatia, Colocynth, Platina, Mercury,
 Phosphor, acid, Staphysa,g.
   By fear, Ignatia, Pulsatilla, Veratrum, Opium.
   By depletion, blood-letting, etc., China,  Carbo veg., Veratrum,
 when, also, a little Avine or brandy and water may be given.
   Administration. — Dissolve twelve glob,  of the  selected
 medicine in half a teacupful of water, and give, every five  or
 ten  minutes,  a teaspoonful.   If not relieved in twenty  or
 thirty minutes,  prepare and give another remedy in the  same
 manner.
                    Apparent  Death.
   Whenever a sudden extinction of life appears, our suspicion
 must be aroused, as regards  the real or apparent  death  of
 the individual, in as far as we  frequently might be able to
 restore the apparently dead to  life again, if we would only
 take the trouble and have the  patience to use the requisite
 means.  And even when these  are applied, it is  often  done
 in an unsystematic manner.
   As most cases of  apparent  death occur under violent cir-
        5 
24                 general diseases.
 cumstances, such as droAvning, hanging, etc., it is quite natu-
 ral that the minds of the  by-standers  become agitated  and
 confused, not knoAving what is first to be done.   This uncer-
 tainty and  hurry of action, however,  cannot produce  any
 favorable results in resuscitating the apparently dead.
   It is of the utmost importance to remain self-possessed, to
 reflect well, and then to do only one thing at a time, until all
 available means to restore life are exhausted.  There are a
 great many accidents in life, by which its existence is put in
 jeopardy.   We  will enumerate them here, and  the means
 which ought to be used.   On poisoning, we  give a  separate
 chapter.
              1.  Apparent Death from Hunger.
   If starvation was the cause of an apparent suspension of
 life, inject small quantities of warm milk mixed with a very
 little  brandy or  Madeira wine ; beside,  lay cloths, dipped in
 warm milk and brandy, on the  stomach.  Do not attempt to
 give any nourishment by the mouth, until after  the patient
 has commenced breathing again,  at which time the  warm
 milk may be given to him, drop by drop, through the mouth.
 Increase the doses of milk very gradually, until  the patient
 can take a teaspoonful; then a  feAv drops of wine or brandy
 will be salutary.  After a while, give him small quantities
 of beef-tea, or other broth.  Solid food  is not allowed, until
 after the patient has had  a sound, healthy sleep  ; and even
then,  he has to be very careful  in  not eating too  much at  a
time,  or indulging in anything indigestible.

            2. Apparent Death from Drowning.
   The following  cautions ought to be observed.
   1. Be quick, but not rough, in all that has to be done.
   2. Do not roll the body on casks.
   3. Do not hold it up by the feet.
   4. Do not rub the body with salts or spirits,  nor inject
 smoke or infusion of tobacco. 
apparent death.
25
  5. Do not bleed the patient.
  But do the following immediately :
  1. Convey the body, carefully, in a raised position, to the
nearest house, if possible;  or, if not, lay it  on a dry, sandy
place, in the hot sun.
  2. Strip  the  body, and rub it  dry; then wrap it in warm
blankets, either in a warm bed, or in heated sand or ashes,
until  other means  of warming the  body  can.be procured,
such as bottles  of hot water,  warming pans, heated bricks,
etc.,  which may be applied  successively on  the  stomach,
spine, thighs, under the armpits, and soles of the feet.
  3. Wipe and cleanse the mouth, nostrils,  and throat,  care-
fully ; during this operation the body may  be turned  on its
side, the head bent forward, to allow the water to run out of
the mouth; all  the water which can run out is in the mouth.
  4.  Rub, continually and briskly, the whole body Avith the
hands, or with warm cloths.   Do not suspend, however, the
use of the other means.
   5.  From time to time, try to inflate the lungs of the patient,
by introducing into  one of the nostrils the pipe of a pair of
bellows, carefully closing the mouth and the other nostril;
blow the bellows gently until the chest rises, then  set the
mouth and nostrils  free,  and press  lightly on the chest,  to
eject the air from the lungs; after which, the same process
must be repeated and continued for some  time.
   6.  Immerse  the body, if possible, in a warm bath, at blood
heat.
   7.  Electricity or galvanism may be used.
   8.  Put a few globules of Lachesis and, afterward,  Opium
 on the tongue of the patient.
   9  Continue this treatment for,  at least, four or six hours ;
 even if  then no signs of life appear, do not remove the body
 immediately from its position, but wait until signs of decom-
 position are manifest.
   If, however, the  patient  recovers  and can swallow, give 
26
GENERAL DISEASES.
him small  quantities of warm wine or brandy and water.
Beside, watch  him  and  attend to his further wants  care-
fully.
             3.  Apparent Death from Freezing.
   See  "Frozen Limbs," page 39.

             4. Apparent Death from Lightning.
   Remove the body into  the fresh air, and, immediately, dash
cold water on face, neck,  and breast.   If  possible, cover the
body all over (except the face) -with newly excavated earth.
These  means are  the best,  because water  and wet ground
are good conductors  of electricity, with which the patient's
system is surcharged  at the time.  Inwardly, give him, from
time to time, a feAv globules of  Xux vomica, of which, also, a
solution may be injected.
   If the patient recoATers, remove him to a light, sunny room,
where  he should be kept quiet for some time, Avithout mental
excitement.
   5. Apparent Death from Hanging, Choking, or Suffoca-
               tion by Burdens and Pressure.
   Tight clothing must be removed,  and the patient placed in
an easy, half-erect position; the neck  not bent forward too
much.   Then rub him gently, but steadily, with the hands or
warm  cloths,  and  give,  inwardly, from time  to time,  a feAv
drops  of the following mixture : five drops  of laudanum or
tincture of Opium in  four  tablespoonfuls of water; of Avhich,
also, injections may be made ;  five  drops  of the mixture to
each injection.   Afterward,  apply  means for warming the
body, such as heated bricks, bottles of hot water, etc.
   If this has been continued for an hour or two, and still no
signs of life  appear, mix a drop of Prussic  acid in a  tumbler-
ful of water, or pound a  bitter almond fine  and mix it in  a
tumblerful of Avater,  and put a feAv drops of either of these
mixtures on  the tongue from time to time. 
APPARENT  DEATH.
27
  After recovery, treat the patient as stated under the head
"Apparent Death from Drowning."

         6. Apparent Death from Xoxious Vapors.
  Remove the body  into  cool, fresh  air; dash  water over
neck, face, and breast, and treat it, in  general, as is  recom-
mended under the head "Apparent Death from Drowning."

           7. Apparent Death from a Fall or Blow.
   After the sufferer has been  placed in a half-erect position
on a bed  or  couch, put on his tongue a few  globules  of
Arnica, and wash the parts which have been hurt by the fall
or blow with  a solution of the tincture of Arnica and cold
water (twelve drops of the tincture in half  a pint of  water);
also,  give injections of the same mixture.  Then  examine
 care'fully the  patient's condition as regards fractures of bones
 or other  injuries, and do not  allow him to be  bled, if the
 pulse is small and quick; but if full  and slow, he may be
 bled, with advantage.
    Continue, however, the use  of Arnica, internally  and ex-
 ternally, except after bleeding, when  a dose (four glob.)  of
  China may be given, if much blood has been taken.

        8.  Apparent Death from Violent Mental Emotion.
    See the article on  "Fainting, Swooning," page 22. 
    CHAPTER  II.

CASUAL  DISEASES
                 I.   External  Injuries.
  As this subject commands such a wide sphere of action,
including  as it were the whole  art of surgery, it would be
impossible to do it justice in a  treatise like this, except we
were able  to condense it in a lucid manner, showing the ap-
plication of a  few medicinal agents and  mechanical appli-
ances, and pointing at those principles, on the strength of
which they are used.  Thus,  every one can easily be  pre-
pared to do, if not  all, what could be  done right;  at least,
not to do  wrong, in  cases where circumstances require  him
to do something.
  In the term  "external injuries," are comprehended,

   1. Fractures of Bones.
   2. Dislocations of Joints.
  3. Wounds  and Bruises.
  4. Sprains  and Concussions.
  5. Burns and Scalds.
  6. Poisoned Wounds,  Stings of Insects, etc.
  7. Frozen Limbs, etc.

                 1. Fractures of Bones.
  It is all-important, from the first, to know whether a frac-
ture has taken place, and to what  extent.   Its  immediate
reduction  is not so  necessary, as this  can be  done, just as
      (28) 
fractures of bones.                29
conveniently and better, after the first wound fever  has disap-
peared.
  The fracture of a bone is presumed to have  taken place,
when the force and direction of the injury or accident were
sufficient to accomplish it.  Its  certainty, however, is estab-
lished, when, on closer examination, we find the injured limb
shorter, in  some measure deformed, unable to  move, when
the patient  feels stinging pains on the injured  place, and
when we  can hear on handling this spot,  a crepitation, that
is, a grating noise, which is produced when the two broken
surfaces of the bone are  rubbed together.
  There  are a number  of terms to indicate the nature and
extent of the injury sustained by a fracture.
  It is called  a simple  fracture, when  the bone  is broken
without any severe contusion or external wound.
  A compound fracture is attended by an external wound or
protrusion of the broken bone through the skin.
   Complicated is a fracture, when the bone is either broken
in more than one place or is attended by other  severe inju-
ries, such as lacerations of flesh, ligaments, larger blood-ves-
sels, etc.   In a transverse fracture the bone  is broken in a per-
pendicular direction to its axis, while in the oblique fracture
this is not the case.  If the bone is broken into several pieces,
the fracture is called a comminuted fracture.
  Treatment.—Put the  patient in a comfortable position ;
move the broken limb or part  as  carefully as possible, and
compare  its formation with the corresponding  healthy one.
If it is possible, without much exertion, to straighten its form,
do so, even if temporary extension of the broken parts Avould
be required to bring them together ; then put a compress
around the broken parts, on top of which place  four strips
of pasteboard or shingles, which are to be kept in their places
by  a circular  bandage, not fastened too  tight.  Over  the
whole pour, from time to time, a mixture  of cold water and
Arnica tincture (twelve, drops of the tincture  to half a pint 
30
EXTERNAL injuries.
 of water, well  mixed) ; put the limb in a comfortable  pos-
 ture, by pillows, etc.; keep the fractured parts wet, and give,
 internally, a drop or two of Arnica tincture every six or eight
 hours.
   After the second or third day of the  injury, when by the
 use of the Arnica the bruises and contusions of  the limb have
 healed, prepare and use the tincture  of Symphytum in the
 same manner as directed under Arnica.   The  use  of  Sym-
 phytum accelerates the adhesion of the broken  parts.
   The attention  of a surgeon  must be sought, at any rate;
 but if he  cannot be had, a repetition of the above bandag-
 ing  on the  third, sixth, and twelfth day, etc.;  will be  suffi-
 cient to insure the healing of the fractured parts.
  In fractures of the skull, do nothing more than  apply cold
 water and Arnica, as above stated, until a surgeon arrives.

                2.   Dislocations of Joints.
   Compare the dislocated part with the corresponding healthy
 one, and consider, quietly, Avithout being confused,  whether
 it can  easily be brought back, for Avhich purpose a few trials
 may be made.   If,  hoAvever, this should be  too hazardous,
 desist  from  any further attempts,  but use cold  water and
 Arnica, as stated in  "Fracture of Bones," and wait for the
 arrival of a competent surgeon.   If bandages are necessary,
 their use must be to  confine the joint for some time in the
 same position after it becomes set.

                 3.  Wounds and Bruises.
  Wounds are either incisive, lacerated, contused, punctured, or
gunshot wounds, according  to the various instruments which
 have inflicted them.
  Our object is to heal them  as quickly as possible, as cir-
 cumstances will allow.   This is done, by bringing their edges
 immediately in close contact and keeping them  there by ad-
 hesive plaster or  sutures, Avhich is the quickest mode of heal- 
WOUNDS AND BRUISES.                 31
ing wounds, particularly those of the incisive kind.   In some
wounds the edges  cannot be brought together, because the
flesh is lacerated or bruised.   Cases of this kind have to heal
by means of suppuration,  by which  healthy granulation  is
produced, gluing as it Avere the parts together.   This process
applies to all the other kinds of wounds, including the punctured
and  gunshot Avounds.  One  important consideration  must
always be kept in view: never to allow the surface of a wound
to heal or close before it is certain that its deeper parts have
firmly adhered.  This can be prevented  by introducing lint
to the bottom of the Avound, renewing it  as often as necessary,
at least once a day, and cleaning it with lukewarm water.
  The first thing to be done, in  attending to a wound, is to
clean it, by cold water, from all foreign bodies which may be
in it.  Splinters  must be  extracted  carefully, and the hem-
orrhage stopped,  which, in most cases, ceases after the appli-
cation of cold Avater  mixed with a feAv drops of Arnica tinc-
ture (see "Fractures"); if it does not stop, however, or  if
the blood gushes out  of the Avound in jets, and is of a bright
red  color (arterial  blood), try to compress the Avound Avith
lint dipped in arnica-Avater, overlaid with a sponge ; and if this
does not succeed, compress Avith the fingers the artery above
the wound (on a place nearer to the  heart), which  can be
found on the inside  of a  limb, indicated by the beating of
the  artery ; if this cannot be done,  bind around the whole
limb, above the  wound, a handkerchief,  as tight as is neces-
sary to stay the hemorrhage.   If the patient has lost a great
quantity of blood,  give him some good Avine and a  few doses
of China ; he will  feel stronger in a  short time.  When this
is done, dress the  Avounds, either with adhesive plaster (if
they  are cut  or  incisive wounds), or loosely with  lint kept
constantly Avet by cold water mixed with Arnica tincture (see
"Fractures").   Give, internally, a few drops of Arnica tinc-
ture in water, and place the patient in a comfortable position.
   Contused and bruised wounds allow  of a certain degree  of 
32
EXTERNAL INJURIES.
  compression, by adhesive plaster, after the inflammation has
  left, to make  the  edges adhere more closely;  this  can be
  done afterward.
    Another important consideration is, to keep healing wounds
  well cleansed, by means of alloAving the secreted matter to
  escape  easily in the  lint spread over the wound to keep off
  the  air,  Every  day a  suppurating wound  ought  to be
  cleansed and bathed freely in lukewarm water.  If a wound
  inflames, becomes hot, swollen, and painful, put  a warm bread-
  and-milk poultice over it, until it feels easier; internally, give
  Chamomile,  Belladonna,  and Hepar,  alternately, every  two
 hours a dose (four glob.).
   If a wound fever sets in, give Aconite, Chamomile, and Bel
 ladonna, in alternation, in the same manner.
   If lockjaw should appear,  see page 20.
   N. B. Although Arnica tincture is recommended above in
 all kinds of wounds as the  proper outward application, yet
 Calendula tincture is best after Arnica, in  all  contused  and
 lacerated wounds.
   If a wound suppurates too freely, or secretes  unhealthy
 matter, give  Hepar and Silicea, in alternation, every evening
 a dose (four  glob.),  until better.

               4.   Sprains and Concussions.
  These are caused by falls, lifting of heavy weights, jerks,
 false steps, etc.  Bruises, Avounds, or fractures, Avhich may
 attend them,  have to be treated first.   If the patient is free
 from them, however, put him at  once in a  comfortable  po-
 sition, and use, externally, a mixture of cold water and Ar-
 nica tincture,  particularly when the  parts are black and blue
 (bloodshot); after it, Rhus in  solution, when  the joints, mem-
branes, and tendons, are more affected.  This latter remedy
is also suitable for the bad consequences  of  lifting too heavy
weights (strains).
  Internally give Bryonia  and Rhus in alternation, every four 
BURNS AND SCALDS.
33
hours six globules, until the patient  feels relieved from the
stiffness and soreness in the limbs.
  Diet,  must  be light, no  meat or  stimulating drinks are
allowed; gruels and lemonades are recommended,

                  5.   Burns and Scalds.
  Slight degrees of these injuries heal quickly by holding the
scalded  parts to the fire (if that is  possible), or fomenting
them with warm alcohol, or covering them with a plaster of
Castile soap.  But burns and scalds increase in importance
and  danger, in proportion  to the  depth and extent  of the
injury, which, if very great, threatens the life of the patient.
If more than one-half of the surface of the skin  is deeply
scalded, the sufferer will seldom recover.
  A great many  remedies  are  recommended for burns and
scalds, but their usefulness must be determined according to
the  quickness  with Avhich they can be  procured, their  easy
applicability, and, lastly, their specific effect on  the burns,  as
such.
   Treatment.—The  best remedy in slight  cases is already
mentioned above.   In severer cases, and even the worst, use
 Castile soap, scraped  and mixed with water to a thick lather;
spread it on strips of linen or cotton cloth, to the thickness  of
the sixth of an inch; then spread it  over the wound, taking
care to cover Avith soap every burned part, and keep it moist
for awhile with cold water, Avhich may be  dropped  on top,
very sparingly, from  time to time.  Let these plasters remain
until they drop off themselves; or, if matter forms  under-
neath, remove them and dress the wounds with  a salve made
of equal parts of sweet oil or linseed oil and lime-water, which
is a very good remedy in the beginning, if it only could be had
 quick enough.
   Another remedy, easy of access, is raw cotton, with which
the burned parts  must be covered, pressing  it lightly on the
 wounds. 
34
EXTERNAL INJURIES.
   If a person has inhaled hot steam, or has burned his throat
 Avith hot liquids, give him, of a solution  of Castile soap  in
 whisky or alcohol (which can be made very soon, by scraping
 soap into the liquor and  shaking  the bottle well), every five
 or ten minutes, two or three drops in water, lengthening the
 intervals as the patient gets better.
   N. B.  Every steamboat ought to be provided with a  bottle
 of spirits of soap, decidedly the best remedy for these internal
 burns, as it acts specifically on the injured nervous system and
 composes immediately.
   Another  remedy is the tincture of  Urtica urens (stinging
 nettle), of which each homoeopathic medicine chest contains a
 bottle.   Apply it in a manner similar to  the Arnica tincture
 (twelve drops to a pint of water).   For internal  burns, put
 three drops of it in a teacupful  of water, and give, every five
 or ten minutes, a teaspoonful, until better.
  If the burns ulcerate, Avash them with a solution of twelve
 globules  of Caustic in half a teacupful of water, three times
 a day, and give, internally, Hepar  and  Silicea, alternately,
 every evening a dose  (six glob.) until better.
  Diet and Regimen.—The  diet must be light, as in fevers;
 but Avhen ulceration takes place, give stimulating  diet, beef,
 etc., even brandy and water.   If a diarrhea ensues during the
 healing of  the burns,  do not disturb it by giving medicine for
 it (except it be too excessive), as it is a critical discharge, the
intestines supplying by their action,  the interrupted functions
 of the skin.  When dressing the  Avounds, open the blisters
Avhich have formed, remove as much  of the  skin as can be
 done easily, and take care that the patient is not exposed to
currents  of air during this operation, which  must not last  a
longer time, nor be oftener repeated, than is  necessary; but,
if the patient should have taken cold, in consequence of Avhich
the wounds pain A-ery much and become inflamed, red, SAvollen
 (a kind of  erysipelas  in the  scalded parts), give Aconite and
 Belladonna, in alternation, every two hours a dose, and dress 
POISONED wounds.
35
the wounds Avith dry lint;  but if the Avounds were  already
suppurating when this took place, give Chamomile, Belladonna,
and Hepar,  in the same manner, and dress  the wounds with
a warm poultice  of bread  and milk, until suppuration  com-
mences again and the fever leaves.

  6.  Poisoned Wounds.  Bites and Stings of Insects—
     Bees, Spiders, Bugs, Musquitoes,  Snakes, Mad Dogs.
  In injuries from the above named animals, except the two
last (which are treated of below), cover the injured part with
wet or damp earth,  immediately, and then  wet  it afterward
with a mixture  of cold water and Arnica tincture (twenty
parts to one).    Internally, give Arnica and Camphor, every
three or four hours a dose (four glob.) until better.
   In the treatment of wounds inflicted by venomous snakes
and mad dogs, and of their immediate or distant consequences,
hydrophobia, etc., there exists yet a great deal of uncertainty
and diversity of opinion.   The old  school has at least retired,
as it seems, from further investigation on  the  subject (their
last trial was that of using  Chloroform and Ether); and it
befits homoeopathists the more to  promote farther investiga-
tions,  as  they alone possess the true means  to shorten  the
labor  in  discussing the merits of a proposed remedy.  As
 experiences in this class of diseases occur  so rarely, the  ob-
servations  and  opinions will be slow in  forthcoming.   We
prefer to give those of Dr. Hering, as follows:
   The best remedy against the bites of venomous serpents, mad
dogs, etc., is the  application of dry heat at a distance. What-
ever is at hand at the moment, a red-hot iron or live coal,
or even a lighted cigar, must be placed as near the wound as
possible, without, however, burning the skin, or causing too
 sharp pain; but care must be taken  to have another instrument
 ready in the fire, so as never to allow the heat to lose its  inten-
 sity.  It is essential, also, that the heat should not exercise its
 influence over too large a surface, but only on the wound and the 
36
EXTERNAL INJURIES.
 parts adjacent. If oil or grease can be readily procured, it may
 be applied round the wound, and this operation should be re-
 peated as often as the  skin becomes dry; soap or even saliva
 may be  employed, where  oil or grease cannot be obtained.
 Whatever is discharged in any way from the wound ought to
 be carefully removed.  The application of burning heat should
 be continued in this manner until the patient begins to shiver
 and to stretch himself;  if this takes  place at the end of a few
 minutes, it will be better to keep up the  action  of the  heat
 upon the wound for an hour, or until the affections  produced
 by the venom are observed to diminish.
   Internal medicines must be judiciously administered at the
 same time.  In the case of a Bite from a Serpent, it will be
 advisable to take, from time to time, a gulp  of salt and water,
 or a pinch of kitchen salt, or of gunpowder, or else some pieces
 of garlic.
   If, notwithstanding this, bad  effects manifest  themselves,
 a spoonful of wine or brandy, administered every two or three
 minutes, will be the most suitable remedy; and  this should
 be continued until the sufferings are  relieved, and repeated  as
 often as they are renewed.
   If the shooting pains are aggravated, and proceed from the
 wound toward the  heart, and if the wound becomes  bluish,
 marbled,  or  swollen, with vomiting,  vertigo,  and fainting,
 the best medicine is Arsenic.   It should be administered  in a
 dose of four globules in a teaspoonful of water; and if, after
 this has  been taken, the sufferings  are still aggravated, the
 dose should be repeated at the end of half an hour; but if, on
 the contrary, the  state remains the same, it  should'not be re-
 peated until the end  of two or  three hours; if there is an
 amelioration, a new aggravation must  be waited for, and the
 dose ought not to be repeated before  its appearance.
  In cases in which Arsenic exercises no influence, though re-
peated several times, recourse must be had to Belladonna;
 Senna also frequently proves efficacious. 
poisoned wounds.
37
  Against chronic affections arising from the bite of a serpent,
Phosphor, ac. and Mercury will generally be most beneficial.
  For the treatment of persons bitten by a mad dog, after the
application of  dry heat, as directed and described above, see
"Hydrophobia," below.
  If morbid affections or  ulcerations exhibit themselves  in
consequence of a bite from a rabid man or animal, hydropho-
bine, administered in homoeopathic doses, will  often render
essential service.
  For wounds that are envenomed by the introduction of ani-
mal substances in a state of  putrefaction, or of pus from the
ulcer of a diseased man or  animal, Arsenic is generally the
best medicine.
  Lastly, as  a preventive against bad effects, when obliged
to touch  morbid animal  substances, envenomed wounds,  or
ulcers of men and animals under the influence of contagious
diseases, the best method that can be pursued is  the applica-
tion of  dry burning heat at a distance.  To effect this purpose, it
will be  sufficient to expose the hands  for five or ten minutes
to the greatest heat that can be borne;  and after  this, it will
be proper to Avash them Avith soap.
  The use of  Chlorine and muriatic acid, in similar cases, is
well known.
  Hydrophobia.—Apply distant heat to the recent wound, as
described  under "Poisoned Wounds,"  or until shudderings
appear ; and continue this practice three or  four times a day,
until the wound is healed, without leaving a colored cicatrix.
  At the  same  time the  patient should take, every five  or
seven days, or as often as the aggravation of the wound re-
quires it,  one  dose of Belladonna or Lachesis, or  also of hy-
drophobic, until the cure is completed.
  If, at the end of seven or eight days, a small vesicle shows
itself under the  tongue,  with feverish  symptoms, it will  be
necessary to open it with a lancet or sharp-pointed scissors and
to rinse the mouth with salt and water. 
38
FROZEN LIMBS, ETC.
  If the raging state has commenced before  assistance can
be procured for the patient, the  medicines that ought  to be
administered will  be according  to  circumstances, especially
Bellad. or Lachesis; or  else, again, Cantharides, Hyoscyamus,
Mercury, or also Stramon. or Veratrum.

                 7.  Frozen Limbs, etc.
  If limbs, ears, fingers, nose,  etc., are frost-bitten, rub  them
with snow, or  put them  in the  coldest water, and then, by
degrees, let the water be warmer, until a natural feeling re-
turns again.   If the person is in a state of insensibility  from
being  frozen apparently  to  death, undress  him  carefully
(cut the clothes off  from  him) and  cover him all over  with
snow, leaving the mouth and nostrils free.  As the snow melts,
renew it.  If no snow can be  had,  put him into a bath of
water, cold as ice, in which he may lie from  ten to fifteen
minutes; afterward, continue to rub  with snow, or cover him
with bags containing pounded ice.   If in this  way, the  body
has thaAved by degrees, and the rigidity of the muscles re-
laxed, dry the body carefully, and place it in a cold bed in a
cool room,  and begin to rub, under  the  bedclothes with the
warm hands only,  all over.  In this Avay continue for hours.
  If signs of life show themselves, inject a little camphor and
water; also,  put a drop of spirits of camphor on the tongue,
from time to time.
  If more signs of life appear,  give warm black coffee (with-
out milk), in injection and in small quantities by the mouth,
until he can take more by the latter.
  If severe pains  in the Avhole body appear, give Carbo veg.
(twelve glob, dissolved in half a teacupful  of  water), eATery
fifteen  or twenty  minutes a teaspoonful, in alternation  with
Arsenic, if  necessary, until better.
  The patient  must avoid  the heat  of fire or of a  stove for
some time. 
POISONS.
39
                        II.  Poisons.
   Of the poisonous substances which can be  introduced into
the  system, those  are the  most  deleterious  and  pernicious
which have the readiest facility of assimilation; consequently,
the animal poisons rank  first, then come the vegetable, and,
lastly, the mineral poisons.
   The  animal poisons  show their effects immediately on the
nervous system, through  the  blood.   The poison  of snakes,
for instance, while introduced into the stomach, is of no dan-
gerous consequence.   The vegetable poisons must be carried
into the blood by digestion before their effects  become dan-
gerous.   The mineral poisons kill only by corroding  the sur-
face,  with which they come in contact, creating inflammation,
which has a great tendency to pass quickly over into gangrene
or mortification ;* their bad effects on the system, afterward,
are more lasting.
   In cases of poisoning, the first thing to be done  is, to eject
the poison as soon as possible  from the system, by provoking
vomiting, f  or, to neutralize its action  by means of  suitable
antidotes.
  * This peculiarity of the mineral poisons, to kill only by corrosion of
the mucous membrane of the intestines, renders their use as remedial
agents in  diseases quite safe and  expedient, as they can easily be
divested of this poisoning or corroding quality, by reducing their crude
bulk (which alone can corrode or inflame) by trituration and subsequent
dilution, without diminishing in the least the curative effects of these
minerals.  For instance: one grain of Arsenic, in its crude state, would
kill- yet, if triturated with one hundred grains of sugar-of-milk, one
grain of this mixture would have lost all corroding or poisonous power,
retaining, at the same time, all the curative quality, and this m a more
developed form.  In this way, Homoeopathy can avail itself of all the
healing effects of the most deadly poisons, with the greatest ease and
safety while Allopathy stands trembling and in fear before these dread-
ful agents, not knowing how to tame their useless fury, or to  harness
these wild medicinal steeds to the car of Esculapius.
  t That, in such cases, Homoeopathists make use of emetics and other
violent means to eject poisons from the stomach, is not a proof that
       6 
40
POISONS.
   To produce vomiting, the folloAving means may be resorted
 to, in preference to the so-called emetics, which the allopathic
 school has hitherto employed:
   1. Tepid water, in large quantities  and often repeated.
   2. Snuff or mustard, mixed Avith salt on the tongue.
   3. Tickling of the throat with a feather or fine straw; or,
 lastly,
   4. Injections of tobacco smoke into the anus through a pipe-
 stem.
   To neutralize or mitigate the injurious effects of poison, the
 following  means may be used  as  each case  requires, which
 will  be shown below  under  the heading  of  each poison
 named.
   1. White of Egg,  dissolved   in water,  and thus  drank in
 large quantities,  is of the  greatest efficacy  in poisoning by
 metallic substances, particularly  Corrosive sublimate, Verdigris,
 Tin, Arsenic, Lead, Mercury, Sulphuric acid, particularly when
 there are  violent pains  in the  stomach and  bowels, Avith  or
 without diarrhea.
   In all cases in which  the  poison imbibed is unknoAvn, the
 white of an  egg is first given Avhen violent pains  in the abdo-
 men are present.
 they resort  to allopathic means,  as  allopathists, quite  sophistically,
 would make people believe.  It only shows that, in cases of this kind,
 the homoeopathic law cannot come into operation until these substances
 are removed, which act, as it were, as external  injuries  all the time,
 while they are buried in the stomach.  In the same  way, Surgery
 might be pronounced insufficient in its doings, because a surgeon cannot
 heal a wound  as long as the knife continues to lacerate  and even en-
large the wound.
  It  is evident that external injurious substances  (and such are all
poisons) must be  removed, just as a burning coal or a stinging blister,
before the injuries done  to the system can be  repaired by the proper
homoeopathic agents; and this is done by Homoeopathy more safely and
 quickly than by Allopathy, as the knowledge of antidotes  is further
advanced by the former, which is of the utmost importance  in curing
the after-effects of the poison. 
POISONS.
41
  2.  Soap (white household soap), one part dissolved in  four
parts of hot water,  is given in all cases where the white of an
egg, when indicated, was insufficient.
  In cases of poisoning by alkaline substances, it must be omit-
ted as injurious.
  3.  Vinegar (made from wine or  cider) diluted with water,
as a draught or in injections, alternately with slimy things, is
the principal remedy against alkaline substances, but is  very
injurious in cases of poisoning by minerals (the very opposite
of soap-water).
  4.  Sugar, diluted and given in water, can be administered
in cases of poisoning by mineral, as well as alkaline substances,
and  is, therefore, one of the  most valuable remedies in domes-
tic practice, as it can be most easily procured.
  5.  Milk and  Olive oil are substances not so well calculated
to envelope poisons in the stomach, as slimy, mucilaginous
drinks, made of pearled barley, linseed, or rice ; yet they may
be used with advantage against alkaline substances, and cor-
rosive acids, such as Xitric and Sulphuric acid.
  6. Mucilaginous drinks,  in draughts and injections, are very
useful against alkaline poisons, particularly in alternation with
vinegar.  They are made of barley, rice, linseed, farina.
  7.  Coffee — strong black coffee—taken  very warm, is the
principal  remedy for all  narcotic  poisons,  such as  Opium,
Xux vomica, Belladonna, Stramonium (Jamestown weed).
  8.  Camphor is principally efficacious against all  vegetable
poisons of an acrid, corrosive nature ; also, against Cantharides
(Spanish fly).
  The following table shows the proper and successive appli-
cation of the  above named remedies  in cases of poisoning
with the different substances alluded to. 
42
table of antidotes.
Table of Antidotes to the most powerful Poisons.
POISONS.
     I. ANIMAL POISON'S.
a.  Cantharides (Spanish fly)..
b.  Poisonous  fsh, clams,  muscles,
  etc.

c. Poison  of fat in  half putrified
  meat (Sebacic acid), as it appears
  often in cheese, sausages, ete.
  II. VEGETABLE POISONS, in
general,
a. Opium  (Laudanum,  seeds  of
  Poppy),  Stramonium   (Gymson
  weed),  Nux vom.,  Tobacco.
b. Gamboge, Euphorbia, and all other
  burning, corrosive vegetable sub-
  stances which produce  violent
  pains,
c. Sumach (Poison vine).........

d. Camphor and Saffron, .........

e. Spirits  of Turpentine, ..........

  III.  MINERAL POISONS.
a. Acids—Prussic or mineral acids,
Sulphuric, Muriatic, Nitric, Phos-
  phoric acid,
b.  Alkaline Substances—Pot and
  Pearl ashes, Lapis infernalis, Salt,
  and Oil of tartar,..............
ANTIDOTES.
Camphor, internally or by smelling;
  externally, use white of eggs and
  gruels.
Charcoal, Sugar and water, Black cof-
  fee, Camphor.—For eruptions and
  swelling of the face, Bellad., Rhus.
Vinegar and water, internally and
  externally as  a gargle, Lemon
  juice,  Black coffee,  Black  tea.
  For  the remaining  symptoms,
  Bryonia, Phosphoric acid, Creosote.
Require mostly Camphor,  by smell-
  ing, and Black coffee in a drink.
Narcotics, require particularly Black
  coffee and Vinegar  diluted with
  water.
Require  mostly  Soap-water  and
  Milk.
No external application, but, inter-
  nally, Belladon., Bryonia, Rhus.
Black coffee, until the patient vomits;
  afterward, Opium.
Opium, Belladonna, Bryonia.
Spirits of Hartshorn.
Tepid Soapsuds;  Magnesia; Chalk,
  powdered and mixed with water;
  Wood  ashes  mixed  with  water;
  Potash or Soda.
Vinegar, Lemon juice, and  other
  acids; sour  milk  mucilaginous
  drinks and injections. 
medicinal diseases.
43
POISONS.
c Metallic Substances—Arsenic.
Corrosive  sublimate, Copper,  Ver
  digi

Lead,.......
Lunar caustic,

Tin, ........
ANTIDOTES.
Soapsuds; white of eggs with water;
  Sugar  water;  Milk;  Rust  of
  Iron.
White of eggs in water; Sugar-water;
  Milk; Starch from Wheat flour.

Epsom salt; Glau her salt.
Common salt, dissolved in water.

Sugar, white of eggs and milk.
                 III.   Medicinal Diseases.
  The  abuse  of medicines,  prescribed often by allopathic
physicians,  and taken  in  large quantities, for a long time,
produces, frequently,  artificial  diseases, well-knoAvn  under
the name "Medicinal Diseases."  The most obstinate and dele-
terious  of these maladies  are  those  produced by vegetable
drugs, as their readiness to assimilate with the human system
is far greater than that  of minerals.  From this  it is evident
how foolish or deceptive the  conduct of those physicians is,
who pretend to use  in  their  practice only "vegetable  medi-
cines,"  as if this kingdom of nature did not  contain the most
noxious and violent poisons.
  In the following table, the  drugs are  put together with
their antidotes, which may be given as  the indications men-
tioned may require.    In administering  them,  it must be
understood, that all these  cases are more of a chronic nature;
consequently, the repetition  of doses is not required to be
made so often, say from  half a day to two, three, or more
days, until improvement takes place, or another remedy has
to be selected.
  Medicinal diseases are not so  easily cured  as natural ones,
because the  reactive  force  of  nature  (so important  in the
treatment of diseases in general) cannot altogether be relied
on in cases of  this kind. 
44
DRUGS  AND REMEDIES.
List of Drugs  causing Diseases,  and their Remedies.
1.  Opium, Laudanum,
  Paregoric.
2.  Mercury, Calomel.
3.   Quinine, Peruvian
  bark.
4.  Sulphur.
5.  Magnesia.
6.  Arsenic. (Fowler's
  solution.)
7.  Lead (used in oint-
  ments and in washes,
  as sugar-of-lead wa-
  ter, etc.).
8.  Iodine.
9.  Rhubarb.
10.   Chamomile.
11.   Cantharides—
  (Spanish fly).
12.   Asafmtida.
REMEDIES.
Coffea, Ipecac, Belladonna, Nux vomica, Mercury.

Hepar sulph., Nitric acid.
Against salivation and sore mouth, Hepar, Nitric
  acid,  Carbo veg., Sulphur.
Against ulcers in the throat, Carbo  veg., Nitric
  acid, Hepar, Belladonna,  Lachesis,  Sulphur.
Against nervous weakness,  China, Hepar, Lache-
  sis.
Against nervous excitability, Chamomile, Pulsa-
  tilla, Carbo veg.
Against sensitiveness to changes  of the weather,
  Carbo veg., China.
Against rheumatic pains, Neuralgia;  Carbo veg.,
  China, Lachesis, Sulphur.
Against ulcerations and swellings of glands, Bu-
  boes;  Carbo veg., Hepar, Lachesis, Nitric acid.
  Sulph., Thuja.
Against dropsical affections, China, Dulcamara,
  Hellebor., Sulphur.
Against Rheumatic pains, Am., Puis.—Dropsical
  swellings, Arsenic, Ferrum.— Congestions to
  the head  and bowels,  Bellad., Mercury.—
  Fever, intermittent, Ipecac, Pulsat., Carbo veg.,
  Arsenic.
Puis., Merc, Chin.,  Sep.
Colocynth, Ars., Rheum., Puis.
China, Ferrum, Ipecac, Veratrum,  Nux vomica.

Opium Belladonna, Platina, Nux vomica.
Bell, Phos., Hep., Spong., Chin., Ars.
Chamomile, Colocynth, Mercury.
Aconite, Ignatia, Pulsatilla.
Camphor, Aconite, Pulsatilla.

China Mercury, Pulsatilla, Caustic. 
CHAPTER III.
CUTANEOUS DISEASES.
  The skin, as the external covering of the whole body, is,
on account of its exposure  and extent, liable to many and
various diseases—from the slightest  redness, or rash, to the
most inveterate itch and leprosy.  The importance of its pre-
servation  is, therefore, obvious.  We divide the  diseases of
the skin into,
  1. Acute Eruptions, Eruptive Fevers,  etc.
  2.  Chronic Eruptions and Ulcers.

                  1.  Eruptive Fevers.
                          Rash.
  Diagnosis.—Frequently, after taking  cold,  particularly
with a disordered stomach, persons are troubled -with a rash
on different parts of the body, which appears in red spots, of
the size of a pin-head, scarcely, visible; however, more so in
a warm bed;  Avith intolerable itching, particularly at night,
preceded by shivering  toward evening, disturbing sleep, and
followed by feverishness during the night.
  In  such cases, the common practice heretofore  has been,
and is yet, where homoeopathy is not knoAvn, to put scorched
flour  on  the  parts  affected.  This  is  not, however,  Avithout
danger, and  ought not to  be resorted to immediately.  It
would be better first to  give some of the folloAving remedies
which will relieve, without driving  the disease to  internal 
46
CUTANEOUS diseases.
   Treatment. — If the  itching  is  intolerable,  with either
 shivering  or heat, restlessness,  sleeplessness, give Aconite,
 every hour one dose (four glob.).  If not better within two
 or three hours, give Chamomile, every two hours a dose (four
 glob.).  If perspiration follows this treatment, keep it up as
 long as necessary,  and give, the next day, a dose of Sulphur
 (four glob.).
   Diet  and Regimen.—The diet ought to be very light—
 farinaceous substances, gruels, toasted bread and toast-water
 —but no meat, or  soups of meat.  The patient must be kept
 in a dry, warm room.

             Nettle  Rash—Hives.   ( Urticaria.)
   Diagnosis.—A disease similar  to the former in origin and
 appearance, only that  the red spots, with a whitish tinge, ap-
 pear in groups, somewhat  elevated, and itch and prick intol-
 erably.  They resemble that eruption caused by contact with
 nettles.  Hence the name, nettle-rash.   Sometimes  the body
 is covered with these  spots, and then the  patient feels  sick,
 has no appetite, with a feeling of  fullness in the pit of the
 stomach.
   Treatment.—When caused by indigestion, particularly
 from rich and fat food, give Pulsatilla, morning and evening
 (four glob.).   When caused by taking cold, and accompanied
 with  diarrhea, bitter taste iii the  mouth,  and slimy coated
 tongue, give  Dulcamara, morning  and  evening a dose (four
 glob.).   When caused by taking cold in damp, wet  weather,
 exhibiting itself with pains in the limbs, shivering, and head-
 ache, give Bryonia and Rhus, alternately, every three or four
 hours a dose (four glob.), followed, in twenty-four hours, by
 a dose (four  glob.) of Sulphur, if necessary.  If not better
the third day, give,  evening and morning, a dose (four glob.)
 of Carbo veg.  When these remedies are of no avail, or there
is a  burning sensation, with  itching, great restlessness, and
 even an uneasy feeling, give two doses of Arsenic, every two 
            erysipelas, or st. Anthony's fire.          47

or three hours one (four glob.); and, the next day, of a solu-
tion of  Urtica  urens (one drop in six tablespoonfuls of water),
every three hours a teaspoonful.
   Sometimes this  rash  strikes in suddenly, when the patient
feels oppressed,  sick at the stomach,  and weak.   In such a
case, give immediately, Ipecac, (four glob.); in an hour after-
ward, Bryonia (four glob.), and, after that, in two hours, if
not better, Arsenic (four globules).   At the same time, cover
the patient Avell, to produce perspiration,  which Avill also be
promoted by warm drinks, particularly warm lemonade, if he
has no diarrhea  at the time.
   If a person  is  troubled with this disease for a longer time
than  common, or liable to it on the slightest occasions,  let
him take  Calcarea, every four days a dose (four glob.), in the
evening, and, if not better, in four or  six weeks, Lycopodium,
Sulphur,  Carbo  vegetabilis, Nitric  acid, in  the same manner.
   No external application whatsoever, should  be made, as
the disease might suddenly strike  in, producing  serious or
even fatal consequences.
   Diet must be simple ; no meat nor heating drinks ; nothing
but water,  black  tea,  gruels, dry toast,  baked apples, and
stale bread.

              Erysipelas, or St. Anthony's Fire.
   Diagnosis.—It is characteristic of this disease, that it appears
suddenly, on different parts of the body,  with heat, redness,
swelling,  tingling, and other painful sensations;  in severer
cases, the heat becomes intense on the parts affected, the sur-
face almost shines, the  pains  become burning and shooting,
and the skin rises in blisters filled Avith water (erysipelas bul-
losum).
   In such cases, an intense fever is  present, Avith its concom-
itant  gastric nervous symptoms, such as  a quick, full, wiry
pulse;  high fever, preceded  by  shivering  or  chill; tongue
coated, white or dry broAvn ;  great thirst; pains all  over  the
        7 
48
CUTANEOUS DISEASES.
 body; scanty and deep-colored urine;  intense headache, with
 sleepiness or wakefulness ; very sensitive to noise and light.
   The nearer to the brain this disease appears, as on the face,
 the ears, or the scalp of the head, the severer  the  symptoms
 of the head will  be, and, consequently, the  more  dangerous
 is the attack, so that delirium often ensues.
   In the so called "wandering erysipelas" (erysipelas errati-
 cum), the morbid spot disappears  from one place, changing
 into a yellowish hue, to reappear again on another,  in the form
 of redness and  heat, so that it frequently wanders from the
 left side of the  face, around the ear and neck to the right side,
 before the whole disease disappears.  In such cases, the face
 is very much swollen and  disfigured, closing, for a time, the
 eyes, nose, and ears.   If the scalp of  the head is attacked,
 the hair often falls off afterward.
   Causes.—In most  cases, exposure  to  cold immediately
 after the system has been heated or excited  by over-exertion
 or mental emotions, particularly with a previous derangement
 of the stomach; or, in females, during menstruation.  Some
 persons are  predisposed to it.  Certain kinds of food, at cer-
tain  seasons, Avill also produce it, such as lobsters, oysters,
 and  other shell fish ; also the abuse of alcoholic liquors.
   Treatment.—All outward applications ought to be aAroided
 as dangerous—at any rate, all Avhich are  greasy and damp.
 Erysipelas does not bear anything wet.   Salves and ointments
 are very dangerous.   If the itching and burning is too violent,
we may mitigate it a little, by  applying powdered starch
made of Avheat flour, but not until after having given some
of the following medicines internally.   The internal remedies
 are the most important.
   If the fever is  very  high, pulse full,  skin  dry, give  first a
few doses  of Aconite, one every two hours (four glob.), fol-
loAved by Belladonna, two doses, one every four hours (four
 glob.), which, in less seA'ere attacks of this disease, is alone suffi-
 cient.  In such cases, the patient improves  after twelve or six- 
erysipelas, or st. Anthony's fire.          49
teen hours, and no more medicine is needed;  he simply remains
at home a few days, until there is no more danger of taking cold.
  In severer cases, however, when after* the above treatment
the symptoms do not abate, give  Lachesis, two  doses, every
three hours one (four glob.), particularly if the patient  com-
plains of dryness in the throat and pain in  swallowing;  also,
coughs  without raising.
  If no better after this, or if there  be great sensitiveness to
noise  and light; the rash  expanding  in radiation;  shining
redness on its surface, which is very sensitive to the touch;
sometimes raised in blisters;  give Belladonna and Rhus tox.
in solution (twelve glob, in half  a  teacupful of water, each
cup having its separate teaspoon), every two hours a teaspoon-
ful, alternately, until  four  teaspoonfuls  of each are taken.
Then wait twelve or more hours.  If the patient is then very
drowsy, give a dose of Opium (four glob.) ;  or, if very wake-
ful and restless, give Coffea oc- and Bellad.c0 alternately, every
hour a dose (six glob.), for three or four hours, and wait
again twelve hours; after which,  repeat  Belladonna,   and
Rhus tox., in solution as above.  If  the symptoms are yet the
same, give two doses of Hepar, every three hours one (four
glob.),  when the skin  looks  less shining and inflamed, but
heat, pain, and swelling, are the same.
   The above treatment suits severe  cases of erysipelas of the
face, head, or  ears, with high  fever, and,  also, the vesicular
form, where it appears in blisters,  and the "wandering erysip-
elas."   In the latter, however, where we cannot expect so
rapid a termination of the disease, Pulsatilla is often success-
ful, particularly when the skin is more of a bluish red, or the
internal or external ear is attacked; also in those cases, which
originated from eating noxious articles, such as oysters, clams,
etc.   If erysipelas appears on the joints, give Bryonia,  three
doses,  every six  hours one  (four  glob.),  alternating  with
Rhus, and followed by Sulphur after thirty-six or forty-eight
hours, one dose (four glob.),  if necessary. 
50
CUTANEOUS DISEASES.
   If it appears on the scrotum, Arsenic is necessary,  admin-
istered in the same manner as Bryonia.  If the vesicles be-
come gangrenous or* of a dark color, the patient is weak, or
black diarrhea sets in, Arsenic and  Carbo  veg.  ought to be
given alternately, every three hours one dose (four glob.),
until a homoeopathic physician takes charge of the patient.
   Sometimes  a  swelling of the affected  parts, showing the
pressure of the finger, combines itself with erysipelas (erysip-
elas oedematodes).  This  requires Rhus tox., every evening a
dose (four glob.) for three or four days.
   If erysipelas terminates in ulceration of the parts affected,
give Rhus and Sulphur alternately,  every evening  a dose
(four glob.) for  four  days,  and, afterward, a dose of Silicea
for two  evenings, and wash the ulcer three or four  times a
day with lukewarm water,  in half a teacupful of which twelve
globules of Silicea are well dissolved.
   The disposition to this disease will be  taken away  by the
alternate use of Rhus, and Graphites, every four days a dose
(four glob.),  if continued for four or six weeks.  Beside this,
however, change the  mode of living, if it was too luxurious;
avoid highly  seasoned or salted food, drink freely of cold
water, and wash  and  bathe frequently and systematically.
   Diet.—During this disease, the diet should be as in fevers,
very light; dry toast, gruels, and black tea  ; Avarm lemonade
is very good and refreshing, if no diarrhea  prevails ;  stewed
prunes may also be allowed, particularly in conA'alescence.
   If,  at any time during this disease, the bowels are confined,
even for four or six days, it will not  exert, in the least, a
detrimental effect upon the patient;  on the contrary, it is bet-
ter than the opposite state.
   Avoid taking cold during the convalescence, as it  is  often
followed by dangerous results,  dropsies, etc.  If, at any time
during the attack,  the erysipelas  suddenly disappears, and
the brain, in consequence, becomes  affected,  Avhich  shows
itself in  drowsiness,  difficulty of breathing, and  spasmodic 
ERUPTIVE  FEVERS.
51
twitchings, give Cuprum, in solution (twelve glob, in half a
teacupful of water), every half hour a dose, until a homoeo-
pathic physician takes charge of the patient.
  Before Ave leave  this subject let us here remark, that ery-
sipelas, as  such, is no infectious  disease whatever, and has
lost its dread entirely, since homoeopathic remedies have been
used in the treatment of it.

    Eruptive Fevers with an Infectious Epidemic Character.
   We now come to a class of eruptive diseases which appear,
generally, as epidemics, and are infectious.  These are measles,
French measles, scarlet rash, scarlet fever, chicken-pox, vario-
loids  and  small-pox.  Their  epidemic  appearance depends
upon the general laws of  disease  growing  out of the chang-
ing conditions of the seasons and atmosphere.  As a general
rule, we can say that persons are attacked only once in their
lifetime with these diseases, though some few exceptions may
happen   Their contagiousness  does  not commence,  as is
 generally  believed,  during the  fever  period, or  Avhen  the
 eruption first  appears; but  only after  the  pustules are well
 filled, or drying up, that is, from the seventh day onward, to
 three or four weeks, as long as the system throws out through
 the skin the  infectious matter.  Before  the seventh day of
 either of the above diseases, no infection can take place, for
 the same reason as no vaccination is possible out of a pustule
 before that time.   The  infecting matter must be first fully
 ripe  in the system before  it can affect another ; be, therefore,
 rather more careful during the convalescence of a patient, or
 after his death (when the contagion is in its highest  state of
 perfection), than  in the beginning of  his sickness   This is
 the case as well in measles as in scarlet fever, varioloids and
 small-pox.
                     Measles.  (Morbuli.)
    In adults, this  disease  generally assumes a severer  charac-
 ter  than in  children, because it  developes in  them  more 
52
CUTANEOUS DISEASES.
 readily those constitutional germs of diseases which often lie
 hidden in the system a long time, such as consumption, sore
 eyes, etc.  In children, its attacks are rarely dangerous, except
 when other causes render it complicated, or it is badly treated.
   Diagnosis.—For the first three or four days the patient
 seems to have taken a cold;  he has  a dry, hoarse cough, and
 sometimes  a sore  throat; his eyes water  constantly, and
 cannot bear the light; these symptoms and more or less fever-
 ishness (the catarrhal fever) precede and accompany the
 eruption of the measles, which appear in  small  red spots  of
 irregular  shape and size (the skin between them preserving
 its natural color), the first day on the temples, face and neck,
 the  second day, on the breast, or stomach and back, and the
 third day on the arms  and limbs.  In mild cases they disap-
 pear after the fifth or sixth day in bran-like scales.
   This is the regular course of the disease;  A\henever  it
 varies from it, the attending symptoms become more danger-
 ous, particularly if  the eruption appears irregularly in regard
 to time and  disappears quickly.
   Treatment.—Aconite and Pulsatilla are the principal reme-
 dies, and  are regarded almost  as specifics, which, in milder
 cases, without complication, they prove to be.
   Administration.—Dissolve of each remedy twelve glob-
 ules in two teacups half full of water, each (put to each a
 separate spoon), and give alternately every two, three or six
 hours,  a teaspoonful (children under two years, half a tea-
 spoonful), beginning with Aconite; and if the patient remains,
 or becomes more comfortable, lengthen  the  intervals still-
 more.  If, at any time, there is great restlessness and sleep-
 lessness, introduce a dose  of  Coffea  co repeating it  as often
 as necessary, particularly in the night.
  If the cough is very dry and hoarse (resembling croup),
give a  dose (four  globules) of Hepar in  alternation  with
 Coffea (if  the patient is very much agitated and irritable), at
intervals of one or two hours. 
                       MEASLES, ETC.                    53

  If, however, the cough excites  severe  pain  in the upper
part of the breast and sides (complication Avith bronchitis and
pneumonia), Aconite and Bryonia (dissolved in water and ad-
ministered the  same  as  Aconite and Pulsatilla) are neces-
sary.
  If the measles strike in at  once, and look pale, or if  sick-
ness at the  stomach and feebleness  ensue, give Ipecac, and
Bryonia  alternately every hour or half hour  a dose (four
glob.), and if the skin looks bluish broAvn, give Arsenic and
Pulsatilla in alternation every hour or two hours a dose, until
better.   If the  head is  affected in  children, give  Cuprum
every half hour a dose (three glob.), twice or  three times ;
and if not better in three hours, give Belladonna and Hellebor.
in solution (twelve glob, of each to half a teacupful of water)
every hour, alternately, a teaspoonful until better.

  Disorders  consequent  upon Measles. — If  sensitiveness  to
light continues too long  after the eruption is  out, give Bella-
donna, morning and evening one dose (four glob.) ; this same
remedy,  applied similarly, suits, if the head is  affected (con-
gestion of the head), in alternation with Stramonium.
  Constipated,  or  not too  open boAvels, are  not  injurious
during or after this disease; if a mucus  diarrhea ensues give
China, Mercury, Pulsatilla, at  intervals  of six hours,  until
better.   If not  better, give one or tAvo doses  of Sulphur—
every  six hours one  dose (four glob).   If  the diarrhea  is
watery, and connected with typhoid symptoms, loss of con-
sciousness, dry  tongue,  give Arsenic and Phosphorus in the
same manner.
  If earache ensues, give  Pulsatilla, every two or three hours
a dose; if this is accompanied by running  of  the  ear, give
after Pulsatilla a dose (four glob.)  of Sulphur on two  suc-
cessive evenings, and if not better  in two or three days, give
Carbo veg. in the same manner.
  If the glands below and in  front  of the.  ear swell (par- 
54
CUTANEOUS DISEASES.
 otitis,  or mumps), give Arnica and Rhus every four hours or
 six hours a dose (four glob.), till better.
   The remaining cough requires principally Pulsatilla, Sul-
 phur, Bryonia, Drosera, Hyoscyamus, Avhose symptoms must
 be compared  in  the  "Materia Medica."   See  also  under
 "cough."  Burning and itching of the skin requires Chamo-
 mile, Xux vomica, Arsenicum and Sulphur.
   Diet must be light—as  gruels, water (children  milk and
 water), toasted bread;  and only gradually more nourishing.
   N. B. Do not allow the children to go out of the room too
 early,  or even  to go  to the door  or Avindow, or play on the
 floor ;  we cannot be too careful  to avoid taking cold.
   As  a preventive of measles, give Aconite  and Pulsatilla
 every third day a dose (four glob.), alternately, during th§
 epidemic; it may prevent  an attack, and will certainly miti-
 gate its severity.

                      French Measles.
   In this disease, which resembles  the former, but is milder
 in every respect, it  is only necessary to mitigate the   fever
 and restlessness, if there is any, Avith  alternate  doses  (four
 glob.)  of Coffea and Aconite,  one every two, three, or  six
 hours,  after which, the  eruption soon disappears.
   Diet and Regimen the same  as in measles, but Avhen com-
 plicated with catarrhal symptoms, give a dose or two   (four
 glob.)  of Pulsatilla;  and Avhen  the head is  congested, give a
 couple of doses of Belladonna in alternation with Aconite.

                       Scarlet Rash.
   This disease  is different from  scarlet fever, in as far as the
 redness of the  eruption is  darker, and the finger, on  slight
pressure, leaves no Avhite imprint,  beside there are numerous
 small granular  elevations, felt under the skin, sometimes dis-
tinctly  seen.   There is another distinctive  difference   from
 scarlet fever; this latter appears, invariably, first on the face, 
SCARLET RASH--SCARLET  FEVER.
55
next on the body, and lastly on the extremities.  Such a reg-
ularity is not found in scarlet rash—it may appear irregular-
ly or at once over the  whole body.   It  is frequently and
mostly seen in combination  with scarlet fever, which is known
by its smooth redness on the surface.
  Treatment.—If it appears alone, it is not a dangerous dis-
ease, and yields easily to a  few. doses of Aconite, every three
or four hours one dose  (four glob.), and in alternation Avith
Coffea, if there is great restlessness and irritability.
  If it  is combined with scarlet fever,  the symptoms some-
times become very severe;  see,  for their treatment, the  next
article,  "Scarlet Fever."  In  case it disappears  suddenly,
Ipecac, and Bryonia, should be given every half hour,  or
hour, a dose (four glob.), tAvice or three times, at  the same
time covering the patient well; but when congestion to the
head appears, Avith drowsiness,  give  Opium (four glob.), or,
if the  patient starts  on closing  the  eyes, Belladonna (four
glob.),  once or twice  in four hours.
   Diet the same as  in measles,  and the same caution as re-
gards taking cold aftenvard.
   N. B. This disease does  not  strictly prevent patients  from
having the real scarlet fever  afterward, although  it often di-
minishes their  liability to it, as I have had occasion to ob-
serve in many instances. It  bears the same  relationship to
scarlet fever, as French measles (or measle-rash, as we may
sail it) does to ordinary measles.

                Scarlet Fever.  (Scarlatina.)
   A well known scourge to the  world of children, and dread-
ed by the allopathic physician more than any other.  It is
not the least triumph of the glorious Hahnemann to  have
found the true specific against this disease,  diminishing its
terrors, and furnishing a remedy, which the allopathists have
adopted to a great extent.
   Diagnosis.—After a fever  of more or less seventy, charac- 
56
CUTANEOUS DISEASES.
 terized by a very quick pulse,  and sometimes  accompanied
 with sore throat, headache, thirst, and stupor, or uncommon
 liveliness, the eruption appears  in  the form of bright red
 (scarlet) blotches indefinitely marked, on which, when pressed
 by the finger, a white spot remains,  which soon  becomes red
 again, from the center to the  circumference.  If  it is not com-
 bined with scarlet rash,  no grains can be found in the skin by
 rubbing over it with  the hand ;  it appears, the  first day, on
 the face and neck, the second on the breast and region of the
 stomach, and the third day, on the arms, hands, and  limbs.
 But more frequently it appears in combination Avith scarlet
 rash (see this article), in which case it assumes a more dan-
 gerous and destructive character.
   If this disease  exists alone, it  generally terminates in five
 or six days, the skin coming off in large pieces.
   Treatment.—Belladonna is the specific for this disease,
 which is  cured  by  its  use  alone,  except  in  complicated
 cases.
   The  symptoms requiring its use,  are dry burning  fever,
 quick pulse,  starting on  closing the eyes for  a few minutes,
 great thirst, dry, red, or whitish  coated tongue, urine scanty
 and highly colored, scarlet eruptions on the face, or over the
 entire body.   Sometimes this external redness does not appear,
 but instead of it the throat is  more or less  affected, in Avhich
 case the tongue has ahvays a  reddish  gloss.  Yet,  even this
 wandering of the scarlet from  the  outside skin to the mucous
 membrane  of the throat,  does not materially increase the
 danger of the case, if the glands only do not enlarge too much.
 Under all these circumstances, as indeed ahvays at first, o-ive
 Belladonna in the  folloAving manner: Dissolve tAvelve  o-lob-
ules in half a teacupful of Avater, and give of this solution every
tAvo, three, or four hours, a teaspoonful for four or six times.
If the  disease gets worse soon after giving Belladonna, discon-
tinue its use, or let  the patient smell of spirits of camphor  a
few times and do not recommence the use of Belladonna, until 
scarlet fever.                    57
the child gets worse again; this, however, will not generally
be found necessary.
  In this manner continue to use the Belladonna for three or
four days, until the  scaling process commences, when it  is
only necessary to keep the patients away from the slightest
draught;  it is by far the safest to keep them  in bed  closely
for four or five days after the fever  has left, when a dose of
Sulphur (four glob.) may be given to complete the cure.
   But if the case is a complicated one  from its beginning, or
becomes so in its progress, other remedies beside Belladonna
are  needed.   Cases  of this kind ought to be treated by a
homoeopathic physician; yet,  where none  is  to be had, the
following prescription will be found beneficial:
   If there is  great restlessness and sleeplessness, irritability,
Avhining and  tossing .about, give Coffea and  Belladonna in so-
lution (twelve glob, in half a teacupful of water), alternately
every hour a teaspoonful; or, if there is violent fever, with
dry heat, full and quick pulse, congestion of the  head, occa-
 sional delirium or lethargy, with starting when aAvaking, and
 dry, short, painful cough, give Aconite and  Belladonna in so-
 lution, alternately, in the same manner.
   If the patient is better under this treatment during the day-
 time, but  in the night  these symptoms appear more  or  less,
 particularly restlessness and  sleeplessness, give  Coffea co; and
 Belladonna00 every hour alternately  (four glob.), until the
 patient is more composed.
   If, with great drowsiness and tossing about, the tongue is
 very dry, thirst great, with swelling of glands on the  neck
 increasing, skin shining on the face  and neck, head  thrown
 backward, and  almost  constant  delirium,  give  Rhus  and
 Belladonna in solution in the same manner as  above, every
 hour a teaspoonful, alternately, for six or eight hours, followed
 by  Coffea cc' and  Belladonna cc ; if very restless during the
 night, as  above, this prescription repeated every day for three
 or four days, secures, in most cases, a favorable issue; per- 
58
CUTANEOUS diseases.
spiration sets in, and then one or two doses of Sulphur (four
glob.) are necessary to complete the cure.
   If this disease is combined  Avith scarlet rash, as  it mostly
is at  present, the  symptoms become more severe, the  throat
is affected inside and the glands swell outside, sometimes to
a great extent.  We call this  the malignant scarlet fever.  In
such cases, when  ulceration of the glands commences, indi-
cated by  a very  offensive smell,  and a great quantity of
mucus running from  the mouth, give Mercury (twelve glob.
dissolved  in half  a teacupful  of water), every two hours a
teaspoonful, for six or  eight times  alone, or alternating with
Belladonna, if the patient starts or jerks  on closing the eyes,
cannot  swallow liquids easily, has violent thirst, with sensi-
tiveness to light.
   If no improvement  takes place  within twelve hours, give
Sulphur in solution the same as Mercury, twice  or three times,
and then wait six  or eight hours, giving, in the  meanwhile,
only an occasional dose (four glob.) of Coffea co  and  Bella-
donna00, alternately, if the patient is very restless.
   If no better at  the  end of  that  time, restlessness still  in-
creasing, the saliva excessively fetid, with  grating  of teeth,
give Arsenic and Lachesis alternately in solution, in  the  same
manner as Mercury, and after  that, in the same manner, give
Nitric acid and Lycopodium, particularly Avhen  the stupor of
the patient increases and lethargy sets in.
   If, in this condition, the breathing resembles snorino-, with
burning heat  of the skin, Avhether dry or covered Avith per-
spiration,  give Camphor and  Opium in solution (tAvelve glob.
of each, separately dissolved  in half a teacupful of Avater),
every half hour a teaspoonful, alternately; give of each three
or four times, and after that,  if there is  no improvement,
give Cuprum  (tAvelve  glob, in half a teacupful of Avater), in
solution, every hour a teaspoonful.
   If,  at any time, during this  disease, a kind of stranguria
(difficulty of urinating) ensues, give Cantharides (four glob.) 
SCARLET FEVER.
59
once or twice, and in alternation with Coffea, if there is great
restlessness and irritability, if not better, give  Conium in the
same manner.
  If croupy symptoms appear, give Aconite and Hepar sulph.,
alternately, every hour a dose (four glob.), until better.

  Diseases consequent upon Scarlet Fever and Scarlet Rash.—
Earache  and Ulceration in the Ear.—For severe pains  in the
ear, give Belladonna, Pulsatilla, and Hepar sulph., alternately,
every two hours one dose (four glob.), until better.
   For the running of the ear (otorrhcea),  give  Calcarea  six
times, every evening and morning one  dose (four glob.), wait
three or four days, and if no  better, give Silicea in  the same
manner.   For the swelling of the glands below,  and in front
of  the ear (mumps), give  Carbo veg. and  Rhus, alternately,
every four or six hours a dose (four glob.), until two doses
 of  each  are taken.
   If a child after this disease evinces symptoms of dropsy of the
 brain (head hot, extremities cold, vomiting  on moving, with or
 Avithout  diarrhea, sleeps with eyes half open), give Belladonna
 and Hellebor. in solution (twelve glob,  in half a  teacupful of
 water)  every  two hours,  alternately,  a teaspoonful until it
 gets more lively again and  the above symptoms disappear,
 when a  dose (four glob.), of Sulphur will be serviceable.
    In case of dropsical  swelling of the whole  body,  give first
 Hellebor. and  Belladonna in  the same  manner as above, and
 afterward Bryonia, and Hellebor., alternately.
    In such cases Arnica, Arsenic, Phosphor, acid and Sulphur
 are also useful; commence with Arnica, of which two doses
 may be given, one in  the evening and one in the morning
 (four glob.);  and  then wait one day until signs of improve-
 ment show themselves.   If these do  not appear,  give  the
 other remedies one after another in the same manner.   Keep
 the patient always covered during this treatment.
    For soreness of the nose and face, with swelling  of the 
60
CUTANEOUS DISEASES.
 glands under the chin, give first Mercury twice, every even-
 ing a dose (four glob.), then wait two or  three days, and if
 necessary, give one  after the  other,  Hepar sulph.,  Silicea,
 Sulphur, and Calcarea.
   If the scarlet strikes in suddenly, the eruption assuming a
 livid bluish hue, and the child becomes drowsy, with  hurried
 breathing, give  first Bryonia and  Belladonna,  a  couple of
 doses, every half hour a dose  (four glob.),  and then if no
 better give  Cuprum in solution (twelve glob, in half a teacup-
 ful of water) every fifteen  or thirty minutes a  teaspoonful.
 If not better in two hours, continue the same with Camphor
 in alternation, and cover the patient well.
   Diet  and  Regimen the  same  as   in  measles; examine
 closely "N. B." at the end of article on "Measles."
   As a preventive against scarlet fever, give, during the prev-
 alence of the disease, to  every child a dose (four glob.) of
 Belladonna 00- every other evening.
   N.  B.  It is hardly necessary to urge the  necessity of the
 advice and attendance of a homoeopathic physician in this  dis-
 ease,  if one can possibly be  obtained.
   It frequently occurs, that before  the eruption comes out,
 convulsions set in which seem to threaten the life of  the pa-
 tient.   In such a case give Belladonna and Cuprum in alter-
 nation (twelve globules of each dissolved in  half a teacupful
 of water) every  ten  or fifteen minutes, half a teaspoonful,
 until better;  Tartar emetic, if the convulsions are accompanied
 with vomiting and diarrhea, cold, clammy skin, and hurried
respiration ; beside, treat the patient  as directed under  the
heading " Convulsion" in "diseases of children."  As soon as
the eruption appears  more  distinct,  the  congestion to  the
head,  and with it the  convulsion, ceases ; cases of  this kind,
commencing apparently so unfavorably, terminate nevertheless
mostly favorably, as the worst of the disease appeared in the
beginning, where the  patient had more power to overcome it. 
CHICKEN-POX.
61
                Chicken-Pox.  (Varicella.)
  Diagnosis.—This eruption is often mistaken for small-pox
or varioloid, particularly when a small-pox epidemic is raging.
We  will give the  differences  between  them.    Before the
chicken-pox appears, the patient is only sick from twenty-
four, to forty-eight hours, and then he has, generally, fever
and headache, with bilious rheumatic symptoms,  without the
severe swimming in the head and the backache, which never
fail to appear before the small-pox breaks out.   Instead of
that, he complains of stranguria and tenesmus (see glossary),
which is not the case in small-pox.
  The chicken-pox appears irregularly on different parts of
the body at once, while the small-pox and varioloid always
appear on the face  first.   Again,  the pustule of the  chicken-
pox appears at once in the form of a bladder, not  as in small-
pox and varioloid,  in the form of a point like the head of a
pin.   When the chicken-pox is  developed, the  pustule has
but one cavity, without any inner divisions, containing the clear
liquid, and without a dent on the top of it; while the pustule of
the small-pox contains the liquid in divisions, like an orange,
and has a dent on top.   The liquid of the  chicken-pox very
seldom becomes turbid or mattery, as is  the case in small-
pox, but dries up in a spongy crust, without leaving a mark;
the crusts of small-pox are hard,  and oftentimes leave marks.
Chicken-pox is not contagious in the same manner as  small-
pox ; it depends, for its propagation, more on individual pre-
disposition, strengthened by atmospheric influence.
   Treatment.—For  the fever,  prior to the eruption,  give
Aconite and Belladonna every two or three hours, alternately,
a dose (four glob.), until three doses of each are given.  If
the  patient complains of bilious rheumatic  symptoms,  give
Bryonia and Rhus, alternately, every two hours  a dose (four
glob.), until three doses of each  are given.
   If there are bilious nervous symptoms,  give Belladonna and
 Rhus alternating in the same manner. 
62                 CUTANEOUS DISEASES.
   If tenesmus is present, give Mercury, every  two hours one
dose (four  glob).  If there is  stranguria, give  Cantharides
and Conium, alternately, every two hours a dose (four glob.),
until three doses of each are given, or the patient is relieved.
If the eruption is very considerable, give two doses of Antimon.
crud., every twelve hours one (four glob.)
   Diet and Regimen as in measles.
   N. B. In children  severe symptoms of the head may ap-
pear, for instance, convulsions (see this article) or the erup-
tion might strike in;  in the latter case, treat  it as  stated in
measles striking in.  (See article "Measles.")   Chicken-pox
may occur more than once in a lifetime.

                  Small-Pox.   (Variola.)
   This  disease has four important stages, Avhich we will first
describe, giving their treatment afterward.
   First.   Febrile Stage.—This  commences, generally,  from
seven to fourteen days after the exposure to the contagion,
with a chill more or less severe, after which, intense fever
sets in with severe pains in the  head and small of the  back,
aching in the bones and general  soreness;  dry,  hot  skin,
great thirst, cough, oppression  in  the  stomach, sometimes
vomiting of bile; light hurts the eyes, with swimming of the
head; the  mind  Avanders, is flighty,  anxious expression  of
countenance and great prostration of strength.
   Second.   Eruptive Stage.—After the febrile stage has last-
ed from forty-eight to seventy-tAvo hours, the  eruptive  stage
commences, by the appearance of small  red pimples on the
forehead and  face of the size of pin-heads, after which the
severity of the fever  symptoms  abates gradually.  On the
first day the eruption appears on the face; the second, on the
breast and body; and the third,  on the limbs and arms—this
stage, therefore, lasts three days.
   Third.   Stage of Suppuration.—The pustules  noAv grow to
perfection, as large as a bean cut in two;  the liquid inside is 
SMALL-POX.
63
contained in cells like an orange, on top is a little  dent, and
around them a red circle.   This stage lasts three days ;  but as
the pustules first appear on the face, then on the breast, and
lastly on the extremities,  they are  already  in perfection
on the  face when they are still filling  on the breast  and
growing on the extremities.
  Thus, a wise Providence has divided the burthen in three
parts, which would otherwise be unbearable.
  At the end of  this period, the liquid in the pustules is tur-
bid and  mattery.
  Fourth.   Stage of Desiccation.—On the  eighth or ninth
day  the eruption begins  to dry up;  some of the pustules
burst, and Avith the formation of scabs desiccation commences
and progresses until the tenth day, at which time, in favorable
cases, the fever has entirely disappeared, the swelling of the
face has diminished, the scabs  have fallen off the upper part
of the body, leaving marks of a reddish-broAvn color.
  This  is  the regular and favorable course of the disease
where the pustules are not so numerous as to  run together;
but where the small pox is confluent, the danger of the  case
and its  duration are considerably increased.
  Treatment.—Febrile Stage.—During the  chill and the first
six hours of the fever,  give Aconite, every two  hours  a  dose
(four glob.).   If severe headache  (congestion), with sensi-
tiveness to light, and delirium,  are present,  alternate Avith
Belladonna, in the same manner.
  If, afterward,  severe backache  ensues, with pains  in the
bones and general soreness (bilious rheumatic), give Bryonia
and Rhus, alternately, every two or three hours a dose (four
glob.) for twelve or sixteen hours.   This is generally sufficient.
   If, however, there is vomiting, give one dose (four glob.)
 Tart. emet.
   If the headache increases to insensibility, stupor ensues,
and snoring-like  breathing, give one or two doses of Opium,
every two hours  one (four glob.).
        8 
64                 CUTANEOUS  DISEASES.
   If the patient is  very restless, sleepless, and irritable, give
 Coffea00 and Belladonna00-, every hour  a dose  (four glob.)
 until better.
   Treatment of the second or eruptive stage.—If the de-
 lirium, which may  have lasted up to this time, does not dis-
 appear entirely when the eruption comes out, or if the eruption
 does not appear sufficiently or not at all, give Stramonium, in
 solution (twelve glob, in half a teacupful of water), every two
 hours a teaspoonful, for twelve hours.
   If the lungs suffer, at this stage, with a hoarse, rattling cough,
 give Tart, emet., a few doses, every two  hours one  (four
 glob.); if Avith great oppression on the chest, give Ipecac, in
 the same  manner.
   In children, this stage  requires  particular attention, and
 Belladonna, in alternation with Stramonium, should be given,
 every two hours a teaspoonful of each (ten glob, in half a tea-
 cupful of water), until the eruption is out.
   If, however,  this  stage progresses finely, without severe
 symptoms, give nothing but Tart. emet. and Thuja, in alterna-
 tion, every three hours a dose (four  glob.), until six doses of
 each are taken.   These remedies have the specific  poAver to
 mitigate the eruption, from the similar eruption they produce
 on the healthy.
   Treatment of the  third stage.—Suppuration.—If this
 stage has  a great deal  of fever, give Mercury,  every three
 hours a dose (four glob.) until four doses are taken,  particu-
 larly when there is abundant saliva in the mouth.   The SAvelling
 of the eyes only requires ablutions of Avarm water and milk.
   If, however,  in this stage, the skin between  the  pustules
 becomes of a livid  hue or  dark brown, and the  pustules
themselves are watery and flabby (black small-pox), give Ar-
senic in solution (twelve glob, in half a teacupful of  Avater),
every two hours a teaspoonful, alternating, in the same man-
ner,  with  China, if  diarrhea ensues.  After  these remedies,
 a dose of Sulphur (four glob.) will be of service. 
SMALL-POX.
65
  This treatment is also serviceable, if, in the confluent form,
typhoid symptoms occur, Avith  brown,   cracked tongue ;  in
which case give, in the absence of diarrhea, instead of China,
Rhus in alternation with Arsenic.
  Striking in of the eruption happens in  this stage more than
in any other, and ought to be treated Avith  Cupr., as directed
in "Scarlet Fever,"  (see this article).
  Treatment of the fourth  stage.—Desiccation.—In the
beginning of this stage, give a dose (four glob.) of Sulphur;
if the patient is tolerably comfortable,  he  does not require
anything more than  cleansing the skin by frequent ablutions
with tepid  Avater, and a careful attention to diet.
  If, however, the diarrhea continues, give Mercury in alterna-
tion with Sulphur,  every three or  four hours  a dose  (four
glob.) until better.
  The itching at this period is alleviated by a couple of doses
of Sulph., evening and morning one  dose (four glob.).
  If the patient has  reached this period  in a typhoid state, he
must be treated accordingly.   (See  " Typhus.")
  Diet and Regimen.—The room  of the  patient should be
kept well ventilated, not too warm,  and almost dark, during
the whole  time.
  The diet should be  more cold than warm ;  for  instance,
water, ice cream as much as wanted, lemonade, oranges (the
latter three not  in diarrhea),  gruels, dry toast;  also,  well-
steAved prunes and roasted apples; animal food is not allowed,
even long after convalescence.
  Diseases which may occur after  small-pox, such  as  con-
sumption, diarrhea, inflammation of  the eyes, etc.,  see under
their proper heads.
  As a preventive against this disease, vaccination is Avell and
favorably known ; for how long a time, however, this  may
preArent small-pox, is yet a matter of speculation.   It varies,
certainly, in different individuals ; the shortest period may be
seven years; the longest is  not kncwn. 
66                 CUTANEOUS DISEASES.

  I consider vaccination and revaccination from time to time,
our duty and a safeguard against  the encroachments of this
fearful disease upon society.
  N. B. See introduction to "Eruptive Infectious Fevers," p.51.

       Varioloid, or Modified Small-Pox.  ( Variolois.)
  This disease  is similar,  in  all respects, to the  former, yet
not the same.   It is decidedly milder, and requires no men-
tion of a different  treatment from  that given under "Small-
Pox."   (See this article.)
  N. B. A person who is well vaccinated may, when exposed
to small-pox, take  the varioloid;  and, thus far, vaccination,
which is a protection against small-pox, seems not to prevent the
varioloid, although one who has had the  small-pox  will very
seldom take the varioloid.  The varioloid rarely leaves scars
on the skin.
                  2.   Chronic Eruptions.
  To give a detailed description of  all the varieties  of cuta-
neous diseases coming under the above head, would be of no
advantage  for  domestic practice, as  most of these chronic
skin diseases require  the most skillful discrimination of an
attending  physician;  for the reason that their  causes  and
character are too deeply connected with the patient's constitu-
tion  (in  each case, perhaps, differently so); and, thus, it  is
almost impossible  to  generalize  them and their treatment,
within  the  limits  of  a  medical  guide-book like this.   We
will  describe some of the most familiar ones, advising the
reader, at the same time, to apply to a homoeopathic physi-
cian immediately  on  finding  his  own treatment insufficient;
because all chronic cutaneous affections  require immediate
and proper treatment.

        Irritation of the Skin.—Itching.   (Pruritus.)
  A fine rash under the skin, scarcely perceptible, and color-
less, produces  a very  disagreeable and  distressing itching, 
CHRONIC  eruptions.
67
particularly at night, when undressing, or in bed after getting
warm.  It is caused, mostly, by exposure to the extremes of
heat  and cold,  and appears, consequently, in the height of
summer, as well as in winter.   Sometimes, the eating of too
much fat or greasy food produces it:  if so, the diet ought to
be changed.
  Treatment.—Wash, every evening before  going to bed,
with water  and plenty of Castile soap, without  drying it off.
If this does not relieve within four or six days, try brandy or
alcohol, in the same manner (but  take care  not to come in
contact with a  light).  If this does  not give  any relief
wash with water  mixed  with  Spirits  of Camphor.   Inter-
nally, administer as follows :
  If  the irritation  is worse in the warmth of the bed or, near
the fire, particularly after  scratching, give Pulsatilla, every
evening  a dose  (six glob.), and, also, if fat food  may have
caused it.
   If  it commences after going to bed, and resembles flea bites
all  over the body,  the pain shifting from one part to another,
Ignatia, given in the same manner, will be of service.
   Mercury suits, when it continues through the Avhole night,
and  after scratching bleeds  easily  and freely;  in this  case
alternate with Sulphur, every other  evening, one dose (four
glob.) for a week.
 D If an intolerable burning accompanies the irritation, amount-
ing almost to feverishness, take Bryonia and Rhus, alternate-
ly, every  six hours a dose (four glob.) for twenty-four  or
 thirty-six hours; two  days  after take Hepar sulph., evening
 and morning, a dose (six glob.).  If not better in four or six
 days after, take Carbo veg., evening and  morning, one  dose
 (six  glob.).
   If it commences  when  undressing, take Nux vom. and
 Arsenic,  in alternation.  If old people are troubled with it,
 give Opium and Secale, alternately, every evening a dose (four
 glob.).   If it renders the patient very restless, so that  he per- 
68
CUTANEOUS DISEASES.
 spires, take Colocynth.   If it is caused by summer  heat, take
 Lachesis  and Lycopodium, alternately, every evening  a dose
 (four glob.).
   If it is accompanied with fine stitches, like needles, take
 Thuja, every  evening  a  dose  (four glob.), for  two  even-
 ings.
   If it does not yield to one of the above remedies, take Si-
 licea, every third evening a dose (four glob.), until four doses
 are  taken.  If then not better, take  Sulphur, in  the same
 manner.
   If this irritation shows itself around the anus or the private
 parts (prurigo), its  cause is  rather a constitutional one, and
 requires Calcarea, Lycopodium, Sulphur, Nitric acid, Sarsapa-
 rilla, and Sepia.  If it is around the anus, Dulcamara, Nitric
 acid, Petrol., Sulphur, Lycopodium, Graphites.  If on the scro-
 tum, Thuja.  If on  the  pudendum, Calcarea, Carbo, Conium,
 Sepia, Sulphur, Nitric acid.
   Administration.—In  using these remedies, begin Avith the
 first—put twelve  globules  in  four tablespoonfuls  of  water,
 and  take, evening and morning, a teaspoonful.  After it  is
 taken, discontinue four days; then take the  next in the same
 manner, if not better.   Beside this, wash frequently in cold
 water.
                        Chilblains.
   Diagnosis.—Chilblains mostly appear on hands and feet
 which have been frost-bitten,  and are extremely painful  if
 they burst and ulcerate.
   Treatment.—If the parts  begin to swell, assuming a dark,
 reddish-brown  color, with itching  and beating, Avorse in the
 evening or at night,  take Pulsatilla, in solution (twelve glob-
ules  in half a teacupful of Avater), morning, noon and evenino- a
teaspoonful, and occasionally Avash the parts  affected in  a
 teaspoonful of the solution.
   In a few days afterward, take Sulphur, evening and morn-
ing, a dose (four glob.).  If the parts have a bright red color, 
CHILBLAINS--EXCORIATIONS.              69
and itch more in the warmth, take Nux vomica, in the same
manner.  If these  remedies  do not relieve, give Phosphorus
alone or in alternation with  Hepar sulph., if ulceration has
commenced.
  If the parts are very painful and burning,  take Chamomile
alone, every three or four hours, a teaspoonful, or alternately
with Arsenic,  in the same manner, if not relieved soon.
  If the swelling is hard and shining, take Arnica internally,
and wash externally Avith two drops of the tincture to a tea-
spoonful of water, the same as Pulsatilla.
  If the swelling still increases, and  appears  of a bluish red,
take Belladonna, in the same manner as  Chamomile.
  Diet.—Abstain strictly from pork, and  all irritating  sub-
stances, such  as pepper, and too much salt and salted meats.
  If ulceration sets in,  dress  externally the parts with poul-
tices or other  mild applications, until relieved.

                 Excoriations.  (Intertrigo.)
  If they appear during the summer, in  adults, give  Arnica,
Carbo  veg., Nux vom., Lycopodium, Sulphur, beginning  with
Arnica, every evening a dose (four glob.) for two days, and
then wait two days for its effect—taking the next in the same
manner, and so on  until better.
   Chafing of bedridden patients (bed sore) requires Arnica (ten
drops of the tincture to half a teacupful of water), externally
applied, with  cloths dipped into  the mixture.   At the same
time place a soft, tanned deerskin under the sheets of the bed,
the hairy side down.
  If the affected parts look  bluish,  and there is danger of
mortification,  give China internally, in alternation Avith Carbo
veg., every four or six  hours  a dose (four glob.), and wash
externally, with a solution of Silicea (twelve  globules in half
a teacupful of water), several times a day.
  Disposition  to fester.—There  exists in  some  persons a dis-
position of the skin to fester,  if the slightest injury has taken 
70
CUTANEOUS DISEASES.
 place, or  ulcers  do not heal.  In such  a case, give of the
 folloAving remedies every week, on two succeeding evenings,
 one  dose  (four glob.) until better, Chamomile, Hepar sulph.,
 Lachesis,  Silicea, Sulphur.
   Chapped hands (rhagades), from working in  water, require
 Calcarea,  Hepar  sulph., Sepia, Sulphur, administered in the
 same manner.
   Cracked skin, from cold in the  winter, requires Petrol.,
 Sulphur,  in the same manner.

             Ringworm.   (Herpes circinnatus.)
   This eruption appears in small rings on various parts of the
 body; Avithin them the  skin looks healthy as usual;  at least,
 this  is the case  at first.   They are  more apt to appear in
 summer.
   Treatment.—Dissolve Sepia (twelve glob.)  in half a tea-
 cupful of  water, and give for  three days,  morning and even-
 ing a teaspoonful, and wash Avith part of the solution; repeat
 the same for eight or ten days, if necessary.
   If  this   treatment  should be  insufficient give internally
 Rhus and Sulphur, alternately, every other day a dose (four
 glob.), and if not improved after twelve or fourteen days Cal-
 carea, succeeded by Causticum, four doses of each every week,
 one dose (six globules).

                   Tetter.  ( Herpes.)
   This term comprehends a great many varieties of the same
 disease, which, when present,  show a constitutional disorder
that ought to be  treated by a homoeopathic physician.   The
tetter may appear on any part of the body—hands, face, lips,
the ears, etc., and  requires different remedies  accordingly;
but the easiest direction Avhich can be  given for practical
purposes,  in a domestic way, is to be  guided by its discharg-
ing quality.
   Dry tetter requires Dulcamara, Sepia, Silicea,  Sulphur. 
TETTER--ITCH.                    71
  Running  tetter — Dulcamara,  Rhus,  Graphites,  Calcarea,
Lycopodium, Sulphur.
  Bleeding tetter — Arsenic,  Carbo  veg.,  Rhus, Mercury, Sul-
phur.
   Ulcerating tetter—Mercury, Sulphur, Rhus,  Sepia, Lycopo-
dium.
   Violently itching tetter requires  principally:  Nitric  acid,
Phosphorus and Graphites; if it itches worse in the Avarmth,
Clematis ; if worse in the evening, Alumina and Staphysagria.
  Administration.—In  using these remedies for  a tetter,
having  one of the above qualities (its  locality on the body
does not make so much difference), take a dose (six glob.) of
the first named  remedy on two consecutive  evenings, and
repeat this every Aveek for four weeks,  then  discontinue for
two weeks, taking the next  remedy in the same  manner, if
the tetter  shoAvs no improvement during that  time.   In case
of amelioration, however, take no more medicine unless worse
again.
  Keep the air off the tetter by a simple cover.
  Diet as in chilblains.

                     Itch.   (Scabies).
  Not every eruption  or  pimple that  itches  is the itch;  a
malady so much  dreaded in  a family, that  everything is
welcome, and indiscriminately used, which will tend to erad-
icate this loathsome disease; and thus salves  and ointments
without number are used, but not  without danger.   Even if
apparently cured by  these salves,  it is  only driven  into the
system, laying the foundation for innumerable  diseases after-
ward.   Therefore, never do anything of this kind, under any
consideration.  First, be sure that it is the real itch, which is
contagious.  Frequently, it is only a disease described in the
article on "Itching."
  Diagnosis.—The real itch appears in pointed vesicles, filled
with  a transparent serous  fluid, mostly  about the  wrists,
       9 
72
CUTANEOUS DISEASES.
 between the fingers, and around the joints.   The itching in-
 creases in the evening, especially in the warmth  of the bed.
 It never appears on the face.
   Treatment.—Sulphur is the specific for it.  Take, every
 evening, a dose (ten glob.), for eight days;  at the same time,
 wash the parts with half a pint of water, into which is put a
 grain of powdered  Sulphur, twice a day,  morning and even-
 ing, shaking  the  mixture Avell  before using.  Repeat this
 treatment if, after a Aveek, no  improvement  has taken place;
 but, then, alternately Avith Mercury internally, as above.
  If, after another week, there  is no  improvement, and  the
 eruption is yet small and dry, take Carbo veg., for eight days,
 every  other evening a dose  (six glob.), and, afterward, if
 necessary,  Hepar sulph., in the same manner; but, if, during
this time, pustules have made their appearance, give Caustic,
in the same manner.
  The pustular or humid variety generally spreads more over
the body, and  also appears  frequently on the back, shoulders,
arms, and thighs.   In this form, Sulphur and Lycopodium are
necessary, given, as stated above in "Sulphur and Mercury,"
for eight days; then Avait  eight  days, and, if  no better, take
 Caustic, and, after it, Mercury, in the same manner.
  Sepia, internally  and externally, applied in  the same man-
ner as Sulphur, has frequently been beneficial when nothing
else  seemed to have the desired effect.
  When the pustules are  large, and  turn  yellow and blue,
take Lachesis,  for several evenings a dose  (six glob.).
  When the itch has been suppressed by external applica-
tions, and  dangerous  results  threaten, give  Sulphur and
Arsenic, in alternation, eA'ery evening a dose (six glob.).
  In obstinate cases, apply to a homoeopathic  physician.

                Milk-crust.  (Crusta lactea.)
  This disease, as, in fact, all chronic eruptions of any extent,
 ought to be treated by a skillful homoeopathic physician;  yet 
MILK-CRUST--SCALD HEAD.
73
we will here insert as much of the  treatment as will warrant
its rational commencement and often favorable termination.
   Diagnosis.—It  consists  of numerous  small, whitish pus-
tules, appearing in clusters upon a red basis, first on the face,
the cheeks  and forehead, but spreading, afterward, over the
whole head and other parts of the body.  The redness  and
swelling frequently increase, and, with it, the itching becomes
intolerable, particularly if a large part of  the face and head is
covered with the  eruption.   In such cases, the glands on the
neck  and under the ears enlarge in consequence.
   Children, from four to eighteen months of age, are liable to it.
   Treatment.—Rhus is  the  principal medicine, of Avhich is
to be given,  every  fourth evening  a dose  (four  glob.), in
alternation  with Hepar sulph., in the same manner, so  that
the child takes one or the other of the medicines every other
 eArening.
   If the child at any time is very restless, and  the  itching
 seems to be very aggravated, particularly at night, give Aco-
 nite and  Chamomile,  alternately, every two hours a dose (two
 glob.) until better.
   If the running of  the  eruption suddenly dries up, and the
 child becomes drowsy, sleeps with  eyes half open, has a hot
 head and cold feet, give Belladonna and  Hellebor.,  as directed
 under  the head of "Measles."   Externally, apply nothing
 but  a  little  sweet  cream, or wash occasionally  Avith weak
 soapsuds.
   If these remedies  do not relieve within three or four weeks,
 apply to a homoeopathic physician, who has in his  possession
 an isopathic  remedy, called "Tinein," which seldom fails  to
 effect a speedy and safe cure.

    Scald head. (Ring worm of the Scalp.) (Tinea capitis.)
    There are several varieties of this disease; but for  practi-
 cal purposes, the distinction of dry and running scald  head
 is sufficient. 
74
CUTANEOUS DISEASES.
   Diagnosis.—It appears, generally, on the hairy part of the
head, in numerous yellowish pustules, finally forming a thick
crust covering the head and neck of children from two to
fourteen years of age; bad as it is, and obstinate to cure, yet
its  sudden disappearance,  after the application of violent ex-
ternal means,  creates worse internal disorders, and frequent-
ly even death.   It is highly contagious; be careful even with
the articles of clothing, particularly  on the  patient's  head;
let no other child come in contact Avith them.  It generally lasts
a long  time, and ought to be treated by a  skillful homoeo-
pathic physician.
  Treatment. — First  institute the treatment given  under
"Milk-crust,"  and continue it for four weeks; if no amelio-
ration takes place during that time, give, if the eruption is of
the dry  kind, Calcarea  carb. every third evening  a  dose (six
glob.)  for  two weeks, and then, if there is no  sign of im-
provement, give Sulphur in the same manner.  If it  is the
running scald head, give Lycopodium, and afterward Sulphur,
in the same manner.   If scrofulous symptoms appear, such
as swelling of  the glands on the  neck and throat, give Bry-
onia and Dulcamara, alternately, eA'ery six hours a dose (four
glob.) until better.   If the discharge of the  eruption is very
corrosive, causing ulcers, give Arsenic and Rhus  in  alterna-
tion, every  evening  and  morning a  dose (four glob.), and
wash Avith a solution  (twelve glob,  in half  a teacupful  of
water)  of each  medicine, applying it to the edges of the
scab, while giving it internally.
  Diet  and Regimen.—The usual homoeopathic diet must be
adhered to strictly.   (See  "Introduction.")
  The hair ought to be  removed in the beginning of this
disease.
        Corns.  (Clavipedis.) Induration of the Skin.
   Corns on the Feet.—If they will  not disappear after several
cuttings and applications of Arnica tincture (six drops mixed 
CORNS--WARTS--WHITLOAVS.              76
with two tablespoonfuls of water, or Arnica plaster) an inter-
nal treatment must be resorted to for their eradication.
  First, take Antimon. crud. every evening a dose (six glob.),
if the pains are more pressing, and as  if needles Avere running
through  the corn.  If the pain is of a burning nature, take
Calcarea carb., every other evening  a  dose (four  glob.).  If
they are  inflamed, take Lycopodium, Sepia, Silicea in the same
manner,  taking every week another remedy if  necessary.  If
they are particularly troublesome  in  wet weather, take first
Bryonia  and Rhus, alternately, every  two hours a dose (four
glob.), for eight  hours, and  then twelve  hours afterward a
dose of Sulphur.
   Induration of the skin.—Sometimes  the skin  indurates (gets
callous)  on the  hands and feet, becomes painful and peels
off—in  such  cases take   Graphites  internally, every second
evening a dose (four glob.) until four doses are  taken, and use
externally the same remedy (twelve glob, in half  a teacupful
of  water well  shaken) three times a day.

                    Warts.   ( Verrucce.)
   Neither cauterize nor cut these excrescences; it is too dan-
gerous ;  a better remedy is the application of  the tincture of
Rhus  on  the  Avart three times a day.   They will quickly
disappear.  If they do not disappear within four or six weeks,
resort to the internal use of the following remedies:
    Causticum, if the warts are fleshy or seedy.
   Antimonium crud., if they are flat, hard or brittle.
   Dulcamara, if they are on the back of the fingers.
    Calcarea, if on the sides.
    Administration.—Take of a remedy  every other evening
 a dose (four globules), for eight days.

        Whitlows on the Fingers.  Felons.   (Panaris.)
    This disease exists in the form of an abscess, more  or  less 
76
CUTANEOUS DISEASES.
deeply seated on the end of the finger, attended with severe
pain and considerable swelling.
  In the beginning, its formation may frequently be prevent-
ed by dipping the finger  quickly into water almost boiling, or
by wrapping around it finely poAvdered wood soot made wet
with alcohol, or by washing  the finger with a mixture of a
drop of creosote in half a  teacupful  of water.  But if this
does not avail,  keep warm bread and milk poultice  around it
all the time until it opens, and take internally Mercury, Hepar
sulph., and Silicea, alternately, every six hours  a dose (four
glob.), for two or three days.
  After it opens, wash the finger three times a day in water,
in half a teacupful of which twelve globules  of Silicea are
dissolved, or keep  the bandage around the finger wet with
this solution.
                         Ulcers.
  We  can  only give their  general treatment here, as their
origin  and appearance are too various to be discussed in a
work on domestic  practice.    They arise, mostly, from a dis-
eased condition, which must be first changed  by systematic
internal treatment, before the external sign  of it, the ulcer,
can heal.  When it is forced to close itself by violent exter-
nal means, the disease, of which it was  the expression,
attacks internal parts, and the danger is  thus  increased, as
the dignity of the organ  affected is greater.
  Be careful, therefore, in using salves and ointments.
  Diagnosis and Treatment.—First.  An ulcer may be deep,
presenting  a hollow excavation.  In this case fill it  once or
tAvice every day with dry scraped lint, previously cleaning it
well with warm water and tying it up with a bandage.   This
promotes healthy granulation, and  the hollow gradually fills
up.  Internally give Lachesis, Hepar, and Silicea, alternately,
every  second day  a dose (four  glob.), until four doses of
each are given, or improvement is perceptible.
  Second.   An ulcer may he flat,  superficial, sometimes pre- 
ULCERS.
77
senting proud flesh; in this case dress it with finely powdered
loaf sugar, or with  a  bandage  dipped in  cold water  and
changed from time to time.   Internally, Petroleum, Lycopo-
dium, and Silicea, in the same manner as above.
  Third.   An ulcer  may be fistulous:  in this  case  try to
compress, if possible, the farthest ends of the fistula, or fill
them with dry lint to excite healthy granulation, always try-
ing to heal up the deepest cavity first.  Give Antimon. crud.,
 Calcarea carb., Silicea and Sulphur, in the same manner as
 above.
  Fourth.   An ulcer may be callous, with thick, hard, broken
 margins.   In this case fill the bottom with dry lint, and dress
 around the margins with simple cerate.  Give Arsenic, Pulsa-
 tilla, Lycopodium, and Sulphur, in the same manner as above.
  Fifth.  An ulcer may be carious, proceeding from the bone;
 dress  outside with simple cerate and give Mercury, Sulphur,
 Calcarea carb., and Lycopodium in the same manner as above.
   Sixth.   An ulcer may be varicose, caused by SAvelling of
 the veins, for instance,  on the  lower limbs; dress outside
 with simple  cerate and lint, or cold water bandage, and give
 Pulsatilla, Lycopodium, Lachesis, and  Sulphur  in  the  same
 manner as above.
   We have  another  condition of  the ulcer to take into con-
 sideration, in order to  determine what medicine has  to be
 given.
   First.  Ulcers may be painful; in this case, give :
   a. When  accompanied by a burning or draAving sensation,
 Arsenic, Rhus, and Sulphur, in the same  manner as above.
   b. When  beating,  eating, or pressing,   Mercury,  Lachesis,
 Lycopodium and Sulphur in the same manner.
   c. When  itching, Hepar sulph., Pulsatilla, and Sulphur  in
 the same manner.
   Second.   An  ulcer may be  without pain; in this case give
 Phosphor, acid,  Carbo veg.,  Sepia, and Sulphur in  the same
 manner. 
78
CUTANEOUS DISEASES.
   Third.  An ulcer smells offensively; in this case give Carbo
 veg., Arsenic, Pulsatilla, and Sulph. in the same manner.
   Fourth.  It spreads very much, increasing in  size; in this
 case give Mercury, Lachesis, Hepar sulph., Silicea and Sulphur
 in the same manner.
   Syphilitic  Ulcers require Mercury, Nitric acid, Lachesis, and
 Thuja in the same manner.

          Abscesses.   Tumors.  Swelling of Glands.
   When a congestive or inflammatory swelling is not dispers-
 ed or absorbed, it changes gradually into an abscess; matter
 forms  Avhich finally  discharges through an opening  of the
 sore, either prepared naturally, or artificially by a lancet.
   Treatment.—Before an abscess opens, it may be very pain-
 ful ; in this  case, poultice  it Avith bread and milk, and take
 internally  Belladonna, Lachesis,  and Mercury, alternately,
 every three or four hours a dose (four glob.), until better.
   If it is a  long time maturing, Avithout being very painful,
 (cold swelling), take Hepar sulph., Iodine, and Sulphur, every
 other  evening a dose, alternately,  and poultice it when  it
 comes  near breaking.
   After an abscess has opened, Avash it frequently during the
 day  with a solution of tAvelve  globules  of Silicea in half a
 teacupful of  Avater,  and take internally Silicea  every other
 evening a dose (four glob.) until three doses are taken.
   If it be desired to open  an abscess Avith a lancet, select the
lowest  part,  if  it be  also  the  softest, Avhich latter  place  is
always  to be chosen first.   In other sAvellings, particularly
Avhen they appear hard, Avith stitches through them, or soft,
without much pain, apply nothing externally, until after having
 consulted a homoeopathic physician.  MeanAvhile, take inter-
nally  Calcarea  carb.,  every three  or four days a  dose in the
evening  (four glob.), until six doses are taken; afterward,
 Sulp>hur in the same  manner.
   Enlarged and  indurated glands on  the neck, etc., require 
           BOILS--MALIGNANT BOILS--CARBUNCLES.        79

Mercury and  Dulcamara every  evening,  alternately, a dose
(four  glob.);  when suppurating, Hepar  sulph. and  Silicea,
every third evening  a dose (four glob.), alternately until four
doses of each are taken.

           Boils.  Malignant Boils.   Carbuncles.
  These are painful, hard tumors, of a pyramidal form, and
deep red color, generated sometimes by a constitutional ten-
dency, very often, however, as critical discharges after acute
or eruptive fevers, or terminating chronic eruptions,  such  as
itch, etc.   They suppurate slowly, and  discharge, on break-
ing, a  little pus  mixed  Avith  blood, exhibiting a core which
is gradually discharged.
  Treatment.—The best applications externally are poultices
made  of bread and  milk or flax-seed; all other things, such
as  roasted onions,  soap  and sugar, are  too  irritating, and
enlarge the suppurative sphere.   Internally take first Arnica
evening  and morning a dose  (six glob.), and if the boil gets
very painful  and red, take  Belladonna  and Mercury, alter-
nately, every  three  or  four  hours a  dose (four glob.).  If
matter has formed, take Hepar sulph. every four hours a dose
(four glob.) until the tumor breaks.
  The  predisposition to boils  may be removed by taking
Sulphur every Aveek one dose (six glob.) for six Aveeks.  If
a boil  becomes blue, and increases very fast (malignant boil),
take Lachesis every  three or four hours a dose  (four glob.) in
alternation with Arsenic.  Let the treatment be the  same if
typhod fever ensues, and the patient is very weak,  restless,
and sleepless ( Carbuncle, Anthrax), and mortification threat-
ens.
  A boil is  called  a carbuncle, Avhen it  is hard, of a livid
hue, and after  its breaking does  not  present a  central core,
but numerous  openings, through which  offensive matter and
blood is discharged.   Carbuncle  or Anthrax is  always a dan-
gerous disease, particularly Avhen seated on the head.   If it 
80                 cutaneous  diseases.
is on the back, wash with a  solution of Silicea; if on the
chin, with a  solution of Nitric  acid  alternately with  Carbo
vegetabilis: particularly if salivation attends  the disease.   If
the  pain in  the  ulcer  is burning, wash with  a  solution of
Arsenic, and give  internally Arsenic and Carbo vegetabilis.

                     Scirrhus.   Cancer.
   We mention these diseases here, not to give their treatment,
because the seriousness of their character would not allow of
their being treated domestically ; but it is necessary  to warn
patients of  this kind  against  all those who  pretend to cure
them with the knife or cauterizing applications.   They always
end  fatally under  such treatment,  and with increased misery.
At the same time, we would advise them not to despair, but
to apply  immediately to a  skillful homoeopathic physician,
who possesses the only  means  Avhich  can rationally afford
relief, and which sometimes effect a complete cure.
   Indurations under  the skin, in  glands, on the  lips,  nose,
etc., Avith stiching pains through  them, should receive atten-
tion, from the fear that they might be  of  the scirrhus  nature ;
if so, and if not attended to  in time,  they will become open
cancers.
   In such cases, relief is  possible, but only by the timely ad-
vice   of  a skillful physician.  Meantime,  take Belladonna,
every third evening a dose (four  glob.), until four doses  are
taken.
   In open cancers, the distressing burning pains are relieved
by Arsenic, in solution (twelve glob,  in  half a  teacupful of
water),  every two or three hours a teaspoonful, until  four or
six are taken. 
CHAPTER  IV.
FEVERS.
   The  term fever is  frequently misunderstood;  people in-
tending to express by it the  disease itself, while, in reality,
fever is the reaction of the vital powers against a  disease ; and,
as every action in nature can be  of a  threefold kind, either
not powerful enough for its purpose, or just poAverful enough,
or, lastly, too powerful, the  fever, also, as an action of nature,
allows these three divisions.
   Accordingly, we have simple irritative fevers, where the
effort of nature to  remove the disease is just sufficient; or,
inflammatory fevers, where this effort is greater than is neces-
sary ; or, lastly, torpid fevers, where the effort is not suffi-
cient to accomplish the removal of the disease.
   In all  forms of acute disease,  fever of one  of the  above
kinds is present to a greater or less extent.  It is obvious
that one form  of  fever may, under circumstances favorable
to the change, merge into another; for instance, a simple irri-
tative fever may become an inflammatory one, if the patient
is over  stimulated; or a torpid one, if his vital energy is  too
much depressed.
   Hoav dangerous, therefore, must be  the use  of  allopathic
remedies in fevers, as, when a little too strong  or  too Aveak,
they lead to such  awful consequences !   But, in Homoeopa-
thy,  this result is altogether obviated, as the remedial  agent
used, neutralizes, by its specific action,  the disease of which
the fever was only an attendant symptom.
                                                 (81) 
82
FEVERS.
   Thus we see, in pneumonia, under allopathic treatment,
that the fever frequently returns with great violence, although
the patient, shortly before, had been depleted to exhaustion.
The reason is, that the  cause of the fever, the pneumonia,
had not been removed by the depletion; the reactive force or
vital energy to overcome the disease was merely diminished,
and, therefore, the system rouses itself up again to a second
attempt; if checked or depressed  again, it must finally sink
to rise no more ;  it must fall into the torpid  or typhoid  form.
Not so, under the homoeopathic treatment, where the disease
itself is specifically reached  and as it were  absorbed;  for
when the disease is removed, no effort of nature is necessary,
and, consequently, the fever disappears of itself.*
   The action of the unaided vital force of nature, during the
fever, is in two directions—by the nervous, and by the vascu-
lar system—to bring about a crisis, sufficient for the  extermi-
nation of the disease; but if it fails in establishing  a  suffi-
cient crisis,  nature has to  surrender, and  death  ensues,
either by paralysis of the nervous system  (paralysis  prop-
erly so called), or paralysis  of  the vascular system (mor-
tification).
   The less the disease, therefore, the less needs be the crisis ;
and Ave aid nature, indeed, if we take away the disease,  but
not if we take aAvay her vital power to  overcome it.  Herein
lies  another important difference between  the  tAvo medical
systems ; and it is easy to see Iioav salutary the homoeopathic,
and how destructive the allopathic treatment of fevers must be.
  * The best illustration of the modus operandi of the homoeopathic med-
icines, or what is meant by specific action generally, is  found in the
effect of  the dynamic agents of nature on each other.  Positive and
negative electricity, being similar, but not  identical in their nature,
neutralize or absorb  each other;  while positive and positive, being
identical, repel each other, having no affinity to each other.  In the
same manner, two similar diseases absorb each other to the zero point;
this state is where neither exists, and, therefore health. 
FEVERS.
83
  In most cases, Homoeopathy takes aAvay the disease so  en-
tirely, by its specific  method, that no crisis at all  appears.
If it however, takes place,  it manifests  itself  by diarrhea,
perspiration,  or other secretions,  or by  an eruption; after
which, the skin becomes moist and the pulse regular.
  Diagnosis.—The symptoms by which the  presence of  the
three forms of  fever may be  known, are given in the follow-
ing characteristics:
  First.   Irritative form.—Shivering,  preceding a moderate
heat; skin natural or a little  moist; pulse not very much  ac-
celerated, but fuller,  stronger, and  not  hard; urine a little
more reddish  than  common, and with a  sediment after  the
fever leaves.
  Second.  Inflammatory form.—Great lassitude precedes a
short but severe chill (which  frequently does not appear, how-
ever), followed by an intense  heat;  skin dry and burning;
eyes sparkling; tongue  dry  ; thirst intense ; pulse  quicker,
hard, and full; urine red and scanty.
  Third.    Torpid  form.— The  greatest  lassitude  prevails
during its presence ; the patient feels very weak, although he
may be very hot at times; at others, the temperature is very
much diminished; the skin is  now very dry and  inclined to
crack ; then, again, covered with clammy perspiration.
  At one time, the tongue is  dry and black ; at another, either
natural or covered Avith a tough mucus.   There is  often an
absence  of thirst,  although  the tongue  is dry; and then,
again, thirst is intense, Avith a moist tongue.
  The pulse shows the same anomaly, being sometimes full,
with  a low temperature  of the body; and again,  at other
times, small and weak, with  a high fever-heat of the system.
  Treatment.— As we  have  only given here the general
character of the three kinds of fever that  combine themselves
with local diseases  of the different organs, we must, also,
generalize their treatment here, and  refer, for details, to  the
affections  of  the  respective  organs where  fever manifests 
84
FEVERS.
itself.  For instance :  fever  of the lungs, pneumonia, inflam-
matory, or torpid (typhoid), see "Affections  of the  Lungs."
  The essentials in the treatment of all fevers are as follows :
  Quiet  and rest  of body and  mind, as much as possible ;
cool and even temperature of the patient's  room, say from
fifty to sixty  degrees,  according to  comfort; pure  air and
thorough ventilation, without producing it by draughts pass-
ing on or over the patient.   Let the patient lie on mattresses,
and be covered with quilts, light, but sufficiently warm.
  As the patient himself does not desire  solid food, we ought
not to give it; but, when thirsty, we must never refuse drink.
The best drink is cold water, as much as the patient desires,
if it agrees with him ;  frequently give toast-water, barley or
rice water, or lemonade, except when the  patient has a diar-
rhea, or is  taking Aconite, with which no acid will agree.
  In  convalescence, baked apples and  stewed prunes  are
very  salutary, if there is no diarrhea at  the time; the latter,
however, should be partaken of sparingly.
  We will now treat of several other general forms of fever as
they  occur

               Common or Ephemeral Fever.
                     (Febris simplex.)
   Diagnosis.— Shivering,  followed  by heat,  restlessness,
 thirst, quick pulse ; its termination is  generally within twenty-
 four  or thirty-six hours, by profuse perspiration.
   It  js mostly caused by exposure to sudden changes of tem-
 perature, and Avill then terminate in from twenty-four to forty-
 eight hours;  but where  it is the forerunner of  other more
 serious diseases, such as scarlet fever, measles, etc., it will be
 superseded by them.
    Treatment.—Aconite,  in solution (twelve glob,  to  half a
 teacupful  of water), every two hours a teaspoonful, until per-
 spiration ensues.
    Diet and  Regimen.—Cover the  patient well, and let him 
inflammatory fever.                85
drink cold water, which promotes perspiration.  Bathing the
feet in warm water before lying down is allowed, but it should
be done near the bed.
  N.  B.  If pains are felt in different parts of the  body, see
respective headings, and treat accordingly.

       General Inflammatory Fever.   (Synocha.)
  Diagnosis.—See "Fevers—Inflammatory form."
  Causes.—This form of fever is frequently caused by sud-
den checks of perspiration  and exposure  to high degrees of
temperature or its sudden  change.  It also originates by ex-
ternal injuries  or lesions.  Plethoric  and young  persons are
most  liable to it.
  It frequently runs into typhus fever, particularly when treat-
ed allopathically.
  Treatment.—Aconite must  be given first, the same as in
common fever.  See preceding article.
  But,  if,  after six hours, there is  no  improvement, give
Belladonna;  especially when the head is hot with violent pains
in the front part; red face, sensitiveness to light; sparkling eyes;
noise  distresses; very restless  or drowsy;  great thirst; deli-
rium.
  Administration—the same as  Aconite  above, or alterna-
ting with it, until better.
  But,   if,  with  the  general  symptoms  of inflammatory
fever, there  is swimming  in  the head on  rising  or moving;
some delirium; oppression at the pit of the  stomach; vomit-
ing after drinking; constipation; aching pains in  the limbs
and  small  of  the back;  oppression  of  the  lungs; give
Bryonia; and, if the weather is damp  and rainy  at the
time, give Rhus, in alternation Avith Bryonia, in  the same
manner  as above in Aconite and Bellad., until better.
   Diet and  Regimen—the same as under the head of "Com-
mon Fever." 
86
FEVERS.
           Nervous or Typhoid Fever.  (Typhus.)
    These names signify the same disease, the various  grades
  of which are distinguished by prefixing the appropriate word
  in an adjective form, as a malignant typhoid fever;  a  malig-
  nant typhus, or, a malignant nervous fever; all three of which
  signify the same.
   Although we could  not advise any one to treat a fever like
  this  on his OAvn  responsibility, Avith no other guide than  a
  work on domestic practice, unless in cases  of  absolute neces-
  sity, it is,  nevertheless, advisable to  give a sufficient account
  of the disease and its  remedies, to enable the inquirer  to dis-
  tinguish it from others, and commence its treatment Avith the
  right  remedies.
   The progress of the  disease may frequently be arrested by
 early  and proper  treatment  in  its  commencement.  To the
 realization of this important point our particular attention will
 be directed, as in the prevention of disease  is seen the great
 advantage of domestic practice.
   Diagnosis.—The real nature of typhus consists in an alter-
 ation  of the blood, which  becomes  thick,  decomposed, and
 carbonized ; but as such a qualitative change of  the  blood
 cannot take place  at once, the disease begins slowly, but is
 sure in its  progress, unless arrested by the proper homoeo-
 pathic remedy.
   The first indications  are, general  lassitude,  chilliness, fol-
 lowed  by occasional feverishness, and, sometimes, pain in the
 head,  chest,  or abdomen, followed by  drowsiness.   Then
 appear the  symptoms gh'en under  the heading, "Fevers__
 Torpid form."   Beside  these,  one characteristic symptom of
 real typhus is,  a pain  in the abdomen near the right hip,
 sensible to  heavy pressure ; here, in the intestines, ulcerations
of the glands invariably take place in real typhus ; hence the
pain  only  on pressing  heavily.   Under  such symptoms,  it
runs its course, if not checked by good homoeopathic treat- 
different forms of typhus.
87
ment, perhaps to convalescence, by frequent critical efforts, in
about twenty-eight days.
  The best crisis  is perspiration which comes on gradually;
or sleep, in the place of delirium and restlessness.   Bleeding of
the nose is less favorable; and a still less favorable crisis is the
swelling of the glands in front of, and below the ear ; or, it ends
in death, either by paralysis, or mortification.  ( See "Fevers." )
   Causes.—In  general,  any depressing influence  on  the
vital powers  of the body may produce typhus,  but,  particu-
larly, over-exertion of the body or mind; excesses of any kind;
long and  imprudent exposure to cold or damp weather;  bad
air, water, and mode of living; crowded population in filthy
streets and small apartments;  exhausting blood-letting in in-
flammatory  diseases;  or, lastly, a  real  typhus contagion,
which is generated in one form of the disease.   (See below,
 "Contagious  Typhus.")
   Preventives.—The  best  preventive  is,  to avoid  the
 above described causes of the disease, and to take, if already
 threatened with  it, Bryonia  and Rhus, every  evening alter-
 nately a  dose  (four glob.),  for eight days, or until better.
 Keep quiet and in the house ; follow the diet prescribed  in
 fevers  generally; keep the feet warm and  head cool;  drink
 freely of cold water, and take no allopathic  remedies, such as
 pills, etc., under any consideration.

                Different Forms of Typhus.
   First.   According to the time of its appearance, typhus is :
 a  Primary  idiopathic, or  true and  contagious typhus;  or,
 b. Secondary,  following another disease, and pseudo-typhus;
    that is, fevers with apparently typhoid symptoms.
    Second.   According to its locality, typhus is:
  a. Typhus of the brain (typhus cerebralis), typhoid brain fever,
    and congestive fever;
  b. Typhus  of  the  lungs (typhus pulmonalis), typhoid lung
    fever;
         10 
88
FEVERS.
c. Typhus of the bowels (typhus abdominalis), abdominal typhoid,
   and yellow fever.
   N. B.  In either of these three forms, those characteristic
symptoms of real typhus (pains, on pressure near the right
hip, in the intestines), as mentioned above (see "Diagnosis"),
never fail to appear, even if the brain  or lungs are primarily
affected.
   Third.   According to its qualitative appearance, typhus is :
a.  Versatile (typhus versatilis), with excited nervous action;
b. Stupid (typhus stupidus), with depressed nervous action;
c. Putrid (typhusputridus), with tendency to organic dissolu-
   tion.
   For practical purposes, we follow  the distinctions made
under the "third" or last division, as it is only the qualitative
differences in typhus that make different remedies necessary.
The stupid form is oftener found in the typhus of the brain;
the  versatile, in typhus of the lungs ;  and the putrid,  in
typhus of the bowels.   Yet there are exceptions.
   Treatment.—At the  commencement of all three forms, if
there is headache,  giddiness, chilliness with alternate heat,
rheumatic  pains in the  limbs and  arms, sometimes a  slio-ht
cough with pains in the back,  with or without diarrhea, sick-
ness at the stomach or vomiting, restlessness at nio-ht, furred
tongue ; give Bryonia  and Rhus,  every two  hours a dose
(four glob.), until three of each are taken.   Make the patient
lie down, well covered,  and await the reaction for twenty-four
hours; giving nothing,  during that  time, except one or two
doses of Coffea 00  and Bellad. oc, if he is very restless during
the night.   As soon as  the patient perspires and the symp-
toms gradually disappear, the typhus, as  such,  is checked,
and its return is prevented by giving, on the third day, even-
ing  and morning, a dose (four  glob.) of  Sulphur; during
which time the patient still keeps his room,  and  diets as re-
commended in fevers. 
               different forms of  typhus.            89

   If  hoAvever, the  disease progresses, and the real typhus
symptoms appear more and more, give as follows:
   If inflammatory symptoms appear, such as full, hard pulse ;
hot, dry skin ; violent thirst; give Aconite, two or three doses,
every tAvo hours one (four  glob.); and alternate with Bella-
donna, in the same manner,  if to the above symptoms are
added violent congestion of the head or lungs, with severe
headache; sensitiveness to  light  and noise ; starting after
closing the eyes, and wild expression of countenance.  Wait
eight or twelve hours for the effect.
   If no change for the better takes place, but, on the contrary,
the symptoms increase in violence,  give  Bryonia and  Rhus
again, alternately ; but now only every four hours a teaspoon-
ful of their respective solutions (twelve globules  in half a tea-
cupful of water), with which continue until four of  each are
taken, or until better.
   After this  time, the  disease may have changed,  so  as to
make one of  the following remedies necessary.
   Phosphor,  acid.   Great exhaustion, flighty when awake,
always lying on the back in a drowsy state;  giving either no
reply to a question,  or replying incoherently,  loquacious,  de-
lirium, or low muttering, picking the  bedclothes, black lips,
dry, hot skin; frequent, copious,  Avatery, and involuntary diar-
rhea,  sometimes bloody; give alternately with Rhus in the same
manner as Bryonia and Rhus  were above  directed to be
given.
   Arsenic.   If, with these symptoms, there is extreme prostra-
tion of strength, falling of the lower jaw, open mouth, dull and
glassy eyes, burning  thirst, profuse diarrhea,  pulse barely
perceptible ;  alternate  Carbo veg. with Arsenic, if to the above
symptoms is  added rattling respiration, cold  perspiration on
the face  and extremities, and very offensive  evacuations, to
be given in solution as above, every half hour a teaspoonful.
These remedies suit principally in the putrid form of the dis-
ease. 
90                       FEVERS.
   In the stupid form, however, after Bryonia and  Rhus have
been given, the following remedies may be found necessary.
   Opium.   When there  is great  drowsiness, with  snoring
breathing,  open  mouth,  low  mutterings,  picking the bed-
clothes, lethargy,  all discharges passing  involuntarily, give
every hour a dose (four glob.), until better, if not, give phos-
phor, acid as above.
   Lachesis.   Under the same symptoms as those under Opium,
particularly if the tongue is very red  and shining, as if var-
nished ; in the same manner as above.
   Lycopodium.   Under similar  symptoms as Lachesis,  and
then in alternation with it, in solution, every two hours a tea-
spoonful, until a change takes place ;  but particularly if there
is  a strongly marked redness of the cheeks, constipation, and
screaming, especially  on awakening, dryness of the tongue
without thirst.
   In the versatile form, after Bryonia, and Rhus have  been
given,  the following medicines may be necessary, as,
   Hyoscyamus.   When there is a desire to  escape ; twitchings,
and grasping at persons that are near; hot,  red face, with
bluish  cheeks, sparkling  eyes,  dry, broAvnish  tongue ; alter-
nately  bland  and furious  delirium, involuntary e\Tacuations;
give every three  hours a  dose (four glob.), alternating with
Belladonna in the same manner; or, in alternation Avith
   Stramonium.   If to these symptoms are  added frightful
fancies, loquacious delirium, staring eyes, spasmodic  action,
convulsions, and aversion  to liquids;  no stool  or  urine, and
loss of consciousness.
   There  are  several  other  remedies, which,  under  various
circumstances, are important in the treatment of this disease.
Arnica, Arsenic,   Camphor,  China,  Veratrum,  Cantharides,
Cocculus;  see  in  "Materia  Medica"   their pathogenetic
symptoms,  and give them  if  similar with  the state of the
patient.
   N. B.  If at any time, the patient  is very  sleepless, give 
YELLOW FEVER.
91
 Coffea00- axid Belladonna00, every hour a dose  (four glob.),
alternately.   If  there  is clammy cold skin,  debilitating and
clammy sweats, diarrhea or  disposition to it, give  Camphor
and alternate with Coffea if very restless, every half-hour a
dose until better.  During convalescence, China,  Mercury,
and Sulphur are  frequently necessary.   (See "Materia Med-
ica," at end of book.)
  Diet and  Regimen the same as under "Fevers."
   Congestive fever is a typhoid brain fever, and  is treated  as
already  stated,  with Aconite,  Belladonna,  Bryonia,  Rhus,
 Opium, etc.
  The contagious typhus is in nothing different from the above,
only it is caused by contagion.   The attack occurs but once in
a person's lifetime, and its course is marked with  great se-
verity.
  The Pseudo-typhus or bilious-rheumatic fever is  composed
of the incipient symptoms of typhus, and has to be treated
accordingly,  as stated above, with Bryonia and Rhus, follow-
ed by  Sulphur, to prevent its  running into real typhus.  For
the treatment of  this  form, hoAvever, compare Ipecac, Pulsa-
tilla, Ignatia, and Nux vom., in  the "Materia Medica" at the
end of the book.
  The ship fever is a  species of  the  contagious and abdominal
typhus ; treat accordingly; compare as in "Yellow  Fever."

                     Yellow Fever.
  As  I never had an opportunity to observe and  treat this
malignant fever,  I thought it  advisable to insert here the full
article of Doctor Marcy on that subject, Avho had an oppor-
tunity  to peruse the notes left by Doctor Taft, whose success
in the  treatment of yellow fever was astonishing:
  This fever is exceedingly uncertain in its course, violence,
and duration.  It  may strike its victim suddenly  prostrate,
overwhelming, in its severity,  the whole  system, and thus
preventing a single rally of the circulatory vessels ;  or it may 
92
FEVERS.
advance mildly, differing but little from an ordinary attack of
remitting fever.   In some instances it bears a strong resem-
blance to the higher grades of bilious fever.  Much  depends
upon the peculiar circumstances of the individual attacked.
If he is recently from a temperate climate, and unaccustomed
to hot  regions, he will be more susceptible  to the action of
the poison,  than if he had been previously acclimated.
   Medical men have  supposed that after a certain period of
exposure, the  system becomes so  completely accustomed to
the miasm, that it loses all susceptibility to its influence, and
in this manner the process of acclimation is accomplished.
There is, doubtless, some  truth  in  this idea, but there are
other causes which exercise quite as important an influence
in this process.   Those persons who abandon a temperate,
for a residence in a tropical climate, do so in that  physical
condition which the requirements, habits, and regimen of the
former naturally generate.   In  a previous chapter Ave  have
seen that, in cold regions, Avhere  the  atmosphere is highly
condensed, a large amount of animal food is requisite to sup-
ply the system with sufficient  carbon and hydrogen  to  resist
and neutralize the action of the inspired oxygen.   With these
habits, appropriate only where  a condensed atmosphere  is
respired, individuals  seek the tropics, with bodies abounding
in carbon, and continuing, in most instances, their accustomed
regimen of animal food and stimulants, thus burdening their
systems  with  an  amount  of  the  elements  of nutrition  far
greater than the  oxygen contained in the  rarefied air which
they inhale can decompose.
   It is probable, therefore, that one of the chief predisposing
causes of yellow fever, is the presence of a greater amount
of carbon in the system than  the inspired  air can  properly
act upon.  The  exact equilibrium between the  supply of the
elements of the food  and the  absorbed oxygen is disturbed;
the carbon predominates,  and all of those  derangements 
YELLOW FEVER.
93
which proceed from a superabundance  of  this agent, neces-
sarily ensue.
  The inhabitants  of tropical latitudes have comparatively
but little desire for  animal food, but prefer farinaceous diet,
vegetables and  fruits, in  this manner naturally securing to
themselves a due proportion between the elements assimilated
and the oxygen  absorbed; while the inhabitants of the north
find it  necessary to  consume  large  quantities of meat  and
other articles abounding in the elements of  nutrition, in order
to  preserve  a  healthy   equilibrium.   We, therefore,  most
strongly urge it upon those who remove  from cold to hot
climates, to adapt their systems by appropriate  regimen and
strict temperance in all things, for the change, and we confi-
dently predict that they will enjoy as great  an immunity from
this dreadful scourge as the natives themselves.
   Diagnosis.—The  premonitory symptoms  of  yellow  fever
are giddiness, wandering  pains in the back and  limbs, slight
chills, nausea, and frequent sensations of faintness.
   After these symptoms  have continued a  few hours, a de-
cided  reaction occurs;  the circulation  becomes excited, the
face flushed, the eyes red; there are violent pains in the head,
back, loins, and extremities; distress of stomach,  and vomit-
ing of acid bilious matters;  the surface  becomes  dry and
burning hot; mouth and throat  dry, with  intense  thirst, and
sometimes delirium.
   The duration of  this paroxysm is usually about twenty-four
hours,  although occasionally it continues two or three  days,
after which there is a remission of all the  symptoms, except
a distressed  sensation in the stomach, with nausea andvomit-
ino-.   The patient  remains in this state with a considerable
degree of comfort for a  few hours,  when  there is  a recur-
rence  of many  of the  former  symptoms  in an  aggravated
 form.   The stomach now becomes extremely painful and
 sensitive; vomiting is violent and incessant; the fluids ejected 
94
FEVERS.
are of a darker  color; the skin and  eyes acquire a yellow
tinge, and the mind becomes confused and wandering.
   The duration of this second stage varies  from twelve to
forty-eight hours, with sometimes slight remissions toward the
termination of the paroxysm, when the third or last stage sets
in.   This stage is characterized by the complete development
of the dreaded "black vomit."   At this period, the powers of
the system all sink rapidly;  the pulse  flags, and  perhaps
intermits ; the tongue becomes dry, black and shriveled ; the
breathing irregular and laborious; cramps seize the calves of
the legs and the  bowels;  the whole  countenance loses its
natural, life-like expression;  the  extremities become cold;
colliquative sweats, diarrhea, hemorrhages, and loss of intel-
lect occur, and, finally, dissolution ends the scene.
  This is only a brief outline of the more ordinary symptoms
and course of the malady, and will,we trust, serve to aid the inex-
perienced practitioner in his diagnosis. Each case, however, must
necessarily present modifications according to the predisposition,
habits, and peculiar circumstances of the individual attacked.
  Causes.—When  animal and  Aregetable matters are sub-
mitted, for a considerable length of time, to the daily influence
of intense solar heat,  and a certain  amount of moisture in
the  crowded  and filthy streets of cities, or other  confined
places, a miasm is generated, Avhich, under favorable  circum-
stances, will  cause yellow fever.   Concerning the nature of
this  miasm  we  know  nothing; but  it  is evident that the
continued  high degree of  temperature to which  these sub-
stances are  exposed, and  the  confinement  of their  noxious
emanations within the walls  of crowded cities,  develop a
more virulent morbific  agent than is the case  Avhen the  same
matters are exposed in the open country, or  to a more irreg-
ular and  less intense  heat, such as usually occurs in more
temperate localities.
   There are several other  causes which act as powerful pre- 
YELLOW FEVER.                    95
disposing influences, one of the  most important of which, as
before mentioned, is the  too free use of animal  food  and
stimulants.  We may also include  in this category, irregular
habits, mental  anxiety, depression  of  spirits, fear, grief, ex-
posure to night air or to a burning sun, and, indeed, whatever
else tends to debilitate the organism.
  Treatment.—The remedies most commonly applicable in
the treatment of this affection are, Ipecac, Belladonna, Bryonia,
Rhus, Arsenic,  and Aconite.  The  other medicines likely to
prove serviceable are, Nux vom., Mercurius, Veratrum,  China,
Sulphur, Cantharides, Carbo veg.,  and Lachesis.   The  late
and much  lamented Doctor Taft, of New  Orleans, was  emi-
nently successful  in his  treatment  of  the  yellow fever as it
occurred in that city.  Sometime since, we had the pleasure
of perusing a letter from  a highly intelligent gentleman of
New  Orleans, in which he states, that the success of  Doctor
Taft  was so great in  this malady  as  to attract the  marked
attention of a large number of citizens; and  the writer ex-
presses a  deliberate  opinion, that  a new  and  favorable era
would soon have occurred in the management of this formid-
able  affection, if the  able and accomplished  Taft had  sur-
vived.  The remedies which this physician found most success-
ful, and  upon which he  chiefly relied, were Aconite, Ipecac,
Belladonna and Bryonia, in the first,  and sometimes  second
stages;  in  the second and third stages, in addition  to the
above, Rhus tox., Arsenic, Veratrum, Cantharides,  Carbo  veg.,
Nux vom.   These medicines were usually employed at the first
attenuation, and frequently repeated, either singly or in alter-
nation, as the circumstances of each case appeared to require.
  When the first symptoms declare themselves, as dizziness,
slio-ht chills, pains in  the back  and limbs, uneasy sensations
at the epigastrium, with nausea, vomiting,  and sensation of
faintness, Ipecac, at the third attenuation, should be immedi-
ately exhibited.  This remedy may also be found serviceable
during the second and third stages, in  alternation with some
        11 
96
FEVERS.
 other article.   Should the malady continue to progress, the
 folloAving  medicines  should be  considered,  and,  in proper
 oases, promptly administered.
   Belladonna.   Glowing redness and bloated appearance  of
 the  face ;  eyes  red  and sparkling, or fixed,  glistening, and
 prominent; tongue loaded with whitish mucus, or yellowish,
 or brownish;  pulse  variable.   Dry burning heat;  sharp,
 darting and shooting pains  in  the  head; violent throbbings
 in the head; burning thirst;  painful heaviness and cramp-
 like  pains in  the back, loins, and legs;  pressure, cramp-like,
 and  contractive  pains in the stomach ; inclination to vomit, or
 violent vomitings.   During  the remission, melancholy; dejec-
 tion  ; when reaction comes on, great agitation, Avith continual
 tossing and anguish.
   Administration.—Belladonna is for the most part applica-
 ble to the first stage of yellow  fever.   Twelve globules  in
 half a teacupful of Avater, every hour or two hours a teaspoon-
 ful, until better  or another remedy is needed.
   Bryonia.  Skin  yellow; eyes  red, or  dull and glassy,  or
 sparkling and filled Avith tears; tongue dry, and loaded with
 a white or  yellow coating; pulse rapid and full, or weak and
rapid.  Severe  pain and burning sensation  in  the stomach;
 vomiting, particularly after drinking; burning thirst; pains  in
 the back  and  limbs; headache,  aggravated  by movement;
 eyes painful on motion ; sense of fullness and  oppression  in
the stomach and intestines.   Anxiety, Avith dread and appre-
hension respecting the future ; loss of memory; delirium.
   Administration same as Belladonna, or  in  alternation with
 Rhus.
  Rhus.   Surface of a dirty yellow color; eyes glazed  and
sunken ; tongue  dry and black ; lips dry and brownish ; pulse
quick and  small; loquacious delirium, or coma with  sterto-
rous  breathing; constant  moaning.  Distressing  pain  and
burning in the  stomach ; nausea  and vomiting; paralysis of
the lower extremities ; spasms in the abdomen ; want of power 
YELLOW FEVER.
97
over  the  abdominal muscles;  colic;  diarrhea; difficulty  in
deglutition, and pain on swalloAving.  Intellect dull and cloud
ed ; constant uneasiness ; delirium.
  Administration same as Belladonna.  (See Bryonia.)
  Arsenic.  Face  of a yellowish or bluish color;  eyes dull
and sunken, with a dark mark under them ; sclerotica yellow;
nose  pointed; coldness of the body, with cold  and clammy
sweat; lips and tongue broAvn or black ; colliquative sweats ;
pulse irregular, or quick, weak, small, and frequent, or suppress-
ed and trembling.   Sense of extreme debility; dull, throbbing,
stunning,  or shooting pains  in  the head ; burning or  sharp
and darting pains in the epigastrium, or in the region of the liver;
limbs feel stiff and useless ;  frequent evacuations, with tenes-
mus,  or painless  and involuntary; oppression at the chest,
with rapid and anxious respiration;  cramps in the calves  of
the legs; great oppression at the stomach, with violent vomit-
ing,  especially after drinking; drawing and cramp-like pains
in the abdomen ; sensation as if a weight was pressing upon
the abdomen.  Indifference ; weakness of memory; stupidity;
delirium, with great flow of ideas ; loss of consciousness and  of
sense; raving.
  Administration.—Dissolve in water,  as stated  in  Bella-
donna.  In  urgent cases,  a teaspoonful  may be  exhibited
every half hour, until some change is produced in  the symp-
toms.  In less dangerous cases, the intervals of administra-
tion may be lengthened as circumstances require.
  Aconite.   Suitable in the first and second stages,  when
there are burning and dry skin; red  cheeks;  full  and  rapid
pulse; red and  sensitive  eyes ; tongue  natural or  covered
with a whitish slimy coat; lips  and mouth dry; vomiting  of
mucus  and bile;  urine dark-red.  Violent febrile reaction;
sensation  of intense heat; great  thirst; acute  pains in the
temples, forehead, or on the side of the  head ;  vertigo  on
rising, eyes weak and sensitive  to light; pains  and soreness
in the back and  limbs ; nausea ; general sense of debility; 
98
FEVERS.
 great heat and irritability of the stomach; short and anxious
 respiration.  When the fever is on, great anguish, anxiety, and
 restlessness ;  for the most part nightly delirium.
   Administration.   Dissolve in water as above.   Aconite and
 Belladonna may sometimes be alternated Avith benefit in the
 first period of the disease.
   In a majority of  cases, a  few doses of this remedy will be
 found indispensable, during the first reaction.
   Nux vomica.   Skin yellow; face pale or yellowish, espe-
 cially round the nose and mouth; lower part of the sclerotica
 yellow; eyes  inflamed, with redness of the conjunctiva;  eyes
 surrounded Avith a dark circle and full of tears;  tongue  with
 a thick  white or  yellow fur, or  dry,  cracked,  and broAvn,
 Avith red edges ; pulse variable.  Burning pains in the stom-
 ach ; pressure or cramp-like pains in the  epigastrium;  vomit-
 ing  of acid, bilious,  or mucous matters ; frequent and violent
 hiccough;  eyes sensitive to  light; vertigo,  or  pains  in the
 head ; tremors of the limbs,  cramps in different  parts ; thirst
 for beer, brandy, or  some stimulant;  contraction of the  ab-
 dominal muscles;  loose discharges of slimy or bilious matters
 or  blood;  burning  pains at  the neck  of the bladder, Avith
 difficulty in urinating ;  coldness, paralysis, and cramps in the
 legs; feet  benumbed and cramped.   Excessive anxiety, un-
 easiness, fear of death ; despair, or loss of consciousness  and
 delirium, with moaning or muttering.
   Administration same as Belladonna.
   Mercurius.  Yellow  color  of the skin;  eyes red, blood-
 vessels of sclerotica injected ;  eyes sensitive to light; paraly-
 sis of one or more limbs;  tongue Avith moist, thick, white fur,
or dry and brown mucus ; faeces variable ; pulse  irregular, or
quick, strong,  and intermittent, or weak and trembling.   Ex-
cessive inclination to sleep, or restlessness from nervous irrita-
tion  ; sense of fatigue and debility ; rapid  loss of strength;
dizziness, or  violent pain in the  head ; Aiolent convulsive
vomiting of mucus  and  bilious  matter; burning pain  and 
YELLOW  FEVER.
99
tenderness of the stomach ;  constipation,  or diarrhea with
discharges of mucus, bile, or blood; coldness of the arms and
legs, with cramps ; excitability and sensibility of all the or-
gans.  Anguish and agitation; weakness of memory ; appre-
hensions ; discouragement; moroseness ;  raving.
  Administration same as Belladonna.
   Veratrum alb.   Face of a yellowish or bluish  color, cold
and covered with cold perspiration; eyes dull, clouded, yel-
lowish and watery; lips and tongue dry, brown and cracked;
hiccough; coldness of the hands and feet; trembling and
cramps of the feet, hands, and legs; evacuations loose, black-
ish or  yellowish;  pulse  slow  and almost  extinct, or small,
quick, and intermittent.   General prostration  of strength;
confusion of head, or vertigo ;  deafness;  difficult deglutition ;
intense thirst; violent vomiting of green bile and  mucus, or
black bile and blood;  burning in the stomach; great exhaus-
tion ; cramps in the stomach, abdomen, and limbs;  diarrhea.
Timid, despondent, restless, loss of sense;  coma  or violent
delirium.
   Administration same as in Arsenic, and with it in alternation.
   Sulphur.  Face pale, or yelloAvish ;  eyes red, or yellowish;
aphthae  in  the  mouth; tongue dry,  rough, and  reddish, or
with white  or  brownish  coat; pulse hard, quick, and full;
fseces  whitish,  greenish,  or  brownish,  bloody or  purulent.
Dizziness, or sharp pains  in the head;  itching and burning
pains in the eyes; roaring in the ears ; nausea, with trembling
and weakness;  vomiting of bilious, acid, bloody, or blackish
matter; pressure and pain in the  stomach;  pains in the back
 and loins.  Melancholy, sad, timid, undecided, wandering.
   Administration.  Dissolve in water  as above ; every four or
 six hours a teaspoonful.
    Cantharides is sometimes  indicated in the third stage with
 complete insensibility, cramps in  the  abdominal muscles and
 legs, suppresion of urine, hemorrhages from the stomach and
 bowels, and cold sweat on the hands and  feet.   It may be 
100
FEVERS.
employed in water, dissolved, every half hour a  teaspoonful,
until a decided impression is produced.
   Carbo veg. and Lachesis have both proved curative in the
third  stage  of yellow fever,  and should always  receive due
attention in grave cases.
  Diet and regimen same as under "Fevers."

  Bilious Remittent Fever—Bilious or  Gastric Fever.
              (Febris remittens,  Enteropyra).
  Diagnosis.—A more  or less severe chill is followed by fe-
verish heat, Avith dry skin, and rapid but soft pulse; the lat-
ter is  frequently intermittent,  mostly irregular.   The patient
has a feeling  of oppression  and swelling at the pit  of the
stomach;  pressure on the stomach causes not  much  pain,
but rather a disagreeable sensation by the gases in the  stom-
ach, which are belched up, smelling disagreeably, sometimes
with vomiting of a tough, variously-colored mucus, with  a
bitter, putrid or  slimy taste.   The patient has a foul  tongue,
with a yellowish or brownish coat;  he complains of head-
ache,  particularly a pressing  sensation over the  eyes, of diz-
ziness and unusual lassitude.
  In the beginning of the disease, the bowels are constipated ;
in its  progress, offensive discharges appear, of badly digest-
ed food with  mucus.  The  urine, generally, is  turbid, re-
sembling a mixture  of butter Avith water (urina  jumentosa).
  There appear, sometimes, two varieties of this  fever.
  First variety,  respecting the stomach,  which sometimes is
inflamed in several spots, exhibiting many symptoms  of a
real gastritis ; such as vomiting after the least eating or drink-
ing, continual  eructation of gas  and hiccough, beside great
tenderness on pressing the region of the stomach.
   Second variety, respecting the febrile excitement,  Avhich some-
times  assumes the  febrile type, particularly in persons  of a
plethoric constitution.   In such cases the pulse becomes hard
and full, with  rush  of blood  to the head, the skin dry and 
BILIOUS  REMITTENT fSVER.
101
hot, the tongue has a thin, whitish coat, the urine, at first
dark broAvn, becomes turbid only on standing.   The remis-
sion of these symptoms takes place in the morning, therefore,
the name  remittent fever;  a complication with  the intermittent
is frequently observed, particularly in marshy regions.
  Causes.—This fever mostly appears in the  summer, when
the atmosphere is moist or changeable; also, during long-con-
tinued hot weather.  Persons of weak  digestion, with irrita-
ble temperament,  are predisposed to it;  also, those of seden-
tary habits, and indulging in debauchery or eating to excess
indigestible food.  As exciting causes, we mention:  over-
loading of the stomach,  anger, fear, taking cold and expo-
sures to inclement climates.
   Duration and course are very indefinite;  this  disease  may
terminate in a few days or it may last for  weeks.  Under a
 judicious homoeopathic treatment, its duration  is very much
 shortened, as, by the specific action of the  medicines on the
 disease, its termination does not depend on  the appearance of
 a favorable crisis, whereby a great deal of time is saved.   If,
 however, a crisis appears, it does not impede the homoeopa-
 thic medication: if it is too excessive or debilitating, the pro-
 per remedies have to be applied.   Such crises appear by vom-
 iting of  food  or bile, and by  diarrheas of bile, mucus  and
 indigestible substances.   It is very favorable during the course
 of the disease, if the skin becomes moist, the urine deposits
 a sediment, or fever blisters appear on the  lips  and nose.
   This disease can change into the intermittent fever  or ty-
 phus, if  neglected or badly treated.   In such cases we refer
 the reader to the  chapters of these diseases.
   Treatment.—As  the  premonitory symptoms  of a bilious
  remittent fever  indicate, generally,  a derangement of  the
  stomach, from errors in the diet, or exposures to the changes
  of the weather, it is necessary, above all,  to counteract these
  effectually in the beginning.  In this stage of the disease,
  commonly termed biliousness, there  is no fever yet, which 
102
FEVERS.
 will soon appear, however, if  the patient  does not adhere
 to a strict diet and keep quiet.  His diet must be of the light-
 est kind, gruels, light bread, black tea and cold water; com-
 plete rest on the bed or couch.   In case of the stomach having
 been overloaded, take coffee without milk or sugar; if caused
 by the eating of fat  meat, etc.,  take Pulsatilla,  China, Carbo
 vegetabilis; and, if there still remains nausea  and gagging,
 give Antimonium crudum ( see "Indigestion").   If anger was
 the cause, give Chamomile, and, if accompanied by chilliness
 and headache, in alternation with Bryonia  (see, "Affections
 of the Mind").   If climatic influences, exposures  to cold or
 damp weather caused the biliousness, give Bryonia and Rhus,
 particularly if pains in the head, arms and limbs are present;
 administer as stated page  88; beside, consult the  article on
 indigestion.
   The principal  remedies for the bilious remittent fever, are
 Aconite, Pulsatilla, Bryonia, Nux vomica, Ipecac, Tartar emetic,
 Antimonium  crudum,  Chamomile, Colocynth,  China, Phospho-
 ric acid, Arsenic,  Veratrum.  If  the  symptoms of the  first
 variety  predominate,  consult the article on gastritis, if those
 of the second, see " Congestion of the Head," and "Inflamma-
 tory Fever."
   Symptomatic Detail.—Aconite.   High fever; rapid pulse ;
 yellow coating on the tongue ; bitter taste and eructations ; bit-
ter, greenish or slimy vomiting; painful sensitiveness of the
 stomach; headache,  Avorse Avhen talking.
   Pulsatilla.  Foul tongue, with  a A\rhitish coat; foul, bitter
taste, especially of bread; sour, or offensive belching; aver-
 sion to  food,  particularly warm;  desire for acids; throwing
up  of food or mucus; flatulence;  chilliness, Avith languor; ill
humor; inclined to a diarrhea.
  Antimonium crudum.   Dull headache, Avorse when going up
stairs, loss of appetite, loathing, tongue coated or covered with
blisters, thirst at night, nausea; eructations, painfulness of the
 stomach to the touch ; flatulency. ( Bryonia is suitable after it.) 
BILIOUS REMITTENT  FEVER.             103
  Bryonia.   Especially  during summer in  hot and  damp
weather, dry tongue, coated white or yellow, thirst, bitter taste,
desire for acids, wine; bilious vomiting after drinking, dullness
of the head Avith vertigo, worse after drinking, chilliness.  (In
alternation with Rhus.)
   Chamomile.  Bitter taste in  the mouth, loss of appetite,
nausea, vomiting of green, bitter or sour liquid; tensions and
pressure in  the  stomach, anguish and restlessness, tossing
about;  pain and fullness in the head, hot and red face;  irri-
table temper.  ( Against the excessive use of Chamomile tea
give  Cocculus and Pulsatilla.)
   Nux  vomica.   Bitter  or foul taste in the mouth, painful
pressure and tension in the pit of the stomach ; constipation,
with frequent but ineffectual urging to stool; rheumatic pains
in the head and body, inability to think.  ( After it  Chamo-
mile suits frequently.)
   Ipecacuanha.   Loathing of food, with desire  to vomit; vio-
lent, but ineffectual efforts to  vomit; or  easy vomiting, but
with great force; violent pains in the stomach;  aching in the
forehead, or sensation as  if all the  bones of the skull were
broken.
   Arsenicum.   Colic or burning pains in the stomach and ab-
domen ; great sensitiveness, at the pit of the stomach, to touch;
burning pressure at a small spot in the  stomach; great debil-
ity, wants to lie  down; vomiting after drinking or motion;
drinks  often but little at a time.
   Mercury.   Moist, white or yellowish coated  tongue, pain-
ful  sensitivenesss  of the pit of  the  stomach  and abdomen,
 worse  at night, with restlessness; drowsy  in the day-time,
 sleepless at night.  ( Suits well after Belladonna.)
    China.   No appetite, loathing of food and drink; chilliness
 and shuddering after drinking ; flatulence ;  diarrhea of undi-
 gested food; very weak from debilitating losses; in alterna-
 tion with
    Phosphoric acid, as directed  in Typhus fever. 
104
FEVERS.
    Colocynth.   Vomiting or diarrhea after eating ever so little;
 spasmodic colic;  cramp in the calves.
   Tartar emetic.    Constant nausea, with  desire  to vomit;
 gagging; slimy vomiting and diarrhea.   ( Suits well in alter-
 nation with Bryonia.)
    Veratrum.   Dry tongue, coated yellowish, bilious vomiting
 and diarrhea, debility,  fainting after a stool; cutting pains in
 the abdomen.
   Carbo vegetabilis.  Acidity in the stomach Avith pains, Avhen
 pressing on the pit; heaviness or dullness of the head with
 debility;  offensive diarrhea with  great prostration.
   Sulphur.  If the fever had its  cause in abdominal plethora,
 which is frequently accompanied  by hemorrhoidal affections.
   Administration.—Give of a selected remedy eArery three or
 four hours a dose ( four globules ) until four or six doses are
 taken ; then discontinue for twelve or fourteen hours, to await
 the result.  It  is  very proper  to give the medicine  dissolved
 in water.   If that can  be done,  dissolve twelve globules  in
 half a teacupful of Avater, and give, every two or three hours,
 a teaspoonful;  for four  or six times.
   Diet and  Regimen.—As in fevers generally, lemonade  is
 very grateful to patients  of this kind, must however be avoided,
 where there is severe diarrhea.

   Intermittent Fever.  Fever  and Ague.   Chills and
                          Fever.
                   (Febris intermittens.)
   The difference  between remittent  and intermittent fevers  is
 very marked, and ought to be well understood.
   Remittent is a fever in which the symptoms continue durino-
the whole time of the  patient's  sickness, only varyino-, from
time to time, in severity; but never leaving the patient  en-
 tirely at any time.
   Intermittent, however, is  a fever, in which the symptoms,  at
certain times, cease, and the patient  feels as if entirely free 
intermittent fever, etc.
105
from them, or well.  To this latter class belong the chills and
fever, or fever and ague, which is caused either by a certain
miasma, generated  in  marshy countries,  or  follows  other
diseases, acute  as well  as chronic;  for  instance, inflam-
mation  of  the  liver, indigestion, internal  obstructions, etc.
  Diagnosis. — The  cold  stage  is  preceded  by  languor,
yawning, drowsy  headache, numbness  of  toes and fingers,
and blue nails.   Then  coldness  of the extremities is felt,
gradually increasing, until  the  patient  sometimes begins  to
shake  and tremble, his  teeth  to  chatter, and  delirium en-
sues.
  During this time, the pulse  is  weak and  oppressed;  his
thirst variable;  the  cold stage lasts from twenty minutes  to
three  or four hours,  and varies much in  severity.
  The hot stage shows all  the symptoms characteristic of  an
inflammatory  attack : hot, dry skin ; thirst; full, quick pulse ;
congestion of the head, and sometimes, even  delirium.  Its
intensity and duration are variable, the latter being from two
to six or eight hours.
  The  sweating stage  indicates an abatement  of the  fever,
although, frequently, there  are fever and perspiration at the
same  time.
  Treatment.—Certain and general rules for the treatment
of this  disease cannot be given; it  depends too much upon
the individual, and  exciting causes, to  make up  its general
character.   But we will try to be  as practical on  the subject
as possible.
  Two  or three  attacks must have passed  before we can
know, for a certainty, that we have to do with an  intermittent.
These  attacks will have been treated  already, according to
their   appearance, either  as bilious  rheumatic,  or  gastric
fevers,  whereby we may have used  remedies beneficial  in
fever and ague also.  But if this shows itself clearly as such,
adopt the following treatment:  First, Ipecac, four doses (six
glob, each), o-jven in regular intervals  between two attacks 
106
FEVERS.
of fever, during which no medicine should be given; but, after
it is  over, give  one  dose of Nux  vomica (six  glob.).  If,
then, the next attack is lighter, do not give any more medi-
cine, as the disease will disappear, the attacks gradually grow-
ing lighter and lighter.
   But if this general treatment does not succeed, select the
specific  remedy  among the folloAving, taking great  care to
find the one most similar to the symptoms of the disease.
For its application, I  will here give general directions suit-
able for every case.
   Administration.—Having found  the  remedy, give three
doses of it (six glob, each), commencing twelve hours before
the next attack  is  expected, once  in four hours a dose.
During the attack, if the  chilliness  and fever  are  very
severe,  give, invariably,  Aconite, in  solution  (eight glob-
ules in half a teacupful of water), every half hour  or hour a
teaspoonful, until  the  attack is over.   If the next  attack is
lighter, give no more medicine;  if not lighter, select  for the
next attack another more  suitable remedy.   In this way pro-
ceed for ten or fourteen days, trying to find the right  homoeo-
pathic remedy, before  adopting the method spoken  of at the
end of this article, Avhich subdues the fever, without, perhaps,
eradicating it as safely as the homoeopathic remedy would,
if found.
   We will give, in the following, the principal remedies use-
ful in domestic practice, leaving more complicated forms of
the disease for the  treatment of a  homoeopathic physician,
if one can be had.
  Arsenic  For great debility, disposition to vomit,  or violent
pains in the stomach; great anguish in the precordial region;
lameness of the extremities, or violent pains; imperfect develop-
ment of  chilliness and heat, or both; alternately sensations of
internal chilliness Avith external heat; drinking very often, but
little at a time.  The pains  in  the limbs or  all over  the body
are almost  insupportable with  anxiety and restlessness, op- 
INTERMITTENT  FEVER, ETC.
107
pression in the  chest,  nausea,  bitter taste in  the  mouth.
(Compare  China, Ipecac,  Veratrum.)
   China.  When, before the fever, there is nausea or thirst,
voracious  appetite,  headache, palpitation of the heart, thirst
between  the cold  and hot stages,  or  after the hot stage, or
during the perspiration; cold and heat alternately; no thirst
during  the heat; great debility;  uneasy sleep; yellow com-
plexion.  (Compare with Arsenic  and Lachesis.)  This re-
medy particularly is suitable for those intermittents, originat-
ing from marsh miasms.
   Natrum mur.  Violent  headache during  the chilliness and
heat, -with obscuration of  sight,  amounting almost to partial
loss of consciousness;  pains in  the  bones, yellowish  com-
plexion ; fever-blisters on the lips  and ulcerated corners of the
mouth; thirst during the chills, more  during the heat;  sensi-
tiveness at the pit of the  stomach; bitter taste;  no appetite,
or slight  chilliness with  yaAvning and stretching, Avithout
thirst, followed by  high fever with thirst, then perspiration
Avith drowsiness  and sleepiness;  particularly in cases where
Quinine had been  given, to suppress the fever.  (Compare
with Ignatia, Arsenic.)
   Ignatia.   Thirst  only during  the  chill; gastric symptoms,
pain in the bowels during the chill, and  eruptions on the lips,
as in Natrum mur.;  external heat moderates the  chill;  external
heat, with partial internal shuddering.   ( Compare with Carbo
veg., and Natr. mur.).
   Carbo veg.  Thirst only during the chill; rheumatic pains in
teeth or limbs, before or during the attack; nausea; giddiness
during the heat; chill comes on in the evening or at night;
particularly, appropriate in damp  or wet weather.
   Sabadilla.   When the  attacks  return almost at the same
hour, with chills of short duration ; then thirst followed by
heat, or where the  paroxysm consists entirely of chills.
   Ipecac   Much shivering with but little heat, or the contrary;
 increase of the shivering  by  external warmth (the opposite  of 
108
FEVERS.
Ignat.); oppression at the pit of the stomach; no thirst,  or
but little,  during the chill; violent thirst during the heat;
nausea and other gastric symptoms; clean or slightly coated
tongue ; nausea and vomiting; oppression of the chest before
or during the paroxysm.  ( Compare Nux vomica.)
   Nux vomica.   External heat, with internal chilliness, or vice
versa;  desire to  lie doAvn, and to be constantly covered, even
during the  heat; rheumatic pains in the sides, abdomen, and
limbs; during the heat, headache, buzzing in the ears, heat in
head and face, with redness of the cheeks, thirst, and constipa-
tion.   (Compare Ipecac)
   Pulsatilla.  Gastric  symptoms;  chills,  heat,  and  at the
same time in the afternoon and evening (compare Sabadilla) ;
no thirst during the whole paroxysm, or only  during  the hot
stage; at intervals the patient feels  very chilly.   It  is  very
suitable when a  disordered stomach has  caused a relapse,  or
after  Lachesis.   Beside,  compare  Antimon.  crud.,  Bryonia,
Chamomile.
   Lachesis.   Chills after a meal or  in  the afternoon,  Avith
pains in the limbs and back; oppression of  the chest; violent
headache during  the hot stage, with delirium, burning thirst,
restlessness,  internal  shuddering; debility;  livid complexion
during the  intervals and when the  fever returns easily  after
eating sour things ; in which case it  alternates  adA'antageously
with Pulsatilla.
   Veratrum.  External chill and cold sweat, particularly on
the forehead, with internal heat  and dark-red  urine; delirium
and red face, or chills with thirst and nausea; or, vomiting
and diarrhea during the heat or  in  the beginning of the cold
stage, with pains in the back and loins.
   Sambucus, Avhen the  perspiration is  very profuse,  even
during the intermission.
   Antimonium crud.   When the tongue is very much coated,
Avith nausea, and  vomiting, little or no thirst, constipation,
or diarrhea.  (Compare Pulsatilla.) 
INTERMITTENT FEVER, ETC.
109
  Bryonia.   For bilious  symptoms, with much  thirst, rheu-
matic stitches in the side during the heat.
  Rhus.  The paroxysms for this remedy  consist of heat,
preceded and followed by chills.   If  bilious  rheumatic symp-
toms are present, alternate with Bryonia.
   Capsicum.  Chilliness  with thirst, followed by heat without
thirst,  or thirst only during the hot stage; the chills are vio-
lent and last long; the heat is intensely burning;  throat and
mouth  filled with  mucus;  cannot bear noise; diarrhea of
acrid,  slimy matter.
   Sulphur.   Intermittents,  following  suppressed cutaneous
eruptions,  or after the abuse of quinine.
   Calcarea.  Chills and heat alternate, sometimes  external
coldness, and internal heat, head and face hot,  extremities
cold, pains in the small of the back, diarrhea.
   Opium.   Intermittents of old persons and children, where
drowsiness with loud  snoring prevails, oppressed breathing
with the  mouth open;  face  looks  bloated and dark-red;
twitchings  of the muscles of the extremities.
   We will  now give some general indications and  the names
of the medicines only.   The symptoms may be  examined in
the  Materia  Medica, at  the end of the book, and then the
choice made accordingly.
   For  marsh-intermittent fevers:  China,  Arsenic,  Ipecac,
 Carbo veg.
   For fevers prevailing in damp and  cold seasons:  Carbo veg.,
Rhus, Sulphur,  China, Pulsatilla, Lachesis, Veratrum.
   For mismanaged fevers, by large doses of Quinine: Pulsa-
tilla, Arsenic, Natrum mur.,  Lachesis, Sulphur.
   For  daily fevers:  Arsenic,  Bryonia,  Carbo veg.,  China,
Ignatia, Ipecac,  Lachesis, Natrum mur., Nux vomica, Pulsa-
tilla, Rhus, Veratrum.
   For tertian, or every-other-day fevers : Arsenic, Carbo veg.,
 China, Ipecac, Nux vomica, Pulsatilla, Rhus. 
110
FEVERS.
  For quartan, or every-fourth-day fever:  Arsenic, Pulsatilla,
 Veratrum.
  When the fever returns yearly, give Lachesis, Carbo veg.,
or Arsenic
  Having tried to cure the intermittent fever with these reme-
dies for a fortnight, without success, and being unable to pro-
cure a homoeopathic physician, give the patient the following
remedy:
  Take four or six grains of Quinine, mix with  eighteen  or
twenty  grains of loaf sugar, and triturate thoroughly, in a
clean mortar, for half an hour;  make six powders of it, and
give,  twelve or eighteen hours  previous to the  next attack,
one powder; and, afterward, every two hours one, until all
are given.   Give, then, a similarly prepared powder one hour
before the next chill is expected to come on, for at least a
week, and, afterward, continue to give such  a powder everv
seventh day, in the evening, for thirteen weeks after the last
chill.   If the fever returns (which  it seldom does), use Pul-
satilla, Arsenic and Natrum mur.
  N.  B. If the disease  is complicated Avith bilious rheumatic
symptoms, see this article in Index.
  Diet and Regimen, as generally in fevers.  (See " Common
Fever," page 84.) 
CHAPTER V.
AFFECTIONS OF THE MIND.
  Sudden emotions are often followed by fatal consequences
either immediately or soon after, and it is not well to neglect
them, particularly in children and delicate women.
  We will give, in the following tabular view, the most fre-
quent emotions, with the principal remedies, whose symptoms
are detailed below,  and which must be compared with the
patient's symptoms before a choice is made.
  For the consequences of fright and fear : Opium, Aconite,
Belladonna, Ignatia, Pulsatilla, Mercury.
  Excessive joy:  Coffea, Opium,  Pulsatilla, Aconite.
   Grief:  Ignatia, Phosphor, ac,  Staphysag., Colocynth.
  Home sickness:  Phosph.  ac, Mercury,  Capsicum, Staph.
   Unhappy love: Hyoscyamus, Ignatia, Phosphor, ac
  Jealousy : Hyoscyamus, Lachesis, Nux vomica.
  Mortification and  insult:  Belladonna,  Ignatia, Platina,
 Colocynth, Staphysag., Pulsatilla.
   Contradiction  and chagrin: Chamomile,  Bryonia,  Ignatia,
 Colocynth, Aconite, Nux vomica, Platina, Staphysag.
   If accompanied with  indignation:  Colocynth,  Staphysag.
   Violent anger: Aconite, Nux vomica, Chamomile, and Bryonia,
 Phosphorus.
   Symptomatic  Detail.—Aconite.   Headache, with conges-
 tion to the  head; constant fear,  especially in  children; or
 when Opium has not been given at once for fright.
   Belladonna.  Loss of consciousness, or constant^ anxiety,
        12 
112
AFFECTIONS OF THE MIND.
  with weeping, fear, crying with malice, particularly in children;
  also,  when  Opium and  Aconite  have been insufficient for
  fright.
    Capsicum.   For sleeplessness  from home-sickness,  with
  heat and redness of the cheeks.
    Chamomile.  For the  following  consequences of anger:
  bitter taste in the mouth,  nausea, A'omiting of bilious  matter,
  cutting colic, pressure in the  stomach, headache, fever, thirst,
  restlessness, asthma, suffocating fits;  in children,  convulsions
  or gastric derangement, after eating or drinking, shortly after
  an angry fit.
   Bryonia.   Chilliness and shuddering over the whole body;
 vehement anger; loss of  appetite; nausea; vomiting of bile.
   Coffea.  Nervousness from great joy, with trembling and
 faintness, especially in females and children.
   Colocynth.  From chagrin  or mortification—colic,  cramps
 in the stomach, nausea, bitter vomiting, sleeplessness.
   Hyoscyamus.   From fear—stupefaction, and apathy, inabil-
 ity to swallow,  convulsions,  sudden  starts  or  involuntary
 laughing during sleep, desire  to escape ; and, also,
   From unhappy love—jealousy, restlessness, running about.
   Ignatia.   From fright, mortification,  chagrin,  grief, espe-
 cially after losing  a friend—irresistible grief, headache, ver-
 tigo, vomiting, gastric symptoms or even convulsions, espe-
 cially in children,  from fright  or  from unhappy love.
  Mercury.   From fright,  mortification, or home sickness—
 as great anguish, trembling, and restlessness; sudden start-
 ing from  sleep; congestion of blood  on  the least motion;
 sleeplessness; cannot bear the warmth  of the bed; nervous-
ness ; quarrelsome mood; complains of everybody, even one's
own family ;  constant shivering;  night sweats.
  Nux vomica.   From anger—particularly after having eaten
or drank something, or after Chamomile or Bryonia has been
given without effect.
   Opium.  From joy or fear, to be given immediately—loss 
HYPOCHONDRIA--HYSTERIA.
113
of consciousness;  perspiration  about the head, with coldness
of the rest of the body.; congestion to the head ;  involuntary
diarrhea;  snoring-like  breathing;   fainting fits;  spasms;
epileptic fits, with spasmodical rigidity of the whole body.
   Phosphoric acid.  From deep grief, unhappy love,  home-
sickness, or in any case where Ignatia is  not sufficient,  par-
ticularly when the patient is dull  and listless; when the hair
falls out, or turns gray;  hectic fever, with profuse sweats;
sleepy in the morning.
   Platina.   From anger and  mortification—as indifference,
sadness, and laughter; pride, with contempt for others ; great
anguish and dread of death.
   Pulsatilla.   From  fear—diarrhea, with  heat in the ab-
 domen.
   From  anger—in  persons of a  bland  disposition, or when
 Chamomile is not sufficient.
   Staphysagria.   From anger or indignation and ill-humor—
 the patient pushes  violently away  whatever  is near  him;
 restlessness; fear;  also,
   From  deep grief,  as  sadness, with a disposition  to take
 everything wrong—dread of the future ; sleepy in day-time
 and  sleepless at night; falling off of the hair; feeble and
 faint voice  ; hypochondriac mood.
   Administration.—The selected remedy should be prepared
 and given  as follows: Dissolve twelve globules of it in half
 a teacupful of water, and give, every half hour,  a teaspoonful,
 until three or four  are given, or until better;  if not better
 after  three or four doses  are taken, select another remedy,
 and give it in the same manner.  As soon as the patient feels
 better, give the medicine at longer  intervals.

                  Hypochondria.   Hysteria.
    These two diseases are not essentially, but sexually,  differ-
  ent   Hypochondria is the name for it in a male  person,
  Hysteria,  in a female.   Persons  inclined to this disease have 
114
AFFECTIONS OF  THE MIND.
great disposition to spasms  and nervous  attacks; their idio-
syncrasies  and sympathies  are very much developed, from
which result a great variety of singular fancies and imaginary
sufferings,  changing frequently in  expression and character;
sadness and excessive joy, deep distress and buoyant hilarity
follow each other in rapid  succession.  Their real disorders
can  be  traced  generally  to  obstructions  in  the abdomen
and abnormal states of the sexual organs.   Debilitating influ-
ences of any kind may produce them, particularly where con-
stitutional  predisposition  is  present; also,  suppression  of
habitual secretions,  as piles,  fluor albus,  etc.   The female
system is more liable to them, if an ungoverned and unsatis-
fied imagination is fed daily  by reading novels, plays and
trashy romances.   This disease is  by itself not fatal; but
becomes very troublesome  to  the  patient as well as others.
  Treatment.—Part of the treatment must consist in encour-
aging the patient during the fits of distress and pain, even if
only imaginary; to the patient these sufferings are real, and
it cannot be of benefit to him, to express doubts of  their re-
ality in his presence.   A kind, patient, sympathizing atten-
tion, with occasional congratulations  on his progressive recov-
ery, etc., is more beneficial, and contributes much to gain his
confidence.
  During the hysteric fit or  spasm, it is only necessary to
to admit fresh air, and sprinkle cold water in the  face of the
patient; let him smell from time to time on camphor, or harts-
horn.  Between  the attacks, the patient's diet ought to be
regulated according to the strictest homoeopathic rules, allow-
ing plenty  of exercise in the open air,  if it can be taken;
diverting the  mind from  his own state  of health; using
hydropathic means, and giving those homoeopathic remedies
which suit  his case.
  The difference between a congestive and a nervous hypochon-
dria  and hysteria is very important, as  it greatly facilitates
the selection of the right remedy. 
HYPOCHONDRIA--HYSTERIA.
116
  The congestive form is signalized  mostly by  red,  swollen
face, wild looks, full pulse, feverishness, and requires princi-
pally :  Aconite,  Belladonna, Nux vomica,  Bryonia,  Opium,
Calcarea, Natrum mur.,  Sulphur.  The nervous form  exhibits
a pale face, Avith distressed looks, general debility, weak pulse,
chilliness, and requires mostly:  Aconite, Coffea,  China, Igna.,
Puis., Chamo., Lack., Nux moschata, Phos., Platina,  Vera.
  Symptomatic Detail and Administration of these remedies,
see "Affections of the Mind."
  If the disease is based decidedly on  obstructions in the ab-
domen, consult the following remedies particularly:
  Nux vomica.  Ill humor;  aversion to life; disposition to ve-
hemence;  disinclination to mental labor;  unrefreshing sleep ;
feels worse  in the morning; dullness  of the head, with aching
pains, or sensations as if a pin were sticking in the brain;
aversion to the open air; constant desire to lie down; great ex-
haustion after walking; painful distension  in the hypochon-
dria and stomach ; constipation  of the bowels ; disposition  to,
or  presence of,  the piles  (hemorrhoids).   Sulphur  follows
well after Nux vomica.
   Sulphur.   Lowness of spirits ; solicitude about one's affairs,
health, salvation; fixed ideas;   anxious impatience;  restless-
ness ;  vehement disposition;  bodily and mental indolence; ab-
sence  of mind;  cannot think; exhaustion after mental labor ;
fullness and pressure in the stomach;  constipation; feels very
unhappy.   Calcarea carb. follows well after Sulphur.
   Calcarea carb.  Lowness of spirits, with disposition  to weep ;
anxiety, with congestion or palpitation of the heart; despair about
one's health ; apprehension of illness, misfortune, infectious dis-
eases, insanity, etc.; dread of death; cannot think, or perform any
mental labor.   (Natrum m. follows well after Calcarea carb.)
   Natrum mur.   Lowness of spirits ; weeping and lamenting
 about the future ; desire to be alone; aversion to life ; ill humor ;
 disposition  to  vehemence; cannot perform  mental labor;
 headache,  with want of appetite ; indigestion after eating. 
116             AFFECTIONS  OF THE MIND.
   Administration.—Give of the selected remedy every third
evening a dose (six glob.), until four or six doses are  taken;
then discontinue for the same length of time; giving afterward
the next best  remedy in  the same  manner; and so on, until
better.
                  Melancholia.  Mania.
   A disturbance of the normal  actions of  the mind similar to
the former, but more deeply seated, with general derangement
of the system  always requiring skillful medical aid.
   If the patient is timid, unsociable, sad,  listless, weak, we
call it melancholia; if he is in the opposite state, and dwelling
on a fixed idea, we call it mania and frenzy.   The treatment
of these disorders is so difficult and complicated, that it would
be impossible to introduce it here with advantage.   We only
draw the attention of the reader to a few remedies, which
may be given  to commence a cure or satisfy immediate neces-
sities, until competent help can  be procured.
   For  deep melancholy: Arsenicum,  Aurum,  Lachesis, Nux
vom., Sulphur.
   For   silent  melancholy:  Ignatia,   Cocculus,  Lycopodium,
Phosph. acid, Pulsatilla,  Veratrum.
   For  religious  melancholy: Aurum,  Belladonna,   Lachesis,
Pulsatilla, Sulphur.
   For  mania, bending upon self destruction;  to hang  one's
self, Arsenicum; to drown one's  self: Belladonna, Hyoscyamus,
Pulsatilla, Secale;  to shoot one's self: Antimon. crud.,  Carbo
veg.
   For restlessness, wandering about: Belladonna, Hyoscyamus,
Stramonium.
  For mania, as if possessed by  bad spirits:  Hyoscy.;  as if
seeing ghosts : Belladonna, Stramonium.
  For frenzy, rage, cursing, etc.:  Bellad.,  Hyoscyamus,  Vera-
trum, Stramonium.
   Symptomatic Detail and Administration  of  these reme-
dies same as under "Affections of the Mind." 
CHAPTER VI.
AFFECTIONS  OF THE  HEAD.
1. Congestion, or Determination of Blood to the Head.
                  ( Congestio ad caput.)
  Some persons have a predisposition to  this disease; others
acquire it by wrong  habits, such  as  the use  of spiritous
liquors, leading  a sedentary life, or by intense mental ap-
plication.   It becomes  dangerous by long continuance, in
which case the patient ought to put himself under the charge
of a homoeopathic physician.
  For the single attacks, we will indicate the remedies below.
  Diagnosis.—In such an attack, the beating of the arteries
of the head is felt by the patient, the veins  of the neck are
swelled, the head feels full and heavy, and giddiness ensues,
particularly when stooping, exercising, or walking in the sun,
and when turning round suddenly.  The head aches  mostly
above the eyes;  increased by stooping, coughing; sleep is
unrefreshing; drowsy.
  Treatment.—In general, the patient ought to abstain from
heating or ardent drinks,  such  as  coffee, liquors  and tea;
drink cold water freely, and  wash or bathe in it.  Every
evening take  a cold foot bath up to the ankles, rubbing the
feet briskly after it.  Never allow bleeding, as it would only
increase the disposition afterward, without taking  away the
present attack sooner than the folloAving  remedies will do, if
properly applied. 
118             affections  of the head.
   The principal circumstances, under which congestion to the
 head takes place,  and their remedies, are:
   From great joy: Coffea, Opium.
   From fright or fear:  Opium.
   From anger, violent: Chamomile, Bryonia, Nux vom.
   From anger, suppressed:  Ignatia.
   From a fall or blow, causing concussions : Arnica.
   From loss  of blood or fluids :  China.
   From a cold: Dulcamara, Bryonia, Rhus tox.
   From constipation: Aloes,  Opium,  Nux vom., Bryonia.
   From drinking liquors: Nux vom.,  Opium.
   From sedentary habits: Aloes, Nux vom., Aconite.
   At the  critical period of girls, or
   From the   stoppage of menstruation:  Pulsatilla, Aconite,
 Belladonna, Bryonia, Veratrum.
   From dentition  in children:  Aconite,  Coffea,  Belladonna,
 Chamomile.
   Before giving one of the above remedies, examine the symp-
 toms, as detailed below.
   Aconite is the first remedy to be given, if the head  aches
 violently  above the eyes,  as if  it would burst,  particularly
 when stooping or coughing, or when it is caused by fright or
 anger, especially in children. ( See "Affections of the Mind.")
   Aloes.  Periodical headache, alternating with pains  in  the
 small of the back; stitches in the left temple, worse  when
treading.   Congestion of blood to the head from suppressed
hemorrhoids  and gout.
   Belladonna.  After Aconite, if necessary, or  in alternation
Avith it, if  the congestive symptoms are more on one side of the
head, and particularly the right;  or  if there is violent pres-
sure in the forehead, increased by motion, stooping, noise, or
the glare  of light;  darkness before the eyes; buzzing  in  the
ears.
   N. B. Belladonna and Aconite for young girls at the critical
age.  ( See Pulsatilla.) 
CONGESTION OF  BLOOD TO THE HEAD.
119
   Opium.   First remedy, if occasioned by fright (see "Af-
fections of  the mind," under  Opium),  or in those serious
cases of sudden congestion which  occur  in summer from a
draught of cold water when heated, Avith the following symp-
toms :  vertigo; buzzing in the ears; stupor, with sweat pour-
ing off the head;  pulse full and heavy, or quick and weak.
   Also, in those cases which arise  from  extreme constipation
when the patient has no desire for stool (Nux vom. in consti-
pation, Avith ineffectual effort to  evacuate the bowels), Avith
red and bloated  face;  dry mouth; wandering look; if, with
acid regurgitations, nausea, and vomiting, alternate with Nux
vom.;  the same, also, when from debauch.
   Coffea.    In cases  of congestion caused by excessive joy, or
in children when teething; sleeplessness, and agitation ; some-
times in alternation with Belladonna or Opium.
   Chamomile.   Congestion caused by angry passion, particu-
larly in children when teething; followed by Bryonia or Nux
vom., if necessary.
   Ignatia.  Congestion from suppressed anger, or grief.
   Arnica.  By a fall on the  head or other parts; congestions
of the head take place either by actual concussion, or by fright
and fear occasioned by a fall.  In  both  cases, Arnica, exter-
nally applied  (twelve drops of the tincture in  half a teacup-
ful of water ), in wet bandages ;  and internally, in alternation
 with Aconite.
   Also, in  cases where there is heat in the head, with chilli-
ness of the other parts;  dull pressure in the brain, buzzing
in the ears, and vertigo; obstruction of sight, especially when
 rising from lying doAvn.
   Nux vom.  Congestion from sedentary habits ; intense study,
 or drinking spiritous  liquors; also  from violent anger (see
 Chamomile and  Bryonia), when there  is nervousness, with
 painful feeling in the head when walking or moving; pressure
 in the temples; dim eyes, with desire to close them  without
 being able to sleep; the symptoms worse in  the morning, in
        13 
120
AFFECTIONS OF  THE HEAD.
the open air, or after a meal; boAvels constipated, with inef-
fectual desire to evacuate.
   N. B.  In cases where Nux vom. does not give perfect relief,
in persons fond of liquors,  Opium, Calcarea carb., and Sulphur,
at intervals of four  or six  days, one dose  (six glob.), are
necessary.   (See "Delirium Tremens.")
   Pulsatilla.   Congestion at the critical period of young girls,
or in phlegmatic temperaments, when  there are distressing
pressure and pain on one side  ( particularly the left)  of the
head; relieved in the  open air, or from binding the head;
whining  mood; anxiety;  shivering;  pale face, with vertigo.
   Mercury.  Congestion with sensation  of fullness, or as if
the head were compressed by a band; relieved by the pressure
of the two hands around  the head;  worse at night; disposi-
tion  to perspire—is often suitable after Belladonna and  Opium.
   Dulcamara.  Congestion from the least  cold;  wet feet,
particularly when there is continual buzzing in the  ears, with
dullness of hearing.
   China.   Congestion after loss of  fluids, as blood-letting, or
hemorrhage; Avhen there is beating in the head, with palpi-
tation of the heart, and dimness of sight;  heavy breathing
when lying with  the  head Ioav ;  followed, in such  cases, by
Calcarea curb, and Veratrum.
   Bryonia.   Painful pressure in the temples, or sensation as
if  everything Avould  fall out of the forehead when stooping;
nose bleeds Avithout  relief; constipation.  If in Avet weather,
alternate Avith Rhus.  Administer  every tAvo or three hours
a dose (four glob.), until three doses of each  are  given, or
until better.
   Rhus tox.   Congestion with burning, throbbing pains, and
fullness in the head; rheumatic pains in  the  limbs ; worse
after eating.  (See Bryonia.)
   Administration of the  above remedies,  the same as in
"Affections of the Mind."
   Diet  and  Regimen.—The diet ought to be  light,  farina- 
VERTIGO--GIDDINESS.               121
ceous ; no meat or broths, except in cases where loss of blood
or fluids has preceded the congestion.
   In the habitual form of congestion, early rising and daily
exercise in the open air, bathing or sponging  in  cold water,
are recommended.

          2.  Vertigo.   Giddiness or  Dizziness.
   It arises  either from disordered stomach, irritation of the
brain and congestion to the head, or from  suppressed  erup-
tions, or ulcers;  also from riding in a carriage.
   In most cases it accompanies severe disorders of  the brain
and stomach,  when it ought to be treated by an experienced
homoeopathic  physician.  Until such help can be  had,  the
folloAving  remedies may be resorted to:
   Treatment.—Vertigo from disordered stomach: Nux vom.,
Arnica, Chamomile, Pulsatilla, Antimon. crud., China, Rhus,
Cocculus.
   Irritation of the brain, from excess of thinking, etc.: Nux
vom., Arnica, Belladonna,  Chamomile,  Hepar,  Pulsatilla,
Rhus.
   Suppressed ulcers and eruptions:  Calcarea carb.,  Sulphur.
   Riding  in  a carriage:  Hepar  sulph.,  Silicea,  Cocculus,
Petrol.
   Congestion of blood to the brain: Aconite, Aloes,  Bryonia, Arni-
ca, Belladonna,  China, Lachesis, Mercury, Nux vom., Opium,
Pulsatilla, Sulphur.
   Before  giving one of the above remedies, read  its detailed
symptoms below.
   Aconite.  Vertigo on raising the head after lying doAvn or
stooping,  attended with nausea, vomiting,  dimness of  sight,
loss of consciousness.
   Antimon. crud.  Nausea and vomiting ; aversion to  food ;
disordered stomach; is  followed well by Pulsatilla.
   Arnica.  Vertigo from over-eating, or during  meals, with 
122
AFFECTIONS OF  THE MIND.
nausea, dimness of sight, red face; is  followed  well  by Nux
vom., Chamomile, Rhus, Lachesis.
  In cases of this kind,  frequently very dangerous, seek the
advice of a homoeopathic physician.
  Nux vom.   Vertigo during or after a meal, or when walk-
ing in the open air; stooping, or thinking; worse  in the  morn-
ing or evening, in bed, when lying on the back, Avith sensation
as if turning around or  falling;  fainting;  loss  of conscious-
ness.
   Opium.   From fright, with trembling; stupor; dimness of
sight;  worse when rising from bed, and obliged to lie doAvn
again.
  Pulsatilla.  Vertigo when looking upward, or when sitting
or stooping; worse in the evening, or after a meal; better in
the open air.
  Rhus.  Vertigo when  lying doAvn in the evening, Avith fear
of falling or dying.
  Lachesis.   Vertigo on walking in  the  morning, Avith  ab-
sence  of mind ; intoxicated feeling ;  constipation ; sensation
as if the head were turning to the left side.
  Mercury.   Vertigo on arising in the morning, or in  the
evening, with nausea;  dimness of sight; or when  raising the
head, with a desire to lie doAvn again.   (See Bryonia.)
  Bryonia.   Same as Mercury, and Avith feeling of intoxication
and congestion when stooping and rising again.
  Hepar sulph.  Vertigo from riding in a carriage.
   Cocculus.   Same as Hepar sulph., if this is not sufficient.
  Petroleum.   Same as Cocculus, if that is not sufficient.
   Silicea.  Same as Petroleum, if this is not sufficient,  or the
vertigo seems to rise from the back to the nape of the neck,
and thence to the head ; worse in the morning and after emotion.
   Sulphur.   Vertigo in the morning, or at night, when ascending
an  eminence, or after  a meal; after  suppressed ulcers  and
eruptions. 
WEAKNESS OF MEMORY.
123
   China.   Vertigo,  with fainting when raising  the head.
(See "Congestion to the Head.")
   Calcarea  carb.  Same  as  Sulphur, and when  with trem-
bling before  breakfast; coldness of  the head; congestion to the
head.
   Chamomile.   Vertigo in the morning  or  after eating, and
drinking coffee,  -with, fainting turns.
   Administration.—Every two, three,  or  four hours,  one
dose (four glob.) until relieved, or another remedy is neces-
sary.   If in vertigo, caused by  congestion to the  head,  see
"Administration," in that article.
   Diet and Regimen the same  as in " Congestion  to  the
Head."
                3.   Weakness of Memory.
   This diseased state  of the brain is principally  caused by
debilitating loss of fluids,  such as bleeding,  purging, sexual
excesses, etc., for which give China, Nux vom., and Sulphur,
every week  one  or two doses (six glob.), in  alternation until
better.
   Sometimes it is caused by excess of mental labor,  for which
give Nux vom., and Sulphur, as above.
   If caused by external injuries, a fall or bloAv, give Arnica.
(See "Congestion to the  Head.")
   If by congestion to the head, give Aconite, Belladonna, China,
Mercury,  Rhus, and  Sulphur.   (See  "Congestion  to  the
Head.")
   If by  excessive use of spiritous liquors, .give Nux vomica,
Calcarea carb., Lachesis,  Opium, Sulphur, in the same manner
as above, under "Debilitating Loss," etc.
   Administration, Diet and Regimen  as in "Congestion to
the Head."

                4.  Apoplexy.  (Apoplexia.)
   Short, thick-necked persons, of a full and fleshy groAvth, are
predisposed to this disease; it is also hastened on by the  too 
124
AFFECTIONS OF THE MIND.
 free  use of spiritous  liquors,  by excesses  of any kind, and
 suppression of the habitual perspiration of  the  feet.  An
 attack of apoplexy is  often preceded by heaviness  and full-
 ness  of  the head ;  buzzing in  the  ears ; dim  eyes ;  dullness
 of hearing; sleepiness; indistinct speech ; numbness of limbs.
 If this  state  exists,  particularly  in  old persons,  or those
 predisposed to apoplexy, the greatest care  should  be taken
 in the diet, which ought to consist only of simple farinaceous
 and  mucilaginous  substances, and cool acidulated   drinks;
 they  ought not to exercise very much, particularly in  the heat
 of the day, and should take the following remedies, as it  is
 easier to prevent an attack than to cure it.
   Opium.  If in old people there is unusual stupor;  buzzing
 in the ears; obtuseness of hearing ; redness of the face ; con-
 stipation ;  pulse  slow  and  full.   Give  three  times  a day  a
 dose  (four glob.), until better.
   Nux vomica.  In people of a sedentary habit, or  addicted
 to the use of ardent spirits, in alternation  with Opium and
 Lachesis, particularly  when,  with the   aboAre premonitory
 symptoms, there is headache on  the right side, Avith  vertigo
 and a nervous  bilious temperament.
   Adninistration same as under Opium.
   Lachesis.  Same as  Nux vom.  ; but particularly when  the
 left side  of the head suffers, and lowness  of spirits is connect-
 ed with it.  Administration same as above.
   Belladonna  and Aconite  under  the same  circumstances as
 stated under "Congestion  to the Head."
   Arnica.   When symptoms of congestion to the head appear
 after  a meal.  If an apoplectic  fit ensues, however, continue
 the same  remedies as indicated above, only give  them in
 solution  (twelve globules to half a  teacupful of  water),
 every half  hour a teaspoonful until  better, or another  remedy
is  indicated.
   In  such cases hasten immediately to procure a  homoeo-
pathic physician.  Avoid bleeding under any circumstances ; 
INFLAMMATION OF THE BRAIN.
125
the chances  of killing the patient by such an act are too
frequent.
  Diet and Regimen as in "Congestion to the Head."

             5.   Inflammation of  the Brain.
  The brain  and its  two coverings (see Anatomical Part)
are subject  to inflammation  separately, the  characteristic
symptoms of which  show themselves,  particularly  in the
beginning of a brain fever.   We will, therefore, ghre  them
separately, as it is important  and interesting, to be able to
distinguish between the different localities of the disease.
  Diagnosis.  First   species,  called meningitis,  if  the  dura
mater, the skin next to the skull, is inflamed.
  The acute meningitis attacks a person suddenly, exhibiting,
immediately, stupor and drowsy symptoms; the patient cannot
be raised  easily, or keep his head erect;  it inclines  to fall on
either side; he complains of no pain, except vertigo and diz-
ziness ; reels  when Avalking;  pupil contracted;  sensitiveness
to light, although the eyes  are not  red as yet; constipation;
scanty, dark, red urine; fever, Avith a soft pulse.
  N.  B. Old people are  most liable to this species of inflam-
mation of the brain;  also, those who have indulged too much
in the use of spiritous liquors, particularly after taking cold.
It frequently precedes an apopletic fit.
   Second species.   Called arachnoiditis, if the covering next
to the brain  is  inflamed.  This  species  does not commence
with  stupor, and not without pain, like the  first  species, but
with  violent pains over the entire  head; increased by par-
oxysms of congestion, with A'iolent beating of the arteries of
the neck  and  temples;  sleeplessness;  low  muttering;  pulse
quick; if  stupor ensues suddenly, the patient dies soon  after.
   Third  species.  Encephalitis vera, or inflammation of the
substance of the brain, in its various parts.
  It commences with  violent  congestion  and pulsation of the
arteries on the neck and head;  face red and bloated; eyes 
 126              affections of the  head.

 bloodshot and brilliant; intense heat of the head, and violent
 delirium.
   The patient tosses about, screams, and evinces great muscu-
. lar  strength and sensitiveness  to  light;  pupil  contracted;
 cannot hear  well.  The deeper the interior of the brain is
 affected, the more the senses are stupefied, so that, in  some
 cases, the patient can, finally, neither see nor hear; dry skin;
 violent thirst; hard, full pulse;  fever accordingly; frequent
 vomitings or retchings.
   Treatment.—It is easily to be  conceived that, in such a
 violent disease, no layman  would trust his  OAvn judgment,
 except in cases  of absolute necessity; and,  on this latter
 account, we give the folloAving treatment of the above  three
 species of brain  fever, which  is  the same as regards the
 internal remedies, and differs only in the external applications,
 as will be  seen below.
   External  Applications.—First  species—cold-water  ban-
 dages.
   Second species—hot-water bandages.
   Third species—cold-water bandages, or pounded ice.
   Internal Treatment.—First species— Opium, Hyoscyamus,
 Bryonia.
   Second species—Aconite, Belladonna, Hyoscyamus.
   Third  species — Aconite, Belladonna, Stramonium, Bryonia,
 Hyoscyamus.
   Before  giving the medicine selected, read  the symptoms
 presented below.
   Aconite is generally given first, when there is inflammatory
 fever,  delirium, violent burning pains through the whole
 brain,  particularly in the forehead; red face  and  eyes; hot
 and  dry skin.  Six hours after give Belladonna or continue
 the  use  of   Aconite in alternation  with  Belladonna,  until
 better.
   Belladonna.  This  remedy is almost  a  specific in inflam-
mation of the brain, particularly Avhen there  is great heat of 
INFLAMMATION OF THE  BRAIN.            127
the head, red and bloated  face, violent pulsation of the arteries
on the neck and temples; burying the head in the pillow; sensi-
tiveness to the slightest noise  and light; burning and shooting
pains in the head;  bloodshot and brilliant eyes, with a wild
expression; contracted or dilated pupils;  violent  and furious
delirium; raving ; loss of consciousness; sometimes low mut-
terings,  convulsions, vomiting, violent  thirst.  Administer
alone  or in alternation  with Aconite  (see above),  or  with
Stramonium and Hyoscyamus (see below).
   Hyoscyamus.    Stupor, loss  of  consciousness,  delirium;
sudden starting ; talks about his affairs ;  inarticulate speech;
singing, muttering,  smiling,  picking  the bed clothes;  skin
dry;  red  face;   desire  to  escape;   involuntary  stool  and
urine.
   Stramonium.   Red face;  staring  look; frightful visions;
sleep natural, but Avith twitching, tossing about, and absence
of mind when awaking; desire to escape, and  screams.
   Bryonia.  Constant stupor, with delirium ; sudden starting
from sleep,  screams, cold sweat on the  forehead;  burning
and shooting pains in the head, or stitches through it.
   Opium.  Stupor, with  heavy breathing; eyes  half open;
confusion and giddiness after waking; complete  listlessness
and dullness of sense;  also, no desire for anything, or com-
plaining of anything.
   Administration.—Dissolve twelve  globules of the selected
remedy in half  a teacupful  of water  and give either  alone
or in  alternation with another  remedy, similarly prepared in
 another teacup, every hour  or two hours a teaspoonful, until
 better or another remedy is needed.  Each remedy must have
 its separate teaspoon, with  which it is  given to the patient.
 If signs  of  amendment appear,  discontinue all medicines.
   Diet and Regimen as  in "Common Fever."
   Inflammation  of  the  brain in children.  As  the brain  of
 children is very  tender, its diseases must necessarily be more
 dangerous and frequent, and we give, therefore,  in the follow- 
128              AFFECTIONS OF  THE HEAD.

ing, a  more  special and  somewhat  modified treatment for
inflammations of the brain in children:
  If a child's head is very hot, feet cold, skin  dry and hot, it
sleeps with eyes half open, has  scanty urine, with or without
vomiting or diarrhea, let the cause  of the disease be what it
may, in such a case give at once Belladonna and Hellebor., in
solution (twelve globules  in half a teacupful  of Avater, each
remedy in  a separate cup), every two  hours  a  teaspoonful,
alternately, until better,  or until the  symptoms  require a
change of  remedy, generally  Sulphur or Mercury.  (See
Materia Medica, at end of book.)
  If the child gets worse, or  exhibits at the beginning  the
following symptoms, beside those above mentioned:  motion-
less eyes,  with insensible pupil;  loss of consciousness; moan-
ing ; icy coldness,  with bluish color of the skin ; pulse nearly
imperceptible ;  respiration interrupted ; give Belladonna and
Zincum, in alternation ; to be prepared and given in the same
manner as Belladonna and Hellebore, aboAe.
  The above suggestion is important, as cases of inflammation
of the brain occur  so  often in  children, when, as  is said,
the disease goes to  the head.   For instance,  in  teething;
in common  cold, with fever; in  scarlet fever ( see this  ar-
ticle ) ; or  in other eruptions, when suppressed; also, worm
fevers.
  If such a state should continue in a child for  some  time,
dropsy of the brain (see "Hydrocephalus") Avould speedily
ensue; the  above  treatment will surely prevent this, if  ap-
plied in time.
  N. B. If, at any time  during the treatment of inflamma-
tion of the brain, the patient is very restless and sleepless, we
may give, with  great advantage  and Avithout injury to  the
effect of the other medicines ( Avhich are discontinued during
that  time),  Coffea00- and Belladonna00, alternately, every
hour a dose (four glob.), until better.  This maybe done
often in the night. 
SUNSTROKE--HEADACHE.               129
                      6.   Sunstroke.
  Is a species of inflammation of the brain, which requires
the following
  Treatment.— Camphor.   Let  it be  put on the  patient's
tongue, at intervals of five or ten minutes, if he is  sweating
profusely while unconscious, and breathing heavily.
  Belladonna, after  Camphor has been  given, in alternation
with
  Lachesis,  every half hour, in solution  (twelve  globules  of
each in separate teacups half full of water), a teaspoonful at
a time.
  Externally, wash the head and face occasionally with brandy,
and give, internally, small quantities of  brandy until the pa-
tient revives.  Put neither cold water nor ice on the head.

                      7.  Headache.
   This disease,  so frequent and  troublesome, requires to be
treated with particular minuteness; the  more so, as its treat-
ment falls almost entirely within the legitimate sphere of do-
mestic practice, except where headaches are the concomitant
symptoms of severe fevers, as in the typhus, etc., or the fore-
runner of dangerous  attacks, as in apoplexy, etc., in  which
cases the respective articles must be consulted.
   Administration  of Medicine in  Headache.— For  this
purpose, we divide all headaches into habitual and accidental.
This requires two modes of  administering the medicine: one
for the cure of an attack of headache, be it accidental, or one
of  the habitual  attacks; and the other,  for the eradication of
the habitual headache, or the predisposition to it.
   First.  Administration of medicine for an  attack.—Having
selected a remedy ( from those  stated below ), dissolve of it
six globules in three tablespoonfuls of water, and take, accord-
ing to the  severity  of  the headache,  from half an hour to
two, three or six hours, a teaspoonful, until three are taken,
when  its benefits must  be apparent.  If beneficial, continue 
130
AFFECTIONS OF  THE HEAD.
 with the same, only at much longer intervals, as long  as  ne-
 cessary.  If not beneficial, select carefully  another remedy,
 and prepare and take in the same manner.
   Secondly.  Administration  of medicine for eradicating the
 disposition to certain kinds of  headache;  for instance,  sick
 headache.—Having selected a remedy, take of it, every third
 or sixth evening, a dose (four glob.), until four or  six doses
 are taken; when the next best remedy has to be taken in the
 same manner, or until better.

     a. Headache from Congestion of Blood to the Head.
  Aconite.  Violent throbbing;  heaviness;  fullness  in  the
 forehead and temples, with a sensation as  if the head  would
 burst; burning  pain through the whole brain;  red, bloated
 face, and red eyes; sensitiveness to light and  noise;  worse
 on moving,  talking,  drinking,  rising up; full and quick pulse.
 After it, or  in alternation with it, Belladonna may be  given,
 if necessary.  (See " Congestion of Blood to the Head.")
  Belladonna.   Violent aching pain, as if the head would split,
 or as if the  brain would protrude through the forehead; heat
 in the head  and  coldness of the feet; undulating feeling, as of
 water in the forehead; violent throbbing of the arteries  of the
 neck and temples;  delirium,  either Avith  red, bloated face,
bloodshot eyes, great sensitiveness to light, noise, and touch, or
vertigo  and  deeply-seated, violent pressing  pains, with pale
face, drowsy unconsciousness (compare, in such a  case, arti-
cle on "Apoplexy");  worse on moving the eyes,  or raisino-
 or moving the head.  In alternation with Aconite or Rhus, if
the symptoms agree.  ( See Aconite and Rhus.)
  Bryonia.   Distending pressure  from within,  particularly
through the forehead, on stooping or moving, with  violent
beating or single stitches in the head; desire to lie down; con-
stipation of the bowels; bleeding at the nose.  Before it, Bel-
ladonna frequently suits;  after it,  Rhus.   ( See these rem-
 edies.) 
HEADACHE.
131
   Rhus.  Fullness of the head, with burning and throbbino-
 pain;  oppressive weight in the back part of the head, with a
 sensation as if a fluid was rolling inside ; a feeling of looseness,
 particularly in wet weather.   In alternation with Belladonna or
 Bryonia.
   Pulsatilla.  Oppressive, dull pains on one side of the head,
 commencing in front at the root of  the nose, and going back,
 or vice versa; better in the open air, or by compressing the head,
 or lying down ; worse toward evening, or when sitting or look-
 ing  upward; pale face, agitated mind, inclined to weep.   It
 suits females and persons of a mild character,  and lymphatic
 temperament.
   Nux vomica.   The opposite of the former.  Pains;  worse
 in the morning and in the open air; heaviness of the head,
 especially when moving the eyes or thinking; a sensation as  if
 the skull would split;  contusive pain in the  brain, worse when
 stooping or in motion; constipation, with rush of blood to the
 head; irritable, rash,  or lively temperament, full  habit, and
 for persons of sedentary habits, or who use  coffee and ardent
 spirits freely.   ( Compare  Bryonia, Belladonna and  Chamo-
 mile. )
   Mercury.  Fullness  of the head, as if it would  fly apart,
 or was tied up with a bandage; better by pressing the  head
 with the hands, but worse at night, in the warmth of the bed,
 and  not relieved by profuse sweating.
   Opium.  Constipation, with rush of blood to the head; vio-
 lent tearing, pressing  pains through the whole  brain, and
 heaviness Avith  beating in the head; unsteady look.   ( See
 " Congestion to the Head.")

      b.   Headache from Catarrh and Cold in the Head.
   The principal remedies are, Nux vomica, Mercury, Sulphur,
Aconite,  Chamomile.  (See, for other remedies, "Catarrh.")
   Nux vomica.  Heaviness  in  the  forehead; obstructions  or
running of the nose; feverish heat of the head, cheeks, and 
132
AFFECTIONS OF THE HEAD.
 body, alternately with chilliness, constipation.   After it, Mer-
 cury often suits.
   Mercury, is particularly useful in those headaches accom-
 panying  the  epidemic  catarrh  (influenza), when there  are
 pressing pains in the forehead, over the root of the nose; fre-
 quent sneezing and running at the nose, with redness and ex-
 coriation ; also, with painful itching in the  nose;  fever, with
 chilliness, pains in the  limbs, and  thirst.   It alternates well
 with Nux vomica or Sulphur.
   Sulphur.   After Mercury has  relieved, but not  entirely
 cured the cold, and when there is  still left  fullness, pressure
 and heaviness in  the forehead, stitches, and painful jerking;
 especially on  the  left side, with heat and rush of blood to the
 head; constipation.
   Aconite.  Pressing, dull feeling and heal in the forehead;
 worse at night; better in the open  air; fever, intermixed Avith
 chills ; running of the nose and  eyes.
   Chamomile.   Intolerable tearing and jerking on  one side of
 the head,  down to the jaws, with sore throat, hoarseness, and
 bitter, foul taste  in the mouth.  Is frequently suitable  after
 Aconite.
               c   Headache from Rheumatism.
   The principal remedies are  Chamomile, Colocynth,  Ipecac,
 Pulsatilla, Bryonia, Mercury, China, Nux vomica.
   Chamomile.   DraAving, tearing pains  on one side  of the
 head,  down to the jaws; very sensitive to  touch;  hot sweat
 about the head; one cheek red,  with paleness of  the other;
 and  if the pain  almost drives to  despair.   Suits  Avell after
 Coffea: after it, Bryonia,  Pulsatilla,  and   China, are  suit-
 able.
   Colocynth.   Violent tearing, drawing, cramping, or aching
pains, with nausea and vomiting;  worse  when  stooping  or
lying on  the back ; pains appear in  the  afternoon, with rest-
lessness.
  Ipecac   Drawing in the forehead; worse or  excited by 
HEADACHE.
133
touch ; headache, with  nausea; sensation  through the  skull,
extending to the tongue, as if the brain were  bruised;  pains
better after vomiting; relieved by heat.
  Nux vomica.  Tensive, drawing pains on one side of the
head,  Avith a  bruised  sensation in  the head; worse  when
stooping  or in the open air, with nausea and sour  vomiting;
constipation.
  Pulsatilla.  Darting, rending, jerking pains on  one side
only, particularly in the  temples;  pain as if the  brain were
lacerated.   (See "Nervous Headache.")
  Bryonia.  Rending and shooting pain,  from the neck up
to the sides of  the head, Avith  shivering or  fever; worse by
motion and at night, or during changeable weather.   In alter-
nation with Rhus.
  Mercury.  Burning, shooting, throbbing, and  rending  pains
on one side principally, down to the  teeth and neck, and in
the ears;  worse at night and in the  warmth  of the bed,  with
perspiration which does not relieve.
  China.   Aching pains at night, with sleeplessness, jerking,
tearing;  boring on top of the  head, with a bruised feeling
of the  brain;  worse  in  the open  air, by touch,  motion,
draughts of air and Avind; sensitiveness, even of the roots of
the hair, to touch.

  d.  Headache from Constipation and Gastric Derangement.
  1. Constipation, Avhich causes congestive headache, is gen-
erally  cured by Bryonia, Nux vom., or Opium, according to
its concomitant symptoms (see  these three  remedies, under
"Headache from Congestion to the Head," p. 130), or by
Pulsatilla  and  Mercury.   (See  their  symptoms   under the
same heading.)
  But, if the constipation has a chronic character, give
  Silicea.  When there are beating pains in the head, mostly
from congestion, from the nape  of the neck to  the  top of the
head ;  pressing in the head, asjfit would split,  with sleepless- 
134
AFFECTIONS OF  THE HEAD.
 ness at night, and  worse in the  morning when  awaking, or
 when reading, Avriting, or thinking; constipation,  Avith ineffec-
 tual urging.   Suits, frequently, after Lycopodium, or
   Lachesis  and Lycopodium,  in  alternation,  when  there is,
 cutting  as with knives in  the top of the head,  or hammering on
 stooping, with  congestion to  the head; disposition to faint,
 and great  restlessness;  whining  mood;  yellowish  com-
 plexion.
   Sepia.  Headache on  shaking or moving the head, or walk-
 ing, with tendency  of blood to the head, heaviness, and con-
 fusion,  with nausea and vomiting; worse in the morning and
 on looking at bright sunlight.
   Sulphur.   If the former remedies do not cure,  or when the
 headache is more on  one side (the left), Avith heat and con-
 gestion ; roaring in  the head;  worse by thinking, in the open
 air, or walking, or  when it appears every morning, or  night,
 or every week.
   2. Headache from Gastric Derangement is, generally, accom-
 panied by a furred  tongue, loss of appetite, fullness in the fore-
 head, as if it would split, with beating pain;  worse  when
 stooping.  It is frequently connected with bad taste in  the
 mouth,  and nausea or vomiting, and sour risings (acid stomach)
 caused by indigestion.   (See these articles.)   The principal
 remedies are,
   Antimonium.   When the pain is worse on going up stairs,
 and better in the open air.  With nausea, loathing, and aver-
 sion to food, Bryonia, Pulsatilla, Nux vomica.   (See  "Head-
 ache from Congestion" and "Indigestion.")

            e.  Headache from External Causes.
   There are many external circumstances that produce  head-
ache ; we will state the  most frequent of them, with their
remedies, whose detailed  symptoms must be consulted under
the headings  mentioned within the brackets,  and at  the end
of the book, in the "Materia Medica." 
BICK HEADACHE.
135
   a. Headache from drinking coffee—Nux vomica, Chamomile,
Ignatia.
   b. From over-heating—Aconite, Belladonna, Bryonia.   (See
"Congestion to the Head.")
   c. From drinking ardent spirits—Nux vomica,  Arsenic, La-
chesis.
   d. From loss of sleep, long watching—Nux vomica,  Cocculus,
Pulsatilla, Lachesis, Carbo veg.
   e. From abuse of tobacco—Hepar sulph., Nux vomica, Anti-
mon. crud.
  f. From  excess  of mental  or bodily labor—Nux vomica,
Sulphur, Lachesis, Lycopodium, Silicea.
   g. From  grief—Ignatia,  Staphysag.  (See  "Mental Dis-
eases.")
   h. From anger or chagrin—Chamomile, Nux  vomica.   (See
the same.)
   i. From bad, changeable weather—Bryonia, Rhus, Carbo veg.
(See "Headache from Cold.")
  j. From bathing—Pulsatilla, Antimon. crud.,  Calcarea carb.
   k. From  suppressed eruptions — Antimon. crud.,  Sulphur.
(See "Skin Diseases.")
   I. From mechanical  injuries,  blows, etc.—Arnica,  Bellad.,
Aconite.   (See "External Injuries.")
   N. B. In regard  to the administration of the above medi-
cines, we refer the reader, in  all cases of headache, to what
is said about it in the beginning of that article, p. 129.

                     Sick Headache.
   This form of headache,  so well known  under the above
name,  is of a chronic nature, appearing periodically, and de-
pending mostly upon gastric, rheumatic disorders in persons
of a psoric constitution, and may be eradicated by a system-
atic homoeopathic  treatment.  Although  this  requires the
skill of medical attendance, we will  try to bring within the
reach of every intelligent person  sufficient knowledge for the
       14 
136             AFFECTIONS OF  THE HEAD.
commencement of a treatment, which, if successful, Avill en-
courage him to seek further medical advice.
  First, we will give the treatment of the attack itself:
  Ipecac is the first remedy in all cases which commence
Avith nausea,  after which a bruised feeling of the whole head
manifests itself, followed by vomiting or  retching.
  Administration.—Of this and the folloAving remedies as di-
rected in the beginning of the article, page 129.  If not better
Avithin an hour, select one of the folloAving remedies :
  Belladonna.  If with headache  there is great sensitiveness
to light, worse in  the warmth of  the bed, on lying down or
in a draught, and from noise such as shutting the door,  etc.
(See " Congestion to the Head.")
  Thuja.   A boring pain over the eye ;  relieved by pressure;
in alternation with Belladonna.
  Spigelia.   If there is great sensitiveness to noise, with  the
pains worse on the left side, and insupportable beating in the
temples, the pain  sometimes descending into  the  face  and
teeth,  worse by stooping  or motion  and in the  open  air.
The headache appears generally  at a  regular time in  the
morning, growing worse with the  ascending sun  (sun pain).
In this case,  in alternation with Belladonna.
  Sanguinaria.  If there is great sensitiveness to the walking
of others in the room, with fullness of the head, as if it would
burst, worse  on the right  side, Avith a feeling as if the eyes
were  pressed outward,  chilliness,  nausea, inclination to lie
doAvn.
  (Compare  Bryonia in " Congestion to  the Head.")
  Aconite.   (See this remedy in "Congestion to the Head.")
When the patient has a great sensitiveness to all kinds of odors,
the pain mostly on the left side.   In this case  in  alternation
with Sulphur or Ignatia.  (See "Nervous Headache.")
  Aloes.  If the patient complains of stitches in the left tem-
ple ; the headache appears periodically, alternating with pains
in the small of the back.   (See " Congestion to the Head.") 
NERVOUS headache.
137
   Sepia.  If there is a great dislike to be touched, and  sen-
sitiveness to thunder-storms and  the cold air.  (Compare
with China in " Headache from Rheumatism."   If the patient
is easily vexed, pain mostly above  the right eye  and worse
by shaking or moving the head.
   Beside, consult the articles on " Congestion to the Head,"
"Headache  from  Rheumatism,"  and  "Neuralgia in the
Head."
   Second, to eradicate the disposition to sick headache,  take
Sepia, Silicea,  and  Sulphur,  each remedy for six weeks, com-
mencing with Sepia.  During the six weeks take of that rem-
edy, the first three weeks, every week, two doses (six glob.)
in the evening, on  going to  bed;  for the last  three weeks,
every week one dose (six glob.).  If during that time attacks
of sick headache occur, treat them as directed above and re-
sume the other treatment again after they are over.

      Nervous  Headache.   Neuralgia in the Head.
                         (Megrim.)
   In this kind of  headache, to which nervous persons and
females  are  mostly subject,  the head is generally cool, the
face pale, with a suffering expression; in females great quan-
tities pf colorless urine are discharged; if vomiting sets in, it
only relieves for a short time ;  the pain is  mostly  concentra-
ted in  one spot, Avith the characteristic feeling, as if a nail
were driven through the  head  (clavus hystericus) ; the patient
is generally very nervous, fickle-minded, dejected, hysterical,
or hypochondriacal.
   Treatment.—Beside the medicines mentioned under "Sick
Headache," Avhich are suitable in this  kind of headache, also
(see this article), there are the following:
   Coffea.  Pain as if a nail was driven into the head, or as  if
the brain were  torn or bruised; pain  seems to be  intolerable;
also, noise and music ; the patient  is  very restless, screams,
weeps, feels chilly and has an aversion to open air and drink- 
138              affections of the head.
 ing coffee, though  being, at other times, fond  of it.   The
 headache  generally arises from cold, close thinking, or  vex-
 ation.
   Ignatia.  Aching pain above the nose, relieved by bending
 forward;  sensation as if a nail had been driven into the head;
 with nausea, dimness of sight, and  yet dread of light;  pale
 face, copious and watery urine; pain is momentarily relieved by
 a change of position; tendency to start; fitful mood; taciturn
 and sad.
   Pulsatilla.   Tearing  pains,  worse   toward evening,  with
 pale face, whining mood, loss of appetite, no thirst, chilliness
 sometimes Avith palpitation of the heart;  pains are worse du-
 ring rest, when sitting, better in the open air, and when the
 head is bandaged tight; particularly suitable for mild phleg-
 matic persons.
   Aconite.  (See "Sick Headache.")   When it  arises  from
 cold, Avith catarrh, buzzing in the ears and pains in the abdo-
 men ; also, when there is a  sensation as if a ball was rising
 up into the head, as if of cool air.
  Belladonna.   (See "Sick  Headache.")   When there are
 wavering shocks, and a sensation of fluctuation or undulation,
 as of water.  This  pain sometimes commences very gently,
but increases rapidly on one side (mostly the right) to piercing
pains, which produce agonizing  lamentations and temporary
delirium, dimness of sight, buzzing in the ears.
   Thuja.   A boring pain over the eye;  suits well after Bella-
donna.
  Platina.   Suits  often after  Belladonna,  particularly  in
females, when there is  roaring in the head as of  water, with
coldness in the ears, eyes, and one side of the face ;  also  illu-
sions of sight,  viz: objects appealing smaller than they really
are ; violent cramp-like pains over the root of  the nose,  with
heat and redness of the face,  restlessness, and whining mood.
  Hepar sulph.  Suits after  Belladonna or Mercury, if there
is pain as from a nail in the brain, with violent nightly pains, 
NERVOUS HEADACHE.
139
as if the forehead would be pulled apart, and when  painful
tumors appear on the head.
  Mercury.  After Belladonna, if the pain shoots down into
the teeth, neck, and left ear; worse at night, with perspira-
tion, which does not relieve.   The pain is better  by pressing
the head with both hands.
   Chamomile.   Suits often for children and persons unable to
bear the least pain, and when there are acute, shooting  pains
in the  temples, or a rending,  drawing pain on one side ex-
tending to the jaw,  especially when' one  cheek is red, the
other pale, the eyes painful, sore throat, and  bitter taste.
   Colocynth.   Violent,  excruciating, tearing, drawing  pains
on  one side,  or cramp-like,  compressive  sensation,  aching,
with nausea ;  worse when stooping or lying on the back, with
great restlessness; perspiration  smells  like  urine;  copious
watery urine during the pains, or scanty, offensive discharges
of urine between the paroxysms.
  Arsenic.  Pains in the head, sometimes very severe, almost
maddening, with nausea, buzzing in the  ears, weeping and
moaning,  tenderness of  the scalp; cold applications relieve
the pain for the time; suits  frequently after Pulsatilla;  when
better in open air, worse within doors.
   Veratrum.   Maddening pains on one side with great weakness,
fainting when rising, cold  perspiration, chilliness, diarrhea,
tenderness of the scalp; suits well  after  or  before Arsenic.
If these two remedies will not relieve, give
   China.   Suitable  for persons sensitive  to  pain, feverish,
dissatisfied dispositions, talkative and restless at  night; the
pains are  aching, preventing sleep, or  are piercing,  jerking
in the forehead, with a bruised feeling in the brain; worse by
touch, reflection, conversation,  open  air, motion, draughts of
air; the scalp very sensitive to  the touch.
  Sepia.   (See "Sick  Headache.")  When  the pain in the
temples renders them very  sensitive to the touch; quietness
and darkness  relieve ; also,  a good sleep. 
140             AFFECTIONS OF THE HEAD.

   Sulphur and Silicea.   For the chronic treatment, as direct-
ed in "Sick Headache," page 136.
   Administration.—The above mentioned remedies must be
given according to directions in "Sick Headache."

         Falling off  of the Hair.   (Allopecia.)
   This  frequently happens after severe fevers, when Hepar
sulph., Silicea and Lycopodium suit; or, sitter debilitating losses,
such  as depletion,  excesses, profuse sweats, etc., when we
may give  China and;Mercury; or, if it happens  to women
when nursing, Calcarea carb. and Sulphur.  If long continued
grief is the cause of it,  give Phosphoric acid and  Staphysag.
If caused  by frequent attacks  of nervous  headache,  give
Hepar sulph. and Nitric acid.  If caused by having taken too
much calomel,  give Hepar and Carbo veg.
   Administration.—As it takes a long time to see the effects
of a remedy in this disease,  do not change it quickly for
another, but take every week one dose ( six glob.) of a remedy
for four weeks,  and then discontinue two weeks before taking
another medicine.   If by that time the loss of the hair seems
less, do not change the  medicine.
   Externally, use the same remedy by washing Avith a solution
of twelve globules in half a teacupful of water every other
night.
   If the hair is dry and splits easily, cut it often, every month
or six weeks a little;  use* nothing but pure bear's  oil; all
other-preparations  and pomatums are of little use, and often
very injurious.
   For the dandruff, scales of the  scalp, take  Calcarea  carb.,
Graphites,  and Staphysag.;  if with itching, take  Graphites,
Lycopodium, and Sulphur.
   Administer same as above. 
CHAPTER VII.
AFFECTIONS  OF  THE  EYES.
                   General Remarks.
  The diseases of the eye ought to claim our most careful
attention, as this important organ is, from its position  and
complicated, delicate structure, subject to  a  great variety of
diseases, which, heretofore, have  been very badly  treated
under the allopathic system.
  All external applications, in the form of strong eye-waters
and salves, are injurious, and even if, as in scrofulous sore eyes
for instance, these salves seem to haA'e effected a cure, it  is
only by drhing the disease from the external parts  to some
internal organ, which is, at the time, the weakest—in most
cases to the lungs.  If external remedies are wanted, pure
water is preferable in all cases of inflammation, applied either
cold or warm,  according to the feelings of the patient.   In
cases of external injuries to the eye, the arnica  lotion  (ten
drops of Arnica tincture to half a teacupful  of cold water)
must be used externally.
  But, when erysipelas affects the eyes, nothing wet ought
to be applied, but warm bags filled Avith bran.  (See "Ery-
sipelas.")
  When the inflammation of the eyes and face is  caused by
the  poison of the sumach, or other weeds, apply nothing out-
wardly, but give the internal remedies recommended for that
disease.  ( See "Poisoning by Sumach," page 42.)
                                              (141) 
142             affections  of the eyes
    1.   Inflammation of the  Eyelid and its Margins.
        a.   Inflammation and Swelling of the Eyelid.
  Aconite.   In all cases where the inflammation and the pain
is  great, attended with fever and restlessness, ©r where the
lids are swollen, hard, and red, with heat and sensation of burn-
ing and dryness, or when there  is a copious secretion of mucus
in the eyes and nose, Avith  dread  of light, fever,  and thirst;
after it Belladonna, Sulphur, or Hepar sulph., are often neces-
sary.   (See these.)
  Belladonna.   If Aconite is not sufficient; or when there  is
a feeling of burning and itching in the red and swollen eye-
lids, which stick together,  and bleed easily when  opened;
also, when the edges are turned to the outside, and feel as  if
paralyzed ( see Hepar sulph).
  Hepar sulphuris.   If there is a sensation  of ulceration  or
contusion in the red and swollen lids on touching them, with
sensitiveness to  light, and  spasmodic  contractions  of  the
lids in  the morning.  In  alternation with  Aconite, Bellad.,
or Mercury,  as the  symptoms  indicate  (see these  reme-
dies ),  every three or six hours a dose ( four  globules ), until
better.
   Sulphur.  Frequently in alternation with Aconite, when the
swelling and redness are very bad, with pressing, burning pains
in  the eye  and lids ( as if from sand in the  eyes ), great se-
cretion of mucus, and sensitiveness to  light.  After it  Cal-
carea carb.  is frequently necessary.
  Mercury.  If there is  a  hard swelling,  with cutting pain,
and difficulty of opening the lids, as  if from contraction, ulcers
and scabs on the edges, worse  in the night, and in the warmth
of the  bed, with restlessness and perspiration, or if there is a
burning itching in the eyes, worse in the open air, with great
dread of the light of the fire.   After, or in  alternation with
it,  give Hepar sulph., every six hours a  dose ( four glob.)
until better. 
INFLAMMATION of the eyelid, etc.         143
  Euphrasia.   In cases where the eyelids are red and swelled,
their margins  ulcerated, Avith itching in the day-time, sticking
together in the morning, constant catarrh, headache, heat in
the head and  dread of light, with profuse secretion of mucus
and tears.  In alternation with Nux vom., if the eyeball is very
red, and there is burning with the itching; if the patient is
very irritable, and feels worse in  the open air; but in alterna-
tion with  Pulsatilla, if he is of  a mild  character, and feels
better in the open air.
  Arsenic.  Inflammation of the inside  of the  lids,  with in-
ability to open the eyes, and violent burning pain.
  Spigelia.  In inflammation and ulcerations of  the lids, Avith
biting  soreness,  difficulty of raising the lids ( as if from stiff-
ness ), with burning in the eyes and  pain in the head, worse
on the least motion.
   Calcarea  carb.   Frequently  after  Sulph., when there are
cutting, burning  pains, especially when reading, with red, hard,
and great swelling, and copious  secretion of mucus, and the
lids sticking together in the morning.
  Hyoscyamus and Chamomile in alternation, when the eyelids
are closed spasmodically, with  a sensation of heaviness or
pressure.
  Administration.—Give every  two, four or six hours a dose
( four globules ) of the  selected remedy, either  alone or in
alternation  with another,  until  the  patient  is  relieved, or
another remedy is necessary; discontinue the medicine  al-
together, as soon as the patient is improving.

        b.  Inflammation of the Margins  of the Lids.
  The principal remedies in this disease, which frequently
appears without affecting the whole lid, are Bellad., Euphra-
sia, Pulsat., Nux vom., Mercury, Hepar sulph., and Chamomile.
  (See the detailed symptoms  of these remedies in the pre-
ceding article:  "a. Inflammation of the Eyelids.")
       15 
144
affections of the eyes.
     2. Inflammation of  the Eyeball.   ( Ophthalmia.)
  In most cases, where the eyeballs are inflamed, the lids
will also be affected, and the remedies stated under "Inflam-
mation of the Eyelids," will be beneficial.   This is particular-
ly the case, when Aconite, Bellad., and Euphrasia are indi-
cated, which are the most important remedies in diseases of
the eyes, and to which we refer the reader,  in the preceding
article.   But frequently the eyeballs alone are implicated, es-
pecially when  cold, together  with  a  scrofulous or rheumatic
predisposition, is the cause.
  The first  remedy in this  disease, particularly when it ap-
pears suddenly, is  Aconite.  When  the  eyes  are very red,
Avith dark redness  of the vessels, and intolerable burning,
stinging,  or  aching pains  (worse on moving the eyes), dread
of light, copious flow of tears, yet with dryness of the eyelids
and fever.
  Belladonna.  When the white of the eye  is very much in-
flamed, sensitive to  light, either  copious flow of burning hot
tears, or  great dryness of  the eyes, which ache all around, or
deep inside,with stitches proceeding from the eyes to the head
(worse on moving the eyes), and a severe cold in the head,
or a violent headache, with  stupor and vertigo, sparks of  black
spots before the eyes, and a short dry cough, it  suits mostly
after  Aconite; but  frequently, too, after  Hepar  sulph., and
Mercury.
  Euphrasia.   Same as Bellad., and Avhen this is insufficient;
or when the pain in  and above the eyes, in the head,  is more
pressing, and the cough not dry, but loose ;  also,  with profuse
running at the  nose ;  worse in the  evening.
  Nux vomica.   When the eyes are bloodshot,  smarting as if
from  sand, Avith SAvelling and softening of the eye, irritable
temper,  coated tongue, redness of the corners  of the  lids,
with stiffness and  itching, acrid tears, dread  of  light in the
morning,  headache every night, and stoppage of the nose. 
            chronic inflammation of the eyes.        145

   Ignatia.  If the  pain  is  more like  pressure  in  the  eyes,
 which are not much inflamed, but with copious  flow of tears
 and nasal discharge, great  sensitiveness to light, mild, quiet
 disposition.
   Pulsatilla is often effective, after Aconite has  subdued the
 worst inflammation, and  severe pains remain  (tearing, stitch-
 ing, and  cutting),  in rheumatic  inflammation  of the  eyes,
 where there is  sensitiveness to light; worse in the afternoon
 and evening; the patient is  fretful and inclined to weep.
   Bryonia.  After  Pulsat.,  when the  redness  still remains,
 the lids are swollen, Avith pain in the head when the eyes are
 opened ; worse at night.
   Rhus.   After  Bryonia, or  in alternation with it, in damp,
 wet weather, or when the eye continues to burn and stitch,
 with the running of water, or the eyelids are swollen as if
 from erysipelas.
   Spigelia.  Aching, stitching, or boring pains, penetrating
 into the head, and  returning regularly at the same time of
 day, with  a sensation as if the eyeballs were too  large.  The
 pain is at times insupportable.
   Sulphur (See " Inflammation of the Eyelid") is also neces-
 sary, after Mercury  and Pulsatilla.
   Administration the same  as in  the foregoing article.
   Diet and Regimen, in all diseases of the eye must be
 light, as in fevers generally  (see  these).  Rest  and quiet in
 the room are necessary.   The room itself should be dry, airy,
 and darkened.

         3.  Chronic Inflammation of the  Eyes.
   The treatment of  these inflammations varies  according to
 their causes, which are either hereditary or acquired.

              a.   From Gout and Rheumatism.
   For the  severest symptoms use Aconite, Bellad., and  Spi-
gelia,  as stated in the preceding article; also, 
146
AFFECTIONS OF THE EYES.
    Colocynthis.  When there is violent burning and cutting, ex-
 tending far back into the head and nose, with great anguish and
 restlessness;  or violent pressure in the forehead ; worse when
 stooping, or lying on the back;  severe  drawing pain in the
 head, with vomiting.
   Hepar  sulph.  If Bellad.,  or  Spigelia, is  insufficient; or
 when there is redness of the eyes and eyelids, with soreness
 when touched; sensitiveness  to light, especially in the evening;
 sight at times dim and  obscured, at others clear; pressure in
 the eyeball, as if it would start out of the head.
   Administration, the  same as under "Inflammation of the
 Eyelids."

        b.   From Scrofula.   (Scrofulous Sore Eyes.)
   Scrofula frequently affects the eyes, after an inflammation
 of the lids or eyeball has set in, from causes above stated, by
 which complication such cases are rendered much worse, and
 more difficult to cure;  for dimness of sight and  ulcers on the
 ball of the eye often remain; they require medical attention,
 as the consequences of neglect, or faulty treatment, would be
 too serious; and the necessity for the eradication of scrofula
 is, of itself, obvious.
   In the beginning of such  an attack, give Aconite and Bella-
 donna, as  stated under "Inflammation  of the Eyelids" and
 "Eyeball."  Also, all the other remedies mentioned there, if
 they are required by the symptoms.   Beside these,
   Dulcamara  is of use, Avhen cold is the cause of the  sore
 eyes,  and  when  they are made worse by reading, with dim-
 ness of sight, and a sensation as if sparks of fire were flying
 out of the eyes ; pain over the  eyes; worse  when at rest;
 better when walking.
   Administration the same as above.
   For ulcers on the eyeballs,  remaining after the  inflammation
has subsided, give  Euphrasia, Hepar  sulph.,  and  Silicea,
each  remedy  during one week; two  or three times every 
CHRONIC INFLAMMATION OF  THE EYES.        147
 evening a dose (four glob.).   When Silicea is given, apply
 externally a wash of twelve globules of Silicea in half a tea-
 cupful  of pure cold water.   Make the application  several
 times a day.
   For specks, give Euphrasia, Hepar sulph., Silicea, Calcarea
 carb., Nitric acid, in the same manner as stated under " Ulcers
 on the Eyeball."
   Diet and Regimen.—See "Inflammation qf the Eyeball."

          c.  From Syphilis, or Venereal Disease.
   The eyes may be implicated in this disease, and become
 inflamed, particularly when a gonorrhea is  suppressed and
 transferred, as it were, to the eyes, or when syphilis has pen-
 etrated the  whole system.   In the latter case,  a homoeo-
 pathic physician must be consulted.  In inflammation of the
 eyes and  lids from suppressed gonorrhea,  administer  at first
 Aconite,  as stated under "Inflammation of the Eyes;" after
 it Pulsatilla,  in the  same  manner; then wait two or three
 days, and give, if necessary, Nitric acid, Mercury and Sulphur;
 commencing with Nitric  acid, and taking four  doses the first
 week ; four doses of the next remedy, the second week; and so
 on, until better.
   In  the  real Syphilitic  Eye-affections: Nitric acid,  Mercury,
 and  Thuja,  are the principal remedies — to be given  as
 above.
   Diet and  Regimen.—See " Inflammation of the Eye-ball,"
 and "Syphilis."

                d.  From abuse of Mercury.
   This  drug,  given in allopathic  doses, frequently produces
severe affections of the eye; for which must be given, Hepar
sulph., Nitric acid, Pulsat., and Sulphur, in the same manner
as stated  above, under  "Syphilitic Eye-Affections."   Diet,
also, the same. 
148             AFFECTIONS OF THE EYES.
                  4.   Sty on the  Eyelid.
   A sty is a small boil on the eyelid, produced by the swell-
 ing of the Meibomian glands, which are imbedded all along
 the margins of the lid.
   The  specific remedy in the commencement  of this com-
 plaint is
   Pulsatilla.  A  dose (four glob.) twice a day, until  four
 doses are taken;  then discontinue two days; and if not  bet-
 ter,  or if suppuration appears,  take Mercury  in  the same
 manner, in alternation Avith Hepar sulph.
   If  no  suppuration, but  induration takes place,  or hard
 spots remain, and if the sties appear  often, give Staphysag.,
 a dose (four glob.) two or three times, during one week;  and
 afterward, for two or three weeks, give each week two doses
 of Calca. carb. (each dose four glob.), until better; and, if
 not, Sul., for the same length of time, and in the same manner.
   Externally, apply nothing ; but bathe occasionally in warm
 water.
   D et  and Regimen.—The diet light; no animal food;  and
 regimen cool.

             5.   Weeping  or Watery  Eyes.
   If this complaint  arises,  as  is mostly the case, from an
 obstruction of the lachrymal  duct, or a  swelling of its  en-
trance,  in the internal corner  of the eye, a homoeopathic
physician should be  consulted.   In the meantime,  use  the
following remedies :
  Bellad., Pulsat., Calca. carb., Sili., Petrol., Sulph.;  the first
two remedies alternately, every day a dose (four glob.) of
each,  until the acute  symptoms subside ;  the other remedies
each  for four or six weeks, every week two  doses (six glob.
each), until better.
  But if the watery eyes  arise  from a general weakness of
the organ, Euphrasia and Spigelia in alternation, every two or 
CATARACT --WEAKNESS OF SIGHT.          149
three days a dose (six glob.), will generally be  found bene-
ficial.  Let this treatment be followed, at the end of two
Aveeks, by  two  doses of Sulphur, on  two successive nights
(each dose six glob.).
  Diet.—The  usual homoeopathic  diet must  be observed
during the whole time.

               6.   Cataract.  (Glaucoma.)
  This disease, which  consists of the  gradual darkening of
the lens in the eye (thus preventing the light from reaching
the optic nerve), is, in its commencement, curable by medi-
cines, if carefully  selected and applied.  As  this, however,
ought to be done by a homoeopathic physician,  we will here
merely notice a few remedies, which may be taken in the be-
ginning, until a physician can be consulted.
   By this means, an operation for the cataract may frequently
be avoided.
  Pulsatilla, Sulphur, Silicea, Conium, Phosphorus.
   Administration.—Give each remedy for four or six weeks,
every three days one dose (six glob.), in the evening, until
better, or until the next remedy has to be taken.
   Diet and Regimen.—Light, without animal  food; other-
wise, the usual homoeopathic diet.

           7. Weakness of Sight.  (Amblyopia.)
        Blindness (sudden and incipient)—Amaurosis.
  Short-sighted and far-sighted  persons have  not, strictly
speaking, weak eyes; this latter is a defect in  the optic nerve
itself, which is weakened  or  paralyzed, in a  greater or less
degree.   If this nerve is  not much paralyzed,  so that only
dimness of sight exists, we call it amblyopia,  or weakness of
sight; if  the nerve is more or entirely paralyzed, it is in-
cipient or real blindness—amaurosis.
   This disease can be cured; but it must  be  taken in  time, 
150
AFFECTIONS OF THE EYES.
 and a homoeopathic physician ought to be  consulted  immedi-
 ately, as delay in this case is very dangerous.
   In the meantime take, for simple weakness  of sight, Pul-
 satilla,  Sulphur,  Bellad., Calcarea carb., Phosphorus,  and
 Ruta.
   Administration the same as stated under " Cataract."
   If Ruta shall be used, drop two drops  of the  tincture  in
 half a teacupful of water, and wash the eyes  three  times  a
 day with it;  particularly when the weakness  of sight resulted
 from excessive reading, sewing, etc., everything appearing
 dusky and foggy before the eyes.
   For incipient blindness, give the same remedies as  for sim-
 ple weakness of sight.
   Attacks of sudden blindness; if caused by congestion to the
 head, and  accompanied with pain in the  head and  convul-
 sions, give Bellad. and Hyoscyamus in  solution  (twelve glob.
 in half a teacupful of water), every  fifteen minutes a  tea-
 spoonful, until  better  (see  " Congestion  of  blood to the
 Head" ) ; but for sudden blindness, without an apparent cause,
 give first Aconite;  then Mercury; eAery two or three hours
 a dose (four glob.), alternately, until better.
   For night-blindness;  Belladonna.
   For day-blindness, Avhere  the  patient can  only  see in the
 evening; give Sulphur, and  afterward Silicea.
   Diet the same as in " Cataract."

           8.   Short-Sightedness.   (Myopia.)
   This affliction,  if not of too long duration, may generally
be mitigated  or cured by Pulsatilla; or, if caused by abuse
of calomel, give  Carbo veg. and Hepar sulph.; if from debili-
tating causes and typhus fevers, Phosphoric acid.
   These  remedies to be administered in the same manner as
stated under  " Cataract."
   Diet and Regimen, also, the same. 
FOREIGN SUBSTANCES IN THE EYE.
151
                   9.   Far-Sightedness.
   This frequently occurs after excessive use of ardent spirits;
in which case Nux vom. must be  given;  every day a dose
(four glob.) for a week; followed by Sulphur, in alternation
with Lachesis; every week two doses of each, for four or six
weeks, or until better; followed by Silicea and Phosphorus
in lean persons, or Calcarea in fleshy persons.  If not relieved,
consult a physician.

              10.  Squinting.   (Strabismus.)
   A frequent cause of squinting, in young children, is that
from the position of  their cradle, they constantly have the
light on the same side.  To obviate this, alter the position of
the cradle so that the light will be directly  in front.
   If, however, squinting continues, notwithstanding, and the
heads of the children are hot, give Belladonna  and Bryonia,
in alternation, every four or six days a dose (two glob.) until
six doses  of each are taken, or the child  is better.  If not
better, consult a homoeopathic physician.

        11.   Falling  of the Eyelids.  (Paralysis.)
   If the upper  or lower eyelid falls  down, and cannot  be
raised  easily,  give Spigelia, Belladonna,  Sepia,  Veratrum,
Opium,  Cocculus,  Nitric acid.
   Administer the  same as  stated under " Cataract."
   Diet and Regimen.—The usual  homoeopathic diet;  bathe
the eyelids frequently  in cold  Avater.

           12.  Foreign Substances in the  Eye.
   If dust  enters the eye and causes irritation, washing with
cold Avater  will be sufficient; but cream  or sour milk will
answer better, if lime, ashes,  or tobacco enters the  eye.   If
a hard substance,  or an insect has got into the eye, draw the
eyelids apart, and turn the upper one over the lower one  a
couple of times, until  it is felt that the substance is removed. 
152             AFFECTIONS  OF THE EYES.
If unable to remove it in this  manner, do  not  rub the eye,
but lie down, and bathe it in a solution of Arnica (five drops
to half a  teacupful of water).   Internally, take Aconite, and
try to sleep.
   If particles of iron have entered the eye, and are fastened
in the white or pupil, use Arnica, as above stated, and  have
them extracted by a surgeon.
   If the eye becomes very much inflamed, take  a few doses
of Aconite, and afterward  Sulphur; and, if necessary, in  a
few days after,  Calcarea carb. 
       CHAPTER  VIII.

AFFECTIONS  OF  THE  EARS.
       1.  External Ear and its Surrounding Parts.
     a.  Eruptions and Swelling of the  External Ear.
   The eruptions which appear on or behind the ear are vari-
 ous, and generally require a chronic treatment  to eradicate
 the  disease entirely, which can be  done only by a  skillful
 homoeopathic physician.   To begin the cure, or if severe,
 acute sufferings, as swelling and  inflammation of the  ear, ap-
 pear with the eruption, select from among the remedies given
 below, and read their symptoms  in the " Materia Medica" at
 the end of the  book.
   1. For scurvy  eruption:  Pulsat., Lycopodium, Lachesis,
 Hepar sulph., Staphysag., Graphites.
   2. For soreness:  Lachesis, Mercury, Sulphur,  Graphites.
   3. For itching  in or on the ears:  Pulsat.,  Lycopodium,
 Sulphur.
   4. For swelling of the ear: Pulsat., Mercury, Lycopodium,
 Sepia.
   5. Yen ulcerated eruptions:  Pulsat., Mercury, Hepar sulph.
   6. For humors:  Graphites,  Lycopodium, Calcarea carb.
   Administration.—Give  each remedy for one week, every
 other day one dose  (four glob.) until better, or until the next
 remedy has to be given.
   Diet and Regimen.—The usual homoeopathic  diet; take
particular care not to drive the eruption away by getting cold
or by external applications.
                                            (153) 
154
AFFECTIONS OF  THE EARS.
                 b.  Mumps.   (Parotitis.)
  This disease consists in an  inflammation of the great  sal-
ivary glands, lying under and in  front of the ear;  children
are frequently subject to it,  but it  seldom attacks  more than
once in a lifetime.
  Treatment.—It is not  a  dangerous  disease in its  simple
form, and only requires to be kept warm by putting a hand-
kerchief around it, and keeping the patient in the room.   In-
ternally give
  Mercury, which is almost a  specific for this disease; every
evening a dose (four glob.),  until three  or  four doses  are
taken.
  Sometimes the glands of  the neck participate, and remain
swelled for three or four days.  In this case, also, pursue the
above treatment.
  But, if the mumps disappears suddenly, by striking in  and
falling upon the brain, so that the patient becomes  delirious
and unconscious, give Belladonna in solution (twelve globules
in half a teacupful of water ), every hour a teaspoonful, fol-
loAved by Hyoscyamus, in a feAv hours, if necessary.   ( See,
also,  "Scarlet Fever," striking in.)
  But, if in striking in, it falls upon the stomach,  give  Carbo
veg., in  the same  manner  as  Belladonna above, and, if not
better in two or three hours, Arsenic, and after that  Cocculus,
if necessary, in the same  manner.
  If it falls upon the testicles, creating a swelling in those
parts and inflammation, Pulsatilla, Mercury, Nux vom., every
three or four hours a dose (three  globules).
  If fever, restlessness,  and  erysipelatous redness  are com-
bined with it, particularly in  damp Aveather,  give Belladonna
and Rhus in alternation, in  solution (twelve globules of each
in separate teacups, each half full of  Avater), a  teaspoonful
every three or four hours, until four of each remedy are given,
or until better.
   If the mumps is very obstinate and very hard, give  Kali 
INFLAMMATION OF THE  EAR.
155
carb., every evening one dose ( six glob.) until three doses are
taken.
  If a  catarrhalic state  is connected with  it,  particularly
hoarseness, give Carbo veg. in the same manner.   This same
remedy  suits if the patient has previously taken much calomel.
  Diet  and  Regimen.—The diet must be light  and farina-
ceous ; baked apples and stewed prunes, if desired, but neither
animal food nor soups.  The patient must be kept warm, and
if feverish must stay in bed.

                    2.  Internal  Ear.
          a.   Inflammation of the Ear.  ( Otitis.)
  This  painful disease is generally caused  by  exposure to
cold and damp weather;  sometimes, however, by the striking
in of eruptions.
  It manifests itself by  violent burning, stitching, beating
pains, deep in the ear, and finally by swelling  and redness
of both in and outside of  the  ear;  frequently, in very severe
cases, the brain is implicated, when, in children, convulsions
may ensue, with vomiting and cold extremities.
  Treatment.—The principal remedy is
  Pulsatilla.   In  solution (twelve globules in half a teacup-
ful  of water ), every hour a teaspoonful until  better, or until
six  teaspoonfuls are taken; then wait the same length of time
and give one dose ( four glob.) of Sulphur, after which, in  two
hours, repeat  the  Pulsat. until better.   But,  if the  brain
becomes affected,  with or without convulsions, give
  Belladonna.   In alternation with Aconite,  if  the fever is
very high, every two  or  three hours a dose (four glob.);
then wait four or six  hours and  give  Belladonnaco and Cof-
fea °°; in the same manner, if great sensitiveness  and restless-
ness remain.   If an abscess is about to  form, which is indi
cated by the continued beating pain in the ear, give Mercury,
Lachesis and Hepar sulph., in alternation, every six hours a 
156
AFFECTIONS OF  THE EARS.
dose ( four glob.) until better, or until two or three doses of
each are taken.
  Diet and  Regimen.—The same as in fever.

                 b.  Earache.   (Otalgia.)
  Earache, commonly so termed, resembles the inflammation
of the ear in the character of the pain, and is  only different
in regard to its origin, as it mostly appears after  taking  cold
as a neuralgic and rheumatic affection, or in consequence of
previous inflammations of the ear.  There is little or no fever
accompanying the attacks, which are generally of  short du-
ration, and relieved speedily by the application of the follow-
ing remedies:
  Treatment.—Pulsatilla is the  first and  principal remedy,
particularly if the pains are darting and tearing,  as if some-
thing would press out through the ears; the outer ear is red, hot,
and swollen,  or,  there  is  stitching  and tearing through the
whole side of the face, almost depriving the patient of reason,
particularly in females, or in persons inclined to chilliness and
disposed to cry.
   Chamomile.  The next best remedy, especially after taking
cold, or when a perspiration has  been suppressed suddenly;
tearing, lancinating pains in the ear, which  extend to the lobe
of the ear;  the patient is very cross, cannot bear  pain, and is
easily offended.
  Mercury.   After Pulsat. or Chamomile.   If these are in-
sufficient,  or if the patient perspires a great deal without re-
lief; the pains are worse in a warm bed, and there is a chilly
sensation in the ears, with moisture; the pains extend  to the
cheek and teeth.
  Nux vomica.   After  Chamomile, in persons of a lively, pas-
sionate disposition; when the pains are tearing and stinging,
tending upward to the forehead and temples, and down into
the facial  bones;  worse in the morning. 
EARACHE.
157
  Arnica is more for sensitive, nervous persons, when the pain
returns on  the slightest occasion, with sensitiveness  to noise,
and pressing and stinging in and behind the  ears, which feel
hot internally.
  China suits frequently after Arnica or Pulsat.;  if the tear-
ing pains are felt more externally;  are worse by touching the
ear, which  is red, stings, and rings.
  Belladonna.  Similar to China, or as stated under Bella-
donna in "Inflammation of the Ear."
  Hepar.  After Belladonna, when the  pain shoots into the
ear on bloAving the nose, or when the pain is beating, throb-
bing, or  roaring.
  Spigelia.  When there is a painful  aching, as if a large
nail were sticking in the ear;  with  aching and tearing in the
cheek bones.
  Dulcamara.  When the pains increase  during rest, espe-
cially at night, Avith nausea.
  Administration.—Every hour or two hours a  dose  ( four
globules ) until better.
  If the above remedies allay the worst symptoms,  but there
is still left  a  painfulness in the  ear, particularly on the left
side, or the pains increase in the evening or before midnight,
give Sulphur, evening and morning, a dose  ( four glob.) ; but
if worse  on the right side, and after midnight, toward morning,
or during the forenoon, give Calcarea carb., the same as Sul-
phur.
  In very  small children, after Pulsat. and Chamomile (two
glob, each  ) have been given at intervals of one or two hours,
give Coffea and Belladonna  in the  same  manner, and .after-
ward  Coffea00  and Belladonna00, every hour alternately, a
dose (two  glob.) until better.
  Diet  and Regimen.—The  diet  light; no meat,  but fruit
and  farinaceous  substances.  Externally use heated flannels
or bags,  filled with heated bran or  scorched flour. 
158
AFFECTIONS OF THE EARS.
             c  Humming, Buzzing of the Ears.
  As a symptom it invariably accompanies  earache, running
of the ears and their inflammation, and will disappear with
them; but, Avhen it appears alone,  it  is caused generally by
congestion to the head, from catching cold, or other diseases.
  Pulsatilla relieves it, if worse in the evening.
  Nux vomica, if worse in the morning.
  Dulcamara, if worse at night.
  Mercury, in persons inclined toperspire much.
  Chamomile, in persons who do not perspire easily.
  China, in persons who have taken much calomel, or where
the noise in the ear is more a hissing, singing, or ringing noise.
  Carbo veg., if  China does not relieve, or the noise is worse
in damp weather.
  Sulphur, if Carbo veg.  does not relieve, or the noise is com-
bined with  great  sensitiveness to  sounds, in  which  case it
ought to be alternated Avith Aconite.
  Administration.—Of  the remedy selected, must be given,
one dose  (six glob.), on two  successive evenings, and then
discontinued three days  before selecting another  remedy, if
no improvement has taken place.
  Diet.—The usual homoeopathic diet.

            d.   Hardness of Hearing.   Deafness.
  This complaint is Arery frequent, and as it is often combined
with other chronic diseases of the ear, it ought to be  treated
by a skillful homoeopathic physician.   When it is  of a recent
date it may be cured easily, but not so readily when  of long
standing.   Sometimes it is caused by  the  accumulation of
earwax, in which case have it removed by skillful hands.  If,
after such an operation, great painfulness remains in the ear,
put a few  drops of Arnica solution (two drops of arnica tinc-
ture to three tablesnoonfuls of water, well shaken), into  the
ear and lie down. 
HARDNESS OF HEARING--DEAFNESS.
159
  If the  earwax  is very hard to remove, put, before  its
removal,  a  few drops  of warm milk or  sweet oil into the
ear.
  If there is a want of ear-wax, or too great dryness of the
ear, give  Carbo veg., particularly after a suppression of  fever
and ague by quinine, every other night one dose (four glob.)
three times; then discontinue eight days, and  if not better,
give Graphites, particularly after suppression of an habitual
eruption, such as tetter, or  where there is  a humming or
thundering in the ears,  especially at night; give it in the same
manner as  Carbo veg.   If no better after Graphites, try Lache-
sis, Nitric acid, and Petroleum, one  after the other, in  the
 same manner.
   If  there  is difficulty of hearing, with running of the ears,
select among the  remedies prescribed for this  complaint, es-
pecially Pulsat., Mercury, Sulphur, and Calcarea carb., to be
given in  the same manner as above.
    If it is in consequence of congestion to the  head, give, in
 preference, Belladonna, Coffea, Nux  vomica, Sulphur, Silicea,
 commencing with the first, evening  and morning one dose
 (four glob.), and wait two days before the next one is  given.
    If it appears after acute eruptions, such  as measles etc.,
 give,
    If after measles, Pulsat., and Carbo veg.;
    If after scarlet fever, Belladonna, and Hepar sulph.;
    If after small-pox, Mercury and  Sulphur—every other even-
 ing a dose (six glob.) alternately until better.
    If it is caused by a cold in the head, or  a chill of  the  whole
 body,  give the remedies for these complaints  (see these arti-
 cles),  particularly,  however, Chamomile, Arsenic, Lachesis,
 Mercury, Sulphur, and Pulsat., in the same manner as there
 prescribed.
    If it  arises from a  suppressed cold  (rheumatism)  give
  Bryonia and Rhus, every two hours a dose (four glob.), three
  times  each;  and afterward  Dulcamara  and  Sulphur, if ne-
          16 
160
AFFECTIONS OF  THE EARS.
 cessary, every evening one dose (six glob.), for  four  or six
 days.
   Sometimes hardness of hearing  ensues after  intermittent
 fevers have  been suppressed by the use  of  quinine;  in this
 case give  Carbo veg., Pulsat.,  Sulphur,  and Calcarea carb.,
 every  week one remedy, on  two  successive evenings, one
 dose (six glob.), until better.
   If caused by the suppression of chronic  eruptions, or ulcers
 healed by  salves,  give  Sulphur  or Antimon. crud.   (See
 "Eruptions.")
   If it is from swelled tonsils, give Mercury, Staphysag., Nitric
 acid, and Aurum, every week one remedy, on  two successive
 evenings one dose (six glob.), until better.
   If caused by the suppression  of a discharge from the ears
 or nose,  give Pulsat., Mercury, Lachesis,  Belladonna, and
 Hepar sulph., every two or three days  one remedy (once a
 day a  dose, four glob.), until better.
   N.  B. Do not use any external means, such as oils, how-
 ever much they may be recommended.

           e.   Running of the Ears.  ( Otorrhcea.)
   A running of the ears frequently  remains after the inflam-
 mation has  subsided, and is then beneficial  in diminishing
 local tension.  In such a case, continue the use of the reme-
 dies for "Inflammation of the Ear; " after which it will gene-
 rally soon disappear.  The principal remedies are Pulsatilla,
 Mercury, and Sulphur.
   If it succeeds the measles, give  Pulsatilla and  Sulphur,
 for four days;  each remedy on two  successive evenings (six
glob.), a dose.
   If after scarlet-fever, give Belladonna, Mercury,  and  Hepar
sulph., in the same  manner.
   If after small-pox give Mercury, Lachesis, Sulphur, Calcarea
carb.;  each  remedy for six or  eight  days (on two successive
evenings one dose;  six glob.), until better. 
RUNNING OF THE  EARS.
161
   In regard to the quality of the discharged substance, give,
 if it is
   Purulent matter: Pulsat., Mercury, Hepar sulph., Calcarea
 carb.
   Bloody matter: Pulsat., Mercury, Lachesis.
   Mucous liquid:  Pulsat., Mercury, Sulphur, Bellad.,  Calca-
 rea carb.
   Very offensive matter: Mercury, Hepar sulph., Lycopodium,
 Pulsat.,  Sulphur.
   Administration.—Give of the selected remedy, for six or
 eight days, on two successive evenings, one dose, (six glob.),
 until better.
   The  sudden suppression of a running of the  ear may pro-
 duce dangerous consequences, which must be  attended to
 immediately.
   If, after such a  suppression, the glands of the neck, or in
 front of the ear, begin to swell  or  get hard,  give Pulsat.,
 Mercury,  Bellad.;  if  severe  headache  or fever ensues, give
 Bellad.; if not better in a few hours, Bryonia.  If the sup-
 pression is caused by  getting  cold  in damp weather,  give
 Dulcamara; and if not better  in  three or four hours,  Rhus
 and Bellad., in alternation.
   If,  after a suppression, the  testicles begin to swell, give
 Pulsat., Arnica, Mercury, Nux vom.
   Administration.— Give every two or three  hours a dose
 (four glob.), alternately, until better.  If by these  direc-
 tions  no relief is obtained, consult a homoeopathic physician
 as soon as possible.
   Diet and Regimen.—The same as in "Earache."

                  f.   Polypus of the Ear.
   These excrescences appear frequently, during a long con-
tinued running of the ear ;  particularly if accidental injuries
by  ear-picks, etc., have taken  place.   They either have a
small or  broad basis, whence  they grow to a  size, so  as to 
162
affections of the ears.
fill up  the  whole internal  ear.  They are  not painful, but
always  discharge an  offensive  mucus, and bleed easily when
touched.
   They are not so dangerous as they are annoying and obsti-
nate ; and require but a proper homoeopathic treatment, by a
skillful physician.  In no case is it advisable to extricate them
by force; we have  remedies which will remove them.  The
principal medicine  is Calcarea carb., of which  every  second
day, in  the evening, a dose (six glob.) maybe given, followed
by Staphysagria,  in a like  manner, until  medical aid  can be
obtained.
   If the polypus is very large, touch it tAvice a day with the
tincture of the  gum of  Opium, conveyed into  the ear on  a
sponge.  Otherwise, keep the  ear  clean  by frequent  injec-
tions of milk and water.

             g.  Foreign Substances in the Ear.
   Insects sometimes  get into the ear; in such  cases, drop
sweet oil into the ear.  This kills the insect, and enables  us
to take it out easily.
   If a bean, or anything that will swell, gets  into  the ear,
bend the point of a large and  stout seAving needle a  very
little, so as  to form a fine  hook; enter the ear Avith it  cau-
tiously,  without touching  the walls of the ear, and press it
into the side of the swollen substance, which is thus caught
by the hook, and may be  slowly extracted.   After  such an
operation, it is  necessary to drop into the ear a few drops  of
an Arnica solution (two drops of the Arnica tincture to two
tablespoonfuls of water, and well shaken), and give internally,
Arnica and Pulsat., in alternation, every two or three hours a
dose (four glob.).  If there is fever  and delirium, give Bel-
lad., and Aconite, in the same  manner.
   If painfulness still remains, give, in a couple of days after-
ward, Sulphur, evening and morning a dose (four glob.). 
          CHAPTER  IX.

AFFECTIONS  OF  THE  NOSE.
       1.  Inflammation or swelling of the Nose.
  The nose, from its position and function, is exposed to a
great many  diseases and injuries.
  a. External injuries, which may befall  the  nose, from the
slightest contusion to the severest blow or cut, require Arnica
internally, every four or five hours  a dose (four glob.), and
externally, the same remedy in solution (twelve drops of the
tincture to a teacupful of water, well mixed).
  Arnica will also stop the bleeding caused by severe blows
and other injuries of the nose.
  b.  Internal causes for inflammation and swelling of the nose
are scrofula, the abuse of ardent spirits and calomel, or  the
congestion attending a cold.
  In cases of scrofulous or erysipelatous inflammation of the
nose, give
  Belladonna.  If the  nostrils are swollen and  sore ; with
heat, redness, and  pain, outwardly  and  inwardly, attended
with a burning, pricking, and dryness; smelhng sensitive, or
absent;  pains as  if bruised,  on touching  the nose;  give,
evening and morning a  dose (four glob.);  and  if  not better,
after two days, give
  Hepar sulph., in the same manner, until better; followed
by Mercury, in the same manner; and if this does not relieve,
give  Bryonia, followed  by  Rhus, in the same manner; par-
ticularly  the latter, in cases of poisoning by weeds.
                                             (163) 
164
AFFECTIONS OF  THE NOSE.
   When caused by the excessive  use of ardent spirits, give
 Lachesis, Arsenic,  Pulsat.,  Sulphur, Mercury,  Bellad., and
 Calcarea carb., one after the other, in the  same manner, until
 better.
   If caused by abuse of calomel, give Aurum, Bellad., Lache-
 sis, Hepar,  in the same manner, until better.
   If caused by cold, see "Cold in the Head."
   Black spots frequently appear on the outside of the nose,
 for which Sulphur,  or  else  Graphites, may be  taken, on two
 successive evenings one dose (four glob.).
   For red spots: Phosphoric acid, in the same manner.
   When the end of the nose is red, give  Rhus  and Calcarea
 carb., in the same manner.
   If the redness on the end of the nose is copper-color, give
 Arsenic and Veratrum, in the same manner.
   When warts  appear on the nose,  give Caustic, every week
 two doses (four glob.), and wash Avith the same externally,
 until better.
   Diet and Regimen must be strictly homoeopathic, as laid
 down in the introduction.

   2.   Eruptions on the Nose. — Itching on the  Nose.
                 a.   Eruptions on the Nose.
   The eruptions on the nose are generally of an herpetic  or
tettery character, and require, for  their radical and safe ex-
tinction, a  long continued, careful, homoeopathic  treatment.
The  use of allopathic  remedies, in the form of salves and
ointments, is, in the highest degree, dangerous, and ought to
be at once rejected;  as they may cause the disease  to disap-
pear externally, and fall on  the eyes  or lungs.  It  is  much
better to allow the eruption to stay where it is  (as it can do
no harm there), than to endanger, Avith its repression, the life
of the patient.  To commence its radical  cure, however, give
   Rhus, if the redness is on the point of the nose, with sore-
ness to touch. 
            bleeding  of the nose--EPISTAXIS.        165

  Antimonium, if it is  all over  and around the nose, with
soreness in the corners.
   Causticum, if it is on the point of the nose
  Nitric acid, if the eruption is  tettery, with stinging  in the
nose, as if from splinters on touch;  itching sensation ; scabby
eruption.
  Administration.—These remedies to be given every three
or four days a  dose (six glob.), until  better,  or another one
is indicated.
                   b.  Itching of the Nose.
  Is merely a symptom of other  diseases in the system; par-
ticularly in  children, where it indicates an  irritation near or
below  the  navel, either from worms, inflammation of the
bowels, or swelling of the glands in the abdomen.
  For its treatment, see these diseases.

         3.   Bleeding of the  Nose.  (Epistaxis.)
   Some persons are subject to this  complaint constitutionally,
sometimes  relieving, often injuring them very much.   For
weak lungs, with tendency to bleeding at the nose, apply im-
mediately to  a  homoeopathic physician.  Meanwhile, take
Aconite and Sulphur alternately, every three  or four days  a
dose (six glob.), until better, or  until  four doses of  each are
taken;  afterward, if necessary,  Sepia  and Carbo veg., in the
same manner.   If the bleeding  appears  in females  periodi-
cally, every month, and the menses have ceased, restore the
latter by the proper treatment (see "Diseases of Females"),
and the former will cease of itself.
  If it appears in the beginning  of a typhoid or other  fever,
or irregularly during its period, it is  not considered a very
favorable sign ;  but if  it appears on the critical days of such a
fever (say the third, fifth, seventh, ninth, thirteenth, eighteenth,
or twenty-first day), it is thought to be favorable, and  ought
not to be interfered with immediately (see under "Fevers"),
except it becomes too profuse, when China will  give relief. 
166
AFFECTIONS OF  THE NOSE.
  If it results from determination of blood to the head, give
Aconite, and Bellad., as directed in "Congestion to the Head."
  If it happens after a blow or cut of the nose, apply Arnica,
externally and internally, as stated under  "Inflammation of
the Nose."             •,
  If it arises from the use of spiritous liquors, give Nux vom.,
every two or three hours a dose (four glob.).
  If it  is from  overheating, lie  quietly, with  the head  ele-
vated, and take  Aconite and Bryonia alternately, every hour
or thirty minutes a teaspoonful, in solution (twelve glob, of
each in separate teacups half full of  water).
  If it is in consequence of great exertion, give Rhus, and
Carbo veg., in the same manner, until better.
  If  it occurs mostly  during  the night,  give Rhus,  Bryo-
nia, and Belladonna, alternately, every  evening  a dose  (six
glob.).
  If in the morning: Nux vom., Bryonia,   Carbo veg., in the
same manner.
  If it occurs on the most trivial occasions, after eating,  etc.,
give  Silicea, Sulphur, Sepia,  Calcarea carb., Graphites, Lyco-
podium, at intervals of  from eight to ten days, each remedy
for four weeks (six globules for a dose), to eradicate the dis-
position to it.
  Bleeding from the nose in children, from worms, requires
Cina and Mercury, in the same manner.  During the  attack,
and to allay the itching  in the nose, give   Cina00, every two
or three hours a dose (four glob.).
  If it  occurs during a cold in the head, Pulsat., and Arsenic
will be  necessary, alternately,  morning  and evening  a  dose
(six glob.), until better.
  If persons are naturally  weak, or rendered so by loss of
blood from the nose, give China  in solution (twelve glob, to
half a  teacupful of water), every half  hour or hour  a tea-
spoonful, until better,  or afterward  Ferrum, if necessary, in
the same manner. 
COLD IN THE  HEAD--CORYZA.
167
   Externally use nothing but cold water or ice, on the root of
 the nose, keep perfectly quiet, and do not remove the clots of
 blood from the nose, if they form themselves.
   Lint pressed tightly under the  upper lip  frequently stops
 the severest bleeding of the nose.
   The diet must be of a cooling nature; nothing should be
 used in the least degree stimulating; no meat.

             4.   Cold  in the Head.   (Coryza.)
   Influenza,  catarrhal fevers, and  colds on  the lungs, gene-
 rally commence with affecting the mucous membrane  of the
 nose, whence the disease descends into the larynx and bron-
 chia.   We Avill here treat only this diseased condition of the
 nose, which manifests  itself mostly by sneezing, obstruction,
 or running  of the  nose, with excoriations,  headache, fever-
 ishness, and affections  of the eyes.   If  the disease runs into
 one  of the  above mentioned  diseases,  see their  respective
 chapters.
   Treatment. — In all cases where persons  are attacked
 with a cold in the  head, fir^t give Nux  vom. and Mercury, in
 alternation, every four or six  hours a dose (four glob.) for
 twenty-four  hours; and then, if not better, select one from
 among the following remedies,  which  may be given three
 times  in  twenty-four hours (four glob, in a dose).   If the
 patient is  better, discontinue two  days without giving any
 medicine, observing the diet, however; and then give a dose
 of Sulphur (four glob.) on two  successive evenings,  which
 will complete the cure.
   Nux vomica must be given for  the following symptoms :
 either dryness and obstruction of the nose, Avith heaviness in the
forehead and impatient humor; or running of the nose in the
morning, but dryness in the  evening or during the night; with
dryness of the  mouth, and constipation of the bowels ; the
patient feeling better when exercising or warm.
       17 
168
affections of  the nose.
   Mercury.  Frequent sneezing,  particularly  when  coming
from the cool air into a warm room, profuse running of the
nose, Avith swelling, redness, and  excoriation of the nostrils;
itching, and  aching pains on pressing the nose  and cheek-
bones ;  soreness and pains in the  limbs, copious perspiration
at night;  great thirst; patient feels worse  in the warmth, yet
cannot bear the cold.
   Hepar.   For persons Avho have already taken  calomel, or
were not  relieA'ed entirely by the  homoeopathic Mercury; or
when every exposure to cold air renews the complaint, with
a headache ;  worse by movement; or where the cold  attacks
only one nostril.
   Dulcamara.   If the slightest exposure renews the obstruc-
tion and the patient feels worse when at rest.
   Euphrasia.   When, with profuse running of the nose, there
is  redness and soreness of the eyelids, with profuse  flow of
tears, and  confused sensation in the head.
   Belladonna.   If Hepar does not relieAre,  or when the smell
is  alternately too acute or too dull.
   Lachesis.   Frequent sneezing, with profuse running of the
nose, with swelling and excoriation of the  nostrils and lips :
or else, obstruction  of the nose,  humming in  the ears, ill
humor,  constipation,  and unfitness for meditation.  Particu-
larly after Nux vom.
   Arsenic  Obstruction of  the  nose, alternately with  profuse
running and excoriation of  the nostrils,  with bleeding; rest-
lessness and sleeplessness in the night; a desire to drink fre-
quently, but little at a time ;  feels  better in a warm air ; suits
Avell after Nux vomica.
   Chamomile.  When the cold is caused by suppressed perspi-
ration, as is often the case in children, Avith feverishness  and
droAvsiness ; stupor; one cheek pale and cool,  the other red
and  hot;  soreness  of the nostrils ; cracked lips  and acrid,
smarting mucus in the nose. 
SUPPRESSION OF  THE CATARRH.          169
  Pulsatilla.  When the patient loses his appetite and smell,
and the nose secretes a yellowish, thick, offensive mucus, with
heaviness and confusion in the head ; particularly when toward
night and in the warmth of a room the obstruction of the nose
increases;  feels better in the open air, yet shivering;  dis-
posed to shed tears.   It is beneficial before Lycopodium, and
follows well after Chamomile.
  Lycopodium.   Obstruction  of the nose, especially at night;
with the sense of smell too acute;  tearing pain in the forehead;
dryness of the mouth, without  thirst; constipation of the bow-
els, with melancholy, sadness, and whining mood.  Follows
well after Pulsatilla or Lachesis.
   Sulphur.  Obstruction and dryness of the nose, or profuse
secretion of  thick,  yellowish,  puriform  mucus;  sneezing;
blowing of blood  from the  nose with excoriation and sore-
ness of the nostrils ; worse in the night and in  wet weather.

        Suppression of the Catarrh, or Cold in the Head.
   If the running stops suddenly and  headache  ensues, give
 Aconite a few doses, every two  or three  hours a dose (four
 glob.); if not  better, give  Pulsat. and  China,  alternately,
 every six hours  a dose (four glob.).   If hard breathing or
 asthma ensues, give Ipecac  and Bryonia,  every two hours a
 dose (four glob.), alternately, until better, or until three doses
 of  each are taken; and if not relieved give Arsenic and Sul-
 phur, alternately,  every four or  six hours a dose (four glob.),
 until better.  If the  eyes  are affected, give Belladonna, La-
 chesis, and Hepar, in  alternation, every six hours a dose (four
 glob.) until better.   If inflammation of the windpipe or lungs
 ensues, give Aconite  and Bryonia,  alternately,  in  solution
 (twelve globules  in  half a  teacupful of water), every two
 hours a teaspoonful.
   If  a person is subject, on  the slightest occasion, to  cold m
 the head, bathe the neck and breast frequently in cold water; 
170
AFFECTIONS OF  THE NOSE.
snuff cold water up into the nose when washing the face, and
take Silicea, every eight days a dose (six glob.).
  N. B.  We would  remark here, that in the treatment of
children, where it is difficult to distinguish the symptoms with
sufficient clearness for the selection of a remedy, the  alter-
nate use of  Chamomile and Belladonna should be adopted in
most cases, giving every three  or  four hours a dose (two
glob.), which removes the cold.   If  drowsiness sets in and
sleepiness, with eyes half open, the  use of Belladonna and
Hellebor. is preferable, given in solution, as in "Dropsy of
the Brain."   After a few days, Sulphur is frequently neces-
sary to complete the cure.
  Diet  and Regimen.—If there is fever, see the appropriate
diet in "Fevers;" if without  fever, the usual homoeopathic
diet.  During  a  cold in  the  head, abstain  from the  usual
bathing on feeling worse after it.

               5.  Ulceration in the Nose.
                ( Catarrh.   Ozcena narium.)
  This is a  chronic  disease, Avhere an ulcer has  formed in
the upper part of the nose (extending sometimes to the fron-
tal sinus), from which an offensive matter is  discharged, fre-
quently mixed with blood; as long as it discharges freely the
accompanying pain is inconsiderable, but Avhen the ulcer sud-
denly stops  running, feverishness  ensues Avith  headache,
swelling and redness of the nose, thirst, etc.  All these symp-
toms cease as soon as the  ulcer begins to run  again.   If this
disease is located in the nose, it is called ozana narium; if in
the cavity of the cheek-bones, ozaina antri Highmori.
  As both these diseases  are difficult to cure, being  caused
by scrofulous or syphilitic disorders, it is necessary to consult
a homoeopathic physician; yet we Avill point out the remedies
with which the cure may be commenced. 
POLYPUS OF THE NOSE--CANCER OF THE NOSE.     171
               a.  Ozmna narium.   Catarrh.
  Treatment.—The cure may be commenced with Belladon-
na,  every second evening a dose (six  glob.), particularly in
females;  continue  this treatment for  one week, followed by
Aurum, in  the  same  manner, and this followed by Mercury
if necessary,  after  which take Sulphur  in the same manner.
  If, however,  the ulcer does not discharge,  and there is
fever  and  heat, give Belladonna  and Aconite,  alternately, in
solution (twelve globules in half a teacupful of  water), every
two hours a teaspoonful.

                 b.  Ozmna antri Highmori.
  The same remedies  as above,  but if there are severe
pains  in  the cheek-bones, throbbing, splitting, or bursting,
give Arsenic  in solution,  every two hours a teaspoonful until
better.
  If the  discharge is thick  and yellow, give  Lycopodium,
every other evening a dose (four glob.), until better.
  For a  chronic ulceration in the  lower part of the nose, and
scabs on the  nostrils,  take Mercury, Lachesis, Calcarea, Lyco-
podium,  Graphites,  Sulphur, each remedy for two  weeks,
every five  days a dose (six glob.);  after taking one remedy
in this manner  for two weeks, wait one week before the next
remedy is commenced.   Continue this treatment until better.
  Diet  and  Regimen.—The usual homoeopathic diet.  Fre-
quent applications of cold water are recommended.

    6.   Polypus  of  the Nose—Cancer of the Nose.
  The polypus of the nose is of frequent occurrence, and can
be  cured by the application  of the homoeopathic medicines,
as,  also,  that variety  of this  disease  which consists  in the
thickening or enlargement of the cartilages of the nose.   As
these disorders, however, require medical advice, we  merely
mention  here such remedies as may commence  the treatment
of  both  varieties with equal propriety. 
172
affections of the  nose.
   Treatment. — Staphysag., Phosphorus,  Calcarea,  Silicea,
 Sepia, each remedy (every five  days a dose, six  glob.) for
 three weeks, and then discontinue  for one week before the
 next remedy is commenced, until better.
   Cancer in the Nose.—The  treatment of this disease  ought
 to be confined to the application  of the proper internal reme-
 dies, as the cause of it lies in the system.  By applying early
 to a homoeopathic physician it is sometimes cured, while under
 the allopathic treatment a cure is never effected.
   The cure  may be  commenced with Arsenic and Sulphur,
 in the same manner as above, under "Polypus of the Nose."
   Diet and  Regimen.—As usual in homoeopathic  treatment
 of chronic  diseases.

          7.  Foreign Substances in the Nose.
   If a child  has put a bean into its nose, let it draw in its
breath, then close its mouth, and make it force the breath out
through the nose;  or tickle the nose with a feather to make
it sneeze.   Sometimes the bean can be pushed back so  as to
fall into the mouth, or it can be extracted with a needle, the
point of which is turned into a small hook.   If this does not
succeed, apply to a surgeon.  After the operation apply Ar-
nica in water as  usual, and  give internally Arnica and Rhus,
alternately, every six hours  a dose (four glob.).  In a  couple
of days give one dose (four glob.) of Sulphur. 
CHAPTER  X.
AFFECTIONS OF THE FACE, LIPS,  AND JAWS.
      1.  Inflammation and Swelling of the Face.
            a.   Erysipelas of the Face and Lips.
   For the treatment of  this disease see "Erysipelas," under
the diseases of the skin.   The principal remedies  are Bella-
donna, Lachesis,  and Rhus, to be given as there indicated.

                b.  Swelling of the Cheek,
   Caused by toothache, is generally relieved by  Chamomile,
Belladonna, and Mercury, in alternation, every three hours a
dose (four glob.) when  the swelling is red, hot, and hard.
   Bryonia and Nux vomica, in alternation,  in the  same man-
ner, when it is pale.  If the  swelling is very painful, put a
bread-and-milk poultice on it.   (See, also, "Toothache.")
   Diet and Regimen.—As in fevers.

               2.   Eruptions of the Face.
   The face is, in common with the nose, liable to eruptions
in the shape of pimples, produced by various causes.  (See
"Inflammation and Eruptions of the Nose," and "Inflamma-
tion of the Face.")
   For the pimples  (acne rosacea) in drunkards (commonly
called carbuncles), give Nux vomica,  Lachesis,  Arsenic, and
Sulphur, every eight days one dose (six glob.) of one reme-
dy, and so  on in  alternation until better.  The abstinence
from spiritous liquors during this time and afterward is, of
course, required.
                                            /.173) 
 174      AFFECTIONS OF THE  FACE, LIPS,  AND JAWS.

   For pimples in the face, as  they appear often in young per-
 sons, give Belladonna, Hepar, Carbo veg., and Sulphur, in the
 same manner.
   For all other eruptions, such as  tetter, etc., see their re-
 spective heads, under "Skin Diseases."
   For crusta- lactea, or milk crust,  see  " Diseases of Chil
 dren."

         3.  Face-ache — Neuralgia in the  Face.
               (Prosopalgia—Tic douloureux.)
   When this disease has been of a long standing or is consti-
 tutional, it requires  medical advice and careful treatment  to
 eradicate it; but if of recent date the following remedies may
 be used with benefit.  For more information look  under the
 head of  "Toothache," as the same remedies there stated will
 be found to answer.
   It appears,  generally, in paroxysms  of severe pain  under
 the eye and in front of the ear; shooting over the other parts
 of the face, most generally  on one side  only,  and  some-
 times accompanied  with  spasmodic twitchings of the facial
 muscles.
   We give first the  principal  medicines in the different kinds
 of face-ache, and afterward their details, which must be read
 before a  selection is  made.
   a. For face-ache  of an  inflammatory character (heat, red-
 ness of the face, and thirst): Aconite, Bryonia, Belladonna,
 Thuja, Chamomile, Nux vomica.
   b.  For rheumatic or face-ache  from cold :  Chamomile, Bryo-
 nia, Belladonna, Mercury, Pulsat., Spigelia.
   c  For gouty (arthritic) face-ache : Colocynth, Rhus, Spigelia.
  d.  For purely nervous face-ache (neuralgia in the  face, tic
douloureux);  Belladonna,  Phosphorus,  Capsicum,  Spigelia,
 Platina, Hyoscyamus.
  e.  For  face-ache   from  abuse of  mercury:   Carbo veg.,
Hepar. 
FACE-ACHE--NEURALGIA  IN THE FACE.        175
  Symptomatic Detail.—Aconite.  Redness and heat of the
face, with crawling pains on one side, or pains as from ulcera-
tion ;  swelling  of  the cheek  or jaws; feverish heat, thirst,
great exasperation, with agitation and tossing.
  Belladonna.   Pain following the nerve under the  eye, and
easily excited by rubbing that part; or tearing, shooting pains
in the bones, jaws, or cheek-bones ; rigidity of the nape of the
neck ;  twitching of the eyelids; spasmodic jerks of the facial
muscles and distortion of the mouth; heat and redness  of
the face;  chilliness and feverishness at the same time.
  Bryonia.   Red face, burning hot, with swelling on one side,
or under the  eyes  and on the root of the nose; pressing
pains in the face, relieved  by external pressure; pains in the
limbs;  chilliness  followed  by fever; thirst;  tongue  coated
yellowish.
   Carbo veg.   Tearing and drawing in the cbeek-bones ; swell-
ing of the cheeks  and face; night sweats;  great weakness.
   Colocynth.   Tearing and shooting pains, more on the left
side of the face, extending into the head, temples, nose, ears,
and teeth, Avith swollen  face; or when the pains increase at
the slightest touch.
   Chamomile.   Puffed and swollen face, with hardness, bluish
color,  and beating  of the  cheek; one  cheek red,  the other
pale ;  spasmodic twitchings  of the facial muscles ; greatly ex-
cited and sensitive, or drowsy with feverish inquietude ;  shiv-
ering, with internal  heat; desire to lie  down and  not  be
exposed to fresh air, particularly the wind.
   Capsicum.   Pains in the bones of the face, worse by being
touched,  and when going to sleep ; feeling of numbness of the
cheek-bone.
   Hepar.   Pains in the bones of the face;  worse by touch, and
extending into the ears and temples; heat in the face  during
the night.
   Hyoscyamus. Pressing or cramp-like pains in  the cheek
bones. 
 176     AFFECTIONS OF  THE FACE, LIPS,  AND JAAVS.

   Mercury.  Tearing or shooting pains on one side, from the
 temples to the teeth; worse at night and in  the warmth of the
 bed; too much saliva in  the mouth  and  perspiration without
 bringing relief;  sleeplessness.
   Nux vomica.   Tearing and  drawing pains,  with swollen
 cheeks; redness of one  or  both  cheeks;  tingling in the  face
 with beating in the muscles of  the face; worse by meditation
 and from wine or coffee.
   Arsenicum.  Burning, pricking pain around  the eyes and
 temples, returning  periodically,  and  so severe as  almost  to
 drive the patient to despair; great anguish and  prostration,
 worse  during repose, after fatigue, in the evening and after a
 meal;  temporary relief is obtained from  the  use  of external
 heat.
   Phosphorus.   Tearing pains  on the left side;  worse by
 moving the muscles of the face, when eating, etc.; also, by
 contact.
   Pulsatilla.  Paleness  alternating with redness of the  face;
 convulsive motions  in the face;  painful  sensitiveness of the
 skin of the face, as if sore ; shivering on one side  of the face;
no thirst.
  Rhus.  Pressing, cutting pains in  the cheek-bones; with
 heat and roughness of the  skin  of the cheeks; follows well
after Bryonia.
  Platina.   Tingling, crawling  pains, Avith  numbness  and
coldness of the cheek  on one  side;  or spasmodic  pain  and
pressure in the cheek-bone; Avorse  in the evening, when  it
generally  begins; very nervous ;  melancholy; with red  face,
and thirst.
  Spigelia.   Jerking,  tearing,  burning, and pressure in the
cheek-bones ; Avorse by touch or  motion ;  with shining  swell-
ing of  the diseased  part.  Appears at a certain time of day;
Avorse  on stooping.
  Thuja.   Pain in the cheek-bones, as if  there was a boring;
relieved by touch;  spasmodic twitching of the lips; follows 
PARALYSIS OF THE FACE AND JAW.
177
well after Belladonna; heat in the face, transitory; with per-
spiration in the face..
   Administration.—Dissolve twelve globules of a  remedy
in half a teacupful of water,  and give every hour a teaspoon-
ful, until three teaspoonfuls are given, or the pain is relieved ;
then discontinue  for two hours; after which, give the  next
remedy, if necessary.   If, on giving Belladonna, it relieves,
but not entirely, give afterward a couple of doses of Bella-
donna cc, until better.
   N. B. In very severe cases of neuralgia in the face I have
seen the most beneficial effects  from the tincture of Aconite
(three drops to  half a teacupful of water, every fifteen  or
twenty minutes a teaspoonful);  in such cases its external ap-
plication on the parts principally  affected is also recommended.
Otherwise, apply nothing externally but cold Avater bandages.
   Diet and  Regimen.—The usual homoeopathic  diet.   Ab-
stain, even in health, from coffee and tea, and bathe frequently.

4. Warts  and Spots on the Face.—Cancer  of the Face.
   For warts on the face, use  first the  remedies  stated in the
article on warts, under  "Skin Diseases;"  and if these do not
succeed,  use  Caustic, Dulcamara, and  Sepia;  each  remedy
internally for  four Aveeks, every  week one dose (six glob.),
and externally, wet the warts every evening with a  solution
of the same remedy (three glob, in a few drops of water).
   Spots, yellow (hepatic), on the face, require principally the
use of Sutyhur and Sepia, in the same manner as above.
   Cancer of the face :  see the remarks and treatment of " Can-
cer of the Nose."
   DIET.—The usual homoeopathic diet in  chronic diseases.

           5.  Paralysis of the Face and Jaw.
   In this disease, the muscles of the face have lost their power
to act and be  moved by the  will; consequently, the  affected
part of the face or jaw hangs down; it  mostly results from 
178     AFFECTIONS OF THE FACE,  LIPS, AND  JAWS.

attacks  of  apoplexy, rheumatism,  loss of  fluids,  and con-
sequent debility,  or suppression  of an eruption.   For more
details,  see the article, "Paralysis or Palsy."   If it appears
in an aggravated  form, it must be treated by a physician ;
however, commence its treatment with the following remedies :
Belladonna, Graphites, and Caustic, every six or eight days
one remedy, every other day one dose (six glob.), until better.
   In paralysis of the jaw (hanging jaw), Dulcamara, Arsenic,
and  Lachesis, in the same manner.  Beside, apply cold water,
electricity, or galvanism, at the same time, if the patient is re-
lieved by it.
   Diet, as usual in chronic diseases.
6.   Lockjaw.  (Trismus.)  See page 20. 
                CHAPTER  XI.

AFFECTIONS OF THE TEETH, GUMS,  MOUTH.
              1.   Toothache.  (Odontalgia.)
  The proper culture of the teeth is important, in regard to
health and comfort; and, as they form a part of the digestive
system, their soundness depends a great deal on the healthy
state of the stomach and bowels; consequently, whatever may
derange these organs, will act more or less injuriously on the
teeth, and ought to be guarded against.  The extremes of hot
and cold drinks should be avoided, and the teeth kept scrupu-
lously clean; the best method for  doing this is to brush them
gently with a soft brush dipped in cold water.  All medicated
tooth-powders are more or less  injurious.  If tartar adheres
to the teeth, have  it cautiously scraped off, by a competent
person; and if any damage is visible, externally, consult im-
mediately a skillful dentist;  as he can  easily repair  it, while
an unskillful practitioner makes the evil worse.  We cannot
be too careful in the selection of a dentist.
  If habitually predisposed to toothache, consult a homoeopa-
thic physician, who will be able to eradicate this complaint,
which has either a scrofulous or rheumatic basis.
  But to commence such a  cure,  if the toothache is recent,
from  cold, etc., take  some  of the following remedies, which
may afford speedy relief.
  Treatment.— In most cases of toothache, try  first the
following remedies, in this order:  Chamomile, Bryonia, Mercu-
ry, Sulphur, if the patient is a male; and
                                              C179"» 
 180    affections of  the teeth, gums, and  mouth.

   Chamomile, Belladonna, Mercury, and Sulphur, if a female
 or child.
   Administration.—Give, according to the severity  of the
 pain, from one to six hours a dose (four glob.), alternately,
 until better.   If, however, among the remedies  given below,
 one  is found which will suit exactly, give this first of all.
   In administering the following  medicines, be careful not to
 give another one, when  the  remedy previously  given has
 already afforded some relief;  let it then have time to show its
 effect; say from one to six hours.   Do not use creosote, and
 other medicines, such as  opiates; as  they are very injurious
 to the general health, and to the teeth especially.
   Neither allow the teeth to be extracted so very readily; as
 frequently it does not relieve,  and can be obviated altogether,
 by the use  of  one  of  the following  remedies.  Select with
 care, and give as a dose,  four globules at a time.
   Before  taking any medicine, cleanse the mouth of every-
 thing which may have been used previously ; particularly of
 those things which have a smell,  such as creosote, etc.
   The principal  remedies recommended  in this article  for
 toothache are the folloAving :
   Belladonna,  Chamomile,  Mercury,  Nux  vom., Pulsatilla,
 Sulphur, Bryonia, China, Hyoscyamus, Ignatia,  Rhus, Staphy-
 sag., Aconite, Carbo veg., Coffea, Hepar, Sepia., Silicea, Dulca.
   Before we  give their detailed  symptoms, we  will state  a
 few general indications, Avhich are of great service in  select-
 ing the proper medicine.
   First, look under  the general indications, and on finding
 there a head  applying to the case, select the proper remedies
by reading their  detailed symptoms  below, and comparing
them with the present attack.
   General  Indications.— Toothache in  children: Aconite,
Belladonna,  Chamomile, Coffea, Ignatia.
  In females: Aconite, Belladonna,  Chamomile, China, Coffea,
Bryonia, Ignatia, Pulsatilla, Sepia. 
TOOTHACHE--ODONTALGIA.              181
   In young girls of full habit: Aconite,  Belladonna.
   At the time  of the menses: Carbo veg., Chamomile, Pulsa-
tilla, Bryonia.
   During pregnancy:  Belladonna, Nux  vom., Pulsatilla, Sta-
physag., Rhus.
   During nursing: China.
   In hysterical females : Ignatia, Sepia, Belladonna.
   In sensitive and nervous persons: Aconite, Belladonna, Coffea,
Hyoscyamus, Ignatia, Nux vom.
   When  caused by abuse of coffee:  Chamomile, Ignatia, Nux
vomica.
   Of tobacco: Bryonia, China,  Chamomile, Hepar.
   Of mercury  or  calomel:  Carbo veg.,  Hepar, Pulsat., Sul-
phur.
   When  in  consequence of  a chill:  Aconite,  Belladonna,
Chamomile, Coffea,  Dulcamara, Ignatia, Mercury, Nux vom.,
Pulsat.
   When caused by damp and cold air: Nux vom.,  Pulsat.
   If it is  of  a rheumatic nature:  Chamomile, Mercury, Bry-
onia, Bellad., Sulph., Pulsat., China, Rhus.
   Of a nervous nature: Bellad.,  Coffea, Ignatia,  Chamomile,
Nux vom., Hyoscyamus, Sulph.,
   Of a congestive nature: Aconite, Bellad., Chamomile, China,
Pulsat., Hyoscyamus.
   In  carious   teeth:  Mercury,  China,  Pulsat.,   Staphysag.,
Chamomile, Bryon., Silicea,  Sulph.
   With affection of the bones of the face: Mercury, Sulph.
   With pains up to the eyes : Pulsat.
   To the ears: Chamomile, Mercury,  Pulsat.,  Sulph.
   To the head:  Chamomile, Mercury, Nux vomica, Pulsatilla,
Sulphur.
   With  a swelled face:  Chamomile,  Mercury, Nux vomica,
Pulsat., Bryonia, Sepia.
   With swelled gums:  Aconite, Bellad.   China, Hepar, Mer-
cury, Nux vom., Sulphur. 
182    AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
   With  swelled  submaxillary glands:  Carbo veg., Mercury,
 Nux  vom., Staphysag.

 Conditions, under which the toothache is relieved or  aggra-
     vated.
 Toothache relieved :
   By pressure :  Bellad., Pulsat., China, Rhus.
   By rubbing: Mercury.
   When lying doAvn: Mercury.
   When lying on the painful side :  Bryon.
   When going to sleep : Mercury.
   From warmth:  Mercury, Nux vom., Sulph., Arsenic, Rhus.
   In the open air : Pulsat., Bryon., Hepar.
   By holding a cold hand to it:  Rhus.
   By applying cold water, temporary relief:  Bryon.
   From smoking: Mercury.
   From cold air:  Pulsat., Nux vom., Sepia.
   When clenching the teeth :  Coffea, China, Arsenic.
   When the gums bleed : Bellad.
   When sitting up in bed: Mercury, Rhus, Arsenic.
   By cold drink : Bryon., Pulsat.
   By warm drink: Lycopod.,  Nux mosch.,  Sulph.
Toothache aggravated:
   By cold air : Bellad., Mercury', Staphysag., Sulph., Hyoscya.
   By cold water: Bryon., Nux vom.,  Sulph., Antim.  crud.,
     Calcarea.
  By cold washing: Mercury, Sulph., Calcarea.
  By draAving cold air into the  mouth:  Bellad.,  Mercury,
    Bryon., Nux vom., Sulph.
  In the open air:  Bellad.,  Staphysag.,  Nux vom., China,
    Sulph., Rhus.
  In a draught:  China, Sulph., Calcarea.
  In a room : Chamomile, Sulph., Antim. crud.
  From  smoking: Ignatia, Bryon., China.
  From applying hot things :  Bellad., Phosphoric acid. 
TOOTHACHE--ODONTALGIA.             183
   From applying warm things: Coffea, Pulsat., Bryon., Cha-
     momile, Sulph.
   From warm drinks : Mercury, Nux vom., Chamomile.
   From eating anything warm :  Bryonia.
   In a warm room or bed : Pulsat., Hepar, Bellad., Mercury,
     Bryon., Chamomile.
   From drinking coffee: Ignatia, Bryon., China.
   When pressing the teeth together :  Hepar,  Hyoscya., Rhus.
   When touching the teeth by the tongue: Ignatia, Mercury,
     China, Carbo veg.
   When picking  them: Pulsat.
   During motion : Bryon., Nux vom., China.
   When sitting:  Pulsat.,  Rhus.
   When lying doAvn : Ignatia.
   When lying on the painful side:  Arsenic
   When lying on the sound side : Bryon.
   When going to sleep : Arsenic
   Before midnight:  Bryon.
   After midnight: Mercury, Staphysag.
   In bed:  Mercury, Antim. crud.
   When awaking :  Bellad.,  Nux vom., Carbo  veg.
   In the forenoon: Pulsat., Sulph., Carbo veg.
   In the afternoon:  Mercury,  Sulph., Nux vom., Pulsat.
   Toward evening:  Pulsat.
   In the evening: Ignatia, Bellad.,  Mercury,  Pulsat., Bryon.,
     Nux vom., Sulph., Antim. crud., Rhus.
   By noise : Calcarea.
   By vexation:  Rhus.
   When thinking :  Bellad.,  Nux vomica.
   When reading  : Ignatia, Nux vomica.
   By salt things : Carbo veg.
   Symptomatic Detail.—Aconite.  Feverishness, Avith great
anxiety and restlessness, intense beating pains, with conges-
tion  to the head and intense burning in  the face, which is
swollen, and very painful.    Belladonna, Bryonia, and Chamo-
        18 
 184     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.

 mile suit very well after it;  or in  alternation with Coffea, if
 the pain is intolerable (see Coffea).
   Belladonna.   Great anguish and restlessness, or excessive
 sadness, with tendency to shed tears ;  sensation of ulceration
 in the teeth and gums ; drawing, tearing, incisive, or  shoot-
 ing pains  in the teeth, face, and ears, aggravated in the even-
 ing, after lying down at night; bleeding of the  teeth on sucking
 them ;  swelling of the cheek; dryness  of the mouth and throat,
 with great thirst;  worse in the open air and when eating;  heat
 and redness of the face, with beating in the head  and cheeks;
 burning and redness of the eyes.
   After it, Mercury, Hepar, Chamomile, Pulsatilla, suit.
   Chamomile.   Violent  jerking, drawing, and shooting pains,
 almost insupportable; worse at night, when the patient is warm
 in bed; with swelling and redness  of  the cheeks and  irrita-
 bility of mind ; disposition to cry, during the pain ;  swelling
 of  the  gums;  enlargement  of the  submaxillary  glands;
 oftener  on one side, or without  knowing Avhich teeth ache
 most.   Shooting  or  pulsative pains in  the  head, ears,  and
 face; worse after drinking anything hot or cold; particularly
 after drinking coffee;  one cheek red, the  other  pale; violent
 agitation, and tossing about; yet great weakness, almost to
 fainting.
  After it, Bryonia, Mercury,  Coffea,  Sulphur, Belladonna,
 follow well.
   Coffea.  Violent pains, during which the patient is utterly
 distracted;  with trembling, tears, tossing, and  agitation (in
 alternation  with Aconite).   Indescribable pains ; worse at
 night,  or after a meal.
  After  it, Aconite,  Belladonna,  Hyoscyamus, Sulphur,  suit
 well.
  Calcarea.   Toothache in pregnant females  ; pains in hollow
teeth or around loose  stumps; throbbing, drawing, pricking
pains, with swelled, sore, easily bleeding gums;  face full  and
red, particularly during the  night; pains caused  by taking 
TOOTHACHE--ODONTALGIA.
185
cold; worse by  cold  or draught  of air; the  patient bears
neither cold nor warm drinks; noise increases the pain.
   Carbo veg.  Drawing, tearing, or beating pains in the teeth,
with  painful tendency to the touch, especially after  eating;
the gums  bleed  easily;  with a  feeling  of ulceration  and
looseness of the teeth ; worse in damp weather, or when  hot,
cold,  or salted things, are put into  the mouth;  or when Mer-
cury has not relieved the pains.
   China.  When debilitated by loss of fluids, as after having
been  bled, or during nursing, etc.; or when the pain is beat-
ing, drawing, jerking ; dull pain in carious teeth ; worse after
eating; at night, or when  touched; mitigated  by pressing  and
clenching the teeth.
   After it, Mercury, Pulsatilla, Sulphur.
   Bryonia.  Pains in carious teeth, and in the  gums, as if
sore  and excoriated, with  the feeling  as if the teeth were
loose: jerking and drawing pains, with a sensation as if the
teeth were loose or too long, but are not so ; especially when
eating, or  after a meal;  the pains force  one  to  lie down; are
worse at night; or on taking anything  hot into the mouth;
ameliorated when lying on the side  affected.  It suits well
after  Chamomile, or before Mercury;  also, in alternation with
Rhus, in  those toothaches  which are caused either by  wet
weather, or accompany  bilious rheumatic attacks.  (See  this
article.)
   Dulcamara.   In toothache accompanied by diarrhea, from
cold or from a chill; suits well in such cases  after Chamo-
mile,  when that remedy has proved insufficient;  also, in
cases of  toothache  from cold, where  it  has  fallen upon  the
salivary glands, Avith salivation; where Belladonna and Mer-
cury have proved insufficient.
   Hepar.   Suits  well  for persons  who  have taken  a great
deal of mercury; and when the toothache precedes the  for-
mation of gum-boils; in this case, in alternation with Silicea;
beside, it is suitable after Mercury or Belladonna, when there 
186     AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.
 are painful or erysipelatous swelling of the cheek, or jerking
 and drawing pains in the teeth; worse on clenching the teeth,
 when eating, in a warm room, or at night.
   Hyoscyamus.  The pains, when this  remedy  should  be
 used, are very violent;  tearing; pulsation from the cheek to
 the forehead, after taking cold, or in the cold air, Avith conges-
 tion to the head; red and hot face ; clenching of the teeth;
 convulsive jerkings of the fingers, hands, or arms; great ner-
 vous  excitability;  red  and brilliant eyes, looking around
 Avildly; pains  are so violent as to almost cause raving.
   Ignatia.   In persons of a sensitive temperament, yet of a
 mild character; or, now lively and gay, and soon after, dis-
 posed to weep.  The toothache  for which this remedy should
 be used, is distinguished by a sensation  as  if the teeth were
 broken; caused by taking cold; by depressing mental suffer-
 ing ; or when  the  pains are worse after drinking coffee  or
 smoking tobacco;  after lying  doAvn,   or  in  the mornintr
 on waking.   It suits well after Chamomile, Nux vomica, or
 Pulsatilla.
   Mercury.  One of the principal remedies for toothache in
 children, or when there are shooting pains in the carious teeth;
 and tearing pains in the roots of  the sound teeth, through the
 whole side of the face,  into the ears ; with swelling  of the
 cheek ; painful on touch ; swelling of the submaxillary glands;
 salivation;  worse at night;  but particularly so, even  insup-
 portable, in the warmth of the bed; the pains are  excited by
 cool and damp air, or by eating or  drinking anything cold.   It
 suits well  after Belladonna or Dulcamara; or  before Hepar,
 Carbo veg., or Sulphur.
   Nux vomica.   Especially in persons who lead a  sedentary
life, or indulge habitually in coffee or  ardent spirits; pain  as
from excoriation, or jerking,  drawing, particularly in the cari-
ous teeth; swollen and painful gums, with pulsation as in an
abscess;  worse  at night, in the morning on waking, after din-
ner,  or during a walk in the open air;  irritable, quarrelsome, 
                  TOOTHACHE--ODONTALGIA.              187

 and peevish temper, Afith tendency to constipation and  piles.
 It suits well before Mircury or Sulphur.
   Pulsatilla.  Especially in persons of  a mild, quiet, and
 timid character, with tendency to shed  tears; toothache from
 cold, with earache an<| headache  on one  side, mostly on the
 left;  tearing, shooting or jerking  pain, as if the nerve were
 tightened and suddenly relaxed; pulsation; gnawing pain, with
 pricking in the  gums; pains extending  to the face, head, eyes,
 and ears, mostly on  oni side, with paleness of the cheeks, heat
 in the head, shivering H the body and  difficulty of breathing;
 worse in the afternoon or evening, or else after midnight; ag-
 gravated when  warm inbed  or when seated in a  warm room;
 mitigated by cool air  or then out of doors.   It  suits well before
 or after Mercury or before Sulphur.
   Rhus.   Particularly it rheumatic toothache in wet weather,
 with pains in the extremities  and  head, shivering and rest-
 lessness ;  in such cases in  alternation Avith  Bryonia.  (See
 this remedy.)   Or tearirq,  jerking, shooting, tingling pains,
 worse in the open air or  at night, when it renders the patient
 very restless; mitigated  by external heat.   It  suits well after
 Belladonna.
   Sepia.   Pulsative  and shooting pains extending into the ears
 and arms as far as the fingers;  tendency to  sick headache ;
 constipation and piles.   It raits well after Belladonna.
   Silicea.   Shooting pains, Avith  swelling  of the jaw-bones,
 which ache rather worse thtn the teeth; worse in the night;
fistulas or gum-boils.  It su.ts Avell after Mercury or Hepar.
   Sulphur.   Tearing, jerking, and pulsative pains, particular-
ly in the carious teeth, with SAvelling of the  cheek; conges-
tion  and  beating in the head;  shooting pains in the ears ;
constipation Avith tendency to piles ; the toothache is worse  in
the evening or at night, Avhen warm in bed, or  exposed to the
open air or a current  of  air; also from cold water.   It  suits
well after Aconite or Mercury. 
  188    AFFECTIONS OF THE TEETH, GUM3, AND MOUTH.

    Staphysag.   When the toothache  aiects carious teeth, or
 the  teeth  become  so, and break off easily,  with paleness,
 whiteness,  ulceration,  swelling, and  tetderness  of the  gums;
 worse immediately after eating  or  drnking anything cold, or
 by inhaling the cold air;  also in the mcrning or at night.

        2.   Caries  of the Teeth.   (Carious Teeth. )
    For pains in carious teeth theprincpal remedy is Antimon.,
 Chamomile, or else Staphysag., Nux lomica, Mercury,  China,
 Pulsatilla, and Sulphur.  Give  of tlese  every  three or six
 hours a dose (four  glob.), until rehVed.
    For a disposition to caries in the teeth, give first Staphysag.,
 then Sulphur, then Calcarea carb., e7ery week  two doses of
 one  remedy,  commencing  Avith  th3  first,  each  dose  six
 globules.
   Beside this treatment consult a gcod dentist,  as teeth  may
 frequently be  saved by a simple operation, while Avithout it
 they would decay in a short time.

                  3.  Offensive Breath.
   If it is from carious teeth, consrit  a good dentist immedi-
 ately ; or,  if that is impossible,  ilean out the  hollow teeth
 yourself, with  cotton or  rolls  of paper, and  fill  the cavities
 Avith wax.
   Offensive breath,  caused by neglect  in cleaning  the teeth
 from tartar or particles of food attached to them after eating,
 can be removed only by the most  careful attention to rinsing
 the mouth  frequently and using the brush freely.
   Sometimes offensive breath is a  symptom of other diseases,
 such  as swelling and inflammation of the gums  and glands
 from  the  abuse of Mercury.   (See  this  article.)   Where it
cannot be traced to any particular cause, however, try to re-
lieve the patient by giving the following remedies: 
BAD TASTE IN THE MOUTH.             189
   If it appears only in the  morning, give Arnica, Nux vom.,
 Belladonna, Silicea, Sulphur.
   If after a meal, Chamomile, Nux vomica, Sulphur.
   If in the evening or at night, Pulsatilla, Sulphur.
   If in young girls at the  age of puberty, Aurum, Pulsatilla,
. Sulphur, Bryonia, Belladonna, Sepia.
   Administer every evening of one of the above remedies
 indicated, one dose  (six glob.) for one  or  two weeks, when
 another remedy may be selected if necessary.
   N. B.  The smell caused by onions, garlic, or  horse-radish,
 may be destroyed by taking a little wine, or eating a pear or
 boiled  beets.

               4.   Bad Taste in  the  Mouth.
   A great many  diseases, such as fevers and disorders of the
 stomach, have a bad taste in the mouth as an accompanying
 symptom, which will disappear with the  principal complaint;
 this must be  looked for  in the proper  chapters; but some-
 times it appears as a solitary symptom, for which the follow-
 ing remedies may be given :
 Taste : Insipid—Bryonia, Rhus, Dulcam.;  if after drinking,
      China;  if after a meal or in the evening, Thuja.
    Coppery—Cuprum, Rhus, Cocculus.
   Earthy—China, Pulsatilla, Sulphur.
   Metallic—Lachesis, Mercury, Nux vomica.
   Mucous or slimy—Mercury, Chamomile, Pulsatilla, Lycopo-
      dium, Belladonna, Rhus.
   Putrid—Arnica, Bryonia, Rhus, Sulphur, Nux vom.,  Mer-
      cury, Pulsatilla, Sepia.
   If worse in the morning—Rhus, Nux vom.,  and Sulphur.
   If after a meal—Rhus.
   Bitter, bilious—Bryonia, Pulsatilla, Arnica,  Antimon. crud.,
      Chamomile.
   jlcid—Pulsatilla,  Mercury, Nitric acid,  Sepia,  Sulphur.
   Sioeetish—Mercury, Pulsatilla,  Sulphur. 
 190    AFFECTIONS OF THE TEETH, GUMS, AND MOUTH.

   Saltish—Mercury, Nux vomica, Tartar emet.,  Arsenic,  Car-
     bo veg.
   For loss of taste—Belladonna, Hepar, Bryonia, Phosphorus,
     Silicea, Natrum muriat.
   Administration.—Take one  dose (four glob.) of the ap-
 propriate medicine once  a day for a couple of days, which
 is generally sufficient.   If very bad, take two or three  times
 a day.

     5.  Inflammation and Swelling of the  Tongue.
                        ( Glossitis.)
   This disease is not of frequent  occurrence.   When it ap-
 pears the tongue is swollen, either in part or wholly, often to
 a great extent, so as to fill  the whole  cavity of the mouth,
 thereby rendering it extremely difficult to speak, swallow, or
 even breathe.   The disease, if not  checked in time by the
 proper homoeopathic remedies, frequently runs into  suppura-
 tion or hardening of the substance of the tongue, after which
 the fever, which is generally very intense during  the height
 of the inflammation, gradually subsides, or it  terminates in
 gangrene of the tongue and surrounding parts.
   Causes.—This disease  is mostly caused by local injuries,
 such as from the points of decayed teeth, the sting of a  bee,
 or by rheumatic and catarrhalic influences.
   Treatment.—In the commencement  of the disease, if the
 tongue has been injured externally, give Arnica, rinsing the
 mouth with a  solution of ten drops of the tincture  to a  tea-
 cupful of  Avater three  or four  times a  day.  If injured by
burning or scalding, give Urtica urens, in a similar  manner.
   But if  real inflammation of the substance sets in, and there
is great fever, give first Aconite,  in solution (twelve globules
in half a teacupful of water), every hour or two a  teaspoon-
ful until better.
  Mercury is almost a specific after Aconite, particularly when
there is great swelling                            rrounding 
CANKER  OF THE MOUTH--STOMACACE.        191
glands;  it may be given either alone, every three or four
hours a dose (four  glob.), or  alternately Avith Belladonna, if
the mouth is very  dry and the pain excessive, with great
thirst and congestion to the  head.
  Pulsatilla is beneficial  in cases caused  by suppression of
gouty, or hemorrhoidal affections.
  If indications of  gangrene appear, Arsenic and Lachesis are
the principal  remedies, alternately to  be  given as above in
Belladonna and Mercury.
  If ulceration of the  tongue  takes place, see "Ulcers."
  If the swelling has  become so  enormous, as  to  endanger
the life  of  the patient, make  longitudinal  incisions in the
tongue.
  Administration, Diet,  and Regimen—As in inflammatory
fevers.

         6.   Canker  of the  Mouth.   (Stomacace.)
  This disease consists in an inflammation  and ulceration of
the inside of the mouth and surrounding parts,  preceded  by
general  lassitude, loss of appetite, gastric  derangement and
feverishness.  The local affection soon makes its appearance
with  heat,  redness, and  sensitiveness of  the  gums, which
swell, become spongy, and retract from the teeth;  presently
small ulcers appear on the gums, spreading  to the lips, tongue,
palate, and inside of the  cheeks, smelling very offensively.
  Sometimes  the glands  of the throat and mouth  swell and
participate in the  inflammation, secreting large  quantities of
a putrid, acrid saliva, which runs  constantly from the mouth.
In such  a state the patient looks like one who has been deeply
salivated by the abuse of mercury; Ave find, also, the  same
weakness and feverishness.
  Treatment.—Mercury must be given first, as it is almost
the specific in this disease, but not, of course, in those  cases
Avhich have been produced  by its oaati abuse; in such  cases
see "Diseases from the abuse of Mercury."
        19 
 192    affections of the teeth, gums, and  mouth.

   Administration.— Dissolve twelve globules in half a tea-
 cupful of Avater, and give every three or four hours  a tea-
 spoonful until  four or six are taken;  if better  the patient
 needs no more  medicine ; if  not  better or  about the same,
 select  one  of the following remedies, preparing and giving it
 in the  same manner as the mercury.
   Capsicum.  Particularly in phlegmatic persons  with a full
 habit, leading a sedentary life;  or where there are burning
 blisters or vesicles on the  tongue,  and swelling of the gums.
   Dulcamara.   Where the patient has  taken  cold, or Avhere
 the glands of the neck participate, feel sore,  and are swollen.
   Arsenic.   Ulcerations  on the margins of  the tongue, with
violent  burning pain ; swelling  and easy bleeding of the gums;
great debility and restlessness, with  a desire  to drink frequently
 but not much at  a time.
   Borax.   Ulceration of  the  gums with thrush in the mouth
 and on the tongue ; bleeding easily, particularly in  children.
   Administration.— See   "Thrush"  in "Diseases  of  Chil-
 dren."
   Carbo veg. Ulceration  of the gums and tongue, Avith pro-
 fuse bleeding;  burning sensation, and excessive  fetidness of
 the  ulcers, and  difficult movement of the tongue.  It suits
 well after Arsenic, or where Mercury has caused salivation.
   Nitric acid.  If Mercury has proved inefficacious, or if the
gums are SAVollen, look AA'hitish and bleed easily, with looseness
 of the teeth; excoriations in the mouth; salivation and a putrid
odor of the mouth.
   Nux vomica.    In  the worst cases,  and then  in alternation
 with Arsenic; principally in lean  persons, who lead a seden-
tary life ; or where there  is putrid and painful swelling of the
gums ; fetid ulcers cover the Avhole inside of the mouth, which
smells  very offensively; the face looks discolored,  with hollow
 cheeks, dull eyes ; emaciation ; constipation and irritability.
   Sulphur.   At the end of the cure, or when there is swell-
 ing of the gums with pulsath-e pains; thrush in the mouth 
SCURVY--SCORBUTUS.
193
and on the tongue ;  blisters which  burn when  eating ; offen-
sive  and sour smell from  the mouth, with a thickly  coated
whitish or brownish tongue; constipation, or greenish, slimy
evacuations; restlessness at night.   It suits well after Arsenic,
Mercury, or Nux vomica.
  Externally  use nothing  but cold  water, with  which the
mouth should be frequently washed;  sometimes lemon-juice
or sage  tea is beneficial, at least  not objectionable, when its
use can be borne.
  Diet.— Only the mildest nourishment, such as gruels,  milk
and water, etc., is allowed ; no meat or soup  of meat until
the patient is decidedly convalescent.

            7.  Inflammation of  the  Palate.
  See "Sore Throat."

8.  Abscess in the  Gums.— Gum-boils.—Swelling of the
                        Jaw-bone.
  Before an  abscess  in  the gums, or a gum-boil, is formed,
there is much inflammation and swelling in the  parts affected,
which requires the  use of  Aconite and Belladonna in  alterna-
tion,  every three  or four  hours  a dose (four glob.), until
better; or, if not better after twelve hours, Mercury and Hepar
in the same  manner.   If  the boil has  formed, give Silicea,
evening  and morning  a dose (four  glob.), for  three or  four
days; and if not better in  eight days, give Calcarea carb.,  in
the same manner, and after this Staphysag.
   The same treatment is  suitable for. SAvelling  and ulceration
of the jaw-bone, produced  by carious teeth, or after the ex-
traction  of a tooth.
  Diet light,  and according to the homceopathicrules.

                 9.   Scurvy.   (Scorbutus.)
   This  disease exhibits all the  symptoms described in the
previous  article,  on  "Canker of  the  Mouth."  It differs, 
 194    affections of  the teeth, gums, and mouth.

 however, as  regards its  origin and progress, which is  slow
 and chronic.
   The  real  scurvy principally affects  persons who are  in
 circumstances which  deprive  them  of fresh provisions (such
 as  sailors), and expose them to damp and cold.  If, at the
 same time, there is  want  of exercise,  impure  air,  and un-
 cleanliness, together  with depression of spirits, the disease
 Avill progress rapidly.
   It begins with swelling  of the gums, which become spongy,
 discolored, and bleed easily; producing fetid breath;  after-
 ward the lower extremities begin to swell, and the skin shows
 tettery and livid  spots; face looks lead-colored  and bloated;
 urine is offensive, and the stools are extremely fetid; hemor-
 rhages  from the nose, teeth, tongue, and the urinary organs
 now ensue ;  the  general  debility  and melancholia increases,
 and ulcers make their appearance on  various parts;   after
 which, a general  dissolution of the system takes place.
   Treatment.— A great  part of the cure of this disease lies
 in the removal of its causes; and this should be done, if  pos-
 sible ; substituting  fresh provisions for salt; also, fresh fruits
 and vegetables, oranges,  lemons, cider, vinegar, spruce beer,
 sour-crout, etc.   Beside,  give the following remedies:
  Mercury.   If this has  not already been  used to  excess  in
 the  disease (in which case  Carbo  veg. should commence the
 cure), give it for the  following symptoms:
  Red,  spongy, ulcerated,  and easily-bleeding gums, with burn-
ing pains at night; looseness of the teeth; the Avhole inside of the
mouth covered Avith  aphthae or thrush;  fetid smell of the
mouth, and ulcers; profuse discharge of offensive or sanguine-
ous saliva ; loose, scalding evacuations ; dark-red, fetid urine;
great exhaustion  and debility, Avith inexpressible feeling  of
 depression of body and mind.
  Administration.—Dissolve twelve glob, in half a teacupful
of water, and give every four or six hours a teaspoonful, for
six  times; then discontinue the medicine for  twenty-four  or 
SALIVATION--PTYALISM.               195
thirty-six hours, and, if improving, for a longer time ; if not,
however, select the next best remedy.
   Carbo veg.  Particularly in persons who have taken much
mercury, or when  there are burning  ulcers in the  mouth,
which bleed profusely at times, and discharge an acrid, fetid
matter; great weakness in body and mind.
   Nux vomica.   For the same symptoms as stated in " Canker
of the Mouth."   (See this article.)
   Arsenic.   See  "Canker of the  Mouth."   Beside  these
symptoms, it will mitigate the sufferings of the patient, in the
most severe forms of this  disease;  ulcers are either very
painful or not sensitive; look dark  and livid; so does also,
the  Avhole skin,  which is  bluish, cold,  and extremely dry;
extreme restlessness, particularly at night.
   Nitric acid and  Sulphur.   See,  "Canker of the  Mouth."
   Administration of these remedies,  the  same as Mercury,
above.
   Diet.—As in " Canker of the Mouth."

               10.  Salivation.   (Ptyalism.)
   This disease  is not ahvays  caused by the abuse of mercury ;
but frequently occurs  after  taking  cold, or accompanies at-
tacks of fever,  such as scarlet, etc.  Sometimes it  appears  in
diseases of the reproductive system, as a critical discharge by
the action of nature ;  and is then very beneficial.
   Salivation (a  profuse  discharge of  saliva  or spittle)  is
only a symptom of that disease to which it has given its name.
 The disease consists in an irritation, swelling, and inflamma-
tion of the glands  of the  mouth and throat; at times, of the
whole mucous membrane, Avhich, in health, secretes the ne-
cessary saliva.   It is evident  and rational that, in order  to
 stop the salivation, we must remove the inflammation of the
gland, or mucous membrane, by the appropriate remedies;
 which, if done, will of itself reduce the discharge of saliva to
 its legitimate quantity. 
196     AFFECTIONS of the teeth, gums, and mouth.

  All  astringents  which will  directly  diminish  salivation
are injurious; being  only harmless, when they produce  no
effect.   Mild washes,  or gargles, such as milk and water, may
be used  with benefit.  Depend, however, principally upon
the following remedies:
  Treatment.—If mercury or  calomel  is the  cause, Hepar
sulph., Lachesis, Belladonna,  Opium, Carbo veg., Dulcamara,
Nitric acid, and Sulphur, in alternation, every  six or twelve
hours a dose (four glob.), until the  patient feels relieved, if
not of the  quantity of  saliva discharged, at least of the ill
feelings generally experienced in the whole system.   If caused
by cold, the first remedy to be used is almost always Mercury;
and if not better after twelve or twenty-four hours, give the
above-named remedies in the same order.  If  salivation oc-
curs in  fevers,  as a crisis, do not interrupt its flow, unless
it becomes  very weakening  and  dangerous, in  which case
use the above named remedies.  Beside, compare " Stoma-
cace."
   Diet  and  Regimen.—Diet  of  the  mildest  kind, gruels,
milk  and water,  rusks, crackers soaked  in  milk, etc.; no
meat.
              11.  Paralysis of the  Tongue.
   Paralysis of the tongue is  one of  the  symptoms by which
apoplexy shows itself; and in that case can only be cured by
the removal of the whole disease.   See, in that case, "Apo-
plexy."   But where  the disease has only palsied the tongue
and made  it useless,  give Lachesis, if it is experienced more
on the left side of the tongue, and Belladonna, if more on the
right side.
   Beside,  Caustic, Hyoscyamus, Opium, Stramonium, Aconite,
 Sulphur, in rotation,  if necessary, one after the other, giving
every two  or three days a dose (four or six glob.), until im-
provement begins.
   Diet  and Regimen.—The  usual  homoeopathic  diet  in
chronic diseases. 
STAMMERING--SWELLING UNDER THE TONGUE.     197
 12.  Difficulty of Speech.—Stammering.—Stuttering.
  A person may lose his speech in consequence of spasms or
paralytic strokes, and if this is  the  case see their respective
chapters.   If it is the well-known stammering or stuttering,
medicines may be given to decrease  the general sensitiveness
of the nervous system, and particularly  of  the nerves  of
speech.  Yet  the treatment must lie principally in acquir-
ing such habits of speech as will bring it completely  within
the  control of  the  speaker; reading  aloud  is  of service,
intonating every word, and beating time with the fingers on any-
thing near.  If this  is patiently persevered  in for  a  length
of time,  it Avill  overcome the disease.   A  kind  treatment
by parents and teachers is necessary, particularly where les-
sons are to be repeated, or messages received.
  For diminishing the  general  sensitiveness  of the nerArous
system, give the following  remedies,  which will have, also,
a specific bearing upon the local disorder.
  Lachesis, Belladonna, Mercury, Sulphur, Stramonium, Na-
trum muriaticum, Graphites.  Give each remedy for six weeks,
every week one dose (six glob.), until better.
  Diet.—Abstain from coffee and spices.

      13.   Ranula,  or Swelling under the Tongue.
  This disease consists in a swelling of  the  salivary glands
under the tongue, where it appears as a bluish eminence, not
painful, but in its final growth impeding speech materially.
  The principal remedies are Thuja, Mercury, Calcarea carb.,
and Sulphur; each  remedy to be given for six weeks, every
week two doses (six  glob, each), until better.  These reme-
dies may be used at the same  time  externally, by dissolving
a few globules in a little water, and  keeping it in the  mouth
for  a minute once a day.
  Diet and Regimen.—Abstain from coffee and spices. 
           CHAPTER  XII.

AFFECTIONS  OF  THE  THROAT.
        Sore Throat.—Quinsy.  (Anginafaucium.)
                a.  Common Sore Throat.
  This well-known  disease consists  in  an inflammation and
swelling of the back part of the  throat, palate, and tonsils,
which impedes the respiration to a greater or less extent, and
occasions fever.  It appears in different  degrees of intensity,
from the slightest irritation of the throat, vanishing quickly,
to the highest degree, the formation  of an abscess in the ton-
sils,  or  adjacent parts, which becomes very painful,  and
obstructs respiration to  an alarming extent.
  The following list of medicines will  exhibit the different
degrees of intensity in the symptoms, according to  which the
remedy must be chosen.
  Treatment.—I will first remark here, that  perhaps in no
disease the beneficial effects of cold water are so evident as
in sore throat; and  advise, therefore, its use in the  beginning
of this complaint, if it is possible.
  In the  evening, when going to bed, put a wet bandage
around the throat, and cover it with  a dry cloth; repeat the
same in the  day-time, if remaining Avithin doors; and at the
same time select the proper homoeopathic  remedies, as the
application of the cold water will not interfere with  the action
of the medicine.
  I would also advise  sponging the throat and  breast with
cold water, for persons who are habitually subject to quinsy,
      (198) 
SORE THROAT--QUINSY.              199
in order to strengthen the weak parts.   This ought to be done
regularly, every morning.
   Another precaution which such persons ought to take, is
to avoid, as much as possible, long-continued or loud talking,
particularly when the weather is  inclement, damp, and cold,
producing colds and rheumatism.
   They should also strictly avoid any irregularity in  diet
and  habits, and take particular care not to overload the
stomach.
   Administration of the following medicines.—Remember
that the patient always ceases taking  any medicine, as soon
as he feels better, or is, at least, not  worse.   In  the latter
case, take the last appropriate  medicine at longer intervals,
from time to time, until entirely relieved.
   Having selected a remedy, dissolve twelve globules of it in
half  a teacupful of water, and give according to the severity
of the case; every one, two, three, or  six hours a teaspoon-
ful, until from three to  six teaspoonfuls  have  been  taken,
when either the patient is better,  or another remedy  is need-
ed ; if the  latter, prepare and give this one in the same man-
ner as above.
   If the patient cannot swallow,  let him  keep the medicine
for a minute on the tongue, and then spit it out again, as the
effect by that  time is fully there; or give the medicine dry
on the tongue; in which case, do not repeat it as often, say
every two,  three, four, or six hours a dose (four glob.).
   Before giving the list of medicines and their symptoms, I
will  state that in  the  commencement  of most cases of sore
throat,  Chamomile, Bryonia, and Belladonna,  in alternation,
every four or  six hours a  dose, will  be found sufficient,  if
taken early.   If, however, the disease  still progresses, select
the more homoeopathic remedy from  among  the following:
Aconite,  Belladonna,  Bryonia,  Rhus,  Chamomile, Lachesis,
Mercury, Pulsat., Nitric acid, Dulcamara,  Ignatia, Carbo veg.,
Nux vom., Capsicum,  Hepar, Silicea,   Sulphur; or,  if the 
200
affections of the throat.
 angina (sore throat) is caused by the abuse of mercury, look
 principally for Belladonna,  Carbo veg., Hepar, Lachesis, Lyco-
 podium, Sulphur.
   Symptomatic Detail.—Aconite.  Particularly if at the be-
 ginning the patient has much fever, heat, thirst, swallows
 with pain and difficulty; the throat inside exhibits  deep red-
 ness, causing a pricking sensation, worse when speaking.
   N. B.  In  inflammatory  affections  of  the throat, Aconite
 ought invariably to commence the treatment: after it a suit-
 able remedy is
   Belladonna.  When there are excoriating pains, with sen-
 sation of scraping and enlargement;  generally a  dryness in
 the  mouth and  throat;  AAThen  SAvall owing,  the pain  shoots
 into the throat and up to the ear; sometimes  cannot sAvallow
 at all ; the drink  escapes through the  nostrils;  violent  thirst,
 with dread of drinking; the throat itself inside shows a bright
 redness without much swelling, or a  deep intense  redness Avith
 considerable swelling  of the  tonsils, palate, and glands, with
 tendency to the formation of abscess or ulceration.   Sometimes
 much slimy, whitish mucus in the mouth  and throat; swell-
 ing of the  muscles and glands of the neck and  nape  of the
 neck, with  violent fever;  hot,  red,  and swollen  face ;  red
 eyes, with  dread of light.
   After it, Mercury, Hepar, or Lachesis, will be suitable.
   Bryonia.   Sensations  of  shooting,  Avith  dryness of  the
 throat and  difficulty of speech ; after getting cold in  damp
 cold Aveather, or after over-heating one's self, or  drinking ice-
 water;  frequently  with pains  in limbs and head,  chilliness
 and  thirst;  in such cases, alternate Avith Rhus, every two  or
 three hours a dose (four glob.), until three doses of each are
taken, or until better.
   Rhus.  In most  cases Avhere Bryonia is  indicated (see  the
preceding "Bryonia"), or Avhere there is obstructed swallow-
ing as from contraction of the throat.
   Chamomile.  Especially in  sore  throats  of  children,  or 
SORE THROAT--QUINSY.
201
where it is caused by checked perspiration;  the  glands of the
neck,  under the chin, and  the  tonsils are swollen;  in the
throat itself a feeling of enlargement, with deep redness of
the parts affected ; inability to swalloAv solid food, especially
when lying down;  tingling in the throat, with hacking cough,
hoarseness and rough voice.   If fever is present toward even-
ing ;  heat and  shivering alternate with redness (especially
of one)  of the cheeks; irritability, with cries and tears; the
child wishes to be constantly carried in the arms and wants
things which, upon receiving, it throws angrily away.
   Lachesis.  Swelling, redness, and feeling of excoriation of
the tonsils and palate; constant need to swallow, with  a sensa-
tion as of a tumor or lump requiring to be swallowed; swal-
lowing is obstructed, particularly of  liquids,  which often
escape through the  nostrils;  worse  in the  afternoon  and
morning, after sleeping,  or from  slight  pressure on the neck.
Sometimes it is necessary to give Lachesis  after other reme-
dies, particularly after  Belladonna  and Mercury have miti-
gated the symptoms, but there still  remains burning  and
dryness in the throat, extensive swelling, especially of the left
tonsil, Avith difficulty of  breathing, or danger of  suffocation ;
or where there are small ulcers in the  throat, or  on  the left
tonsil; in Avhich case, the remedy should be given in alterna-
tion with Lycopodium; particularly when the bowels are  con-
stipated, and on  the tonsils in  the throat appear very small
yellow eminences or tubercles.  (See "Ignatia.")
   Mercury.  Suits  frequently in the beginning of  a  sore
throat, Avhen caused  by taking  cold, and, in addition to the
throat symptoms, there  is a rheumatic drawing  pain in the
head  and nape of the  neck;  perspiration which affords no
relief; the throat symptoms are, violent shooting in  the throat
and tonsils, especially when  swallowing, which extends to the
ears and glands of  the face and neck ; or there is a  burning
in  the throat, and  pains as from  excoriation,  swelling and
great inflammatory redness of the parts affected; elongation of 
202
AFFECTIONS  OF THE  THROAT.
 the  palate, difficult swallowing, especially  of drinks,  which
 escape through the nostrils.  In this case give  it in alterna-
 tion with Belladonna.   If an abscess in the throat cannot be
 avoided, Mercury,  in alternation with Lachesis and Hepar, are
 the principal remedies to promote its maturation, and even
 after it  has broken, Mercury is necessary, with Hepar and
 Silicea, to promote its healing; particularly when the patient
 feels worse at night, or in  the  evening, when he  feels chilly
 and hot at the same time ;  much saliva in the mouth, with per-
 spiration, which affords no relief;  tongue thickly coated.
   Pulsatilla.    Suits very  frequently  in females,  or persons
 of  a mild  phlegmatic  character; after having taken  cold,
 and the throat feels  swollen inside; tonsils and  palate  look
 dark and red,  and dark red veins appear in the throat,  which
 is covered with tough mucus; the patient  feels  chilly toward
 evening.
   Nitric acid.   Is very suitable after Mercury has been given,
 or in alternation with  it where the throat is filled Avith  small,
 superficial ulcerations, of a whitish appearance, like thrush,
 with bad mercurial  smell;  also, in  that form  of  angina
 caused by abuse of Mercury (see this  article).
   Carbo veg.   Suits  well  after Mercury  and Nitric acid, if
 these remedies have not  been sufficient against  the ulcers in
 the throat;  or  after Bryonia and Rhus have been given, and
 there yet remain severe  burning and pricking pains, particu-
 larly in wet weather.
  Nux vomica.   Suits very well after  Chamomile, or in  per-
 sons of a bilious choleric character, when  they have a sore-
ness in the throat, Avith a feeling  of rawness, hoarseness, par-
ticularly when  inhaling cool air, or during the  swallowing of
the saliva ;  or when the palate  is elongated and SAvollen, with
constipation and thirst.   Nux vomica is a principal remedy for
ulcerated sore throat.   (See the next article.)
  Ignatia.   Sensation as of a plug in the  throat, with shoot-
ings into the  ear,  especially when not swallowing; greater 
SORE THROAT--QUINSY.
203
difficulty  in  swallowing liquid than solid food ; the tonsils
swollen, indurated,  or covered with small  ulcers or tuber-
cles.   Compare Chamomile, Nux vomica, Pulsatilla, Lachesis,
Mercury.
   Capsicum.  In cases where  Nux vomica seemed to be indi-
cated, or when there is a  burning roughness in the throat,
with feeling of contraction and stiffness, beside sneezing and
running of the nose, also running of the eyes.  In cases of
this kind it relieves very quickly.
   Hepar.  Often  after Belladonna, Mercury,  Lachesis, or
when there are stitching pains in the throat, or in the swollen
tonsils ;  particularly when  swallowing  or coughing; violent
pressure in the throat, with danger of suffocation ; necessary
in maturing abscesses.   (See Mercury.)
   Silicea.  After an abscess has  broken, Silicea, in alterna-
tion  with Hepar,  is  recommended, until it  has closed and
healed.
   Sulphur.  Swelling of the throat and tonsils, -with pain as
from excoriation; beside a feeling of constriction; follows well
after Mercury or Ignatia.
   Diet light.   See " Inflammatory Fevers."
   External Treatment.—Nothing but gargling with warm
water and milk ;  or for an abscess of the throat a warm lin-
seed poultice, until it breaks.
   Erysipelas of the Throat, as it appears  mostly  in scarlet
fever, measles, small-pox, etc., sometimes, however,  indepen-
dent of these diseases, requires, in preference, Bellad., Aco-
nite, Nux vomica, Mercury, Lachesis,  Sulphur, Arsenic, Carbo
veg., Ignatia, as the  detailed symptoms  above may indicate.
   For angina caused by syphilis or gonorrhea, give mostly
Mercury, Nitric acid, Thuja, Lachesis, or Sulphur.
   If it arises from foreign  substances in the throat, such as
splinters, etc., give  first Aconite, as usual; but if,  notwith-
standing, swelling  and  heat make  their  appearance in the
wounded part  of  the throat, look above, under "Erysipelas 
204
AFFECTIONS OF  THE THROAT.
  of the  Throat," for the principal medicines, which in such
  cases are preferred.
    For constitutional or chronic angina, where a person is liable
  to these attacks upon the  slightest occasion, commence  the
  cure by selecting from Hepar, Lachesis, Lycopodium, Sulphur,
  Bellad., Nitric acid, Nux vomica, Thuja; and  take them as
  needed, but not  oftener than once a day; and if the  case is
  not too urgent, as far apart as every two or three  days one
  dose (four or six glob.), until better.

  b.   Ulcerated and Putrid Sore Throat.   (Malignant Quinsy.)
                    (Angina Gangrmnosa.)
   This is one  of  those dangerous diseases, the treatment of
  which will seldom  be  attempted by domestic practice alone;
  yet, as  persons  may be  in circumstances where they could
  not procure the  aid of a homoeopathic physician, I will give
  below the symptoms and treatment of this disease, as plainly
 and fully as it can be done in a work of  this kind.
   Diagnosis.—This disease, in its most Airulent form, appears
 mostly as an epidemic among children, when scarlet fever is
 raging, which it often  supplants, or accompanies.   In this
 form, it is highly infectious.
   In a  milder form, it may  occasionally attack any person,
 child  or adult,  who, from  derangement of  the digestive
 organs, or predisposition to  throat diseases, is more  subject
 to it.
   It commences with a chill or shivering, followed by fever;
 great languor and oppression, with or without nausea; eyes
 suffused, with a reddish hue; cheeks crimson; nostrils inflamed,
 with a  thin acrid discharge, causing excoriation of the nose
 and lips; pulse weak and very quick, to indistinctness; beside,
 the patient is very restless.
  On examination, the  palate  and visible part of the throat
are found to be of  a bright redness and swollen; which, together
with the tonsils, are soon covered Avith numerous ulcers, coated 
ULCERATED AND  PUTRID SORE THROAT.        205
with grayish-yelloAV crusts, which frequently separate in large
pieces.   At this  time, the whole interior of the mouth,  and
even the lips,  are involved in  the  destruction of the mucous
membrane.  The fever and restlessness increase, as also  the
difficulty of swallowing and breathing.
  The breath  becomes extremely offensive; the glands around
the neck swell, and the skin on the neck and face assumes a
shining, glossy appearance; finally, drowsiness sets in, and the
young patient, if not soon relieved,  dies with  symptoms of
apoplexy or suffocation.
  The milder form exhibits the above symptoms, with  less
severity, and terminates, in most cases favorably, on the third
or fifth day, by general perspiration;  breathing then becomes
easier; the pulse less frequent and stronger;  quiet  sleep  en-
sues, and the expression of the face grows more lively.
   Treatment.—The typhoid  character  of this disease  re-
quires medicines for  that class of  fevers, such as Bellad.,
Lachesis, Arsenic, Carbo veg., Sulphur; and the peculiar affec-
tions  of the throat, such  as  Mercury,  Nitric  acid, Nux vom.
  Belladonna.  In  the beginning of the disease, when there
is dryness of the throat and choking, fear, restlessness, even
delirium.   For further indications and
  Administration. — See "Belladonna,"  under " Scarlet  Fe-
ver."
  Mercury.   If profuse secretion of  saliva makes its appear-
ance, together with ulceration in the throat and mouth, Avhich
must be carefully observed, give Mercury either alone, in the
same manner  as  Bellad., above referred to, or in alternation,
with Nitric acid, in the same manner, if there is great  sensi-
tiveness in the ulcerated parts.
  If these two remedies arrest the  disease, causing diminu-
tion of saliva  and  a cleaner  appearance of the ulcers, wait
patiently twenty-four or thirty-six hours, at Avhich  time  one
dose (four  glob.) of Sulphur will be  sufficient to  complete
the cure.   But if the disease  progresses, 
206
AFFECTIONS OF THE THROAT.
   Lachesis will be necessary to be given, in the same manner
 as Bellad., above; particularly when the neck becomes much
 SAvollen and glossy,  and the  gangrene of  the  ulcers  still
 continues.
   If no  change  is perceptible from its  use Avithin twelve
 hours,  let it be followed by Arsenic; which  is the principal
 remedy, particularly when the  weakness is very great.   These
 two remedies may be given in  alternation, in the same man-
 ner, and, for at least twenty-four hours; if then not better, let
   Nux vomica and Carbo veg. follow in the same manner.
   If a  drowsy sleepiness, with snoring, appears, give Opium,
 three times  every hour a dose (each  dose  four glob.),  and
 afterward  Ciqnum in the same  manner; if the patient sleeps
 Avith  eyes  half open, give Bellad., and Hellebor.,  as directed
 under "Scarlet Fever."
   After the patient is  out of danger, but the ulcers do  not
 heal  fast  enough, give  Nitric acid, evening   and  morning  a
 dose (four glob.), and in two or three days  afterward, Sul-
 phur, in the same manner.
   Diet and Regimen.— Diet as in " Scarlet Fever;" clean-
 liness and  free Arentilation are strongly recommended.
   N. B. For the treatment of the milder form  of this disease,
 see also the preceding article on "Sore Throat or Quinsy."

       Inflammation and  Swelling  of  the  Tonsils
                      (Amygdalitis.)
   This  disease, in its acute form, is already treated of in  the
 article,  "Sore  Throat  or  Quinsy," to which we refer  the
 reader.   In the chronic form, where the  tonsils haAe become
 enlarged and remain so, often  for  years, without  seriously
 endangering the life of the patient, it is extremely dangerous
to have  the tonsils cut out; as frequently, after such an opera-
tion,  (he lungs become  affected,  and the  patient dies of con-
sumption.
   The only safe way to cure  these enlarged tonsils, is to  put 
SWELLING  OR ELONGATION  OF THE PALATE.      207
the patient under homoeopathic treatment;  and, even though
it takes a long time (the nature of the. disease does not admit
of a speedy reduction), it  is still better than to expose the
patient's life to the greatest danger, by an  operation.
   Commence such a course by giving  the patient the fol-
lowing remedies, in their  order; of each  remedy every four
days  a dose (four glob.) for six weeks, until an amendment
is perceptible.
   The remedies are:  Belladonna, Calcarea  carb., Lachesis,
Hepar sulph., Ignatia, Sulphur.
   DIET.—As USual in the homoeopathic treatment for chronic
diseases.

         Swelling or Elongation of  the Palate.
                  (Falling of the Palate.)
   Some persons are troubled  with  this  disease  after the
 slightest cold or indigestion;  it consists in  an inflammation
 of the palate (uvula), which produces the feeling of falling by
 its elongation.   If it continues long, it becomes very annoy-
 ing, and the cause of a tickling in the throat and an irritating
 cough.  The practice of  cutting off the palate, in order to
 take  away its inflammation, is  certainly radical enough, but
 by no means rational, and always pernicious.
   Treatment.—Nux vomica is the  best  remedy in all recent
 attacks;  evening and  morning a  dose (six glob.)   If not
 better in  forty-eight hours, take Mercury, Bellad.,  Calcarea
 carb., and Sulphur, one after the other, in the same manner,
 until better.
   Diet.—Avoid meat, coffee, and spices; gargle the throat
 with  cold water, and  externally apply cold  water bandages.
 (See "Sore Throat.")
20 
             CHAPTER XIII.

AFFECTIONS OF  THE WINDPIPE AND CHEST.
          1.   Hoarseness.   (Raucitas, Aphonia.)
   If  this  complaint  accompanies  other  diseases,  such  as
measles, croup, influenza, etc., its treatment will be found in
the respective articles ; but if the hoarseness, which is an affec-
tion of the mucous membrane of the larynx, exists alone, or
only  combined  with  a cough,  we will state  its treatment
here.
   Hoarseness differs in regard to time and degree.  It is re-
cent (acute),  or  of long standing (chronic); also, sometimes
very slight, at others very severe, amounting even to  a per-
fect aphonia,  or loss of voice.
   Catarrhs or colds in the throat frequently manifest them-
selves only as hoarseness, and should be treated as follows.

                  a.   Acute Hoarseness.
   Nux  vomica   and  Mercury (see  "Influenza"),  are  the
principal remedies.  Nux vomica for a rough, dry cough, with
soreness  and  tough mucus in the throat; the patient  feels
alternately chilly, and hot; is impatient and morose.
   Mercury.   Either after Nux vomica or  Pulsatilla  (see
below), or in alternation Avith them, particularly Avhen with a
hoarse and rough voice there is a sensation of burning tick-
ling in the windpipe, and disposition to easy and profuse per-
spiration, without relief;  if with sneezing, etc.   (See "Influ-
enza.")
       (208) 
ACUTE  HOARSENESS.
209
   Capsicum.  Hoarseness with an unpleasant tickling in the
nose, which feels dry and obstructed ; beside, a severe cough,
and pain in the head and bowels.
   Carbo  vegetabilis  and Phosphorus  in  alternation;  see
" Chronic Hoarseness."
   Chamomile.  Particularly in children under  similar symp-
toms as Nux vomica.  Sometimes one cheek red and hot, the
other pale and cool;  fever in the evening, and great irritability
of temper.
   Drosera.   Hoarseness with a very deep and hollow voice.
   Sambucus.  Hoarseness, with a deep, hollow cough;  diffi-
culty of  breathing, which occasions profuse sweating.
   Pulsatilla.   Stinging  and soreness in  the  throat; voice
scarcely audible (aphonia), with a loose  cough and pain in
the chest; running  of thick,  yellow mucus from the nose.
Suits well after Aconite, and is followed well by Sulphur.
   Sulphur.  Roughness and scraping in the throat;  deep,
rough  voice in  damp  weather,  with difficulty of breathing,
particularly at night.  Follows well after Mercury, Pulsatilla,
Bryonia, and Rhus, and  is necessary in every obstinate case
of hoarseness, particularly at the  end of the cure.
   Bryonia,  and Rhus.  In alternation,  every two  or three
hours a dose (four glob.), when there is soreness of the throat
and  chest;  worse after talking, with chilliness; pains in the
limbs and head ; oppressed breathing, frequent sneezing, with
discharges from the nose.  After it Mercury and Sulphur suit
well.
   Administration.—Take of the  remedies indicated three
doses (four glob, each) in  twelve  hours (every four hours
one) ;  then wait twelve hours, and if not better take the next
chosen remedy in the same manner.
   Diet.—No meat or coffee; drink freely of cold water, and
use  the  cold water  bandages around the  throat during the
night. 
210       affections of the windpipe and chest.
                 b.  Chronic Hoarseness.
  A hoarseness which has continued for some time is a symp-
tom of the beginning of bronchitis, and ought to  be attended
to immediately.   If it cannot be cured by the folloAving reme-
dies, a homoeopathic physician must be consulted.
  Hepar sulph.   If  a person  has  been used to take  large
quantities  of  calomel or other mercurial  preparations,  he
may commence the cure with Hepar,  particularly if there
is a  cough, worse  at night,  on lying in bed,  or when  any
part  of the body gets cool.  After or in alternation with Phos-
phorus.
  Carbo veg.   Chronic  hoarseness;  worse after  talking;
in wet  weather; in the  evening and morning;  also, after
measles.
  Sulphur.   See under "Acute Hoarseness."
  Phosphorus.  Chronic  hoarseness,  Avith  roughness in  the
throat;  voice scarcely audible (aphonia) Avith dryness in  the
throat and  chest.  Follows well after Hepar sulph., and  Carbo
vegetabilis.
  Causticum.  In very obstinate cases, where the  hoarseness
is worse in the evening  and  morning; great weakness in the
organs of speech, with a sore feeling in the throat and chest on
coughing.
  Administration.—Take of the remedy indicated tAvice a
day one dose  (four  glob.) for  two  or three days, and  then
wait four or six  days for its effect; if then  not  better, take
the next chosen remedy in the  same manner.
  Diet and Regimen.—Very little meat; no coffee  or other
stimulating drink, but much cold water, and every night cold
water bandages around the throat.   (See  "Hydropathy.")
In  no  disease  is  hydropathic treatment  of  more benefit
than in the beginning of bronchitis,  which is most always
prevented by  it.  Keep the feet warm, and  do  not converse
much. 
BRONCHITIS--CROUP.
211
2.  Ulceration of  the Windpipe,  commonly called  Bron-
                chitis.  (Phthisis laryngea.)
   This disease consists in  a chronic inflammation and final
ulceration  of  the  larynx or windpipe;  it is, consequently,
dangerous  in its results,  and ought to be treated by an expe-
rienced physician  as soon as one can be procured.
   It manifests itself by the following symptoms:
   Diagnosis.—Pain in the windpipe ; difficulty of breathing,
and sometimes in  swalloAving;  hoarseness more or less, with
frequent attacks of severe coughing; expectoration of a very
little mucus or matter, sometimes streaked with blood ; finally
hectic  fever;  chilliness ; burning  in the  hands, soles  of the
feet, and cheeks;  thirst during fever.
   Treatment. — Before  a  physician can be obtained com-
mence the  cure Avith
   Aconite.   If there is fever and pain in the throat.
   Spongia and Hepar sulph.   In alternation, if with sore-
ness in the throat  there is difficulty  of breathing; sometimes
wheezing.
   Lachesis.  If there  is a  feeling in the throat as of some-
thing sticking in it, which cannot be  removed by swalloAving.
   Phosphorus, Carbo veg., Causticum.  See "Chronic Hoarse-
ness."
   Administration and Diet.   See  " Chronic Hoarseness."

              3.   Croup, and  Croupy Cough.
       (Angina membranacea.  Laryngitis  Catarrhalis.)
   Although these two diseases are very different in their
nature, they are frequently confounded and thought to be the
same,  only different in  degree.   The real difference, how-
ever, is this.
   Croup is a spasmodic, inflammatory disease of the wind-
pipe (larynx), and in fatal cases consists in the formation of
a membrane, which closes up the windpipe.  It occurs mostly
in dry, cold weather, Avith sharp northern winds. 
212      AFFECTIONS OF THE  WINDPIPE AND  CHEST.
   Croupy cough is a catarrhal inflammatory state of the wind-
 pipe, which may end, if not cured, in inflammation and con-
 gestion of the lungs.   It occurs mostly in damp, wet, and cold
 weather.  Each may precede or follow the other ; but as the
 remedies are entirely different, it is necessary to know  the
 symptoms which distinguish them from each other.
   In the real croup children are mostly attacked in  the fore
 part of the  night, Avithout  much  previous  ailment, after an
 apparently  sound sleep ; they are seized with sudden oppres-
 sion for breath, which appears in hurried, difficult, and hoarse
 respiration,  accompanied by spells of coughing, with a squeak-
 ing, shrill,  and  grating, or metallic sound.   These attacks
 waken the child, which is very restless, and in more or less
 agony during a  spell of the cough, but after it, generally
 sleeps sweetly, and without obstruction in breathing, at least
 the first evening.  Not so in croupy cough, where the breath-
 ing is labored, and the cough hollow and hoarse, even during
 sleep.   The child coughs without  awaking, showing that no
 local pain distresses  it.
   Croup belongs more to  a northern climate;  the farther
 north, the more intense the croup; while croupy cough seems
 to take its place  in the  more southern countries, where real
 croup  seldom occurs,  except during long-continued storms
 from the north.
   In severe  cases of  croup,  the intermission of the disease on
the second day, in the morning, is  not sufficient to permit the
child to sit up and be cheerful for play, which it does in croup
of less intensity, where the hoarseness, cough, and fever
abate in  the morning, to such  an  extent  as  to render the
young patient quite cheerful and playful; if, in such a case,
the same, or even severer symptoms appear on  the second
evening, do  not be discouraged, but give the same  medicine
again which gave relief the  night previous.
   The mildest  attack  of croup, or  croupy  cough,  is apt to
return for three nights, and  parents ought to be particularly 
CROUP  AND CROUPY COUGH.
213
careful during the first three or four days not to allow their
little croup patients to come outside the room, or near the win-
dows, where they could inhale the cold air ;  keep a flannel
around the neck, which must be removed gradually when the
patient is convalescent, by tearing a small strip from it every
evening.
   Treatment  of  Croup. — Without  going  into  elaborate
details on the treatment  of croup, which would  only confuse
the reader,  I will state briefly that course which is pursued
invariably at first in every case  of croup, coming under the
treatment of  a homoeopathic physician,  generally with the
greatest  success,  leaving  only a few very  severe cases  to be
treated Avith other remedies, to select which requires  the ex-
perience and skill of a physician.
   The  first remedy,  under all  circumstances, is  Aconite,
twelve globules dissolved in half a teacupful of water, to be
given every fifteen minutes a teaspoonful until four teaspoon-
fuls are taken ;  then administer Spongia and Hepar, in  alter-
nation, each one prepared like Aconite, in separate cups, every
half  hour  a  teaspoonful until  the child is better;  when it
sleeps do not disturb it to give the medicine ;  as soon as it is
better give  only every three or four hours a teaspoonful alter-
nately.  If the  patient  gets very bad, breathing very quick
and labored, with a constant rattling in the breast and drowsi-
ness (coma) of the head, prepare and give Tartar emet, and
Phosphorus, in alternation, in the same manner  as  Spongia
and Hepar, above.  If not better in three hours give Opium
twice, every half hour a dose (three glob.), and then Cuprum,
 in solution, as Aconite above, and if this does not succeed in
 three hours, give Camphor and Coffea, in alternation for two
 hours, prepared as above, and then  Lachesis,  in the same
 manner as  Aconite above.
   Treatment of Croupy Cough. —Give first one dose (four
 glob.) of Aconite, and then in one hour afterward Chamomile, 
214      AFFECTIONS OF  THE WINDPIPE  AND CHEST.

Bryonia, and Belladonna, in alternation, every two hours one
dose ( four glob.), until better.
  Diet and  Regimen.—During the  attack nothing but the
mildest nourishment, such  as  arrow-root, farina, milk-and-
water,  and water alone, if there is great thirst.  Warm foot-
and-hand-baths are recommended, with this precaution, that
the parts thus  bathed  should be covered Avith warmed flan-
nels directly after the bath.

                      4.  Influenza.
  This disease appears  mostly as an epidemic, sometimes,
however, sporadic, and has, in  addition to the symptoms of
common cold  in the head (see this article), chilliness, followed
by flashes of heat, great debility and headache, which forces
one to lie doAvn ;  rheumatic pains in the whole system ; pain-
ful  and red eyes, with great sensibility to light and difficulty
of breathing.
  Treatment.—If most of  the above symptoms are present,
give
  Arsenic.  Every three hours a dose  (four glob.), until
three doses are taken; then discontinue for six hours, await-
ing  its effect, and, if not better,  give  one of the following
remedies, according  to the symptoms :
   Camphor.  If the chilliness still continues, or there is great
difficulty of breathing and failing of strength ;  let the patient
either  smell camphor or drop three drops of  spirits of cam-
phor in half a tumbler of water, and  give every fifteen or
thirty  minutes  a teaspoonful, until better.
  Mercury.   Particularly in the  commencement, when the
head symptoms prevail,  such as sneezing and running of the
nose, with rheumatic pains in the head and body, red, watery
eyes, or when  a loose cough, with profuse perspiration with-
out relief, sets  in ; also,  when there is a slimy diarrhea, with
straining like  dysentery.   Give it in the same  manner as 
INFLUENZA.                    215
Arsenic above.   This remedy is considered almost a  specific
in this disease.   (Compare also, "Materia Medica," at  the
end of the book.)
  Bryonia.   In alternation with Aconite, every two  or three
hours a dose (four glob.), if inflammatory symptoms appear;
fever;  dry, hot skin, with a hard shaking cough, and stitches
in the chest.
  Belladonna and Aconite,  in the same manner,  if the cough
is dry and spasmodic, with severe headache and dryness in
the mouth and throat.
  Hepar, if the cold was better, but is worse  again, or when
the patient had previously taken much calomel.
  Euphrasia, when with a  discharge  of white  mucus from
the nose, the eyes are sore and run water profusely.
  Phosphorus  and  Tartar emet., in  alternation, in the same
manner, if the lungs feel  oppressed, weak,  and sore;  and
when coughing or breathing there is rattling in the chest.
   Causticum.  If the feeling of excoriation  in  the  chest is
prevailing, with a dry cough, so violent that the urine escapes
involuntarily;  give twice a day a dose (four  glob.).
  Pulsatilla.   After Mercury, or in  alternation with it, every
three or four hours a dose, if the cough is loose, and  the nose
discharges thick, yellow mucus; soreness of the chest in the
morning, after expectoration; foul  tongue;  disagreeable or
insipid taste in the mouth ;  no thirst.
  Silicea, in chronic catarrh, which  returns frequently, when
it is either running or causes obstruction.
  Sudden suppression of the influenza  sometimes produces
headache, for which give
  Aconite, Pulsatilla, China; or,
  Difficulty of breathing, for which  Ipecac, and Bryonia, is
suitable, followed by a dose of  Sulphur, if  necessary.
  Administration.—Every three or four days  a dose (four
glob.), until better or another  remedy is necessary.   (Con-
sult also the article on " Coughs.")
       21 
216      AFFECTIONS OF THE  WINDPIPE AND CHEST.
  Diet and  Regimen.—No meat or coffee;  for  drink, water
or lemonade, if there is no diarrhea;  gruels and toast-water.
Keep the face from the direct influence of the fire in the
grate or stoAre; it  is preferable to remain  in bed, where a
gentle warmth may be maintained.

                        5.   Cough.
  As cough is, in most cases, only a symptom of some other
disease,  such as pneumonia,  bronchitis, influenza, hooping-
cough, consumption, etc., we must  refer the reader  to their
respective chapters.  Sometimes, hoAvever,  a cough appears
isolated from any marked disease, and is  either caused  by
cold (catarrhal cough), or sympathy, or derangement of other
organs  (nervous, spasmodic, and  gastric  cough); so  that  we
have to mention here their appropriate treatment.
  a.  Catarrhal cough, caused by a seATere cold on the lungs,
is, in the beginning of the day, harsh and painful; afterward
it becomes loose, with heavy expectoration, relieving the chest
from pain and oppression.
  Treatment.—If such a cold is combined with pains in the
head and  limbs,  chilliness, and thirst (commonly  called
bilious), give Bryonia and Rhus tox., alternately,  every two or.
three hours a dose (four glob.), until better, or until three
doses of each are taken; then Avait  twelve or sixteen hours
before the next remedy is taken, which will suit the remaining
symptoms of the cough.  (See "Symptomatic Detail.")
  When the cough is dry, without expectoration:   Aconite,
Chamomile,  Bryonia, Rhus  tox.,  Belladonna,  Hyoscyamus,
Capsicum, Ignatia, Nux vomica, Phosphorus, Hepar.
  When the cough is loose: Pulsatilla, Mercury, Tartar emet.,
Phosphorus, Dulcamara, Statinum, Lycopodium, Sulphur.
  b.  Nervous and spasmodic cough,  caused by nervous irrita-
tion or excitement, either original, or transferred to the lungs
from other organs ;  for instance, pain in the womb (neuralgia)
may cease suddenly, and, by being  transferred to the lungs, 
INFLUENZA.
217
creates  here  the hysterical cough.  (See article "Hysteria,"
especially.)  All the nervous coughs are dry ;  but they may
affect the stomach, and cause vomiting or retching;  sometimes
spasms in the lungs may take place ; fits of suffocation, which
are generally of not so much danger as  they appear to be.
   Treatment.— For  nervous and spasmodic  cough: Bellad.,
Hyoscyamus,  Ipecac, Bryonia, Drosera, Hepar,  Cina,  Sul-
phur.
   If  accompanied  by  vomiting,  retching: Ipecac, Mercury,
Bryonia, Tartar emetic, Pulsatilla, Sepia.
   If  by fits  of suffocation: Ipecac., Tartar emetic, Opium,
Chamomile,  Bryonia,  Drosera,  Hepar, Lachesis,  Sulphur,
Arsenic, China.
   Cough, caused  by sympathy  from other diseases, such as
worms, dentition (teething), dyspepsia; growing too fast causes
in young persons such coughs.   Look for these in their  re-
spective chapters.
   N. B.  After having found the  kind of cough in  the above,
select the best  remedy from those designated for  such kind
of cough, comparing the symptoms.
   Symptomatic  Detail. — Aconite.   Violent, short cough;
sometimes with pains and anxious oppressions in the chest.
   Chamomile.  Dry cough,  from  constant tickling  in  the
throat and  chest; worse after talking in the night;  with fever
and coughing during  sleep; particularly in children, when
they  cough after crying, or a fit of  anger or passion, or a
tickling cough, which  ceases after the  patient  gets warm in
the bed;  also when in the morning tough, bitter mucus is
thrown up.   (Compare "Croupy Cough," "Cold in the Head,"
and "Hoarseness.")
   Bryonia.   Dry cough, from  irritation in the  throat, or
with pain  in the chest; worse in  the  open  air;  sometimes
from  taking  cold in damp, frosty  weather;  with  rheumatic
pains  in the head and  limbs ;  also  chilliness, followed  by
fever  and thirst (in  alternation Avith  Rhus tox.);  or a loose 
218      AFFECTIONS OF THE WINDPIPE AND CHEST.
cough,  with yellowish expectoration,  or spasmodic cough
after eating  or drinking.   (For  children,  see  " Croupy
Cough.")
   Rhus  tox.  Short, dry cough, from a tickling in the chest;
worse in the evening, or before midnight;  with weakness in
the breast,  and shortness  of breath;  restlessness at night;
dry tongue  (see Bryonia); worse in the air, better when exer-
cising, or in the warmth;  or cough, with a  taste of  blood in
the mouth; bloody saliva runs  from  the mouth  during the
sleep.
   Belladonna.   Short, dry cough, particularly at night; worse
when moving; with dryness  and tickling in the throat, and
redness  of  the face,  dry, spasmodic  cough, with  retching,
mostly after  midnight;  dry  cough day and  night, with soreness
of the abdominal muscles, or in the region of  the  hip, as of
falling of the womb ; or when the  attacks end with sneezing,
as if the person had taken  a heavy cold.   (For children, see
"Croupy Cough.")
   Hyoscyamus.  Suits well  when Bellad. has afforded  only
partial relief, or Avhen the cough  at night  is temporarily miti-
gated by sitting up in bed; much rattling in the throat and
tickling  or dry hacking cough, Avith weak respiration; worse
by muscular action  or motion; the patient can hardly walk up
stairs.   (See "Consumption  Beginning or Galloping.")
   Capsicum.  Particularly in persons of phlegmatical tempera-
ment;  easily chilled after  drinking  cold  water;  cough worse
toward evening and night;  Avith pains in various  parts of the
body ; bursting headache ; painful pressure,  and aching in the
throat and  ears; cough, Avith offensive breath and disagree-
able taste in the mouth.
  Ignatia.   Dry cough,  with  running  at the  nose day and
night, in the same degree ;  or short, hacking cough, as if from
a stricture  in the throat, or the tickling of a feather; aggra-
vated by the continuation of the cough; particularly in persons
who are  easily affected by  grief, or Avhen  the cough  is worse 
COUGH.
219
after  eating, or  on lying  down at night, or on  rising in the
morning.
  Nux vomica is one of the  most useful remedies for various
kinds of cough from cold.  (See "Influenza," "Cold  in  the
Head," etc.)   Tickling cough; worse early in  the morning;
sometimes with catarrhal hoarseness, and scraping around the
palate ; tough mucus in the throat  and lungs, with an itch-
ing, tickling  sensation  in the  throat, and chilliness;  cough
worse by movement, reading, or meditation after meals ; and
followed sometimes by retching  or vomiting; or fatiguing
cough, with  pains in the head,  as if it would burst; or pains
in the pit of the stomach, as if from a blow or bruise ; worse
in the night, or after lying down ; cough dry during the after
part of  the day and night, with oppression on the chest, as if
from  a weight; expectoration toward morning.  Suits  well
for persons  of an  energetic, sanguine, choleric temperament,
and for those  who drink much  coffee and ardent spirits.
   Carbo vegetabilis.  Cough,  with hoarseness, worse toward
evening or  in the morning, and by speaking; nervous, spas-
modic  cough, exciting vomiting in paroxysms  throughout the
day.  The cough  is attended with burning pain  and a sensa-
tion  of scraping or excoriation  in  the  chest; particularly
during  damp, cold weather.   (In  alternation with Phos-
phorus. )
  Phosphorus.  Dry cough, from tickling in  the throat, but
more  in the chest; worse when laughing, talking, and drink-
ing, hoarseness, and pains  in the chest, particularly  on the
left side, as  if from excoriation ; lying on the left side excites the
cough.   (In alternation with Carbo veg., or Hepar sulph.)
  Hepar sulph.  In alternation Avith Phosphorus, in dry, hoarse
couch ; worse after talking; or excited Avhen any part of the
body becomes cool, particularly at night.
  Tartar emetic  Loose  cough, with  much rattling on  the
chest; quick breathing, almost amounting,to suffocation;  hot
and moist  hands,  with perspiration  on the forehead; bluish 
220      AFFECTIONS OF  THE WINDPIPE  AND CHEST.

lips (in alternation with Phosphorus, see "Inflammation of
the Lungs"); or cough, with vomiting  of food  after eating;
deep, hollow cough; expectoration of mucus in the night.
   Dulcamara.  Loose  cough, after taking cold;  spitting of
light red blood; hooping cough, excited by drawing a deep
breath; worse in  a room, or when lying still; better  when
moving and out of  doors.
   Stannum.   Hard, dry cough in the  evening;  excited by
laughing, talking,  and  singing;  also,  a loose cough,  with
much expectoration of mucous or sweetish matter, Avith feeling
of soreness  of the chest  after it (see " Consumption"); lying
on the right side excites the dry cough.
   Lycopodium.  Cough worse in the night, or after drinking;
or a tickling cough, excited by drawing a deep breath, with  a
saltish expectoration, and stitches in the left side of the chest
(see "Consumption"); dryness of the tongue without thirst.
   Sulphur.   Dry cough, worse in the evening and during the
night, or when lying down ; loose cough with expectoration of
thick mucus, and feeling of soreness in  the  chest  (particu-
larly suitable after Mercury);  cough, with pain and stitches
in the  chest or the  head; also, a sensation of spasmodic con-
striction in  the chest, as if  caused  by  the vapors  of brim-
stone.
   Ipecac.   Nervous  or   spasmodic  cough,  sometimes  with
nausea, retching, and vomiting; Avorse at night or  ay hen walk-
ing in  the cold air; accompanied by oppression in breathing,
almost amounting to suffocation, as if from  the accumulation
of mucus (congestion to  the  lungs), particularly in children;
when  the face looks livid and dark, and the body becomes
rigid and stiff.  (See "Hooping Cough.")
   Drosera.   Dry,  spasmodic  cough, Avith  retching;  worse
immediately after lying down, in the night; chronic cough, and
hoarseness after measles ; dryness, and a  rough, scraping sensa-
tion, deep  in  the  throat, which  causes  coughing.   (See
"Bronchitis," and  "Hooping Cough.") 
COUGH.
221
   Cina.   Dry, spasmodic  cough,  with shortness of breath,
pale face and  moaning, also in the night, with  restlessness
and crying.  (See "Worms," and "Hooping Cough.")
   Pulsatilla.   Severe shaking, dry cough mostly in the morn-
ing, with retching and inclination to vomit; or loose cough, with
much expectoration of a bitter, yellow mucus.
   Mercury.  Cough, with hoarseness ( see "Influenza"), or
excited by tickling in the throat; shaking, dry cough, mostly
at night, or loose cough, Avith expectoration streaked with blood,
and an inclination  to perspire  easily, but without relief.   In
children the cough is frequently attended  by bleeding of the
nose,  sickness at the stomach, hoarseness and diarrhea.
   China.  Severe cough, from  ulceration of  the  lungs  ( see
" Galloping Consumption"), after hemorrhage, or other losses
of blood; or asthmatic cough in the  night, with acute pain in
the chest and the shoulder-blades.
   Arsenic.  When China only ameliorates, without curing;
or Avhen there is dry cough after drinking; or cough,  with
bloody expectoration in the night,  with  a burning sensation
over the Avhole body; asthmatical cough  ( see  "Asthma").
   Opium.   Cough Avhen swallowing  or breathing, with  anx-
ious, heavy, and intermitting respiration, worse during repose;
full, red face (see "Congestion of the Lungs").
   Sepia.   Dry cough in the evening in bed, frequently with
sickness  at the  stomach and bitter vomiting; or loose cough,
with much saltish expectoration, particularly in the morning
and evening ( see "Consumption").
   Lachesis.   Short, dry, suffocating  cough, as if from some-
thing sticking in the throat, Avith ineffectual efforts to expec-
torate.
   Administration. — Of a remedy, having  been  carefully
selected, dissolve twelve globules in  half a teacupful of water,
and let the patient take every tAvo, three, or six hours a tea-
spoonful ( children half a teaspoonful),  until three or  four 
222      AFFECTIONS OF THE WINDPIPE AND  CHEST.
doses have been taken;  then wait from four to twelve hours,
according to the severity of the case;  and if not better, select
and give the  next best  remedy in the same  manner.   This
will suit for recent attacks.   In coughs of a longer standing,
give the remedy for two days,  evening and morning a dose
(four glob.); then discontinue two  or three days; if then
not better, take another remedy in the  same manner.  To
very small children, give the medicine in globules altogether,
if they cannot take it dissolved in water;  one or two globules
at a time is a dose for them.
   Diet and Regimen.—If the  cough is accompanied by fever
or biliousness, abstain from meat and butter; if not, these may
be used:  otherwise, keep the diet prescribed  in  chronic dis-
eases.  If persons are  habitually liable to take cold, they
ought to harden themselves against the changes in the  atmo-
sphere, by the  systematic use  of cold water, externally and
internally, as spoken of in  the  latter  part  of the book ( see
"Hydropathy ") ; persons,however, with tubercular affections
must not use it.  Another great dietetic rule is, that persons
liable to colds on the lungs ought to  abstain  from all  spirit-
ous liquors.
   The bathing of children in cold water, when they have cold
on the lungs, may be  suspended for the  time ( except when
allowed by a  physician especially) ;  as in many cases  it might
not be admissible at all.
   A patient Avith a cough should not occupy a damp  room,
facing to the  north; but a dry, airy chamber, exposed  to the
midday sun, and susceptible  of easy ventilation and even
temperature.   If the cough at any time is very dry and pain-
ful, use, as a  loosening drink, an infusion of the roots of althea
and liquorice, in equal parts, as freely as the patient finds it
necessary, cold or warm.   In chronic coughs, where the ex-
pectoration is tinged with blood, no warm drinks  are allowed.
In fall and winter, until summer, a plaster of Burgundy pitch 
            HOOPING COUGH--TUSSIS CONVULSIVA.        223

 on the breast is recommended to those who have weak breasts;
 but, after taking  it off in the summer, they must wash  and
 rub the  breast well.

           Hooping Cough.   (Tussis Convulsiva.)
   This is one of those diseases which exclusively befall chil-
 dren, from the infant on the breast up to twelve  or fourteen
 years.   It appears mostly as an epidemic, and is,  as such, in-
 fectious.   In  some seasons its  attacks  are  milder  than in
 others :  sometimes it commences immediately Avith hooping;
 at other times, it is preceded by all the  symptoms of an in-
 flammation of the lungs,  with great tendency to convulsive
 and  spasmodic affections.  The real hooping seldom com-
 mences in the earliest  stage.
   Diagnosis.—We  recognize, generally, two stages  for  this
 disease:
   The first,  or febrile stage, showing all the  symptoms  of  a
 heavy cold;  running at the nose; watery, heavy eyes; sneez-
 ing ; irritating and painful cough, Avith feverishness and diffi-
 cult respiration.   It is in  this stage that congestions  to  the
 head and lungs often  occur, particularly when children  are
 teething at the time, which, of course, adds materially to the
 danger of the case.   The old practice is almost powerless in
 such cases, while homoeopathy offers a safe  and successful
 treatment.
  The second, or nervous spasmodic  stage, begins as soon as
 the feverishness diminishes, and the  hooping commences;  the
 latter increases  by degrees, until the paroxysms  become, at
 least in severe cases, really appalling.
  The little patients dread the attack, and run, as it were, to
 the mother for help, or hold fast to something, when they
 feel the approach of it.  In severe paroxysms, the  face swells
 and becomes livid, while quantities of mucus are forced from
the mouth, and frequently blood escapes  from the mouth and
 nose;  respiration seems to cease for  a minute, when  a deep 
224      AFFECTIONS OF THE WINDPIPE  AND CHEST.
inspiration ensues, which ends  the  attack for the time, and
the patient recovers quickly;  being, in the intervals, almost
always  perfectly well, except, perhaps, a little  fretful  and
weak.
   Duration.—If this disease is not treated at all, or only by
allopathic medicines, its  duration is left  to  its  oavu  natural
limits, and not shortened in the least;  in such cases, the first
stage may last from three to eight,  or even twenty-one days,
and the second stage, from the beginning to its  hight, from
five to six weeks; from thence to its total disappearance, the
same length of  time.   Frequently, the cough reappears  in
those patients in the fall or winter,  who had it in  the preced-
ing summer.
   But under the proper homoeopathic treatment,  its duration
is  Arery much shortened; sometimes the disease is cut off  in
its progress Avithin five or six days.  Very seldom has a per-
son the hooping cough twice in his  lifetime, except as above
stated.
   Treatment.—In the first stage, where  the children appa-
rently have a cold, select from those remedies recommended  in
the articles  on " Cough," and  " Croupy Cough," by the use
of which  the  cough  frequently entirely disappears.   These
remedies are mostly Chamomile, Belladonna,  Bryonia, etc.
   Aconite.  If the cough  does  not  cease  in  a few days, but
becomes Arery dry and  Avhistling;  the  child has fever, and
complains of a  burning  pain in  the Avindpipe.   Administer
as in  Croup, until better,  or some of the  folloAving remedies
are indicated.
   Dulcamara.   If the cough is loose and  moist, Avith  copious
expectoration  of a  thin mucus Avith hoarseness, apparently
brought on by  exposure  to Avet or dampness, evening and
morning a dose (three or  four glob.) for tAvo days.
   Pulsatilla.  In the same manner, if there  is a loose cough
with vomiting of mucus or food ;  also, a slimy diarrhea.
   Ipecac and  Nux  vomica, alternately,  if the cough  is  dry, 
HOOPING  COUGH--TUSSIS CONVULSIVA.        225
accompanied by great  anguish, strangling, and bluish face;
worse after midnight, until morning; with vomiting and bleed-
ing at the nose.   Give alternately every hour or two hours a
dose (three glob.), until better.
   Tartar emetic and Phosphorus, in alternation, in the same
manner, is frequently necessary in this period, if there is rat-
tling in the lungs, short breathing,  great debility, drowsiness,
and thirst; also, retching, with diarrhea.
   Carbo veg., is the principal remedy, when the cough exhibits
the first signs of hooping ; particularly, when it is worse in the
evening, the  patient complaining at the  same  time of sore
throat when  swallowing ; shooting  pains  in  head  and chest;
especially useful, when the  weather is  damp and cold.  Give
it the same as Dulcamara, above.
   In  the second stage, when the hooping or spasms  during
coughing have really commenced, the principal medicines are:
   Drosera,   Veratrum,  Cuprum, Tartar  emetic, Phosphorus,
Cina, Bryonia, Belladonna,  Mercury, lodium, Opium, Hepar
sulph., Arnica,  Sulphur, Hellebor.
   Drosera.   After the Carbo veg., Avhen the paroxysms become
more violent, Avith real hooping, vomiting of food and mucus,
without or  with fever, which  is characterized by chilliness,
heat  with  thirst,  hot perspiration  in the night; the patient
feels better Avhen moving about.
   Veratrum.   After Drosera,  or in alternation with it,  for
similar  symptoms, only accompanied  Avith  great weakness;
small and quick pulse; slow fever,  with cold perspiration on
the forehead; child  is unable  to hold  up its head ; miliary
eruption (prickly heat) over  the  whole  body; apathy and
droAvsiness, from Aveakness; child dislikes to move  or speak.
   Cina.   If  the  child, during the hooping cough, exhibits
symptoms  of worms—as picking at the  nose, sudden pains
or o-ripings in the bowels, or itching at the anus—or if it  be-
comes stiff during a paroxysm of cough,  after which a gur-
gling  noise is sometimes heard, descending  from  the throat 
226      AFFECTIONS OF THE WINDPIPE AND  CHEST.
into the stomach.  This remedy can be given in alternation
with Mercury (see "Mercury"), if there is bleeding from the
nose and mouth at the same time.
   Cuprum.    If  the paroxysms appear  very  often  during
twenty-four hours, rendering the little patients rigid and un-
conscious; if with drowsiness and  rattling of mucus in the
chest between  the paroxysms,  in  alternation with  Tartar
emetic  (see  "Tartar emetic;" compare, also,  "Congestion to
the Head").  This remedy is particularly useful, when  con-
vulsions appear instead of the  cough, and  cease when the
paroxysms return; as if the paroxysm of the lungs had  been
temporarily transferred to the brain.  (See "Convulsions.")
   Tartar emetic and Phosphorus.   See page 225.
   Belladonna.  Before or  after  Cuprum, when the brain
becomes affected; patient  cannot bear  the light, noise,  or
motion; head seems  to ache; burning fever; thirst; restless-
ness;  delirium;   convulsions (see  "Inflammation  of  the
Brain");  in such cases,  in alternation  Avith Hellebor.;  par-
oxysms terminate in  sneezing.
   Hellebor.  At any time  during the hooping cough, when
symptoms of congestion to the head  appear, particularly when
the patient sleeps with the eyes half open (see Belladonna,
above); it is of great service when  children are teething, or
otherwise weakly and delicate.
   Bryonia.   Sometimes in alternation with Hellebor., when
Belladonna was insufficient, for  similar symptoms ;  or when
the paroxysms of suffocating cough  appear more in the even-
ing or at night; mostly,  however,  after eating or drinking,
which is vomited up.
   Mercury.   The  principal remedy, Avhen the  child bleeds
profusely at the nose and mouth when vomiting, with copious
sweat at night, and great nervousness ; also, if there are worm
symptoms (see "Cina").
   Sulphur.   At any period, if the paroxysms are accompa-
nied by vomiting, which will not yield to other remedies. 
INFLAMMATION OF THE  LUNGS.
227
  Iodium.   If  the patient  pines  away,  or  has  a chronic,
watery diarrhea, of lightish color.
   Opium.   If  the best indicated remedies seem  not  to have
the desired effect, or if there is stupor (see  "Congestion  to
the Head"), with hot perspiration; irregular breathing, with
great anguish; constipation.
  Hepar sulph.   When the  cough is better, but yet  hol-
low, hoarse, and dry, with  retching and crying after a par-
oxysm.
  Arnica.   When the  child  cries much after coughing,  or
coughs after crying (in alternation Avith Cina00 or Hepar).
  Administration.—Whenever no reference is given to other
chapters, give the remedies  as follows : Dissolve twelve glob-
ules in half a teacupful of water,  and give for two days a tea-
spoonful, morning, noon, and night; then wait two or three
days for the effect; if the  cough is slightly improved, wait
still longer; because  the  hooping cough needs, beside the
right medicine a little time, to disappear by degrees ; but,  if
no better, give the next remedy, in the same manner.
   Diet and Regimen.—In cases with fever,  see the diet  in
" Croupy Cough;"  where there is no fever, give the usual
diet, without coffee and spices.  A great deal of  fresh air  is
good for the young patients, if they have no  feverish  symp-
toms.  The same holds good in relation to their usual bathing,
which must be discontinued, if fever is present.

       Inflammation  of the Lungs.   (Pneumonia.)
   This disease generally commences with chills,  followed  by
fever, with difficulty  of breathing,  and a short,  dry cough;
pulse soft in the beginning,  afterward hard, but  always very
quick; dull pains in the chest at every deep  respiration, with
great  oppression; expectoration  of a tough, lumpy  mucus,
afterward mixed with blood ;  the  patient generally prefers to
lie on his back;  is not inclined to speak or when speaking,
pauses after  every  articulation; is sometimes  sullen, and 
228      AFFECTIONS OF THE WINDPIPE AND CHEST.
wishes to be quiet;  in some cases, the face turns to a  bluish
purple, with red cheeks ; tongue dry, parched ;  great thirst;
skin dry, hot.   As soon as the skin becomes moist  and natu-
ral, the oppression in breathing diminishes, and a thick mucus
is coughed up abundantly; the danger is over, and the patient
needs only good nursing and rest in bed during convalescence.
If this is not the case, however, the inflammation runs  either
into the nervous or typhoid stage (see  "Typhoid Fever"),
or into hepatization of the lungs (the air-cells are filled with
lymphatic matter);  both very dangerous and critical situations
for the patient.
   Causes of Pneumonia are, mostly, exposures to cold, north
or  northeast winds; particularly, when  at the time  one is
over-excited by fast running, etc.; also, suppression of hemor-
rhages or habitual secretions ; inhalation of obnoxious gases ;
irritating treatment of  catarrh (I have seen inflammation of
the lungs  follow  the use  of hoarhound  candy, in a  simple
cold, and hooping cough).   Pneumonia appears  in its highest
inflammatory degree in the north, Avhile toward the south it
gradually decreases in violence, but not  in danger; because
here the bilious complication occurs more frequently (bilious
pneumonia), where bleeding is particularly injurious.
   Treatment.—This  disease requires  quick and  energetic
action; and the  first remedy to be given, under almost all
circumstances,  is
  Aconite.   In the chill, as well as the highest fever,  in  the
commencement  (either  alone,  in  water  dissolved,   twelve
globules to half a teacupful), every half hour a teaspoonful,
until the fever is  broken, and the pain and oppression  in  the
chest are ameliorated; or in alternation with
  Bryonia, Avhen oppression  and pain in the chest are very
severe (resembling  pleurisy — see  that  article);  worse by
every movement  or cough; expectoration bloody, of a brick-
dust color; also, pains in extremities; tongue is coated, often
dry, with great thirst;  constipation. 
         INFLAMMATION OF THE LUNGS--PNEUMONIA.     229

   Administer  the  same  as  Aconite, only  every hour or two
 hours a teaspoonful.
   If after these two most important remedies the disease still
 seems unchecked, give, in six or eight hours afterward, if not
 better,
   Phosphorus, in alternation with Tartar  emetic, dissolved  in
 water, the  same as Aconite  and Bryonia, every hour,  or two
 hours, a teaspoonful, until three or four  teaspoonfuls of each
 are taken;  wait for the  effect of these  remedies, from eight
 to twelve hours, as frequently their effects are not seen  imme-
 diately.   If necessary, repeat both the above prescriptions,  or
 choose among the following  remedies, if the patient, in place
 of being better, has run into the typhoid or hepatized stage of
 the pneumonia.
   The typhoid stage of pneumonia commences when the pa-
 tient is  restless,  particularly at night; throws  himself about
 and becomes quite delirious, or lies motionless on his back  in
 a  stupor; breathing quick  and irregular ; snoring  with his
 eyes half closed, and rattling of mucus in his lungs; tongue
 dry, pulse quick  and  thread-like;  skin dry, or covered with
 clammy SAveat  (See "Typhus Fever").
   Treatment.—In the beginning of this state give
   China.  Particularly if the patient, in the early part of the
 disease, under allopathic advice> had  been  bled, or lost blood
 by other means, such as hemorrhage, or a  fall or blow (in the
 latter case, in alternation  Avith  Arnica) ; or Avhen the patient
 complains mostly of a pressure in the chest, stitches  in the
 breast  and sides,  together Avith palpitation of the heart Avhen
 breathing or coughing;  beside,  great weakness, fine,  quick
 pulse and yellowish coated tongue.   Administer two or three
 times,  every two or three hours  a  dose (four glob.); then
 wait from four to six hours,  after which recourse may be had
to Bryonia and Rhus tox., as prescribed in "Typhus Fever"
 (see this article).   If the disease  still progresses, it Avill  be
necessary to give 
230      AFFECTIONS OF THE  WINDPIPE AND  CHEST.
   Opium (see this remedy in " Typhus Fever"), or
  Arnica, under similar symptoms, but without  delirium, or
  Hyoscyamus (See "Typhus Fever"), if the cough is spas-
modic or very irritating.
  Belladonna  (see "Typhus  Fever"), when the oppression
is very great.
   Veratrum.   If the pulse is very small and weak ; extremi-
ties  cold;  delirium; vomiting  and diarrhea;  sinking;  no
sleep whatever.
   Camphor and  Coffea, in alternate doses, in  a similar state,
particularly if the patient is covered with cold perspiration.
  Phosphoric acid.  If, after the patient has been relieved by
the above remedies, there is yet diarrhea present.   (See " Ty-
phus FeArer.")
   Sulphur may be given once  or twice, if the  amelioration
brought about by previous remedies seems not to be  perma-
nent ; then return to those medicines again, which previously
were the most efficacious.
   Administration the same as in "Typhus Fever."
   Hepatization, or the second stage in pneumonia, when infil-
tration of the lungs Avith coagulated lymph takes place, is in-
dicated by greater difficulty of breathing, and a dull sound
by percussion of those parts of the  breast where the  pain
was the severest.
   Treatment.—Sulphur has first to be given (twelve glob.
dissolved  in half a teacupful  of water, every two or three
hours  a teaspoonful) four  times; then wait from  eight to
twelve  hours, and, if not better, give
   Lachesis, Lycopodium., Phosphorus, one  after  the  other, in
the same manner as Sulphur, until better.
   Arsenic  and  China,  in alternation, in the same manner,
when fetid expectoration, of  a  dirty, green color, appears.
   Diet and Regimen.—As in feArers generally ; but particu-
larly as in  "Typhus."
   After-Diseases.—If pneumonia threatens to become chronic, 
INFLAMMATION OF THE  LUNGS--PNEUMONIA.      231
or consumption ensues, see this article ; Avhen the patient ex-
pectorates  clear matter, China, Mercury, Sulphur, Stannum,
Lachesis, Hepar, Lycopodium,  are  the  principal medicines to
be given, as stated in " Consumption."
  Pneumonia in infants and children up to two or three years
of age is  very frequent; in  fact, every cold on  their lungs
affects them more or less in  an inflammatory manner, and
ought not to be neglected for a moment.
  Beside heat, fever, thirst, dry mouth,  there is quick, op-
pressive  breathing, with  short  cough,  after which the  child
always cries; these latter symptoms are a sure sign of  inflam-
mation of the lungs in children, and unless they are relieved
or disappear (particularly the respiration is slower and regu-
lar), we must not  feel secure in regard to  the  safety of the
young patient.
  Treatment.—The principal remedy is
  Aconite.   In solution or dry;  half  a  teaspoonful, or two
glob., every two or three hours, three or four times, or until
better ;  after which, if necessary,  give
  Bryonia.   In the same manner, if the cough is very bad; or
  Belladonna.  In the same manner, if the head is very hot
at the time.  If these remedies do not relieve in  from  twelve
to twenty-four hours, give
   Tartar emetic and Phosphorus, in alternation (ten glob, of
each, dissolved in two teacups, each half full of water), every
hour, alternately, half a teaspoonful, for twelve or twenty-four
hours, until better; discontinue for the same length of  time,
and repeat afterward, if necessary; if, during that time, the
child is very sleepless and restless, give
   Cofeacc, and Belladonna00, in  alternation,  a  dose (three
glob.) every hour, until better.  Continue Avith this treatment
for three or four  days, and in  the most  severe  cases it will
prove successful.
   If convulsions,  or congestions to the head occur, see  these
articles, and treat accordingly.
       DO 
2 2      AFFECTIONS OF  THE WINDPIPE  AND CHEST.
  Diet and Regimen.—Keep the patient as quiet as possible ;
in a darkened chamber, if the head suffers ;  not too warm ; if
the child does not take the breast, give cold water freely, if
thirsty; of  solid  food, crackers  soaked in milk or water;
neither broth nor meat; gruels are good.

       Pneumonia in Old People.    (Pneumonia notha.)
  This disease shows  itself in old people as follows:  They
become at once prostrated, having symptoms of a common
cold,  with a cough, chills, and fever; the cough is loose, and
the expectoration white,  yellow,  slimy, and streaked  with
blood ; the respiration  quick and labored ; pain in the breast,
Avhen drawing a long breath, mostly on a small spot;  fever is
not high ; pulse soft but quick ;  cheeks slightly flushed; skin
generally moist at night, Avithout relief;  during the day, the
patient feels  tolerably comfortable ; the voice, however, is
weak, almost in a whisper.   As these symptoms do not seem
to indicate any danger, the disease is frequently left to  itself,
but very often with the most fatal results ; because paralysis
of the lungs soon ensues, and death is inevitable.
   Treatment. — Aconite.   Every  three hours a  dose (six
glob.) will be first necessary, three or four times,  during the
fever, after AA'hich give
  Mercury.  In the same manner; Avait twelve  hours, and
then, if not better, in alternation with
   Belladonna.  Particularly when the cough becomes short
and dry, and the breathing  difficult and suffocating;  if not
better, give
   Sulphur  once  or twice ;  afterward  repeat  Mercury and
Belladonna.
   Veratrum  and Arsenic.   If they sink very low;  cold ex-
tremities, etc.  (See "Typhoid  Pneumonia.")
   Tartar emet. and Phosphorus.   If, with constant rattling in
the lungs, paralysis threatens; alternatelv every half hour a
dose (three or four glob.). 
REMARKS on pneumonia--PLEURISY.        233
  Compare, also, the remedies under "Pneumonia."
  Diet and Regimen.—The same  as in "Pneumonia," only
more nourishing as soon as the inflammatory symptoms have
left in  the  least; the yolk of an egg with  sugar;  broth  of
beef with rice, etc.  After-diseases, see " Consumption."
  There  is  another disease,  called galloping consumption, in
which  the inflammation of the lungs forms the most important
part.   This species of pneumonia occurs  mostly  in young
people of florid complexion, at the time of  development, and
needs a separate article.   (See "Galloping Consumption.")
  It is evident, from the nature of pneumonia and the dignity
of the  organ  affected, that a good  homoeopathic physician
ought to be consulted, if he can be procured; but if this can-
not be done, rely on the above rules and prescriptions.

                 Remarks on Pneumonia.
  This disease may frequently be complicated Avith other dis-
eases,  such as inflammation of the pleura, heart, and brain;
also, with bilious, rheumatic, or gastric symptoms; the treat-
ment,  however, does not vary from the above;  beside, con-
sult the respective articles.

                  Pleurisy.   (Pleuritis.)
  a. Real Pleurisy.  (Pleuritis serosa.)
  b. False Pleurisy.   (Pleuritis muscularis.)

                    a.  Real Pleurisy.
  If the sac around the  lungs  (called pleura)  becomes in-
flamed, we call it real pleurisy; this can be  the case with  or
without  inflammation  of the lungs.    If  complicated  with
pneumonia  or bronchitis,  these  articles must be consulted
together with this chapter.
  Diagnosis.—In real pleurisy the pain is  preceded mostly
by a chill and fever, as in pneumonia, but it does not produce
so much  general oppression in breathing as pneumonia; how- 
234      AFFECTIONS OF  THE WINDPIPE  AND CHEST.
ever, in  pleurisy the  pain  is  more severe on  a  fixed  spot
(mostly in one of the sides of the chest), from which it radi-
ates ; increased often  to  intolerance by deep  inspiration or
hard pressure between the ribs, where the pain is located; the
breathing is,  on this account, short, and the lying on the
affected  side  impossible; if  the  back  part  of the pleura
toward the spine is  inflamed, the pains increase  by moving
the spine, and running  up into the neck impede  frequently
the swallowing of food, with inclination to vomit, or produce
real vomiting..
   Fever is never wanting, but not so evident as in pneumo-
nia ; neither is the cough so distressing, but more a short and
dry one, very seldom, with much expectoration of  mucus.
   This  disease terminates  frequently  in  the  formation of
lymphatic effusion, which result may be known by the follow-
ing change of symptoms, different from the above real  pleu-
ritic ones : respiration becomes more anxious and  short; the
patient cannot now lie  on the well side either, or, if he  does,
he feels in danger of suffocation, because the  water  presses
over  toward the well  lung; by turning, which is very diffi-
cult, he feels something moving within the chest,  like water;
the fever becomes hectic ;  the urine is offensive,  and has a
sediment.
   This  description will be  sufficient to distinguish pleurisy
from pneumonia; but there  is  another  form of pleurisy, the
so-called

          b.   False Pleurisy.   (Stitch in the Side.)
   Which resembles the true or real pleurisy very much, yet
is  different in origin and location, as well as in termination.
   Diagnosis.—This false  or  spurious pleurisy, is  not an in-
flammatory, but a rheumatic affection of the intercostal  mus-
cles, and occurs mostly in persons subject to rheumatism; it
is  preceded generally  by pains in  the neck, shoulders, and
throat, as if  from cold, without much of a chill, fever, or 
PLEURISY--REAL PLEURISY.
235
thirst; the pain in the side is Avorse by exhaling; in real pleu-
risy, worse by inhaling; slight pressure  on the affected side
increases the pain in real pleurisy, while only hard pressure
with the fingers between the ribs increases it in false pleurisy,
which has a slight cough only ;  in real pleurisy the  cough is
dry and painful.
  Treatment,  a.  Of Real Pleurisy.—Aconite and Bryonia.
First of all, in the same manner as described in "Pneumo-
nia," for  so  long a time as the pain is very intense;  if not
better in thirty-six or forty hours, give
  Sulphur.    Twelve globules dissolved in half a  teacupful
of water, every two or three hours a teaspoonful, until four
or six are taken, particularly if the fever  continues Avith the
painful oppression on  the chest, yet the skin has become a
little moist; this is the principal remedy, also, when effusion
of plastic lymph is feared,  or has  taken place ; it is Avell
enough to give the patient even a dose (six glob.) of Sulphur,
if Aconite or Bryonia,  or both, have restored him  so far as to
be able to be  out of bed.  If Aconite ameliorates the pains,
do not be in haste to give Bryonia immediately, but Avait until
the disease increases again; do the same  in regard to Bryo-
nia.   In general, do not give another remedy as long as the
former has shown a decided beneficial effect.
  If the patient is sleepless and restless at night, give at any
time  Coffea00, and Belladonnacc, in alternation, every hour a
dose (four glob.), until better.
  If the patient complains of lying hard on his side, in con-
sequence  of which he  changes his position often; has cold
hands and  feet, yet feels hot  inwardly;  or  if a  short, dry
cough troubles him very much, particularly by increasing the
stitching  pain in his  side,  give Arnica  once  or twice, every
two hours a dose (four glob.).
  If  the real pleurisy is complicated with pneumonia (pleuro-
pneumonia),  give the  remedies described  under "Pneumo-
nia,"  such  as, Belladonna,  Rhus  tox., Lachesis,  Sulphur, 
236      AFFECTIONS  OF THE WINDPIPE AND CHEST.
 Phosphorus,  Lycopodium,  China, Sepia,*  according to the
 symptoms indicating their use.
   N. B. As these pleuro-pneumonias are frequently of a bil-
 ious character, the  remedies  for bilious or bilious rheumatic
 fever must be consulted.
   Treatment,  b.   Of False  Pleurisy (Stitch  in  the  Side).
 If there is any fever, give first once  or twice a  dose (four
 glob.) of Aconite, every hour and  a half one dose;  after
 which administer the principal remedy:
   Arnica.  Every two hours a dose  (six glob.), and in alter-
 nation with
   Pulsatilla.   If the patient is not better in two hours ; but
 if he is relieved, scarcely anything more is needed, but  rest
 and perspiration in bed.   In two or three days  afterward
 one dose of Sulphur (four glob.) may be given to complete
 the cure.
   Nux vomica.  Stitch in the  side, with painful sensibility of
 the external parts of the chest on pressing between the ribs ;
 worse  on taking a deep inspiration or by any movement.
   If at  any time the patient becomes feverish,  with pains
 in limbs, side, and  head, give Bryonia and  Rhus tox.   (See
 "Rheumatic Bilious Fever.")
   Diet  and Regimen. — As  in  fever generally.    In false
 pleurisy frequently a mustard draught, or some other heat-
 ing substance—for instance, a  bag of heated salt—will relieve,
 and may be used with advantage.

                 Diseases of the Heart.
         a.  Inflammation of the Heart.  (Carditis.)
   It is Avell  that  inflammation of the heart does  not occur

  Note.—Sepia once cured  an  old man of  a most violent attack of
pleuro-pneumonia on the left side, caused by a metastasis of an inflam-
 mation of the  liver, which  had been  subdued, but not cured, a few
 days previous, by excessive allopathic blood-letting;  China had pre-
 ceded the Sepia, without decided effect. 
DISEASES OF THE  HEART.
237
frequently, as its course is very rapid and dangerous, and its
diagnosis difficult.
   Diagnosis.— The prominent symptoms  are violent  pains,
mostly burning or cutting, in the region of the heart and toward
the pit of the stomach ; great oppression in breathing, which
shows itself in the distorted and  anxious  features of the pa-
tient ; the pulsation of the heart is violent and irregular, while
the pulse on the wrist is small, frequent,  and trembling; the
patient  prefers lying quietly on the back; sometimes there  is
delirium, difficulty of swallowing, fainting spells,  vomiting,
starting in the sleep.
   Causes.—This disease is caused mostly by taking  cold  in
drinking  cold  water  when the  body is  heated;  also,  by
wounds,  blows, etc.;  the most frequent cause, however,  is
acute rheumatism, particularly in the knees.  See "Rheuma-
tism of the Heart."
   It must be well understood that not every palpitation of the
heart is inflammation of the heart; the latter has always  an
agonizing feeling of oppression and pain.
   Treatment and  Administration.—In every case  give first
Aconite, as directed in "Pneumonia;"  afterward  Bryonia,
Nux vomica, Cocculus, Arsenic,  Pulsatilla, and Cannabis sativa,
at intervals of from two to four or  six hours, until  better;
each remedy, when used, may be dissolved in water (twelve
globules to half a teacupful), and every  half hour a tea-
spoonful  given ; but,  if possible,  procure  the  advice of  a
homoeopathic physician immediately.

      b.  Palpitation of the Heart.   (Palpitatio cordis.)
   Young people in their growing years, as well as  old per-
sons of  high age, are troubled  with this disease ;  the  former
from development and congestion, the latter from contraction,
ossification, and  want of blood.   Between these two  extremes
of age, persons  sometimes are taken with it by violent emo- 
238       AFFECTIONS OF THE WINDPIPE AND CHEST.
tion of the mind, by the use of ardent spirits, or by constitu-
tional predisposition, particularly when inclined to be affected
by rheumatism, which latter mostly causes the chronic palpi-
tation of the heart.   In pregnancy this disease is  frequent,
as, also,  in persons of a plethoric habit, and at the time of
change of life,  or  during floodings, in consequence of loss
of blood.
   If it is  dependent  on organic disorders of the heart, as
polypus, ossification, etc.—as, also, in the chronic form—we
advise strongly to apply in time to a homoeopathic physician,
as frequently a  permanent cure may be effected.
   Treatment.—If  caused by fright:  Opium ox  Coffea.
   By sudden joy:  Coffea.
   By fear or anguish :  Veratrum.
   By disappointment: Aconite,  Chamomile, Ignatia,  Nux vom.
   By congestion of  blood, or plethora : Aconite, Belladonna,
     Coffea,  Ferrum, Lachesis,  Aurum, Phosphorus,  Opium,
     Sulphur.
   By loss  of blood, or other debilitating losses: China, Phos-
     phoric acid, Nux  vomica,  Veratrum.
   If it is present  in nervous persons, hysterical females, etc.:
     Coffea, Ignatia, Chamomile, Cocculus, Nux vomica, Lache-
     sis,  Pulsatilla,  Veratrum.
   In young, growing people :  Aconite, Pulsatilla.
   In old, decrepit people :  Arsenic, Lachesis, particularly when
     with temporary dimness of sight.
   After  the suppression  of  an eruption : Arsenic, Lachesis,
     Sulphur.
   For ameliorating the frequent attacks in chronic palpitation
of the heart, the most suitable  medicines  are, Pulsatilla,
Arsenic, Lachesis, Aconite, Sulphur,  Phosphorus, Aurum.
   Administration.—Dissolve of the selected  remedy twelve
globules in half a teacupful of water, and take  from one to
twelve hours a teaspoonful, according to  the  severity of the 
RHEUMATISM OF  THE HEART.
239
case ;  or,  if traveling,  take  of the  medicine a  dose  (four
glob.) from one to six or  twelve hours ; if not better after
from one to twelve hours, select another remedy.
  Diet and Regimen.—Diet as usual in chronic  diseases.—
Sleep as quiet  as possible during the  administration of the
medicine ;  be careful always to have  dry, warm  feet;  avoid
getting wet by exposure to rains, etc.   Young people must
abstain from eating much in the evening, but  drink  freely of
cold water.

    c.  Rheumatism of the Heart.   (Rheumatismus cordis.)
  Diagnosis.—In this disease the palpitation  of the heart is
only one of the symptoms; the principal symptom is a sensa-
tion of weight in the region of the heart, with occasional stitches
through it; beside, tearing pains in the external muscles of
the chest  and in  those of the  left  upper-arm,  either con-
stantly or  only  periodically.   With  the  palpitation of the
heart and  its violent action, the character of the pulse on the
wrist  does not  harmonize;  the latter is invariably  weak,
small, and contracted.
   Causes.—This disease appears mostly in young persons of
both sexes at the age of development, at which time it is dan-
gerous ; if neglected or badly treated, the heart will inflame
or  increase in size.  It is also frequently caused by the trans-
lation of acute or inflammatory  rheumatism (see  this article)
to  the heart; the treatment in this case remains the same; it
is  favorable, if  the  rheumatic  sypmtoms reappear  in the
extremities.
   Treatment.—The principal remedies are :  Aconite, Arnica,
Belladonna, Bryonia, Spigelia, Pulsat., Arsenicum, Lachesis.
   Aconite.   Palpitation  of  the  heart, with  great anguish,
feverish heat, particularly in the face ;  the heart beats  rapid-
ly, while  the  pulse is slow and intermittent.  Stitches and
oppressive aching in the region of the heart, as if from a
        23 
AFFECTIONS OF  THE WINDPIPE AND  CHEST.
heavy load ;  the patient cannot breathe  well in an  erect
position.
  Arnica.   Stitches in the heart from the left to the right
side, with fainting fits, quivering of  the heart, Avith a pain  as
if it was squeezed together.
  Belladonna.   Palpitation  of  the heart with intermitting
pulse; great anguish about the heart; tremor of the  heart
with  anguish and pain;  oppression of the  chest.  (After
Aconite or before Lachesis.)
  Spigelia.   Tumultuous pulsation of the heart with  suffo-
cative sensation and spasms of the chest, increasing in  a sit-
ting posture  and  bending  the chest  forward;   tremulous
motion of the heart.   (In alternation with  Pulsatilla.)
  Pulsatilla.  Palpitation of the heart with  great anguish,
clouded  sight  and  impeded  respiration,  particularly  when
lying on the left side ; anxiety, pressure, and burning  sensa-
tion in the heart.
  Bryonia.   Respiration impeded  by stitches in  the  chest
with  palpitation  of  the heart  and  violent oppression (after
Aconite, where acute  rheumatism of the extremities had been
transferred to the heart).
  Arsenicum.   Violent palpitation of the heart Avith great an-
guish and restlessness;  great heat and burning of the chest,
with cold extremities ; in such cases, in alternation Avith Ve-
ratrum; or  Avith  Lachesis, when the  pulse becomes  weaker
and the pulsation irregular.
  Lachesis.   Irregularity of  the pulsation;  great anguish
about the heart with  heaviness on the chest,  in rheumatism;
very Aveak.
  Administration.—Dissolve twelve globules of the selected
remedy in  half a teacupful  of Avater,  and give  every half
hour or hour a teaspoonful until relief is obtained;  and if this
is not the case Avithin one or Iavo hours, select another reme-
dy  and give  it in the  same  manner.   Externally applv a 
CONGESTION of  the chest.
241
mustard poultice on the breast, put the feet in hot water and
cover the patient well.
   Diet and Regimen, as in fevers.   Apply to a homoeopathic
physician as soon as  possible.

      Congestion  of the  Chest.  (Plethora pectoris.)
   Congestion or determination of blood to the chest  is a fre-
quent  complaint in young people, during  the  time of the
development of their systems,  and in persons of  a phthisical
habit.   It ought never to be treated by  bloodletting, even if
this means relieves for the  time, as it does  not  remove  the
disposition or the bad consequences, in the system, but has a
tendency, if  once resorted  to  for palliation,  to augment  the
difficulties  for  a final cure, rendering the lungs weaker by
each successive attack.   The homoeopathic remedies, on  the
contrary, relieve in a  different manner, and in a much shorter
time.
   Diagnosis.—Great fullness, weight,  and  pressure in  the
chest;  more or less  palpitation of the heart, with oppres-
sion, short and sighing breathing ;  cold hands and  feet, and
anxious look ;  sometimes a hacking, short cough.
   Treatment. — Aconite.   Particularly  in plethoric females
during  menstruation ; violent oppression,  with palpitation  of
the heart;  shortness of breath; dry cough ;  heat and thirst.
   Belladonna.   If Aconite does not suffice, and if the head is
congested at the same time.  See " Congestion to the Head."
   Nux vomica.   Heat and burning in the chest, more at night,
with sleeplessness and agitation ; or fullness and  throbbing in
the chest, with palpitation ;  Avorse in the open air;  clothes feel
too tight around the chest.
   China.  In  consequence of  debilitating  losses,  as   of
blood,  etc.;  violent oppression, with great anguish  ; loss  of
sight;  palpitation  of  the  heart;  cannot breathe with  the
head low.
   Phosphorus.   Violent oppression, with heaviness, fullness, 
242      affections of the windpipe and chest.
and tension in the chest; palpitation of the heart, which  is
felt in the throat.
  Mercury.   After Aconite, if there is anxious oppression for
breath, Avith a desire to take a long breath; heat and burning
in the  chest; cough, with expectoration of mucus streaked
with blood.
  Pulsatilla and Bryonia.   In  alternation, before menstru-
ation, or when  this  has stopped  suddenly; also, when the
piles have been suppressed;  or when there is  ebullition of
blood in the chest, with external heat.
  Spongia.   When  movement  increases  the  anguisli, and
produces  danger of  suffocation, nausea, fainting, and  pros-
tration; particularly  in  persons  subject  to sick-headache, or
other nervous affections of the head, which frequently attack
the chest in this manner.
  Sulphur.   After Nux  vomica or Pulsatilla, if necessary.
  Administration, Diet, and Regimen,  same as in " Palpi-
tation of the Heart."

Hemorrhage of the Lungs.  (Hmmoptysis, Pneumorrhagia.)
  Spitting or coughing up of blood is generally considered by
persons such  a  dangerous and, for the life of the  patient,
fatal symptom, that  they lose, when it  occurs, all presence
of mind, frequently  incapacitating them  for the right action
in the  case ; yet not all the  hemorrhages of the lungs are
alike in their character; some are dangerous, it is true, but
most of them yield readily to the proper remedies, and some
even  cease of themselves.   It  will be  necessary  to distin-
guish well between  them,  and  act accordingly, not in too
great haste, but in  the right manner;  in this  way, time  is
saved.   Moreover, we Avill see hereafter that the most dan-
gerous kinds of  bleedings from the lungs leave ample time to
provide means, while the milder forms  take more by surprise,
thereby causing more fear than injury, with the exception of
one form, the so-called "Apoplexy of  the Lungs," which  is 
hemorrhage  of the lungs.            243
easily aistinguished by marked symptoms.   Be careful to ex-
amine whether the blood coughed or hawked up is from the
lungs, or merely from the nose or palate.
  Diagnosis.—Without going into the distinction  as  to the
different places in the lungs  and windpipe  from whence the
blood may issue, as this would be without practical advan-
tage, we will give now the qualitative difference of haemop-
tysis, which has  the highest practical  bearing.  We  distin-
guish two varieties:
  1. The active or idiopathic haemoptysis,  caused by conges-
tion of the lungs, or mechanical injury ; this is the most fre-
quent and least dangerous.
  2. The passive or symptomatic haemoptysis, caused by the
ulcerative process  in consumption, which gradually consumes
the substance of the lungs (if not arrested), and  causes the
rupture of larger blood-vessels; although this is the most dan-
gerous form, as it is caused by a destructive and sometimes in-
curable disease, yet it does not occur frequently, and even then
its appearance may be expected and measures taken accord-
ingly.
  First.   Active hemorrhage  of the lungs depends  always on
congestion of blood to the lungs, Avhich  is sometimes constitu-
tional, at other times caused by external circumstances, such as
quick  running, violent exercise of any kind, lifting, etc., the
frequent inhaling  of injurious dust, such as from  lime, gyp-
sum, or plaster of Paris, tobacco, flour, or metal filings, or of
obnoxious gases, such as from nitric and sulphuric acid.-
  Beside these causes,  it sometimes  appears epidemically,
mostly at the  time of the equinoxes, on account of the rapid
changes in the temperature of the  atmosphere; the abuse of
spiritous liquors is  a frequent cause  of hemorrhage  of the
lungs ; also, suppression of  discharges of   blood from other
organs, as stoppage of the menses, sudden disappearance of
the  piles, etc.; excessive  groAving  and consequent weakness
of the chest predisposes to it,  as in general young or middle- 
244      AFFECTIONS  OF THE WINDPIPE AND CHEST.
aged  persons are  more liable  to  it.   It occurs in attacks,
accompanied with more or less  fever, frequently of an inter-
mittent type, worse toward night.
  This form of hemorrhage of the lungs presents itself in the
most various degrees, from the least spitting  of blood to a
violent effusion; the highest degree, which  really endangers
life immediately, is the apoplectic hemorrhage (apoplexia pul-
mon.) of the lungs, where all the symptoms of an apoplectic
fit are present; the patient loses his consciousness, looks as if
he was suffocated, eyes protrude out of their sockets, bloody
mucus issues from the mouth.
  Treatment.—The first thing necessary in seAere  cases  is
to let the patient keep as quiet as possible, in  a half-sitting,
half-lying  posture;  he must remain perfectly quiet, without
speaking or being spoken to, except when it is  indispensably
necessary; if no  homoeopathic medicine is at  hand, give
every five  or ten minutes a teaspoonful  of table salt in water,
but cautiously, that it may not make him  cough; or, if sul-
phuric acid is  convenient to be had, drop five or ten drops
into a tumbler full of Avater, and  give a teaspoonful every
five or ten minutes, until the severest bleeding ceases.  If
homoeopathic medicine is at hand,  give directly
  Aconite.   Twelve globules dissolved in half a teacupful of
water, every ten or twenty minutes a  teaspoonful, until the
severest bleeding  ceases ; afterward administer it at  longer
intervals, from three to six hours.   This remedy suits always
at first, but particularly Avhen there is ebullition of blood  in
the chest, with a fullness  and a burning pain ;  palpitation  of
the heart;  anxious looks, Avith paleness of the  face;  profuse
expectoration of blood at  intervals,  provoked by a slight
cough.   Try this  remedy at least for two hours; if not bet-
ter, give
  Ipecac.  When there yet remains a  taste of blood  in the
mouth;  frequent,  short  cough;  expectoration of  mucus,
streaked with blood; nausea and Aveakness; or, 
hemorrhage of the  lungs.            245
  Arsenic.  When  there is yet palpitation of the heart, with
great anguish, dry heat, and  desire to leave the bed; it is
particularly applicable  for drunkards after  Hyoscyamus has
been given.
   Opium.   Often in the  most  serious cases,  especially in
persons addicted to spiritous liquors; or when there is expec-
toration  of thick, frothy blood;  cough worse after swallow-
ing;  oppression  and anguish; weak  voice,  drowsiness,  and
anxious starts; cold extremities, and heat in the chest.
   Nux vomica.   Suits well after Opium, Ipecac, or Arsenic;
particularly when there is cough, affecting the  head, caused
by tickling in the chest; or when the hemorrhage Avas caused
by a fit of passion, by taking cold, or suppression  of piles.
Sulphur suits Avell  after it.
   China.   If the patient  has already lost much  blood; or
when  the cough is violent,  hollow, dry, and  painful, with
taste of blood in the mouth; shivering and flushes  of heat;
weakness, faintness, cloudiness of sight, roaring in the head.
   Ferrum.  After China,  if this has in severe cases  relieved,
yet there is great fatigue after talking; slight cough,  with ex-
pectoration of  scanty, bright red blood, Avith  pain  between
the shoulder-blades ; difficulty of breathing.
   Hyoscyamus.   Dry cough at night, with  expectoration of
blood ; frequent waking with  a  start; particularly in drunk-
ards, after Opium  and Nux vomica, and followed by Arsenic.
   Dulcamara.  Tickling cough,  from cold;  the hemorrhage
was preceded for some time by a loose cough.
   Carbo veg.   Hemorrhage, Avith violent burning pain  in the
chest, in persons susceptible  to  changes of weather, or who
have taken much calomel.
   Pulsatilla.  In obstinate cases,  Avhen black and coagulated
 blood is expectorated, more in the morning or night, particu-
 larly in timid persons, or in  females when caused by  sup-
 pression  of the menses.
   Arnica.   In slight  hemorrhages of black and coagulated 
246      AFFECTIONS OF  THE WINDPIPE AND CHEST.
blood, with stitching, burning pains and heat in the chest,
palpitation of the heart, difficulty of breathing;  or caused by
mechanical injuries, fall, blow, lifting, leaning against a table
by  studying, sewing; or when  the  expectoration  is clear,
frothy, mixed with pure  lumps  of matter;  hacking cough,
from tickling under the breast-bone; pains in the limbs, as if
they had been beaten.  It is often administered in alternation
with Aconite.
  Belladonna.   Cough from tickling in the throat, with hem-
orrhage ;  sensation of fullness, as if from blood in the chest,
with pressing or shooting pains, worse when moving; is es-
pecially suitable for hemorrhages of the lungs in  females of
full habit, at the change of  life, and then in  alternation with
Aconite.
  In  very serious cases, Aconite, China, Ipecac, and Opium
will be found most efficacious.
  For the bad consequences of pulmonary hemorrhage, such
as weakness, cough, etc., give Carbo veg. and China.  If pos-
sible, procure the  advice of a physician immediately.
  Administration of the above remedies, in very severe cases,
the same as in Aconite, stated above; in less severe  cases, or
mere spitting of blood, give every six  or twelve hours a dose
( four glob.) until better, or until another remedy is necessary.
  Diet and Regimen.—The patient must  be kept cool; his
drinks, for two Aveeks, at least,  must be cool, not spiritous or
exciting, but more slimy,  such  as rice  and barley water,
water with raspberry syrup, lemonade, etc.  If the feet  are
cold, put them in warm water, mixed with ashes or mustard.
  In apoplectic hemorrhage of the lungs, give Aconite imme-
diately, same  as above;  if not  better  in twenty or thirty
minutes,  Opium, and  then Ipecac; afterward, if necessary,
Belladonna or  Lachesis, in  the  same  manner.   Put the feet
in hot water, with mustard; also  the hands, if they  are cold.
Send immediately  for medical aid.
  Second.   Passive hemorrhage of the lungs, or rupture of 
ASTHMA.
247
 a blood-vessel in tubercular consumption, requires principally
 Aconite, China, Pulsatilla, Arsenic, Lycopodium,  to  be given
 in the same manner as described under  active hemorrhage.
 See, also,  "Pulmonary Consumption."
   Diet  and Regimen the same as above.

                         Asthma.
   As this  disease is well  known  in  regard to its symptoms,
 we will  only mention here that distinction  in its character
 which has  a practical bearing.   There are two kinds of asthma,
 as regards the cough and  expectoration of mucus in an attack;
 it is either a dry or humid.  The former is more  sudden and
 violent  in  its  attacks; has  only slight  cough  and  expec-
 toration, but great difficulty of breathing.  The attack of the
 latter, or humid asthma, proceeds slowly—has a severe cough,
 with gradually increasing  and afterward copious expectoration
 of mucus,  which relieves  greatly.   Asthma, in itself, is not
 a dangerous, but a very distressing disease, sometimes heredi-
 tary,  but oftener acquired; its different  causes will be enu-
 merated below,  with their respective remedies attached.  In
 general,  it  is curable, although  it takes  a comparatively longer
 time than  most other chronic diseases  require,  particularly
 when it is  constitutional.  A radical cure must only be under-
 taken by a  skillful homoeopathic physician.  We subjoin below
 the treatment for  the  attack itself, to alleviate temporarily,
 advising the patient, at the same time, not to omit any favor-
 able opportunity by which he may be allowed to place himself
 under the care of a physician, for the final cure of the disease.
   Treatment.—When caused  by congestion of blood  to the
chest  ( see this article ):  Aconite, Bellad., Nux  vom., Phos-
phorus, Pulsat., Spongia,  Sulph.
   By  derangement  of the menstruation:  Bellad.,  Cocculus,
Bryon.,  Pulsat., Veratrum, Sulph.
   By  vapors of  Sulph. ( brimstone ) : Pulsat.
   By vapors of  Arsenic or Copper:  Ipecac,  Hepar, Mercury. 
248      AFFECTIONS  OF THE WINDPIPE AND CHEST.
  By a chill:  Aconite, Ipecac,  Bryon., Bellad.
  By a fit of passion: Nux vom.,  Chamomile.
  By fright:  Opium, Ignatia, Aconite, Bellad.,  Veratrum.
  By sudden joy:  Coffea, Aconite.
  By a suppressed catarrh, or cold in the head: Ipecac, Nux
     vom., Arsenic.
  By dust from stone or flour:  Calcarea, Silicea, Sulph.
  By suppression of piles: Nux vom., Sulph., Arsenic.
  By flatulency:  China, Chamomile, Nux vom.,  Sidph.
  If it is present in children: Aconite, Bellad., Ipecac, Cham-
omile, Bryon., Tartar emet., Sambucus.
  In hysterical women: Coffea, Ignatia, Pulsat., Ipecac, Cham-
omile, Bellad.
  In aged persons: Arsenic, Lachesis, Opium.
  When it is constitutional: Ipecac, Arsenic, Sulph.
  When dry, or  Avithout  much  expectoration (similar to
cramps in the  chest): Cocculus, Cuprum,  Bellad.,  Nux vom.,
Sambucus.
  When humid or moist, with  considerable expectoration of
mucus: Ipecac, Arsenic,  China, Pulsat., Sulph.
  In the above tabular view, we haAre arranged the different
kinds of asthma, as  regards their  origin and  appearance; so
that, in search for a remedy, the  number of remedies to be
looked  for  is reduced to  very few.   Their distinguishing
symptoms are given in detail beloAv,  and their administration
at the end of the article.   The principal and first  remedy in
most all attacks  is Ipecac, after the  administration of which
one  may proceed Avith  more calmness to find out the next
best remedy, by comparing carefully its symptoms  Avith those
of the case present.
  Symptomatic  Detail.—Ipecac.   Difficulty  of  breathing;
nocturnal paroxysms  of suffocation,  spasmodic constriction of the
throat, rattling in the chest, from  an accumulation  of mucus;
short, dry cough, great anguish, cries, agitation, fear of death;
alternately either redness and heat, or paleness, coldness, and 
ASTHMA.
249
ghastliness of the face; sometimes nausea, with cold perspi-
ration on the forehead; breathing at the same time anxiously
and rapidly, with moaning and rattling.   After it follows well
Arsenic, Bryon., or Nux vom.
   Arsenic  In all cases of acute or chronic asthma, with an
accumulation of thick phlegm ; difficult breathing after a meal;
oppression of the  chest and want of breath, rendered almost
intolerable by any motion, such as walking, going up  stairs,
laughing, etc., constriction of the chest and throat; suffocat-
ing fits, more at  night;  panting, wheezing, as  if dying, with
cold perspiration; these paroxysms  grow lighter on the ap-
pearance of a cough, with expectoration of mucus, or of Ais-
cid saliva; the attacks render  the patient very weak; burn-
ing  pain in the chest.   Suits well  after Ipecac, and  before
Sulphur.
   Nux vomica.   Asthma, resembling that of  Arsenic, only
the spasmodic constriction is felt worse in the lower part of the
chest, where even loose clothes seem to be too tight; short, dry
cough, sometimes with a little blood;  congestion of the chest
(see  this article);  asthma, better  by lying on  the back; oc-
casionally turning, or sitting up; suits well for persons addict-
ed to the use of spiritous liquors, or  after Arsenic, or  before
Sulph.
   Pulsatilla.  Asthma  in  children,  after  suppression of a
miliary eruption ;  in weak, timid females, after cessation of
menstruation, or  after  having taken cold;  choking, as from
the vapors  of Sulphur; paroxysm of suffocation, with  deadly
anguish, palpitation of the heart, and spasmodic constriction of
the throat or chest;  Avorse at  night, or when lying  horizon-
tally, or when moving ; better in the open air; expectoration,
with  much  mucus, streaked with blood, which sometimes  is
coagulated; with  a feeling  of  fullness and  pressure  of the
chest.
   China.   Under  similar symptoms as Pulsatilla, after which 
250      AFFECTIONS  OF THE  WINDPIPE AND CHEST.
it suits well, if there is, with the asthma, great weakness, and
easy perspiration in sleep.
  Sambucus.  Asthma, similar to China, but  more  in chil-
dren (see "Asthma in Children"); when there is much per-
spiration; suits well after Ipecac
  Sulphur.  Almost in any acute or chronic attack of asthma,
if several  other  remedies were  insufficient.  After Sulphur,
if necessary, select  carefully another remedy.  It suits prin-
cipally when there are paroxysms of asthma, almost  suffocat-
ing, mostly at night, with fullness  and  weariness, burning, or
spasms in the chest; expectoration of white mucus, detached
Avith difficulty, sometimes bloody; constriction and pain in  the
breast-bone ; bluish redness of  the  face;  short  respiration,
and inability to speak.
  Phosphorus.  Asthma  worse  in  the evening or during
movement; attack of suffocation in the night, as if from para-
lysis of the  lungs (in alternation with Tartar emetic); con-
gestion of blood to  the chest, with  stitches, and fullness  or
sensation  of heat  to the  throat, and palpitation of the heart
(in  alternation Avith Belladonna) ; phthisical habit.
  Tartar emetic.   Asthma in old persons and children,  particu-
larly when there are choking, retching, and paroxysms  of suffo-
cation in the eATening, with rattling in the chest, and wheezing
(in  alternation with  Phos., see "Inflammation of the Lungs").
  Aconite.  Asthma in sensitive persons, young,  and of ple-
thoric habit, easily excited by mental emotions.   In children,
especially, when they cough at night,  spasmodically, as if they
would suffocate; or with congestion to the head, with vertigo;
cough, Avith expectoration of blood.
  Belladonna.  Asthma in children  (see "Croupy Cough"),
or in plethoric women at the critical period ;  congestion to  the
lungs, with  stitches under the  breast-bone, and fullness in
the  chest; dry cough at night; anxious moaning ;  respiration,
sometimes deep, at other  times short and rapid;  constriction 
ASTHMA.
251
of the throat, as if  to  suffocate, with loss of consciousness
and relaxation of all the muscles.
  Bryonia.   Asthma, worse by motion and in the night, with
pain in chest; breathing like that under Belladonna; suits well
after Ipecacuanha, or when it arises from suppressed eruptions.
   Coffea.   Asthmatical breathing from  sudden  joy ; short,
dry cough.
   Opium.   Suffocating  cough,  with bluish-red  face; deep,
rattling, respiration, especially when fright was the cause.
   Chamomile.  Asthma  in  children, after taking cold (see
"Croupy Cough"), or when  the  hypochondriacal region is
swollen, painful to the touch; crying, and draAving up of  the
thighs ; asthma caused by passion.
   Cocculus.  Asthma  of hysterical  women, especially when
they complain  of constriction of the throat and chest, with
oppression; worse at night;  congestion of the lungs  in ner-
vous persons (in alternation with Belladonna).
   Ignatia.   Asthma after fright or  indignation, especially in
women;  choking and constriction in  the pit of the neck, as if
from the vapors of  Sulphur; want of air in walking, and cough
when resting; short, spasmodic cough.
   Spongia.   Want of breath, and paroxysms of suffocation
after   every  movement,  with  fatigue; rush of blood  to  the
head  and chest; heat in the face ; respiration wheezing, deep,
or slow, as if from weakness (nervous asthma in persons who
are habitually addicted to neuralgic  affections).
   Cuprum.   In hysterical women,  after  fright or anger, or
before or during the menses; spasms and oppression in the chest;
worse  on speaking or going up stairs; short, spasmodic cough.
   Veratrum.  Paroxysm of suffocation when rising up, during
movement, especially before the menses; coldness of the face
and extremities ; faint pulse and cold perspiration.   Suits well
after Ipecac, Arsenic, or China.
   Lachesis.  Slow and wheezing,  or short respiration; worse 
252      AFFECTIONS OF THE WINDPIPE AND CHEST.
after  eating; paroxysms of suffocation when lying down, espe-
cially in  persons suffering from  water on the chest.   (Suits
well after Arsenic.)
   Calcarea carb.   In chronic asthma, -with frequent dry cough;
worse  at night; or caused by the habitual inhalation of dust.
   Silicea.  In chronic asthma, caused by the  inhalation of
stone-dust;  oppression worse when lying on the back, when
running, or  coughing.
   Administration.—Dissolve twelve  glob, of  the selected
remedy in half a teacupful of water, and give, in  severe
cases, every half hour;  in less  severe cases, every  two or
three hours, and in chronic cases, twice a day a teaspoonful,
until three or four are given.  If better, discontinue until the
symptoms are worse again;  if not better,  prepare  and give
the next remedy in the same manner.  In very small chil-
dren, give one or two glob, of the medicine  at the same inter-
vals, dry, on the tongue.
   Diet and Regimen.—Persons  suffering from chronic asth-
ma, ought  to abstain from coffee, meat,  and greasy sub-
stances almost altogether,  and  live  mostly on  farinaceous
diet, such as gruels,  etc.
   Sometimes, in very severe attacks, the burning of  a piece
of paper,  soaked in  a solution  of saltpeter, and filling the
chamber of  the patient with its smoke, will relieve ; or smok-
ing tobacco, or gympsum-weed (stramonium).

                    Asthma of  Millar.
   See "Children-Diseases."
          Dropsy in the Chest.  (Hydrothorax.)
   This disease appears mostly  in  consequence  of previous
diseases, either acute or chronic, and is too dangerous in its
course and  results  to  be managed by domestic  treatment
alone.  Skillful medical  aid is   indispensable;  yet we will 
PULMONARY CONSUMPTION.
253
briefly notice its symptoms, and  some  few remedies which
mitigate its immediate distresses.
  Diagnosis.—We distinguish an acute and chronic dropsy
of the chest;  the  principal  distinguishing feature of  both
kinds is, the difficulty of breathing, when moving, particular-
ly going up stairs, or lying with the head low; swelling  of
the feet in the  evening, and  of the eyelids in the morning;
thirst for water, yet scanty urine.
  The acute dropsy of the  chest  occurs  mostly  in  young
people after eruptive fevers, such as scarlet fever, measles
(see these diseases),  or  after the suppression of other  erup-
tions by salves, ointments, etc.
  The chronic dropsy of the chest occurs mostly in old  age,
or in persons addicted to the habitual use of ardent spirits.
  Treatment. — To alleviate the  difficulty  of  breathing,
and  render  the  patient more  comfortable, give  Arsenic
(twelve glob, dissolved in half a  teacupful of water), every
hour  a teaspoonful,  until the judicious advice of a homoeopa-
thic physician can be obtained.  Beside this remedy, Bryonia,
Carbo veg., Lachesis, Mercury, Spigelia, Aconite, Sulphur, are
beneficial.   (See their symptoms in " Materia Medica.")

     Pulmonary  Consumption.   (Phthisis Pulmonalis.)
  We distinguish several forms of this  disease, the most
frightful  destroyer of human life and  happiness; but, as its
treatment would be  too complicated for a work of  this kind,
we  Avould advise  our readers to apply, in time, to a homoeo-
pathic physician; as consumption, in its  beginning, is in most
cases curable.
  Diagnosis.—If some of the following symptoms appear,
we  advise to seek medical aid:  constant hacking cough, either
dry, or with an expectoration  of  a frothy mucus; shortness
of breath,  pain in the chest, derangement  of the  stomach,
hectic fever, chilliness followed by flashes of heat, burning in 
254      AFFECTIONS OF THE WINDPIPE AND  CHEST.
 the hands.and soles of the feet, night-sweats;  circumscribed
 redness of the cheeks  during the fever, but pale cheeks at
 other  times.  The so-called  tubercular  consumption consists
 in the softening of the small tubercles, which are in the lungs
 frequently for years, without disturbing health, when they
 remain in their compact state; their softening, however, pro-
 duces irritation and ulceration of the lungs.  In the  begin-
 ning, this process can be repressed, and the patient saved.
   The galloping consumption is peculiar to  young persons, in
 their growing years, or  after debilitating  diseases, and  re-
 quires the most careful attention  of a physician.  It is very
 rapid, and is rightly  called galloping;  as  it is most  acute,
 sometimes  even infectious, on that account.  Aconite, Hyo-
 scyamus, are remedies, frequently useful  in this species  of
 consumption, to  allay  the high fever and  restlessness, and
 particularly for the dry, short, irritating cough and shortness
 of breath, with great weakness in the night.
   Under scrofulous  consumption, we understand an ulcera-
 tion  of the lungs,  caused by the transfer of scrofulous affec-
 tions from other  parts of the system, such as  swellings  of
 the glands of the  neck, etc., and all other more specific dis-
 eases,  such  as syphilis,  cancer,  etc.; also, when eruptive
 fevers fall with their  fatal decision on the  lungs, and there
produce ulceration.
  As this subject is so extensive and important to all, we refer
our readers to a separate work, entitled " Consumption treat-
ed homceopathically," by A. C. Becker, M.  D.

      Contusion of  the Chest by a Fall or  Blow.
  When the chest,  externally or internally, is  injured by a
fall or blow,  apply tincture of Arnica  externally, as  directed
under  "Sprains," and internally give  Aconite and  Arnica
alternately, in solution,  as  directed under  "Hemorrhage  of
the Lungs,"  until  the patient is better ; if, after two or three 
CONTUSION OF  THE CHEST BY  A FALL OR  BLOW.   255
days, the fever still continues, with an ulcerative pain  in the
chest,  give  Pulsatilla; and  in  alternation with Mercury,  if
there is a heavy, thick, yellow mucus expectorated ; the latter
remedy, however, in  exchange with  China, if night-sweats
occur,  and derangement  of  the stomach,  bad  appetite  still
continues, with sleeplessness and fever.
  Diet and  Regimen.—The same as under "External In-
juries."
24 
             CHAPTER  XIV.

AFFECTIONS  OF THE STOMACH AND  BOWELS.
           1.   Want of Appetite.   (Anorexia.)
   Most diseases, particularly those of the bowels and those
of an inflammatory character, produce loss of appetite, which,
in such cases, is more beneficial  than otherwise ;  as  it pre-
vents the  suffering system  from being burdened with nour-
ishment, at a time  when the organs for its digestion and use
are out of order.   This applies to most of the acute, and to
a  great many  of  the chronic diseases.   When these have
disappeared by the  use of  proper remedies,  the  appetite
returns of itself.   But sometimes persons complain of loss of
appetite without any apparent cause ; in which case, it mostly
proceeds from a derangement of  the  nerves of the stomach.
For  such  patients, it is of no permanent advantage to use
stimulating drinks  or food, such as bitters, mustard, or coffee.
These things only  create an artificial appetite, never remov-
ing the cause  of the disease.  The best remedy, which is
applicable in almost all cases of loss of appetite, is cold water,
freely drank at  any time in the  day and  evening ; in large
quantities, before,  during, and after meals, etc., with the pre-
caution, not to be overheated at the time.   Beside this dietetic
remedy, as it were, the folloAving  remedies are recommended  :
to be used according to directions  given  in "Dyspepsia."—
These remedies  are, Nux vomica, Chamomile, China, Antimon.,
Ipecac, Bryonia, Lachesis, Hepar, Arnica, Sulphur.
       (256) 
MORBID  APPETITE--DYSPEPSIA.
257
             2.   Morbid  Appetite.   (Bulimy.)
   A  morbid, craving, or voracious  appetite, manifests itself
in consequence of another disease present in the system, such
as worm affections, dyspepsia, etc.; or it frequently is the
necessary result of severe loss of strength, after violent, de-
bilitating diseases.  In every case  it consists in a weakness
and derangement of the nerves of the stomach, and is treated
in the respective diseases  of which it is generally a concomi-
tant symptom.
   We will here only indicate  some of these affections, with
the remedies attached, which arrangement will  be particu-
larly  useful.  For their  application and  administration, see
the respective chapters of these diseases.
   If there exists a craving for food in
   Worm affections: Hyoscya., Cina, Mercury, Silicea, Spigelia.
   Pregnant women: Xux vomica,  Sepia,  Petroleum, Natrum
muriaticum.
   Convalescence after violent diseases, or loss of fluids: China,
 Veratrum.
   Dyspepsia,  Avhere unnatural hunger is present:   China, Ve-
ratrum, Nux vomica, Sulphur, Bryonia, Ignatia, Mercury, Pul-
satilla, Lachesis, Lycopodium.
   In satisfying an unnatural appetite, care ought to be taken
not to overload the stomach.   Frequent, but moderate meals,
are preferable.

            3.  Dyspepsia, or Weak Stomach.
   Diagnosis.—Dyspepsia is generally characterized by weak-
ness of  digestion, with loss of  appetite,  slight or irregular
appetite, painful  and disordered  stomach, flatulency,  sour
risings,  ill humor, drowsiness after a meal, sometimes vomit-
ino- of  acid, or mucus,  secreted in great quantities in the
digestive organs.
   Causes.—The causes of  this disease  are as numerous as
the symptoms vary, under which it shows itself in different 
258      AFFECTIONS OF THE  STOMACH  AND BOWELS.
constitutions and periods of life.  A principal cause lies  in
the irregularity of the diet:  eating too much, too rich, or too
indigestible  food;  using stimulating  drinks, tea, coffee,
liquors, to an  excess, and at  an unreasonable time;  eating
too quickly, or fasting too long between meals ; studying or
laboring mentally too intensely, or after a full  meal; this  is
particularly the case in our country, where merchants are  in
the habit of confining themselves to their arduous  business
too closely after full dinners, when  a  few hours' complete
rest, bodily and mentally, would be of the greatest benefit  to
them; lastly the immoderate use of tobacco, especially in the
way of chewing, the use of such deleterious medicines as calo-
mel, etc., by which weak stomach, or dyspepsia, is produced.
   Treatment.—Avoiding the  above-named  causes of  this
disease is the  first indispensable requisite in  its successful
cure;  at the same time, the following remedies will  be of the
greatest benefit, to be applied according to the symptoms.
   The principal remedies for recent dyspepsia are Nux vomica
and Pulsatilla;  for chronic  dyspepsia, Hepar, Calcarea, Sul-
phur.   (See their symptoms below.)
   To facilitate  the  choice of  the  remedies, we classify the
disease according to its appearance and causes, with the reme-
dies attached to each kind;  before selecting a  remedy, con-
sult its details below.
   If dyspepsia is present in  children: Ipecac, Bryonia, Cal-
carea, Nux vomica, Sulphur.
   In old persons: Antimon., Nux vomica, China, Carbo veg.
   In hypochondriacal persons:  Nux vomica,  Sulphur.
   In hysterical females: Ignatia, Pulsat., Sepia.
   If the dyspepsia is caused by sedentary habits: Nux vomica,
Sulphur, Sepia.
   By prolonged watching: Nux  vomica, Arnica,  Pulsatilla,
Veratrum, Carbo veg.
   By excessive study: Nux vom.,  Sulphur, Lachesis,  Pulsat.,
Calcarea. 
dyspepsia, or weak stomach.
259
  By debilitating losses, such  as  bleeding, purging, vomiting,
etc.:  China,  Carbo veg., Lachesis, Nux vom., Sulph.,  Calcarea.
  By sexual excesses: Phosphoric acid, Nux vomica,  Mercury,
Staphysag.
  By the abuse of ardent spirits: Nux vomica,  Sulphur, La-
chesis, Arsenic, Carbo veg.
  Of coffee :  Nux vom., Ignatia.
  Of tea : Thuja.
  Of tobacco: Nux vom., Hepar, Cocculus, Staphysag.
  By over-eating:  China, Pulsatilla, Antimon.
  By distressing emotion,  such as grief, anger,  etc.: Chamo-
mile, Nux vom., Phosphoric acid,  China, Staphysag.
  By mechanical injuries, blow, fall on the stomach, etc.: Ar-
nica, Bryonia, Rhus  tox., Sulphur.
  If the dyspepsia is worse after partaking of almost  anything:
Nux vom., Sulphur, Lachesis,  Carbo veg.,  China.
  After drinking  cold water:  Arsenic, China, Pulsatilla, Ve-
ratrum.
  After drinking beer: Arsenic, Calcarea, Rhus tox., Sepia,
Sulphur.
  After drinking milk: Bryon., Nux vom., Calcarea, Sulphur.
  After using bread:  Nux vom.,  Sulphur, Pulsatilla, Bryonia,
Mercury.
  After using acids: Nux vomica, Sepia, Sulphur, Arsenic,
Lachesis.
  After partaking of meat:  China, Sulphur.
  After partaking of fat substances: Pulsatilla,  Sulphur,
China,  Carbo veg.
  If the dyspepsia is combined with diarrhea:  Pidsatilla,
China,  Phosphoric acid, Carbo veg., Veratrum, Arsenic,  Merc.
  With  constipation: Nux vom.,  Sulphur,  Bryonia, Lachesis.
  With  sour stomach: Pulsatilla, Sepia, Phosphoric acid, Nux
vomica, Calcarea.
  With headache:  See this article.
  With piles: Nux vomica, Sulphur,  Sepia. 
260      AFFECTIONS  OF THE  STOMACH  AND BOWELS.
   Symptomatic Detail. — Nux vomica.   In most cases of
dyspepsia  at  the  commencement,  particularly  in persons
with  a  tendency to  piles (see  this  article) and  habitual
costiveness;  or when dissipation  and late hours, the  abuse
of ardent spirits, or  exposure  to cold,  was the  mmediate
cause  of this  disease;  this remedy is  especially  indicated
for sour or bitter taste in the  mouth, and  if food, particularly
bread,  tastes  sour, bitter, or insipid;  patient has not  much
appetite, but a craving for beer, Avine, or spirits,  or he has
great  hunger,  but a little  satisfies  him; after  eating he
is troubled with  nausea, eructation, vomiting of food, vertigo,
hypochondriacal humor,  or, after a meal, lassitude, sleepi-
ness,   drowsiness,  distension,  fullness  and  tension in the
stomach, tender to the touch;  around the waist a sensation of
tightness of  the clothes;  sour  risings  and  belchings;  water-
brash; sour stomach ; makes the patient unfit for intellectual
labor ; with constipation,  and frequent heat and redness of the
face, restlessness, and irascibility.   After it, Sulphur suits well.
   Sulphur.   Is in cases of long standing the principal reme-
dy after Nux vomica,  or  when there is no appetite  for meat
and bread, but a craving  for acids or  wine ; milk, acids, and
sweet substances disagree;  after a meal, difficulty of breathing,
nausea, pain in the stomach, belching or vomiting of food, shiv-
ering,  acidity  and water-brash,  with flatulency and constipa-
tion ;  sad,  morose humor, with irascibility.   After it,  Calca-
rea carb. is often suitable.
   Pulsatilla.   In recent cases of  dyspepsia, particularly those
caused by over-eating, or the use of fat or pork, or any greasy
substance, causing flatulency and indigestion (in such  cases
in alternation with China) ;  no thirst; bitter  or sour eructa-
tions ;  the taste of the food comes up  again, water-brash, sad-
ness, melancholy, inclined to loose  bowels.   China or Sulphur
suits well after it.
   China.  Dyspepsia from loss of blood or other humors,  or
caused by exposure  to  miasms  in marshy  countries, near 
DYSPEPSIA, OR WEAK STOMACH.
261
canals,  etc. (see "Fever and  Ague"); particularly if there
is  indifference  to food and drink,  as  if from  satiety; craving
wine or acids ; food tastes acid or bitter; after a meal uneasi-
ness,  drowsiness, fullness, distension;  patient  wants to  lie
down, sensitive to draughts of wind, ill-natured and dislikes
everything.  After it suits Bryonia, Rhus tox.,  Carbo veg.
   Bryonia.  Dyspepsia especially in summer or damp weather;
or when there is headache, chilliness, pains in limbs, arms, and
small of the back,  aversion to food; eructation of wind, pres-
sure and pain in the stomach after a meal; cannot bear  tight
clothes  ; vomiting  of food, constipation, with restlessness  and
irascibility.  In alternation with Rhus or China.
   Rhus tox.   Always in alternation with Bryonia (see "Bil-
ious Rheumatic Fever"), especially when there is great rest-
lessness, thirst, and dry tongue during the night.
   Carbo veg.   Bitter taste in  the mouth, aversion to food,
milk, or fat, with acidity in the  mouth ; frequent flatulency
and belching  up, tasting the  fat  and food which had been
eaten ;  nausea in the morning, water-brash during the night;
heart-burn ;  hiccough during motion ;  pains under the short-
ribs, particularly on the left  side,  in the form of stitches, with
pressing and  fullness ;  cannot  bear  the clothes around him
tight;  worse in damp weather ; offensive diarrhea.
   Ipecac.   Almost  the  same  as  Carbo veg., but especially
suitable for children after indigestion, when they have vomit-
ing  of  food, drink, mucus or  bile ;  retching, vomiting, with
coldness of the face and extremities ; sinking at the stomach.
(See "  Cholera Morbus.")
   Veratrum.   After Ipecac, if this should be insufficient, or
there is still diarrhea, attended with griping in the bowels;
great thirst.
   Antimon. crud.   After Ipecac,  if this has not removed  the
nausea and vomiting, with a sensation of great fullness in the
stomach, and much flatulency. 
262      AFFECTIONS OF  THE STOMACH and bowels.
   Ignatia and Staphysag.  See " Diseases of the Mind."
   Hepar.  One of the most useful remedies in this disease,
where a person has taken much calomel, and is easily taken
with indigestion, with a longing for stimulating things, wine,
or acids ; nausea in the morning, with eructation or vomiting
of sour, bilious, or mucous  substances;  hard,  light-colored,
difficult evacuations, or else whitish diarrhea.   (In this case
alternate with  Nux  vomica;  otherwise with  Mercury or
Lachesis.)
   Calcarea.  Sensation of coldness in the head, with inclina-
tion  to sick-headache;  acid stomach; water-brash; fullness
and swelling in the region of the stomach, with great tenderness
to touch; evacuations similar to  those  of  Hepar, but  the
diarrhea in children  has a  sour smell.   Follows  well after
Sulphur.
   Sepia.  In persons subject to habitual  sick-headache, who
frequently suffer from dyspepsia when their  heads feel com-
fortable ; aversion to  food, or else great craving; taste sour,
and after a meal acidity in the  mouth, and  swelling of the
abdomen, or else pressure, as if from a stone in the stomach,
with much belching, mostly sour or painful;  inclined to con-
stipation ; suits well for nervous, hysterical persons, or those
who are subject to congestion of the head or bowels.
   Arnica.  Frequent eructations, sometimes with a taste  of rot-
ten eggs; great sensitiveness and nervous  excitement;  tongue
dry, thick, yellowish  coated ; putrid, sour  taste,  hypochon-
driacal humor;  inclined to diarrhea.
   Phosphoric  acid.    Great  mental  and physical debility,
caused by grief, unrequited love,  or  loss of bodily strength by
losing too much and too constantly animal liquid.  In diar-
rhea, alternate with
   China.  After every meal pressure in the stomach, as if
from a load ; perception of the taste of food, particularly of
bread,  long after it is taken. 
DYSPEPSIA, OR AVEAK STOMACH.            263
  Lachesis.   Irregular  appetite;  repugnance  to bread,  with
craving for wine and milk; frequent  nausea and eructation,
vomiting  of food; uneasiness, indolence,  heaviness, fullness
and  pains in the  stomach after  every meal; constipation.—
Suits well before or after Mercury.
  Mercury.   Putrid,  sweetish or  bitter taste in the morning ;
repugnance to solid food and meat, Avith craving for cooling
things ; inclined to diarrhea, with straining,  or to  perspira-
tion  ; has much saliva in the mouth.
   Cocculus.   Sensation of emptiness and  holloAvness  in the
stomach ; sour taste,  with aversion to  acids ;  dryness  of the
throat; nausea, even  to fainting; constipation.
  Phosphorus.  Vomiting after a meal; burning in the  stom-
ach ; acidity and sour taste in the mouth.
  Thuja.  Weakness of the  stomach after the abuse of tea ;
rancid or bitter eructation, and throAving up of that which has
been eaten.
  Administration.—In severe and painful cases  of dyspep-
sia take of the selected remedy from one to six hours a dose
(four glob.), until better;  but  in  chronic cases take only
every  evening  or  every other  evening  a dose (six  glob.)
until four  doses  are taken;  then  discontinue  four  days,
and, if not  better,  take  the  next  medicine in the   same
manner.
  Diet and Regimen.—Beside avoiding those excesses in the
diet and regimen which we have mentioned in the " Diagno-
sis," as so many causes of this disease, it must be  borne  in
mind that everything even allowed under other circumstances
must not be indulged in, as  soon as it  disagrees Avith the pa-
tient.  Keep busy and cheerful;  avoid fatigue and exposure ;
the  application of cold water,  in a  systematical way,  exter-
nally and internally,  is highly recommended.   (See " Hydro-
pathy.")  Exercise freely in the  open air ;  travel and mingle
in cheerful society.
       25 
264      affections of the stomach and bowels.

       4.  Water-brash.   Heart-burn.  (Pyrosis.)
         (Indigestion.  Flatulency.   Sour Stomach.)
   These ailments are mostly comprehended under the name
of dyspepsia, of which they form some of the most distressing
symptoms;  but where they occur  more isolated their reme-
dies  may be  found  in the  following tabular view; reference
to the details of these medicines may be  had in the article
" Dyspepsia."
   Treatment.—For water-brash: Nux vomica, Arsenic, Carbo
vegetabilis,  Sepia,  Calcarea carb.,  Phosphorus,  Lycopodium,
Sulphur.
   For heart-burn:  Nux vomica, Pulsatilla,  China,  Phosphoric
acid,  Sepia, Sulphur.
   For vomiting or throwing up,
   a.  Of food: Arnica, Bryonia,  Carbo veg., Nux vom., Phos-
phorus,  Pulsatilla,  Sulphur.
   b.   Of indigested food (indigestion) :  China, Bryonia, Pulsa-
tilla, Ignatia, Lachesis, Phosphorus.  (See end of this article.)
   c  Of  acid: Nux vomica, Chamomile, Calcarea carb., China,
Phosphorus,  Sulphur.
   For flatulency, or frequent  rising of  wind:  Arnica, Nux
vomica,  Pulsatilla, Bryonia, Rhus  tox.,  Sulphur,  Carbo veg.,
Veratrum.
   a.  After eating flatulent  food: China.
   b.  After eating pork or fat meat:  Pulsatilla, China.
   c.  After drinking: Nux vomica.
   d.   Colic from flatulency: See " Colic."
   In  regard to indigestion and its consequences, Ave Avill par-
ticularly remark here, that if it is caused by an overloaded
stomach,  a cup of coffee, Avithout  milk  or sugar, Avill  remedy
most  of its   bad  consequences;  the  remaining  symptoms
require  Pulsat., Nux vom., Ipecac
   Indigestion from fat food, pork, pastry, etc., requires Pulsa-
tilla,  China, Carbo veg., Ipecac. 
biliousness — gastric derangement.        265
   That which is  caused by ice cream, fruit, or other things
which chill  the  stomach,  requires  Pulsatilla,  Carbo veg.,
Arsenic.
   If caused by the abuse of wine:  Nux vom., Lachesis, Carbo
veg., Pulsatilla, Antimon. crud.
   By acid wines: Antimon., Pulsat.
   By sulphurated wines: Pulsat.
   By vinegar, sour beer,  and other  acids:  Aconite, Carbo veg.,
Arsenic, Hepar.
   If tainted meat or fish causes  indigestion, give first a little
pulverized charcoal in brandy; afterward China, or Pulsatilla.
   If salt food causes indigestion : Carbo veg.
   Indigestion frequently produces the  following disorders,
which require the remedies attached to them :
   Fever: Aeon.,  Bryon., Antimon.   (See "Gastric Fevers.")
   Eruptions, like nettle-rash: Ipecac, Pulsatilla, Bryonia. (See
"Nettle-rash.")
   Diarrhea: Pulsatilla, Coffea,  Ipecac,  Nux  vomica.   (See
" Diarrhea.")
   Colic: Pulsatilla,  Nux vomica.   (See "Colic")
   Flatulency: China,  Pulsatilla,  Carbo  veg.   (See "Flatu-
lency" above.)
   In  regard to heart-burn or sour stomach, we would remark
that it will often  be relieved by taking of a mixture of one
drop  of  Sulphuric acid in a teacupful of water,  every  hour
or tAvo hours a teaspoonful;  or by drinking lemon-water in
moderate quantities.  This is particularly recommended to
pregnant women, who frequently  suffer from  acidity of the
stomach from constitutional causes.
   Administration,  Diet,  and  Regimen, the  same as  in
"Dyspepsia."

         5.   Biliousness.   Gastric Derangement.
   Biliousness, or bilious  complaints, as a popular  term, com-
prises  different   disorders of  the digestive organs, which 
266      affections of the  stomach  and bowels.
mostly have nothing to do with the bile or liver, but with the
stomach alone.   For  practical purposes we divide  these
diseases:
  Into gastric affections, where the stomach alone is  implicat-
ed ; and,
  Into gastric bilious affections,  Avhere the  derangement of the
liver reflects its morbid consequences on the stomach.
  These attacks occur without much fever.
  1.  Gastric affections, (gastroataxia).  This is a general name
for all those disorders of the stomach, which we have already
treated  in the articles on "Dyspepsia," "Indigestion," "Heart-
burn,"  "Water-brash," and "Flatulency," to which we  refer
the reader.
  2.  Gastric bilious affections (gastrodynia biliosa).  This dis-
ease is  characterized by an oppression and swelling in the pit
of the stomach, with inclination  to vomit, and eructation of
wind, of an  offensive  smell,  like rotten  eggs or meat;  no
appetite, and particularly a  dislike for meat; thirst great,
especially for acids ; tongue thickly yelloAvish  coated ; either
constipation  or  looseness  of  the  bowels, of dark  (black)
offensive operations, Avith a great deal of wind.   With  these
really bilious symptoms are combined a yelloAAish color in the
face,  around the nose and mouth;  headache in the evening,
with a full pulse and a feeling  of heat Avithout much fever.
  Causes.—Persons  removing from the  north to the south
are subject to this disease very often, Avhich sometimes runs
into bilious fever.  Otherwise, it  is  caused more by the im-
prudent use of too much meat and alcoholic drinks in warm
climates; also, by mental derangement,, such as  anger,  grief,
etc.   It is, frequently, the forerunner of bilious fever.
  Treatment.—Similar to  "Bilious remittent Fever,"  in its
early stage.  See page 104.
  Diet  and Regimen. — Oatmeal gruel, Avith  sugar  and
lemon-juice; lemonade, in small but often-repeated quantities;
oranges; dry or  milk toast; cold Avater.   Meat,  meat-soups, 
NAUSEA--VOMITING.
267
and  eggs,  are  strictly forbidden.  When  recovering, a few
oysters are allowed.   If  the bowels  are very loose, the acids
must not be used too freely, but very cautiously, if at all.
   Cold baths are beneficial, particularly mornings and even-
ings.  Exercise can be taken, on hills or dry places.

                   Nausea.  Vomiting.
   Nausea and vomiting  seldom occur as solitary symptoms,
except when caused by errors in the diet;  in which case, the
ejection of the noxious substances by vomiting is most benefi-
cial, and ought rather to  be  fostered, by drinking freely of
lukewarm  Avater, than  checked by medicine.   But  when
nausea  or  vomiting is  caused  by,  or connected  with, other
diseases, their respective chapters must be consulted;  where,
generally,  these two, as  prominent symptoms, are mentioned
and prescribed for.
   We will, hoAvever, furnish the  reader here with a  list of
the  most  frequent diseases in  which nausea  and vomiting
exist, and  attach the principal medicines thereto.
   The principal remedies, useful in  most cases of nausea and
vomiting,  are: Antimon. crud., Ipecac, Nux  vom., Arsenic, Ve-
ratrum, Tartar emet., Bryon., Pulsat, Arnica, Cuprum, Sulph.
   Before  time  can  be had, to  select  Avith care the proper
homoeopathic remedy in a case of vomiting, it  is  of no  dis-
advantage, to  give  at  once:
   Ipecacuanha, if the tongue is clear; or
   Antimonium crud., if  the  tongue is much coated, white or
 yellow.
   Then proceed calmly  to study the patient's case and select
 the  proper remedy from the folloAving symptoms.
   If nausea and vomiting is present:
   In preqnant females:  Nux vom., Ipecac, Arsenic, Veratrum.
 (See "Diseases of Females.")
   In drunkards: Nux vom., Arsenic, Opium, Lachesis,  Sulph.
   In consequence of riding in a carriage, sailing, etc.,  Coc- 
268      AFFECTIONS OF THE  STOMACH  AND BOWELS.

cuius, Petroleum, Arsenic, Ferrum, Secale, Belladonna.  (See
"Sea-Sickness.")
  In  consequence  of worms:  Cina, Aconite,  Ipecac, Nux
vom.,  Mercury,  Sulph.,  Lachesis,  Carbo  veg.  (See  "Worm
Disease.")
  In  consequence  of overloaded  stomach: Pulsat.,  Ipecac,
Antimon., Nux  vom., Arsenic,  Bryonia, Rhus tox.,  Sulph.
(See  "Indigestion.")
  After  drinking:  Arsenic,  Ferrum,  China,  Bryon.,  Cham-
omile, Aconite, Arnica, Silicea.
  After  eating:  Pulsat., Nux vom., Bryon., Arsenic, Ferrum,
Sulphur.  (See "Dyspepsia.")
  In  the morning: Nux vom.,  Arsenic, Drosera, Veratrum,
Hepar, Lycopod., Silicea.
  In  the evening,  or at night: China, Arsenic, Nux vom., Fer-
rum,  Silicea, Sulphur.
  After  a fall on the head: Arnica, internally and externally.
(See  "External Injuries.")
  In  connection with a cough: See " Hooping-Cough."
  In  connection with headache:  See "Sick Headache."
  In  connection with diarrhea:  See "Cholera."
   Or, in regard to ejected substances,
  If  blood is vomited (hmmatemesis): Aconite, Arnica, Ipecac,
Nux  vom., Ferrum, Hyoscyamus,  Bryon., China.  (See  "In-
flammation of  the Spleen," "Cessation of Menses,"  and
 "Hemorrhoids.")   Generally,  medical  aid  is  immediately
required, when blood is vomited.  If the blood is very dark,
   Black vomit (melaena), with  discharge of similar blood by
the stool: Veratrum, Arsenic,  China, Ipecac.  (See "Diarrhea,
 Typhus.")
   If  fmcal matter is ejected:  Opium,  Nux vom.   (See "Con-
 stipation," and  "Ileus.")
   If  bile is vomited, of greenish look  and bitter taste: Cham-
omile, Ipecac,  Nux vom.,  Pulsat., Antimon.,  Cuprum,  Vera-
trum.  (See "Biliousness,"  etc.) 
SEA-SICKNESS.
269
   If mucus of a sour  taste or smell: China, Calcarea carb.,
Nux vom., Pulsat., Sulphur.   (See "Dyspepsia.")
   If  watery  substances:   Bryon.,  Ipecac,  Bellad.,  Pulsat,.
Sulphur.   (See "Water-brash," etc.)
   Administration. — Give the  medicine  either  dry,  every
hour or two hours, from  three to  six glob.; or, dissolved in
Avater  (twelve glob, in half a teacupful),  e\ery half hour a
teaspoonful, until better, or until  three  or four  doses of a
medicine  are taken, Avhen another remedy must be  selected,
if the patient is not better.
   Diet and Regimen.—In feverish attacks,  see "Fever."
In all others, see their respective chapters.

                       Sea-sickness.
   This distressing complaint depends greatly on constitutional
peculiarities, to Avhich the remedy  must be adapted.   As the
cause (the motion of the vessel) continues, it is necessary to
repeat the medicine frequently.  It will  be of service  to  be
careful in the diet just before embarkation ;  especially to avoid
rich, fat food.
   Treatment.—The principal remedies are:
   C<>-cuius.   In giddiness, headache,  nausea; the patient
feels better when lying down.
   Nu.r vomica.  The same.   The patient feels better Avhen
not in the open air.
   Pulsatilla.   The patient feels  better in the open air,  on
deck.
   Colchicum.   After Pulsatilla, or Avhen  the smell  of food  or
the scent  of the vessel  sickens.
   Tabacum.   If Pulsatilla or  Colchicum are insufficient,  or
Avhen the patient sickens  at the slightest movement of head  or
body, Avith deadly paleness of the face
   Petroleum.   In cases of great debility.
   Arsenic  If the patient becomes very weak, and  there is
violent retching. 
270      AFFECTIONS OF THE STOMACH AND BOWELS.
   Ipecac.  If there is frequent vomiting, without feeling very
weak.
   For  constipation, during a voyage on sea, give  Opium, Coc-
culus, Nux vomica, Lachesis, Sulphur.
   When constipation is attended Avith a putrid taste and bloody
gums,  give  Staphysag.
   When patients are constipated, and have a longing for acids
and something piquant, give Sepia.
   N. B.  It is well enough  to  provide one's-self on sea voy-
ages with Scotch ale and  herrings; also, lemons; as those
things  are mostly desired by sea-sick  patients.
   Administration.—The same as in " Nausea and Vomitino'."
It is beneficial to take as much exercise on deck  as possible,
whatever the weather may be, although the  patient may not
incline to do so at first.

            Spasms,  and Pain in the Stomach.
    ( Cardialgia, Gastralgia, Neuralgia of the Stomach.)
   Diagnosis.—Spasmodic pains and  contractions  in the pit
of the  stomach, sometimes slight, sometimes of insupportable
violence, and spreading to the chest and back, exciting nausea
and vomitino- • ansruish;  coldness of the extremities, and
eAren faintness; belching up of wind often relieves the patient
for a time, as, also, A'omiting of an acid, limpid fluid, if acid-
ity of stomach or a gouty disposition was  connected Avith  it.
   Causes.—Any derangement of the nerves of the stomach,
either sympathetic, from diseases of the liver, spleen, or pan-
creas, or more directly from long fasting, the habitual use of
ardent spirits, indigestible food ( neAv bread, nuts,  sweatmeats,
chesnuts, cherries, figs, cheese, etc.),  coffee or tea, may cause
this disease; especially if, in addition to  this, the person ex-
poses himself to cold, damp weather, or if he is of a gouty
disposition, which then develops itself on the stomach in this
form ( rheumatism and gout of the stomach ).   Females are
particularly liable to this  disease, which, in  them, appears 
spasms and pain in the stomach.         271
mostly with derangement of the menses, especially after their
cessation  (neuralgia of the stomach), when it is sometimes
associated with fits of  fainting, and  may end in vomiting of
blood.  In such cases, the periodical appearance of the dis-
ease is frequently observed.
   Treatment. — Persons liable to  spasms  of the  stomach
must avoid everything  which  could cause  them  directly,
as mentioned above.   Beside this, they should keep their
feet  warm, and  wear  a woolen shirt or bandage, or  in ob-
stinate  chronic  cases,  a  Burgundy pitch  plaster  on the
stomach.   Above  all,  however, we  recommend to apply to  a
homoeopathic physician,  who, in most cases, is able  to erad-
icate the complaint.   For recent cases,  or in the attack itself,
the following remedies will be found beneficial.
   If a person is liable  to attacks of this kind, he must be par-
ticularly careful in the diet;  he must strictly avoid all crude,
uncooked vegetable substances, such  as salads; also, new
made bread, sweet-meats, cherries, nuts, olives and chesnuts;
cheese must be avoided,  also all kinds  of stimulants, tea,
coffee, Avine, brandies, beer; the use of cold water externally
and internally is recommended.
   We give, first,  a  tabular view, to  facilitate  the choice of
the proper remedy.
   Spasm in the stomach (gastralgia), from
   Abuse of Chamomile tea:  Nux vom., Ignatia, Pulsat.
   Abuse  of coffee:  Nux vom., Ignatia, Cocculus, Chamomile.
   Abuse of ardent spirits: Nux vom., Lachesis, Arsenic, Sulph.
   Indigestion: Pulsat., Antimon. crud., Bryon., China, Carbo
veg., Nux vom.
   Want of exercise,  torpid bowels : Nux vom., Sulph.
   Excess  of  mental emotions,  as  anger,  indignation,  etc.;
Chamomile, Colocynth, Nux  vom., Staphysag.
   Loss of animal fluids, causing excessive debility, such  as
blood-letting,  nursing,  perspirations,  excessive  diarrheas:
China,  Carbo veg., Phosphoric acid,  Cocculus, Nux vom. 
272      AFFECTIONS OF THE STOMACH  AND BOWELS.
   Rheumatism, and exposure to cold and damp weather:  Cham-
 omile, Bryon., Rhus tox., Carbo veg.
   A gouty disposition, or where rheumatism or gout has fallen
 upon the stomach; Ipecac, Bryon.,  Rhus, Nux vom., Sulph.,
 Bellad.,  Calcarea.
   Derangement of the menses, if they are too  slight: Pulsat.,
 Cocculus.  If too profuse:  China, Bellad., Platina, Calcarea
 carb.
   Symptomatic Detail.—Nux  vomica.   This is  one of the
 most important remedies in this disease, and  it is efficacious
 almost in every spasm of the stomach, in the beginning; at
 least there is no risk in giving directly one dose (two, three,
 or four glob.),  as it will procure time  for  cooler  observation
 and a more correct choice, according  to the  symptoms.  If
 Nux vomica does not  giATe  any relief,  Chamomile  or Cocculus
 alternated,  every half hour, if necessary, will be of great
 benefit.   The  pains  requiring Nux vomica especially, are:
 contracting, pressing, and spasmodic,  with sensation  of retrac-
 tion or clawing in the  stomach, with  oppression  of the  chest,
 as  if it  were compressed  by a band, with  pain extending
 into the  back and loins; nauseous accumulation of water in
 the mouth, or vomiting of sour liquid or food during the pain,
 worse after a meal, from using coffee  and ardent  spirits; from
 over-study, creating thereby constipation, piles, hypochondria,
 Avith irascible humor,  hasty and passionate character.  Such
 persons generally are subject to nervous,  pressing headache
 on one side, with unfitness for exertion, palpitation of the heart
 Avith anxiety.
  Administration, see at the end of this article.
   Cocculus.   Often  very  beneficial,  when Nux vomica, or
 Chamomile has given  but temporary relief, or  when there are
spasms in the stomach,  mitigated by  belching  up  of wind;
otherwise, similar to Nux vom.
  Chamomile.  Distension  of the  stomach, with pressure as
from a stone, or as if the heart were being crushed with oppres- 
spasms and pain in the stomach.
273
sion and shortness of breath;  pains are worse at night with
great anguish and  tossing;  momentary  mitigation  by drinking
coffee.  The patient is peevish and irritable;  pains drive him
out of bed.  This remedy suits well to be given alternately
with  Coffea,  and if then no  improvement takes place, try Bel-
ladonna.
   Belladonna,.   Especially where Chamomile was of no avail,
although well indicated, mostly in women of a delicate, sen-
sitive constitution,  at the  time  of too profuse  menstruation,
and  then alternately Avith  Platina, until better.   Bellad.00,
alternately with Coffea0", will  be very beneficial  in this dis-
ease, if the patient is decidedly  better, but  cannot sleep nor
lie quiet.  Belladonna also suits  in such violent pains as to
take  away consciousness, and cause falling down; also great
thirst, but the pain gets worse after drinking.
   Pulsatilla.  Is the principal  remedy in  mild, sad, tearful
dispositions, or  where the menses are tardy,  producing those
spasms.  The pains are shooting;  worse by walking and mak-
ing a false step  ; spasmodic pains in the stomach, caused  by
fasting, or overloading the stomach ; with nausea, vomiting of
food; not much thirst;  pains are worse in the evening, with
feeling of chilliness; frequently  loose  bowels.
   Ignatia.   Frequently after Pulsatilla, and  when there are
pressing pains,  as from a stone, especially after a meal or at
night;  weakness, burning, emptiness in the pit of the stomach,
sensitive to touch ; aversion to food and drink ;  cannot bear
tobacco;  also, pains from mental causes, indignation, etc.; or
suits Avell for persons Avho have the pains from having  fasted
too long.
   China.   Spasms from indigestion,  with SAvelling of, and
painful pressure in, the stomach, Avith rumbling of wind and
flatulency ; spasms after loss of  strength  by blood-letting,
nursing,  diarrheas, etc.
   Carbo veg. Follows well after China, if the  spasms were
caused after eating flatulent  or spoiled food ; also, spasms 
274      AFFECTIONS OF THE STOMACH AND  BOWELS.
occurring in damp and wet Aveather ;  particularly if there is
a painful, burning pressure, with anxiety, worse  on touch or
at night;  or contracting, spasmodic pain, forcing the patient
to bend double,  with  shaking;  worse when  lying doAvn;
heart-burn ; nausea; the very thought of  food sickens him.
   Lachesis.  Pressing pains, ameliorated soon  after a  meal,
but  renewed afterward,  with constipation,  dyspepsia,  and
flatulency.
   Lycopodium.   Compressive pains, ameliorated in bed dur-
ing the night; worse in the morning, after a meal, and espe-
cially in the open air.
   Arsenic   Violent pains  and anxiety  in the cardia and the
stomach; burning and  spasmodic  pains in cardia and  stom-
ach ; vomiting  after  drinking  the  smallest  quantity of liquid;
suitable for spasms in old  people, where cancer of  the  stom-
ach  may be supposed to exist, and in  drunkards.
   Sulphur.  Pressing pains, as from a stone, mostly after a
meal, with  nausea,  Avater-brash, or vomiting; acidity;  throw-
ing up of food; disposition to piles, or accumulation of mucus
in the intestines;  hypochondriacal, whining mood.
   Antimon. crud.   See  " Indigestion."
   Bryonia.   Pressure  as  from a  stone in the  cardia, when
eating,  or after a meal,  with a sensation of swelling in the pit
of the stomach; pains worse by any motion; constipation ;  rheu-
matic pains in the head and limbs.  In alternation with
   Rhus tox.  When the pressure  in  the stomach and  cardia
obstructs the breathing, particularly  after taking cold in  damp,
cold Aveather.  (See " Bilious Rheumatic  Fever.")
   Staphysag.  Spasms  in the stomach after  anger or  indig-
nation.
   Calcarea carb.   Suitable for plethoric persons,  Avith  full
red  faces or for  females  Avho have  their menses very pro-
fusely;  or after  Belladonna has given  partial  relief;   espe-
cially when there is  a sensation of clawing and retraction in
the stomach, worse after a meal, frequently with vomiting of 
GRIPING COLIC--STOMACH-ACHE.           275
food;  disposition to piles, constipation, and palpitation of the
heart.
  Administration.—Dissolve of the remedy selected twelve
globules in half a teacupful of  water, and give, every thirty
or forty minutes, a teaspoonful, until three or four are taken;
then wait  thirty minutes, and,  if not better, select another
remedy, and give it in the same manner, until better.   This
is the  mode of administration in the most urgent  cases.—
When  the pains are not so severe, give the medicine at longer
intervals;  say, from  one to two, three, or six hours, until
amelioration takes place.   In real chronic cases  of  this dis-
ease, give the chosen remedy only evening and  morning  a
dose (four glob.), for two days,  and then wait the same  length
of time, before another remedy is given ; if  better during
that time, no more medicine is  necessary.
  Diet and Regimen.—The same as in "Biliousness," and
"Gastric Derangement."
  Externally, a mustard plaster, or other heating substances,
such as scorched flour, heated  bran in small  sacks, may be
laid on the stomach.   The patient is  advised to remain as
quiet as possible during the paroxysms.

  Griping  Colic.  (Colica; enteralgia.)   (Stomach-ache.)
  Diagnosis.—Pains in  the intestines, more or less violent;
griping, pinching, tearing, or  burning, mostly in the  region
of the navel, yet often spread  all over  the  bowels ;  severe
cases of colic  are accompanied by anxiety and cold  sweat;
stools  either loose or confined ; when the colic pain  is  seated
in  one place  of the  abdomen for a length of time without
moving, danger of inflammation  of  the intestines ensues,
which°is indicated by the pain,  hitherto griping  and pinch-
ing, becoming burning, and fever appearing (see "Inflamma-
tion of the Intestines");  vomiting of sour, bilious phlegm, or
distension of the abdomen, painful to the touch, often attend
the  scA'ercst cases of colic. 
276      AFFECTIONS of the  stomach and bowels.
  Causes.—These are constitutional or acquired by circum-
stances ;  the latter are very many, such as colds, indigestion,
worms, constipation, mental emotions, and occupations which
require persons to work in deleterious metals, such, as lead,
etc.   According to these exciting causes, the  three principal
varieties of colic are,
   1.  Bilious colic, with bilious  vomiting, severe griping, or
shooting or twisting pain in  the abdomen ; at  first relieved
by pressure,  afterward tender to the touch, with painful  dis-
tension,  cold extremities, restlessness, yellowish cast  of the
skin and eyes, the face expressing great anguish.
   2.  Flatulent  or wind-colic, with frequent belching up of
wind, with or without relief; swelling of the abdomen, which
is distended and painful in different places, as the wind accu-
mulates  and  moves  in' different parts of the intestines; the
pains come in paroxysms, and are sometimes very severe.
   3.  Painter's or lead colic, which commences sometimes be-
fore  an attack with general lassitude, wandering pains in the
bowels and  extremities, heaviness in the lower limbs, chil-
liness,  and  depression  of spirits; the  attack  itself exhibits
the same symptoms as bilious colic, except there is not  often
vomiting of bile, but greater pain and  restlessness,  during
which the patient bends fonvard, pressing firmly against the
 abdomen, his extremities  feeling  cold, and  his pulse being
 small and suppressed.
   Treatment.—The  first thing to be done  in any colic, if
it is  at all severe, is the application of a  general warm bath,
during which the patient, sitting in a tub,  the Avarm water
 reaching up to  the pit  of the  stomach,  is  covered  with
 blankets to confine the hot  steam  closely around him;  after
 ten  minutes, he ascends  from the bath and lays down with
 the blankets, without being dried off, and is covered with suf-
 ficient clothes ; the warmth then may be kept  up by putting
 heated bricks or hot Avater flasks around the patient, on the
 spots Avhere he complains the most; a  profuse perspiration 
              GRIPING  COLIC — stomach-ache.           277

will ensue, which relieves the cramp and makes the patient
feel easier at once; it must be kept up until every vestige of
pain has left for some time.   The medicines to be prescribed
below may be given, however, from the commencement of the
pain, and continued  until  relief is  obtained.   We will  now
give in a tabular view the principal  kinds of colic, with their
remedies, the symptomatic details of which may be consulted
below.
  a. Bilious colic:  Nux vom., Colocynth,  Chamomile, Bryon.
  b. Flatulent  or  windy colic: Pulsatilla,  China,  Carbo  veg.,
Cocculus, Nux vom.,  Colocynth, Lycopodium, Sulphur.
  c Painter's or lead colic:  Opium, Belladonna, Platina.
  d. Colic  Avith  obstinate   constipation (see  "Miserere"):
Opium, Nux vomica.
  e. Colic caused by piles or hemorrhoids:  Nux vom., Lachesis,
Pulsatilla, Colocynth, Carbo veg., Sulphur.
  f. Colic from an inflammatory state of the intestines (in-
flammatory  colic):  Aconite, Belladonna, Hyoscyamus, Mer-
cury, Lachesis, Nix  vomica,  Arsenic,  Sulphur.   (See " En-
teritis.")'
  g. Colic  from worms:   Mercury,  Cina, Sulphur.    (See
"Worms.")
  h. Colic  from indigestion (gastric colic) : Pulsat.,  China,
Nux vom., Bellad.,  Bryon.,  Carbo veg.
  i. Colic from  indignation or rage:  Chamomile,  Colocynth,
Staphysag., Sulphur.
  k. Colic from a chill: Aconite, Chamomile, Colocynth,  Mer-
cury, Nux vom.
  I. Colic from exposure to cold, damp weather:  Pulsat., Bryo-
nia, Rhus tox.
  m. From bathing:  Nux vomica.
  n. From external injuries, such as strains or blows:  Arnica,
Bryonia, Rhus tox.,  Carbo  veg.,  Lachesis.
  o. Colic in children principally :  Chamomile, Rheum, Coffea, 
278      AFFECTIONS OF THE STOMACH AND BOWELS.

Aconite, Bellad.,  Cina,  Sulphur.   (See "Diseases  of Chil-
dren.")
  p. Colic in pregnant or lying-in women: Chamomile, Nux
vomica, Arnica, Bryonia, Pulsatilla, Sepia.  (See "Diseases
of Women.")
  q. In hysterical women (nervous colic  of women) : Ignatia,
Nux vom.,  Cocculus.  (See the same.)
  r. Colic at the time of the menses (menstrual colic) : Pul-
satilla, Coffea, Veratrum, Cocculus.   (See the same.)
  s. Colic in persons with low spirits: China, Nux vom., Sul-
phur,  Calcarea carb., Stannum.
  Select first, according to the character of the disease, one
of the  above  remedies, and then  read  its symptoms  in the
following symptomatic  detail.  It will be  seen above that
Nux vom. and Colocynth are the principal remedies in  almost
all kinds  of  colic, and  consequently mostly to be used; Ave
recommend, therefore, the careful study of their  distinguish-
ino* symptoms.  Beside these two medicines, Pulsatilla and
Belladonna will be  found of frequent application.
  Administration of these remedies, see at the end  of this
article.
  Symptomatic Detail.—Nux vomica.  Constipation, hard or
difficult  stool, with pressure in the abdomen as from  a stone;
the colic pain is contractive or compressive, sometimes  pinching
and drawing; pressure at the pit of the  stomach, with  disten-
sion and tenderness of the  abdomen when touched ;  feeling
as if the clothes around the Avaist were  too tight; flatulency
and severe griping,  deeply seated in the abdomen, Avith cold
hands and feet, and sometimes sharp  and severe  pressure  on
the bladder and rectum,  as if Avind Avere  about to escape vio-
lently, forcing the patient to bend double ; beneficial in almost
all kinds of colic, Avhere constipation predominates, or the pa-
tient likes to be quiet,  to sit doubly bent, or to lie down  on
account of violent pains in the loins and head. 
GRIPING colic — STOMACH-ACHE.           279
   Colocynth.  This  is the principal  medicine for colic; vio-
lent, even the most violent cutting, pinching, clawing pains and
stitches  as  if from knives, with excessive  restlessness, agitation
and tossing, sometimes cramp in the limbs, shivering, either no
inclination to stools or violent diarrhea and vomiting of bile or
food,  immediately after eating; abdomen either swollen with
wind, flatulency, or feels very empty; however, very tender, as
from  a bruise.   After  it are suitable,  Chamomile, Mercury,
Belladonna.
   Belladonna.   The colic pains are: swelling and protrusion
like a pod of the  colon  between the pit  of the stomach and
the navel, relieved by pressing upon it or by bending double ;
pain  at the  same place, as if the intestines were grasped by
the finger nails; or  spasmodic  constriction in the  abdomen in
females, with a feeling of bearing  downward as if something
would fall out, similar  to the falling of the womb, or pains
connected with this disorder; general characteristic  for Bel-
ladonna:  congested hot head, red face, severe  pain in the
head, aggravated by movement, cannot  bear the light, feels
dry in the throat, etc.   (See "Materia  Medica.")   After  it
Mercury, Lachesis, or Hyoscyamus, is suitable.
   Pulsatilla.  Shooting, beating  pains   in  the pit  of the
stomach; farther down in the  abdomen a feeling of heaviness
and fullness, with disagreeable tension  and distension, tender-
ness  and pain as if from a bruise when touched; suffering
from flatulency (see this  article),  and consequent colic after
indigestion;  worse when sitting, lying, or in the  evening, with
shivering;  patient feels better out doors, than within; is  in-
clined to, or has  diarrhea; paleface, with livid circle around
the eyes; pressure,  tension,  and  aching in the head.   After it
are suitable, China, Lycopodium, Mercury, Sulphur.
   China.  Excessive distension of the  abdomen, as in tym-
panitis, \;\\h fullness and pressure, as if  from hard bodies;  or
spasmodic constriction; pain, with stoppage of  wind and bear-
ing toward the  hypochondriacal region;  worse  at night, after
       26 
280      AFFECTIONS OF  THE STOMACH AND BOWELS.
errors  in  diet, and in persons  weakened by severe loss of
animal fluids,  such as bleeding,  too heavy perspiration, nurs-
ing, diarrhea, etc.  (See "Pulsatilla.")
   Cocculus.   One of the principal medicines,  particularly in
spasmodic and windy colic, and in  those colics of women
before  or  at the time of their menses (see "Female Diseases);
or when there are constrictive, spasmodic pains in the hypo-
gastrium, nausea, difficulty of breathing, flatulency, and  full,
distended stomach; or a feeling  of emptiness in the abdomen,
with squeezing and tearing in the stomach; nausea; constipa-
tion; nervous  excitability.
   Coffea.   Excess in pain, which drives to despair;  great agita-
tion, tossing, grinding of the teeth; coldness of the limbs;
moaning,  and fits of suffocation.
   Ignatia.  Colic  in  the  night, waking out of a sleep,  with
shooting into the sides and chest; difficult, but relieving dis-
charge of wind; suitable for sensitive and delicate Avomen.
   Hyoscyamus.   Spasmodic  and griping pain, with Aromiting ;
cries;  pain in the head; hardness and distension of the abdo-
men, and tenderness  when touched.
   Chamomile.   Tearing,  drawing pains, with  great  restless-
ness ;  nausea ; bitter vomiting or bilious  diarrhea; incarcerated
wind, with anguish, tension, pressure, fullness in the pit of the
stomach;  one  cheek red, the other  pale; the colic appears
mostly at night, toward  sunrise, or after a meal.  (Pulsat.,
suits after it.)
   Bryonia.   Fullness and  pressure in  the abdomen  after
eating; cutting and stitching pains in the bowels, particularly
after  drinking warm milk; colic  pains with  diarrhea  after
taking  cold,  or  in  the  heat of summer.   Alternately  with
Rhus tox., in  bilious rheumatic  attacks.  (See this article.)
   Rhus tox.   Pressure in the stomach and pit of the stomach;
pain in  the abdomen at  night;  restlessness and  diarrhea of
watery and slimy  substances.   (See Bryon.)
   Sulphur.  Against hemorrhoidal colic, when  Carbo veg. ox 
GRIPING COLIC--STOMACH-ACHE.
281
Mercury has been given without  effect; against bilious  colic,
when Chamomile or  Colocynth was  insufficient;  against flatu-
lent colic, after Chamomile,  Calcarea carb., Mercury,  or  Carbo
veg. was administered; or against worm colic, after Mercury
or Cina  had been given.
   Carbo veg.   Distension and fullness of the  abdomen; diffi-
cult belching  up of wind;  colic after riding in a  carriage;
flatulent colic, with  rumbling in the bowels;  discharge of
wind of  a putrid smell; either constipation, or  diarrhea of a
putrid smell.
   Arsenic   Excessive pain, with great anguish in the abdomen;
intolerable burning, or sensation of cold in the abdomen;  pains
are worse  at night, after eating or drinking; watery or  bilious
vomiting; diarrhea, with thirst, shivering, and excessive debility.
   Veratrum.   Cutting  as from knives in the abdomen, which is
very  tender to touch; burning in the whole  abdomen;  flatu-
lent  colic,  Avith noisy rumbling of wind, which is discharged
Avith  difficulty.  (Alternately Avith Arsenic in severe cases, or
with  Coffea at the time of menstruation.)
    Opium.   Abdomen hard  and  distended;  tympanitis, with
heaviness in the abdomen, as from  a weight (lead or painter's
colic) ;  obstinate constipation,  with vomiting even of  faeces and
urine ; or involuntary stools,  of a dark color and fetid.
   Lachesis.   In spasmodic  and inflammatory colic, when Colo-
cynth, Belladonna, Chamomile, Nux vom.  have  been admin-
istered without effect;  in hemorrhoidal colic, and after mechan-
ical injuries; after Carbo veg., when there is great  weakness,
sinking  feeling, small, quick pulse ; or alternately with Lyco-
pod., if there is great  constipation left.  (See this article.)
   Lycopodium.  In flatulent colic, swelling, fullness, and dis-
tension  of the  pit of the stomach, with colic pain,  incarcera-
tion  of  wind,  which  is not discharged.   (Is suitable after
Pulsat., or Lachesis; see these.)
   Platina.  In consequence^ of fear or anger, or poisoning by
lead, after  Opium and Belladonna;   suitable principally for 
282      AFFECTIONS OF THE STOMACH AND  BOWELS.
females, or when the bodily sufferings disappear as soon as
the mental distresses begin, or vice versa; is afraid  of dying;
cannot  refrain from weeping; contracting pain in the abdomen;
pressure in the stomach after eating;  also a contracting pain,
as  if laced too tight; with a sensation of constant bearing
down.
   Aconite.  Extreme tenderness of the abdomen; much anguish,
restlessness  and tossing,  particularly, when  the pains  are
located in the region of the bladder;  when the  bowels seem
to retract, with frequent but unsuccessful want to urinate.
   Arnica.   Contusive  pain  in the  sides  of  the  abdomen in
pregnant females; pain from lifting in the abdomen; fullness
in the stomach, as if one had eaten too much; stitches in the pit
of the stomach, with pressure back to the spine,  and an oppres-
sion on the  chest, worse after  eating, drinking,  and touch;
stitches in the left hypochondrium, taking away the breath; disten-
sion and hardness of the abdomen, with soreness in the sides;
better  after discharge  of urine;  diarrhea, watery, or from
indigestion.
   Mercury.   Shooting or violent  contracting pains in the  ab-
domen, especially around the navel, with nausea; frequent
desire  to evacuate, or slimy diarrhea;  profuse  quantity of
saliva in  the mouth;  shivering,  with heat, especially in  the
face; abdomen tender to touch;  colic pains, worse  in  the
night; great lassitude.
   Cina.  Colic pains from  worms,  especially  around  the
navel, which is  tender to the touch.  Cina00  in such cases,
every half hour repeated (the dose from two to four glob.),
is more effectual than  the other preparation of Cina  (see
"Worms").
   Rheum.   Particularly in infants, Avhen the  colic is accom-
panied by diarrhea of a sour smell and pressing down before
and after the stool;  or when there are in adults cutting pains
in the abdomen, forcing one to bend over frequently soon after
eating ; worse when standing. 
GRIPING COLIC--STOMACH-ACHE.           283
   Sepia.   Colic pains in pregnant or  lying-in women, or even
spasms, as if the  intestines were  turning  over; cutting pains
after motion; burning and stitches in  the  abdomen, which is
hard and distended; pressure and sensation of heaviness in  the
abdomen, with bearing down; rumbling of the bowels after eat-
ing; constipation,  or greenish diarrhea, especially in chil-
dren.
   Calcarea carb.   Contractive,  gnawing spasms, or cutting
pains in the abdomen;  difficulty of discharging the wind,
with noisy rumbling of the  bowels ; cannot bear the clothes
tight around the hypochondria ; acidity of the stomach, with
vomiting of food, especially in children when teething; light-
ish diarrhea.
   Stan num.   Spasms in the region of the  diaphragm, as in
hysterical or  hypochondriacal persons, with difficulty of eject-
ing  the Avind; constipation,  or slimy diarrhea, and great
Aveakness.  (Compare China.)
   Administration.—Dissolve  tAvelve glob,  of the  selected
remedy in half a teacupful of water, and give every fifteen or
thirty  minutes a teaspoonful, for two or three  times ; then
wait the same length of time before giving another remedy,
if not better; but if the  patient is better, do not repeat  the
medicine as often.   This is particularly the case with Colo-
cynth, which is the  most frequently needed  remedy.  In  the
most agonizing pains, the alternate use of Coffea and Camphor,
in solution, given as  above stated, affords temporary relief,
until other remedies may complete the cure.   In cases Avhere
the pains are not so excessive, the medicines must not be re-
peated as frequently;  say, only from tAvo, three, to six hours
a dose (four glob.)  until better, or  until another remedy is
needed.
   Diet  and  Regimen.—Persons subject to this  complaint
must avoid  all substances which produce it, such  as  kale
(kohl)  and other green  vegetables, acidulated drinks, veal,
etc.   In an attack of colic, give only the mildest nourishment; 
284      AFFECTIONS OF THE STOMACH AND BOWELS.
gruels, toast-water, toasted bread, etc.; no milk, except in
worm colic, when sweet, cold milk, will pacify the worms.
Keep the feet dry and Avarm, also in  wet, cold  weather a
flannel bandage  around the bowels.  In colic from indiges-
tion, a cup of black coffee  immediately taken  is strongly re-
commended.

  Congestion and Stagnation of Blood in the Abdomen.
  That process, by which  disease is generated  and grows,
depends upon certain laws, which in no case appear in more
constant regularity, than in  producing the  different kinds of
congestions.  The three  great divisions of the body—head,
breast, and abdomen—are,  at certain periods of man's  life,
successively, the places for congestions and stagnation.  Thus
the head inclines to be congested in childhood, the breast in
youth, up to thirty or  thirty five years (hence, in  this  period
most all lung-diseases occur), and, finally, the abdomen in
middle age, from thirty five to  old  age  (hence in this  period
so many bowel-diseases,  such as hypochondria, piles, dyspep-
sia, etc., take place).   One of  the most natural  causes for
these diseases is the determination of blood to the abdomen.  We
must not increase, by our mode of living, this  natural  ten-
dency to congestion; as, if neglected or mistreated, its  cure
will be very difficult.
  Diagnosis.— Persons troubled with  this disease have a
sensation of heat and burning in the stomach, together  with
the feeling of heaviness, hardness, and tension in the lower
part of the abdomen.
  Treatment.—Nux  vomica and  Sulphur, are the principal
remedies.
  Nux vomica.   Especially for persons who lead a sedentary
life,  are constipated, have pains  in  the loins, hips, and back,
as if broken and very weak; hardness and tension of the ab-
domen ; cannot bear the pressure of the clothing around the
waist. 
INFLAMMATION OF THE DIAPHRAGM.         285
  Sulphur.   After Nux vomica has relieved partially, in all
cases, even the most obstinate, where constipation, hypochon-
driacal  and hemorrhoidal symptoms are present; Nux vom.,
alternately Avith Sulphur, every second or third  day a dose
(four to six glob.), until four doses of each are  taken, will
generally be sufficient to relieve; if not, repeat it, after an in-
terval of from eight to fourteen days, during which time no
medicine must be taken.
  Arsenic and Carbo veg.   Administered in the same manner,
if there is  great weakness, with tendency to diarrhea  and
flatulency.
  Capsicum.   If the  evacuations, are  soft, trifling,  slimy,
watery, give twice or three times a dose  (four glob.),  until
better.
  Other remedies,  to be used successively, but  slowly,  are:
Pulsatilla,  Sepia, Belladonna, Mercury, Lachesis, Lycopodium.
  Diet  and  Regimen.—Exercise  on foot  and   horseback;
the systematic use of cold water (see "Hydropathy");  reg-
ularity of all habits and cheerfulness of mind are necessary.
  Diet.—See " Piles."

    Inflammation of the Diaphragm.  (Diaphrogmitis.)
  This  disease resembles pleurisy very much ; sharp,  shoot-
ino- pains under the short-ribs ; worse on  pressing between
or below the ribs,  on sneezing, coughing, inhaling, or striking
the body; relieved by bending the body forward  ; frequently
there is hiccough present.
   Causes.—The same as in pleurisy.  We have  only to add,
that external injuries, such as blows, falls on  the ribs directly,
or a jarring of the diaphragm by a jump on  the heels and
feet, or (as in little children it is  often the case) a twisting or
unnatural turning of the body, are the most frequent  causes
of this disease.
  Treatment.—The same as in " Pleurisy."
   The  princioal remedies  are :  Bryonia, Aconite, Nux vom., 
286      AFFECTIONS OF THE  STOMACH AND  BOWELS.
Chamomile.   This latter, particularly in infants and children,
when they  are swollen around  the short-ribs, where the
slightest touch cannot be borne without screaming or stoppage
of breath (see, in "Diseases of Children," "Livergrown").
Nux vom., when Chamomile seems to be insufficient, and there
is extreme constipation.
  If caused by external injuries, Arnica, externally, in  solu-
tion, and  internally, in alternation with Aconite, every  hour
or two hours a dose (six glob.) must  be used until better.
  Administration,  Diet,  and Regimen, the  same as  in
" Pleurisy."

                Abdominal  Inflammation.
  We now proceed to  the inflammations of those organs
which lie between the peritoneum, or that serous membrane
which envelops all  the  abdominal viscera.   The inflamma-
tions of these organs have this one peculiar feature  in regard
to  the  pulse,  that  the  higher the inflammation runs, the
smaller and more suppressed the pulse appears; sometimes it
is only discoverable  by hard pressure.

        1.  Inflammation of the Stomach.  (Gastritis.)
  Diagnosis.— This is a dangerous disease, and ought not to
be treated by laymen; but, on  account of its rapid course, we
feel the necessity of introducing it here, in order to ena-
ble every one to diminish,  or  take  away entirely its danger,
by  applying those remedies which have a  specific bearing
upon it.
   Gastritis  is characterized  by a constant, violent, burning,
and stitching pain in the gastric regions, increased by pres-
sure, respiration, or taking any  kind of  food; beside this,
there are heat, swelling, and  tension, with  pulsation  in  the
region of the stomach; nothing will stay  on the stomach,  not
even pure water; although there is great thirst, yet water is
frequently rejected, because sometimes, beside  other violent 
INFLAMMATION of the stomach.
287
nervous fits and convulsions, hydrophobic  symptoms occur,
with tetanic spasms, great and sudden prostration ;  fainting;
the pulse gets  smaller, more Aviry ;  extremities  cooler, and
the restless  anxiety greater, the higher the inflammation is.
Death takes place, either by gangrene (which  is announced
by sudden cessation of all pain, small, remitting pulse, scarcely
perceptible, hands and feet icy cold), or by nervous paraly-
sis, with spasms and fainting fits, together with  symptoms of
the utmost  debility.   Signs  of  improvement are, when the
pulse becomes larger and broader, the pains less severe, with-
out ceasing entirely,  and the  hands and feet warmer.
  This disease  may, after an improper treatment, pass  into
chronic inflammation, induration, or ulceration of the stomach.
  Causes.—Bilious  diarrheas, if  suddenly checked ;   acrid
poisons taken into the stomach;  abuse of  emetics and ardent
spirits ; transfer of gout;  suppressed  secretions; external in-
juries ;  or drinking of  ice water when heated.
  Treatment.—Aconite is the first remedy to be given, if the
pains are severe, and the  heat great in the stomach,  or when
a chill preceded the affection, or when it was caused by tak-
ing cold drinks when overheated.
  Administration.—Dissolve twelve  glob, in half a teacup-
ful of Avater; give every twenty  or thirty minutes a teaspoon-
ful until ten spoonfuls  are taken; if  then not  better,  select
another remedy, which must be prepared and  given in the
same manner, until better, or another remedy is necessary.
  Bryonia.   Generally after  Aconite or Ipecac
  Ipecac.   After Aconite, if vomiting predominates, and the
disease  was caused by  indigestion, but the tongue is clear.
  Antimon.   Under  similar  symptoms  as Ipecac.;  but the
tongue has a thick coating of Avhite or yellowish mucus.
  Pulsatilla.  After Ipecac,  or Bryonia, or when the disease
was  caused by indigestion,  or a chill in the stomach  from
having taken ice.
  Arsenic.   For a similar condition, but there is a rapid failure
       27 
288     AFFECTIONS  OF THE STOMACH ANU BOAVELS.

of strength, pale, sunken countenance, cold extremities; alter-
nately with  Veratrum.
   Veratrum.  For similar symptoms (see "Asiatic Cholera").
   Belladonna,  and Hyoscyamus, alternately, if nervous, spas-
modic, hydrophobic symptoms appear ; drowsiness, delirium,
loss of consciousness.
   Arnica.   In case  external injuries were the cause of the
disease.
   Nux vomica and Lachesis, in  alternation, if abuse of ardent
spirits caused  the gastritis;  after which,
   Lachesis and Arsenic may be alternated with benefit.
   Cantharis.  In the most violent cases, particularly when
the burning pain is intolerable ; alternately Avith China.
   Opium and Camphor, alternately, if no remedy seems to
ameliorate the case; droAvsiness and stupor,  particularly in
drunkards;  afterward  give other suitable  remedies which
will have a  better effect.
   For gastritis from acrid poisons,  see " Poison."  After the
poison is removed, treat as above.
   For the chronic  form of the  disease, see " Dyspepsia,  Car-
dialgia, Spasms of the Stomach."
   Diet and Regimen.—As during the height  of  the  disease
nothing will stay on the stomach, it is better to offer the pa-
tient nothing  but water; afterward the mildest  gruel, made
of  rice  or  flour,  milk  and water,  buttermilk,   gum-arabic
water, milk toast.   Continue this diet for some time before it
is  changed for a stronger one;  and then only soups and  mild
vegetables.
   Externally  apply,  if necessary, on the  stomach,  fomenta-
tions of hops,  mustard draughts on the feet, and, if possible,
a lukewarm bath.

        2.  Inflammation of the Bowels.   (Enteritis.)
   This disease occurs in two varieties ; either idiopathic, where
no other disease preceded it, or sym]rtomatic, when it  appears 
               INFLAMMATION OF THE  BOWELS.           289

 in  consequence of  other  diseases, such  as "Typhus,"  etc.
 The  former is  very acute, but of rare occurrence, and in-
 volves  in  its sphere the  mucous membrane, as well as the
 submucous tissue and  peritoneal coat — a very painful  and
 dangerous disease ; while the latter, not so acute in its course,
 occurs more frequently, attacking the  mucous membrane of
 the intestines, mostly in portions; being, on that account, not
 so painful  and dangerous, but sometimes leading to ulcera-
 tions of the bowels.
   Diagnosis of  the  idiopathic  or very acute form.—Violent
 burning or pungent pain, permanently on one spot of the abdo-
 men, generally in the region of the  navel; increased by the
 slightest touch or movement; with  tension, heat, and bloat-
 edness of  the abdomen; obstinate constipation; Aromiting of
 slime or bile, finally of faeces (ileus miserere) ; violent thirst,
 yet cold  drinks  do not agree ; sobbing, anxiety;  restless-
 ness ; pulse  small, contracted as in gastritis; urine frequently
 suppressed.
   The fatal  termination of this  disease occurs under similar
 symptoms as in gastritis by gangrene ; the most violent  pain
 suddenly  disappearing, pulse sinking, remittent, impercepti-
 ble ;  involuntary, cadaverously  fetid stools.
   The symptoms of recovery are the same as in gastritis.  In
 regard to  the obstinate constipation which is such  a  constant
 symptom in this disease, we would remark that this does  not
 constitute or cause the disease, but is its natural consequence,
 and disappears  as soon as the  inflammation, by the proper
 remedies,  is reduced.  Any violent attempt, by severe medi-
 cines, to effect a passage, Avould  only add to the inflammation,
 and hasten a fatal result.   The  best expedient for this pur-
pose  is, beside the  medicines  to be mentioned hereafter,
injections  of tobacco smoke, which relieve the pain,  or luke-
warm baths, which destroy the spasms, often remaining after
the inflammation is subdued. 
290      AFFECTIONS OF THE  STOMACH  AND BOWELS.
  Treatment.—Aconite must be used first, as directed in gas-
tritis.  It is the principal remedy as long as the accompany-
ing fever is intense and the skin very hot.
  In severe cases, Arsenic and Veratrum after it, in a similar
manner, as directed in gastritis.
  In less  severe cases, Lachesis, Belladonna, and Mercury, in
alternation, will suffice, if the skin has  become cooler, from
the application of  Aconite, but there still remain great sore-
ness of the abdomen and  intense thirst.
  These  medicines must be  separately dissolved in water
(twelve glob, to  half a teacupful), and  every two hours,
alternately, a teaspoonful  given, until three or four teaspoon-
fuls of each are taken, or until better.
  But in the severest cases, when vomiting of faeces  appears
(ileus miserere),
   Opium must be administered, every hour  a dose ( four
glob.), and if not relieved within six, eight, or twelve hours,
  Plumbum, in the same manner.  It  is in this stage where
injections  of  an  infusion  of  tobacco,  or  injecting  tobacco
smoke, is of  the greatest  benefit; also a lukewarm  bath, to
relax the  whole system, and facilitate a decided reaction.
  Diagnosis of the symptomatic or subacute form. — This is
always a concomitant symptom in typhus, or other malignant
fevers ;  also in  consumption of the bowels.   The  pain of
the abdomen consists of a soreness,  aggravated by hard pres-
sure, and after cold drinks and indigestible food ; the tongue
is red, smooth, sometimes shining; loss of appetite ; thirst
variable ; constant dryness in the mouth and throat; nausea
and vomiting  are  more  or  less present,  the  more  so,  the
nearer the inflamed portions of the intestines are to the stom-
ach.   When the lower parts are more inflamed, which is indi-
cated by the pain  in that region, diarrhea  of a slimy mucus,
often mixed with blood, is present as in dysentery.   This is
particularly the case in the beginning.   Consumption of the 
INFLAMMATION OF THE  LIVER.           291
bowels, such as nursing females are sometimes subject to, see
"Diseases of Females."
  Treatment.—If this disease occurs in typhus or other ma-
lignant fevers, see  their respective  chapters.   In  the com-
mencement  of a typhus,  if  the pain  in  the  abdomen  is
excessive, give a few doses  of Aconite, every two  or three
hours one (four glob.);  after which give Bryonia and Rhus
tox. (in a half a teacupful  of  water, twelve glob, dissolved),
every two hours, alternately,  a teaspoonful.  See  " Typhus
Fever."
  If it resembles a bloody dysentery, after the use  of Aco-
nite  as above, give  Belladonna and  Mercury in alternation
(dissolve of each twelve  glob, in half a teacupful  of water),
every hour a teaspoonful, until better ;  after which Nitric acid
generally suits, particularly if the patient  has already taken
a good deal of calomel;  or Colocynth, if bilious, green matter
is vomited or  discharged by the dysenteric operation.  For
the application of these medicines, and of  Sulphur,  which is
important in this  disease, see "Dysentery."
  If worms are suspected  to be the cause of the inflammation
of the bowels, or are complicated with it, see "Worms."
  If  the disease  resembles  or  runs  into consumption of
the  bowels,  see  "Diarrhea"  and "Diarrhea of  lying-in
Women."
  The chronic form of this disease  requires the same reme-
dies, only administered not so often, because the symptoms
are less urgent.
  In all severe cases of this kind, it would be indispensably
necessary to apply  to a homoeopathic physician,  if  one can
be had.
  Diet, and Regimen, the same as in " Gastritis."

         Inflammation of the Liver.  (Hepatitis.)
  Diagnosis.—This inflammation differs according to its place
in the liver. 
292      AFFECTIONS OF THE  STOMACH  AND BOWELS.
  a. When the surface and the convex, or upper part of the
liver is inflamed, there are in the right hypochondrium some-
times stitches, at other times burning pains, often  as violent
as in pleurisy, shooting to the breast-bone, the right shoulder-
blade, increased by deep respiration,  frequently accompanied
with cough and vomiting;  in this form the patient  cannot lie
on the right side.
  b. When the concave, or lower part, and the  substance of
the liver is  inflamed, there is not so much pain, but more a
feeling of pressing, heaviness, as of a bag lying in that region;
the color of  the eyes and face becomes yellowish, as  if jaun-
dice were present; bitter  taste,  and vomiting; in  this form
the patient cannot lie on the left side.
  In both forms general  inflammatory fever  is present more
or less, and  the region of the liver sensitive to pressure, and
apparently bloated and hot.  The first form may be mistaken
for pleurisy, as the symptoms are very similar; but, as in
such a case  the treatment would be the same, no danger can
result from such a mistake.
  If hepatitis is not well treated, it has the tendency to  pass
into the chronic state, forming ulcerations, Avhich either ap-
pear  externally or  communicate internally  Avith  the intes-
tines or the  lungs, causing inflammation  of these organs; in-
durations, adhesion, gangrene, are also  issues  of  neglected
hepatitis.
  Causes.—Summer heat and hot climate predispose to this
disease ;  also,  the abuse of ardent spirits; beside, it is excited
by  external lesions, concussion of the brain, suddenly sup-
pressed diarrhea or dysentery,  hemorrhoidal congestion, or
strong emetics or  purgatives, the  abuse  of mercury,  the
presence of stones  in  the gall-bladder, indigestion, violent
passion or anger, particularly when immediately followed by
drinking ardent spirits.
  Treatment.—The following are the principal remedies ne-
cessary  for  the acute  form of this  disease:  Aconite, Cham- 
                INFLAMMATION OF THE LIVER.             293

 omile, Bryon.,  China,  Bellad.,  Mercury, Nux vom.,  Pulsat.,
 Sulph., Lachesis.
   For the species a.  are more suitable:  Aconite,  Bellad.,
 Bryon., Mercury, Lachesis, Sulph.
   For the  species o:  Aconite,  Chamomile, Mercury,  Pidsat.,
 China, Nux vom.,  Sulph.
   For chronic affections, such as enlargement  and induration
 of the liver (liver complaint) : Nux vom., Sulph.
   ( Other serious chronic  diseases must be  treated by a  ho-
 moeopathic physician.)
   Symptomatic  Detail. — Aconite.   At the commencement
 of the treatment, when there are violent inflammatory fever,
 shooting pain  in the region of the liver, tossing about, fear of
 death, and anguish; pain seems to be insupportable.
   Belladonna.   Pressing  pains  extending  to the chest  and
 shoulders;  fullness in the  pit of  the stomach and around  the
 short ribs;  difficult and anxious respiration; anxious tossing
 and sleeplessness;  thirst, dryness of  the mouth and throat;
 headache, with  clouded  sight,  and  vertigo,  Avith  fainting.
 Suitable after Aconite, and  alternately Avith  Lachesis or Mer-
 cury.
  Bryonia.   Pressing pains,  with fullness in the  hypochon-
 dria; violent oppression of the chest; rapid and anxious breath-
 ing; tongue yelloAvish  and thickly coated, followed  by fever
 and  thirst; pains  Avorse by movement; constipation.  Suit-
 able after Aconite or alternately with Mercury.
  Mercury.   Patient cannot lie long on the  right side ;  pains
 are pressing and shooting;  bitter taste in the mouth;  thirst
 and  shivering;  skin  and eyes yelloAvish.   After it  Lachesis
 and  Sulphur  are suitable.
  Lachesis.   If Belladonna or Mercury is insufficient, or when
the patient is  in the habit of drinking  ardent spirits.
  Sulphur.   In every case of hepatitis, either at the  end of
the cure, or Avhen the preceding remedies have produced  no
perceptible amelioration Avithin a few days. 
294      AFFECTIONS of the STOMACH and  BOWELS.
   Chamomile.  In hepatitis after taking  cold;  when caused
by violent anger, or when there are dull  pressing pains, not
aggravated  by movement, respiration, or external pressure; yel-
low color of the skin;  pressure in the stomach; gastric bilious
state of the stomach ; tongue coated ; bitter taste in the mouth ;
fits of anguish,
  Pulsatilla.  In hepatitis, from indigestion, alternately with
China; nausea, bitter taste in the mouth, tongue coated; op-
pression  of the chest; tension around  the short  ribs; fits  of
anguish  in  the  night,  with loose, greenish, and  slimy  evac-
uations.
   China.  After indigestion, or Avhen  there is shooting and
pressing, swelling and hardness of the hepatic region ; press-
ing headache; bitter taste in the mouth  and yellowish  coat
on the tongue.
  Nux vomica.   After a fit of passion, or when there is shoot-
ing and beating under the short-ribs of the right side, exces-
sively tender when touched;  nausea, with sour and bitter
taste ; fits of anguish ; shortness of breath, thirst, vertigo, and
headache;  suitable for drunkards, and in  chronic  liver affec-
tions, previous to Sulphur.
  Administration.—Dissolve of the remedy selected, twelve
globules in half a teacupful  of water, and give every two
hours a teaspoonful, until three or four spoonfuls are  taken,
or until another  remedy is indicated by the change of symp-
toms ; as the patient  gets better, lengthen  the  intervals; as
soon  as greatly relieved, discontinue  all  medicine for forty-
eight hours, when one dose ( four glob.)  of Sulphur may be
administered to complete the cure.
   In chronic hepatitis, give of the necessary remedy only once
in twenty-four hours a  dose  (four glob.), for two or three
days; then discontinue  six or eight days before the next rem-
edy is ghren.
  Diet  and Regimen.—No meat  or meat soups  of any kind,
but  farinaceous  substances; rice and oatmeal  gruel, sweet- 
JAUNDICE.
295
 ened and  made  palatable by lemon-juice, lemonade, cold or
 warm, prunes sweetened  or boiled in gruels, baked apples,
 toasted bread, toast-water, cold water alone.  Keep the pa-
 tient quiet and comfortable as regards  temperature.

                   Jaundice.   (Icterus.)
   Diagnosis.—This disease, well known by the  yellow color
 it imparts  to all the white parts of the body, is not to be con-
 sidered dangerous of itself, but becomes  only so by neglect,
 when other serious disorders, hectic  fever, dropsy, etc., may
 follow.  In most cases it is the  result  of neglected liver  dis-
 eases, or is caused by taking cold which affected  the  liver;
 also, by worms or gall-stones, obstructing the gall-duct, or is
 induced by excessive mental emotions.  In jaundice the bow-
 els become constipated, and if faeces pass, they are hard  and
 whitish; the urine is orange-colored,  and the skin dry, or, if
 moist, it is from weakness, and the perspiration imparts a yel-
 low color to the patient's linen.   Sometimes a slight fever ac-
 companies   these symptoms, which increases  toward night,
 remitting or eAren intermitting in the morning; this is the case
 in the milder form.  In the severer forms of this disease, ac-
 companied with high fever, the brain becomes affected, Avhich,
 if not relieved soon, may cause  the death of the patient  (see
 for  the treatment of such a  state, "Inflammation  of  the
 Brain").
   Treatment.—The principal object must be to increase, by
 degrees, the healthy action of the  skin ; the patient, therefore,
 ought to keep warmly covered in  bed in  a Avarm room, and
 take, for the first three or four days, Mercury, morning, noon,
 and night a dose  ( four glob.) ;  if not  better at the expiration
 of four days, give Hepar, in the same manner; but if  signs
 of amelioration appear, give it at longer intervals; this course
generally removes the disease in  eight or ten days, during
which time the patient must keep in  an equal,  warm  tem-
perature and perspiration.   In very obstinate cases, Lachesis, 
 296     AFFECTIONS  OF THE STOMACH AND  BOAVELS.

 Nitric  acid, Sulphur,  may  be given afterward  in  the same
 manner.
   Jaundice, caused by  a fit of passion, requires Chamomile,
 followed by Nux vom.
   If it is caused  by the abuse  of Mercury or  Calomel, give
 China, Hepar sulph.,  Lachesis or Sulphur.
   If a child becomes yellow from having taken rhubarb too
 often or too much, give Chamomile or Mercury.
   If persons are liable to jaundice upon every  trifling occa-
 sion, give Lachesis and Sulphur, every week one  dose (four
 glob.), alternately, to eradicate the disposition.
   If jaundice is complicated with fever, see  "Inflammation
 of the Liver."
   Diet and Regimen, as in "Hepatitis."

        Inflammation of the Spleen.  (Splenitis.)
   Diagnosis.— Sharp,  pressing, or shooting pains  in  the
 left side, below the short-ribs; the spleen on pressure is pain-
 ful, and when pressed upward excites cough  and nausea in
 the stomach, sometimes vomiting of blood; if fever is present,
 it is very high, with all the concomitant symptoms of inflam-
 mation of internal organs.   The region of the  spleen is  en-
 larged and congested.
   Causes. — Similar  to those of inflammation  of the liver,
 beside  the  abuse of quinine or Peruvian bark; also,  living in
 a marshy region causes  congestion of  the spleen, and conse-
 quently inflammation, under  otherwise trifling circumstances.
  Treatment.—We have  an acute and chronic form.  For
 the acute, Aconite, Bryonia, and China are the principal reme-
 dies, to be  administered as directed in hepatitis.
  If vomiting of blood  is present, or sometimes even  the
blood  is discharged  by the  stools, Arnica, Rhus tox., and
 Arsenic, followed by  China, are  necessary, one  remedy after
the other, in the same manner as above.
  For  the chronic form, enlargement, induration of the  spleen 
WORMS.
297
(fever cake), Sulphur, Calcarea carb., Ferrum, Lycopodium,
Carbo veg.  are the  principal  remedies;  administration  as
directed in the chronic form  of hepatitis; but it  is strongly
recommended to procure the aid of a skillful homoeopathic
physician for its treatment.
   Diet and Regimen, as in "Hepatitis."

                         Worms.
   Every part  of  the system can, under favorable  circum-
stances, create and sustain worms, or other imperfectly organ-
ized  animals;  thus, the skin, liver, lungs, kidneys, even  the
brain  and eyes, in  some  animals, are  favorable  places  for
their  generation, the  species of  animals varying according to
the organ attacked.   Worms are most frequently found in
the intestinal canal;  there  are three kinds  of worms met
Avith,  the Ascaris,  or  pinworms  (ascaris  vermicularis), Maw-
worms (ascaris lumbricoides), and the Tapeworm  (taenia), of
which latter there are two varieties:
   a. The broad one (taenia lata), varying from three to twelve
feet in length, seldom  comes away entire, but in joints; and
   b. The  solitary  tapeworm  (taenia  solium),  with long and
slender joints, sometimes reaching  the length of  thirty feet.
   Diagnosis. — It is frequently  not an easy matter to  decide
positively  on the presence of worms in  the system, as most
all those symptoms which could  lead to such a conclusion  are
also met Avith  in other diseases,  save the  one symptom, surest
of all, that is, the  passage  of some  Avorms, or  undoubted
pieces of them.   This uncertainty in the diagnosis  of  the
worm  disease is no less annoying  and  embarrassing for an
allopathic practitioner; as his prescriptions are dangerous, and,
in most cases, without good or  decided result for the little
patient, as with the Avorms their  cause is  not always expelled.
Homoeopathy, on  account  of its guiding principle,  avoids
either of the two  dangerous  issues, and, prescribing  for  the
ostensible symptoms as they reflect the imvard disease, cures 
298      AFFECTIONS OF THE STOMACH  AND BOWELS.
 and  eradicates this surely, safely, and mildly.  Merely  ex-
 pelling  the worms, by remedies which have  no specific bear-
 ing upon the worm  disease, is of no essential use, and requires
 often enormous quantities of poisonous and  dangerous stuff
 before one of the worms is sickened, killed, or expelled. Yes,
 I have seen  the foundation of painful chronic diseases laid
 by the over-medication in the presumed or real  presence of
 worms; there are even cases where children  have died under
 the  operation of those  drugs, which  allopathists  consider
 necessary to apply in such dangerous doses.  The most irration-
 al, nay,  a real lottery business, is the use of those manifold
 nostrums, in the shape of lozenges, sirups, etc., which general-
 ly contain one or  more specific  anti-worm remedies;  for
 instance, worm-seed, or pink-root, which given in small and not
 offensive doses would produce  salutary effects,  but in the
 combination  of dangerous  purgatives expose the little pa-
 tients to death or  misery;  at least, the  smallest  number
 escape unhurt, most of them receiving injuries of the  abdo-
 men, the bad consequences of which  impede not a little the
 future development  of the child.
   Worms, as  such,  are not dangerous.  They have no  teeth,
 and consequently cannot eat children up alive.   It  is  true,
 they  can  and will disturb the  quiet and rest  of a child, and
 make it pick  at the  nose, or cough, or cry out suddenly,  or
 even  have fits, etc.;  yet all this  is  only  produced by the
 worms having been made restless, by the presence of sickness
 in the system, which causes them to touch the walls of the in-
 testines, usually avoided by them—living in and of the mass of
 mucus and other nutritive substances, with which  the system
 had been indiscriminately, and in  too large  quantities  bur-
 dened.   As soon as the system recovers from its own disease,
 either from cold or irregularity of diet, the  worms return  to
 their  usual, unobtrusive quiet again, giving no signs of their
existence, nor causing alarm.  Every person, more or  less,
has worm* without the least injury to the  system.  Neither 
WORMS.
299
is it absolutely the quantity of them which  is the most  dan-
gerous quality  of this disease;  a few worms can  cause  as
many fits, or other spasmodic symptoms, as whole clusters of
them.  It depends altogether on the accompanying disease;
and this it is which we will have  to treat, before we can ex-
pect the  worms  to  leave the  system (Avhich I have  seen
frequently,  after  a dose  of homoeopathic preparation of Sul-
phur), or to be  absorbed (digested and reduced to mucus,
from which they originated).  This  latter  is the most  com-
mon result of homoeopathic  medicines in this  disease.  In
such cases,  the children  show signs of improvement, as soon
as their abdomen becomes  reduced in  size  and hardness;
their  complexion improves,  they become  more  agile,  grow
better in height, and sleep quiet.
   And this result is  always  attained by the judicious use of
homoeopathic medicines  in this  disease, in whatever form it
may  appear;  for instance,  as  fits,  diarrhea, scrofula, etc.
Fits,  occasioned  by worms, are  not  in the least dangerous,
and only become so by unwisely dealing with them.
   The principal symptoms, by which the presence of worms
in the system  is indicated,  are  the  following: the complex-
ion of the patient is pale and  changeable; livid circles around
the eyes; accumulation of saliva in the mouth in the  morn-
ing, and Avhen not having taken nourishment for some  time ;
irregular appetite ; nausea; fetid breath ; great hunger ;  pick-
ing and boring at the nose, with sneezing ; abdomen enlarged,
but not hard; frequent distressing pain in the stomach,  in the
 region of the navel, which forces the patient to draw up  the
limbs against the abdomen, or lie on the stomach when  going
 to sleep ; pupils of the eye dilated; bleeding at the nose ; start-
 ing, as if from fright, during sleep, also grinding of the  teeth;
 disposition to  spasms, and unusual emaciation.   The  surest
 sign, however, is the discharge  of worms,  or parts of worms.
   Sio-ns  of tapeworm, in particular, are :  a sensation,  as  of
 something suddenly rising from the left side into the  throat 
300      AFFECTIONS OF THE  STOMACH AND BOWELS.

and falling back, or as if a lump in  one or the other side was
making an undulatory motion; dizziness, particularly in the
morning, before eating.
  Signs of ascarides, or pin-worms, especially,  are :  itching
in the  anus, more in the  evening or at night; difficulty of
making urine ; tenesmus;  apparent hemorrhoidal complaints ;
discharge of mucus  from  the rectum,  bladder,  or  vagina
(fluor albus).
  Signs of maw-worm, or lumbricus, particularly, are : all the
above  general  symptoms  of  worms, but frequently stomach-
ache, which is relieved after drinking sweet, cold milk.

         Diseases Caused by the Presence  of Worms.
  Infancy is the age, Avhen,  on  account  of the  general  pre-
dominancy of nutrition, laxity and weakness by accumulation
of mucus in the intestines  preponderate  ; and consequently,
those remote causes  for the generation of worms, which  may
be favored even by  circumstantial ones,  such as flabby  con-
stitution of the child, damp habitation, and other  epidemical
and endemical influences.
  This variety of the remote  causes of worms gives rise to an
equal variety of diseases, flowing from the  same  source  (the
worms), yet different, according to their  exciting  causes.
Thus these diseases vary, from the most trifling illness, to the
most severe colics, and dangerous fevers.   The Avorms create,
operating on the nervous  system by sympathy,  convulsions,
all kinds of spasms, epilepsy, St. Vitus' dance (chorea), som-
nambulism, periodical paralysis, insanity, fury.
  On the vascular  or  blood system: fevers,  congestions to
boAvels, hemorrhages, eruptions on  the skin, appearing in ir-
regular blotches of a scarlet color.
  On the reproductive system (the intestines themselves): pains,
spasms, increased secretion and accumulation of mucus, diar-
rhea, dysentery, Avorm colic.
  Treatment.—The principal remedies for the diseases  pro- 
DISEASES CAUSED BY WORMS.
301
duced by worms on the nervous system, as above stated, are :
Ignatia, Cina"c,  Nux vomica, Hyoscyamus, Belladonna, Spigelia,
Sulphur.
   On the vascidar or blood system: Aconite, Belladonna, Hyo-
scyamus,  Cina, Ferrum, Mercury,  Sulphur, Silicea.
   On the reproductive system, or the intestines: Aconite, Bella-
donna, Cina  and Cinacc, Mercury, Sulphur, Spigelia.  (For
the detail of these medicines, see below.)
   Especially against  tape-worms, the most suitable remedies
are :  Mercury, and  Sulphur, to be given every  four or  six
days, alternately, a dose (six glob.), after which Calcarea carb.,
Graphites, Stannum, may be given in the same way, if neces-
sary.  If not then relieved, apply to a homoeopathic physician.
   Against ascarides  (pin-worms):  Aconite and  Ignatia,  or
China and Mercury, or Calcarea  carb., and Ferrum, or Cina
and Sulphur, alternately, every second  or third evening  a
dose, until better.  An injection every evening of an ounce of
pure sweet oil (Olive oil), without any other admixture, is an
excellent  adjunct  against these troublesome  worms.  The
ascarides lodge never higher up in the abdomen than  the rec-
tum ; therefore, can be expelled easily, or killed.
   Against maw-worms,  or Avorms in  the  intestinal canal, are
generally  appropriate:  Aconite,  Belladonna-,  Hyoscyamus,
Mercury, Cina, and Cina00-, Sulphur, Silicea, Spigelia, Fer-
rum, Ignatia, Nux vom.;  but in particular diseases caused by
maw-Avorms, as follows:
   a.  For colic, with fever:  Cina00, Aconite, Belladonna, Hyo-
scyamus, Mercury.
   b.  For colic with convulsions:  Cina00, Belladonna,  Hyoscy-
amus.
   c.  For colic with diarrhea and voracious appetite:  Spigelia,
Nux moschata.
   d.  For fever: Aconite, Spigelia, Silicea.
   For diarrhea, frequent but  small  stools, mostly at night,
 pale face, and listlessness, require : Nux moschata, 
302      AFFECTIONS OF THE  STOMACH  AND BOWELS.
  For slow fever, in scrofulous children : Silicea.
  Symptomatic Detail.—Aconite.   In the commencement of
all  cases, where  considerable  fever" exists; restlessness  at
night;   irritability of temper; also, in cases without fever,
when there is, from the presence of ascarides, continual itch-
ing and burning  at  the  anus; and  then  alternately with
Ignatia.
  Administration.—In fever,  every  two or three hours  a
dose ( infant children above one  year of age three glob.),
repeated two  or three times, until  the fever  abates, when
another  remedy will be necessary.   In cases of  ascarides,
alternately with Ignatia, every evening a dose (two or three
glob.).
  Ignatia.   In pin-worms,  or ascarides  (see  Aconite).   In
maw-worms, when there are spasmodic twitchings in the mus-
cles of the arms, as if the  St. Vitus' dance was commencing.
In this latter case, alternately with Sulphur, every evening a
dose (two or three glob.).
   Sulphur.   At the end  of every case  of worm  affection,
after other remedies have either subdued the fever, or miti-
gated the nervous symptoms.   Give every evening  one dose
(two or three glob.), for three evenings, and then wait from
six to  eight days, before  another remedy  is applied, or the
same repeated, if necessary.
   Cina.  This is  one of the most  important  remedies, par-
ticularly when there is boring  at the nose, fever (after the
application  of Aconite);   irritability;  restlessness  at night;
desire for things which are rejected when offered; pale, bloat-
ed  face, with livid circles around  the eyes ;  craving for food,
even after a meal; the child wants bread, potatoes, and other
gross victuals ;  cholic ; griping ;  distension and hardness of
the abdomen ; discharge of pin and large worms ;  diarrhea;
weakness of the limbs; the child  cannot stand any more on
its  feet; spasmodic movements in  the limbs.
   Administration, see Aconite. 
DISEASES CAUSED  BY WORMS.            303
   Cina00.  When the children  are very nervous, cry out  in
their sleep, or have severe colic pains, give every one or two
hours a  dose (two or three  glob.), until better, or another
remedy is necessary.   Where children cry out in the night,
groan, and are  restless, give every  evening  only one dose
(two or three glob.),  until better.
   Spigelia.   In severe cases of worm colic, fever, and diar-
rhea, with craving appetite and chilliness, or where the symp-
toms appear  regularly at the same time of the day.
   Administration in  acute  cases, the same  as  Aconite  in
fever.  In chronic cases, every evening a dose (two or three
glob.).
   Hyoscyamus.   In worm fevers, when the patients are very
nervous, restless, cry out, want to run off, and stool or urine
passes off involuntarily.
   Administration as in Aconite.
   Belladonna.  Worm colic after the  administration of Aco-
nite, when great pains remain in the stomach, which are re-
lieved by lying on the bowels, starting in the sleep, sensibility
to  light, headache;  on awaking,  the child  does not know
where it is,  etc.   Particularly useful in scrofulous children,
with  distended  abdomen  and red  cheeks,  or  where  red
blotches, like erysipelas, appear on different parts of the body.
In such  cases, in alternation with, Silicea.
   Administration in  acute and chronic cases,  the  same as
Aconite.
   Mercury.   In worm diarrhea, swelling and  hardness of the
abdomen, and when  there is unusual flow of  saliva from the
mouth.
   Administration as  in Spigelia, after which it is suitable.
   Nux vomica.   Worm symptoms with constipation (the child
has frequent, but insufficient calls to stool), and irritability.
   Administration as  in Mercury.
    China.  In worm  diarrhea, when it  has  already  lasted
some  time; distension  of  the  abdomen;  debility; great
        28 
304      AFFECTIONS OF THE STOMACH  AND BOA\rELS.
appetite ; pains in the stomach after every meal.  Suits well
in alternation with  Veratrum,  particularly when the stools
are light colored.
   Administration as in Mercury.
   Ferrum.  When there is  vomiting and accumulation of
Avatery fluid in the mouth.
   Silicea.  If a worm fever  assumes the slow, chronic form,
with or without  diarrhea, particularly in scrofulous children.
   Administration as in Sulphur.
   Diet  and Regimen.—In  worm  fever, adhere to the diet
recommended for common  fever.   In severe worm colic, give
as a palliative, cold, sweet  milk, from time to time.   In diar-
rhea, avoid acids,  fruits, and  all  indigestible  articles; give,
rather, soups of mutton or  lamb, with rice.   Avoid, in chronic
worm diseases, heavy, gross nourishment, such as  too  much
bread and butter, potatoes,  heavy puddings,  pies,  raw  or
boiled vegetables;  but meat-soups  of any  kind, meat, roasted
or broiled, plenty  of cold water and milk,  are good.  Beside,
bathing  in cold water, and  exercise in the open air.   (See
"Hydropathy.")

                Constipation.  Costiveness.
   This term must not always be taken  in  the  absolute sense
as a diseased state of the bowels ;  as there are persons who
naturally have only every  two or three  days an evacuation—
a habit which frequently promotes  rather than disturbs gene-
ral health, if the  latter is not interfered with by an  unwise
use of medicines, such as  taking pills or aperients of a dras-
tic or saline nature.  As a general rule, we  can consider it
the normal state of the bowels, to  have one evacuation every
day.  This ought to become a fixed  rule and habit, as it fre-
quently corrects costiveness of the bowels, without the use
of any medicine.
   Some occupations of life predispose to costiveness, particu-
larly those which allow but  little  exercise.  Persons, under 
constipation--COSTIVENESS.
305
such circumstances, must abandon these occupations, if possi-
ble, for a length of time, take a great deal of exercise in the
open air, change the diet (see below), and make use  of cold
water,  externally and internally, in large quantities  (see
"Hydropathy").   Nothing is  more  injurious  than the con-
tinued use of medicinal aperients.  They render the bowels,
in  time, more  costive  and  torpid.   The  best expedient for
facilitating an immediate action on the bowels, if wanted, is
an injection, either of cold water, if the person otherwise is  in
health or the patient prefers it, or lukewarm water, sweet oil,
or lard,  and a small piece of castile-soap dissolved in it, if the
constipation has been very obstinate, or a quick evacuation is
wanted,  as in children, when they have fits, etc.
   In most cases of acute diseases, constipation is only one of
the many symptoms  constituting the  disease—not the disease
itself; because it disappears as soon as the whole  complex of
symptoms has been taken away.*
   If, however,  constipation is the  only or principal symptom
in a disease, as in miserere, lead colic, etc., we have remedies

  * One of the most striking cases of this kind, showing in a high  de-
gree the truth of the above statement, presented itself to me a few years
ago, in a lady who had been persuaded to take castor oil, three days
after her confinement, although in former cases of this kind she always
had suffered very much  after its use, from  irritation of the intestines.
After the  administration of the castor oil, a violent and painful diarrhea
appeared, threatening  fearful consequences for the life of the patient.
This was, however, soon removed, by the exhibition of China, Mercury,
and Pulsatilla, and her health decidedly  improved, from day to day,
her appetite and strength returned, and she moved about as if she was
well; yet there was no disposition for evacuating, until on the twenty-
second day after the last evacuation, when it appeared, without any arti-
ficial means, in a perfectly healthy condition.  During the eight days
previous to it, the patient  had been allowed a good nourishing diet,
and enough of it, too.
  I have frequently had cases where patients had  no evacuations for
eight, ten, or twelve days; but I never have experienced their suspen-
sion for twenty-two days, except in the above case. 
306      AFFECTIONS OF THE  STOMACH AND BOWELS.
which combat  it more safely and  successfully than all  the
aperients commonly used.  Cases of this kind, however, must
be treated by experienced homoeopathic  physicians.
  Treatment.—We will now give first a tabular view of  the
causes and complications of constipations, with their principal
remedies, the  detailed symptoms  of  which follow  below.—
These must be  consulted before a selection is made.
   Constipation  in general, or a disposition for it:  Bryonia, Nux
vom., Lachesis,  Lycopodium, Sulphur, Sepia.
  In persons who lead a sedentary life : Bryonia, Nux vomica,
Sulphur, Opium, Platina, Lycopodium.
  In drunkards : Lachesis, Nux vom.,  Opium, Sulphur.
  In old persons, or those  of  weakly  constitutions,  where
constipation often alternates  with  diarrhea:  Antimon. crud.,
Conium, Opium, Phosphorus.
  In pregnant women: Nux vom.,  Opium, Sepia.
  In nursing infants : Bryonia, Nux vom., Opium, Sulphur.
  In lying-in women: Bryonia, Nux vom.
  In consumptives:  Stannum, Silicea, Sulphur.
  By traveling  in a  carriage: Platina,  Opium.
  During sea-voyages :  Cocculus, Nux  vom., Silicea.
  From poisoning by lead:  See "Painter's Colic."
  From abuse of  purging  medicines:  Opium, Nux vomica,
Lachesis.
  From abuse  of quinine:  Pulsatilla,  Carbo veg.,  Veratrum.
  Symptomatic Detail.— Bryonia. In all  recent  cases of
constipation during fevers or  bilious attacks, where headache,
chilliness and  rheumatic pains  predominate; particularly,
also, in warm weather; the patient is  of a  nervous, irritable
temperament.  After it, or in alternation with it, Nux vomica.
  Nux vomica.   Is  of the most frequent application in hypo-
chondriacal persons, or those suffering  from piles; also, after
derangement of the stomach, when there is frequent but inef-
fectual  effort to  evacuate, or a feeling as if the anus were
closed or contracted; ill humor, fullness of the head, cannot 
CONSTIPATION--COSTIVENESS.
307
bear the clothes tight around the waist.  After it, or in alter-
nation with it,  Sulphur.
   Sulphur.  In all cases of habitual costiveness, or where Nux
vomica was insufficient.
   Opium.   In all cases where there  is great torpidity of the
bowels, and a feeling as  if the anus  were  closed, but without
the frequent and ineffectual efforts to evacuate, as is the case
in Nux vomica; the patient only feels full in his  bowels, has
congestion to the head, with dark redness  of the face,  slow
and full pulse ;  this remedy is of frequent application in  chil-
dren, old persons, pregnant women,  drunkards, and hypo-
chondriacal persons.
   Sepia.   In cases where there are,  beside  constipation,
flashes of heat, sick-headache, a pressing down, particularly in
pregnant women, or where Nux vomica,  Opium, and Sulphur
have been  insufficient.
   Platina.   In nervous females, and weakly hypochondriacal
persons, where  the stool only appears  in  small pieces, fol-
lowed  by tenesmus and tingling in the anus ; shuddering, and
a sensation of weakness  in the abdomen ;  sometimes,  also, a
constrictive pain in the abdomen, and  ineffectual desire to
evacuate.    Compare Nux vomica.
   Lachesis.  A very useful remedy in obstinate constipations
during fevers, particularly where abscesses of internal  organs
are existing or presumed to exist, as  in the liver, mesenteric
glands, etc., or in alternation with
   Lycopodium.  Where an obstinate disposition  to constipa-
tion is present, from constitutional  causes,  such  as scrofula,
Avhich  had fallen on the bowels after it disappeared from the
skin, etc.;  if, in such cases, these two remedies  remove the
costiveness, but the disease attacks  the  lungs and produces
cough, which is worse when a part of the body gets cool by
exposure, give Hepar sulph.   See "Dyspepsia."
   Antimon. crud.   In  cases where constipation and diarrhea 
308      AFFECTIONS OF THE  STOMACH AND BOWELS.
alternate, if one ceases the other sets in; the stools are never
regular.
  Phosphorus.  If Antimon.  is insufficient, or when the pa-
tient is of a consumptive habit, or has the consumption.
  Stannum.  If Phosphorus  does not  suffice, or when there
is frequent but ineffectual desire  to evacuate, particularly in
consumptives.
  Silicea.  Same as  Stannum, when this is insufficient, or in
children whose stomachs are distended and  hard, indicating
worms or  swollen glands;  also, in  dyspeptic persons, with
heart-burn, sour taste in the mouth, etc.
  Cocculus.  See " Sea-sickness" and " Colic."
  Conium.  For old and weakly persons, who  are  troubled
with frequent but  ineffectual efforts to  evacuate (after Nux
vomica); also, in  scrofulous  children, where the  mesenteric
glands are  swollen (after Silicea), particularly accompanied
with soreness of the abdomen.
  Pulsatilla.   In similar cases, where Nux vomica would suit,
but the temperament is  mild and phlegmatic; or after de-
rangement of the stomach by fat food, the patient appearing
morose  and  silent; also, after  abuse of quinine, either with
or without the return of the  fever and ague,  and then in alter-
nation with
  Carbo veg.  This remedy, particularly, Avhen persons have
become very much debilitated, complain of rheumatism, piles,
or have the consumption.
  Veratrum.  After  Opium, Avhen there is great torpor in the
bowels, deficiency of expulsive power ; or where  the abdo-
men becomes very tender to the touch (and then in alternation
with  Arsenic); see  "Bilious  gastric Fevers;"  also, after
abuse of quinine, Avhen there is great congestion to the head
and hypochondriacal feeling.
  Administration.—In cases where constipation exists as the
only troublesome symptom,  give the  medicine selected in 
           DIARRHEA--LOOSENESS OF THE  BOWELS.       309

 quick succession and large doses; for instance, Nux vomica,
 every three  or four hours a dose (six to eight glob.) for one
 or two  days, until  relief is obtained, or  another  remedy is
 chosen; or Lachesis and  Lycopodium, in alternation, three
 times a day a dose (six glob.); but where  constipation is
 habitual or constitutional, the remedies must be administered
 at longer intervals ; for instance, Nux vomica, every evening a
 dose (four glob.), for three or four days ; then discontinue an
 equal length of time  without  taking  medicine, after which
 either repeat it or select another remedy, if necessary, which
 in most cases will be Sulphur.
   Diet  and  Regimen.—These  are  important agents in the
 cure of constipation; first of all is the habit of attending to
 the  calls of nature carefully and regularly, at a certain time,
 say  after breakfast, though there should be  no actual result
 from it; secondly, the  careful avoidance  of all nourishment
 which is confining in its  character, such as salted meats, cheese,
 rice, wheaten flour, except these things are  mixed in a  suf-
 ficient quantity with their opposites, such as  have  a loosening
 quality, fresh meat, and soups made of it, green  vegetables,
 and fruits, except almonds or nuts.   But the chief promoter
 of a healthy action on the bowels  is the frequent and liberal
 use  of cold water, internally and  externally, with  bodily ex-
 ercise in the  open  air; see "Hydropathy."   The cold  and
 ice water can be drank freely during and after a meal, without
 the least inconvenience, and ought to be preferred to the  use
 of wines, brandies, tea or coffee.

          Diarrhea.   Looseness  of the  Bowels.
   This complaint varies so much in regard to  time of duration,
form, and cause,  that we are obliged to give  here a general
view of its  varieties.  It is either recent, lasting only for a few
hours or days, or is chronic, lasting for months or years.  The
discharge itself may vary  as regards consistency or character,
either watery, fluid, fecal, slimy, mattery, bilious,  or  bloody 
310      affections of the  stomach AND BOWELS.
(see "Dysentery").  Sometimes a diarrhea is dangerous; at
other times salutary, as in biliousness or  after indigestion
(see these articles).  In general, however, the popular idea
of the harmless or beneficial nature  of diarrheas, which the
common  practice of the old school of medicine has  freely
propagated, must be restricted, in so far  as any diarrhea is
of itself an indication of a diseased state of the intestines, and
no  disease  ought to be  created or wished for where we
can do without it.   It has been, and is yet, to a great extent,
a common expression that a good cleansing  of the bowels is
necessary, etc.; now, these ideas, when carried out in practice,
lead sometimes to awful consequences, while the good which
they may occasionally produce  might have been obtained by
mild and rational means.   See  " Constipation" and "Bilious-
ness."  On the other hand, it is just as dangerous to  stop  a
diarrhea suddenly by violent means, such as brandy, paregoric,
or astringents generally, as thereby the disease is not  cured,
but merely its natural outlet stopped; as if  an ulcer could be
cured by covering it over  to  confine and hide the matter,
which it has to discharge.  It is  always fortunate if such  a
diarrhea reappears.
  Treatment.—We will now give first a general view of the
varieties  of diarrhea, as regards causes,  form,  and appear-
ances, with their principal remedies, whose detailed symptoms
may be found below, and must be consulted before a  choice
is made.
  Diarrhea without pain:  China, Phosphoric acid, Ferrum,
     Secale.
  With griping or colic pain : Mercury, Colocynth, Chamomile,
     Rheum, Pulsatilla, Bryonia, Rhus tox.,  Arsenic, Sulphur.
     ( See "Bilious colic")
  With tenesmus, during or after the discharge, in the anus:
     Aloes,  Ipecac, Mercury, Belladonna, Nva vomica, Sul-
     phur.  ( See " Dysentery." ) 
DIARRHEA--LOOSENESS  OF THE BOWELS.       311
With vomiting: Ipecac, Veratrum, Arsenic, Rhus tox.   ( See
   " Cholera.")
With debility:  China,  Arsenic,  Ipecac,  Veratrum,  Secale,
   Phosphorus.    (See  "Cholera Morbus" and "Asiatic
   Cholera.")
Of mucus and blood: See "Dysentery."
Of bile :  See " Bilious gastric Derangement;" beside, Aloes,
   Bryonia,  Rhus tox., Arsenic, Mercury, Pulsatilla.
Of watery (rice-water) liquid:  see "Cholera Asiatica."
After eruptive fevers, such  as small-pox, scarlet, measles,
   etc.:   Pulsatilla, China, Phosplioric  acid, Arsenic,  Sul-
  phur.
After sudden mental emotions: after joy:  Coffea, Aconite,
   Pulsatilla; after fright:  Chamomile, Veratrum; fear of
   cholera,  or  other dangers:  Chamomile;  after  grief:
   Phosphoric acid, Ignatia;  after anger:  Colocynth, Cham-
   omile,  Nux vomica.   (See "Mental Diseases.")
After indigestion: from  partaking  of milk: Bryonia, Sul-
  phur;  of  acids or fruits : Lachesis,  Pulsatilla, Arsenic;
   of other  indigestible  substances, fat meats, etc.,  China,
   Pulsatilla, coffee without milk.  ( See  "Indigestion.")
After the abuse of drugs : of Mercury or calomel:  Hepar,
   Pulsatilla, China, Carbo veg., Nitric acid;  of  magnesia:
   Pulsatilla, Rheum;  of rhubarb:   Pulsatilla,  Mercury,
   Colocynth; of tobacco: Pulsatilla, Chamomile, Hepar,  Vera-
  trum;  of  quinine:  Pulsatilla,  Carbo veg.
After cold or iced drinks: Pulsatilla, Carbo  veg., Arsenic.
After taking cold, cold  on  the bowels: Dulcamara, Cham-
   omile.
In summer:   Bryonia, Mercury, Arsenic.
In  autumn  and  spring, during  the  changeable weather:
   Bryonia,  Rhus tox., Dulcamara,  Carbo  veg.
In weak and exhausted persons:  see "With Debility."
In consumptive persons :  China, Phosphorus, Calcarea, Fer-
   rum.   ( See '' Consumption.")
     29 
312      AFFECTIONS OF THE STOMACH AND  BOWELS.
  In chronic diarrhea, of a scrofulous character : Iodine, Phos-
    phorus.
  In  aged persons:  Secale,  Antimon. crud.,  Bryonia,  Phos-
    phorus.
  In pregnant  and lying-in females:  Phosphorus, Antimon.
    crud., Dulcamara, Pulsatilla, Sepia, Rheum.  ( See "Fe-
    male Diseases.")
  In  children—by  worms, teething,  and  scrofula : see these
    articles.
  Symptomatic Detail.—Antimon. crud.  Watery diarrhea,
from disordered stomach, with foul tongue and nausea.
  Aloes.   Bilious papescent stools, the whole body becoming
hot during the  evacuation, with a feeling of  sickness in the
region of the liver; evacuations  of fecal matter, bilious, not
watery, not very profuse, having a peculiar putrid smell.
  Dulcamara.   In most all  diarrheas from  taking  cold, or
when there are greenish, or yellowish, slimy,  or watery evac-
uations, particularly at  night,  with colic and griping pains in
the region of the  navel; great  thirst, nausea, debility,  and
restlessness.
   Colocynth.   Bilious or watery diarrhea, Avith  severe  cramp-
like pains (see  "Bilious Colic" and "Dysentery");  or after
Chamomile, when caused by anger or vexation.
   Chamomile.  Bilious, watery, or slimy diarrhea, of a green
(grass-green)  or  yellowish white,  curdled appearance,  like
scrambled eggs,  Avith or without vomiting of bile (see "Bilious-
ness"); griping, tearing colic;  distension and hardness of
the abdomen;  fullness in the  pit of the  stomach, and  under
the short-ribs ;  bitter  taste in the mouth ; this  medicine is par-
ticularly useful in diarrheas from cold, fear, anger, vexation,
and in those of infants  (see "Diseases of Children"), when
they draw up the legs, cry, toss about, Avant to be carried, etc.
  Rheum.  Sour smelling evacuations, Avith ineffectual effort
before and after, at  the same  time contractive colic in  the ab-
domen, and  shuddering when  evacuating;  grayish  brown 
DIARRHEA--LOOSENESS OF THE BOWELS.       313
evacuations, mixed with mucus; very useful in diarrheas of
infants, particularly when they cry, toss about  (see Cham-
omile), and in diarrheas of lying-in women.
  Ipecac.  Diarrhea of fomented evacuations, greenish,  yel-
lowish, putrid, bloody  or  slimy; dysenteric, when there are
discharges of white flakes, and great tenesmus (see  this ar-
ticle), or diarrhea with vomiting (see " Cholera  Infantum,"
"Cholera Morbus," and "Asiatic Cholera").
   Veratrum.   In all diarrheas resembling the different varie-
ties of cholera (see  these articles); or where there  is  great
debility or griping pains, as if knives were cutting the intestines,
which happens often in fevers.
   Secale.   In cholera, or when painless evacuations are at-
tended by great  weakness; in  old people, particularly females,
where  drowsiness  ensues,  in  alternation  with  Belladonna.
(See "Cholera Asiatica.")
    Carbo veg.  In cholera (see this article), or where there
are thin, light-colored evacuations, of  a putrid or fetid  smell,
particularly in children;  or after taking cold in wet weather;
also, after abuse of quinine, in alternation with Pulsatilla.
   Arsenic.   Burning evacuations, Avith severe colic pains, alter-
nately  with Veratrum;  or fetid, putrid, indigested diarrhea,
alternately with  Carbo veg.; or watery, slimy, burning evacu-
ations,  principally after  midnight, when Dulcamara  or  China
have afforded no relief; or in cholera (see this article).
   Bryonia.   Diarrhea  from  the  heat  of  summer  (summer
complaint of children), or  where  bilious rheumatic  (see this
 article) symptoms accompany the bowel complaint, alternate-
ly  Avith Rhus tox.
   Rhus tox.   In cholera infantum (see this article); or in
bilious rheumatic disorders.   See Bryonia.
   Pulsatilla.  In all diarrheas from indigestion  or disordered
 stomach,  where, after some  griping  pain, watery,  green, or
bilious slimy stools  appear, particularly at night; sometimes
the color changes,  frequently from  yellow to white,  or the 
314     AFFECTIONS  OF THE STOMACH AND BOWELS.

discharge is mixed Avith blood; bitter taste in the mouth, and
foul tongue; in diarrhea from abuse of quinine and calomel.
   Mercury.  In critical diarrhea after fevers or bilious states
of the stomach, when it threatens to become too debilitating
and irritating;  this  critical diarrhea  generally commences
with griping pain and  rumbling of the bowels, after which a
copious, bilious, slimy,  and frothy evacuation of a very fetid
smell follows, with signal relief; yet this may recur in a short
time after, and finally,  if not relieved by Mercury, run into a
dysentery.   Mercury suits for almost  any diarrhea when  ac-
companied with griping in the  bowels before, and tenesmus
or burning in the anus  after the discharge.
   Nitric acid.  Diarrhea after  taking  too  much calomel or
mercury, particularly when the stools are bloody, with tenes-
mus at the anus, sometimes of a fetid smell.
   Nux vomica.   Frequent but scanty evacuations of watery and
greenish, lightish  substance, with colic  and  tenesmus,  and
then in alternation with Mercury.
   Ignatia.  Diarrhea of a bloody slime, Avith  rumbling in
the bowels, or after continued grief.
   Belladonna.  Frequent, small evacuations of mucus, some-
times with fever heat in the head, pressing down (see  "Dysen-
tery");  or in  those congestions to the head which  follow
severe  diarrheas, or accompany them in  old persons,  and
then in alternation with Secale.   (See this remedy.)
   Hepar sulph.   In  diarrheas of children, when they smell
sour, are lightish, greenish, yellowish, bloody,  slimy, and like
dysentery; also, in those of nursing women.   (See  "Diseases
of Females.")
   China.  Diarrhea after eating (lienteria),  or in the  night;
also, when it is very debilitating, Avith rumbling in the abdo-
men.  (See " Cholerina.")
   Phosphoric acid.   Diarrhea  without pain, after grief and
distress of mind;  or when it  passes involuntarily.   (See
" Cholerina.") 
DYSENTERY--BLOODY FLUX.
315
  Ferrum.  Painless evacuations after eating and dtinking,
or discharges in the night,  with griping,  flatulency,  thirst,
pain in the stomach, back, and anus.  (See "Ascarides.")
  Hyoscyamus.   Watery diarrhea; involuntary discharges, par-
ticularly in the night.
   Sulphur.  In  most  cases where  other  remedies seem  to
have  failed, particularly when there  are frequent stools  at
night,  with griping, of a slimy, watery, frothy substance, and
of a sour and fetid  smell, or bloody;  also, if a diarrhea  re-
turns easily on taking the least cold.
   Phosphorus.   In  chronic diarrhea without  pain, particular-
ly in the diarrhea of consumptives.
   Iodine.   In  chronic diarrhea of a whitish color, in scrof-
 ulous persons, and  Avhich will not yield to  any other remedy.
   Administration. — In recent cases dissolve twelve glob, of
 the selected medicine  in half a teacupful of water and take
 after  every evacuation a teaspoonful until better, or another
 remedy is necessary;  children half the quantity.  In chronic
 cases take every evening and morning a teaspoonful of such
 a mixture, or if taken in the dry state three or  four glob, at
 a dose.
    Diet  and Regimen. — Acids or acidulated  drinks, fresh
 vegetables, and fresh  meat  and meat soups are  forbidden;
 allowed are, rice, toasted bread, boiled milk, and gruels ; no
 coffee and spiritous liquors.  Cold water  can be drank, if it
 is otherwise not injurious.   Keep  quiet as much as possible,
 even to lying  down.

                 Dysentery.   Bloody  Flux.
    Diagnosis. — This  complaint is, properly speaking, not a
  diarrhea; as  no faeces  are  discharged, but  only mucus and
  blood,  accompanied by constant urging to go to stool, violent
  tenesmus in the anus  and rectum, or severe pains in the abdo-
  men, if the  disease  is  located higher  up  in the  intestines.
  As  ion-i  as  this  irritation or inflammation of the mucous 
316      AFFECTIONS  of the stomach and bowels.
membrane of the intestines lasts, no  faeces are discharged;
but when these  make their  appearance,  even mixed with
bloody mucus, the dysentery may be said to be at an end, or
at least ameliorated.
   Its causes and course vary ; sometimes it appears sudden-
ly, sometimes is preceded by diarrhea and other gastric rheu-
matic symptoms.
   We distinguish a white  dysentery, where only light-colored
mucus  (scrapings of the  intestines)  are discharged; this is
soon followed by the bloody dysentery, when the blood comes
from the highly-inflamed mucous membrane.   In  such cases
more or less fever is always present.  If the patient is reliev-
ed, the fever subsides, and gradually with it  the  pains, and
frequent urgency of  the  calls, the skin becomes  moist, and
sleep and rest  ensue.  Death may  come from gangrene and
exhaustion, but  happens  very seldom, under a  judicious
homoeopathic treatment.   Very  severe cases of dysentery
ought  to be  treated  by  a skillful homoeopathic  physician.
The  causes of this  disease may  be local, by irritating  the
intestines directly in  eating and drinking, or general,  by sup-
pression of perspiration (hot  days  and cool  nights  promote
this cause), or by an epidemic influence, which  affects in a simi-
lar manner the mucous membrane of the intestines, as the influ-
 enza-miasm attacks the nose and bronchia; also, low, marshy
 regions, where intermittents prevail, incline to  the propagation
 of dysentery, which  is sometimes  very fatal  at such places.
   Treatment.— Principal remedies are : Aconite, Aloes, Bella-
donna, Mercury,  Colocynth, Ipecac,  Nux vom.,  Bryonia, Rhus,
 Sulphur, Nitric acid,  Carbo veg., Arsenic.
   Aconite.   In all cases at the commencement, when there is
 fever, pain  in the head, neck  and shoulders,  heat and  thirst
 alternate with shivering.   This is  particularly the case when
 we have cold nights and hot days.
   Aloes.  Discharge  of  mucus by the rectum, looking  like
 membranes;  bloody  stool, with violent colic;   diarrhea, with 
DYSENTERY--BLOODY FLUX.
317
tenesmus; violent burning in the rectum ;  congestion of blood
to the abdomen.
   Belladonna.  After Aconite, or in the beginning, Avhen there
is dryness in the mouth and  throat, tenderness  of the abdo-
men, and blood passing with the mucus ; constant feeling of
bearing down.
   Mercury.   This is by far the most important medicine in
this disease, and beneficial in all stages, but particularly when
there is violent tenesmus before and  after the evacuations, as
if the intestines would force themselves out, and yet nothing
but pure blood, sometimes streaked with  white mucus or green-
ish matter appears; at other times the evacuation resembles
scrambled eggs.   Concomitant  symptoms are:  violent colic,
nausea, shivering  and shuddering,  cold perspiration on the
face, great exhaustion and trembling of the limbs.   (It alter-
nates well with Aconite  or Belladonna, if there is fever, and
with Colocynth,  if the  discharges  are  mixed with  green,
bilious matter.)
   Colocynth.   After  Mercury, the  principal  medicine, when
the colic pain appears periodically, and is excessive ;  the dis-
charges are  mixed with green  matter  or  lumps.   In such
cases, alternate with Mercury, if this remedy  had not been
given already.
   Ipecac  Is also of great  benefit in this disease, when it
occurs in the fall, or Avhen the mucus or slime  appears first,
afterward only mixed with blood.   After, or  in  alternation
with it, give  Colocynth, if necessary.
   Nux vomica.   Small, frequent evacuations of bloody slime,
with heat and thirst,  mostly in summer; alternately with
Mercury, when there is great downward forcing.
   Bryonia and Rhus.  In alternation, under the same condi-
tions as stated in the article on " Diarrhea."
    Sulphur.   In  the most critical cases,  where no other reme-
dy seems to afford relief; after Mercury.  It must be allowed 
318      affections of the stomach and bowels.
 to have  its  effect at least thirty-six hours, before another
 remedy is given.
    China.  Dysentery in marshy countries, or when  the  dis-
 charges are very offensive.
   Nitric acid.   One  of  the  best  remedies,  after Belladonna           i
 and Mercury have been given without effect, particularly when
 the discharge is either mucus without blood or blood without
 mucus; in either  case, however, the  tenesmus which follows,
 is violent.
    Carbo veg. and  Arsenic.  In alternation, if the discharges
 become putrid in  smell and involuntary ;  stupor  ensues ;  red
 or bluish spots appear on the skin ; the patient is very Aveak,
 and his breath begins to be cold ;  the pains in the bowels are
 burning.  China may follow these two remedies,  if the  putrid
 smell of the  discharges will not change.
   Administration. — Dissoh'e  twelve  glob,  of  the  selected
 medicine in half a teacupful of water, and give every hour or
 half hour a teaspoonful, or, if the discharges are not so fre-
 quent, after  every discharge  a teaspoonful, until six,  eight,
 or  ten  teaspoonfuls are  given, Avhen the medicine must  be
 omitted for a couple  of hours, to  aAvait its effect.   If then
 necessary, either repeat the same  or  select another remedy,
 if the  symptoms have increased.  But as soon as an amelio-
 ration  takes place, discontinue all  medicine, even if  there is
 yet frequency  of  stool and  violent pain at times.   If very
 restless at night, give Belladonna00 and  Coffea00, every hour
 a dose (four  glob.), for four hours.
   If the disease becomes more chronic, give  the  medicine  at
 longer intervals, say three  times a day, finally  only once a
 dav.   Cold water injections are of the greatest benefit, if the
patient can bear them, and the dysentery is in its inflamma-
tory stage.
  Diet and  Regimen.—The patient ought to lie  in or on the
bed constantly,  even during  convalescence, if possible, well 
CHOLERA MORBUS.                 319
 covered, but not too much heated.  For food, if wanted, toasted
 bread, softened in water or black tea ; for drink, toast-water,
 or small quantities of warm lemonade, in the  inflammatory
 period, and when not taking Aconite at the time.
   Gruels of  oatmeal, rice flour, or  farina,  are allowed.—
 Meats or soups of meat, eggs, and all animal food, are strictly
 forbidden, even during convalescence.  Wine and spirits  are
 real poison, in this disease, and long after it.
   After  diseases.—If dropsy, paralysis, or rheumatism follow
 the dysentery, when it has either been treated badly,  or was
 suppressed by allopathic remedies, see these articles, or send
 for a homoeopathic physician in time.

                     Cholera  Morbus.
   This disease, well known under  the above  name,  occurs
 mostly during the summer, in all parts of  the country, north
 and south,  resembling in  its appearance  the much dreaded
 Asiatic cholera,  from Avhich, hoAvever, it  entirely differs, in
 character and result.  (See "Cholera Asiatica.")
   Diagnosis.—Cholera morbus generally attacks  suddenly,
 Avithout  any precursory symptoms, with vomiting and purg-
 ing, accompanied with  pains  in  the  stomach and bowels,
 anxiety and tenesmus; sometimes the vomiting  and urgency
 to go to  stool  are very violent  and incessant, at other times
 less so.  In very violent cases,  exhaustion  soon follows, pulse
 becomes small, scarcely perceptible,  extremities  cold;  finally
 spasms and convulsions appear.
  At first, the discharged substances consist of the contents
 of the stomach and of bile ; afterward of a watery, lymphatic
 liquid ; and finally nothing is throAvn up ; Avhen violent retch-
 ing and gagging, with urgency to  go to stool, remain.   The
 discharges from the bowels consist  first of faeces;  afterward
 of a watery, bilious liquid; each stool preceded and accom-
panied with violent, burning, cutting colic, especially  in  the
 region of the navel. 
320      AFFECTIONS OF THE STOMACH  AND BOWELS.
   Causes.—Intense heat in the summer ; irritable tempera-
ment ; teething in children (see " Cholera Infantum "); sud-
den suppression of habitual discharges, such as menstruation
or diarrheas, or of cutaneous  eruptions and gout;  errors in
diet, such as  eating  unripe, watery fruit, or drinking  acrid,
sour liquids, beer, etc.
   Treatment.—The principal  remedies in this disease are:
Chamomile,  Ipecac, Arsenic,  Colocynth,  Dulcamara,  China,
Veratrum.
   In the beginning, give Ipecac, (administration as below) ;
if  not better within half an hour, give Veratrum and Arsenic,
in alternation, in the  same manner;  but if this  treatment
does not succeed within one and a half or two hours, select
from  among  the remedies described  below,  one  which  is
more homceopathically  suitable, and give  it  as stated  under
"Administration."
   Symptomatic  Detail. — Chamomile.  In the beginning of
the disease, or when the tongue is coated yellowish ; colic in
the region of  the navel; pressing pains from the stomach up
to the heart; great  anguish ; cramps  in the  calves  of the
legs ; watery diarrhea  and sour vomiting ; particularly after
fits of passion, and with an irritable temperament.
   Ipecac  When vomiting predominates, alternately with pain-
ful diarrhea.  It is generally always given in  the  beginning
of the disease, in alternation with Veratrum.
   Arsenic   Violent vomiting, and diarrhea of watery, bilious
or slimy, greenish, brownish,  or  blackish substances, with
severe pains in the abdomen,  great restlessness, sudden pros-
tration, cold extremities, and clammy sweat.   In  alternation
Avith Veratrum.
   Veratrum.  For  the  same symptoms  as those mentioned
under Arsenic, only that the pains in the bowels, especially
around  the  navel,  are  violent, cutting as  from knives; also,
pains or cramp in the calves of the legs; prostration is very
great.   See  "Ipecac." and "Arsenic." 
ASIATIC CHOLERA--CHOLERA  ASIATICA.       321
   Colocynth.   Green vomiting, with violent colic; the stools
 at first greenish and bilious, afterward become more colorless
 and watery.
   Dulcamara.  In cholera morbus caused  by iced drinks or
 exposure to  sudden changes of the temperature ; frequent
 greenish  stools,  with bilious vomitings;  great  debility  and
 severe pains in the abdomen.
   China.   Cholera morbus from indigestion ; A'omiting  and
 diarrhea after eating ever so little  (lienteria); painful eruc-
 tation, with oppression on the chest; rumbling in the bowels;
 flatulency.
   Administration.—Dissolve of the selected remedy twelve
 globules in half a teacupful of water, and give every ten or
 fifteen minutes a  teaspoonful, until four teaspoonfuls  are
 taken, or another remedy is  necessary, which must be pre-
 pared and given  in the same manner.
   Externally, apply nothing  but  a  mustard poultice  on  the
 stomach,  and heated bricks, and warming bottles to the feet.
   Diet and Regimen.—For  a  drink, thin oatmeal gruel or
 cold water; if Avanted.   After the diarrhea has  ceased, and
 reaction has taken place, and if the  patient is feverish, give
 gruels with lemon-juice.   In general, treat as stated in "Bil-
 ious Fever."
   Beside  consult the article on "Asiatic Cholera."

           Asiatic Cholera.  (Cholera Asiatica.)
   This disease appeared hitherto among us  as an epidemic.
 Before it, the star of Allopathy grew pale, and is ever since
 on  its downward course ; with it Homcepathy battled most
 successfully, and  ever since her banner floats unfurled in every
 clime.
  Diagnosis.—Sudden prostration  of strength;  diarrhea of
 watery substances  (rice-water discharges,  without smell  or
color;  similar, profuse vomitings,  which  follow each  other
 quickly.  Although these evacuations may give the patient 
322      AFFECTIONS OF THE  STOMACH  AM) UOWELS.
a little relief, it is only momentary; his prostration increases
constantly until cramps appear in the feet, hands, limbs, and
arms, sometimes in the boAvels  and breast; insatiable thirst,
with a burning sensation under the sternum (in the region of
the heart).   Agonizing restlessness precedes the last stage—
that of collapse, in which to the above symptoms are added,
cessation of circulation of the blood in the extremities, Avhich
assume an icy coldness, Avhile the heart palpitates violently,
no pulse is perceptible ; tongue and breath grow cold, agoniz-
ing oppression in breathing; hollow, hoarse, and shrill voice ;
blue lips and nails ; livid countenance ; sunken  eyes ; shriv-
eled skin on hands and feet.   During all this time, the secre-
tion of urine is stopped.  Finally, the skin of the patient  is
covered Avith a cold, clammy perspiration.   Up to this time,
the  patient was  perfectly conscious,  although feeble ;  but
now he sinks into  stupor, with bloodshot, upturned eyes, and
expires.
  Although Asiatic cholera presents itself in the form of a
diarrhea,  yet it is not such ; because no fecal matter is found
in the discharges ;  its  nature consists in a  decomposition of
the blood, produced by an  unknoAvn  agent (miasm  or ani-
malcula),  and aided by mental and physical debilities, such as
fear,  care, overpoAvering  sympathy,  Aveakness of body and
mind by night-watching, exposure, etc.  This  decomposition
of the blood  in  its solid and liquid  parts  (coagulum  and
serum) may be the Avork of days, hours, or minutes.   Gene-
rally, however, it commences in the early morning hours, at
which time most of the cholera attacks begin.   The watery
part of the blood  (serum) escaping from  the  blood-vessels,
passes into the stomach and boAvels, Avhence it is ejected  in
violent gushes, or runs from the  boAvels in streams.   Thus
Ave  see that the first appearances of cholera asiatica are those
of a hemorrhage of the white part of the blood;  a view with
Avhich the consequent symptoms in the folloAving stages of the
disease can easily be harmonized.   The cramps in the muscles 
ASIATIC CHOLERA--CHOLERA ASIATICA.       323
of the extremities and bowels are caused by the cessation of
the action of arterial blood on the muscles, and  cease imme-
diately, as soon as the arterial irritation reaches them  again.
It would carry us too far, to explain all the folloAving  symp-
toms of the disease; nor would it be of any practical use.—
This, however, we must state yet, that in that form of Cholera
Asiatica, called the sicca or dry cholera, where  no  discharge
from the stomach and bowels takes place, the  disagreement
with the above theory is only apparent; because, by the sud-
denness of the attack,  the  decomposition of  the blood is
rendered so general and great at once, that the cramps follow
immediately, before the serum has time to escape.
 .  Prevention.—During a  cholera epidemic,  a person must
not give way to fear and despair, which debilitate the system
too much, allowing, thereby an easier entrance to the enemy.
 The best remedy against the weakening thoughts is a constant
and vigorous activity of body and mind, which draws  our at-
tention away from disease  and death to our duties and objects
of life.  Necessary, above all, is regularity in all our actions,
in sleeping and waking; moderation, but sufficiency in eating
 and drinking.   The most substantial nourishment is the best,
 such  as beef, mutton, potatoes and bread; the  best drink  is
 cold Avater or  ice-water, which, with  dry bread in sufficient
 quantity, is  the best calculated to appease that craving and
 o-nawing appetite, and the rumbling of the  bowels, Avhich, in
 time  of cholera, almost every one feels  daily.   A flannel ban-
 dage,  even  in summer, covering stomach  and  boAvels,  is
 strongly recommended.   To be avoided, are : over-exertions
 of body or mind, grief, anger, fear, as Avell as great muscular
 labor, running, walking to exhaustion, and sexual excesses.
 Beside these precautionary measures, every one ought to have
 a firm reliance in  the  will  of God, who has  placed within
 our reach  a safe  and sure remedy against this disease.
   The best medicine for prevention is Sulphur, which, in the
 thirtieth dilution,  may be taken every  week twice, six  glob- 
324      AFFECTIONS of THE STOMACH and bowels.
ules each time in the evening.  This remedy, more than any
other, destroys Avithin the  system the liability of attack, by
diminishing the psoric  diathesis,  more  or  less  inherent  in
every one.
   Cure of an Attack of Asiatic  Cholera.—Not every diarrhea,          4
in time of cholera, is real Asiatic  cholera, yet it predisposes
to it; and we must, therefore, immediately and  energetically
attend to it.  The first  and  most imperious duty in such  a
diarrhea is to lie down; as the horizontal position is indispen-
sable to a speedy cure.   With the rice-water discharges  or
vomiting, commences the first stage of the  disease, in which
Camphor is the specific  remedy, having actually the power of
killing  or  destroying  the animalcula  or  malignant  agent
which has infested the system.  The application of the Cam-
phor must be effectual and immediate, in the following manner :
   Cover the patient, up to the chin, well and abundantly, par-
ticularly his feet, do not allow his arms out  of bed ; then give
him quietly, without showing anxiety by unnecessary hurry,
of the tincture  of Camphor* every two, three, or five minutes
one drop, on  a little piece  of sugar;  also, after fifteen  or
twenty minutes, some brandy and water, if he can retain any-
thing on the stomach.   As soon as the patient begins to get
warm, and  to  perspire, give  the  doses less frequently, and
discontinue them altogether when he perspires freely.  A few
doses of brandy and water will then do him good and strengthen
him.  In this perspiration the patient must  remain without
change for eight or  ten hours, when he will generally have
a good appetite for a lunch of cold beef or  mutton, Avith salt,
dry bread and  cold Avater.  If, however, the slightest indis-
position yet remains, he must not leave the bed, as a relapse
might take place.   During the reaction, following the use of
the camphor,  frequently a headache  ensues from  congestion
to the head, which in children and middle-aged persons dis-
   *The tincture  of Camphor ought to be made out of  one part  of the
gaim to five parts of alcohol. 
ASIATIC CHOLERA--CHOLERA  ASIATICA.       325
appears after the exhibition of one or two doses of Belladonna
(for children three glob.;  for adults  six glob.); in aged
persons, when stupor is combined Avith it,  Secale corn, (thirtieth
dilution)  is  yet necessary, three  hours after Belladonna is
given.
  If costiveness follows the use of camphor, a cup of coffee
without milk, and tAventy-four hours afterward a dose of Sul-
phur ( six glob.) is indicated.   If the diarrhea is not entirely
checked, but changed into a dysenteric one, Avith straining
and bloody tinge, Mercury will  suffice, followed by Sulphur,
twenty-four or thirty-six hours afterward.  If by the Mercury,
however, the dysenteric stool is changed into the  choleroic,
the use  of  Camphor is necessary again, folloAved  by one or
two doses of  Veratrum alb. (twelfth dilution).
  If, however,  the cholera proceeds into the second stage,
where cramps appear in different parts of the body, Veratrum
and Cuprum axe necessary; the former, Avhen the  cramps
are more in the extremities and bowels; the latter, when in
the breast, or Avhen great oppression in  breathing  is present.
It is frequently  best to give these  two remedies alternately, in
the following manner: Dissolve  of each remedy  twelve or
sixteen  globules, in  four  tablespoonfuls of Avater, and  give
every fifteen minutes a teaspoonful (each remedy  having its
separate  teaspoon), giving less frequently as the  symptoms
decrease in violence.  In this stage, it is  not so much the dimi-
nution of diarrhea  or vomiting, which indicates an ameliora-
tion, but the greater regularity and less rapidity of the pulse,
which always will  be followed by a discontinuance of the
cramps, although these may yet threaten to break out again.
   If these  remedies  are  not successful Avithin four or six
hours, or if  the cramps are  more in the calves  of the  legs,
where the slightest motion will excite them, or  Avhen stupor
threatens, Avhich is particularly  the case in old  persons, or
when the diarrhea still continues, Secale corn, must be given,
in the intervals of half an  hour a teaspoonful, dissolved in 
326      AFFECTIONS OF THE STOMACH AND BOWELS.
water like Veratrum and  Cuprum.   If a few doses are given,
wait an hour or  tAvo, if  the case does not grow worse;  if,
however,  there is a great  deal  of  nausea or  retching,  in-
creased by motion of head or body, Tabacum (six glob.) must
be given,  at any time during the attack.
   If in this stage congestions to the lungs and heart  appear,
indicated  by violent stitches  in the  side, almost preventing
respiration,  and  producing  restlessness and  great anguish,
give Cuprum and Hydrocyanic acid (Prussic acid), in  alterna-
tion, every ten or fifteen minutes a dose ( dissolved in water,
a teaspoonful as a dose.   N. B. Prussic acid  must be given
in the second dilution).
   The covering of the patient during the second stage ought
still to be warm, but already more according to the feeling  of
the patient; his drink, cold  or warm water, left to his choice.
Ice pills may be given to him freely, or injections of ice water
if the bowels are cramped; rub slightly the  cramped parts
Avith the hands;  warming bottles, and  all the  other known
apparatus heretofore applied, are not of much use, although
a homceopathist may allow them as not interfering Avith his
medicine.
   If the disease  should go into the third stage (collapse) the
scene and treatment change  entirely.   No pulse, livid counte-
nance, hoarse voice, and  sunken eyes  characterize this period.
Yet our hope is not gone ; particularly in  cases Avhich, up to
this stage, were  treated strictly  homceopathically, or where
the disease ran quickly through the first stages.  This period
generally  lasts much longer than  any of the  former, and
medicines must  be given at  longer  intervals.   The disease
frequently stays in this stage for two or three  days, almost
unaltered;  a slight improvement in  the  pulse is sometimes
perceptible only within two  days.   In such cases, the  medi-
cine must not be  changed  or repeated often.    The principal
remedy is  Carbo veg., in the thirtieth dilution, prepared  as
Veratrum  above,  of which for the first six hours, every hour 
ASIATIC CHOLERA--CHOLERA ASIATICA.        327
a teaspoonful should be given.   If a great  deal  of burning
remains in the  stomach, with drinking  frequently, but little
at a time, Arsenic, thirtieth dilution, prepared  similarly, may
be alternated with Carbo veg.  But if thus  four  or six  tea-
spoonfuls of each remedy have  been given, their use should
be discontinued for  ten  or twelve hours—particularly if the
pulse has shown evidence of returning during that time.  The
improvement  of the  pulse is, in  this stage, the most import-
ant amelioration; the  coldness  of  the  surface is not of so
much importance, as it often remains for a longer time without
injury.   If, after twelve hours, the patient's condition  is not
much improved, the  same  remedies may be repeated, and in
this  manner continued for a couple of days, when, in most
cases, a healthful reaction takes place.
  The covering, in this stage, must be altogether left  to the
feelings  of the  patient,  and only so  much  put over him as
decency requires, as the patient generally refuses  all  cover-
ing, and is  restless.   To  try to  warm patients in this  stage
by  external  means, is  not only  useless, but cruel; as they
actually complain of burning up  internally;  such means only
hasten  dissolution.   We  rather recommend  to wrap the
patient in a sheet, wrung in  cold water, which may, after a
few hours, be repeated, if he desires it.   But, in such a case,
the patient ought to be covered beside with a blanket or two,
to follow up the beginning reaction.   Cold drinks, particularly
ice-water, are preferable in this stage.
  In the  period of convalescence, which is usually very short,
great care ought of course to be taken in diet and exercise—
rice and  other gruels,  afterward small  quantities of  broth,
meat, and vegetables.
  If  a typhoid fever appears, it  must be treated accordingly.
  In that torpor or  stupor which sometimes succeeds a  severe
attack of cholera, when the patient cannot easily be aroused,
is very Aveak, pulse  slow, yet the expression of his counte-
nance is natural, Spiritus nitri dulcis is of the greatest benefit,
        30 
328      AFFECTIONS OF  THE STOMACH AND  BOWELS.
as laurocerasus is in those  cases of stupor or lethargy, which
border on  paralysis of the brain, or on exhaustion of the
nervous  system, Avhere the expression of the  countenance is
indicative  of  great suffering, the patient very weak, pulse
sIoav, eyes  half-closed, in continual  lethargy, only broken by
deep sighs and moaning.
  We must mention here yet a disease, called cholerina, which
often precedes and follows cholera.   It is  a diarrhea of fecal
matter, accompanied with  rumbling of the bowels, generally
caused by the constitutionality of  a cholera season, under de-
bilitating influences of mind and body, such as fear and grief.
If caused  by the  latter, Phosphoric acid and China, in alter-
nation, after every evacuation a dose (six glob.) will  suffice ;
if excited  by fear,  Chamomile (six  glob.), a  few doses;  if,
however, attended with bilious rheumatic symptoms, tending
toward a typhoid  state, such as headache, pains in the limbs,
arms, and back, with occasional chilliness, Bryonia and Rhus,
in alternation, two  doses  of each, every two  hours one (six
glob, a dose), and then waiting twenty-four hours, will change
the  symptoms, so that then either Sulphur will suit, or, if the
diarrhea still continues, China and Phosphoric acid, in alter-
nation, as above stated.
   Sulphur frequently takes away that disposition to diarrhea,
so common in times of cholera.   It ought to  be taken  only
twice, on two succeeding  evenings, or one evening and the
next morning a dose (six glob.);  after which no medicine  of
any  kind  should  be  taken  for  twenty-four  or  forty-eight
hours.
   We would  recommend to every one, to have with him, in
cholera times, a small bottle of Camphor, Veratrum, and Cu-
prum, in case of need; if not necessary, it certainly increases
the  feeling of safety.*

  *  In the cholera epidemic of 1849, which raged in Cincinnati worse,
perhaps, than  in any other city of the same  size, every homoeopathic
family was  provided with a small case of four vials, containing Cam- 
PILES--HEMORRHOIDS.                 329
                    Piles.   Hemorrhoids.
  Diagnosis.—The piles form on the anus  tumors or lumps,
which protrude externally  (external piles), or remain inside
the rectum (internalpiles).   These lumps either bleed (open
piles) or do not bleed (blindpdes).   The cause of the piles is
a constitutional taint, which breaks out  at certain  times in
this local  affection of the rectum, and is then called the piles.
It becomes an important disease, when a bad, or mere exter-
nal  treatment  suppresses the  outward piles, without  curing
the  internal disposition.  This latter, consequently, not  un-
frequently attacks more important organs, such as the lungs,
brain, etc., where  it  generates incurable  diseases.  Just as
detrimental to general health  is  the painful and abominable
practice of the surgeons, of cutting off these lumps or tumors.
It is a blessing, however, that in  most  cases such operations
are of no avail.
phor, Veratrum, Cuprum, and Sulphur, as the principal remedies for the
prevention and cure of cholera.  Printed directions accompanying these
remedies enabled persons to make immediate use of them, when neces-
sary thus preventing entirely the application of allopathic medicines
before  the  homoeopathic physician could arrive.  These simple but
effective means kept the homoeopathic practice free from many obstacles
and  difficulties,  and made  its results so glorious, and, even m the
history of homoeopathy, unrivaled.  The average  loss which was sus-
tained  by the homoeopathic  practice, in 1849, amounted to only three
and a half  per cent., viz: of 2410 patients treated homoeopathically,
85 were lost,  In 1850 the attack of cholera in  Cincinnati was not so
severe- the  cases generated not so  much by epidemic  influence as  by
indigestion, and  other weakening causes.  Such cases, however, were
more difficult to manage, as the exciting cause  could not be so easily
removed being of a material nature; yet the same homoeopathic medi-
cines proved  entirely successful; even  more  so, in the aggregate,
than the previous year.  The loss of Drs. Pulte and Ehrmann was not
more than three per cent.; the ratio of other practitioners, as nearly as
could be ascertained, was about the same.
   The above description  and treatment of Asiatic  cholera is carefully
made after  our own experiences during these two  epidemics, in which
nearly two  thousand cholera patients were attended by us. 
330      AFFECTIONS OF THE STOMACH AND BOAVELS.
  Causes.— The  use of strong and heating drinks, coffee,
liquors, highly-seasoned food, sedentary habits,  costiveness,
suppression of long-continued discharges, etc., are among the
exciting  causes  of this  disease, and ought, consequently,  to
be strictly avoided in its treatment.
  Beside the medicines, use cold water externally, as a sitz-
bath, or  washing, and drink of  it freely and often.
  Treatment. — In all  cases of piles,  begin  the treatment
with
  Nux vomica, as the principal remedy, which  suits for all
varieties  of this  complaint.   After it,  particularly in chronic
cases, alternately with it, give
  Sulphur.  These  two remedies are mostly  sufficient  to
effect  a  cure;  given alternately, every evening  a dose (four
glob.) until better.   If they do not suffice, give  of the fol-
lowing remedies, Ignatia, Sepia, Belladonna, Hepar, Colocynth,
one after the other, in intervals of twenty-four or forty-eight
hours.
   The cure of chronic piles must be  directed by a skillful
homoeopathic physician;  as there  are too many  and  too
various  constitutional  considerations to be observed, which
could not be given in a work like this.
   Diet  and Regimen.— The  same  as stated in the article
" Constipation."

                   Itching of  the Anus.
   If it occurs in children, it is caused by the so-called pin-
worms (see "Ascarides").   In such a case give Aconite, Nux
vom., Cina, Cina00, Ferrum, Sulphur, Silicea, Calcarea,  every
other evening a  dose  (three glob.) of one remedy for one
week, until better or another  remedy  is  necessary.   If this
course is insufficient, give the child every morning for several
days, a  drop of the tincture of  Urtica  urens, in a little water.
If  caused by piles, Nux vomica and Ignatia are the principal
remedies, given  as stated  under  the   heading  "Piles." 
FALLING OF THE BODY--RUPTURE.          331
Beside  these  medicines,  the  Avashing  or sponging  in cold
water, or even cold Avater injections are of the greatest benefit.
Sometimes sweet oil, used in the same manner as the water,
will be of use.

         Falling  of the  Body.  Prolapsus Ani.
  By this  term is meant  the protrusion of a portion of the
lower intestine  or rectum.   It occurs  more frequently  in
children than  adults,  caused by severe  strainings when  at
stool.   The rectum  can easily  be brought back again by a
gentle pressure of the thumb and fore-finger, greased  or oiled
for that occasion, the  patient bending  forward  during the
operation, and reclining on his back after it.  We have reme-
dies which diminish  the tendency to this troublesome  disease.
   Treatment.—Ignatia is the principal remedy, and must be
given once in twenty-four hours (four glob.) for six  or eight
days; then discontinue eight days, and if not better, give
   Mercury, in the same manner.  After that, Nux vomica and
Sidphur, in the same manner,  until better.  Sepia,  Lycopo-
dium, Colocynth, are also  suitable to be  given, if necessary,
in the same manner.
   Externally, wash Avith cold  water, as in "Piles."
   Diet and  Regimen.— As in "Diarrhea."  If this treat-
ment is of no avail,  consult a homoeopathic physician.

                    Rupture.   Hernia.
   A protrusion  or swelling in the  inguinal  region or groin,
generally indicates a rupture,  by Avhich the intestines  descend
thus forming the outAvard swelling.  As a disease of such con-
sequence and importance is beyond the sphere of an exhausting
discussion  in a domestic work, we must limit our remarks about
a feAv dangerous points, to Avhich the disease may run at times,
leaving the treatment of the  rupture  itself to the  combined
efforts of the surgeon and.homoeopathic physician, who must
be consulted. 
332      affections of the  stomach and bowels.
  Sometimes an  incarceration  of the  rupture takes  place,
when the tumor  becomes very  painful, inflammation in the
surrounding  parts  ensues, with vomiting,  quick and  hard
pulse, and  fever.   If the rupture cannot be  brought back, or
the inflammation  reduced by other means, mortification and
consequent death  are unavoidable.
  First, try the reduction in the  following manner:  place the
patient on his back  on the bed, grasp  the swelling with one
hand gently, and rub and press it with the fingers of the
other hand, pressing upward toward  the  body constantly,
sometimes  even in  a rotary manner.   Continue these  efforts
for half  an hour; if the swelling is repressed, keep it in its
place with the palm of the hand for some time, giving, beside,
the following medicines:
  Aconite.   If the fever is very high.
  Nux vomica, followed in two hours by
   Opium.   If the strangulation of the  rupture continues, and
afterward in alternation with Nux vomica until better.
  Also,  Lachesis, Belladonna, Rhus, Arsenic, Veratrum, can
be given in extreme cases, if necessary; one after the  other,
every two hours one remedy, until better.
  Administration.—Dissolve of  the necessary remedy twelve
globules  in half a teacupful of  water; give  every fifteen or
thirty minutes a teaspoonful, for two hours, or until better.
  Diet and  Regimen.— As in  fevers.  Externally, the ap-
plication of cold  water or ice is  recommended.   This will do
when the parts are not inflamed too  much;  in which latter
case warm water  fomentations are preferable.  Complete
rest is indispensable, and a truss must not be worn until all
soreness  has subsided.

           Dropsy  of the Abdomen.   (Ascites.)
  As this is one of  those diseases which require a most skill-
ful  medical attendance, in order to secure a successful termi-
nation, we cannot pretend to give more than what is necessary 
DROPSY OF  THE ABDOMEN.
333
to a knowledge of its rise  and progress.   This will enable
persons to be aware of the danger in time to seek for  help,
when it is yet possible to render it successfully.
  Diagnosis.—A swelling and tension of the abdomen, which
follows  the position of the patient;  a  fluctuation inside the
abdomen is distinctly felt by the palm of one hand while clap-
ping gently against one side, when the other hand presses the
opposite side of the abdomen, in the lowest part of which the
fluctuation is felt the  strongest, while the patient is standing
erect.   Urine is scanty, brown, like beer (peculiar to ascites);
stools are scanty and dry;  also, the skin, tongue, and mouth
dry; when the  water is collected in a sack (hydrops saccatus),
the swelling is  unequal in the beginning; the urine less scarce
and  broAvn.  As the disease  progresses,  the feet and  other
parts swell successively;  fever  and dry cough appear, which
consume the strength more and  more, until  death  ends  the
misery.
   Causes.— As such, we find previous acute fevers, scarlet
or other eruptions, diseases of important abdominal organs,
especially the  liver, badly  treated, intermittents of too long
standing, which debilitate the absorbing vessels, gout,  abuse
of spiritous liquors, mechanical lesions, such as blows on the
abdomen, falls, etc.
   This  disease sometimes lasts very long, according to  the
causes,  and the constitution of the patient.
   A  pregnancy, not  closely watched in its progress, may be
mistaken for a  dropsy of the abdomen; but, in such a case, a
skillful  physician must decide.
   Treatment.—As this disease can be cured, if early attend-
ed to in the right manner, we recommend every one to apply
immediately to a good physician.   Until  one can  be pro-
cured, give,
   Arsenic and Sulphur, in alternation, every four  days  one
dose (six glob.).
   The  tapping may  be allowed in  cases where the accumu- 
334      affections of the  stomach  and bowels.

lation of water is very rapid; but no one must trust in it as a
curative means;  the necessary internal treatment must there-
fore be continued, until cured entirely.
  Diet  and Regimen.—As in all chronic diseases, the usual
homoeopathic diet.

           External Injuries of the  Abdomen.
  On receiving large wounds in the abdomen, do not despair
immediately, as  a  great many are cured who  received the
severest  cuts  and  shots in  the abdomen, if only  properly
treated.   Clean  the wound with lukewarm water, and replace
the intestines as  soon as possible, handling them not with the
hands, but with  clean linen  cloths.   If the  patient is faint,
from  loss of blood,  give  China; if frightened, Coffea,  and
afterward Arnica.  Sew up the wound carefully with a silken
thread waxed, leaving an opening on the lowest corner, which
must be covered it with scraped linen,  dipped in a mixture of
Arnica (twelve drops to a teacupful of Avater).  If diarrhea en-
sues, give Colocynth alternately with China.
  If a child has swallowed a button, or any other metal  sub-
stance, do not give  it aperient medicine, in the hope  of purg-
ing it out of the  system more quickly ; this is impossible ; on
the contrary, the substance will come out less quickly, as the
liquid state of  the faeces  prevents them from carrying  it
along.  In the meantime, observe carefully each stool, to be
sure that the substance has passed.   If a needle is swallowed,
it may work itself through a  different part of the body; in
such a case, give Silicea, every six days a dose (four glob.).
  If live animals are swallowed, such as frogs, insects,  etc.,
let the patient drink plenty of sweet oil. 
CHAPTER   XV.
AFFECTIONS  OF  THE  URINARY  AND  GENITAL
                       ORGANS.
  We  invite the special attention of our readers to the study
of the  anatomical  position and  structure,  as well  as  the
physiological bearing, of the organs named in the above head-
ing, as it  will be important for the  true  diagnosis of their
diseases, which are various and severe.

       Inflammation  of the Kidneys.  (Nephritis.)
  Diagnosis.—In the region of the  kidneys (on both sides
of the spine, above  the  hip, and beloAv the short ribs), ap-
pears a pungent, pressing  pain, shooting  downward  to  the
bladder; difficulty of  urination; stranguria, or ischuria (the
latter only when both  kidneys are  inflamed,  which  rarely
ever occurs) ;  the  urine  scanty,  red, and  hot, sometimes
bloody ; the testicle drawn near to the abdomen on the affect-
ed side, painful and swollen; the foot on the same side some-
times spasmodically affected and benumbed ; in  severer cases,
high fever,  thirst, full  hard pulse,  constipation, vomiting;
colic pains; the pains  in the kidney are worse when lying on
the affected  part  and  the back;  also when  standing and
walking.
  If this inflammation is not cured entirely, the kidney hard-
ens and indurates, or suppuration takes place, which leads to
the formation of abscesses and their opening,  either outside
through the  skin,  or inside in the  intestinal canal.  This
       31                                    (335) 
336   affections of the urinary and genital organs.
chronic affection of the kidneys requires medical  skill for its
successful termination.
  The principal causes are: stones or graA'el in the kidney;
violent blows  and concussions, or any other external  injury
bearing on this part;  excess in the use of wines and liquors ;
lying on the back for a long time; lifting heavy loads;  sup-
pression of piles, and  their congestion transferred to the kid-
ney ; the use of acrid diuretics and the abuse of Spanish  fly,
sometimes even A\dien only applied as a blister, externally.
   Treatment.— Camphor, when the disease is  caused by the
application or  use of Spanish fly (cantharis), or when no
urine passes or only  in a slender stream  very slowly,  with
burning in the urethra and bladder.   Give in such a case one
or two drops of Camphor spirits, on a lump of sugar, every
hour or two hours, until better.
   Aconite.  If the fever is high, give several doses (four glob.
each) of this remedy, every hour one,  before the following
remedies  are resorted to :
   Cantharis is the principal medicine, Avhen there are shoot-
ing tearing, and incisive pains, with painful emission of a few
drops of  urine only,  or complete ischuria; sometimes urine
mixed with blood.
   Belladonna.  In most cases,  where  the pains are worse
periodically, shooting from the kidney down into the bladder,
Avith great anguish and  colic; in fleshy Avomen, at the  time
of change of life (critical age), Avhen the menses stop.   (Hepar
sulph. will suit after  Belladonna).
   Nux vomica.   When this disease is caused  by suppressed
 piles, or when there  is any other  abdominal congestion,  with
 tension, distension, and pressure in  the kidney.
   Pulsatilla.   In delicate females, whose menses have stopped
 or are very  scanty; also, Avhen the urine appears  turbid,
 leaving a purulent sediment.
   Arnica,  externally  and internally, if caused  by external
 injuries;  after it the above remedies may be resorted to. 
INFLAMMATION OF THE BLADDER.
337
  N. B.  If nephritis is caused by the pressure of stones in
the kidneys, the fever  which usually accompanies this disease
does not appear so quickly, but, instead of it, the foot and
thigh of the affected side become numb, and the testicle re-
tracts ; sure signs of stones in the kidneys or the ureter.   In
such a case apply on the most painful spot, where  the  stone
is  lodged, narcotic,  warm fomentations  of hops mixed with
tobacco leaves;  as soon as the stone  or gravel  reaches,  in  its
descent,  the bladder, the  pains and inflammation caused by
them cease at once.   Beside this external treatment, give the
patient the above medicines, as indicated.
   If the  kidney indurates,  give Mercury, every  evening a
dose (four glob.).
   If suppuration takes place,  give Lachesis  and Hepar  alter-
nately, every evening  a dose  (four glob.),  for  eight days, or
until better; apply to  a homoeopathic physician.
   Administration.— Dissolve,  of the necessary  medicine,
twelve globules in half a  teacupful of water, and give  every
half-hour, hour or two hours, a teaspoonful until  better,  or
until another remedy is needed.
   Diet and Regimen as in  fevers generally; but particularly
wines, liquors, and beer are prohibited in convalescence.

        Inflammation of the Bladder.   (Cystitis.)
   Diagnosis.—Burning pains in the region of the bladder, with
external swelling; tension; heat and pain on   touch ;  urine
red and  hot; difficulty or inability of making water; constipa-
tion, with tenesmus; fever, with a hard pulse;  in some  cases,
vomiting and hiccough.
   The issue of this inflammation is either resolution,  indi-
cated by a thick urine, or  suppuration  discharged with the
urine,  or abscesses and fistulas from the bladder outside, or
induration, which leads to a thickening of the bladder, imped-
ing, thereby, its action, and leading to various chronic dis-
orders ;  or, if fatal, gangrene  takes place. 
338   AFFECTIONS OF  THE URINARY AND GENITAL ORGANS.

  Its causes can be external injuries ; suppressed piles and re-
tarded menstruation ; rheumatic, gouty, or syphilitic transfers ;
stones in the bladder;  pressure on the bladder  in pregnancy,
or during the birth of the child ; the use of irritating drugs,
as Cantharides, etc.
   Treatment.—Beside the remedies  recommended in  "In-
flammation of the Kidneys," give
   Hyoscyamus, when spasms of the neck of the bladder set
in, impeding the flow of urine.
   Carbo vegetabilis and Arsenicum, when the patient complains
very much  of burning during urination, which Cantharides
failed to cure.
   Dulcamara, when this disease returns on the slightest ex-
posure to cold.
   Sulphur and  Calcarea, when the disease becomes chronic.
   Administration, Diet and  Regimen, the same as in  "Ne-
phritis."

          Strangury, Dysury, Ischury, and Anury.
   These  four terms signify only different degrees of the same
 affection.
   In strangury, the  discharge of urine is painful and  difficult.
   In dysury, difficult and incomplete.
   In ischury and anury, it is totally suppressed.
   Strangury and  dysury are troublesome, but  not  dangerous
 complaints, while  the true  ischury, or total retention of urine,
 ranks among the most dangerous diseases, and kills, either by
 gangrene or rupture of the bladder, effusing the urine into the
 abdomen; in its chronic form,  however, the urine can be ab-
 sorbed and carried  into the circulation, producing,  thereby,
 eruptions on  the  skin,  and making the perspiration,  saliva,
 etc., smell urinous.
   The causes  of these affections are various.   Mechanical
 injuries or impediments,  such as gravel, stones, callosities
 and strictures, spasmodical, or caused by syphilitic disorders ; 
INCONTINENCE OF URINE.               339
tumors in these parts ;  falling of the womb, or its dislocation ;
congestion of every kind; paralysis of the bladder;  the  use
of ardent spirits, Spanish fly, violent diuretics, etc.
   Treatment.—For strangury, and dysury, if caused by  the
abuse of  ardent spirits, Nux vom.,  Pulsatilla,  and Sulphur;
if by the  use of Spanish fly, Camphor, Pulsatilla, and Aconite;
if by suppressed piles, Nux vom.,  Pulsatilla,  Sulphur; if by
taking cold,  Avet feet,  etc.,  Dulcamara,  Nux  vom.,  Mercury,
Pulsatilla,  Belladonna; if after a fright, Aconite; if after a
fall, blow, etc., Arnica; if in pregnant females, Cocculus, Pul-
sat., Nux vom.; if in children, Pulsat., Aconite, Bellad., Merc
   For ischury and anury,  if it is spasmodic, Nux vom., Pulsa-
tilla, Opium, Hyoscyamus; inflammatory,  Aconite, Cantharides,
Belladonna, Nux vom., Pulsatilla (see " Cystitis"); paralytic,
Hyoscyamus, Dulcamara,  Arsenic, Lachesis.
   Administration  the same  as  in  "Inflammation  of  the
Kidneys" (Nephritis).
   Diet  and  Regimen the same as in  nephritis; beside this,
in strangury the  drinking  of large quantities of cold water, or
the moderate use of gum-arabic, dissolved in water, is strong-
ly recommended.   In  cases of disease of the bladder, consult,
as soon as possible, a homoeopathic physician.

  Incontinence  of Urine.   (Enuresis, incontinentia urinm.)
   This troublesome disease exists in three varieties:
    1. It is a complete or paralytic incontinence of urine (enure-
 sis  completa  s. paralytica), when  the  patient is  constantly
 troubled with an involuntary dribbling  of urine,  owing  to a
 variety of causes, all  having the tendency to paralyze, more
 or less, the contractive power of the muscles around the neck
 of the bladder.   Instances of this kind are:  apoplexy;  con-
 sumption, and paralysis of the spine;  too great distension of
 the bladder  by long retention of  the urine; surgical opera-
 tions on  the bladder; paralysis, or weakness of the bladder,
 particularly  in old  age;  difficult and  hard  parturitions, 
340   AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
This form of incontinence of urine requires the  most careful
attention of a homoeopathic  physician.   We only  mention
some of the principal remedies  for this form of enuresis, with
which a treatment may be commenced:  Hyoscyamus, Bellad.,
Causticum, Conium, Arsenic,  Lachesis.
  2. Or it is an incomplete or spasmodic incontinence of urine
(enuresis incompleta s. spastica), where the urgency to pass urine
is so sudden and great, that the patient is immediately forced
to yield.  This form occurs  very frequently, caused by con-
tinual irritation in the bladder, or some contiguous part, either
by stones, gravel, worms (ascarides), (see "Worms"); men-
strual or hemorrhoidal congestion ; gastric derangement, with
rheumatic  or  gouty complication;  scirrhous tumors  in  the
bladder, rectum, prostate glands; ulcers, fistulas; also, from
mechanical pressure of the pregnant or dislocated uterus (see
"Diseases of Females");  or, lastly, by the bad  habit of
urinating  too  frequently, diminishing,  thereby, the size of
the bladder.
  The  principal  remedies  for this  complaint are: Bellad.,
 Causticum, Cina, Hyoscyamus, Ignatia, Pulsat., Rhus, Lachesis,
Mercury.   (Compare each remedy in "Materia Medica.")
  Administration of these medicines as in nephritis.
  3. The urine escapes involuntarily only in the night (wetting
the bed ), (enuresis nocturna).  This occurs mostly in children,
and  depends on bad habits, uncorrected in early years, or on
local irritations,  such  as worms  (see this article), or other
derangements, enumerated under the form No. 2 (see their
treatment).  If it is a bad habit, try to  correct it,  by dimin-
ishing the quantity of drink alloAved in the evening, by laying
the child on its  side  while   asleep,  by awakening  it several
times during the night  in order to  pass urine, or even by
chastisement in the morning, the effects  of which will be re-
membered,  even in the sleep.   Beside, use the  following
remedies:  Silicea, every third evening a dose (three  glob.),
for two weeks ; if not better, 
DIABETES.
341
   Sepia in the same manner ; if not better,
   Sulphur, Arsenic, Carbo veg. in  the same manner, one after
the other.
                         Diabetes.
   Diagnosis.—Any secretion of urine, the excessive increase
of which has a weakening, morbific effect  on the whole  sys-
tem, may be called a diabetes; although  the quality of  the
urine be not altered, its  appearance  shows  that it contains
more water, it being colorless (nervous  urine) ;  cases of this
kind either correct themselves, or  are in connection with hys-
teric  or hypochondriacal diseases, the cure  of which Avill,
also,  take away this form of diabetes.  But where  the urine
is not, or not much, increased in quantity, however changed
in quality, having a sweetish  taste, and  containing  saccharine
(sugar) matter (diabetes melitus),  as high  as  an ounce in a
pound, it is necessary to institute an early  and earnest treat-
ment for this disease, which, in its commencement,  can be
cured easily, and only becomes fatal by neglect.  But, as such
a complaint is too important  in its progress  and issue to be
treated domestically, we here only indicate the remedies, with
which a rational treatment may be commenced.
   Treatment.—Phosphoric acid,, Carbo veg., Conium, Mercury,
Sulphur.   The first of  these medicines is  almost  a specific,
as also the two last ones,  which may be given in alternation;
give,  every evening, a dose (four glob.),  for one week, and
then wait a week for its effect.
   Diet.—Only bread, roasted meats, and soups of  meat,  are
allowed; no vegetables  Avhatever; the patient must keep in
an even temperature, dry and warm; must wear flannels on
the skin if possible.

      Piles  of the Bladder.  (Hemorrhoides Vesicce.)
   As the pile-disease consists in a congestion, which can tend
to any part of the system, and produce piles, where the nature
of the attacked organ admits of it, it is not strange to speak 
342  AFFECTIONS OF THE  URINARY AND GENITAL ORGANS.
of piles of the bladder, because  this organ allows the same
disorganization, in this respect, as the rectum.  They are also
either blind, or open, running piles.
  Diagnosis.—If they are blind, or not running, they create
great difficulty in  making  water, strangury, ischury, some-
times spasms, and  inflammations of the  bladder (see  these
articles), with consequent induration and suppuration.
  If they are open, running piles, the blood coagulates in the
bladder, obstructs  the passage  of urine,  and may contribute
to the formation of stones.
   Treatment.—Consult a homoeopathic physician, if possible.
If not, use the following remedies:  Nux  vom., Pulsatilla,
Sulphur, beside all those recommended  in  the  articles  on
strangury and ischury, in the same manner as there stated.

                Polypus  of the  Bladder.
   The neck of the  bladder is the place most favorable to the
generation of this kind of  fleshy excrescences, where they oc-
casion frequent obstructions in urinating, producing similar
symptoms to those  exhibited in piles, and stones of the blad-
der.   Their existence, however, is rendered beyond doubt,
as soon as fleshy particles of a round form, with a stringy sub-
stance attached to them, pass from the bladder; females are
subject to them more than males.
   Treatment.—If possible, consult a homoeopathic physician
for this disease, as  the cure depends too much on constitution
to make a prescription of remedies, for a domestic work of this
kind, possible.  To commence the treatment, however, give
 Calcarea carb., every third or fourth  evening  a dose (four
glob.), for four or six Aveeks.
   N. B. I once cured polypus of the bladder with Chamomile,
in  a complicated  case,  where  the  concomitant symptoms
strongly advised its use.   No other remedies were used in
this case;  after the exhibition  of  Chamomile, the polypus
passed off altogether. 
HEMORRHAGE  with the urine.
343
   Staphysag. is recommended after Calcarea carb., in the same
manner.

     Gravel and  Stone in the Bladder.  (Calculus.)
  Diagnosis.—It is sometimes very difficult to be  certain of
the existence of  a  stone in the bladder, as it produces all the
symptoms recorded under strangury, ischury, and piles of the
bladder.  ( See these diseases.)
   The only sure guide in establishing a true diagnosis, is the
examination by a competent physician or surgeon.  In gravel,
the diagnosis is  easier, as some of it will  pass, from time to
time, clearly showing the nature of the disease.
   Treatment.—The treatment for a stone in  the bladder can
not be given here, as such a disease must not be left to domes-
tic practice.
   For gravel the  best  remedy  is  Sarsaparilla, either in a
homoeopathic preparation ( four glob.), or, if not at hand, of
the tincture of Sarsaparilla,  every evening one drop on sugar,
until better.   Beside this remedy, those stated under "Stran-
gury" are recommended.

              Hemorrhage  with the  Urine.
              (Hmmaturia.   Mictus cruentus.)
   Diagnosis.—The blood comes Avith the urine, either mixed
Avith it, like dark beer (then it  proceeds  from the kidneys,
hmmaturia  renalis), or it is separated from the urine, coagula-
ted (then it comes from the bladder, hmmaturia vesicalis), or
the blood comes alone,  without  urinating  (then  it proceeds
from the urethra, stymatosis).   In  the first case, pains are felt
in the region of  the kidneys ; in the second, the region of the
bladder is  painful; and in the third case,  the pains are in the
urethra.
   Causes.— This  disease occurs  always  in  consequence of
another, already located there, to which we refer  the reader.
These are:  inflammation  of the  kidneys and  bladder, and 
344   AFFECTIONS OF THE URINARY AND GENITAL ORGANS.

their  causes,  mechanical  and external,  stones  and  gravel,
strangury, etc.
  Treatment.— The principal remedies  are:  China, Ipecac,
Arnica, Pulsatilla, Lycopodium, to  be given as stated under
"Strangury."
                Affections of  the Penis.
  If the  front of  the penis—the glans and the prepuce—is
inflamed, red and swollen, give, when caused by friction, Aco-
nite  and  Arnica, in alternation,  every two  or  three hours  a
dose (four glob., infants half a dose), until better; keep quiet
on the bed or a couch; abstain from all meat diet, and bathe,
if necessary with  cold water alone, or  water and milk;  if
caused by want of cleanliness, give Aconite (four glob.) alone,
 and  bathe.   If  it was caused  by  the  touch  of poisonous
 plants, give, in the same manner, Belladonna and Rhus, after
 Aconite  has  been  given.   If a burning  discharge  appears
 from the urethra, give Mercury,  and if not better in  twenty-
 four or  thirty-six hours, give Capsicum, and in a few days
 after,  Hepar; if the parts  become  hardened, callous, and
 bluish, give Lachesis and Arsenic, in alternation.
   Diet  and Regimen.— Nothing  but milk  and water,  dry
 toast,  and gruels.
   N. B.  For  syphilitic disorders, chancres, and  gonorrhea,
 see these articles.
                Affections  of the  Testicles.
    Inflammation, with painful swelling  of the testicles, from
    External injuries: Aconite and Arnica, as above under the
 "Affections of the Penis;" Arnica,  also, externally.
    Gonorrhea  suppressed:  Pulsatilla, externally and internally,
 as above ; Mercury, Nitric acid.
    Metastasis of the mumps:  see this disease;  Pulsatilla is the
 principal remedy; also, Mercury and Nux vom.
    Abuse of  Calomel: Pulsatilla and Carbo veg., in alternation,
 as  above. 
hydrocele — prurigo.               345
  If necessary, give Sulphur after the above remedies have
ameliorated, but not altogether cured.
  Diet and  Regimen as in "Affections of the Penis."
  Hydrocele, or dropsy of the scrotum :  if in infants shortly
after the  birth, wash  with a mixture of six  drops of Arnica
tincture, in a teacupful of water, three or four times a day;
if in older  children,  the  same,  externally, and Pulsatilla,
every evening a dose (three glob.)  internally; if in adults,
Pulsatilla, Silicea, Sulphur, each remedy for eight or twelve
days, every fourth day a dose (four glob.) during that period,
until  better, and  if  not,  apply  to  a  homoeopathic  phy-
sician.
  Diet and regimen as usual in chronic diseases, when treated
homoeopathically

                    Seminal Weakness.
             (Pollution.  Impotence.   Onania.)
  These diseases are very weakening, and frequently fatal to
happiness, health, and even life.  As their introduction here
would carry us beyond the sphere of a domestic treatise, we
advise our readers not to neglect, for a single day, the above
complaints, Avhich explain  their nature in their names, but to
have  the  advice  of  a skillful homoeopathic  physician  at
once.

           Eruptions on  the  Genital Organs.
  Eruptions on the glans: Bryonia, Rhus; on the hairy part,
Lachesis; on the  penis, Graphites, Phosphoric  acid;  on the
prepuce,  Sepia,  Silicea; between the  thighs,  Petroleum.
  Prurigo on the scrotum  (tetter)  requires,  mostly, Sulphur,
Dulcamara, Nitric acid, Petroleum, Thuja.
  Administration.—Every evening  a dose (four glob.), and
thus every medicine used for four days, before another one is
commenced; if  it is not better, wash with a solution (twelve 
346   AFFECTIONS OF THE URINARY AND GENITAL ORGANS.
glob,  in  half a  teacupful  of  water) of the  same  remedy
during its internal use.
  Diet and  Regimen as in chronic diseases.
  Erysipelas of the scrotum requires Belladonna, Rhus, and
Arsenic, in the same  manner as  stated under "Erysipelas."
(See  "Diseases of the Skin.")
  Diet and regimen as in " Erysipelas."

                   Syphilis.— Gonorrhea.
  We can only mention here the commencement of the treat-
ment for these complaints,  as  inveterate or chronic  disorders
of this kind are  so  complicated and difficult  of treatment,
as to require the utmost attention of a skillful homoeopathic
physician.

                   a.   Syphilis.   Chancre.
   If infection has taken place, and a slight soreness manifests
itself on the glans, Avith a pimple which soon becomes a small
ulcer, marked  by its hard  surface and elevated edges, take,
internally, Mercury, three times a day (six glob ), and wash,
externally, with a solution of Mercury (twelve  glob, in half
a teacupful of Avater), until the  advice of a physician can be
obtained.

                b.  Gonorrhea.   Clap.   Gleet.
   If, after infection, a soreness of the whole urethra ensues,
with  inflammation of  the glans in particular,  take Aconite,
every two or three hours a dose  (four glob.), for six or eight
times, and after it, if a running  appears,  Mercury, every three
 hours a dose (four glob.),  until  medical  aid can be procured.
 Outwardly,  use cold Avater bathing; to  subdue pain and in-
flammation, keep perfectly quiet, and abstain from all meat diet.
   Diet  and Regimen are alike  for both  complaints: no meat
whatever; but milk, Avater, and  bread; the most perfect rest. 
    CHAPTER  XVI.

DISEASES  OF FEMALES.
  There are diseases peculiar to the female sex, whose dis-
tinctive character is founded in the different physical  organ-
ization of the female from the male.  It shall be our endeavor
to be as minute in treating of them as the object of this work
will allow, although a great many of them must, and will,
always demand the especial attendance of a physician, on
account of their importance to life and difficulty of treatment;
yet a right knowledge of their  nature will diminish fear, and
create confidence and trust—a  great lever  in surmounting
medical difficulties.

                    1.  Menstruation.
   With the appearance  of  the menses  (courses)  the  age  of
puberty  commences with the  female,  and various  changes
take place in the mental and physical  development;  such as
change of voice, expansion of  the chest, enlargement of the
breast, a marked reserve in manners, and an increased atten-
tion to outward decorum and  appearance.  This time gene-
rally comes, in northern climates, between the thirteenth and
fifteenth year; in  southern, between the eleventh and thir-
teenth.   The same difference  of time is observed  in the  dis-
 appearance of the menstrual discharge, which takes place, in
 the northern climates, generally between the  forty-third  and
 forty-fifth year; in the southern, between the forty-first and 
348                DISEASES  OF FEMALES.
forty-third year.   The menses appear quite regularly in  a
healthy female, every tAventy-eight days (a  slight deviation
of from tAvo to three days earlier or later does not constitute
of itself disease), and last, at an average, five days, although
this is no absolute rule.
   We cannot recommend too  strongly a strict adherence to
the general principles of Hygiene, as the departure from these
lays,  in most cases, the foundation to those derangements in
the menstrual functions which prove  so fatal  to the life  and
happiness of a female.   And  here we may  remark  that, in
the course of a long practice,  we have found the  wearing of
thin-soled shoes to be the most fruitful source of the decay of
female beauty, and the decline of female health.   The dam-
age of tight lacing  (although considerable) is   nothing in
comparison with the fatal habit of  appearing, in all kinds of
weather, in thin-soled shoes; the consequences  of the latter
are beyond description, fearful, and destructive.   Almost all
diseases which follow a stoppage  of the menses, consumption,
fluor  albus, etc., can be traced  to this source.   Let  reform
set in!

              Obstructions of  the First Menses.
   When the menses do not appear, although the time  of  pu-
berty has come,  the  young girl will show signs of deranged
health which demand our immediate attention.   She has,
perhaps, frequent bleeding at the nose, congestions  to  the
head, flushed face, constriction of the chest, palpitation of the
heart, etc.  If  these  symptoms  manifest  themselves, give
first,
   Pulsatilla.  If,  beside  other symptoms, she  looks rather
pale,  is slender and  feeble, melancholy and sad;  feels better
in the open air.
   Bryonia.  If she looks flushed in the face, her nose  bleeds
frequently, inclined to constipation.
   Veratrum.   If she is chilly, and inclined to diarrhea. 
CHLOROSIS--GREEN DISEASE.
349
  Sulphur.  If  either of  the  above  remedies  have  not
brought on the menses.
  Administration.— Of  the  selected  medicine,  give  every
evening a dose (four glob.) for  four nights, then  discontinue
four days, and give Sulphur in  the same manner.   If not
better in four or six Aveeks consult a physician.
  Diet and  Regimen.—Let  the  diet be  simple,  but  nutri-
tious ;  exercise as  much  as possible;  apply warm foot-baths
before going to bed.

                 Chlorosis.   Green Disease.
  Diagnosis.—Pale, white color of the skin, cheeks, and lips;
chilliness,  lassitude, yet easily excited on the least exertion;
weak, slow pulse, difficulty of breathing, and palpitation of
the heart when exercising;  swelling of the feet; no appetite,
but  sometimes an  immoderate  desire  for  unusual things,
earthy substances, as chalk, etc.   The blood is thin, watery ;
if not cured, general dropsy and consumption, or nervous dis-
eases can set in.   It is mostly a disease appearing in young
girls, when the first menses do not appear,  or after several
hemorrhages, or  other diseases, carrying with them great loss
of life-sustaining  fluid.
  Treatment.—If it occurs  in young girls, the treatment
mentioned  for obstruction of the first menses in the preceding
article will suit; yet,  after Sulphur,  we would recommend
Calcarea carb.; if it occurs,  however, after severe sickness, or
hemorrhages, give China  and Carbo veg.; every other evening
a dose (six glob.),  alternately, for at least five or  six weeks.
In both cases, if the above medicines do not relieve, apply to
a skillful physician without delay.
  Diet and  Regimen.—Let the  diet  be very nutritious, ex-
ercise  plentiful, particularly in  open air; if mineral springs
are chosen for a  summer resort,  give  the preference to the
chalybeate, containing iron. 
350
DISEASES OF FEMALES.
          Suppression of the Menses, Amenorrhea.
  Or their temporary cessation, A\rhen once well established.
This occurs  either suddenly by taking cold  (from wet feet
mostly), overheating, violent mental emotions, faults of diet,
etc., and often produces violent congestions to the chest, head,
or stomach,  with cramps, convulsions,  inflammations, etc.;
there is no disease which could not appear in  consequence of
it;  or the menses have gradually disappeared, without creat-
ing any immediate symptoms  in the female economy, giving
rise to suspicion of pregnancy.
  Treatment.—Beside the remedies  recommended in " Ob-
structions of the First Menses," which will be of the greatest
benefit here, and of which Pulsatilla  is the principal, we re-
commend
  Aconite.  In alternation with Bryonia, every hour or two
hours a dose (four glob.), in a sudden check of the menses,
producing congestions to the head and chest, or Cocculus, in
alternation  with  Veratrum,  in the same manner,  if severe
cramps in the abdomen are present.
   Opium.  If all the blood seems to have rushed to  the head,
producing heaviness there, with a dark redness of the face, and
drowsiness,  even convulsive jerks of the muscles.
   Capsicum.  In spasms of the chest, and in alternation with
 Veratrum, if, also, the abdomen suffers; or  with  Opium, if
the head is congested.
  If  the  menses have been checked by mental agitation or
depression, take those remedies recommended for fright, fear,
etc., in "Affections of the Mind."  See this article.
  Administration the same as in Aconite, above.

  Painful Menstruation.  Menstrual colic   (Dysmenorrhea.)
  The causes of these tormenting distresses of females are
generally laid in the early  part of  womanhood, and OAving
chiefly to improper treatment of other diseases, suppression of
eruptions or habitual discharges, rheumatic disorders, colds, etc. 
MENSTRUATION TOO EARLY.             351
The pains either  appear before  or  during the flow of the
menses, sometimes resembling real labor pains, with bearing
doAvn and forcing; at other times as a constant aching in the
loins, hips, and limbs.  They generally diminish in violence
as soon as the regular flow has commenced, but not always.
   Treatment.—If possible lie  doAvn, cover well,  and  take
Coffea, Pulsatilla,  and  Veratrum,  in alternation, every half
hour a dose (four glob.) until better.  If this does not suffice
take Nux vom., if the forcing pains predominate; Cocculus, if
colic pains in the abdomen  appear, with  shortness of breath;
Chamomile, if with discharge of dark colored blood, there are
pains like  labor-pains, together Avith colic pains and tender-
ness of the abdomen.
   If a profuse perspiration sets in while in bed, do  not leave
it soon after the pains cease, nor cool off too quickly, else the
pains return.  Avoid the use of heating substances, either
externally, or internally, save  a warm  brick on the feet or
stomach.
   Administration.—As above under Coffea, etc.
   Diet.—No coffee for the  first two days.

                   Menstruation too Early.
   If the menses  appear  too early, say every  two or three
weeks, the disorders causing it are too complicated frequently
to be prescribed for in a domestic treatise;  apply to a physi-
cian ; yet the cure may be commenced with   the following
remedies:
   Ipecac   Almost a  specific  in all passive  hemorrhages,
where feebleness,  dullness, nausea, and coagulated discharges
prevail.
   Ignatia.   Where the menses return every two weeks, spirits
are depressed; in  alternation Avith Ipecac, if its symptoms are
also present.
   Belladonna.  Heat and pains in the head, with cold feet and
dryness of the throat;  bearing down in the abdomen.
       32 
352
DISEASES OF FEMALES.
   Calcarea carb. is almost a specific in this  disease, where
with the menses a  diarrhea  or  frequent  discharges from the
bowels  appear, with  pains in the  bowels;  suitable  after
Belladonna.
   Sulphur.  If the menstruation is too early and too profuse.
   Natrum muriaticum.   If Calcarea carb. is insufficient.
   Administration.—Just before, or in the beginning of the
menses, one or two doses of the  selected medicine every
three hours one dose (six glob.);  after the menses are  over,
take one more  dose, and then wait until the  next appearance
of the menses,  and observe  whether they are more regular as
regards time.

             Menstruation too Late and too Scanty.
   Pulsatilla is the principal remedy, when the above difficulty
exists,  and  also  when  the menses appear irregular, some-
times too late  and too profuse  (as this is the case particularly
at the  critical  period—change of life), sometimes  too  early
and too scanty.   In the former, Lachesis alternates well with
Pulsatilla.  In most all cases,
    Sulphur is necessary, to  complete the cure.
    Compare, also, " Suppression of the Menses," " Obstruc-
tion of the First Menses."
    Administration, Diet and Regimen, the same  as stated
 there.

     Menstruation too Copious.  Flooding.  (Menorrhagia.)
    In cases  of this kind, causes mental  and physical may
 operate, to enumerate all of which here, would be impossible.
 We content ourselves in directing the reader to the various
 sources, where he can find their remedies.
    If mental causes, such as fright, fear, etc.,  exist, give the
 remedies  stated  under  "Affections  of the  Mind," for the
 several exciting causes.
    If external injuries, see this chapter.  In cases of this kind, 
          MENSTRUATION too copious--FLOODING.       353

Arnica is the  first remedy, after which others may be se-
lected.
  In general, however, Ipecac, is the  principal remedy (see
"Menstruation too Early"),  followed by China, if there  is
great weakness, buzzing in  the  ears,  faintness  when raising
the head  off the pillow; Belladonna, if there  is downward
pressure ; Pulsatilla  and Lachesis, if  it occurs  during change
of life; also, in  such  a case, or  in aged women, Ipecac and
Secale.
   Chamomile.   If dark, clotted blood is discharged,  accompa-
nied by colic-like  labor-pains, violent  thirst,  coldness of the
extremities, headache with clouded sight, and humming in the
ears.
   Coffea  and Camphor, in alternation, when  there  is, beside
the above symptoms, exceedingly painful colic.
   Platina.   After  Belladonna  or Chamomile, when the dis-
charge is too profuse, or of too  long duration, of  black and
thick  blood, Avith great nervousness, sleeplessness,  and con-
stipation.
   Secale.  Particularly with great weakness and coldness  of
extremities.
   If real flooding ensues, resisting the above medicines, the
application of cold water, or pounded ice, over the lower part
of the abdomen,  externally, is  necessary  to coagulate the
blood in the vagina and uterus, which stops  the hemorrhage.
There can be no fear of getting cold in doing this, if it is done
well; always keep the patient lightly but well covered.  In
such a case, the patient must lie with the hips higher, at least
not lower than the shoulder.  This treatment will be effectual
in the severest cases of flooding.
   Administration.—Dissolve six glob, of a remedy in six
teaspoonfuls of water, and give every fifteen,  twenty, or forty
minutes a teaspoonful, sometimes in alternation with another,
and lengthen the intervals as the patient gets better, when no
medicine  is needed any more. 
354                DISEASES OF FEMALES.
   Diet and Regimen.—Every drink  must be  cold  and not
stimulating ; except when faintness appears, Avith deadly pale-
ness of the face, no pulse,  and cloudiness of sight, give wine
and brandy,  in frequent, small  quantities.    Camphor and
 China, in such cases, are of the greatest service.  The patient
ought to lie perfectly quiet.

              Menstruation of too long Duration.
   Compare " Menstruation too Copious," and give of the se-
lected medicine every  evening  and  morning  a dose  (six
glob.) until better.   (See,  also, next article, on "Change of
Life, or Critical Period.")
   Diet in such cases must be highly nutritious.  It is best to
consult a physician early.

 Critical Period.  Cessation of the Menses.  ( Change of Life.)
   This period,  commencing  about at the  age  of forty-five
years, forms one of the most important in the life of a female.
If not guided through this critical time by the counsel and
aid of a skillful physician, she gathers the seeds of endless
miseries, or even early death.  This period may be a blessing
to her, as well as a source  of great distress ;  as after  it her
health either becomes more confirmed, or disorganizations in
internal organs are formed, which soon carry her off.   With-
out  enlarging further  on the subject,  we recommend the
early and constant advice of a skillful physician during this
time, which generally lasts from one and a half to two years.
   First, an  irregularity of the courses is experienced; they
stop for three months,  then  reappear  with  great violence,
then  stop for four or  six months, during which time the
woman shows more or less  symptoms of congestions; piles
appear;  the limbs sAvell; pruritus (violent itching of the
private  parts)  frequently sets in, also cramps  and  colics in
the abdomen ;  asthmas and palpitations of the heart;  sick-
headache ; hysterics;  apoplexy, etc. These maladies are so 
PROLAPSUS  UTERI--FALLING OF THE  AVOMB.     355
various, and continually changing and complicated, that they
require the constant, watchful  care of a family physician.
Do not neglect them.
   Treatment.—We can here  only give general rules:  eat
and drink moderately ;  sleep in airy, well-ventilated rooms;
avoid violent emotions or exercise, but contrive  to  be busy
mentally and  bodily ;  shun  exposure  to inclement  weather,
wet feet, etc.   (See "Hygiene.")
   Pulsatilla  and Lachesis are, in  this period, the  principal
remedial agents, of which take every six days one dose (six
glob.) alternately, unless  other remedies  are  necessary.  If
diseases otherwise occur, see their respective chapters.

        Prolapsus Uteri.   (Falling of the Womb.)
   A  great deal of abuse has taken place, of late, with this
disease, which  has almost become as fashionable, as neural-
gia, etc., through the neglect and ignorance of practitioners,
who call every feeling of pressure which they cannot cure a
"falling  or dislocation  of the  Avomb,"  supported by the
feelings of the  patients, who  really believe they have such a
compfaint,  while in the majority of cases, they have  only the
peculiar  sensation of forcing or bearing  doAvn, Avhich results
often  from congestion to the womb, caused by other inherent
chronic ailments.   These ought to be ascertained and cured.
and the poor sufferer not tormented with  endless  and sense-
less supporters and bandages, explorations by  speculums,
attempts to replace the womb, etc., by the practitioners who
frequently afterward assert that they have replaced the womb,
what  really they  could  not  have  done, because  it  was not
dislocated.  If after all  the patient  is  not cured, and the
same  feeling returns, it  is  said, "A relapse has taken place;
we must replace it again;" and so the  poor sufferer, confid-
ing in her medical attendant, never receives relief.  There
are, undoubtedly, cases  of falling of the womb, Avhich require
manual replacement; but these occur mostly after mechanical 
356
DISEASES OF FEMALES.
injuries, falls, blows, missteps, etc., or after severe  labor  in
childbirth, and  an  examination gives unequivocal  signs of
dislocation.   To such cases, the above remarks have no refer-
ence.  I have seen frequent cases of the former kind, however,
which were  pronounced and treated by eminent physicians
as prolapsus uteri, where no dislocation whatever existed;  in
women, too, who  never had children,  and who had not suffer-
ed  external  injuries.   These  patients were  cured  without
external helps of pessaries  and supporters, and became entire-
ly healthy by a rational internal treatment, after their several
chronic maladies, congestions to the womb, neuralgias, and
indurations of the womb, etc., had been  removed.  Yet they
frequently would, during the early part of the treatment, insist
upon it, that they had a falling or  dislocation of the womb;
judging from their own feelings, and having  been indulged
or strengthened in them by  their former  physicians.
  Treatment.—If  a falling of the womb, or its dislocation is
certain, from the preceding external injuries above stated,
and the consequent constant feeling  of  downward pressure,
less when lying, worse when moving or walking, compelling
her to lean forward; the patient ought to lie doAvn, and remain
quiet, in a horizontal position, sometimes for weeks.   During
that time, let her take,
  Belladonna and Sepia, alternately, every other morning a
dose (six  glob.) until better, or until one week  has elapsed,
when the  patient discontinues the medicine for one week, yet
remains lying; after which, she may repeat the same, or take,
  Nux vomica. Afterward Calcarea carb.  in the same manner.
  Sometimes a dose of Platina, Cocculus, and Ignat. may be
given, if the patient exhibits great nervousness, with constipation.
  Diet.— The usual homoeopathic diet in chronic diseases.

         Leucorrhea.  Fluor Albus.   (Whites.)
  This troublesome and weakening  complaint consists of a
discharge  of mucus, variously colored, and  of different con- 
LEUCORRHEA--FLUOR ALBUS.
357
sistency, from the private parts.   It occurs, generally, between
the age of puberty and the critical period, and is seldom seen
later than this, except when discharges of this kind are  ex-
cited, in consequence of  the disorganization of the womb.   If
it manifests itself in children, or even infants, it is either on
account of want of cleanliness  of these parts, or local irrita-
tions, such as porduced by pin-worms (ascarides), etc.
   Weakly females, of a nervous, relaxed, or excited tempera-
ment,  are more prone to  it; and the more our present state
of society becomes over-civilized, with its legion of pleasures,
inactivity of body, idle and late hours, bad  literature, and
immoderate  use of tea, coffee,  and spices of  all  kinds (we
mention here, only as an  instance, the increased use of van-
illa), the more easily will  this disease be engendered.
   It would carry us too far, to go into the practical detail of
a disease which requires the most skillful attention of a medical
attendant;  and we earnestly recommend an  application to
him, in an early stage of the disease.
   Beside this  we  recommend  cold water, in  all  its various
applications, as the best means to restore the tone and strength
of the weakened parts of  the system.
   The principal medicines to be taken domestically, are:
   Pulsatilla.  Discharge  thick, like cream, sometimes  creat-
ing an itching around the  affected parts.
   Cocculus.   Discharge of  a  reddish  hue before  and after
menstruation, with colic and flatulency.
   Sepia.  After Pulsatilla; parts  become  excoriated;  dis-
charge yellowish, greenish,  fetid.
   Calcarea carb.   Whitish,  corrosive discharge in children; in
 adults it is milky before menstruation or after lifting; particu-
larly in fat,  corpulent females.
   Sulphur.   If none of the above remedies should  prove
 sufficient.
   Administration.— Four doses of a remedy selected, every
 evening  one  dose (six  glob.);  then abstain from  taking 
358                DISEASES OF FEMALES.

medicine  for  four days, and  if  not better  at the end of
that  time, select another remedy, and take it in the  same
manner.
  Diet and Regimen.— Diet must be  nourishing, but not
flatulent  (see  "Dietetic  Rules").   Avoid  the causes  which
excite  this complaint; particularly colds and excitements of
any kind.
                        Pregnancy.
  As this state of the female is an entirely physiological one,
it must not be considered abnormal of itself.  It only becomes
so, by deviating from the rules of health.   As regards diet, a
pregnant female may  live as she has found it for herself most
beneficial heretofore.   She must abstain, however, from ex-
cesses in  diet, which previously would not have injured her, for
the sake  of the welfare of a being, bound to her by the  most
endearing ties; the moral and physical health of this expected
offspring depends upon its mother's actions.
  Be careful in all things ; careful in not making  a  misstep,
in not dressing too tight, in not sitting up  too late at night;
in walking too great a distance, and in  eating and drinking,
be careful and moderate.  But enjoy life, as far as  is possi-
ble within these conditions;  and the reward will be the hap-
piness  of others.
  Exercise in the open air is good and necessary, but it must
not be too violent;  for instance, on horseback, etc.;  walking
in the open  air is the best.   Do  not walk out immediately
after dinner; but early in the morning or at night.  Do not
take  purgative medicines.
  We will now consider the most common ailments during
pregnancy.

               Diseases during Pregnancy.
  Pregnant females, even  if ever  so healthy otherwise, are
liable to  diseases  to which pregnancy, as  sueh, predisposes.
These we will treat of in particular; while,  for other ailments, 
DISEASES DURING PREGNANCY.
359
we refer the reader to their respective headings, giving  here
only the most suitable medicines:
   Yor moral affections (see "Affections of the Mind"):  Aco-
nite,  Pulsatilla,  Belladonna, Platina, Lachesis,  Stramonium,
Veratrum.
   Headache :  Belladonna, Bryonia,  Nux vomica,  Platina, Ve-
ratrum, Cocculus.
   Toothache:   Chamomile,  Belladonna,  Pulsatilla, Mercury,
Sulphur, Sepia.
   Convulsions and spasms : Belladonna, Hyoscyamus,  Ignatia,
Chamomile, Platina.
   Dyspepsia: Nux vomica, Pulsatilla, Sepia, Phosphorus.
   Constipation:  Bryonia,  Nux vomica, Opium,  Lycopodium,
Sepia.
   Dysury and strangury (scanty and painful urination):  Nux
vomica, Pulsatilla, Cocculus, Sulphur.
   Diarrhea:  Antimon. crud., Phosphorus, Pulsatilla,  Mer-
cury, Sepia.
   Piles  (hemorrhoids): Nux vomica, Ignatia, Aconite, Sulphur.
   Incontinence of  urine: Pulsatilla, Belladonna,  Stramonium.
China,  Silicea.
   Sleeplessness :  Coffea, Belladonna, Nux vomica, Hyoscyamus,
 Opium.
   Fainting  (hysterics): Ignatia,  Pulsat., Aconite, Bellad.
   Melancholy (low spirits): Aconite, Pulsatilla,  Ignatia, Bel-
ladonna.
   Piles  or  hemorrhoids : Nux vom.,  Sulphur, Ignatia, Sepia.
   Cramps in  the abdomen : Bellad., Nux vom., Pulsat.
   Cramps in the back:  Ignatia,  Rhus tox., Kali carbonic,
Bryonia, Belladonna.
   Cramps in  the hips :  Colocynth, Rhus.
   Cramps in  the  legs (calves):  Veratrum,  Secale.
   Cramps in  the  feet: Calcarea carb.
   Pain in right side (see article "Liver"):  Chamomile, Aco-
nite, Pulsatilla. 
360
DISEASES OF FEMALES.
  Heart-burn (sour stomach), Water-brash:  Nux vomica, Phos-
phoric acid,  Pulsatilla, Sulphur.
  In all the above diseases, compare their respective chapters.

          Nausea and Vomiting during Pregnancy.
  This distressing complaint is present during pregnancy in
some  females; in others it  is wanting.   It  begins  usually
about six weeks after conception, and lasts up to the fourth,
fifth, even  seventh month, more  or less violently.  It  is of
a constitutional origin, and cannot  be  taken away easily, as
the exciting cause still exists.  The same may be  said about
the spitting of frothy saliva, Avith  Avhich some  Avomen  are
troubled.
  Exercise  in the open  air, cheerful  society, strengthening
food, and  refreshing  drinks, such as ale, lemonade, or salt
fish, sardines, smoked herring, are  frequently means  to alle-
viate  the  sufferings.   The following medicines,  also,  often
have a good effect:
  Ipecac   If bile is throAvn up, coated tongue, loss of appetite.
  Nux vomica.  If with sickness  at  the  stomach there is
headache, constipation, pressure in  the stomach.
  Arsenic.   Vomiting after eating and drinking;  great weak-
ness.
  Pulsatilla.  Sour vomiting;  white, coated tongue.
  Petroleum.  (See "Sea-sickness.")
  Natrum  muriaticum.   Nausea  and vomiting  with loss of
appetite and taste : water-brash, acid stomach and painfulness
of the pit of the stomach.
  Administration.—Give  of the selected  remedy three or
four doses (four glob, each) a day,  for two  or three  days in
succession before  the  application of another remedy.

                   Pruritus.   (Itching.)
  This  distressing disease of the  private  parts often  takes
away rest and comfort from the  pregnant female, and  must 
MISCARRIAGE--ABORTION.
361
be removed  as soon as possible.  Try first, frequent wash-
ings  with water, and if not better, wash  with a solution of
borax and Avater, three  or four times a day.
  Treatment. — Bryonia,  Carbo  veg., Graphites, Mercury,
Pulsatilla,  Sepia, Silicea,  Sulphur,  Rhus,  Sarsaparilla, are
the principal  remedies.
  See  their application recommended under  "Pruritus," in
"Diseases of the Skin."

                       Varicose Veins.
  A complaint which consists in an extension of the veins on
the lower extremities, owing to the pressure of the pregnant
uterus on  the large veins of the abdomen,  impeding the
speedy return of the venous blood upward,  creating, thereby,
stagnation.   If  they are  not painful and large,  frequent
washing in cold water is sufficient, as they speedily disappear
after the birth of the  child.   But when  they are very large
and painful, the patient should lie doAvn for a feAv days, and
apply  beside, if necessary, a bandage or laced  stocking, to
compress the  extended veins.  This bandage should be ap-
plied in the morning, when the least swelling is present.
  The following remedies can be taken  with  benefit, every
three days  one dose (six glob.), changing the medicines every
week, until better: Arnica, Nux vomica, Pulsatilla, Arsenicum,
Lycopodium,  Carbo veg., Lachesis.

            Spots on the Face during Pregnancy.
  Yellowish or brownish spots on the face, which often appear
in pregnant females, require the use of Sepia,  every  eight
days one dose (six glob.), for five or six weeks or until better;
if not, Sulphur in the same manner.

                 Miscarriage.   (Abortion.)
  Miscarriage can take  place at any time between the  first
and seventh month.  If it occurs  after the  seventh, it is no 
362
DISEASES OF FEMALES.
longer so  called, but premature birth;  as  at this period the
child can be saved, and  the  object of pregnancy be gained,
to give birth to a living child.   But if the  child  is  born be-
fore the seventh month, it  cannot  live;  thence the  name
"miscarriage."   The  more advanced the  pregnancy is, the
less is the  danger  which  might  result  from a  miscarriage.
The oftener a woman has miscarried, the more her constitu-
tion inclines to new misfortunes of the  same kind.   Miscar-
riages are more  liable to occur again at the same  time  of
pregnancy, at which the  former  or last  one happened; if
once past that period, the  danger  to  miscarry diminishes.
Miscarriage can  become a habit;  it sometimes appears epi-
demically, in so far, at least, as in certain seasons the uterine
congestion  generally increases (menses  appear more fre-
quently  and profusely, hemorrhages take place  spontaneous-
ly, etc.), and in the same ratio, the possibility and occurrence
of abortion multiplies.*
   If a woman approaches the time where formerly she had
miscarried, she must be careful not  to  provoke  a  return  by
walking  great distances, lifting, running down stairs, riding
over a rough road,  etc.  These practices might excite at any

  * I observed this phenomenon, on the approach of the Asiatic cholera
in Cincinnati in December,  1848, when there was a sensible increase
of miscarriages and hemorrhages of every kind, increasing during the
spring of 1849, and being at its height in  July and August, when  the
cholera was raging the most fearfully.   Women miscarried at this time
who never before had  had any predisposition to  it, although mothers
of many  children; premature births occurred without  any apparent
cause, bodily or mentally.  After that time, the tide  of the  disease
turned, and  with  it the abortions decreased in number; also, other
kinds of  hemorrhages.  Undoubtedly, the small quantity  of positive
electricity in the atmosphere caused a general  debility in the nervous
system, and consequent muscular and vascular laxity, which even in-
volved, in its general effects, the  uterus in all its functions.   Hence the
epidemical appearance of abortions.  Such facts  must only be known
and recognized as such, and it becomes an easy task to prevent mis-
fortune. 
                 MISCARRIAGE--ABORTION.              363

time a miscarriage in females who never were predisposed to
it;  certainly much more in those  already predisposed.  A
weakening, luxurious mode  of living, late hours, great  men-
tal excitement, are causes of miscarriage, and must be strictly
avoided.
  The premonitory symptoms of a miscarriage are : chilli-
ness, followed by fever and pressing down sensation, which
afterward increases to labor-pains; cutting, drawing, mostly
in the loins and abdomen.   A discharge of bright-red blood
either  immediately issues from the  vagina,  or coagulated,
dark blood appears afterward in spells; frequent repetitions
of these efforts of nature are  usually necessary to expel the
foetus ;  varying in duration from two  hours to two days.
  Treatment.—As soon as the  above symptoms appear, even
if in a slighter degree, the patient  must lie  down  and keep
perfectly quiet, without moving ; if the attack is brought on
by mechanical injury, a fall,  blow, misstep, or walking, lift-
ing, etc., take
  Arnica.   Twelve globules dissolved in half a teacupful of
water, every fifteen or twenty  minutes a teaspoonful, until
better,  or until  after one  hour  another remedy  becomes
necessary.
  Secale will be the next remedy to be given, in  the  same
manner as Arnica, particularly in females who have miscar-
ried more than once; in  older ones, or  in those who have a
weak and exhausted constitution, when the discharge consists
of dark, liquid blood, and the pains are but slight.
   China, in alternation with Secale, becomes necessary, Avhen
the loss of blood is considerable, and weakness and exhaustion
evidently increases ; buzzing in the ears ; cloudiness of sight;
loss of consciousness ; fainting when raising from the pillow.
  Hyoscyamus, if the patient falls into spasms or convulsions
of the whole body, with loss  of consciousness, discharge of
light, red blood, worse at night.
   Crocus, if dark clotted blood is discharged, increased by 
364
DISEASES OF FEMALES.
the least  exertion, with  sensation of  fluttering  or motion
around  the navel.   If other remedies fail, this  sometimes
will help.
  Ipecac becomes a  necessary  remedy,  in alternation  with
Secale, if with flooding there is nausea, fainting, cramps.
  Platina and Belladonna in alternation, either at the begin-
ning or, after Ipecac, has failed to relieve, and  the  pains  are
in the loins and bowels, severe bearing down, as if the intes-
tines would be forced out; sensation in the back, as if it were
broken; very pale or flushed face ; discharge of dark, thick,
clotted blood.
  Administration the same as stated in Arnica.
  Diet and Regimen.—As in " Menstruation  too Copious,"
"Flooding," which article may also be consulted, if the above
remedies are insufficient  for  the flooding.  After the foetus
has passed away,  treat the patient in the  same manner  as
would be necessary after a regular birth.   The  patient must
keep the bed for the same length of time  as in  regular child-
bed.  This fact must  be well remembered.
  Do not neglect to procure a physician, if possible, immedi-
ately.
  N. B.  Premature  birth,  or a  birth occurring  after  the
seventh, and during the eighth month, must be treated as a
regular birth;  but frequently needs medical aid, which ought
to be procured.

              Parturition.   Regular Birth.
  This  is a physiological and healthy process, setting in at
the end of  the  ninth month of pregnancy, by contractions of
the womb, called labor-pain, which, at first slight, increases in
violence and strength, until the child is  expelled.  If labor
occurs after the  ninth  month (sometimes it  delays for two
weeks), it becomes harder  on account of the child becoming
larger,  and its head more closed, consequently  less com-
pressible. 
LABOR-PAINS--CRAMPS, ETC.
365
                        Labor-pains.
  The following medicines will  be of benefit to correct the
irregularity and painfulness of labor-pains:
  For nervous trembling, fear and anxiety, before  or during
labor-pain: Aeon., Coffea, Bellad., Ignatia.
  For ineffectual or spasmodic  pains;  Coff., Cham.,  Nux.,  Sec
  For the absence of labor-pains: Pulsatilla, Secale.
  For excessively painful labor-pains:  Coffea, Aconite.
  For sudden cessation of labor-pain, with congestion to the
head, redness of  the face, drowsiness : Opium.
  Administration.— Every half  hour a dose  (four glob.)
until better, or another remedy is chosen.
  During the progress of labor, and  any time after delivery,
cold water may be drank freely by the patient, if she wishes
it.  Decidedly objectionable,  during  this time,  are all warm
drinks and  alcoholic  liquors, so  frequently offered to  the
patient with a view to assist labor.

         Cramps.  Convulsions.  Spasmodic Pains.
  These are nervous symptoms, which  frequently appear
during labor, retarding the quick and successful delivery.  In
such cases, give
  Chamomile.  If acute, cutting pains extend from the loins
to the hypogastrium, attended with spasms.
  Belladonna.  If  the pains  bear down  most violently, so
that convulsive motions of the limbs  ensue;  great agitation,
constant tossing;  red  and bloated face ; profuse sweating or
dry, heated face.
  Hyoscyamus.  Severe  convulsions,  with loss  of  conscious-
ness, great anguish and cries,  with oppression of the  chest.
  Stramonium.   Trembling of the  limbs and convulsions,
without loss of consciousness.
  Ipecacuanha and Ignatia in alternation, when the  patient
complains  of a confused feeling  in  the head ; sensation of
suffocation; convulsions. 
366                DISEASES OF FEMALES.
   Cocculus.   If the Avhole body is cramped  or convulsed,
 particularly  the lower part of the  abdomen, with heat and
 redness of the face; in alternation with Belladonna.
   Administration.— Every fifteen,  twenty, or thirty minutes,
 one  dose (three glob.) until better  or another remedy is re-
 quired ;  if the medicine is taken  in water, dissolve  twelve
 globules in half a teacupful, and give every fifteen or twenty
 minutes a teaspoonful.

       Adherence  of the  After-birth.  (Placenta.)
   When, within half an hour, after delivery, no more  pains
 appear, to expel the  after-birth give  Pulsatilla and Secale,
 alternately,  every fifteen or twenty minutes  a dose  (three
 glob.), until neAv contractions ensue, after which, the placenta
 will  soon appear.   If the patient's  head is  congested, full,
 red,  give  of  Belladonna four globules in preference  to the
 above remedies.

                Treatment after Delivery.
   Perfect rest and sufficient covering are the first necessities
 after delivery.   No change of clothes or position ought to
 take place Avithin the  first eight or  ten hours after delivery;
 during this  time the patient  generally enjoys  a  good sleep,
 into Avhich she may be allowed to fall one  hour after delivery;
 nothing restores the lost strength better than a good,  quiet
 sleep.
   If flooding threatens,  rub the region  over the womb  by
 regular frictions Avith the hands, until the  womb  contracts
 again, and after-pains  appear, Avhich diminish the danger of
 flooding; or else give her Belladonna, if there is a great deal
of bearing  down;   Chamomile, if there  is  coldness of the
limbs and pains around the  abdomen.
   China and Ipecac, in alternation,  in  the worst cases,  Avhen
the above remedies do not succeed ;  or,
   Pulsatilla,  if the  discharge  of clotted blood  appears  at 
DURATION  OF CONFINEMENT.             367
intervals,  ceases, and  reappears ;  also, Crocus, Platina, and
Sabina.  As the last remedy, apply cold water in wet band-
ages, which must be frequently renewed, or pounded ice on
the abdomen, which allays the flooding  soon.  (See "Men-
struation too Profuse, Flooding.")

                       After-pains.
   These are necessary evils, as their beneficial effect in  con-
tracting  the womb more perfectly is too  evident.   Yet,  they
sometimes become harassing and almost unbearable; in  such
cases, use the following remedies:
   Arnica, as the first  medicine, to soothe the irritability  of
the womb after such  heavy exertions;  next,  or in alterna-
tion Avith it,
   Pulsatilla,  almost  a specific for these pains;  or, if not
better,
   Chamomile  and Nux vom., in alternation.
   Secale, in weakly persons, or those who have already had
many children.
   Coffea, if the pains  seem to be  so severe that the patient
almost despairs.
   Administration.— Every half hour or hour a dose  (four
glob.), until better.

                Duration of  Confinement.
   If  thus far  this process is a perfectly healthy one (and ne-
glect or mismanagement only can make it a source of suffer-
ing), its remaining  part — that of confinement in  bed  after
delivery — passes off, generally, in the same healthy manner.
During this time, usually fourteen  days,  positively no visitors
should be admitted on any consideration.  In the best  case,
where nothing is wanting in regard to appetite, strength, or
milk, and other natural  discharges, the patient  must not be
alloAved, before the fifth day, to sit  up, and  then, during the
next  five or six days, only as long as is necessary to have the 
368
DISEASES OF FEMALES.
bed made and aired.   The reason is, to give the Avomb ample
time to reduce  and replace  itself in the proper location ;  and
that can safely be done only Avhile lying.   Attending to this
advice, literally, may save years of misery.   The diet, in this
time, may be  more substantial, if wished for,  and  if the
mother and child feel well otherwise.

         Breasts.   Nipples.  Secretion  of Milk.
  It is of  the  utmost importance  for happiness and health,
that the greatest care  should be bestowed  upon the  breasts
and their secretions, the milk, the fountain  of life for a being
so dear to  a mother.   Months before the birth of the child,
the breasts, which sometimes already enlarge at that time,
must be  prepared for  their  future duty, by washing them
every day in  cold  water, particularly  the nipples, so as to
harden them for the service to come.
  Milk-fever generally, if  it is not too severe, passes off
without injury, and  requires no other action on our part than
to Avatch the patient closely, day and night, attending scru-
pulously and kindly to her vvants, because mental excitement,
at this period, often becomes fatal.
  If, hoAvever, chilliness  is  followed by  a very high fever,
flushed  face, etc., give Aconite  in  alternation with Coffea, if
great restlessness is present; every hour a teaspoonful of a
solution made of twelve globules in half a teacupful of water.
Bryonia, Belladonna, and Rhus  are afterward necessary, one
after the other, every six  or eight  hours a  dose (four glob.),
if the pain and swelling in the breast, still continue.   The
child may  continue  to draAv the  breast, or  it may be  drawn
by the nurse or a breast-pump.
  Diet very light; gruel, toast  and tea.

                       Sore Nipples.
  The soreness and tenderness, even bleeding of the nipples,
require, at first, applications, of 
AGUE IN THE BREAST.
369
  Arnica tincture, six drops of it to half a teacupful of water;
wash with  it every time  after the child has nursed.  If no
better in eight days, and the nipples inflame, swell, and threat-
en to ulcerate, give
   Chamomile, particularly  when the pains seem to be  in-
supportable, like toothache;  every  four or six hours a dose
(four glob.), until better.   If the nipples  ulcerate or suppu-
rate, dissolve of
   Silicea,  twelve globules in half a teacupful of water, and
wash three or four times  a day, or after every nursing; if  not
better in four or six  days,  take  the  folloAving medicines, one
after the  other, in  the  same manner as Silicea, until  one
relieves, when  all medicines must be discontinued until worse
again: Mercury, Sulphur,  Graphites, Lycopodium, Calcarea carb.
   Diet as  usual.

            Ague in the Breast.  Gathered Breast.
   Give immediately,  Chamomile and Bryonia in  alternation,
every hour a dose, four glob, for four hours ; after which dis-
continue for  four hours and let  the  fever pass off by perspi-
ration, without  giving any more medicine; if the fever will
not  disappear,  however, or returns, give
   Aconite  and Belladonna,  particularly  if  the  breasts  are
swollen, hard,  and very tender ;  externally, apply hot brandy
cloths.   If lumps remain in the  breast, rub Avith sweet oil, or
lay  over the breast a plaster of beeswax and sweet oil.
   If a gathering of the breast cannot be avoided, abstain from
putting on the Avarm poultices  as  long as possible, as they
only implicate  a still larger part of the breast within the  sup-
purating sphere ; give, during this time,
   Phosphorus  and Hepar, in alternation,  morning and  even-
ing  one dose (four glob.),  until  better, or  until four doses of
each are taken, after which discontinue the medicine, awaiting
its effects  for at least three  or four  days; if no signs  of im-
provement are visible, give 
370
DISEASES OF FEMALES.
  Mercury and Lachesis in the same manner;  and then again
Phosphorus and Hepar, until the abscess has  opened, or  the
swelling is diminished.
  After the abscess has opened and discharged the matter,
give
  Silicea, internally, every evening and morning a dose (four
glob.) ;  externally, a wash on the breast, three times a day,
made of twelve  globules  of  Silicea in half a teacupful of
water, well shaken.   This remedy may be followed, in  two
weeks, by
  Sulphur, internally, same as Silicea, and in alternation with
it, until the breasts are healed.
  Diet, nourishing, but not stimulating.

                     Deficiency of Milk.
  Beside  using  drinks which  have a tendency  to increase
the milk, such as milk-punch (milk Avith brandy),  beer  and
milk, tea or coffee with milk, give
   Pulsatilla,  Causticum,  Calcarea carb., each one for a week,
every third night a dose (four glob.).

               Suppressed Secretion of the Milk.
   If  the secretion of the milk  is suppressed suddenly, either
by mental or  physical causes, great injury is to be  feared, if
the proper measures are not adopted  immediately ; one of
them is to take
   Pulsatilla,  twelve globules dissolved in half a teacupful of
water, every  two or three hours a teaspoonful.  If congestion
to the head, lungs, or abdomen takes place after the milk has
disappeared,  give Belladonna, and Bryonia, in alternation, in
the same manner as Pulsatilla.
   If mental emotions Avere the cause, give
   Aconite, Coffea,  Chamomile.    (See  in  "Diseases of the
Mind, " for the consequences of fear, fright, etc.)
   If taking cold Avas the cause, give  Chamomile, Bryonia, and 
WEANING--STATE OF  THE BOWELS.          371
Rhus, particularly when the head and limbs ache, in the same
manner.
  If diarrhea sets in,  give Pulsatilla, Bryonia,  Rhus, Bella-
donna.

        Milk Bad, too thin, or repugnant to the Child.
   Give the mother Cina, Mercury, Silicea, every third day a
dose (four glob.), each remedy for ten days ; Silicea, particu-
larly if the child vomits immediately after sucking.

     Excessive Secretion and involuntary emission of Milk.
                          Weaning.
   Internally, give Pulsatilla, Bryonia, Belladonna, Calcarea,
 in succession,  each remedy for thirty-six hours, every twelve
 hours a dose (six  glob.).  Externally, wash  with spirits of
 Camphor, and wear constantly cotton batting.  This is the
 best external  application which can be used to stop the se-
 cretion of milk at the time of weaning the child.

                     Slate of the Bowels.
   On account of the great changes going on at this time in
 the female organism, the secretion from the womb and breasts
 whereby a great quantity of liquids are disposed of, the secre-
 tion in the bowels by the stool is retarded, and, consequently,
 no evacuation designed by nature, for at least five days after
 delivery ; if any stool is forced, artificially, before that  time,
 it is that much liquid  taken  away from places  where nature
 needed it the  most.   If, after the  lapse of five days, no mo-
 tion on the bowels has appeared, give of
    Bryonia, four doses every  three hours one  (six glob.), and
 await  its effects tAventy-four hours,  after  which, give Nux
 vomica in the same manner,  if necessary.
    Sulphur after that, if necessary, in the same manner.  An
 injection, either of lukewarm water, and two  tablespoonfuls
 of sweet oil, or the same with  a little castile-soap dissolved in 
372
DISEASES OF FEMALES.
it, may be given on the sixth day, if necessary, and  as  often
afterward as needed.
  If diarrhea sets in, the principal medicines are: Rheum,
Phosphor, acid, China, Pulsatilla.   For closer examination of
the symptoms and their  exciting  cause, see article "Diar-
rhea."
  But there is one kind of diarrhea peculiar to nursing wo-
men,  Avhich  is frequently connected  with  the  nursing sore
mouth (see this below).   The discharges from the bowels are
whitish, curdled, smelling sour and musty, being copious and
frequent, but not very painful.  This diarrhea is the begin-
ning of consumption of the bowels,  and must be attended to
immediately.  I have found  the  following remedies almost
specific in such cases :
  Nux vomica, and Hepar, alternately, every three  hours a
dose (six glob.), until better,  or until  six doses of each are
taken; at the same time the patient must lie on the bed or
couch.
  Diet.—Black tea, dry toast, rice, afterward, beef-steak and
roasted mutton.  (See, beside, " Consumption of the Bowels.")

              Sore Mouth of Nursing  Women.
  In  some females  this complaint  is  constitutional; it  is
caused by the peculiar irritation  which  nursing has  upon
their digestive organs ; if let  alone, it sometimes becomes so
bad as to force us  to  discontinue nursing, or to  send the pa-
tient to  mountainous  places  (the  higher the better),  where
the digestive organs become stronger and more able  to  resist
this weakening influence, occasioned by the constant loss of
fluid (milk).  The following remedies, however, will be used
with benefit:
  Mercury,. China, in alternation, every evening and morning
a dose (four glob.), for a  week.
  Nitric  acid, every other evening a dose (four glob.), until
better, or for a week; and, afterward, 
      DISCHARGE FROM THE WOMB DURING CONFINEMENT.   373

  Borax, Nux vom., Sulphur in the same  manner.  (Beside,
see article on " Stomacace.")
  Diet and Regimen.   Diet nutritious, but not flatulent, as
frequently a diarrhea accompanies  this complaint, which  re-
quires particular attention.   See foregoing article.
  Exercise in the cool, fresh air (but not fatiguing exertion
by  walking), riding out  in  a  carriage, etc.,  are beneficial;
also, cold bathing, or sponging.

     Discharge from the Womb during  Confinement.
                         (Lochia.)
  This bloody secretion from the womb  is called the " Lo-
chia," and lasts, generally, from nine to fourteen days, becom-
ing gradually paler from the beginning, until finally a lightish,
mucous discharge is left,  Avhich diminishes  in quantity, until
it also disappears.
  This is the natural process; the deviations from it are  ab-
normal, and require attention.  If the discharge is suppressed
entirely,  and fever, pain,  and congestion  follow,  particularly
in the abdomen  and head, give Bryonia, Pulsatilla, Hyoscya-
mus, Platina, Secale,  Veratrum.
  (Another means to make it reappear again is, to apply on
the womb warm fomentations of hops in a bag.)
  If it is too profuse, or  of  too long duration, Ipecac, China,
Secale, Calcarea carb., Pulsatilla, Bryonia, Platina.  If  the
white lochia becomes bloody again, Rhus.
  Administration the same  as in "Menstruation too Profuse,
Flooding."
   Diet and  Regimen, also,  the same.

          Pain.  Inflammation  in the Abdomen.
                Metritis  and  Puerperal Fever.
   If  the abdomen becomes  very sensitive to the touch or by
movement, shooting pains, fever, headache, give immediate-
ly Bryonia and Belladonna, tAvelve globules  of each dissolved 
374
DISEASES of females.
separately in teacups half full of Avater, every two  hours a
teaspoonful, alternately; send for the  physician immediately;
if the lochia had stopped, apply,  externally, a bag filled with
hops dipped in hot water and wrung  out well.   If perspira-
tion ensues, encourage it until the pain has disappeared.

        General Complaints  during Confinement.
  For sleeplessness: Coffea.
  For colic: Chamomile, Bryonia, Pulsatilla, Sepia,  Verat.
  For convulsions (spasms): Ignatia, Hyoscyamus,  Platina.
  For retention of urine: Nux vom.,  Bellad., Pulsat.
  For debility:   China,  Phosphoric  acid, Veratrum,  Calcarea
carb.
  For falling off of the hair : Lycopodium, Calcarea, Natrum
mur., Sulphur.
  For white swelling (milk leg):  Belladonna, Rhus, Lachesis,
Arsenic, Sulphur.
  N. B. For  further information and the administration of
medicines in the above diseases, see  their respective Chapters. 
       CHAPTER  XVII.

TREATMENT  OF  CHILDREN.
        Apparent Death of a New-born Infant.
                       (Asphyxia.)
  When a new-born infant, either from exhaustion or other
causes, does not breathe, or at least very imperfectly, order a
warm bath, and while that is being prepared, rub the spinal pro-
cesses,  from the neck down to between the shoulders, up and
down, gently but firmly for some time, and blow the  breath
gently into its mouth from time to time, if it does not breathe.
  In the bath, pursue  the  same  manipulations,  and  give a
few drops of a solution of Tartar emetic, one grain  in half a
teacupful of water.   If the child looks blue  in the face
(strangled), give Opium, in the same manner prepared, on
the tongue,  and by injection.
  After the child revives, but looks pale and exhausted, give
China, one glob., every tAvo hours, for six hours.
  Diet of a  New-born Infant.—After washing and dress-
ing, the infant wants sleep, into which it falls as soon as it is
Avarm enough.  Put it in the mother's bed ;  near her,  if pos-
sible.  After having slept for six or eight hours, lay it on  the
breast, even if no milk were there, and feed it afterward with
molasses and water  (under no circumstances  bread  and
water), or milk and water, half  and half, and sweetened with
loaf sugar.
  Wash its mouth after feeding every time with cold  water;
it prevents the thrush.
       34                                    (375) 
376
TREATMENT OF CHILDREN.
                Colic.   Crying of  Infants.
   Examine well whether pins, sticking the little sufferer, are
the cause.
   If no cause is apparent but the universal  one (colic), give
 Chamomile and Belladonna, in alternation, every half hour or
hour a dose (one glob.) on the tongue.
   If the child bends its body double while crying, and retracts
its thighs, give
   Chamomile, when the face is red;  or Belladonna, when the
face is pale.  If the  child has  greenish stools at the same
time, give  Chamomile.  If it has loose evacuations, of a sour
smell, give Rheum.   If these will not suffice,
   Ipecac and Jalappa.  All in the same manner.   For great
restlessness,  sleeplessness, and  feverish heat, with crying,
give Coffea00-  and Belladonna00 , in the same manner.

                Elongation of the Head.
   This  deformity of the infant's  head  is  only temporary;
wash it with Arnica tincture and water (six drops to a teacup-
ful) ; in a few days it will  disappear.

    Snuffles.   Obstruction of the Nose.  (Coryza.)
   Give Nux vomica, one glob, in the evening, and Sambucus
the next evening,  if not better; in that manner alternate,
until relieved.
   If the nose runs  water, give  Chamomile;  and if this does
not relieve, Calcarea,  every other night one or two globules;
   Carbo veg., when it is worse,   every evening, and
   Dulcamara, when worse in the open air;
   Tartar emetic, when there is rattling of mucus in  the chest,
worse at night.

          Swelling  of the breasts of Infants.
   Do not press or handle rudely these delicate swellings; as
they contain  nothing, the  least  of all  milk, to  be squeezed
out.  It  is an inflammation, and  must  be  treated like any 
inflammation of the  eyes.             377
other inflammation of glands.   First, Ave should try to reduce
the swelling ;  which can be accomplished, in most cases, by
covering it Avith a lint, dipped in sweet  oil.  If this will  not
succeed, wash it several times with warm  brandy and water,
and give the child internally Chamomile and Belladonna, alter-
nately,  every evening and morning a dose (one glob.).  If it
still grows larger (I  have seen them  of the height of  one
inch  and more), keep  on  it a bread-and-milk poultice,  and
after  the gathering opens, treat it like any other  abscess ;
inwardly, give Mercury and Hepar, every evening one glob.,
alternately.
               Restlessness.   Sleeplessness.
   If  without any apparent cause, the child cannot sleep, give
it  Coffea00 and Belladonna00, alternately, every hour one glob.,
which in most cases will have the desired effect.   If not, how-
ever, give
   Chamomile, if the restlessness is attended by.flatulency  and
griping; the child starts and is feverish, with redness of  one
cheek.
   Pulsatilla and Ipecacuanha, if it  arises from  overloaded
stomach.
   Opium,  if the face of the child looks red and bloated.

                Inflammation  of the  Eyes.
   This  is a frequent complaint among infants.   Do not expose
the eyes to a  light too strong, nor to cold draughts of  air
Drop a  few drops of the mother's milk into the  eyes several
times a day.  Beside, give Aconite and Belladonna, in  alter-
nation,  three times a day one glob., for several days.
   If  this course does not succeed, give
   Chamomile, when the eyelids are swollen and glued together
in the morning with yellow matter.
   Mercury and  Pulsatilla,  in alternation,  if small yellowish
ulcers are perceived on the margins of the  eyelids, with  dis-
charge of yellowish matter. 
378              treatment of  children.
   If not better, give Euphrasia and Rhus, in the same man-
ner; and, at last, Sulphur, every other evening one glob., for
a week, particularly in scrofulous children.

     Thrush,  or  Sore Mouth  of  Infants.   (Aphthae.)
   This disease appears  commonly in the  first month after
birth,  and consists in the formation of small, white flakes on
the tongue and around the gums.  At first they are not very
numerous, but soon multiply and run together, covering some-
times the whole tongue and mouth and extending  down  the
throat.
   Causes.—The  principal cause of this disease is a constitu-
tional  taint, and  not,  as  is frequently believed, the want of
cleanliness only, although the latter may contribute to its  de-
velopment.
   If children  are nursed by the bottle or spoon, the use of
improper food may give rise to  it;  consequently Ave see  this
disease more frequently in sick infants than in those  nursed
exclusively by the mother.
   Treatment.—Wash immediately  the mouth and  tongue
with Borax, dissolved in water and sugar (do  not rub with
the dry Borax) ;  cleanse well all spots with a cloth dipped in
the solution, and  then wash the mouth well  with another
clean cloth, dipped in  clean, cold  water.  If Borax  is used
in the  dry state, too much of it remains in the mouth, creat-
ing there the  same disease which  had to be cured ; because
it is the true homoeopathic remedy; in the  above  described
manner, hoAvever, cases  of thrush have been  cured, which
were previously treated for a length of time with pulverized
Borax, without the least beneficial effect.  At the same time,
give the child Mercury  and Sulphur,  every three  or four
days, alternately,  one glob.

            Heat.  Red Gum.  Heat Spots.
  This is an eruption of red pimples on the  face,  neck, and 
           excoriations--JAUNDICE--ERYSIPELAS.      379

 arms, sometimes  over the Avhole body,  caused mostly by
 keeping the child  too warm.
   In most cases, this eruption disappears  quickly, Avithout
 medicine,  if  the  child is not kept too warm, and  bathed
 regularly.
   If the child  is restless, give Chamomile, Aconite, Bellad.,
 Rhus, Arsenic,  Sulphur, every evening one glob., and every
 day another remedy, until relieved.

           Excoriations.   Rawness of the Skin.
   Belladonna, if it  occurs in very fleshy  infants, and Avhen
 there is fiery redness.
   Chamomile, if the children  are very restless.   Every even-
 ing one glob., for  three or four days ; then  discontinue the
 medicine for four days.
   Mercury,  Sulphur,  Lycopodium, Carbo  veg.,  and  Silicea,
 in the same manner, if not better.
   Wash often, and dry well;  after Avhich, use externally fine
 wheaten starch, or a weak lotion of Arnica tincture.

                        Jaundice.
   This disease sometimes  occurs in children when they have
 taken cold, or been purged too frequently Avith castor  oil. In
 such cases give
   Chamomile and  Mercury, in alternation, every  evening one
 glob., until better.
   Nux  vomica.  In the same manner, if the  child is restless
 and  costive.
   Hepar.  If the  above remedies do not suffice, every other
 evening one glob.
                       Erysipelas.
   (See  "Erysipelas," under "Diseases of the Skin.")
   This  disease claims the attention of  a homoeopathic physi-
cian.   Yet the following remedies  may be given, until one
can be procured : 
380
treatment of children.
  Belladonna and Aconite, alternately, every three or four
hours one glob.; after the fever has subsided
  Belladonna and Rhus,  in the same manner.
  The parts affected must be kept dry by dressing them Avith
lint.
                 Convulsions or Spasms.
  Order immediately a warm bath, and while that is preparing,
select from among the following remedies that which is suitable.
  Belladonna.   In almost all spasms the first remedy.  Give,
in preference, the Belladonna00, in the following manner: put
directly two glob, of it on the tongue of the child; then  dis-
solve  twelve glob, in four teaspoonfuls of water, mix well, and
give every fifteen minutes a few drops on the tongue.
  After the bath (which may last from five to ten minutes),
wrap  the child, without drying off, in heated flannel, and lay
it with  its head higher  on a pillow made of quilts, and, if
possible, covered with oil-cloth.
  If the spasms will not  cease, keep the child's feet and legs
in warm water, at the same  time pouring a  stream  of cold
water on the croAvn of its  head, until  consciousness returns.
This process must be  repeated frequently,  although  the  first
attempts have proved  inefficient; it has  been tried with the
greatest success.
  If by this time the child has not yet recovered from the fit,
order an injection to be made of lukewarm water, and a table-
spoonful of sweet oil, together with a little soapsuds (castile soap
and water) to be given, and select another remedy, which ad-
minister in the same manner as Belladonna00.
  Chamomile.   Convulsive jerkings, moaning,  eyes half open,
redness of one cheek.
  Cina cc .  If worms are to be suspected.
  Coffea00 .   In weakly and nervous children, subject to fre-
quent fits.
  Ignatia.   When the fits return in regular intervals, followed
by fever and perspiration. 
teething.
381
  Ipecac   When  the breathing is  short  between  the fits,
nausea, and frequent spasmodic stretchings.
   Opium.   In fits after fright, when the breathing is labored,
the face dark, flushed, almost blue.
  Hyoscyamus, in convulsions from sudden fright, the muscles
of the face twitch, and the mouth foams ; in voluntary evacu-
ations of faeces.
   Stramonium, when the convulsions were caused by sudden
fright, or in fevers from repelled eruptions; and
   Sulphur, when caused by repelled chronic eruptions.
   If, after the fit, the child sleeps with its eyes half open, give
Hellebor., and Belladonna, as directed  under  " Hydrocepha-
lus," page 383.

                  Teething.  (Dentition.)
   With seven months, the two middle teeth of the lower jaw
 appear ; shortly after, the two corresponding ones in the up-
 per jaw.  From this  time, the little organism is constantly
 putting forth teeth, until, at the end of two or two and a half
 years, the first dentition, consisting of twenty teeth, is completed.
   The process of teething excites in the little ones a  variety
 of diseases, which, if not well  treated,  too often prove fatal.
 The mother can do a great deal,  in directing the mode of her
 living, in eating, drinking, and acting,  so as not to make her
 milk another source of suffering for the sickly sufferer.  (See
 "Hygiene.")
    The gums swell  and  are painful ; yet the child wants  to
 bite and press something hard on the teeth, to relieve the in-
 tolerable itching and  irritation underneath the  gums.   Give
 it  an ivory ring.    If fever appears, with restlessness, retch-
 ino-, etc., give  Coffea00-  and  Belladonna00, alternately, every
 half hour  or hour, half a teaspoonful  (twelve  glob,  having
 been dissolved in half a teacupful of water).
    Chamomile and Belladonna.   If convulsive jerkings  or
 twitchings occur in the  sleep. 
382              treatment of children.
   Cina.   If  with teething it has  a dry,  spasmodic cough,
or signs of worms ; rubbing at the nose.
  Aconite.   If the fever is high.
  If a diarrhea of a yellowish color occurs, it is not objection-
able at first; but if it becomes of a whitish, slimy color, and
curdled, give Coffea, Ipecac,  Calcarea carb.; if of a  greenish
or grass-green color, give Chamomile and Cuprum.
  If convulsions ensue, treat as stated in that article, page 380.
  If the teeth  are tardy in breaking  through, do not  lance
them (it can only be of use where they are much swollen and
heated), but give  Calcarea carb., every evening  two glob., for a
week ; then discontinue a week,  and give Sulphur,  in the
same manner.
  If  constipation   occurs during teething,  give  Bryonia and
Nux vomica, alternately, every evening a dose (two glob.) for
six days.
                       Constipation.
   It is a bad practice to give  children physic, castor oil, etc.,
rather than  to take the trouble  to prepare an injection for
them, which is easily done ;  as it consists only of warm water
Avith a little piece of castile soap dissolved in it, and sweet oil.
This is much better to apply than to give children something,
which, if it for the present relieves  them, renders them  after-
ward more constipated than  ever.   First give them the fol-
lowing medicines :
   Bryonia, Nux vomica,  and  Opium, in succession, each rem-
edy for one  day,  and  three  doses  (two glob.),  of each in a
day.  If not better, give Sulphur, in the same manner ; and
then, if necessary, give the above injections.
   Beside, allow  as much  cold water  as they will take, and
rub their stomachs every evening well with sweet oil.

                   Diarrhea of Infants.
   If it has a sour smell:  Rheum.
   If  it looks greenish, even grass-green : Cham., Cuprum. 
DROPSY OF  THE BRAIN.
383
  If with colic and a red face :  Chamomile.
  If Avith colic and a pale face: Belladonna.
  If not  relieved after these, give  Sulphur.
  If the diarrhea  ahvays appears in the heat of summer:
Ipecac, Nux vomica, Bryonia, Carbo veg.
  If from cool weather : Dulcamara, Antimon. crud.
  If with great emaciation and weakness : Arsenic, Carbo veg.
  Administration.—After every  operation, one glob, of  the
selected  medicine.  For further information, see "Diarrhea."

                   Fevers of Infants.
  Always give Aconite, two glob,  first; in two or three hours
Chamomile and  Coffea, in alternation, every one or two hours
two glob, (or in water, as  usual) ; and lastly, Belladonna, in
the same manner.
  By that time, the  fever must have shown its  character, or
the child will be well.
  Diet.—Give a thirsty child as much cold water as it wants.

         Dropsy of the Brain.  (Hydrocephalus.)
   Children Avith large heads, and of  a  scrofulous taint,  are
more subject to this disease than others,  as their brains  are
more liable to congestions.   The most trivial derangement of
the bowels, sudden change in the  atmosphere, teething, erup-
tive and other fevers ;  in fact,  all diseases which  may befall
children, can,  under  certain circumstances, take their final
and fatal issue through the dropsy of the brain, if timely aid
does not prevent such a result.
   Diagnosis.—Whenever a child becomes drowsy, its head
hot, feet cold, Avith or without nausea and retching, and sleeps
with  eyes half open, be careful and  give it immediately the
following remedies :
   Treatment.— Bellad. and Hellebor. (of each twelve glob.
in half a teacupful of water),  every hour or two hours a  tea-
spoonful, until four teaspoonfuls of each are given, or until
       35 
384
TREATMENT OF CHILDREN.
 the  child  becomes  more lively.  If the  same  drowsiness
 reappears, repeat the same medicine; if  the third  time, it ap-
 pears, give Opium and Sulphur, in  the same  manner, and
 afterward Bryonia and Hellebor., as above.
   Diet must  be light.  Keep the feet  Avarm, but the head
 cold, with cloths dipped in ice-water.
   It is evident, that  in  diseases of this kind, medical  aid
 should be obtained as soon as possible.

  Asthma  of  Children.  ( Choking fits.   Asthma Millari.)
   If little  children  seem  almost to suffocate, fall  into  a
 spasm, and have a bluish face,  give Ipecac, one glob, every
 ten  minutes ;  and when it is characterized more by hard and
 tight distension of the stomach  and around the  short ribs,
 with shortness  of breath, choking, anxiety, agitation and toss-
 ing, cries and  retraction  of the thighs,  give Chamomile, one
 glob, every twenty or thirty minutes, until better.
   But if an asthmatic attack  occurs  suddenly  and violently
 in the sleep, with dry, dull cough (resembling croup), the face
 and extremities become purple, spasms  in the hands and feet
 (asthma Millari), give Sambu., every five or ten minutes one
glob.,  until better.   Send, however, for  a physician directly.
  If Sambucus should  not relieve within two hours, and no
physician could be had, give Ipecac, Pulsatilla, Arsenic, Sul-
phur,  Cuprum, Spongia, in succession, in the same manner
as Sambucus above.
  Diet, of the hghtest kind.   No meats, but gruels.

              Remittent Fever of Infants.
  Diagnosis.—Languor, irritability, nausea, want of appetite,
thirst, slight heat of the skin, and restlessness at night.  This
is  the beginning of  the disease above named.  Soon, the
symptoms  increase;  fever;  constipation,  or  diarrhea of  a
mucous, fetid  substance, sometimes mixed with blood; heat
in the body and head; extremities cool;  tongue coated, dry, 
VACCINATION.
385
and red on the margins; drowsiness, listlessness in the day,
restlessness at night; hacking cough.
   Treatment.— Ipecac  As the first remedy, every three or
four hours one glob., for  one day; afterward, Bryonia and
Rhus,  alternately, every three hours one glob, for  two days ;
then discontinue the medicine for one day; after which, if the
patient is better, Sulphur may be given once or twice, every
three hours one glob.; or, if the head  suffers the  most, give
Belladonna, every three  or four hours  one glob, for one day;
or Chamomile, if the fever continues, with one flushed cheek,
the other is  pale;  irritability; child does  not know what it
wants ; in the same manner as Belladonna; or give
   Mercury.   If a diarrhea with tenesmus is predominant, and
the tongue coated Avhitish ; or
   Nux vomica.   When  constipation is  present, with frequent
but ineffectual desire.
   Lycopodium.   When the tongue is  dry, yet the patient is
not thirsty;  very petulant; does not want to see any one, or
talk to any one.
   If head symptoms appear, see " Dropsy of the Brain."
   Diet and  Regimen.—Gruels, toasted bread, soaked in milk
and water; no  meat or broth; no eggs ; keep them comfort-
ably warm, always covered, particularly arms and  limbs.  If
perspiration appears, do not  check it by exposure, as  it fre-
quently breaks the disease, and shortens its course.
   In convalescence be careful in the diet, as relapses frequent-
ly take place  from errors in the diet.   See what is  said about
it in " Typhus."
                       Vaccination.
   It is in accordance  with the  homoeopathic principle, that
vaccination can save from an attack of small-pox, the latter
beino- a similar (but  not the same) disease to the former.
Through vaccination the triumphs  of homoeopathy  have been
shown°to the world by innumerable  blessings, in arresting
such a loathsome disease as small-pox. 
386
TREATMENT OF  CHILDREN.
   Vaccination, if salutary and truly protective, must not be
negligently applied.  The virus, or matter, ought to be  taken
from the cow itself, or from a healthy child, whose parents
are healthy too, and in  whose family skin diseases or scrofula
are not hereditary.
   Persons can be vaccinated at any time, from the first hour
of their existence to any age after that.*   The best age for
vaccination is from six months to one  year; the best time in
the  year is May or June, when the least sickness  generally
prevails.
   If a child has been vaccinated with  bad  matter, or scrofu-
lous symptoms develop themselves, give Sulphur, every even-
ing one glob., for eight days.

                    Cholera  Infantum.
   Diagnosis.— Violent, copious vomiting, first of food,  after-
ward of sour liquid ; diarrhea mostly at the same time ; rest-
lessness, child tosses  from one side  of  the bed to the other;
nausea; retching  on the least movement, or after  drinking
water, which is soon thrown up again; head hot; extremities
cool; thirst great, drinks greedily;  very weak ;  eyes sunken,
and half open ; eyelids heavy; pulse feeble or none at all.
   This  disease  occurs, usually, in  the summer, after  errors
in diet and other weakening influences  on the  stomach.
   Treatment.— In nowise different from  cholera morbus  in
adults.
   Ipecac, and Veratrum (tAvelve glob, dissolved in half  a tea-
cupful of water), give every fifteen or thirty  minutes a tea-
spoonful, until the severest symptoms have diminished, Avhen
the  intervals ought  to be lengthened.  If not better after
two hours, give
  * I was obliged, once, to vaccinate a child only half an hour old,
whose mother, at that time, was seriously ill with the varioloid ; the
vaccination took well, without rendering the child more sick than com-
mon, saving it successfully from an attack of small-pox. 
SUMMER-COMPLAINT.                387
   Arsenic (prepared in the same manner) every half hour a
teaspoonful until better.
   Rhus, in  alternation with Arsenic, if the child tosses about
m the bed, in the same manner.
   If  the  cholera disappears,  but drowsiness  ensues,  child
sleeps with  eyes half open; head is hot;  feet cold;  treat as
 tated under "Hydrocephalus," page 383.
   Diet and Regimen.— Cold water; gruel; in convalescence
great care must be taken in regard to diet.

                    Summer-complaint.
   This  disease is  well known  in  the  large cities, where  it
creates  a  fearful  mortality among  children, which are yet
under allopathic treatment.  Teething and the warm weather
are its prominent causes, which are sufficient to produce all
the subsequent changes, which make up the so-called summer-
complaint.  In  general, careful attention to diet, bathing in
cold or  salt water, cool, refreshing air, on hills, or mountains,
or in  the high country, will do much to prevent or cure this
disease.   But where it has begun, give the follow medicines:
   Ipecac, for nausea, vomiting  of  food  and bile;  fermented
stools, with  white flocks, tinged with  blood; no appetite;
great thirst.
   Bryonia.   Diarrhea in hot weather; great thirst; vomiting
after  eating ; stools smell putrid, are white or brownish.  (In
alternation with Ipecac.)
   Carbo veg.  after Bryonia, if the  discharges  are very thin
and offensive, with pain at the time.
   Dulcamara.   Diarrhea in cool weather.
   Antimon.  crud.   Nausea;  vomiting ;  tongue coated; stools
offensive; urinating frequently.
   Tartar  emetic.  Nausea:  gagging,  tongue  clean; stools
watery, offensive ; child is very weak.   (In  alternation  with
Bryonia.)
   Mercury.   Stools,  Avith  straining  (like  dysentery),  and 
388
treatment of children.
colic pain, discharges greenish, bloody, slimy.   (In alterna-
tion with Nux vom.)
   Veratrum, if the disease assumes the character of cholera
infantum.   (See this article.)
  Administration  of  the above  remedies. — Every  six or
eight  hours,  four glob. Phosphor, acid and China, in alter-
nation,  after every evacuation two glob., if great weakness
predominates and the stools are frequent, yellowish, watery.
(See "Cholerina.")
  If the child becomes still weaker, and, finally, a thrush,
white sores appear in his mouth, give Mercury, every tAvo
hours four glob.,  until  better, and in a feAv days afterward,
  Sulphur, two glob, evening and morning.
  Diet  and Regimen. — Arrow-root,  farina, sweet-potatoes,
sweet pickled  pork, fried smoked  herring;  if possible, retire
with the child to a place in the country high and airy,  where
the child can be carried out mornings and evenings  under the
shade of the trees ; here it will soon recover. 
PART SECOND.
I.  ANATOMY  AND PHYSIOLOGY.




II. HYGIENE  AND HYDROPATHY.





III. MATERIA  MEDICA.




 (389) 
 
I.  ANATOMY  AND  PHYSIOLOGY.
   Anatomy  describes the mechanism and  structure of the
 parts of the human system, while
   Physiology  treats  of the laws by which the organism is
 governed, and the various functions in man are performed.
   From the above it may be seen  how closely these two
 sciences are related to each other, and that it is almost impos-
 sible to treat of them separately, without great disadvantage.
 They will appear, in this short treatise, interwoven with each
 other,  as the necessity of a clear exposition  of their details
 may require.
   The study of anatomy and physiology must be interesting
 to every one, Avho wants to knoAv a little more of the wonder-
 ful creations and provisions of an allwise Providence,  than an
 outside view of nature around him can give.  But it is not
 alone the thirst for increased knowledge which is satisfied by
 studying the human system and its  laws; this knowledge is
 often highly beneficial to our physical welfare, and is particu-
 larly necessary for those who, from necessity or philanthropy,
 undertake to minister to the sufferings of  their fellow-beings :
 and to  this category not merely the professional physician be-
 longs, in whose hands life and health are trusted, but all men,
 if possible, should enrich their minds with the treasures of a
 science  whose  teachings lighten, to  so great an extent, the
burden and responsibility of the healing art; particularly as
no one knows whether he might not be called upon, in some
emergency, to practice medicine to the extent of his know-
ledge.   Viewed in this light, it becomes the duty of every one
                                             (3911 
392
ANATOMY AND  PHYSIOLOGY.
who prescribes at all in diseases, to make himself acquainted
with the human system and the laws of health, as this know-
ledge only enables him to decide competently where  health
ceases and disease commences.  For a successful and satis-
factory use of the prescriptions laid  down in a domestic phy-
sician, some knowledge of the anatomy and physiology of the
human system is indispensable, and  we recommend, strongly,
a repeated and careful perusal of the following pages.*

           Structure of the  Human  Organism.
   The  human body  consists  of  fluids and solids, changing
constantly from one into the other;  their proportion to each
other varies in different  individuals  and at different periods
of life.   In youth, the fluids are  more  abundant than in ad-
vanced  age.   The liquids contain, as it were, the whole body
in its elementary particles, which, by organical attraction, are
formed  into the different solid parts of the system.  These
exist in different degrees of solidity, as their different uses
require.  The simplest  form  of  organized animal substance
is a membrane, or tissue, composed of fibres interwoven like a
net-work; all organs are formed by tissues, which are diffe-
rent, and adapted to  their uses.
   The mucous membranes line all the cavities which commu-
nicate with the air, as the mouth,  nostrils, intestinal canal,
lungs, etc., and are covered with minute cells, which  secrete
a viscid fluid, called mucus, to protect the inner  surfaces of
the cavities from the contact with the air.
   The  serous membranes line cavities Avhich do not commu-
nicate  with  the air, as  the skull,  chest,  abdomen, etc.   A
serous membrane is a shut sac, with one layer opposed to  the
wall of the cavity, and the other folded  around the contents

   *If a more extended acquaintance is  desired with these necessary
branches of practical medicine, it can satisfactorily be found in the
work of Calvin Cutter, M. D., on  anatomy, physiology, and hygiene,
which we  mostly followed in its admirable and popular arrangement. 
structure of the  human organism.       393
of the cavity; which  contents  are  outside  of the sac.   A
serous fluid is secreted between the sides of these sacs to keep
them moist and movable,
  Areolar tissue, otherwise called cellular, is extensively dis-
tributed throughout the system, and is useful  in enveloping
organs and parts of organs, especially where a considerable
degree of motion is required ; which motion it never impedes,
being abundantly supplied with fluid.
  The adipose tissue  forms  distinct bags or cells, filled with
fat,  and is principally located beneath the skin, and around
the heart and kidneys.
  The cutaneous membrane forms  the  outside covering  of
the  body,  called the  skin, and  is  similar in its  structure
(although  harder), to the mucous membrane,  of which it
forms the  external continuation.  It  secretes, constantly, a
fluid called perspiration, if it appears in  larger quantities; it
exists mostly, however, in an imperceptible vapor,  which, as
it were, constitutes the atmosphere of  the body.
  The fibrous tissue forms a thin, dense, strong membrane,
and  is found Avhere a  strong protection  is needed,  as  in  the
lining of the internal surface of the skull, around the bones
and  at the end of the muscles ; here it constitutes the so-called
ligaments and tendons.
  The cartilaginous tissue covers the ends of the bones, where
they concur in forming a joint, and is, on that  account, firm,
smooth, and  elastic.
  The osseous tissue, which composes  the bones, varies in  dif-
ferent periods of life, as regards solidity and density.
  The muscular tissue  consists of many filaments,  which
united, form  fibres, each of which is inclosed in a fine layer
of areolar tissue, called sarcolemma.   Muscles  are  composed
of bundles of these fibres.
  The nervous tissue is composed of two  distinct substances
one gray and vascular, the other white  and fibrous.  The gray
forms the external part of  the brain, and the internal part of 
 394             ANATOMY AND PHYSIOLOGY,

 the spinal cord ;  Avhile the nerves are composed of the Avhite,
 inclosed in a sheath called neurilemma.

           Elements of  the Human  Organism.
   These are: first, inorganic (chemical);  or, second, organic
 (elementary products of the system itself).
   1.  The inorganic or chemical elements.  These are :
   a.  Metallic  substances, as Potash, Soda,  Lime, Magnesia,
 Alum, Silex, Manganese, Copper, and Iron.
   b.  Non-metallic substances, as Oxygen,  Hydrogen, Carbon,
 Nitrogen, Phosphor, Sulphur, Prussic acid,  etc.
   2.  The organic elements  are:  Albumen,  Fibrin,  Gelatin,
 Mucus, and Osmazome, etc.

                 Anatomy  of  the Bones.
   The bones,  giving strength and solidity to the system, are
 so united among  themselves, and adapted to each other, that
 they  admit of the most numerous and various  actions.  The
 elevations or  protuberances of  the  bones are called pro-
 cesses, which generally form the points of attachment for the
 muscles  and  ligaments.   They are composed  of earthy and
 animal matter; the former giving strength, the latter vitality
 At the earliest stage of formation, the bones  are cartilaginous,
 soft, and tender,  and become hard and ossified as  soon  as
 deposits  of phosphate  and  carbonate  of lime  commence, at
 certain points, called points  of ossification.
  The periosteum  or fibrous membrane investing the bones,
 except where they are tipped with cartilage,  at certain points,
gives  vitality and nutrition to the  bone.
  There  are two hundred and eight bones in the human body,
beside the teeth.  They are divided into four parts.
  First.  The bones of the head.
  Second.  Of the trunk.
  Third.  Of the  upper extremities.
  Fourth.  Of the lower extremities. 
ANATOMY OF THE  BONES.
395
  1. The bones  of the head.  They consist  of  those  of the
skull, ear, and face.
  The bones of the skull, of which there are eight, consist of
two plates or tablets of bony matter, united by a porous por-
tion of bone; the external tablet is fibrous and tough, the  in-
ternal, dense, hard, and  glossy.  Thus, the skull  is admira-
bly adapted to resist the penetration of sharp  instruments,  or
diminish any vibration occasioned by falls and blows.
  The skull is convex externally, and at the base much thicker
than at  the top or  sides;  its  bones are, as  it  were, sewed
together, united by sutures, whose rugged  edges  interlock
with each  other, producing a  union,  called, by  carpenters,
dovetailing.
  In early infancy the bones are not united, leaving intersti-
ces of considerable extent, which  fill  up  slowly  with bony
matter ;  thus allowing, in the early time of infancy, sufficient
room for the expansion of  the brain, which,  in  this time  of
life, is particularly liable to destructive congestions.   No part
of the human structure contributes more to the difference exist-
ing among the races of mankind than does the skull; in this too
are found those eminences and depressions which  indicate  to
the phrenologist the development of the brain.
  In each ear are  four very small  bones, which aid in hear-
ing.
  In the face we count fourteen bones, some  of  them  serving
for the attachment of powerful muscles for masticating food,
others to retain  in place the soft parts of the  face.   The face
forms  the most interesting part of the human  system, with  its
rays of intelligence and joy, or  its clouds of distress or sorrow;
and thus with its wonderful play of passional  expression is
made the dial-plate of the inner man.
  2.  The trunk has fifty-four  bones: viz., twenty-four ribs,
twenty-four bones in the spinal column (back-bone),  four in
the pelvis (forming the hips), the breast-bone (sternum), and
the bone at the  base of the tongue (os hyoides).   They are 
396
ANATOMY AND PHYSIOLOGY.
so arranged as to form, with the soft parts attached to them,
two cavities, called the thorax (chest) and abdomen.
   The thorax is formed by the breast bone in front, the  ribs
at the sides,  and the twelve dorsal bones of the spinal column
in the back; this cavity  contains the lungs, heart, and large
blood-vessels; its natural form is a cone, with its point above,
yet fashion often inverts this order boldly, but never without
paying the due penalty in diminution of life and happiness.
   The breast-bone (sternum) consists of eight pieces, in a child,
which after uniting, form but three parts  in adults; the lower
part of the sternum reaching over into the pit of the stomach,
remains  cartilaginous  and flexible until  old  age, when it is
often converted into bone.
   The ribs are connected Avith the spinal column, and increase
in length as  far as the seventh, where they become shorter.
The seven  upper ribs  are fastened to the sternum  by cartil-
ages to facilitate their  motions in breathing;  they are  called
the true  ribs.  The next three are united to each  other by
cartilages,  not touching  the sternum—therefore called false
ribs; while the latter  two, or lowest ribs, are not connected
either  with the sternum or the other ribs, therefore, called
floating ribs.
   The spinal  column contains  twenty-four  pieces of bone,
called vertebrce.  Each of the vertebrae has seven projections,
called processes, four  of which, called articulating processes,
join similar ones  of the adjacent vertebrae to form the col-
umn ; two of the remaining processes are  called tranverse, and
the other  the  spinous process; these processes receive  the
muscles  of the back and neck, to  allow a firm and  elastic
motion to the spinal column in all directions.
   A canal  or tube runs through all  the verbetree in one con-
tinuous descent from the round aperture in the skull, to  con-
tain the spinal cord (medulla spinalis), the immediate contin-
uation of the brain.
   Between the vertebrae is a cartilaginous and  highly elastic 
ANATOMY OF THE BONES.
397
substance, which facilitates the movements of the  spine, and
diminishes any shock in walking, running, or leaping, which
would otherwise hurt the spine or brain.
  The pelvis, or the bones  forming  the  hip, consists of four
parts, two of which are called innominata or  nameless bones ;
these, in particular, form the hip, having externally, at each
side a deep  socket like a cup, for the reception of the round
head of the  thigh bone; internally these bones, in  conjunc-
tion with the sacrum,  form  a cavity, which contains  those or-
gans called pelvic,  as the  bladder,  rectum, sexual organs,
etc.   The sacrum belongs to the pelvis, forming its  posterior
part;  it is placed between the hip-bones, to which it is bound
by ligaments ; it is, in reality, the continuation of the vertebra,
and  forms part  of  the spinal column,  which is terminated,
finally, by  a small  appendix  called  coccyx, in youth,  con-
sisting of four pieces,  uniting, however, in more advanced
age,  into one  bone,  which, in females, is more  movable
than in males,  for a Avise purpose.
  3.  The bones of the upper and lower limbs are enlarged at
each extremity, Avhere  tendons, muscles, and  ligaments are
attached.  The bones of the extremities are mostly in the form
of cylindrical and hollow shafts.
  The upper extremities contain sixty-four bones, as the shoul-
der blade (scapula), collar bone (clavicula), upper arm bone
(humerus),  two bones  of the forearm (ulna  and radius), the
wrist (carpus), the metacarpus (palm of the hand), and  the
fingers and thumb (phalanges).
  The collar-bone (clavicula)  is attached at one end  to  the
breast-bone, at the other to  the shoulder bone: it is shaped
like the italic S, and its use  is to prevent the arms from sliding
toward the breast;  a fracture  of this bone  requires a more
complicated bandage to keep the broken parts together, than
any  other within the range  of surgery.
  The shoulder-blade  (scapula) lies on  the upper and back
part of the chest, forming the shoulder, where the upper arm 
398
ANATOMY AND PHYSIOLOGY.
bone inserts itself in a shallow (glenoid) cavity, surrounded by
a strong ligament  (capsular); the shoulder-blade  itself is a
thin, flat, and triangular bone, covering the back, and remains
in its position, or moves in different directions, by numerous
muscles which adhere to its projections.
  The upper arm (humerus) forms a connection, at the elbow,
with the ulna of the forearm, and at  the  shoulder, its round
head is applied to the glenoid cavity of the scapula, in which
it is firmly confined by the capsular ligament,  thus forming
the most movable joint in the whole system.
  The lower or forearm is composed of  two bones,  called
ulna and radius: the former  articulates Avith the humerus at
the elbow, forming a perfect hinge-joint; this bone is located
on the inner side of the forearm, while  the latter, the radius,
lies on  the outside of the forearm (on the  side where  the
thumb is placed), and articulates with the bones of the wrist,
forming the wrist-joint;  the ulna and radius,  at  their ex-
tremities,  articulate  with each  other, so  that the hand  can
rotate, permitting its complicated and varied movements.
  The wrist (carpus) consists of eight bones, ranged in  two
roAvs, and  firmly bound  together, thus allowing only a small
amount of movement.
  The palm of the  hand (metacarpus)  contains five bones,
four of which are joined with the first range of finger-bones,
and the other with the first bone of the thumb.
  The fingers have three ranges of bones  (phalanges), while
the thumb has but tAvo.
  N. B. The mechanism of  the  hand,  Avith its wonderful
adaptation to all  the various purposes of life, is one of the
many facts which indicate man's superiority over the rest of
the animal creation, and must excite in us the deepest interest
and astonishment at the Divine wisdom  and power.
  The  lower extremities  comprise sixty bones,  analogous in
construction and form to the upper extremities ;  the thigh-bone
(femur) ;  the cap of the knee (patella) ;  the shin-bone (tibia) ; 
ANATOMY OF THE  BONES.              399
the small bone of the leg on the outside of the  tibia (fibula);
the instep  (tarsus) ; the middle of the foot (metatarsus); and
the toes (phalanges).
   The thigh-bone is the longest and strongest bone in the sys-
tem, supporting the weight of the whole body.  Its  upper
part, a large round head, fills a corresponding cavity in the pel-
vis and forms the so-called hip-joint, thus admirably fitted, in its
mechanism, for its various offices requiring strength and motion.
   The cap of the knee (patella) is a small bone in front of the
knee, connected with the thigh-bone by a strong ligament; it
acts like a pully, in the extension of the limb.
   The shin-bone (tibia)  is the  largest bone of  the  lower part
 of the leg, of a triangular shape,  and considerably enlarged
 at each extremity.
    The small-bone of the  leg (fibula)  is of a similar shape
 with the former, but smaller, and bound firmly to it at each
 extremity.   It lies on the outside of the leg.
    The instep (tarsus) is  formed of seven irregularly-shaped
 bones, so firmly bound together by ligaments as  to allow of
 but little movement.
    The palm of the foot (metatarsus) consists of five  bones,
 corresponding to the five  toes, with which they articulate on
 the front extremity,  while on the  hinder one, they articulate
 with one range of the bones  of the instep.
    By this arrangement, an arch is formed, convex above and
 concave below, which gives elasticity to  the  step, preventing
 the jarring  of the whole  frame by any weight thrown upon
 the feet, in  their various uses.
    The toes are composed of fourteen bones (phalanges); each
 of the small toes has three, while the  great toe has but  two
 ranges of bones.
    The joints,  which have such  important functions  to per-
 form, are composed of the extremities of two or more bones,
 lined'and surrounded with cartilages, synovial membranes, and
 ligaments.
         36 
400
ANATOMY AND  PHYSIOLOGY.
  The cartilage (gristle) is a smooth, solid, elastic substance,
of a pearly whiteness.   It  appears  as a thin layer, on  the
articular surfaces of the bones—thicker in the center upon
convex surfaces, while  the  opposite  arrangement exists upon
concave surfaces.
  The synovial membrane forms in a thin  layer over the car-
tilages  a  closed sack,  in the interior  of  which  a constant
secretion  of a  viscous  fluid takes  place,  to facilitate  the
movements  of the joints.
  The ligaments consist of numerous straight fibres, arranged
into short bands of various breadths, or so intenvoven as to
form  a broad  layer, which  surrounds the  joint, forming a
capsular ligament.   They are white, glistening, and not elas-
tic, and found mostly exterior to the synovial membrane.

                Physiology of the Bones.
  The bones, by their solidity and form, retain every part of
the system in its proper shape.  They not only afford points
of attachment  for the  muscles and ligaments,  to hold  the
body together and bring it  into motion, but they protect, in
strong, bony cavities, all the important organs from external
injuries, such as the brain, the eyes, etc.
  The bones grow and  decay, like any other tissue, by new
particles being deposited from out the blood, and old, useless
matter removed, by the constant action of the absorbing ves-
sels.   This  has been tested thoroughly.  Some of the inferior
animals Avere fed with food containing madder.   After a  few
days, several of these  animals were killed, and  their bones
exhibited an unusual reddish appearance.  The rest of the
animals were for a few  weeks fed on  ordinary food, without
containing madder,  and when  killed  their bones  had  the
natural color again.
  The extremities  of the bones are  the best  suited  to form
joints;  for which purpose their texture is more porous,  con-
sequently more elastic, and the external surface of the parts 
THE MUSCLES.
401
immediately joining each other in a joint is covered with  a
cushion of cartilage, to diminish jarring and grinding.  The
contemplation of each minute particle, its uses and  applica-
tion in the system, its appropriate location, etc., the thousand
wonderful machines which can be observed, acting  usefully
and quietly in our systems, reveal more and  more the wisdom
and omnipotence of the great Architect.   Wonder and adora-
tion fills the heart of the beholder of such creations as the hu-
man body, in its detail and in its whole, as a complete and noble
machine, to run the errands of the holier part of man, the soul.
   The bones serve, in the animal frame, as a proper basis; the
ligaments hold the bones in  their proper  places firmly, as if
clasped by steel, yet with room to move.  They surround the
joints like a hood, or  extend from one bone to the other, in
the form of side layers.   By these ligaments, the  lower jaw
is bound to the temporal  bones, and  the head  to  the neck.
They extend the whole length of the spinal column, in strong
bands, on the outer  surface, as well as within the spinal
canal, and from one spinous process to another.
   The joints are different  as regards movement  and com-
plexity of structure.    Some permit motions in all  directions,
as the shoulder;  some in two directions, as the elbow, allow-
ing flexion and  extension; others in  three  and  more direc-
tions ;  others, again, have no movement at all, as  the  bones
of the skull,  in adults.

                      The  Muscles.
   A muscle consists of bundles of fibres of different size, each
one inclosed in an areolar membranous sheath.  Every bun-
dle is composed of small fibres, and each fibre of numerous
filaments, each of which is inclosed in a delicate sheath.  At
the end of the muscle, the fibrous  substance  ceases,  and the
tendon (cord) commences, by which the muscle is attached to
the bone.   The  union is  so  firm, that the  bone will sooner
break than permit the tendon to  separate from its attachment. 
402
ANATOMY AND  PHYSIOLOGY.
  The form of the muscles varies  very much, according to
their uses.   It is either longitudinal, having a tendon at each
extremity, or it diverges in the form of a fan, called a radiate
muscle.  Others are penniform, converging, like the plumes
of a pen, to  one  side of  a tendon ; or  bi-penniform, where
they thus converge on both sides of  a tendon.
  The color of a muscle is red; each fibre is supplied with arte-
ries, veins, lymphatics, and nerves, both  of sensation and
motion.
  Where a great many muscles congregate around an organ,
they  are inclosed in  a fascia,  a  fibrous membrane, which
assists the muscles  in their action, by  keeping up a  tonic
pressure  on their surface.   Beside, it protects the parts under-
neath ; as, for instance, in  the  palms of the hands or  feet.
The separate muscles are also inclosed in fasciae, and arranged
in layers, as their  use requires it.   The interstices between
the different  muscles are  filled with fat, which gives to the
body  roundness and  beauty.
  We may arrange the muscles into four parts; those,
  1. Of  the head and neck.
  2.  Of  the trunk.
  3.  Of  the upper extremities.
  4. Of  the lower extremities.
  As it  is  impossible to  give  an interesting detail  of the
muscles of the body, their insertions and names, without  illus-
trating them by plates, we content ourselves with the follow-
ing general remarks.
  There  are more  than five hundred muscles in  the  human
body, forming around the skeleton  two layers, a superficial
and deep-seated  one.  Some muscles  are  voluntary, under
the control of the will, such  as  those on the fingers, limbs,
etc.; others are involuntary, as  the heart.  On the  back, the
muscles are arranged in six layers, one above the  other, for
the complicated movements which the  back, neck, the upper
extremities, and the  abdomen require. 
THE MUSCLES.
4U3
   The diaphragm is a muscle which needs particular expla-
nation.   It is located between the chest  and abdomen, sepa-
rating them  completely; being penetrated onty by the  pipe
leading to the stomach, and by the great blood-vessels, lead-
ing from and to the heart.   It may be compared to an inverted
basin, its bottom being turned upward into the chest, its edges
corresponding to the outline  of the  edges of the lower ribs
and breast-bone.   Thus, the cavity of  the  abdomen is en-
larged  at the  expense  of that  of  the  chest.   Respiration,
however, changes the natural position of the diaphragm con-
stantly, facilitating this process  by its own  action.   During
inhalation, the diaphragm descends into the abdomen, enlarg-
ing  the  chest;  during exhalation, the reverse takes  place :
thus a constant  and healthful action is given to both the res-
piratory and  digestive organs.  In this place, we should men-
tion the great benefit Avhich results from inhaling deep, to the
full extent of the lungs, which is greatly facilitated  by exer-
cising the abdominal  muscles,  causing them  to swell out
when inhaling, and  drawing them back when  in the  act of
exhaling.  A little  exercise in  this Avay will soon  show the
good results  in the ease, and  full extent to which the lungs
can be filled.
   The  action of the muscles,  in performing  their various
functions, can be explained only by the supposition of an in-
herent contractility,  as a peculiar characteristic of the muscu-
lar fibre, which  can shorten  its substance Avhen a sufficient
stimulus acts on  it.  This  stimulus  is the nervous  fluid,
directed to the muscle by the will, if voluntary actions shall
be performed, or, independently of the will, when the invol-
untary actions are wanted, such  as the beating of the heart,
etc.   The nature of this nervous influence may be analogous
to a  galvanic or electrical current;  as these  agents, Avhen
acting on the muscles, produce similar effects.
   The rapidity with Avhich the muscles move is truly aston-
ishing, as any one can observe, in rapid  speaking, or playing 
404             ANATOMY AND PHYSIOLOGY.
upon instruments.   It  is not  alone  the  size of the muscle
Avhich determines  its  strength;  but,  also, the size of the
nerves which lead to it, and the size and activity of the brain,
which must supply the nervous fluid necessary  as a stimulus
to action.  Yet a great deal depends on training and exercise,
as these  enlarge both the muscle and nerve.   The blacksmith,
wielding the hammer daily and forcibly, will have a stronger
arm than the  student, who  merely exercises his muscles with
a pen.  From this, it is evident that the muscles ought to be
educated or trained for the vigorous and healthful performance
of their  duty.  Strict  and systematic rules are  given for
this purpose, in an art called the gymnastic, which, to under-
stand and practice diligently, we recommend strongly.   It is
indispensable for the  young, and not without advantage for
the middle-aged, to spend part  of a day in systematic, health-
ful exercise of their muscles.  The benefits are too great and
palpable to bring them forAvard  here, singly.  Washing in
cold water, also, invigorates the muscles.

                       The Teeth.
   The teeth differ from other bones in composition, nutrition,
and growth;  while bones, when  fractured, generally unite,
the teeth never do,  when broken.   They are divided into two
parts, crown and root; the former, protruding from  the jaw-
bone, is  covered by the highly polished enamel, the root is
placed in the sockets of the jaw, consisting  of  bony matter,
through which several  small vessels  and nerves pass, giving
nutrition and vitality.   The teeth, when beginning to grow,
are formed within dental capsules, inclosed within  the  sub-
stance of the bone, appearing as a fleshy bud or granule, from
the surface of which exudes the ivory on the bony part of
the tooth.  In growing, it rises in the socket, which is formed
simultaneously around it, passing, finally, through the fleshy
part of  the  gum.   The  first  teeth,  called milk-teeth,  are
twenty in number;  they are temporary, and disappear from 
ALIMENTARY ORGANS.                405
the seventh year upward ; the last, or wisdom-teeth, do not
appear until a person is twenty years of age.
   The four front teeth are called incisors; the next one  on
each side is the  eye-tooth (cuspid);  the next two are bicuspids
(small grinders); and the next two  are grinders (molars);
and  the  last one  is  called the wisdom-tooth.   The  incisors,
cuspids,  and bicuspids have each but one root.  The molars
of the upper jaw have  three roots, while those of  the lower
jaw have but two.

                   Alimentary Organs.
   These comprise  the  mouth  and teeth,  salivary glands,
pharynx, oesophagus ( stomach-pipe ), stomach, intestines, lac-
teals (milk, or chyle-vessels), thoracic duct, liver and pancreas.
   The mouth contains the instruments  of mastication and the
organs of taste.   The preparation of food for  digestion  com-
mences already in the  mouth, Avhere it is masticated and
mixed Avith saliva from the salivary glands, of which there
are six, three on each  side of  the  jaw.  Their names and
positions are:
   The parotid gland lies in front  of  the external ear, and
behind the angle of  the jaw; its duct  opens into the mouth,
opposite the second molar tooth of the upper jaAv; this gland
is swollen and inflamed when children  have  the mumps.
   The submaxillary gland lies Avithin the  loAver jaw, anterior
to its angle.  Its  duct opens into  the mouth by the side of
the string  or bridle of the tongue (fraenum  linguae), on each
side of which lies
   The sublingual gland,  of an elongated  and  flattened form,
lies beneath the tongue; it empties its saliva through seven
or eight small ducts into the mouth, by the side  of the string
of the tongue;  a  disease  called the "frog"  consists in the
swelling  of this gland.
   The pharynx or throat is the continuation of  the mouth, and
forms that cavity  immediately below the palate  where four 
406
ANATOMY AND PHYSIOLOGY.
passages  unite, two coming from the  nose  and mouth, the
other two going to the stomach and lungs.
   The  stomach-pipe (oesophagus)  is  a large membranous
tube, descending behind the windpipe, the heart and  lungs,
through the diaphragm into the stomach;  it has two mem-
branes, an internal, or mucous, and an external, or muscular
coat; the latter consists of two sets of fibres, one circular, the
other longitudinal.
   The stomach lies on  the  left  side of the  abdomen,  imme-
diately below the diaphragm, where  the  stomach-pipe  enters
its  upper  part  at  an opening called  the cardia; from this
point it enlarges into  a sack, which lies with its larger end
on  the left side, while its  smaller  end  contracts  gradually
toward  the pit of the  stomach,  where  it empties into the in-
testines ; this opening  in the stomach  is called the pylorus.
The stomach has, beside the mucous and muscular coats, an
outer or serous coat, which is very tough and strong, of a
smooth  and highly polished appearance, and confines  the
stomach in its  proper  location.   The  stomach has a great
number of glands, to secrete the gastric juice.
  The intestines, or  alimentary  canal,  are divided  into two
parts, the small and large.   The former, commencing at the
stomach, measures  about tAventy-five  feet, while  the  large
intestine, ending at the rectum, is about five feet in length.
The latter is divided into three  parts, the cmcum (the begin-
ning of  the large intestine), which lies near  the right upper
hip-bone; the colon, which, from this point on the right side,
ascends to  the region below  the liver, then  transversely
crosses the upper part of the abdomen, from below the liver,
to the lower part of the stomach on the left side, where  it
bends  again, descending to the left hip-bone, and entering
the cavity of the pelvis, being called here the rectum.
  The small intestine, commencing at the stomach and ending
at the cmcum, is  also divided into three parts; the duodenum,
called  so  from  being generally twelve fingers  long, com- 
alimentary organs.
407
mences at the stomach, ascends  obliquely to the  under sur-
face of the liver, then descends perpendicularly  (where it
receives the ducts from the liver and pancreas), and passes
transversely across the loAver  portion  of the  spinal column
behind the colon, terminating in the jejunum, its continuation;
and this, in its turn, is continued by the ileum, which empties
itself into the cmcum at the right  hip, after the small intes-
tines  have  made  numerous windings.  While the stomach
and intestines receive the food  for digestion, and assimilate it,
various other secretions  from the liver, pancreas, etc., enter
the  alimentary  canal to  foster  this process, and  still other
vessels are  ready to absorb the assimilated juice and carry it
into the circulation of the blood.  Of the  latter are the  lac-
teals  or minute ATessels, which  commence  on  the mucous
membrane  of the small  intestines;  from  these  they  pass
between the membranes of the mesentery to small glands, out
of  a  collection  of Avhich  larger  vessels run  to another range
of  glands, and so on, through  several ranges of these gland-
ular  bodies, until they all empty themselves  into one large
duct, called the left thoracic duct, which  ascends  from the
abdomen upward, lying  in front of the spinal  column, and
passes through the diaphragm to the lower part of the neck;
here  it makes a sudden turn doAvnward and forward, empty-
ing itself into a large vein, which  passes into the heart; its
diameter is equal to a goose-quill.
   The liver is a gland, which lies under the  short-ribs of the
right side beloAv the  diaphragm, and  is composed of several
lobes;  its  upper surface  is convex, its lower concave; it  is
the largest  organ in the system, weighing about four pounds';
its  use is to secrete the bile, a fluid so necessary for chylifica-
tion.   The gall-bladder, containing the surplus of bile not im-
mediately necessary for the system, being, as it Avere, a reser-
A-oir,  lies on the under surface of the  liver, and empties  into
the gall duct,  which carries the bilious fluid  to its destination
in the duodenum.
        37 
408
ANATOMY AND  PHYSIOLOGY.
   The pancreas is a long, flattened gland, similar to  the sali-
vary glands on the neck; it is about  six inches long, weighs
three or four  ounces, and  lies transversely across the pos-
terior Avail of the abdomen, behind the stomach ; its product,
a saliva or pancreatic•juice (necessary for digestion), is carried
by a duct into the intestines in the duodenum, just where the
gall duct opens into the  intestines.
   The spleen (milt), of an oblong, flattened form, lies in  the
left side below and touching the diaphragm, stomach,  and
pancreas.   It  is a reservoir capable  of containing  a great
quantity of blood, ready for the purpose of the liver, to se-
crete the bile.  The blood, in passing through the spleen, loses
a portion of its red globules and thus becomes less stimulating.
   The omentum (caul) descending in  four layers of serous
membrane from  the stomach and transverse  colon,  contains
fatty matter, deposited  around  the vessels, which  ramify
through its structure.  Its functions are: to protect the intes-
tines from cold, and to facilitate their movements.
   The whole digestive apparatus is supplied Avith  arteries,
veins,  lymphatics,  and  nerves; the latter chiefly from  the
ganglionic system.  (See this.)
   One of the most wonderful processes in the  animal econ-
omy is that of the assimilation of food.
   During its mastication (chewing) a  considerable quantity
of saliva (spittle) is mixed Avith it, the  object of  which is, to
soften and  moisten the food, preparing it for easy deglutition.
When it reaches the stomach, it is subjected to  the powerful
action of the  so-called stomach-juice (gastric juice), which is
secreted by the glands, immediately located in  the substance
of the stomach.  Beside, it is constantly in motion by the ac-
tion of the muscles of the stomach, which brings the food into
contact  Avith the mucous  membrane,  and  thus it becomes
completely saturated  with gastric  juice, and at length dis-
solved into a pulpy, homogeneous mass of a creamy consist-
ence, called chyme, which passes, as fast as it is made,  through 
THE URINARY SYSTEM.
409
the pylorus  into the duodenum.  In the duodenum, the bile
and pancreatic fluid mix with the chyme, which, by their ac-
tion, is separated into a creamy fluid (chyle) which is nutri-
tious, and a reddish sediment, which is excrementitious ; at this
point, the formation of the fecal matter commences.
   From the above it is  seen that the bile has no agency in the
change through which the food passes in the stomach.   The
common belief, that bile is in  the stomach, is erroneous.  If
bile is ejected in vomiting, it merely shows that not only the
action of the stomach is inverted, but also that  of the duode-
num.  Emetics will,  generally, bring  bile from  the  most
healthy stomach, by inverting the action of the  stomach and
duodenum ; the  expression being  bilious,  having  a bilious
attack, etc., is generally wrong, the bile having nothing to do
with these disorders, for which a better expression would be:
the stomach is out of order;  if persons,  generally, would
know this fact, a great  deal of wrong and disastrous  treat-
ment would be avoided, as they would not force the stomach
to eject bile continually, where there is none located.

                   The Urinary System.
   This system, Avhose duty it is to secrete and carry out of
the system the urine, is composed of the kidneys, the ureters,
and the bladder, Avith the urethra attached to it.
   The kidneys, betAveen  four and  five inches  long, and  two
and a half broad, lie in the lumbar region, behind the perito-
neum, on each side of the vertebrae.  Their texture is  dense
and fragile, presenting, in its interior,  two structures, an ex-
ternal  (cortical),  and an  internal (medullary)  substance.
The former contains the blood-vessels, which carry the blood
from which the urine shall be  separated; the latter consists
of tubes, which conduct the urine away from  the secreting
vessels.   It is then received in  the pelvis of the kidney, from
which it runs into the  ureter, the excretory duct of the  kid-
ney,  a  membranous tube  of  the  size  of  a goose-quill, 
410             ANATOMY and physiology.
about eighteen inches in length;  this runs down along the
posterior wall  of the  abdomen,  behind the peritoneum  and
crossed  by the spermatic vessels, to the bladder  in  front, in
which it empties from behind and on the side.
  The bladder is of an oblong, ovoid  shape, situated behind
the os pubis and in front of  the  rectum.   It is the reservoir
for  the urine, which is carried there by the two ureters from
the kidneys.  It is retained in its positon by eleven ligaments,
supporting it on all sides.  The bladder is composed of three
coats, an external, or serous, a muscular,  and a  mucous, or
internal coat.
  The urethra is the membranous canal issuing from the neck
of the bladder.   It is curved in its course, composed of  two
layers,  a mucous  and  an elastic fibrous  coat.   Through  it
passes the urine out of the body.

        The Respiratory and Circulatory Organs.
  These organs are closely  connected with each  other.  All
the blood must pass through the  lungs, to receive there  new
life and energy, by being exposed to the oxygen of the  air.
For this and other reasons, we will treat of these organs, here
in connection.
  After the nutrient portion of the food (the chyle—see page
409) is  discharged by the thoracic duct into the left subclavian
vein, at the lower part of the  neck, it is carried to the right
cavity of the heart, where it mixes with a large  quantity of
venous blood.   This mixture of  fluid, as such, would not be
suitable  to restore the lost powers of the body, unless  sub-
jected to a process, by which the chyle is converted into blood,
and the venous blood freed of its carbonic acid and water.
  The respiratory  organs consist of the windpipe (trachea),
the bronchia (continuations  of the  trachea),  and  the air-cells
(the extreme points  of  the  bronchia).  The lungs are com-
posed of  innumerable ramifications of the bronchial  tubes,
ending  in air-cells,  lymphatic  vessels, and  the pulmonary 
RESPIRATORY AND CIRCULATORY ORGANS.
411
arteries and veins; their connections by cellular tissue, forms
the parenchyma of the lungs, or its substance.  The lungs are
divided into two large parts, the left and  right, each  one of
which  is  inclosed in a layer  of the  serous sac,  called the
pleura.  Between the right and  left  lung,  more to the left
side, lies the heart, separated from either  by a serous mem-
brane.
   The trachea proceeds from  the larynx, descending to the
pit of the neck, where it divides into two parts, assuming the
name of
   Bronchia, which descend in numerous ramifications,  into
the lungs, and form altogether a  surface of twenty thousand
square inches, or about thirty  times the surface of the human
body.
   The air-cells are small bronchial tubes, and form the  ends
of these  ramifications,  retaining  the  air,  when once inflated,
except pressed out by force.
   The trachea,  bronchia,  and air-cells are lined with the
mucous membrane, and supplied  with arteries,  veins, and
 nerves.
   The object of  respiration is to free the system  of carbon
 and hydrogen, which  accumulate in the system, and would
 make  an  end to its existence, if not removed.  For its re-
 moval, an allwise Providence has  used the inhaling of air,
 which'contains oxygen, in sufficient quantity to form a com-
 bination  with the  carbon and hydrogen, which  then is ex-
 haled, in the form of carbonic acid and water.  In this pro-
 cess  another wonderful provision was contained, which gives
 life and motion to the whole system.   It is the generation  of
 heat   The blood, in passing  through the lungs, receives oxy-
 gen from the atmosphere.  The oxygen thus obtained is car-
 ried to the minute vessels, called capillaries, where it  unites
 with the  carbon and  hydrogen of the decaying organs,  as
 well  as with the same elements furnished by the food, and
 thus maintains the heat throughout the entire system. 
412
ANATOMY AND PHYSIOLOGY.
   The circulatory organs  are the heart, arteries,  veins, and
 capillaries.
   The heart, placed obliquely, in the left cavity of the chest,
 has the form of an inverted cone, the base of Avhich lies up-
 Avard and backward in the direction of the right shoulder, and
 its apex points forward to the left side, about three inches,  to
 a space between the fifth  and sixth ribs; below, it  rests on
 the tendinous part of the diaphragm.  The sac, by which the
 heart is surrounded, is called pericardium.  This is lined  by
 a serous  membrane, one layer of Avhich invests the  heart.
 Between  the lining and investing  layer a  serous  fluid  is
 secreted,  to facilitate the action of the heart.   The dropsy of
 the  heart has its seat in this place.
   The heart itself is a muscle, Avhose fibres run in different di-
 rections, but mostly in a spiral direction.   It is divided into four
 distinct compartments, the right and left auricle  and the right
 and left ventricle.   Before the birth the auricles are united by
 an opening.   After birth, this opening closes, preventing the
 venous blood of the right auricle from passing directly into the
 left.   If this opening, by a fault of nature, remains unclosed,
 a disease ensues,  called the  blue disease, because the  child
 looks  bluish, on account of the venous  blood of the  right
 heart entering the circulation of the arterial blood of the left
 auricle.   All vessels leading from tlfe heart  are called arte-
 ries; those leading to the heart, veins.   The right heart sends
 a pulmonary  artery, filled with  venous blood, to  the lungs,
 and  the left heart  receives pulmonary veins, filled with  arte-
 rial blood, from the lungs; in this case only,  such an excep-
 tion exists.   Otherwise, all the arteries in the  body carry red
 or arterial blood, and all  veins, dark or venous blood.
   The  venous blood, together with the  chyle, is propelled
through the  pulmonary arteries, by the right heart into the
lungs.  Here it receives the oxygen of  the air,  is converted
into  red blood, and carried  by the pulmonary veins into the
left  heart, which sends it  through  the  great artery, called 
RESPIRATORY AND CIRCULATORY ORGANS.       413
the aorta, in innumerable divisions, into all parts of the body.
In this  way, two systems of  circulation are formed;  one
called  the lesser or pulmonic circulation, where the blood
rushes from the right heart, through the lungs, and returns,
changed into  red blood, to  the  left; the other, called the
greater, or systemic circulation, where the blood rushes through
all parts, and to the very confines of the body ; and returns,
changed into  dark blood,  to the right heart.  This double
circulation may be illustrated easily by the figure 8, the  cen-
ter of which is the  place where the heart is located.
   The  arteries, which  convey the blood  from the  heart  to
every part of the system, are composed of three coats.   The
external or fibrous, is firm and strong; the middle or muscu-
lo-fibrous, is contractile and elastic;  the  internal is a thin,
serous  membrane,  which  gives  the  artery inside a  smooth
polish.   Communications between arteries are numerous.
   The veins, which return  the blood to the heart, are thinner,
and more delicate in structure than the  arteries.  They are
composed, like these, of the same three coats, but each one
is more"delicate and fine.
   The capillaries form an extremely fine net-work of  vessels,
between the ends of the  arterial and the beginning of the
venous system.  Through these, all the blood must pass ; and
in this point, the capillary system resembles  the fine ramifi-
cations in the  parenchyma of  the  lungs, where the blood
passes through infinitely small vessels.
   The  pulse is caused by  the periodical action  of the heart,
projecting the blood in  jets.   In infants, it beats in a minute
more than a hundred times; in adults, about seventy times;
in old persons, less than that, sometimes only sixty times.
   The  quantity of  blood  in  a  healthy individual varies  very
much;  fat persons have generally less.   On an average, a
healthy adult has from twenty-five to  thirty pounds.
   The lymphatics are the vessels by which the process of ab-
sorption is carried on, to remove particles of useless or injurious 
414             ANATOMY AND PHYSIOLOGY.
matter.   They are extremely  minute  at  their  origin, and
are distributed upon the skin and other membranes  as Avell
as upon the surface and in the substance of organs.  As they
increase  in size,  they diminish in  numbers.   At  certain
points, they pass through soft bodies, called lymphatic glands,
which are mostly located in the groins, arm-pits, on the neck,
in the chest,  and  the abdomen.   Sometimes these glands
swell, producing lumps known as kernels, etc.
   The lacteals are vessels similar to  the former, but designed
to absorb the chyle from the small intestines, where they are
located in great numbers.  They transfer their contents to the
thoracic duct, and this conveys the chyle to the left subclavian
vein, at the lower part of the neck.

                  The Nervous System.
   This system, by which life is distributed  and sensation  im-
parted,  consists of  two  distinct parts, the brain, with its
spinal appendix, together with  all  the nerves leading from
these  great nervous centers to all parts of the body, and the
ganglionic  system of  nerves,  called, also,  the  sympathetic
nerve, located chiefly on each side of the  spinal  column, but
having its principal plexuses around the abdominal organs.
   We give here a short anatomical  synopsis of these most in-
teresting parts of the  body ; requesting our readers, at the
same  time, to peruse  larger works  on this subject, if their
time and inclination will permit.
   The brain is located within the skull-bones (cranium),  and
is divided into two hemispheres, the right and left.   This is
the case in the upper part of the brain; below, the two hemi-
spheres are connected by a dense layer of transverse fibres,
called the corpus callosum.  In the interior of the brain, there
are several  cavities, two of Avhich  are of considerable size,
called the lateral ventricles.  Water collects in these cavities,
in that disease called "Dropsy of the Brain."
   The substance of the brain  is of a pulpy character, quite 
THE NERVOUS SYSTEM.
415
soft  in infancy and childhood; it  gradually  becomes  more
consistent in advanced years.
  It is divided into three parts,  the large brain (cerebrum),
the small brain (cerebellum), and the medulla oblongata, or
that part of the  spinal  cord which lies within the skull, to-
gether with the pons Varolii.
  These three parts of  the  brain within the skull are invest-
ed and protected by the three membranes  of  the  brain: the
dura mater, a  firm and fibrous membrane, next to the skull;
the arachnoid, a serous  membrane,  which envelops  the  brain
and spine,  and is like the serous membranes of the heart and
lungs, a closed  sac ; this  is the middle membrane of the
three ; the pia mater, a vascular membrane, composed of in-
numerable vessels, held together  by areolar tissue; this is
the nutrient membrane of the brain.
  From the brain issue the  cranial  nerves, in twelve pairs, to
supply the organs of sense and motion with life and  vitality.
They are arranged, as regards local origin, as follows : 1. The
olfactory;  2.  The optic ; 3. The motores oculorum; 4. The
patheticus; 5. The tri-facial;  6.  The abducentes ;  7. The
portio dura;  8.  The facial;  9. The glosso-pharyngeal;  10.
The  pneumogastric;  11.  The  spinal  accessory;  12.  The
hypo-glossal.
  The spinal cord, its membranes, and the roots of the spinal
nerves, are  contained Avithin  the spinal column.  The  cord is
continuous with the brain,  or its lowest part, the medulla ob-
longata,  and is divided  in  tAvo lateral halves by an  anterior
and posterior  fissure.  Each of the lateral halves is  divided
by  furrows into three distinct sets of fibres, called the ante-
rior,  lateral,  and posterior  columns ; the posterior  are  the
columns of sensation ; the anterior, those of motion,  and the
lateral are divided in  their  functions between motion and
sensation.
  From  these divisions  issue the spinal nerves, thirty-one pairs
in number, each one from two roots, an anterior and posterior, 
416
ANATOMY AND PHYSIOLOGY.
combining the functions of motion and sensation.  After the
tAvo roots have united, Avhich constitute the spinal nerve, it
passes through  the opening between the  vertebrae  on the
sides  of the spinal column, and distributes itself to its re-
spective organs in innumerable ramifications.
  The spinal nerves  are  divided from  the head downward,
into eight cervical pairs, twelve  dorsal, five lumbar, and six
sacral pairs.
  The ganglionic system,  or sympathetic nerve, consists of a
series of knots or ganglia, lying on each  side of the spinal
column, united with each other by nervous  threads.   It con-
nects  itself with the brain and spinal nerves.  Each ganglion
or knot may be considered as a distinct center, from which
branches  issue  in  four directions, some for  communication
with other ganglia, some for distribution.   The latter  accom-
pany  the arteries to the different organs, and form a net-work
around  them, called plexuses, and named  after the  artery
which they  accompany; for instance, the mesenteric  plexus,
hepatic plexus, etc.  In this way all the internal organs of the
head  and trunk receive branches from the sympathetic nerve,
which, therefore, is considered a nerve of organic life.

                        The Skin.
  The skin covers the exterior of the  body, and appears, to
the naked  eye,  as  composed  of one membrane only.   By
closer examination, however, it  is  found to  consist  of two
distinct  layers of membrane, the upper  or scarf-skin (epi-
dermis), and the real skin (cutis vera), which  lies underneath
the former.
  The upper-skin (epidermis) is thin, semi-transparent, like
a fine shaving of horn; it has no nerves or blood-vessels, and
is without sensation.  The hair and the nails are  of the same
nature.
  The real  skin (cutis  vera, or corion) consists of minute
fibres, interwoven with each other to a firm, strong and flex- 
THE  SKIN.
417
ible web.   This manner of composition  permits innumerable
interstices  or pores, which are finer or closer on  the superfi-
cial part of the skin than  on its lower surface.   The upper
surface of the skin contains  blood-vessels  and nerves, looks,
therefore, more  red or pinkish, and  is  sensitive;  while the
lower  strata of the skin connects with the fibrous web, in
which the subcutaneous fat of the body is deposited.
   Beside, the skin is supplied Avith nerves;  lymphatics also
exist  in great numbers.  The oil-glands are contained in
some parts of the  true skin, in great abundance,  as on the
face  and nose, the head, etc.; they communicate with the
surface of  the skin through small tubes, which penetrate the
skin, and open mostly at the roots of hairs.  These glands
deserve our particular notice, as their usefulness is so great,
that neglect  in cultivating their healthy action  is felt  very
severely.   They appear in great  distinction on  the eyelids,
where their  disease causes the so-called sty; they produce
in the ear-passages the  so-called earwax:  they impart oil to
the hair by infusing it into the sheath of each hair.
   In  some  persons these  oil-glands cannot discharge  their
contents on the surface of  the skin, on  account of some dis-
eased  state, when it becomes dry  and dense, appearing in
round, dark  spots, produced by the presence of  a minute
worm.
   The perspiratory glands are oval shaped or globular  balls,
lying in the deeper meshes of the real skin, from whence they
communicate Avith  the  surface through minute  cylindrical
tubes, called "pores."   The quantity of these pores  is truly
astonishing;  they average  about twenty-eight hundred in the
square inch  of surface; and if an ordinary sized man  has
twenty-five  hundred square inches  of surface,  the whole
number of pores in the skin amounts to  seven millions.   How
important must be, therefore, the  culture of the skin, as  an
organ for secretion and exhalation. 
II.   HYGIENE  AND  HYDROPATHY.
                         Hygiene.
   Hygiene comprises  the knowledge  of instituting such  a
mode of living as is best  calculated to preserve health.  The
clearer this knowledge is, and the closer Ave follow the rules
of health, the surer the prevention of diseases will be.  It is
certain, beyond  doubt, that less misery, disease, and death
would mar the happiness of this  fair world, if  its inhabitants
Avould live more in accordance with the laws of nature, and
less after their own often mistaken notions and passions.
   Reform, in this respect, has already commenced;  and, with
a more  rational method of healing, and the application of a
more efficient and salutary tonic agent (the Avater), invalid
and enfeebled mankind can look forward to a happier, because
a healthier future.
   In  the  following pages, Ave  will notice  briefly the most
important  subjects  affecting  the physical  well-being  of  an
individual.  These are: food and drink, sleep, air, and exercise,
clothing  and occupation.
   In  all our Avishes and  necessities of physical and mental
tilings, we must never forget two important principles: first,
to inquire whether they are really beneficial or useful, and if
so, to use them in moderation.*
                   1.  Food and Drink.
   The Avaste of bodily strength must be supplied by suitable
food  and drink.   This is the greatest necessity of nature;
and if errors are committed in  this respect, our injured system
  * For more minute details on this subject, see Dr. Tarbell's sources
of Health.
      (418) 
FOOD  AND  DRINK.
419
must suffer the bad consequences.   It is, therefore, of the ut-
most importance to pay particular regard to the  selection of
our daily food and drink, in order to escape disease, and often
premature death.
   Suitable food must have two paramount qualities:  it must
be nutritious and digestible.  Not all nutritious food is digesti-
ble, and  vice versa.   A great many experiments have been
made, to test the relative  digestibility of food, and from these
and the  experiments on the sick  bed, valuable knowledge in
regard to the choice of food has been  collected.   According
to these  investigations, boiled rice is the most digestible, and
roasted pork, fat and lean, the most indigestible substance.
   In order to give the reader a more comprehensive  view of
the  relative digestibility  of food, we insert Dr.  Beaumont's
results, as related  in Dr. Tarbell's "Sources of Health."
                                                       H.  M.
Rice............................Boiled......Digested in.....1
Pigs' Feet, soused................   "   .....................1
Tripe, soused.....................   "   .....................1
Eggs, whipped..................Raw.......................1   30
Trout, Salmon, fresh.............Boiled.....................1   30
               "    .............Fried......................1   30
Apples, sweet...................Raw.......................1   30
Venison steak....................Broiled.....................1   35
Brains..........................Boiled.....................1   45
Sago.
.1  45
Tapioca...........................       .....................^
Barley-
Milk.
Liver, beef's, fresh................Broiled....................2
Eggs, fresh.......................Raw.......................2
Codfish, cured, dry...............Boiled.....................2
               ................Raw........................2
Apples, sour................
Cabbage, with vinegar............. "  .......................2
Milk.......................
Eggs, fresh.................
Turkey, wild....................   "   ....................2  18
Turkey, domestic...........
                         2  15
Roasted....................2  15
Boiled.....................2  25
Roasted....................2  30 
420              HYGIENE  AND  HYDROPATHY.
                                                           H.  M.
Gelatine........................Boiled......Digested in......2  30
Goose...........................Roasted....................2  30
Pig, sucking....................   "....................2  30
Lamb, fresh.....................Broiled....................2  30
Beans, pod......................Boiled.....................2  30
Cake, sponge....................Baked.....................2  30
Parsnips........................Boiled.....................2  30
Potatoes, Irish...................Roasted....................2  30
          "  ...................Baked......................2  30
Cabbage, head...................Raw.......................2  30
Spinal Marrow...................Boiled.....................2  40
Chicken,........................Fricassee....................2  45
Custard.........................Baked......................2  45
Beef............................Boiled.....................2  45
Oysters..........................Raw........................2  55
Eggs............................Soft Boiled.................3
Beef, fresh, lean, rare.............Roasted....................3
Beef-steak.......................Broiled....................3
Pork, salted..................... Raw.......................3
       "  .....................Stewed......................3
Mutton, fresh....................Broiled....................3
         "   ....................Boiled.....................3
Chicken soup....................   ".................... .3
Dumpling, apple.................   "  .....................3
Oysters.........................Roasted....................3   15
Pork-steak........................Broiled....................3  15
Pork, salted.....................Broiled....................3  15
Mutton..........................Roasted....................3  15
Bread, corn......................Baked......................3  15
Carrot..........................Boiled.....................3  15
Sausage.........................Broiled....................3  20
Flounder........................Fried........................3  30
Oysters.........................Stewed.....................3  30
Beef............................Boiled.....................3  30
Butter..........................Melted.....................3  30
Cheese, old......................Raw.......................3  30
Bread, wheaten, fresh............Baked......................3  30
Turnips.........................Boiled.....................3  30
Potatoes, Irish...................   "  .....................3  30
Eggs..............................Hard Boiled................3  30
  "...........................Fried......................3  30 
DIGESTIBILITY OF  FOOD.
421
Green Corn and Beans
Beets................
Salmon, salted........
Beef................
Veal.................
Fowls, domestic......
Ducks, domestic
Heart, animal...
Beef, old, salted.
Pork, salted  ...
Veal................
Ducks, wild..........
Suet mutton..........
Cabbage, with vinegar
Suet, beef...........
Pork, fat and lean....

   The  above table is very explicit, as regards the digestibility
of certain substances, and Ave can ask its particulars with con-
fidence, Avhenever we wish to decide this point in the choice
of  food;  but, in  relation to its  nutritious qualities, whether
highly nutritious or less nutritious food is necessary, we must
folloAV  the researches of Prof.  Liebig,  who  first  explained
satisfactorily the  connection of digestion and respiration.  He
shoAved that  the  lungs receive a greater quantity of oxygen
in  cold than  in warm  climates and seasons.  A correspond-
ing amount of carbon, which is  contained in  the food, is ne-
cessary to mix Avith the blood, and unite in the lungs with this
 oxygen, to produce such a degree of animal  heat, as is re-
 quired by the external circumstances of  the individual.   The
 colder the climate, therefore, the more carbon (or food  con-
 taining carbon)  is  necessary, to produce animal heat; the
 warmer the season or climate,  the less of it is necessary.  For
 this  reason,  is fish-oil  the  staff  of life for the Greenlander;
                         H. M.
, Boiled.....Digested in......3 45
,   "  .....................3 45
.   «  .....................4
.Fried......................4
.Broiled....................4
.Boiled.....................4
.Roasted....................4
.  "   .....................4
.Fried.......................4
.Boiled.....................4 15
.Fried......................4 15
.Boiled...........,.........4  30
 .Fried......................4  30
 .Roasted.....................4  30
 .Boiled.....................4 30
 .   •<   ......................4  30
 .   ».....................5   3
..Roasted....................5  15 
422
HYGIENE  AND HYDROPATHY.
because it contains the greatest amount of carbon, for produc-
ing a great quantity of animal heat, which he needs in those
regions;  while persons  under  the equator  live principally
upon watery, vegetable productions, affording but little sup-
port to animal heat;  as nature  supplies this by the hot cli-
mate itself.   Animal food, in general, is more nutritious than
vegetable ; but the structure of our digestive organs, from the
teeth to the lowest part of the intestines, shows conclusively
that man was destined to partake  of  both kinds, animal as
well as vegetable.   The latter must preponderate,  however,
on account of the reasons above given, in warm seasons and
climates, while the animal food  takes  precedence in cold  re-
gions and seasons :  in  the highest latitudes, even to the ex-
clusion of all  vegetable diet. In temperate  regions,  a judi-
cious combination  of  both kinds of food is necessary  to sus-
tain life harmoniously.
  The digestibility of food varies according to individual
strength  and habit.   Pork may be completely indigestible to
the  invalid and  student, although  it  is  highly  nutritious,
while it is perfectly digestible for the wood-cutter and hunter
in wild regions.
  Animal food contains, principally, fibrine, albumen, gelatine,
oil, casseine, and osmazome.
  Fibrine is digestible and nutritious.
  Albumen is nutritious, but becomes  indigestible when har-
dened too much by heat.
   Gelatine, the substance which forms the so-called jelly, is
nutritious and readily digested ;  but its digestibility  is fre-
quently impeded by improper ingredients mixed with  it, par-
ticularly in the form  of acids.
   Oil sustains heat but is  difficult of digestion; it requires
the action of bile in the intestines to assimilate it properly.
   Casseine is both nutritious and digestible.   It is  contained
in the cheesy part of the milk. 
DIGESTIBILITY OF FOOD.
423
   Osmazome is that  substance  which imparts flavor  to the
meat and the soups.  Its presence shows the nutritious and
digestible quality of the meat.
  According to the predominance of one of the above-named
substances, animal food has been divided into three classes :
  1. Fibrinous class; comprising mutton, beef, pork,  ducks,
geese,  and venison.
  2. Gelatinous class ;  to  which belong veal, lamb,  young
poultry, and most kinds of fish.
  3. Albuminous class; containing oysters,  eggs, brain and
liver, the sweet-bread in calves.
  The digestibility of meat varies according to the mixture
of oil,  or osmazome ; for instance, ducks and geese, although
belonging to the fibrinous or best digestible class, are more
indigestible  than beef; because  they  are  of  an  oleaginous
nature.
  Mutton and beef are among the most nutritious and digesti-
ble of  meats.   The former is rather  better for invalids,
dyspeptics in particular.  Venison, also, is very nutritious and
digestible.
  Pork  is difficult of  digestion; because  it is united to  so
much oily or fat substance.   Beside, its continual use  causes
diseases of the skin and lymphatic system.
   Veal and lamb belong to the gelatinous  class ; very nutri-
tious, but not so easily digested, because they are not suffi-
ciently matured or ripened, as it were.
  Poultry differs,  also,  according  to  its  age;  the  young
containing more gelatine,  and  requiring, in consequence,
not so much roasting or baking; the older ones containing
more  fibrine,  and  requiring, therefore, more cooking  and
roasting.
  Among the fowls, there are none more suitable for invalids
than the wild fowls, such as partridges, pheasants, etc.
  Eggs and oysters are  very nutritious, and very digestible, in
their natural state ; but to harden their  albumen, by cooking
       38 
424
HYGIENE  AND HYDROPATHY.
or stewing too much, renders them very objectionable for the
sick.   Clams are not so digestible.
  Fish, in general, differ as regards their digestibility, in  the
same proportion as they contain more oily substance.   Ma-
rine fish  generally contain  more oil  than fresh-water fish.
Fish without scales contain more oil, and are, therefore, more
indigestible than other fish.
   Vegetable food contains, principally,  starch (fecula), gluten,
mucilage,  oil,  and sugar.
  Starch, like oil, furnishes carbon, and abounds in the grains,
in potatoes  and other roots, as well  as in arrow-root, sago,
tapioca, etc.
  Gluten, the nutritious part of grain also, enables it to form
a tenacious paste  by the  mixture of flour with water;  it is
similar to the animal fibrine.
  Mucilage, or gum,  is  innutritious, but useful by furnishing
carbon and hydrogen to the oxygen of the blood.
  Sugar and oil serve the same purpose.
  Rice is  a digestible and nutritious vegetable, wholesome for
healthy and debilitated persons.
  The potato ranks next, if roasted or baked, while it is less
digestible  when boiled; the  sweet-potato is  less digestible
than the common potato.
  Arrow-root, sago, tapioca, farina,  are both  digestible and
nutritious.
  Beets contain  a good  deal  of sugar,  and, on that  account,
furnish considerable carbon and hydrogen ; but, as the fibrous
part of the beet is entirely indigestible, invalids must abstain
from its use.
  Onion,  cabbage, asparagus, and tomato, contain but very
little nutriment, and must not be indulged  in by persons hav-
ing, or being disposed to the diseases of the abdomen.
  Fruits,  in general, are refreshing  and wholesome, but  not
very nutritious.   This latter  quality makes them very desira-
ble  in diseases, where  a nutritious  diet otherwise would be 
DIGESTIBILITY OF FOOD.
425
detrimental.   In the convalescence from fevers, apples, baked
or roasted, dried prunes stewed, etc., form  a refreshing  and
grateful diet for the recovering patient; in  the  green state,
fruit produces flatulency, and must be avoided by patients,
although a moderate  use of ripe fruit, for  a well person, is
very good, except in  seasons when  bowel complaints predo-
minate.
   In order to enable the reader to distinguish between sub-
stances, as regards their nutritious quality, Ave subjoin here a
list of  some  of those most in use, as given in  Carpenter's
Physiology.   In this table human milk is  taken  as the stan-
dard of comparison= 100.

                      NUTRITION TABLE.
                          Vegetable.
Rice........................81  Wheat..................119-144
Potatoes.....................84  Carrots.....................150
Turnips....................106 Brown Bread................166
Rye........................106  Peas......................  239
Maize..................100-125 Lentils.....................276
Barley.
Oats........................138  Beans
White bread................142
.125  Mushroom..................289
                               .320
Animal.
Human milk................100
Cow's milk.................237
Oyster..................... 305
Yelk of eggs................305
Cheese..................331-447
Eel, raw....................434
----boiled..................428
Mussel, raw.................528
-----boiled...............660
Ox liver, raw................570
Pork-ham, raw..............539
_______-  boiled.............807
Salmon, raw................1'"
------boiled..............610
Portable soup...............764
White of Egg...............845
Crab, boiled.................859
Skate, raw..................859
Skate  boiled................956
Herring, raw................910
------boiled..............808
------ milt of.............924
Haddock, raw...............920
-------boiled.............816
Flounder, raw...............898
------- boiled.............954
Pigeon, raw..................756
-----boiled................827 
426             HYGIENE AND  HYDROPATHY.
Lamb, raw..................833  Veal, boiled.................911
Mutton, raw.................773  Beef, raw...................880
----- boiled...............852  ----boiled..................941
Veal, raw...................873  Ox lung....................931
   Water is the only liquid which nature  has furnished in
abundance for drink ; without it, all living beings and organ-
ized forms would  perish.  How important it is, therefore, to
procure an article, so indispensable and necessary, in as pure
a  state as possible.  The  best water for  drink  is, without
doubt, rain water, as it is  free from admixtures of  earthy
substances; yet, even rain-water frequently becomes impure
by falling through an  impure atmosphere,  particularly that
hanging over large towns, or by running on roofs of houses,
through unclean spouts before it reaches the cistern.
   Equal to rain-water,  in purity and taste,  is the water pro-
cured by the melting of snow and ice, if the latter has  been
formed in clean ponds or rivers.
   But where rain water cannot be obtained in sufficient quan-
tity or purity, it is generally taken  from the rivers and lakes,
which furnish a better water than wells.  The latter contains
more or less lime,  salts, or other  earthy  impurities, Avhich
render it neither palatable nor healthy.
   Water, coming  from  marshy regions, is entirely unfit for
drinking ; at least, not until, by boiling, the inherent organic
matter is destroyed.
   A healthy person ought to habituate himself to a free use
of cold water.   Beside using it externally in baths, he should
drink morning,  noon, and evening,  with his  meals, a sufficient
quantity to dilute  the  food.   But the water he drinks  must
be cold, as it is this  latter quality which offers to the stomach
a natural and strengthening stimulus  for digestion; in  sum-
mer,  and in southern latitudes, ice  is necessary to render the
water fit for hygienic purposes.  If a person is once used to
drink plenty of cold or ice-water  at  or after his meals, he
seldom  suffers  from indigestion, and  needs not  the  use of 
DIGESTIBILITY OF  FOOD.               427
stimulating drinks ;  and every one can easily habituate him-
self to this practice.  It is a wrong idea, which seems yet  to
prevail  to  a great  extent, that it is unwholesome  to  drink
water at the meals; but  experience  has the advantage, and
one can soon test the matter for himself.  The trial must only
be continued for some time, in  order to allow the system  to
accommodate itself to the  new  habit.  Health and good
spirits will be the consequence  of such a change in a person's
living.
  It  is also very proper  to drink a tumbler of fresh  water
when retiring in the evening, or on rising in the morning.   In
doing this, the want of other drinks  or beverages of a stimu-
lating nature, such  as coffee, or tea,  is not felt  so much, and
can be dispensed with easier by degrees.
   Coffee, especially, is one of those  enticing, palatable beve-
rages Avhich  have  laid  the majority of the civilized world
under contribution; it is  made nutritious by the addition  of
cream and  sugar;  but the greatest part of its contents is
medicinal, and,  consequently, not fit for daily  consumption,
without  creating artificial  alterations in a person's healthy
condition.   Hahnemann,  the illustrious founder of  Homoeo-
pathy, was  the  first Avho drew the  attention  of the coffee-
drinkino- community to the destructive tendency their favored
article had on  the constitution.  He distinguished well be-
tween a  moderate  use  of this  drink and an immoderate
consumption in large quantities and  strong decoctions.  We
recommend our readers to read his admirable article on this
subject.   It exhausts all that can be said in regard to it, and
is capable to cure the most inveterate coffee-drinker.  Homoeo-
pathy forbids its use in  most all diseases, and insists on a
more natural diet;  in this important undertaking, she is sup-
ported by the rigorous system of hydropathy, Avhich demands
the abolition of  all stimulating drink, and allows nothing but
water.
  But, if coffee cannot be  abstained from, or if a person is only 
428
HYGIENE  AND HVDROPATHY.
using it moderately, without experiencing bad consequences,
it  would  be Avell  to  recommend  a good preparation of the
bean, by roasting it but slightly, grinding it never long before
it is used, and adding to the decoction one-half of boiled milk.
In this way, coffee may be drank  Avith comparative impunity.
   Tea, as  a daily drink, meets with the same objections as
coffee, and is  only tolerated  in its use for the sick, because
these have not been  sufficiently estranged  from such stimu-
lants to do without it.
   To healthy persons Ave would recommend to abstain from
its use entirely, as tea is  neither nutritious, nor capable of
fostering the digestion.
  If any tea shall be used, let it be black tea, as this con-
tains  less of the  tannin, or the  astringent principle, which
forms an ingredient of all kinds of teas.
   Chocolate, or cocoa, is decidedly preferable to coffee or tea
as a daily drink, although it is, to some extent, an  indiges-
tible article, which needs good digestive powers and  exercise
to render it wholesome.   It is frequently allowed  to  patients
who have no abdominal diseases, or do not  suffer from weak-
ness of the  stomach.
  Milk is very nutritious, but not always digestible.  Although
nature designed infants to subsist for some time on milk,  it is
no stronger proof,  on  that account, of its greater digestibility;
as it is well known that an infant's stomach is not yet weak-
ened by stimulating food or drink, and is better prepared for
the digestion of milk than that of  adults.
  The practice of drinking milk at  dinner  is very injurious;
it  is  more  wholesome toward evening, particularly in the
summer, and in the  morning, when bread-and-milk  forms a
good diet for healthy persons.
  The reason why country  people  can eat and  drink  milk
with impunity, while  persons living in cities dare not do the
same, lies simply in the constant exercise of the former, com-
bined with less care and hasty pursuits of life. 
SLEEP.
429
  After drinking milk, no  sour  articles  must be  drank or
eaten, as an undue coagulation will ensue in the stomach, with
all its morbific consequences.
  Buttermilk is a healthy beverage, but it must be used Avith
care,  not allowing any acids or fruits to follow after it.
  Spiritous liquors, wine, brandy, etc., must  be considered
as medicines, never as  drinks, which  might be adopted for
daily  consumpion with impunity.   And, in a medicinal  capa-
city, they are truly beneficial, while, in the  other, they have
proved  to be the greatest curses of mankind.
  But enough has been  said and argued  on this point, and
it would be useless here to repeat the proofs, that the habitual
use of spiritous liquors ruins both body and soul.
  As medicines they are prescribed by  the  physician;  for
instance, brandy, after having  eaten indigestible articles, or
as a stimulus in Asiatic cholera; wine after debilitating dis-
eases, or after great loss of blood; and ale or porter for  nurs-
ing women, etc.  We advise strictly to adhere to the  principle,
"Touch not, taste not, handle not."

                          Sleep.
  This  interruption of the  voluntary  activity of the bodily
powers  is  as  necessary for their renovation and strength as
food and  drink; in  sleep reparation is not counteracted by
waste as it is during the period of wakefulness.  If  we would
eat and fill our blood with  nourishment,  yet  have  not  suffi-
cient bodily exercise to exhaust strength, we would  soon pro-
duce  a  disturbance  of the equilibrium, which must exist in
our system betAveen loss and supply.  In  the following  order
we should regulate the hours of life ; first, work (mental and
bodily exercise  for every healthy individual, without excep-
tion);  second, eating (the principal meal ought to  be  had
toward  evening, after the labor is  done); third, sleep (soon
after  eating,  in order to permit the  nourishment in the blood
to crystallize into the different solids of the system). 
430
HYGIENE AND HYDROPATHY.
  The time which should be passed in sleep varies according
to age, occupation, and constitution.  Children need more sleep
than those  of a maturer  age, where the growing, or solidifi-
cation  of the  system  is not so much required.  Vigorous,
mental  activity needs  longer  sleep  to  recruit  than mere
bodily labor;  because the  nervous energy, which facilitates
solidification, becomes more exhausted by mental than bodily
fatigue.  The lymphatic constitution needs  more sleep than
the nervous  and  bilious,  because the former having less
nervous energy, requires longer time to  convert, during the
sleep, the blood into muscle, nerve, sinew, etc.
  There is no normal quantity of hours  to repose in sleep;
as a general rule, it may range from six  to seven hours in
twenty-four;  circumstances alter these, however, frequently ;
every one must try to find out which number of hours will
suit for him.
  The best time for sleep is, without doubt, from nine or ten
o'clock, before  midnight, until  three  or  four o'clock in the
morning.   Early rising has so many advantages in point  of
health and happiness, that it hardly needs a further  recom-
mendation  here.
  The place  of sleep ought to be chosen  from among the
best in a house.   The lower floors are never  fit to contain
bed-rooms, as  the confined  air, during the night, in the lower
part of a house, is unfit for respiration.  The sleeping apart-
ment  should be the best located and the largest  room in a
house; an  eastern and southern exposure is the best;  during
the day, its windows must be kept open, and the bed-clothing
aired;  the best surface to repose on is  the hair mattress,
Avhich combines all the necessary requisites for  this purpose.
During the sleep, the cover ought to be sufficient; if possible,
let  it  consist  of quilts,  whose  number  is regulated as  to
comfort.
  Some persons have the erroneous idea  that,  to lie  on the
back during sleep, is the most  healthy position one  can as- 
AIR AND EXERCISE.
431
 sume ; the most  natural and healthy position is to lie  on the
 side, the very best is the right side.   But this  varies as to
 habit, and, if so, does  not  signify disease.  By lying  on the
 back, the spine is pressed  and heated, beyond what may be
 good for it.  Lie  with the head supported,  by one  pilloAv,
 slightly  elevated above the  rest of the body.

                    Air and  Exercise.
   The quality of the air which fills our lungs has the great-
 est influence on the healthy state of our system; as on it de-
 pends the  thorough change which the  blood  must undergo,
 from the venous to the  arterial.  The atmospheric air con-
 sists of one-fifth part of  oxygen  and nearly four-fifths nitro-
 gen, and a  small quantity of carbonic  acid gas.  The first,
 or oxygen, is the only life-sustaining fluid, while the nitrogen
 and carbonic acid gas,  each by itself, are life-destroying; but,
 in the  above  mixture of  the  three,  the  air becomes just
 adapted to  the wants  of our physical  existence.   Alter this
 proportion in the least, and sickness and death  must  be  the
 inevitable  consequence.  It  is  of the  highest   importance,
 therefore, to have the air which we breathe as nearly like that
 which nature has prepared for us as possible.   This, however,
 we can only accomplish by  a thorough  system of ventilation,
 which carries  off  the  vitiated air, and  permits fresh air to
 enter our apartments freely.  The rooms for the  sick are no
 exception to this most necessary rule.   The more air a patient
 can  have, the sooner he  will recover.   The  only precaution
 necessary in such cases, is to prevent a draught from passing
 over the patient.
  We direct the attention of our readers particularly to this
 subject, and invite them to  make themselves acquainted with
 works treating extensively  on  the necessity and  the  art of
ventilation ; as in many a situation in life, it will be of the ut-
most importance for them to carry the  theories of ventilation
into  practical  execution; for instance,  in building dwelling
       39 
432
HYGIENE AND HYDROPATHY.
houses, churches, halls for meetings,  etc.   We Avould  here
make one remark in regard to  churches, which receive  their
ventilation at  the sides, by opening the AvindoAvs at the  time
of meeting.   This  seems  to me  a  practice  fulfilling  Avell
enough its immediate  object — the  ventilation — but doing
harm in another direction, namely, creating a draught, Avhich
passes over part of the assemblage, thereby rendering their
seats very uncomfortable, and dangerous for health and life.
An edifice with high ceilings ought to be  always ventilated
from the top of the ceiling, where the heated air will  sooner
be found than  at the side or below.
  In short, Ave  Avould  advise  everybody  to  try always  to
breathe as pure and  fresh air  as  possible; he  may  be  in
health or in sickness.
  Everything  which has   a tendency  to deteriorate the air
must be avoided and removed.  Exhalations  from marshy
grounds, damp cellars, or  any place where animal or vegeta-
ble decomposition is going on, are frequent sources of disease
and  death.  Everything must be avoided which  renders the
air moist and damp, or  prevents a free circulation all around
the places where we dwell.  The more air, the better;  par-
ticularly in childhood, Avhere the healthy development of the
system  depends  so  much  on the lively  stimulus which the
plentiful consumption of the oxygen gives  to the energies of
the system.   An infant,  instinctively, Avants  to  be carried
in the open air, Avhere it delights to breathe the invigorating
fluid.  Parents should send  their children in the free, open
air as often as possible ; as nothing more contributes  to health
and a good constitution than exercise in the open air.
  Activity, motion, exercise, is a principal  object and  funda-
mental condition of  organic life.   Without it, there is no ener-
getic expressions of the functions  of the  organs, which be-
come  torpid,  and  act  sluggishly.   Without  exercise,  the
muscle  never  will  swell and become strong and well-formed ;
the joint  never  will become supple.   Without  exercise,  the 
CLOTHING AND OCCUPATION.
433
appetite never will be stimulated, the nerves invigorated, and
the blood system put in vigorous motion.  Exercise, however,
brings life and energy to every part of the system.  Look at
the blacksmith's arm—how muscular,  strong, and healthy.
Bodily exercise and labor is  required of every  one ; he may
be  rich or poor, learned or ignorant, to  keep healthy, and
become strong.
   It should be the particular care  of  parents, beside  mental
culture, not to neglect the bodily education of their children.
The training in all the arts of life must have reference to the
wants and necessities of the present and future well-being of
those  dear  ones,  placed under  our especial  guardianship.
Gvmnastic exercises now form a branch of the education of
our youth, and should be practiced regularly and constantly,
commencing with the lighter exertions, until the severer feats
can be performed  with  ease.  Walking, and running at  a
moderate gait, is perhaps the best and most suitable exercise
for adults, beside  that exercise which the daily occupations
offer.   It ought to be borne in mind, however,  that no severe
exercise must be undertaken directly after meals; as a full
stomach, for digestion, requires  suspension of muscular  ac-
tivity.
                 Clothing and Occupation.
   In  no department  of civilized life has  the fancy of man
 committed  so many errors, leading to  destruction of health
 and life,  as in that which relates to the external covering of
 the body.  In choosing a garment, one must always  first re-
 member  its purpose and use, before he folloAvs  the dictates of
 fashion.  If  fashion was directed more  by the  utility than by
 the oddity and fancifulness of clothing,  its  reign might be
 tolerated; but this is, unfortunately, not the case.  It is, for
 instance, fashionable  among ladies to wear thin-soled shoes;
 yet there is  no greater destroyer of human life than a thin-
 soled shoe—not even pestilence and vice.
    The object of clothing the body, beside for decency, is to 
434
HYGIENE  AND HYDROPATHY.
shield it from the heat and cold of Aveather.  To this purpose
all  other  considerations, as  of beauty,  convenience,  etc.,
ought to yield the preference ; and even healthy persons should
not easily depart from a rule so imperative and necessary.
  Cotton, linen, and avooI, manufactured  into different kinds
of stuff, are the articles mostly used  for clothing.  Linen is
the best article for summer, and should not be laid aside in
winter, except by persons subject to rheumatism and frequent
colds.
   Cotton has won its way almost  into universal use,  and its
applicability for summer and winter wear is  generally admit-
ted.  Yet it is  not a sufficient substitute for the woolen goods,
particularly flannel, when persons liable to rheumatic  attacks
need,  beside protection from  cold, a  covering which stimu-
lates the  skin to a higher degree of action, and absorbs at the
same time,  its  perspiration.  This the woolen fabrics, espe-
cially flannel, etc., do, better than any other, and are, there-
fore, indispensable to persons  of a tender skin, and to those
liable  to  great exposure to the extremes of cold and heat.
Wool  is a bad conductor of  caloric, and, therefore, the  best
 calculated to retain the heat generated within  the body upon
 the surface, as well as to protect it from external heat.
   The quantity of clothing  must be regulated according to the
 seasons;  but in'Such a manner that its change should never
 be in advance  of the coming season, but only after it has fully
 set in.   A  change  of under-clothes before June is seldom
 Avithout serious consequences; while the summer dress  may
 be retained until late in the fall and winter,  without great in-
 convenience and detriment.
    Clothing must be made  so that it does  not  incommode the
 body either in motion or rest.
    The human system  is so admirably constructed in .all its
 parts, that none  presses or weighs  heavily upon the other;
 and in this way, only,  the  perfect harmony and healthy con-
 dition of all its functions is rendered possible;  for the same 
CLOTHING AND OCCUPATION.
435
reason, however, does it not permit any external pressure, by
clothing, etc., without serious injury.  If the boots or shoes
are too tight, painful corns appear, and imbitter the hours of
the sufferer ; if the waist is laced too tight, lung complaints
are its  fearful  and  destructive  consequences.   It would  be
unnecessary to enlarge upon this subject; it is known too
well by every one, at the present time.
   In general, keep the  head and breast cool;  the feet and
stomach,  however,  warm.   If  the dress  has  become wet,
hasten to change  it.   Be not careless  in this  respect; as fre-
quently negligence  in  undressing, after haAing  become wet,
has been the cause of lingering diseases, or even death ; par-
ticularly the feet require our whole  attention in  this respect.
Young girls, at the age of change, must be especially watched
well as regards the protection for their feet and abdomen.
   After violent exercise, we must cool off by degrees, cover-
ing ourselves more,  as we become cooler.
   The  occupation of a person has  a great and increasing
effect on his health, mentally as well  as bodily.   That this is
undoubtedly the case, has been clearly proved by the statis-
tical tables, carefully made for the purpose of showing the rel-
ative longevity of persons pursuing different avocations of life.
   The  following statistical table, made at Berlin,  in 1834,
and taken  from Dr. Tarbell's "Sources of Health," is very
instructive  in this respect:
Clergymen, attained the age of 70 years	
	. 42
	. 40
	. 35
	. 33
	
	. 28
	. 27
	. 24
 
436             HYGIENE AND HYDROPATHY.
  It is evident, from the above, that the quiet pursuits of life,
which require a constant and certain  amount of mental and
corporeal activity, of not too  exciting a character, such  as
the professional labors of a minister of the Gospel, or the occu-
pation of a farmer, are  the most favorable to  the attainment
of a high age; Avhile the physician, the very opposite of these
two, as regards regularity  and  uniformity of action, is the
lowest in the scale of his years of life.  There is no doubt that
the above table is  correct;  and  if so, it teaches volumes  to
every one who has either already chosen a pursuit of life,  or
who has yet to do it.  The former must adhere the more to the
strictest rules of health, if he has chosen a less favorable pro-
fession; the latter may benefit himself infinitely by selecting the
more healthy pursuit of life, if  he has to choose between two.
   A greater  sense  of duty, and a lesser degree of unchecked
ambition, might have saved many  a  valuable life from  an
early grave.   It is our duty to live as  long and as usefully as
possible.
                       Hydropathy.
   Hydropathy is the name for a method  of curing diseases
by the  application  of cold water, in various ways, internally
and externally, as circumstances  may require.   Although the
advantage of cold water in disease was knoAvn in the  earlier
times, yet its systematic use for that purpose was never looked
upon as an  essential part of the healing art,  and, therefore,
no decided  results were elicited.   To  Prissnitz, a  simple
farmer in Germany, belongs the  honor of having  first boldly
proclaimed, and sustained by facts, the high  qualities of cold
water,  as a  remedy for diseases.  And  so  rapid was the
progress of this new and startling doctrine, that while its pro-
pounder is still enjoying his  fame and fortune, his discovery
has already been adopted in almost every part of the world.
   The  appearance of Hydropathy, as  an auxiliary branch of
medicine and hygiene, seems to have been providential in our
time; as it was never before more needed, and never would have 
hydropathy.                   437
been  appreciated  as  much.   Our generation, so  Aveakened,
physically and morally, by a thousand influences Avhich avc
could hardly enumerate here,  needed, Avith  the  change of
medicine which was consummated in the discovery and culti-
vation of  Homoeopathy,  a   system of dietetic  rules and
strengthening appliances, Avhich should be as much according
to nature as those  formerly prescribed had been against nature.
In this hygienic or preventive  feature  of the cold water lies
one of its greatest blessings;  another one, however, presents
itself in  its  healing  powers,  for a  number  of  diseases.
Although  its healing effects are  wonderful, and  entitled to
all  consideration and praise, yet its  universal application, as
the only  curative agent, superseding  direct medication, is
impossible; because its principle is more negative in its effects
upon disease  in general.  The  cold water, in  strengthening
the powers of nature, prepares  them to throAv off  disease, or,
in other words, to  produce a crisis, which  enables nature, in
a struggle with the  disease,  to  throw  it off.  This  principle
of Hydropathy is  true in  chronic  as Avell as acute  diseases;
but in the latter, its application  is more limited, and  this in
proportion to the acuteness and severity of the  diseases.  To
treat Asiatic cholera, for instance, or  cholera infantum, with
cold water  alone, might be, to say the least, a questionable
and hazardous  undertaking.  Neither  Avould it  be necessary
or rio-ht to trust, in the thousands of medical cases, to  one heal-
ing agent  alone,  which at best  only  assists  in keeping up
sinking nature,  when Ave have the knowledge of other agents
which have a direct annihilating effect upon the disease itself.
And this is Homoeopathy, whose application in diseases does
not prevent the use  of cold water;  but, in most  cases, pre-
scribes its use,  to strengthen  nature, that the remedies may
destroy the  disease  in a  direct or specific manner.   These
two systems, properly combined and practiced  together, will
form the most complete code of medical rule and action Avhich
has  existed, as yet.   Allopathy and  Hydropathy can  never 
438
HYGIENE AND HYDROPATHY.
act together; because the  principle  of the  former, to break
doAvn the natural strength, is too antagonistic to the objects
of the  latter,  Avhich tries to  elevate,  and  not to  destroy
the strength of nature.  There is no other alliance left, neither
could any  other be  conceived, as natural, harmonious, and
effective as that of Homoeopathy and Hydropathy, each one
supporting and strengthening the doings of the other.  Provi-
dence Avas  evidently at Avork in permitting  the  former to be
discovered  by the most learned and philosophic  mind of the
age,  the illustrious Hahnemann; and the latter to be  prac-
ticed first by an unlearned, but unsophisticated peasant: the
first  being  the result of deep reasoning and research in  matters
of nature, the latter of simple and clear observation. The power
of this double lesson,  given to  the  medical world  almost  at
the same time, Avas too overwhelming not  to arouse it from
perversion  and  affectation.
   Hahnemann  at first broke down, Avith  a  giant's strength,
the learned fetters which for ages had encompassed the best
minds among the medical profession.  He opened and showed
the true Avay ; a new era had begun, and men, liberated from
old prejudices, were willing to try anything offered Avith some
degree  of  plausibility,  reserving  for  themselves  the  final
judgment.
   After such changes were wrought in the mode  of thinking,
it was possible  that Mesmer could succeed and find 1'olloAvers,
and  that  Oertel  and Prissnitz could draw  the  attention  of
sufferers to the remedial powers of  Avater.
   The  pretensions of  Hydropathy to  constitute  a perfect
medical system, in which light some of its most modern practi-
tioners  have  tried to establish it, must and will be abandoned,
as they have neither a theoretical basis or  practical demon-
stration.   In fact, efforts  of this kind, if persisted in  obsti-
nately,  must finally result in  detriment to the good  cause
itself, diminishing the reputation of the cold water, in  those
spheres where its  application  is deservedly of the  greatest 
HYDROPATHY.
439
benefit.  And this range of action is  by no means  so  small
or so inferior as to make the exclusive friends of Hydropathy
seek for a  larger  dominion, even beyond the reach  of its
principle or easy application.  It needs but a slight acquaint-
ance with the workings of  Homoeopathy, in comparison with
Hydropathy, to come to the conclusion that the former could
sooner  dispense Avith  the  assistance of the latter, than  vice
versa, but  that a  judicious  union of both insures the most
blessed results.
   In a great many cases, the cold water may be applied alone,
Avithout giving any medicines.  This is particularly the case
in those chronic forms of diseases, which have been treated or
produced by allopathic medicines; such as chronic rheuma-
tism and gout, syphilis, mercurial diseases, dyspepsias, chro-
nic diarrheas, constipation, etc.   But even  in such  cases a
recourse to  a full use of Hydropathy is not  necessary,  if the
patient seems to  possess yet a  sufficient  amount of natural
strength to produce a reaction. Homoeopathic medicine, right-
ly administered, will be found  efficacious  in  a  majority of
such cases,  as the practice  of thousands of homoeopathic phy-
sicians proves daily.
   But where the patient's  constitution has been weakened by
the disease, strength and material poAver are necessary to over-
come the disease.   In such cases, the cold water is the only
agent which can safely and quickly accomplish that.
   In many acute  diseases,  the  cold water  can be  used to
mitigate the intensity of the symptoms, in subduing local irri-
tation and fever,  in softening hardened  surfaces, and repell-
ino- congestions.  In other acute diseases, it may be applied as
an accessory remedy, Avithout interfering in the least with the
specific  action of  the homoeopathic  medicines, as  in sore
throat, inflammation of the brain and other organs.   In acute
diseases of  the skin, such  as measles, scarlet, etc.,  the  appli-
cation of cold water on the  diseased surfaces must not be
attempted, except prescribed and  attended to by a physician, 
440
HYGIENE  AND HYDROPATHY.
as repressions of these eruptions on internal organs may take
place, followed by dangerous consequences.
  We will mention here those  diseases, in the treatment of
Avhich  cold water  may be  applied, as an accessory, without
hesitation.  The mode  of application for each disease is ex-
plained further, beloAv.

              Inflammation of Internal Organs.
   If there is inflammation of  the  brain, eye,  throat, bowels,
liver, spleen, or kidneys,  apply, beside giving the necessary
homoeopathic  remedies for these  diseases  internally, cold
bandages externally, as near the organs affected  as possible.
Their application is described  below.   In the  commencement
of those diseases,  the cold bandage applied in the evening is
verv beneficial in its results.   If applied after the disease has
taken too deep a hold on  the system, it is of less benefit.

   Congestions of the Head, Breast, and Abdomen.    (Piles.)
   Are  frequently mitigated by the  application  of the cold-
water  bandages,  often changed,  and  foot-baths; the  sitz-
baths, if  the abdomen is the seat of the  disease.

Rheumatism  in its various forms, Gout,  Tic Douloureux, and
                          Sciatica.
   Are  diseases, where  hydropathic applications may be used
beneficially with the homoeopathic treatment.  The mode  of
applying the water varies in these diseases according to the
constitutionality of the patient and  the  severity of the  case.
The cold-water bandage,  wet sheet, and local baths are mostly
necessary, although sometimes warm or  lukewarm  applica-
tions of water may be found more serviceable.

              Constipation and Chronic Diarrhea.
   Allows of mitigation  by hydropathy;  the former by the
 wet sheet, drinking of  cold water, and a good  deal  of exer 
ABLUTIONS.
441
cise ;  the  latter by drinking cold water and using sitz-baths,
with exercise and a suitable diet.

        Different Modes of applying the Cold Water.
  In regard to this subject we prefer to lay before our read-
ers  what  one of  the  most experienced  hydropathists,  Dr.
Weiss, of  Freywaldau, has communicated  in his Handbook
of Hydropathy:

                      1.  Ablutions.
  These may be local or general; they are performed in the
following  manner :  The  naked  hands,  or, better, a large
sponge  or Avoolen  cloth  is dipped into a  vessel containing
cold Avater, placed upon a chair.   The sponge is to be gently
pressed, and  then conveyed,  for  some feAv minutes, rapidly
over the whole surface of the  body ; Avater may  also, at the
same time, be poured  over the head;  but not every one  is
able to bear  the  latter application, especially in the winter.
Another method  of performing ablutions  with  cold water,
consists in Avrapping a linen  sheet, dipped into  cold water,
round the body, and thus washing all the parts ;  this process
is more poAverful,  abstracting more heat from the body.   In
pursuing this, or any other mode  of ablution, it is advisable
to stand in a spacious vessel, so  that the water which runs
off  may not Avet  or soil  the room in which the operation
is conducted.
  The  best time,  undoubtedly, for these ablutions, is the
moraine.   They are to be performed immediately after rising
from  bed, Avhen the temperature of the body  is  raised by
the heat of the bed.  The sudden change favors, in  a great
measure,  the reaction which ensues, and excites the skin,  ren-
dered more sensitive by the perspiration during the night,  to
renewed activity.   In  some cases, and under certain condi-
tions, more than one of these  ablutions becomes necessary ;
the same  operation may then  be repeated at different inter- 
442
HYGIENE  AND HYDROPATHY.
vals.   In most cases a second ablution, before  going to bed,
will suffice.   Local ablutions will have to be  repeated most
frequently,  Avhere Ave wish  to  produce  increased  reaction ;
even in these cases, the temperature of the body, or its natu-
ral Avarmth, should be restored before proceeding to a second
ablution.   To increase the beneficial  effects  of this washing,
it should be accompanied by friction during the process ; this
is also essential immediately after it.   Quite as necessary is
exercise in the open air, if circumstances will in any way per-
mit it.   Very great invalids only may be alloAved, after Avash-
ing, to retire to bed.
   Ablutions are, for the most part, preparations for  a more
powerful system of treatment, in order to accustom  the body,
by degrees, to Avater Avhich  is  absolutely cold;  tepid  ablu-
tions  are, therefore, to be recommended at first, especially to
irritable and  weakly individuals, or such  as  have never
brought cold Avater in contact Avith their  bodies.
   Ablutions continued for a  quarter  of an  hour, or longer,
act as a stimulant and refrigerant; those of a shorter  dura-
tion have a strengthening and  exhilarating effect, and also
the property of equalizing the  circulation of blood,  as  may
readily be perceived after general ablution of the Avhole body.
   Cold ablutions are fitted for all constitutions; they are best
adapted for  purifying  and  strengthening  the  body;  for
Avomen, Aveak  subjects, children, and old age.   Even in pul-
monary complaints they produce alleviation, and even perfect
amendment, Avhere these diseases have not made too great a
progress.
   The room,  in  Avhich the  ablution  is  performed,  may be
slioiitly heated, for debilitated patients, in Avinter, to  prevent
colds, in consequence of too low a temperature of the apart-
ment ; this  exception  is, hoAvever, only admissible for very
weakly persons.  Generally speaking, ablution  may  be per-
formed in a cold room, especially where persons  get  through
the operation  quickly, and ca'n, immediately  afterward, take 
SHOWER-BATHS.
443
exercise in the  open air.  After  ablutions, as regards mild-
ness of operation, follow

                    2.  Shower-Balhs.
  These baths  are taken in  a machine, or box (Schneider's
bath), constructed  for the purpose.   The internal arrange-
ment of this machine, or bath, is such, that,  on opening the
cock closing the pipes which communicate with a reservoir,
the water is brought in contact with different parts of the
body at the same  time, in  the  form  of many fine streams.
Very weakly or irritable people may begin with tepid water,
and they will  soon accustom themselves to cold water, as
these baths produce a very grateful impression.  Those who
cannot obtain a proper machine, may stand in an empty bath-
ing vat, or other vessel, sufficiently large, while an assistant,
standing on a chair, pours water over them from a common
watering-pot, which answers the purpose perfectly.
   The action of these baths consists in a general shock to the
nervous system, and to the skin ; in consequence of which,
the  secretion   and  excretion  are promoted, and  the whole
economy  benefited.  They  are  to  be  recommended,  chiefly,
in the diseases requiring repeated  sweatings for their cure ;
for patients who, in consequence of congestions, and diseases
of  the chest, cannot bear the full baths after the  process of
sweating.   These baths deserve recommendation to families.
 Children  may be best accustomed to cold Avater in these  ma-
chines, where the temperature can at first be raised, and then
gradually decreased.

                 3.  Partial, or Half-Baths.
   All baths,  where the common  bathing vats are  half, or
three parts filled  with  water, are thus denominated.   The
 half-baths  serve,  frequently, as a preparation for the  full-
 baths (Vollbader), or for a more active system of treatment; 
444             HYGIENE AND HYDROPATHY.
they have, therefore, a higher temperature, between fifty-nine
and  seventy-seven  degrees of Fahrenheit.   They should be
continued from five minutes  to  an hour, or  more, according
to the purposes Ave have  in  vieAv.   If  these baths be  in-
tended as a preparation for more active treatment, they must
be of short duration, as  also  for persons who cannot bear
cold baths, or full-baths.   If our object be to produce a de-
rivative effect, to remove congestions from other organs, the
duration of these baths must  be  regulated  by their effects.
The  patient must remain in them until revulsion is produced.
Neither the temperature, nor the length of time, can be de-
termined beforehand;  this must be regulated ahvays by the
constitution, the nature of  the disease, or the obstinacy of the
case: generally speaking,  a quarter, half, or a whole hour
will  suffice.
  If our intention be to call  forth a higher  degree  of reac-
tion, or even fever, by these baths, the temperature  must be
lower, their duration extend from one to three hours.  Baths
continued for so great a  length of time must only be used
by the advice of a practical hydropathist,  as they  not  only
considerably derange the  organs  of  digestion,  but  pro-
duce sufferings with  which the  patient was unacquainted
before.
  The whole time the patient is  in  these baths, he should
continually rub himself with the water contained in the vat,
extending the friction to the parts above and under the water,
that he may not  take cold.  If this  mode  of application be
intended as preparatory to the use of cold baths, or to produce
increased reaction, it is advisable to pour a few buckets of
cold water over the patient before he rises from the bath.
  Neither half-baths, nor any other kind of bath, are  to be
taken on a full stomach.  Exercise, further, is especially to
be taken after long-continued half-baths; it must not, however,
be neglected after the use of cold water in any form. 
FULL-BATHS.                    445
                      4.   Full-Baths
  For these baths, spacious and  deep receptacles are neces-
sary ; they should admit of freedom of motion, and fresh
Avater ( if possible) should uninterruptedly flow into them.
  That the body must be, in a certain measure, prepared for
their use, I have already mentioned;  and even after a proper
preparation, as caution, it is desirable  to wash the head, or
pour cold Avater over  it before entering the bath.   This rule
is to be strictly observed where the patient has  perspired for
a length of time, or where he is suffering from  congestions
of the head and chest.   The latter circumstance requires our
especial consideration, where these attacks are increased after
the first baths, notwithstanding the  necessary preparation.
Such patients must be spared the further use of them, to pre-
vent  dilatation,  or rupture  of  blood-vessels.  Only  young,
robust persons may, Avithout injury, venture,  after protracted
sweating, to plunge suddenly into  the bath without Avashing
the head.   It is, moreover, necessary that every patient should
enter the bath as  soon  as  possible after gently and quickly
cooling his head and  chest;  for  all unnecessary delay is at-
tended with pernicious  consequences.
  The length of  time the patient should remain in  the bath
varies in different cases; half a minute, or one minute, is gen-
erally sufficient;  an experienced hydropathist only may pre-
scribe full-baths for a lengthened period.  During the bath,
the patient must  exercise the members  of the body.   Imme-
diately  after leaving the  bath,  he should  quickly dry the
Avhole body, using friction to  promote reaction.   If possible,
he  should perform the rubbing himself; and, where this  is
impracticable, he should be aided by an assistant.  Exercise,
after dressing, is next required, where circumstances will allow
it, in the open air, to further reaction also.
  Cold full-baths are  indicated in all  those diseases where
auo-mented reaction, invigoration, or  a shock to the  nervous
system  is  to  be  produced, where  the warmth  of the  whole 
446             HYGIENE  AND HYDROPATHY.
body is to be  equalized; where all  secreting and  secerning
vessels are to be invigorated;  where the  circulation of the
blood is to be  determined to the skin for the elimination of
morbid matter.
  These baths are to be avoided, or used, at least,  with cau-
tion,  in  all congestions, in inflammations of  internal vital
organs, in diseases of the chest without exception, in certain
head  affections, in cases where a very active crisis ensues, and
in all those where violent excitements or shocks would prove
injurious.

                5.   General Plunging-Baths.
   The plunging-bath should be taken like the former bath, in
a large reservoir, or trough, filled with water.   The patients,
generally such as cannot of themselves  enter  the bath, are
placed upon  a chair above it, arranged  by means of ropes
and pullies to move  upward and downward, so  that the  pa-
tients in the sitting posture may be plunged into the water as
deeply and as often  as is necessary.  As  a substitute  for  an
apparatus of this kind, the patient may be laid upon a sheet,
held  by several  persons, which  is quickly plunged into the
water, and again withdrawn.   The intention of these plunging-
baths'is pretty much the  same  as that  of the former; but
their action is more  stimulating, and the  shock severer than
in those cases where the patient can enter the bath unassisted,
 and use exercise while bathing.  Hence  one,  for  the most,
 five plunges, suffice  to cool the  body;  in obstinate nervous
 fevers, however, they are occasionally to be repeated  several
 times in the course of the day.

                      6.   Local-Baths.
   By this term, we understand baths of  tepid  or cold water,
 into  which a portion of the body is immersed for a certain
 period.   Their action is more powerful than that of local ablu-
 tions.  We will commence with 
HEAD-BATHS.
447
                     7.  Head-Baths.
  They are applied, according to the object we may have in
view, to different parts of the head, in the form of eye-baths,
ear-baths, or derivative-baths.  The use of these baths is at-
tended with some inconvenience.   A large dish or basin is to
be filled Avith water, and placed on the floor at the upper end
of a mattress.   The patient lays himself at  full length upon
the mattress, and immerses the part of the head to be bathed
into the water; e.g., if it be an eye-bath, the whole face is to
be introduced into the vessel filled with water.  In this case,
it is necessary, moreover, to open and shut the eyelids fre-
quently, in order to bring the water in  contact with  the eye-
ball.  The duration of these cooling and strengthening baths
is from two to six minutes, but both their duration and tem-
perature are subject to variations.  In some  diseases of the
eye, as we shall hereafter show, cold baths are not only inef-
ficient, but they even  augment  the  affection and  sufferings
considerably.  Under these circumstances, we must endeavor
to discover the temperature  best adapted  to the case,  and
make use of other detersive baths as auxiliaries.  These and
 all other varieties of topical baths are to be repeated, accord-
 ing to circumstances, three to five times a day.
   We use for these purposes, also, boat-shaped eye-baths re-
 sembling liquor-glasses, and adapted to the shape of the eye;
 but baths in these vessels are less worthy of recommendation
 than the  former bath, inasmuch as they contain a less quantity
 of water, and  press, moreover, on the appendages of the eye.
    The ear-bath is taken in a similar manner; the side  affect-
 ed, or, where both ears  are diseased, both  sides are to be
 alternately immersed into the water, so that it may enter the
 meatus.   These baths should, with  few exceptions, be cold;
 their duration should extend from six to ten minutes.   A more
 protracted use of them is not advisable, because it would pro-
 duce more injury than benefit.   The same applies to all head-
 baths.
          40 
448
HYGIENE  AND HYDROPATHY.
  Where head-baths are used as derivatives for violent and
local pains of the head, the side of the head opposite to that
affected is immersed in the Avater for three  or  four  minutes.
This may be repeated several times during the day,  if neces-
sary.
  If the head-baths are to have an anodyne or soothing effect
in gouty or rheumatic  affections, they should  be used at  a
temperature of fifty-nine degrees  to seventy-two  degrees  of
Fahrenheit.  One side, of the  head,  and then the  occiput,
afterward the other side is to be plunged into the Avater, and
this proceeding is to be repeated several times, until the de-
sired alleviation ensues.   In cases of  necessity, this process
may be repeated several times in the course of the day.

             8.   Sitting-Baths.   ( Sitz-baths.)
   For these baths we  use water of various degrees of tem-
perature.  The vessel for this purpose is rather inconvenient,
but so constructed that the patient can remain for the  neces-
sary  time in it in the sitting posture.  The dimensions of the
vessel should be the following:  height  of  the pedestal, four
to  five inches; the inner depth of the vessel,  nine  to  ten
inches ; height of the back, six to eight inches; whole breadth
of the vessel, twenty-two to twenty-four inches.   These baths
 are made of wood  or tin; the latter, however,  deserve  the
preference.  The vessel in which the  bath is taken  should  be
filled with  water, until it  reaches  the  navel  of the patient
 Avhen in the sitting posture.  In  especial cases, a greater or
 less height of  water may be requisite.  During the bath, the
 upper part of the body is to remain covered, the shirt should
 be turned  up,  and the legs and feet are to be enveloped in a
 Avoolen coverlet.   While the person is in the bath,  he should
 rub the abdomen with a woolen cloth, to increase  the  action
 of the skin, and to  facilitate the passage  of  flatulent collec-
 tions.  The action of sitting-baths varies, partly  according to
 the length of their duration, partly according to  the tempera- 
SITTING-BATHS.
449
ture of the water.  Where they are desired to have  a tonic
action, the temperature should  be from  fifty  to  fifty-nine
degrees of Fahrenheit, and they should be continued from
ten to fifteen minutes.  Of course, they are to be repeated
frequently during the day.   To act as a stimulant, and  to
produce  more powerful reaction,  they must  be continued
for the same  length of time ; but their temperature must not
exceed forty-one degrees to forty-four degrees of Fahrenheit.
In  summer,  this  temperature may  be  obtained  by  the aid
of ice.
   Where  the sitting-baths are to act as  derivatives, determin-
ing the  blood from  parts which  suffer from congestion, the
patient must  remain twenty minutes to half an hour in the
bath.  It is  sometimes necessary, during the bath, to  adapt
cold applications (umschlage) to the parts affected; this  is
the more necessary, if the congestions increase during the
bath.
   If the sitting-baths  be intended to produce a solvent effect,
a  moderate  temperature of fifty-nine  degrees  to sixty-eight
deo-rees of Fahrenheit, and rather a lengthened continuation
of them,  say from half an hour to an hour or more, will  be
required.   It is,  moreover, advisable, that patients suffering
from obstructions or hemorrhoids, should sit in deeper water;
it  may,  in this case, extend beyond the  umbilicus.
   For sitting-baths in rivers, a peculiar apparatus is neces-
sary.  A board with a round hole, about eight inches in diame-
ter, is fixed  about five or six inches below the level of the
water;  on this aperture the patient is  to sit.  At a distance
of  more than one fathom from this board the water is to  be
confined by  means of  any suitable contrivance, so that it may
be made to flow with force against the abdomen during eight,
at the most,  fifteen minutes.   In all abdominal  diseases, and
in  debility of the organs  of generation, these  baths are  of
extraordinary benefit.
   Whatever object we may aim at in the use of these varie- 
450
HYGIENE  AND HYDROPATHY.
ties of sitting-baths, we must not lose sight of the rule, that
they are never to be taken immediately after eating  (unless
especial cases call  for an  exception), as they will otherwise
derange the digestion, and  produce irregularities in the evacua-
tions.  The best time for the use of these  baths, is an hour
before dinner, or before  going to bed.   In the latter case, they
offer the advantage of securing a night's rest to the patient.
Generally  speaking, two sitting-baths a day will suffice; in
particular  cases, especially, if not persevered in for  a long
time, five to six may be taken during the  day.   Exercise in
the open air is  to  be  strictly recommended both before  and
after these  baths.

                     9.   Foot-Baths
  Are taken in a small tub, or in the same vessel as the sitting-
baths.  The temperature and volume of water  must  depend
on the action Ave wish to produce.  If these baths are to act
as stimulants, they must be very cold, not exceeding forty-one
degrees of  Fahrenheit.  The water should have a  depth of
one, at the most, two inches, and the bath  must not be con-
tinued longer than five  minutes.   They  may be repeated
several times  during the day,  according  to circumstances.
Rubbing, immediately after the baths, to promote speedy re-
action, and also exercise  after  them, are indispensable.  If
the object of the foot-bath be to determine  from the  head or
chest, the vessel must not  be too large, in order that the water
may become somewhat warm during the bath, Avhich  may be
continued,  in that case, from twenty minutes to  one hour.  In
this case, also, the  water must not be as cold as  for the former
purpose, and should cover the ankles.   If congestion increase
during the  bath, cold applications should be at the same time
applied to  the parts affected.  Friction and motion of the feet
are absolutely necessary during  and  after the bath.
  A variety of other partial baths,  adapted to the  different
members of the body, are brought into operation in a general 
THE DROP-BATH.
451
course of treatment by cold Avater.   The effect desired is ob-
tained partly by the duration of the bath, partly by the tem-
perature of the water, as I have before mentioned in speaking
of local baths in  general.  Where the  baths are to  act as
stimulants, the water must be very cold, not exceeding forty-
one degrees of Fahrenheit; they may, however, be repeated
several times  in the  course of the day, if requisite.   They
are to be continued from five to eight minutes.  By friction,
immediately after  the bath, we arrive  more  speedily at the
desired end.
   If  the intention of  these  baths be to produce  a  soothing
effect, their temperature must not be below fifty-nine  degrees
of Fahrenheit; they may, however, be continued for a longer
period of time ; fifteen to thirty minutes will, in most cases,
suffice ; they may also be repeated on the return of the attacks
of pain.   Where their action is to be derivative, the tempera-
ture should be from forty-six to fifty-nine degrees of Fahren-
heit,  and they should be continued for  half an hour to one
hour or longer.  If they are to produce this effect gradually,
and not rapidly, we frequently resort, at the same  time, to
applications (umschlage) to the part affected.   Cooling appli-
cations,  frequently repeated, will  often lead  to the  desired
result,  and, at other times, applications  producing  warmth
will  be most serviceable; Ave should,  therefore, consider
whether the object be to produce cold or heat.

                    10.   The Drop-Bath.
   This term is applied to single drops of Avater falling from a
height of several fathoms.  For this form of bath, a vessel
is used, filled with very cold water, and furnished with a very
small aperture, through which the water  passes in  the form
of drops.   The small aperture should  be partly closed by a
plug, to prevent the  drops  from following each other in rapid
succession.   By these means,  their operation  is  considerably
increased, and it  becomes  yet more potent  if Ave allow the 
452
HYGIENE  AND HYDROPATHY.
drops to fall upon  a particular part at certain periods, and
rub  the part during the intervals.  The reaction  about to
commence will, indeed, be  thus interrupted, but will  after-
ward make its appearance in a more powerful and energetic
form.
  The violent excitement and irritation of the nervous system
produced by these baths, render it necessary to restrict the
use of them to half  an hour; nor are they,  indeed, adapted
for  vital parts,  or  such  as are  abundantly  supplied with
nerves.
  They  are  often  used with  more effect in obstinate and
chronic  cases of paralysis, than the douche or affusion, with
which they may alternate.   Powerful and continued friction
with a horse-hair glove is never, in this  case, to be  neglected
after the baths.

                     11.  The Douche.
  This  description  of bath  is prepared with the aid of me-
chanical contrivances, by means of which a  stream  of  Avater
is made to fall  upon the body with more or less force.   In
many respects it is most advantageous to make use of a natu-
ral  fall  of water for this purpose ;  we can then  conduct  the
Avater simply  into a channel, giving it a fall of twelve  to
twenty feet, and to  the stream a caliber of half an inch to five
inches.   These simple douches are far less  disagreeable  to
the  sensations of the patient than those of artificial construc-
tion.  In the former, the patient can turn himself freely and
alter his position so  as to expose any part of the body to  the
stream.   Douche rooms, admitting, by their construction, of
the  access of the air from above, produce an  agreeable sensa-
tion, especially in summer, and are very beneficial  in their
action!   After the first time of using these baths, the dread-
ful  ideas which many patients  preconceive  of them quickly
disappear.
  Our chief consideration, in the use of the douche, should be 
THE DOUCHE.
453
to guard against applying it to the body when quite cold, or
when in a state  of perspiration  after active exercise.   The
patient,  after undressing in a moderate temperature,  steps
below the falling stream, attempting to receive it in the palms
of his hands, that the whole  force and volume of the water
may not fall  upon his body immediately, which is  not, to say
the least, at all times agreeable.  After having thus prepared
himself for the more potent shock, he must expose himself to
the full stream, and in such a manner that the whole column
of water will fall chiefly on the neck and spine.  From time to
time he must equably expose  the other members of the body
to the stream ;  but the affected parts chiefly, and for a greater
length of time.   He should be careful not to allow the stream to
fall perpendicularly on the head, chest,  or on the region of the
liver, especially if these parts be weak, or affected with disease.
   The duration of the douche must be regulated by the con-
stitution of the patient, and the effect we Avish to produce ; it
should never be continued for less  than one, nor more  than
twelve minutes.
   Where a natural douche is  not to be obtained, we make use
of the well known machines resembling a fire engine in shape
and construction.  By means of  these  contrivances, we may
 bring  one or more streams of any given force into operation.
 Our care must be directed  to the selection of cold and  fresh
 water for this purpose ;  finally, the  same rules are to be ob-
 served which Ave laid doAvn for the use of the former douche.
   The period of the day at which these different douches (ex-
 cepting those  for the eye and ear) are used,  varies.  They
 are only to be taken, as an exception,  fasting, or immediately
 after sweating and never on  a full stomach, nor oftener than
 once or twice daily.
    Rather active exercise should be taken after the douche,
 until the peculiar sensation of reaction has totally disappeared,
 or an uncomfortable sensation of cold, accompanied by head-
 aches, fainting,  etc., will be experienced, instead  of an agree- 
454             HYGIENE AND HYDROPATHY.
able and beneficial glow.  It is, moreover, not  advisable to
drink cold water immediately  after the douche,  because a
rapid generation of heat is thus  impeded, and inflammations
of the stomach and bowels might be caused.
  The  douche, the most powerful stimulant known in  hydro-
pathy,  is always applicable where excitement is necessary, but
attention must  be paid, in  every case, to  age, constitution,
and to  the vital powers.   Cases are not unfrequent, where
the nature of the diseases calls for this stiumlant to complete
the cure, but where  it must be avoided in consequence of
pregnancy, pulmonic  affections, etc.  No mode of applying
cold water is more  abused than the douche; in  most hydro-
pathic  establishments, even at the present day, this is, unfor-
tunately, too often  the case.  But very few experienced hy-
dropathists regard it as a stimulant requiring caution.   For
the most part, it is looked upon as a remedy indispensable to
every cure, is brought into use injudiciously, and without ma-
ture deliberation, and continued to the detriment of all organs ;
the beneficial results, therefore, which a judicious use  of it
would produce, are, necessarily, oftentimes  frustrated.

    12.   Local Applications ( Umschl'dge).    Wet Bandages.
  By these applications, two different effects may  be produced,
viz., that of cooling the part to which they are applied, or
that of raising its temperature.   Where they are intended as
refrigerants or derivatives, the cloths must  be of a size suited
to the part inflamed ; they should be folded  six or eight times,
dipped  into very cold water, gently pressed before  applica-
tion, and are to be renewecf every four or ten minutes, accord-
ing to  the degrees of  inflammation.  If  we cannot obtain
water sufficiently cold in summer-time, ice  must be added to
it until its temperature sinks to forty-one or forty-four degrees
of Fahrenheit.   This low temperature is especially necessary
in dangerous inflammations of important organs; e. g., of the
brain.   The  bandages must then be continued without inter- 
WET BANDAGES.                  455
mission, day and night, until danger is averted.   Neglect in
changing  the  wet clothes (umschlage),  at the  proper time,
will cause fatal results.   One omission of the change is suffi-
cient to frustrate their beneficial operation; for  violent reac-
tion is  only  to be subdued by continual cold.
  The warming applications of cold water consist of pieces
of linen folded two or three times, and dipped  into cold water ;
they must be well pressed out before  application, and not
changed until they begin to dry—this is the indication for
their repetition.   This variety of application must be not only
well adapted  to the part, but it  is to  be further secured
against the access of the air by a dry bandage, in order that
the reaction it produces may generate a degree of heat in the
part covered exceeding  the  temperature of the  body.  The
combined action of the  moisture and heat thus  produced  is
that of a solvent or  morbid  matter, dispersing SAvellings and
indurations, Avhich are thus  rendered  more fit for absorption
and elimination.  These applications are not only well adapt-
ed for  the removal of tumors, but  may be applied also, with
great benefit,  in various cases of affections of the  abdomen.
Their efficacy, in all derangements of the digestive organs,
and diseases of the  liA^er, etc., is proved.
  The applications to the abdomen vary someAvhat in  form
from the  former bandages.  A piece of linen, two yards in
length, and rather  more than  one foot in breadth, is to  be
doubled, sewn together, and furnished with  strings,  to ena-
ble us  to adapt it  closely to the body, and  secure it in  its
situation.   In using the bandage thus arranged, about one
foot of it in length should be Avetted with fresh Avater, well
wrung out, and applied round the body; thus,  the wet por-
tion will  extend once,  the  dry part, tAvice round  the body.
These  abdominal belts are to be worn  according to the urgen-
cy of the case, sometimes for several hours in  the  day, or
throuo-h the Avhole night; in some instances, again,  for weeks,
both by day and night.
       41 
456
HYGIENE AND HYDROPATHY.
13.  Applications  around one-half of the body, or  around the
               whole body.   Wet linen sheets.
  For  this purpose, the  bed must  be prepared in the same
manner as for the process of sweating.   The wet sheet is
laid  upon the  extended blanket, the patient lays himself at
full length upon  the former, Avhereupon it is  folded around
him, so as to come in close contact with every portion of the
body.   The patient is now to be enveloped in the blanket and
the bed covering (feather beds).
  The wet sheets  are of remarkable  utility in  all febrile dis-
eases.   In acute  fevers  they must be changed according to
the degree of heat, every quarter or half hour, until the dry,
hot skin of the patient  becomes softer, and more prone to
perspiration.   When this symptom is observed, the renewal
of the  Avet cloths may be  delayed for a longer period, until
perspiration actually ensues.  The patient  must then remain
for several hours  in  this state, until uneasy sensations, and
other inconveniences, render it necessary to extricate him; but
it is more advisable to keep him in  the loosened envelopment
until perspiration ceases spontaneously, when a tepid ablution,
or half-bath, should folloAV.  In acute eruptions of the  skin,
measles, scarlatina, small-pox, etc., the wet sheets are not less
serviceable, when  the  eruption cannot make its  way  to the
surface in consequence of the dry state and heat of the skin,
and of the violence of the fever; or where the rash has re-
ceded  suddenly, owing to other disturbances.   In both cases,
the wet sheets are of essential service;  one  application  of
them suffices, sometimes to re-establish the eruption.  If the
rash  fail  to  make its appearance  after the first or  second
envelopment, cold  affusion is to be preferred.   There are
cases in which the use of this remedy may be  deemed objec-
tionable, and  a continuance of the Avet sheets may  appear
more proper;  Ave  must, then, examine  the  skin  carefully
before every change, to see whether the eruption be  nearer
the  surface, the  skin softer, and the heat abated.   In the 
SWEATING.                     457
latter case, the applications  are  to  be discontinued, that the
reaction of the skin may not be disturbed.   The wet sheets,
followed  by tepid ablutions, cannot  be sufficiently recom-
mended, in all diseases of children.  Many severe complica-
tions  are  averted, or relieved, at least, by  them ; or, where
this is not the case, the disease itself is brought more speedily
to a favorable termination.
   The envelopment in wet  sheets is not only of great advan-
tage in acute diseases, but is, also,  an admirable  remedy in a
variety of chronic cases, attended with  an  irritable, rough,
and inactive skin, and in a multitude of  skin-diseases; but in
all those  cases, a frequent  change of the  sheets is  seldom
necessary.  In  using the  envelopment, Ave generally  raise
the temperature of the patient, and occasionally  allow him to
perspire,  according  to the  circumstances of the case.   De-
termination to the head, during  the process, must be removed
by cold applications to that part.   If  the feet remain cold for
a long time in the wet  cloths, and show  no disposition to
become warm, they are to be extricated and wrapped in the
dry blanket only.
                       14.   Sweating.
    In the treatment by water, perspiration is brought about in
 the  following manner :  The  patient is undressed and laid
 upon a woolen  coverlet or  blanket, extended on  the bed. A
 servant wraps  first the  one side  of the blanket round the
 body of the patient, drawing it close  in all directions; grasp-
 ino-"noAV  firmly Avith the one hand the portion  in which the
 patient  is  enveloped, he  draAvs, with  the other hand, the
 blanket round the patient,  and tucks this portion also closely
 under him.  Care  must be taken that  the coverings  be in
 close contact with the body, especially at  the neck, that the
 heat given off by the body may  be well retained, and not suffer-
 ed to escape.  It is the excess of caloric, thus confined,  which
 induces exhalation from the skin.  Individuals who are to per-
 spire for several hours, and cannot retain their urine long, may 
458             HYGIENE  AND HYDROPATHY.
 be furnished with an urinal, placed between  the  legs at the
 time of Avrapping them up.   The head may be included in the
"covering, or enveloped even in the pillow, so that the face
 alone is free, provided the patients do not suffer from conges-
 tions.   The head must remain uncovered, on the  other hand,
 if a disposition to congest be observed.   Slight excitement of
 the vessels, before  the outbreak  of perspiration, generally
 passes  of  spontaneously; but  where this  favorable termina-
 tion does  not ensue, a cooling bandage (umschlage) is to be
 laid on the head of  the patient, who must, at the  same  time,
 drink a little cold water.  Wanning applications (umschlage)
 are to be Avrapped round all parts  affected with nodes, gouty
 swellings, etc.,  before enveloping  the  patient.   The use of
 these  auxiliaries is to allay  pain, which  is  generally  more
 violent before the  appearance of perspiration, and to  excite
 a more copious  exhalation from the parts to which they are
 applied.
   Patients who are very restless in the blanket, and thus
 loosen  it, should be confined more closely in  the  encasement
 by additional cloths and girths, as they Avould otherwise have
 to remain wrapped up during half a day or longer.  Persons
 thus enveloped  being totally helpless, an assistant should be
 always in  attendance to open  the  windows as soon as perspi-
 ration ensues, and to administer, every ten or fifteen minutes,
 as much  cold water  as  is necessary to promote  perspiration.-
 The action of the skin must be kept up uninterruptedly, and
 the perspiration should pass off in form of vapor, or in drops,
 as long as the case  requires it.
    The result of this mode of treatment is pretty certain, but
 the time  necessary for the production of perspiration is  not
 the same in all cases;  for some   individuals perspire  sooner
 than others.   The  season,  and many other inevitable circum-
 stances, exert, moreover, a considerable influence on the skin;
 thus, some patients, especially in  summer, will perspire in a
 quarter of an hour, while others require three to five  hours 
SWEATING.                     459
for that  purpose.   In febrile and inflammatory diseases, we
frequently cannot  produce perspiration in less than twelve or
twenty-four hours, although Ave change the wet sheets often,
and resort to other auxiliary  means.
   The best time for exciting  perspiration, in chronic cases, is
in the early hours  of  the morning, from four to five o'clock at
the latest.   In acute diseases, the time depends on the fever
itself, or  on renewed exacerbations; it  must be  produced,
therefore, when required, without reference to time.   A repe-
tition of  the  process  tAvice on the  same  day, is only admis-
sible and advisable as an exception.   The indication for  such
practice would occur more frequently in chronic than in acute
diseases; because  in the latter  perspiration should be  kept
until it  ceases spontaneously, or  is interrupted  by other  cir-
cumstances.   Two sweats daily can  only be  recommended
to the robust, and  even these persons will not be able to en-
dure the protracted sweating required in some few troublesome
cases, without injuring the skin and other important organs.
   We cannot determine, a priori, how long each patient should
SAveat.   The ordinary duration, in chronic cases, is from half
an hour  to three hours, daily; but  moderate perspiration is
to be encouraged for a longer time in  acute  diseases.   Criti-
cal perspiration requires the  longest duration, and should not
be disturbed; Ave should rather, in this case,  do everything in
our power to aid and promote it, until it ceases spontaneously.
   When the patient has remained in  a state of perspiration
long enough, the Avoolen covering should  be loosened about
his feet and legs, to enable him to walk.  The  attendant then
raises him in bed,  and leads  him to the place where he is to
bathe or wash.  Sedan chairs or other contrivances, will be
necessary to convey patients  quickly to the bath,  in  serious
cases.  No danger is to be dreaded from  the transition from
heat  to  cold (as  experience  in many thousand  cases  has
proved), if the necessary precautionary rules laid  down for
the use of full-baths  be duly observed; for,  in this mode of 
460             HYGIENE AND HYDROPATHY.
producing perspiration, important  internal organs  are not
excited.
  After the bath, patients who can Avalk, or take other exer-
cise, must not return to bed ;  but should  dress  quickly, go
into the open air, drink the quantity of water prescribed, and
afterward take their breakfast.   Those patients, on the other
hand, who can take no corporeal exercise, must be rubbed,
after the bath, for some time, the friction extending over the
whole surface of  the body.  This peculiar  mode of inducing
perspiration is to be  brought into use in all diseases where
morbid matter is to be eliminated from the system, because
the skin, as daily experience  teaches us, is the  organ best
adapted  for this purpose.  At the commencement of  the
treatment,  the  perspiration  is  clear and  aqueous for some
time; at a later period it becomes more viscid, then varies in
color, and assumes a powerful odor.   The urine, at the same
time, or later, in the course  of treatment, assumes the same
properties in color and odor; open sores and the breath par-
ticipate in this change.  These symptoms usually make  their
appearance at different intervals, in  a protracted case.   Criti-
cal excretions seldom continue Avithout intermission from their
first commencement, until all extraneous substances are re-
moAred from the  body; it is  true, that this phenomenon is
observed sometimes, but it is always a  rare occurrence, and
the critical discharges will not then unfrequently continue two
to four months.
  There  can be no doubt that an incalculable  quantity of
morbid matter is removed from  the body in the act of  per-
spiring; for it is often to be recognized  by  the organs of
sense, by its color and odor during the  process.  Most strik-
ing is, at times, the  odor of valerian, turpentine, iodine, musk,
assafcetida, sulphur, and mercury.  The colors observed are,
generally, confined to red and yellow ;  brown  and blue are
less frequently met with :  the latter occurs often in the de-
posits in the urine, which may assume, also, all other colors. 
III.  MATERIA  MEDICA.
                       1.   Aconite.
   Acute local inflammations; active, sanguineous congestions;
evil consequences of a chill in  a dry, cold air;  affections in
consequence of fright or of anger; measles; erysipelatous
inflammations ; inflammatory fevers, even with bilious or ner-
vous symptoms;  mental alienations, with fixed  ideas of ap-
proaching death ; cerebral congestion, with dizziness ; croup,
first period;  hooping-cough, first period.
   General Symptoms.—Shooting pains, or rheumatic, which
are reneAved by Avine, or other heating  articles; sufferings
Avhich, particularly at night, seem insupportable ; attacks of
pain, with  thirst  and redness of the cheeks ; uneasiness, as
if in  consequence  of  suppressed perspiration, or in conse-
quence of a chill.
   Skin.   Skin dry and burning ; scarlet rash ; measles; net-
tle-rash.
   Sleep.  Sleeplessness from anxiety, with constant agitation
and tossing ;  starting in sleep.
   Fever.  Dry, burning heat, with extreme thirst, sometimes,
especially at the beginning of the disease, preceded by shiv-
erings with  trembling; heat, chiefly of the head and  face,
with redness of the cheeks,  shuddering  over the entire body;
shivering, for the short time that they may be uncovered dur-
ing the heat;  pulse hard, frequent, and accelerated.
   Moral Symptoms.—Great  agitation  and boasting, with an-
guish,  discouragement that  cannot be  consoled, cries, tears,
groans, complaints, and reproaches ; apprehensions and fear
of approaching death ; a great  disposition to be angry, to be
                                             (461) 
462
MATERIA  MEDICA.
frightened;  alternate paroxysms of laughter and tears;  in-
quietude under disease, and despair respecting a cure ; deli-
rium, chiefly at night.
  Head.   Weight and  fullness in the forehead and  temples,
with pressing outAvard, as if everything was going to issue
through them; congestion of blood to the head ; aggravation
of the pains in the head by  movement, by speaking, by rising
from a recumbent position,  and by drinking; amendment in
the open air.
  Eyes.  Eyes red and inflamed, with deep redness of  the
vessels, and intolerable pains.
  Ears.   Buzzing in the  ears.
  Nose.  Bleeding from the nose.
  Face.  Red spots on both cheeks.
   Throat.   Pain in the throat,  with deep redness of the parts
affected, and difficult  deglutition ;  burning  and pricking in
the throat, chiefly Avhen swallowing.
   Stomach.   Sensation of swelling  tension and pressure, as
from a Aveight in the pericordial region and in the stomach.
   Abdomen.   Tension  and pressure in  the hypochondriac
region ;  pressure in the hepatic region; painful sensitiveness
of the abdomen to the  touch, and to the least movement.
   Fmces.  Loose, Avatery  stools ; white stools. Avith red urine.
   Urine.  Urine scanty, burning, dark red, and with a brick-
colored sediment.
   Larynx.  A constant desire  to cough, produced by an irri-
tation or a tickling in the larynx ; short and dry cough, prin-
cipally at night; spitting  of blood, Avith the cough ;  shootings
and pains in the chest Avhen coughing.
   Chest.  Short breathing, chiefly during sleep, and on  get-
ting  up ;  breathing  difficult,   anxious,  and  attended Avith
 groans ; painful stitches in  the chest, chiefly Avhen breathing,
 coughing, and  moving;  stitches in  the side ; palpitation of
 the heart, with great anxiety.
   Trunk.   Painful stiffness in the nape of the neck. 
ANTIMONIUM CRUD.--ARNICA.
463
                  2.  Antimonium crud.
  Gastric and bilious sufferings;  gastralgia;  corns and cal-
lous indurations in the feet.
  General Symptoms.—Drawing, darting, and tension, prin-
cipally in the limbs; the  symptoms are aggravated in  the
heat of the sun, after haAdng drank wine, after a meal, night
and morning ; amelioration during repose  in the fresh air;
great sensibility to cold.
  Head.  Dizziness, with nausea.
  Eyes.  Red, inflamed eyelids ; inflammation  of the eyes,
with itching and nocturnal agglutination of the eyelids ; red-
ness in the corners of the eyes.
  Ears.  Deafness, as if one had a band over his ears.
  Mouth.  Tongue loaded with a white coating.
  Appetite.   Bitter taste ; thirst chiefly in  the night; loss of
appetite.
   Stomach.  Eructations, with taste of food.
   Abdominal Region.  Inflation of the abdomen, with a sen-
sation of fullness, chiefly after a meal; violent, cutting pains.
   Fmces.  Diarrhea, with cutting pains,  generally  watery ;
constant secretion of yellowish-white slime from the anus.
    Urine.  When coughing, involuntary emission of urine.
   Larynx.  Sensation as if a foreign substance were  in the
larynx, Avith inability to expectorate.
    Trunk.   Rheumatic pains in the nape of the neck.
   Arms.  Rheumatic pains in the arms.
   Legs.  Corns on the soles of the feet, and callous excres-
 cences on the tips of the toes ; callous excrescence under the
 nail of the great toe.

                        3.  Arnica.
    Affections  in consequence  of mechanical injuries  (falls,
 commotion,  blows, etc.), wounds, principally those inflicted
 by blunt  instruments; bites ; excoriation  of bed-ridden pa-
 tients ;  bruises, dislocations, sprains, and fractures ; accidents 
464
MATERIA  MEDICA.
resulting from a strain ; stings of insects ; corns, by an exter-
nal application of it, after having pared them.
   General Symptoms.—Pains, as from dislocation ; fainting-
fit, with loss of consciousness, in consequence of mechanical
injuries ; paralytic state, on the left side, in  consequence of
apoplexy.
   Skin.   Red, bluish, and yellowish spots, as if from contu-
sions.
   Head.  Whirling giddiness, with  obscuration of the eyes,
chiefly when getting up, moving the head, or walking.
   Eyes.   Pain like excoriation in the eyes and eyelids, with
difficulty of moving them.
   Face.  Face pale and hollow.
   Mouth.   Tongue dry, or loaded with a white coating; pu-
trid smell from the mouth in the morning.
   Stomach.  Vomiting of dark,  coagulated blood.
   Abdomen.  Pain, as from contusion  in the  sides.
   Anus.  Involuntary stools, chiefly in the night.
   Urinary Passages.   Involuntary  emission  of  urine; urine
of a brownish red, with brick-colored  sediment.
   Respiratory Organs.   Cough, with expectoration of blood ;
even without cough, expectoration of black, coagulated blood
after every corporeal effort.
   Chest.  Respiration short, panting,  difficult, and anxious ;
shootings in the chest and sides, with difficulty of respiration,
aggravated  by coughing,  breathing deeply, and  by move-
ment ; pain as of a bruise, and of compression of the chest.
   Trunk.  Pains,  as from a bruise,  and  dislocation in  the
back, in the chest, and  in the loins.
   Arms.  Pain, as of  dislocation in the joints of the arms
and hands;  want of strength in the hands,  on seizing any-
thing.
   Legs.  Pains, as if from fatigue  or  from dislocation; ten-
sion in the knee, as if from  contraction of the  tendons; in-
flammatory, erysipelatous swelling of  the feet with pain, and 
ARSENIC.
465
aggravation of  the  pain by movement; hot, painful, hard,
and shining swelling of the great toes.

                      4.   Arsenic.
   General Symptoms.— Burning, chiefly  in the interior of
the parts affected, or sharp  and drawing pains;  nocturnal
pains, so unbearable that they excite  to  despair and fury;
aggravation of suffering in the evening in bed, on lying on
the part  affected, or during  repose; mitigation  by external
heat and movement of the body;  want of  strength, excessive
weakness, and complete asthenia,  even  to prostration.
   Skin.  Skin dry as parchment, or cold and bluish; ulcers
Avith raised and hard edges; fetid  smell, ichorous suppura-
tion,  ready bleeding, putridity, and  bluish or greenish color
of the ulcers.
   Sleep.    Nocturnal sleeplessness, with  agitation and  con-
stant tossing.
   Fever.   Coldness  over the whole body,  sometimes  with
cold  and  clammy SAveat; pulse  irregular,  or  quick, Aveak,
small and frequent, or suppressed and trembling.
   Moral Symptoms.  Anxiety, inquietude, and excessive an-
guish, principally in the evening in bed.
   Face.  Face pale, hollow, and  cadaverous ;  lips bluish or
black, dry and chapped.
   Mouth.   Offensive smell from the mouth ;  tongue brownish
or blackish, dry, cracked, and trembling ; ulceration of the
tongue on the anterior edge ; thrush of the  mouth.
   Throat.  Inflammation and gangrene of the throat.
   Appetite.   Violent burning, choking,  and  unquenchable
thirst,  with inclination to  drink  constantly, but  little  at a
time  ; want of  appetite.
   Stomach.   Vomitings after drinking  and  eating; vomiting
 of mucous, bilious, or serous matter, of a yellowish, greenish,
 brownish, or blackish color;  burning internal heat, diarrhea,
 and fear of death ; excessive pain in the epigastrium, chiefly 
466
MATERIA  MEDICA.
when touched ; insupportable heat and burning in the  peri-
cordial region, and in the stomach.
  Abdominal Region.  SAvelling of the abdomen, as in ascites ;
violent cutting pains, cramp-like pains in the abdomen ; colic,
chiefly after eating and  drinking, or in the  night, and  often
accompanied with vomiting or diarrhea, with coldness, inter-
nal heat, or cold sweat.
  Fmces.  Violent diarrhea, of  greenish,  yellowish, whitish
color, or brownish and blackish; burning in the rectum and
in the anus.
  Larynx.   Dry  cough, in the evening  after lying down,
with a Avish to rise; also, after drinking, with difficulty  of
respiration.
  Chest.  Breathing short; difficult, stifling dyspnoea, and
attacks of suffocation, sometimes with cold sweat, spasmodic
constriction  of the  chest  or of  the larynx, anguish,  great
weakness, coldness of the body,  pain in the  pit of the  stom-
ach, and paroxysms  of cough ; oppression of the chest when
coughing, when walking, and when going up  stairs ;  violent
and insupportable throbbings of  the heart, chiefly Avhen lying
on the back, and especially at night.

                       5.   Aurum.
  Mercurial (and syphilitic)  sufferings ;  inflammation and
caries of the bones, chiefly from the abuse of mercury.
  General  Symptoms.— Hysterical spasms, sometimes Avith
alternate tears and laughter.
  Moral Symptoms.  Great anguish, which advances even as
far  as a disposition to suicide.
  Head.   Fatigue of the head from intellectual labor.
  Nose.  Running from the nose, of a fetid, greenish-yellow
matter.
  Face.  Swelling of the bones of the forehead, of the upper
jaw and of the nose. 
BELLADONNA.
467
                     6.  Belladonna.
  Scarlatina ;  sleeplessness ;  inflammatory fevers, with nerv-
ous, gastric, or rheumatic affections; erysipelas.
  General  Symptoms. — The least contact, and sometimes,
also, the slightest movement,  aggravates the sufferings ; dread
of every  movement, and of all exertion ; over-excitement,
and too great  sensibility of all the organs.
  Skin.   Swelling, with heat and scarlet redness of the whole
body, or of several parts, chiefly the face,  the neck, the abdo-
men,  and the hands; red hot, and shining swelling of the
diseased parts.
  Sleep.  Constant desire to sleep ; nocturnal sleeplessness,
in consequence of excessive anguish or great agitation; when
sleeping,  frequent starts,  with fright, groans, cries;  on wak-
ing, headache, and aggravation of sufferings.
  Fever.  Dry, burning heat; pulse strong and quick, or full
and slow, or small and slow, or small and quick, or hard and
tense ;  sweat of the parts that are covered only.
  Head.  Fullness, heaviness, and  violent pressure on the
head, as if going to burst, with  desire to  lie down ;  dartings
into the head, as if from knives;  strong pulsation of the arte-
ries of  the  head; bending the head backward ; boring with
the head  into the pillow while sleeping.
  Eyes.  Aching pains in the eyes and the sockets, extending
into the head ; inflammation  of the eyes, with injection of the
vessels  ; dread of light.
  Ears.  Piercing pressure,  sharp pain, pinching, squeezing,
and shooting in the ears; swelling of the parotids.
  Face.  Face pale, sometimes suddenly alternating with red ;
burning heat  of the face ; dark, or scarlet, or bluish redness
of the face ; swelling of  the  sub-maxillary glands, and those
of the neck.
   Teeth.  Sharp and drawing pains, at night or in the  even-
ing ;  the touch and the open air aggravate the toothache. 
468
MATERIA  medica.
   Mouth.  Sensation of great dryness, or  actual and exces-
sive dryness and choking in the mouth ;  tongue  red,  hot,
shining,  dry, and cracked,  or loaded with whitish  mucus;
redness  of the edges of the  tongue; paralytic weakness of
the tongue, with  difficult and stammering speech.
   Throat.   Excoriating, scraping, and shooting pains in the
throat and  in  the  tonsils, principally when swallowing;  in-
flammation and swelling of the  throat, of the velum palati,
of the uvula, and of  the tonsils;  suppuration  of the  tonsils ;
complete inability to swallow, even the least liquid, which
frequently is forced out through  the  nostrils ; sensation of
choking, and spasmodic constriction in the throat.
   Appetite.  Burning, excessive,  and intolerable thirst, often
with  dread of all  drink ;  drinking  with trembling  precipi-
tation.
   Stomach.   Spasmodic hiccough.
   Abdominal Region.   Cramp-like, contractive and constric-
tive pains in the  abdomen, and especially around the navel,
with a sensation as if the parts were squeezed  or seized with
the nails ; the pains force one to bend himself, and are accom-
panied by vomiting  or by inflation  and protrusion  of  the
transverse colon in the form of a pad ; soreness of the whole
abdomen, as if everything in it were excoriated.
   Urine.  Frequent discharge of urine,  copious, pale,  and
Avatery;  difficulty  of  retention  and involuntary emission of
urine.
   Genital  Organs.   Violent  pressure  toward the  genital
parts,  as if all were going to  fall  downward, principally
when Avalking or  sitting upright;  menses too copious  and too
early.
   Larynx.   Loss of voice ; cough chiefly at night,  or in the
afternoon, in the evening in bed, mostly dry, short, and some-
times convulsive ; when coughing, cutting  in  the abdomen ;
the least movement,  when  in  bed  at night, renews  the
cough. 
BRYONIA.
469
   Chest.  Oppression  of the chest, difficult respiration, dys-
pnoea, and short breath, sometimes Avith anxiety ; respiration
short, anxious, and rapid ;  pressure on the chest.
   Trunk.  Painful swelling, and stiffness of  the  neck and
the nape.
                       7.   Bryonia.
   Rheumatic and arthritic  affections, even with inflammatory
fever and swelling; local inflammations ; inflammatory fevers,
with nervous, gastric,  or bilious affection, and strong excite-
ment of the sanguineous and nervous system ;  typhoid fevers,
in the inflammatory period.
   General  Symptoms.—Tension, drawing pains, acute draw-
ings, and stinging, especially in the limbs, and chiefly during
movement, with insupportable pains on  being touched ; red,
shining swelling of some parts of the body;  aggravation of
the pains and sufferings, at night and from movement;  ame-
lioration  during  repose;  desire to remain  in  a recumbent
posture.
   Sleep.  Restlessness, especially before midnight, caused by
heat, agitation of blood,  and  anxiety ;  sleep, disturbed  by
thirst,  Avith bitter  taste in the mouth when waking; ina-
bility to remain lying on the right side.
   Fever.  Cold and shivering of the body,  even in bed,  ac-
companied by pains in all the limbs; shiverings ; with  trem-
bling, often with  heat  in the head, redness of the  face, and
thirst;  before the shiverings, vertigo and headache ;  univer-
sal dry heat,  external and internal, almost always with a
great desire for cold drinks.
   Moral Symptoms.   Irascibility and passion; delirium, with
ravings about the transactions of the day.
   Head.  Great fullness and heaviness of the head, with rak-
ing pressure toward the forehead, and when stooping, a sen-
sation  as if everything were  going to fall out through  the
forehead ; headache,  aggravated by movement.
   Nose.  SAvelling of the nose ;  frequent  bleeding  of  the 
470
MATERIA  MEDICA.
nose, sometimes in the morning, or when the menses are sup-
pressed, or even when sleeping.
   Face.   Face red and burning ; swelling of the face, some-
times on one side only, or under the eyes, and at the root of
the nose ; lips swollen and cracked, with  bleeding.                   *
   Teeth.  Toothache, with desire to lie down ; mitigated by
lying on the parts affected;  jerking, drawing toothache, with
a sensation as if the teeth were too long or loose.
   Mouth.  Dryness of the mouth, with burning thirst; tongue
dry, loaded with a white, dirty, or yellow coating.
   Throat.  Sensation of dryness,  and great dryness in the
throat.
   Appetite.   Bitter taste in the morning; repugnance  and
disgust for food.
   Stomach.   Nausea and desire to vomit, especially after eat-
ing ; vomiting, as soon  as one has drank, and especially on
drinking after a meal;  shootings in the stomach during move-
ment ; burning in the pit of  the stomach.
   Abdominal Region.—Pains in  the liver, when touched, on
breathing or coughing; cramp-like  pains,  or  cuttings  and
shootings in the abdomen.
   Fmces.  Constipation; diarrhea in the summer.
   Urine.  Urine scanty, reddish, brownish, and hot.
   Genital Organs.—Menses suppressed;  metrorrhagia  of a
deep-red blood, with pain in the loins and in the head; swell-
ing of the labium, with a black and hard pustule.
   Larynx.   Cough, mostly  dry, excited by a tickling in the
throat;  cramp-like, suffocating cough, after having eaten or
drank, and often with vomiting of food; cough, with stinging
in the sides of the chest, or  with aching pains in the head, as
if  it  were going to split;  cough, with expectoration of mucus
of a dirty-reddish color.
   Chest.  Respiration  impeded by  stinging in  the chest;
stingings in the  chest and in the sides,  especially when
coughing or breathing deeply,  alloAving one to lie only on the 
CALCAREA CARBONICA.
471
back, and aggravated by any movement whatever ; heat and
burning pain in the chest, with anxiety and tightness ;  beat-
ings of the heart, frequently very violent, with oppression.
   Trunk.  Pains in the loins, like a painful  weight;  shoot-
ings in the loins and in the back, aggravated  by cough and
respiration ; rheumatic heaviness and tension in the nape of
the neck, and in the neck.
   Arms.   Tractive pains in the joints of the  shoulders and
the  arms, with tension,  stinging,  and shining, red swelling;
pain of dislocation in the joints of the hands on moving them.
   Legs.   Drawing pains in the thighs;  swelling of the legs,
extending to  the feet;  pain as of dislocation, in the foot,
when walking.

                 8.  Calcarea Carbonica.
   Muscular weakness, difficulty of learning to walk, atrophy
and other sufferings of scrofulous children; rickety affections
polypus; fistulous  ulcers ;  delirium tremens ; difficult denti-
tion in children, with convulsions.
   General Symptoms.—Agitation of blood, mostly in pletho-
ric individuals, often in the head  and  in the chest; epileptic
convulsions, with cries;  the symptoms are  aggravated after
washing  and  laboring in  the water, in  the evening, after  a
meal, and every second day.
   Skin.   Nettle-rash, chiefly disappearing  in the fresh air;
swelling and induration of the glands, with or without pain.
   Sleep.   Restlessness from flow of ideas, or in  consequence
of frightful  images, which appear  as soon  as the eyes are
shut;  dreams, frequent, vivid, anxious,  fantastic, frightful.
   Fever.  Excessive internal coldness ; frequent attacks^ of
transient heat, Avith anguish and beating of the heart.
   Moral Symptoms.   Melancholy and disposition to weep and
 to be frightened.
   Head.   Piercing in the forehead, as if the head were going
 to burst, hammering  pains in the head after a walk in the
        42 
472
materia medica.
open air;  icy coldness in and on the head; falling off of the
hair:  tumors in the hairy scalp.
  Eyes.   Ulcers,  spots,  and opacity of cornea ; red and thick
swelling of the eyelids.
  Ears.   Purulent discharge from the ears; polypus in the
ears;  cracking in  the ears, when swallowing and chewing;
hardness of hearing; inflammatory swelling of the parotids.
  Face.   Swelling of the upper lip; painful  swelling of the
sub-maxillary glands.
  Stomach.   Regurgitation of sour substances; sour vomitings.
  Abdominal Region.  Swelling and induration of the mesen-
teric glands ; enlargement and hardness of the abdomen.
  Fmces.   Evacuations like clay ; diarrhea during dentition,
of a sour smell, fetid, or yellowish, in infants.
  Genital Organs.  Menses premature and too copious.
  Larynx.  Cough at night, violent and dry, sometimes even
spasmodic.
  Chest.   Pain as from  excoriation in the chest, especially on
breathing and being touched ; palpitation of the heart.
  Trunk.   Hard  and painful  swelling of the glands of the
neck.
  Arms.    Drawing pains in the arms, also at night; boils on
the  hands and the fingers.
  Legs.   Drawing  lancinations, or  cutting,   acute pains in
them ; swelling of the knees ; corns on the feet, with  burning
pain as of excoriation.

                       9.  Camphor.
  General Symptoms.—Convulsions  and  cramps;  tetanus;
attacks of epilepsy, with rattling in the throat, red and puffed
face,  convulsive  movements of the limbs and  even of the
tongue, eyes, and muscles of the face, with hot and  clammy
perspiration on  the hairy scalp  and forehead; after the  fit,
droAvsy sleepiness;  sinking of all strength ; fainting fits; the
majority of the symptoms  appear during motion, or else at 
cantharis.
473
night, or are aggravated by cold, the open  air,  and touch ;
often disappear as soon as attention is called to them.
   Skin.   Skin bluish and cold.
   Fever.  Coldness over the whole body, with deadly pale-
ness of face.
   Head.  Congestion of the head ; inflammation of the brain;
spasms which draw the head to one side.
   Stomach.  Vomiting  and  diarrhea, with  failing strength;
 sensation of burning and heat in the stomach.
   Abdominal Region.  Cramps in the abdomen.
    Urine.  Retention of urine.
    Genital Organs.   Absence of sexual desire; impotence.
    Trunk.  Cramps in the calves of the legs.

                      10.   Cantharis.
    General  Symptoms.—Burning pains,  as if from excoria-
 tion,  in  all  the cavities  of the body; the sufferings  show
 themselves chiefly on the  right side, and are mitigated  in a
 recumbent posture ;  erysipelatous inflammations.
    Moral  Symptoms.  Anxious  inquietude,  with  agitation
 which forces one to keep constantly in motion.
    Teeth.  Ulceration of the gums.
    Mouth.  Aphthae in the mouth.
    Throat.   Sore throat, with burning in the throat in swallow-
 ing; inflammation and ulceration of the tonsils and the throat,
 aggravated by drinking water.
     Urine.  Urgent and ineffectual effort to make water, with
  painful emission, drop by drop ; burning, smarting on making
  water; sharp,  tearing, and cutting pains, successive pulhngs
  and pulsations in the urinary organs ; inflammation and ulcer-
  ation of the kidneys, of the vesica and of the urethra.
     Genital Organs.  Draggings in the  spermatic chord  when
  making water; inflammation and gangrene  of the  genital
  parts; sexual  desire greatly increased,with erections painful,
  frequent, and  of long continuance. 
474                 MATERIA MEDICA.
  Larynx.   Inflammation of the larynx.
  Chest.   Shootings in the chest and in the sides; burning
pains in the  chest.
                     11.   Capsicum.
  General Symptoms.—Repugnance to movement; the symp-
toms show themselves chiefly in the evening and at night, and
are  aggravated by the open air, contact  and cold, as well as
by beginning to move; great sensibility to  fresh air, and to
a current of air.
  Fever.   Cold and shivering every time after drinking.
  Head.   Headache, as if the cranium were going to  burst,
when walking or moving the head;  attack of one-sided head-
ache, pressive and shooting.
  Face.  Redness of the face; dull pressure on the  cheek-
bone.
  Throat.  Burning blisters in the mouth and on the tongue;
sore' throat,  with painful deglutition and  drawing  in the
pharynx.
  Larynx.   Hoarseness;  cough more violent in  the evening
and at  night, Avith pressure in the throat and ears.
  Trunk and Extremities.  Acute drawing pains in the bones.

                 12.  Carbo Vegetabilis.
  Evil effects from the abuse of mercury, or of cinchona;
sufferings caused  by warm and damp weather; sensibility to
changes of weather;  intermittent fevers, even those  which
the  abuse of cinchona has rendered obstinate; Asiatic cholera,
with total absence of pulse.
  General  Symptoms.—Burning pains  in  the limbs  and in
the  back; the majority of  symptoms appear while walking in
the  open air; soreness of all the limbs, especially in  the morn-
ing, when one has just risen; sudden prostration of  the physi-
cal powers;  liability to take cold.
  Fever.   Shivering and coldness in the body ; cold sweat on
the  limbs and face. 
causticum.
475
  Moral Symptoms.  Inquietude and  anxiety, especially in
the evening.
  Head.   Heaviness of the head.
  Nose.  Violent coryza, with hoarseness and raucity of the
chest.
  Teeth.   Opening, retraction, excoriation, and ulceration of
the gums; bleeding of the teeth and gums.
  Mouth.  Dryness, or accumulation of water in the mouth.
   Throat.   Scraping and burning  pain  in  the  throat, the
palate, and the gullet.
  Appetite.  Salt  taste in the  mouth  and  of  food; after a
meal, great inflation of the abdomen.
   Stomach.  Rising of fat food; sour risings, after a meal.
  Fmces.  Evacuations liquid,  pale, or mucous;  involuntary
evacuation.
   Urine.  Diminution of  the secretion of urine.
  Larynx.  In the morning and in  the evening, hoarseness,
aggravated by prolonged conversation, and chiefly in cold and
damp weather.
   Chest.  Dyspnoea on walking; pain as from excoriation of
the chest.
   Trunk.    Rheumatic, drawing  pains,  acute pulling and
shootings in the back, the nape of  the neck, and the muscles
of the neck.
  Arms.  Pullings, and acute drawing pains in the fore-arms,
the wrist, and the fingers:  paralytic weakness of the wrists
and of the fingers.
   Legs.   Drawing, and paralytic pains in the legs ; cramps
in the legs, and in the soles of  the feet.

                      13.  Causticum.
   Paralysis,  especially that which  manifests itself only on
one side, or that which is the result of a suppression of some
morbid secretion,  or of some eruption, such as scabies, etc.
   Eyes.  Sight confused, as if  a gauze or mist were before 
476
MATERIA  medica.
it;  darkness, Avhich seems to  dance before the eyes; lights
and sparks before the eyes.
  Nose.   Eruption  on the  point of the nose;  fluent coryza
Avith nocturnal cough, rough hoarseness, and headache.
  Throat.  Accumulation of mucus in the throat, and behind
the palate, with expectoration by hawking and gagging.
  Stomach.  Aching, squeezing as if from claAVS, with constric-
tion and cramp-like pains in the stomach and the epigastrium.
  Fmces.   Chronic  constipation;  itching in the anus.
   Urine.  Involuntary emission of urine, day and night, even
when coughing, when sneezing, and when walking.
  Larynx.  Rough hoarseness, morning and evening; cough
dry, hollow, shaking,  with sensation of burning and pain as
from excoriation of  the chest.
  Chest.  Palpitation of  the heart; oppression of the heart,
with melancholy; stitches in the heart.
  Trunk.  Painful  stiffness in the back, especially on rising
from the chair.
  Arms.  Contraction and induration  of the tendons of the
fingers.
  Legs.  Tensive stiffness in the joints of the legs and of the
feet.
                     14.   Chamomile.
  Different affections  of women and of children, chiefly lying-
in women and new-born infants; bad  effects  from the abuse
of coffee and of narcotic palliatives ; suffering in consequence
of a chill; affections arising from sudden grief or a fit of pas-
sion ;  convulsive and  spasmodic  attacks;   excoriation of the
skin;  disposition for  every wound to ulcerate;  bilious and
gastric affections ; excoriation of the nipples ; erysipelas on the
breasts; catarrhal cough, with hoarseness, chiefly in children.
  General  Symptoms.—Rheumatic,  draAving  pains, chiefly
at night in bed; pains Avith thirst, heat and redness of one of
the cheeks ; over-excitement, and excessive sensibility of the
nervous system, with great sensibility to pain. 
                        chamomile.                    *' '

  Sleep.  Nocturnal sleeplessness ;  when sleeping, starts with
fright, cries, tossing, tears, talking.
  Fever.  Burning heat and redness (often  only in one) of
the cheeks, chiefly at night, with groaning, tossing.
  Moral Symptoms. Disposition to weep and to be angry, with
great sensibility to offense; quarrelsome and choleric humor.
  Head.  Headache on waking in the morning, or while asleep.
  Eyes.  Eyes inflamed and red, with pressive  pains, chiefly
on moving the eyes and on shaking the head; blearedness in
the eyes and nocturnal agglutination.
   Ears.  Shootings extending into the ears, with disposition
to be angry  at  trifles; buzzing in the ears;  inflammatory
 swelling  of  the  parotids, as well  as  of  the  sub-maxillary
 glands and of those of the neck.
   Face.  Face hot, red, burning, or redness and heat of one
 cheek, with coldness and paleness of the other.
   Teeth.   Toothache, mostly of  one side, and chiefly at night,
 in the heat of the bed, with insupportable pains which  almost
 drive one to despair, frequently after eating  anything hot (or
 cold),  and chiefly after having taken coffee.
   Throat.  Sore throat; deep redness of the parts affected.
   Appetite.   Bitter taste in the mouth  and of food; excessive
 thirst for cold drinks.
   Stomach.   Bitter, bilious vomiting.
   Abdominal Region.  Flatulent colic, with inflation  of  the
 abdomen; excessively painful colic, pullings and  cuttings in
 the abdomen.
   Anus and Fmces.   Diarrhea at night, with slimy or  green-
 ish  faeces, or mucus.
    Urine.   Menstrual  colic, before the catamenia; pressure
 toward the uterus, as if from  the pains  of child-birth; me-
 trorrhagia, with discharge of deep-red blood and of clots, and
 accompanied with labor-pains.
   Larynx.   Dry cough, produced by  a constant  titillation in
 the larynx; anger excites cough (in children). 
478
MATERIA MEDICA.
   Chest.  Attacks of flatulent asthma, with anxiety and full-
ness in the pericordial region.
  Legs.   Cramps in the calves of the  legs, chiefly at night.

                  15.   China.— Cinchona.
  General  Symptoms.— Pains or sufferings, excited or aggra-
vated by touch, at night, or after a meal; great general weak-
ness, with trembling;   great  tendency to perspiration when
moving and sleeping.
   Skin.   Yellow color of  the skin.
   Sleep.  Painful, frightful dreams, which continue to pro-
duce agitation after waking.
  Fever.  Shiverings, with shuddering, or feverish trembling,
commonly without thirst; the  thirst generally takes place
only before  or after the shiverings; easy perspiration during
sleep; nocturnal debilitating sweats.
  Moral  symptoms.   Hypochondriacal  dejection;  excessive
irascibility, with pusillanimity.
  Head.   Headache as if from suppressed coryza; pain as
from a bruise in the brain; pressive headache; acute jerking or
pressive pains in  the head; headache as if the head were going
to burst, congestion to the head ; sensibility of the  exterior of
the head, and even  of the roots of the  hair, when touched.
  Eyes.   Sparkling, black, dancing spots, and  obscuration
before the eyes.
  Nose.   Bleeding of the  nose and  of the mouth.
  Face.   Complexion  pale, earth-like, sometimes of a black-
ish yellow.
  Teeth.   Dull and distressing pains in the carious teeth.
  Mouth.  Tongue with a yellow or white coating.
  Appetite.   Bitter  taste  of  food  and  drink;  desire for  a
variety  of food,  and for  dainties,  without knowing  exactly
Avhich ;  great weakness of digestion.
   Stomach.   Eructations, with taste of food ; pressure in  the
stomach, with cramp-like pains, especially after having eaten. 
CINA.
479
   Abdominal Region.  Hardness and swelling of the liver;
 swelling and hardness of the spleen ; piercing in the spleen ;
 dropsical SAvelling of the abdomen, Avith asthmatic sufferings
 and fatiguing cough.
   Fmces.  Slimy, watery, yellowish  diarrhea; loose evacua-
 tions, with excretion of undigested food; loose  evacuations,
 chiefly  after a meal or at night;  crawling  in the anus, as  if
 from worms.
   Urine.  Urine deep-colored, with sediment like brickdust.
   Genital Organs.   Congestion  to the uterus;  leucorrhea,
 with cramp-like contraction.
   Larynx.  Violent, convulsive cough, sometimes even with
 inclination to vomit; cough, Avith expectoration streaked with
 blood.
   Chest.  Shooting in the chest, when coughing and breath-
 ing ; stitches in the side; violent congestion to the chest.
   Arms.  Paralytic, jerking, tearings  in the  muscles and
 bones of the upper  and lower  extremities, excited by touch.

                        16.   Cina.
   Scrofulous  affections;  acute hydrocephalus  of children ;
 wetting the  bed;  hooping-cough; chiefly in  scrofulous chil-
 dren or in those suffering from worms.
   General  Symptoms.— Convulsions and distortion  of the
limbs; epileptic convulsions, Avith cries, turning on the back,
and  violent movements of the hands and feet; external pres-
sure aggravates or renews the sufferings.
   Sleep.  Nocturnal sleeplessness, with agitation, tears, cries,
heat and anguish.
   Moral Symptoms.   Child cries when it is touched.
   Eyes.   Pupils dilated.
   Nose.   Desire to put the fingers into the nose; stoppage of
the nose.
   Teeth.  Grinding of the teeth.
       43 
480
MATERIA  medica.
  Appetite.  Hunger a short time after a meal.
  Fmces.  Loose evacuations, of  the consistence  of pap;
discharge of ascarides and of worms by the anus; loose, in-
voluntary, Avhitish evacuations.
   Urine.  Wetting the bed ; urine soon becomes turbid.
  Larynx.   Cough, with  sudden  starts  and  loss of  con-
sciousness.
  Extremities.   Contraction and jerking of the  hand and  of
the fingers ; cramp-like extension of the legs.

                     17.   Cocculus.
  General Symptoms.— Semi-lateral sufferings; aggravation
of  the  sufferings from  sleep, conversation, drinking  and
eating, especially from coffee or smoking tobacco.
  Head.   Vertigo, as if from intoxication, or when rising up in
the bed,Avith desire to vomit, which forces one to lie down again;
pain in  the  head, which  is, as it were, empty and hollow.
  Appetite.  Excessive loathing of all food and  drink.
  Stomach.  Attacks of nausea unto  fainting;  vomiting and
nausea from the motion of a carriage, or on the sea; violent,
cramp-like, and squeezing pains, as if from a claw, and cramps
in the stomach,  sometimes a short time after a meal; pinch-
ings in the epigastrium, with difficulty of respiration.
  Abdominal  Region.   Sensation  in the  abdomen,  as  if it
were hollow and empty;  contractive pinchings  in  the lower
part of the abdomen; flatulent,  cramp-like colic, especially at
night, aggravated by coughing,  or by stooping forward ; dis-
position to protrusion of inguinal hernia.
  Fmces  and Urine.   Hard and  difficult  evacuations; fre-
quent desire to  make water, also in pregnant women.
   Genital Organs.  Premature  catamenia, with cramps in the
abdomen.
   Chest.  Cramps in the chest;  rattling,  and sensation  of
emptiness in the chest.
  Arms.  Paralysis of the arms and lower limbs. 
COFFEA — colchicum.
481
                      18.  Coffea.
  Excessive nervous excitability ; excessively painful neural-
gia ;  sleeplessness  from  nervous excitement;  evil  conse-
quences of unexpected or excessive joy.
  General  Symptoms.—Painful susceptibility of parts affect-
ed ; mental and physical excitability ; sleeplessness from ex-
citement of the  imagination, flow  of  ideas, and fantastic
visions;  desire to lie down  and to shut the eyes, without
being able to sleep.
  Head and Throat.   Pains in the head, as if the brain were
bruised ; sore throat, with great and painful sensibility.
   Stomach and Fmces.   Cramps in  the  stomach ;  abdominal
pains, which even drive one to despair, especially in women;
diarrhea, also, during teething.

                     19.   Colchicum.
   Rheumatic  and arthritic affections;  dropsical  affections ;
dysentery.
   General  Symptoms.— Rheumatic and arthritic tearing in
the limbs, especially in warm  weather; the sufferings are
aggravated  by intellectual fatigue, by  touch, too brilliant a
light, and from the  commencement of the night until morning.
   Stomach.   Nausea, even to syncope, from the smell of fresh
eggs or fat meat; sensation of coldness or of burning in the
stomach.
   Abdominal Region.  Dropsical swelling of the abdomen.
   Fmces.  Dysenteric diarrhea of white, transparent, gelatin-
ous mucus : discharge of much slime from the rectum ;  pro-
lapsus recti.
   Urine.  Scanty discharge of urine  of a deep  color,  with
tenesmus and burning.
   Arms.  Tearings in the upper and lower extremities.
   Legs.  Hot swelling of the legs;  tingling of the toes,  as if
they had been frozen. 
482
materia  medica.
                    20.  COLOCYNTHIS.
  Evil effects from mental emotions, with indignation and
mortification.
   General Symptoms.—Painful cramps and cramp-like con-
tractions, in the  internal or external parts.
   Skin.  Troublesome  itching, with great restlessness in the
whole  body, especially  in  the evening in bed, followed by
perspiration.
  Head.   Attacks of semi-lateral headache.
   Stomach.   Colic  and  diarrhea, however little is eaten,
  Abdominal Region.  Inflammation  of the abdomen,  as if
from tympanitis  : cramp-like pain and constriction  in  the  in-
testines, especially  after a fit of  passion ; excessively vio-
lent  colic,  with  cutting,  cramp-like,  or contractive  pains,
which compel one to bend double, with restlessness in the
whole body, and with a sensation of shuddering in the face,
which seems to proceed from the abdomen ;  coffee and tobacco
smoke diminish the colic.
  Fmces.  Loose evacuations of a greenish yellow ; dysente-
rical evacuations, with colic.
   Urine.  Diminished secretion of urine.

                      21.   Conium.
  Affections of old men ; inveterate affections resulting from
contusion, principally in the glands ;  tetters ;  scirrhous  indu-
rations and cancerous ulcers, especially when caused by con-
tusion ; cataract, caused by a blow ; cancer in the lips ;  asth-
ma, especially in old men.
   General  Symptoms.—Pains, as from fatigue, in the  limbs
and joints, when in a state of  repose ; the  symptoms appear
during repose, and by  any movement; sensation  of fatigue,
especially early  in the morning in  bed ; want of energy and
nervous debility ; great fatigue and other sufferings,  from
walking in the open air.
   Skin.  Nettle-rash, in consequence of violent bodily exer- 
CROCUS.
483
cise ;  brown  or  red itching spots over the whole body, which
disappear and return.
  Fever.  Slow  fever, with  total want of appetite; pulse
irregular ; nocturnal sweat.
  Moral Symptoms.  Ill-humor and moroseness.
  Head.  Vertigo on rising, on looking  behind.
  Eyes.   Obscuration of the sight;  black spots and colored
bands before the eyes in a  room.
  Face.   Cancerous ulcer on the lip.
   Genital Organs.  Swelling of the testes.
  Larynx.   Dry,  convulsive  cough ;  cough  like  hooping-
cough, Avith sanguineous expectoration, or in violent fits, dur-
ing the  night.
   Chest.  Short respiration when walking ; difficulty of respi-
ration, also, in the morning on waking.
  Arms.  Shoulders painful, as if they had been bruised and
excoriated.
  Legs.  Weariness of the knees ;  coldness and strong dis-
position to chilliness of the feet.

                      22.  Crocus.
  General  Symptoms. — Discharge  of black, slimy  blood,
from different organs ;  striking alternation of the most oppo-
site physical  and mental symptoms.
  Moral Symptoms.  Strong tendency to sadness, sometimes
alternately Avith  great gayety and joyous humor ; severity and
mildness of  character alternating.
  Throat.  Sore throat,  as if caused by elongation of the
palate, or as if there were a plug in the throat, during deglu-
tition, and at other times.
  Abdominal Region.   Movements in the abdomen, as if from
something alive.
  Fmces.  Metrorrhagia of black and slimy blood.
   Chest.  Movements, as if something alive were in the chest.
  Arms.  Chilblains in the hands, and on the toes. 
484
MATERIA  MEDICA.
                      23.   Cuprum.
  Spasmodic affections and convulsions; encephalitis ; Asiatic
cholera ;  hooping-cough ; spasmodic asthma.
  General Symptoms.—Tonic spasms, with loss of conscious-
ness, throwing of the head backward ; the convulsions  gene-
rally begin in the fingers and in the toes ; convulsive startings
at night when sleeping; violent convulsions, with great display
of strength; symptoms which appear  periodically, and in
groups.
  Head.   Whirling vertigo,  as if the head were going to  fall
forward; stupefying depression in the head, with crawling in
the vertex ;  pains  in the occiput and nape of the  neck, on
moving the head.
  Eyes.   Convulsions and restless  movements of the eyes.
  Face.  Spasmodic distortion of the face ; lips bluish.
  Teeth and Mouth.  Foam in the mouth.
  Stomach.  Violent vomitings, with cramps in the abdomen,
aggravated by touch and by movement.
  Abdominal Region.  Spasmodic colic.
  Fmces.  Violent diarrhea.
  Chest.   Respiration accelerated ;  short, difficult respiration,
with spasmodic cough and rattling in  the chest;  suffocating
fits ;  cramps in the chest, which interrupt the respiration  and
the voice.
  Trunk and Arms.   Cramps of the fingers and of  the toes.

                      24.   Drosera.
  Catarrh and hoarseness ; hooping-cough;  affections of the
respiratory organs, in  consequence  of croup.
  Larynx.   Crawling in the  larynx, which  excites a short
cough  and shootings as  far  as  the throat; sensation of dry-
ness or roughness, and of  scraping in the bottom of the gul-
let, with inclination to cough ; hoarseness and very low voice ;
dry,  spasmodic  cough, with inclination  to vomit;  fatiguing
cough, like hooping-cough, with bluish face, wheezing respi- 
            DULCAMARA--EUPHRASIA--FERRUM.        485

ration, attacks of suffocation,  bleeding from the  nose and
mouth, and anxiety ; vomiting of food during the cough and
afterward.
   Chest.   Difficulty of respiration when coughing or speaking.

                    25.  Dulcamara.
   Affections, in consequence of taking  cold in general;  tet-
ters of different kinds ; nettle-rash.
   General  Symptoms. — Aggravation   of sufferings,  chiefly
in the evening or at night,  and during repose mitigated  by
movement;  swelling and induration of the glands ;  dropsical
swelling  of the whole body, limbs, and  face.
   Skin.  Dry, furfuraceous, humid, scaling, or suppurating
tetters ;  reddish tetters, bleeding after  being scratched, with
painful sensibility to the touch, and to cold water.
   Fmces. Diarrhea, as if after a chill, of greenish or brown-
ish mucus ;  nocturnal, watery diarrhea  with colic.
   Larynx.   Catarrh and hoarseness, as if from having taken
cold ; moist cough.
   Arms.  Tettery eruption  on the hands.

                     26.   Euphrasia.
   Catarrhal ophthalmia.
   Eyes.  Inflammation of the eyelids, Avith headache ;  abun-
dant flow of corrosiAre tears.
   Nose.  Violent flowing of coryza, with abundant secretion
of mucus,  excessive  confusion  of  the  head, and corrosive
tears in  the eyes.
   Chest.  Cough in the morning, with flowing coryza, and
abundant expectoration of mucus.

                      27.   Ferrum.
   Congestion of blood and  hemorrhagia; diarrhea, especial-
ly in  children ; ascarides.
   General  Symptoms.— Dropsical swellings, with shooting 
486
MATERIA  MEDICA.
pains ; the symptoms manifest themselves at night, are aggra-
vated by being seated, and mitigated  by gentle  movement;
great lassitude and general Aveakness.
   Sleep.  Excessive and drowsy fatigue, with agitated  sleep
at night.
  Moral Symptoms.   Anxiety, with  beatings  in  the  epigas-
trium; gayety, alternating with sadness.
  Head.   Periodical hammering, and pulsative  headache ;
congestion of the head.
  Face  and Throat.   Fiery redness  of the face; lips  pale;
spitting of blood.
   Stomach.  Vomiting of food, especially at night, or imme-
diately after a  meal; pressure in the stomach,  especially after
eating meat.
  Faeces.   Aqueous  and acrid diarrhea ; undigested fasces.
   Genital Parts.   Metrorrhagia;  abortion;  milk-like and
acrid leucorrhea.
   Larynx.  Spasmodic cough, ceasing  immediately  after a
meal; cough after a meal, Avith vomiting of food.
   Chest.  Difficulty  of respiration; palpitation of the heart.

                     28.   Graphites.
   Tetters of several  kinds especially on the face ; wens.
   General Symptoms.— Great disposition to  take cold, and
fear of the open air and of currents of air.
   Skin.   Tetters, and  other humid  or  scabby eruptions,
sometimes with secretion  of corrosive  serum, or with itch-
ing  in  the  evening  and  at night; unhealthy  skin,  every
injury tends to  ulceration;  deformity and thickness of  the
nails.
   Eyes.   Inflammation of the eyes, injection of the  veins,
swelling and  abundant  mucous  secretion from  the  eyelids.
   Ears.   Dryness of the internal ear; scabs,  tetters,  running
and excoriation behind  the ears ; hardness of hearing miti-
gated by the motion of a carriage. 
HELLEB0RU6.
487
  Nose.   Dry scabs on the nose; nostrils excoriated, cracked,
and ulcerated ; fetid smell from the nose.
  Face.   Flushes of heat in the  face;  erysipelatous inflam-
mation and swelling of the face, with  eruption of vesicles;
one-sided paralysis and  distortion  of  the  muscles  of the
face, with difficult articulation;  ulcers  on the internal sur-
face of the lips; scabby eruption on the chin and around the
mouth.
  Throat.   Sore throat, even  at  night, as  if there were a
plug Avithin it.
  Appetite.   Weakness of digestion;  inflation  of  the  abdo-
men after a meal.
  Abdominal  Region.  Immoderate expulsion of fetid  wind,
preceded by pinchings.
  Fmces.  Obstinate  constipation, with  hard  feeces ;  large
hemorrhoidal excrescences in the anus.
   Urine.  Wetting the bed.
  Menses.  Suppression of menses ;  in place of menses, flow
of blood from the anus.
  Arms.  Arthritic nodosities  on the fingers; tettery excoria-
tion between the fingers ; thickness of the nails of the fingers.
  Legs.   Tetters on the  thighs, hams,  and  tibia; cold feet,
even in the  evening in bed; tettery excoriation betAveen the
toes ; thickness and deformity of the toe-nails.

                     29.   Helleborus.
  Dropsical affections, especially some kinds of anasarca, and
chiefly those which proceed from the repercussion of erup-
tions, such  as  measles ; scald-head,  with obstruction of the
glands of the neck; acute hydrocephalus.
  General Symptoms.— Convulsions.
  Sleep.  Sleepiness, with eyes half open and pupils turned
upward.
  Moral Symptoms.   Dullness of the internal senses.
  Head.  Stupefying pain and sensation of  a bruise in the 
488                  MATERIA  MEDICA.
head ;  painful heaviness of the head ;  disposition to bury the
head in the pillow, when sleeping.
  Fmces.   Watery and  frequent evacuations.
  Chest.  Difficult respiration, as if from hydrothorax;  con-
striction of the chest.

                 30.   Hepar Sulphuris.
  Evil  consequences  of the  abuse  of murcury ;  scrofulous
affections ;  icterus ; scald-head; eruptions and tetters  on the
face;  scrofulous catarrhal ophthalmia; ulcers on  the cornea.
  General Symptoms.— Pains  as if  from  excoriation  or  a
bruise  on different parts when touched;  swelling, inflamma-
tion, and ulceration of the glands ; aggravation of the pains
at night.
  Skin.  Eruption of pimples  and  tubercles, painful when
touched; unhealthy  skin, every injury tends to ulceration ;
suppurations.
  Sleep.  Jerking at night, as if from  Avant  of air.
  Fever.  Dry heat at night;  great disposition to  perspire in
the  day-time.
  Head.  Pain in the head,  as if a nail Avere driven into it;
pain, as if  from  ulceration in the head, directly  above the
eyes; tuberosities on the head, with pain  as if from excoria-
tion when touched.
  Eyes.  Stinging in the eyes ; inflammation of the eyes and
eyelids, Avith  pain  as  from  a bruise and  excoriation Avhen
touched; specks and ulcers on the cornea ; spasmodic closing
of the  eyelids.
  Ears. Heat, redness, and itching in the ears ; scabs behind
and on  the ears.
  Nose.  Pain as from  a bruise and  excoriation in the nose
when touched.
  Face.  Face burning and of a deep red; erysipelatous in-
flammation and swelling  of  the  face; pains  in the bones of
the  face when touched. 
hyoscyamus.
489
  Teeth.   Toothache, with jerking and drawing pains, aggra-
vated by  closing the teeth, by eating, and in a hot  room;
swelling  and inflammation of the gums, which are painful to
the touch.
  Mouth.   Salivation; sore throat, as if there were a plug in it.
  Appetite.   Desire only for acid or pungent things.
  Stomach.   Eructations, Avith burning sensation in the throat.
  Fmces.  Whitish diarrhea, of an  acid  odor, especially in
children;  dysenteric evacuations, greenish, or of a clay-color,
with evacuation of sanguinous mucus.
   Urine.  Wetting the bed; discharge of mucus from  the
urethra.
   Genital Organs.  Flow of prostatic fluid, especially after
makino- water, and during a  difficult evacuation; excoriation
between the thighs ; leucorrhea, with smarting.
   Larynx.  Hoarseness;  dry cough in the evening, from  any
part of the body becoming cold, or when lying on the bed;
attacks of dry, rough, and  hollow cough, with anguish  and
suffocation, often causing one to weep.
   Chest.  Anxious, hoarse, wheezing respiration, with danger
of  suffocation Avhen lying doAvn.
   Arms.   Pain, as from a bruise, in the bones of the arm;
arthritic  swelling  of the  hand, fingers, and joints  of  the
finwers,  with heat,  redness  and  pain, as  from dislocation,
durino- movement;  skin of the hands  cracked, rough,  and
dry; panaris.
   Legs.   Swelling of the knees; cracks in the feet.

                     31.  Hyoscyamus.
   Convulsions and other spasmodic affections, chiefly in preg-
nant or parturient women, as well as in children, and in con-
sequence of worms;  excessive  nervous  excitement, with
sleeplessness ; encephalitis ; acute hydrocephalus.
   General  Symptoms.— Convulsions, with  cries, great  an-
guish. 
490
MATERIA  MEDICA.
   Fever.   Burning heat of the body, especially of the head.
   Moral Symptoms.   Desire to run  away ;  loss of conscious-
 ness, with eyes closed, and raving about business ; delirium ;
 perversion of all actions.
   Head.  Headache, as  if  from concussion of  the  brain;
 pressive and benumbing pain in the  forehead.
   Eyes.  Eyes red, fixed,  convulsed, spasmodic  closing  of
 the eyelids ; nocturnal blindness, weakness of sight, as if from
 incipient amaurosis.
   Mouth  and  Throat.  Redness  of  the  tongue; constriction
 in the throat and inability to SAvallow liquids.
   Appetite and Stomach.   Vomiting of  food and drinks im-
 mediately after a meal.
   Fmces.   Involuntary evacuations.
   Genital Organs.   Metrorrhagia, of a bright-colored blood.
   Larynx.  Cramp-like cough at night, especially Avhen lying
 doAvn, sometimes with redness of the face and vomiting  of
 mucus.
   Chest.  Pressure on the right side of the  chest, with great
 anxiety and  shortness of  breath  when  ascending  stairs;
 spasms in the chest,  with short breathing.
   Arms.  Hands clenched, with retraction of the thumbs (in
 the convulsive fits).
   Legs.  Painful cramps in the thighs and calves of the legs.

                       32.  Ignatia.
   Spasmodic affections, especially in consequence of fright or
 contradiction, and chiefly in hysterical women, or in children ;
 melancholy and other mental affections caused by affliction;
 difficult teething of  children,  with convulsions;  prolapsus
recti also,  in children.
   General  Symptoms.—Violent pain, merely on being touch-
ed ; in different parts ; attacks of cramp  and of convulsions ;
hysterical  debility and fainting fits; the pains are removed
always by change of position. 
IGNATIA.
491
  Skin.  Excoriation of the  skin; itching when becoming
warm in the open air.
  Sleep.  Violent  spasmodic  yaAvnings,  especially  in  the
morning.
  Fever.  Absence of thirst during the heat and perspiration.
  Moral Symptoms.  Tenderness of character, and delicacy
of conscience ; love of solitude.
  Head.  Pressive headache, especially above the root of the
nose, ao-gravated or relieved by stooping; the headaches are
aggravated  by  coffee,  brandy,  tobacco-smoke,  noise, and
strong smell; headache as if  a  nail  were  driven into the
brain.
  Eyes.   Convulsive movements of the eyes and eyelids.
  Face.   Convulsive jerkings, and distortion of the  muscles
of the  face;  convulsive twitchings  of the corners of the
mouth.
  Throat.   Sore throat, as if there were a  plug in it;  shoot-
ings in  the  throat, extending sometimes to the  ear,  chiefly
when not swallowing ; inflammation, swelling, and induration
of the  tonsils, with small  ulcers; impeded deglutition (of
drinks).
  Appetite.   Dislike to milk and  tobacco-smoke ; painful in-
flation of the abdomen after a meal.
  Stomach.   Hiccough every time after eating and drinking ;
periodical attacks of cramp  in the stomach,  aggravated by
pressing on  the part affected.
  Abdomen.   Shootings  and pinchings in  the  abdomen, es-
pecially in the sides ; flatulent colic, especially  at night.
  Fmces.  Hard evacuations, Avith frequent ineffectual efforts ;
prolapsus of  the  rectum during evacuation; itching  and
crawling in the anus.
   Catamenia.  Cramp-like and compressive pams in the region
of the uterus, with attacks of choking.
  Larynx.  Short cough, as if from a feather in the throat,
becoming more violent the more one coughs. 
492                 MATERIA MEDICA.
   Chest.   Difficult respiration,  as if hindered  by a  weight
upon  the chest;  choking with running;  palpitation  of  the
heart at night.
   Arms.  Insupportable pains in  the bones and joints of the
arms, as if the flesh were being loosened; convulsive jerkings
in the arms and in the fingers.
   Legs.   Convulsive jerkings of the legs.

                       33.   Iodium.
   Scrofulous and lymphatic affections ; abdominal phthisis ;
inflammatory swelling of the knee.
   General  Symptoms.—Swelling  and induration   of  the
glands ;  atrophy and emaciation until reduced to a skeleton.
   Fever.  Pulse quick,  small, and hard.
   Head.   Congestion to the head, with beating  in the  brain.
   Face.   Complexion pale, yellowish; swelling of the sub-
maxillary glands.
   Teeth.  Softening of the gums.
   Stomach.   Eructations, generally acid, with burning sensa-
tion.
   Abdominal Region.   Abdominal pains, which return after
every meal;  enlargement of  the  abdomen, which renders it
impossible to lie down without the danger of suffocation.
   Fmces.  Loose, soft evacuations, alternating  with constipa-
tion ; violent, frothy diarrhea.
   Catamenia.   Catamenia, at one time too  late,  at  another
too soon.
   Larynx.   Inflammation of the throat  and  trachea, with
contractive sore pain ;  copious secretion of mucus in the tra-
chea,  with  frequent hawking;  dry cough;  cough in  the
morning.
   Chest.  Difficulty of respiration when going  up stairs.
   Trunk.  Swelling of the exterior of the neck ; swelling of
the  glands  of the neck, nape, and armpits ; hard and large
goitre. 
IPECACUANHA--KALI CARBONICUM.         493
                    34.   Ipecacuanha.
  Gastric and bilious fevers ; intermittent fevers ;  gastric un-
easiness,  especially when  caused  by  indigestion;  Asiatic
and  sporadic cholera ; gastric  affections, with vomiting  and
diarrhea, asthmatic affections.
  General Symptoms.—Attacks of uneasiness, with dislike to
all food, and excessive and sudden debility.
  Fever.   Coldness, especially of the  hands and feet;  thirst
only during the shivering or chill.
  Head.  Attacks of headache, with nausea and vomiting.
  Appetite.   Great repugnance and  dislike to all food.
  Stomach.  Nausea ; vomiting of drink and undigested food,
of bilious, greenish, or acid matter, and sometimes immediate-
ly after a meal; vomiting, with diarrhea.
  Fmces.   Loose evacuations like matter in a state of fermen-
tation ;  diarrhea, with nausea, colic and vomiting ; dysenteric
evacuations,  with white flocks,  and folloAved by tenesmus.
  Genital Organs.   Metrorrhagia, with discharge of bright-red
and  coagulated blood.
  Larynx.  Cough, especially at night, with painful shocks
in the  head and  stomach,  with disgust  and inclination to
vomit and vomiting, or with fits of suffocation, stiffness of the
body, and bluish face.
  Chest.  Spasmodic asthma, with contraction of  the larynx.
                  35.   Kali Carbonicum.
  Ascites ; tuberculous phthisis ;  dry  cough at night.
  Appetite.   After a meal,  desire to  sleep, paleness of the
face, shivering, headache, ill-humor, nausea, sour eructations
and  pyrosis, colic,  inflation of the abdomen  and  flatulency;
hoarseness and roughness in the throat.
                 36.  Kali Hydriodicum.
  Eace—Appetite.   Toothache, aggravated  by contact with
any  cold, mitigated by hot things; gums swollen Avith  lanci-
nating pain,  as from ulceration. 
494
materia  medica.
  Larynx—Extremities.   Dry cough, excited by constant irri-
tation in the trachea, Avith hoarseness.

                     37.   Lachesis.
  Sufferings of drunkards, from the abuse of mercury ; faint-
ing fits ; erysipelas.
  General Symptoms.— Great weakness of body and mind.
  Skin.  Skin  yellow,  green,  lead-colored, or bluish,  or
blackish", chiefly around the wounds and ulcers.
  Head.  Vertigo, chiefly  on waking' in the morning; apo-
plectic  fits, with  blue  face, convulsive movements  of  the
limbs; headache, Avith congestion  of blood, sparkling before
the eyes; headache, every morning on waking, or after din-
ner, or else from every change  of  weather.
  Mouth.  Tongue shining, red, and cracked ;  painful exco-
riation and inflammatory swelling of the throat; constant de-
sire to swallow, and a sensation on swallowing  as if there
were a tumor, some foreign body, or a plug in the throat;
ulcers on the palate, back of the mouth and throat.
  Appetite.   Desire for wine.
   Stomach.   Excessive sensibility  of the precordial region to
the slightest touch.
  Abdominal  Region.    Inflammation  and softening of the
liver; pain and stitches in the region of the spleen ; abdomen
hard and distended, with flatulent colic.
  Fmces.  Obstinate constipation, with  hard and difficult
evacuation; loose evacuations,  principally at night, or after  a
meal, or in warm (and damp) weather, or from having taken
fruits and acids.
                     38.  Lycopodium.
   Obstruction of the  glands ; typhus  fever ;  inertia  of  the
intestines  and  obstinate constipation ;  chronic  pneumonia ;
tuberculous phthisis.
   General Symptoms. — Excessive sensibility to  fresh air;
great tendency to take cold. 
LYCOPODIUM--MERCURIUS VIVUS.          495
  Skin.   Excoriation of the skin of children.
  Moral Symptoms.   Melancholy  and disposition to weep ;
aversion to speaking.
  Face.   Frequent  flushes of  transient heat in the face;
swelling of the submaxillary glands.
  Mouth.   Dryness of the mouth without thirst.
  Throat.  Dryness of the throat;  inflammation of the throat
and palate, with shooting  pain.
  Stomach.   Pressure  in the stomach  after  every meal;
swelling of the  epigastrium, with painful sensibility to the
touch.
  Abdominal Region.   Tension round  the hypochondria, as
if caused  by a hoop;  induration of the liver; fullness  and
distension of the stomach and  abdomen ; obstructed flatu-
lency.
  Fmces.   Obstruction of  the abdomen.
  Genital  Organs.   Leucorrhea,  milky, yellowish, reddish and
corrosive; excoriation  and running sores of the nipples.
  Larynx.  Nocturnal  cough, which affects the head,  dia-
phragm, and stomach.
  Chest.  Short respiration during almost every exertion ;
palpitation of the heart, especially during  digestion;  painful
eruption and liver spots on the chest.
  Trunk.   Swelling of the glands of the neck and shoulder,
with shooting pain.
  Arms.  Nocturnal aching pains  in  the arms ;  dryness of
the skin of the hands.
  Legs.   Swelling of the  knees; ulcers on the  legs ; pain in
the soles of the feet when walking.

                 39.   Mercurius Vivus.
  Swelling and inflammation of  the  glands;  inflammatory
fevers, with disposition to perspire profusely;  rheumatic or
catarrhal  headache;  scrofulous, rheumatic, catarrhal (and
arthritic)  ophthalmia; syphilitic ophthalmia; rheumatic  and
       44 
496
MATERIA  MEDICA.
catarrhal  otalgia;  rheumatic  prosopalgia and toothache;
dysentery ; mucous or bilious diarrhea ; influenza.
  General  Symptoms. — Rending  or drawing,  or  stinging
pains in the limbs, principally at night, in the heat of the bed,
Avhich renders the  pain insupportable;   nocturnal  aching
pains ; rheumatic  pains, with profuse sweat, which affords
no relief; the whole  body feels  as  if it  had been  bruised,
with  soreness in  all  the  bones;  emaciation and  atrophy
of the whole body ; excitability and sensibility of all the
organs.
  Skin.   Enlargement, inflammation,  and ulceration of the
glands, with  pulsative and shooting pains, hard,  red,  and
shining  swelling; violent  and voluptuous itching over the
whole body, principally in the evening, or at night, augment-
ed by the heat of the bed, and sometimes with burning  after
being scratched.
  Fever.   Copious, excessive,  and  colliquative  sweats,  both
day and night, in  the morning ; sweat, with nausea and desire
to vomit; great fatigue.
  Head.   Vertigo, principally  on getting up, or on raising up
the head ; fullness and pressure in the head,  as  if the  fore-
head were squeezed  by a band, or  that the  cranium would
split; heat and  burning, or tearing  and  drawing pains, or
stinging in the head, often  only one-sided  and extending to
the ears, teeth, and neck.
  Eyes.   Itching, tickling, and burning in the  eyes ;  eyes red
and inflamed ; eyelid red, inflamed, swollen, ulcerated on the
margins, and covered with  scabs.
  Ears.   Tearing, stinging, and drawing  pains  in the  ears,
increased by  the  heat of the  bed ; purulent otorrhea, with
tearing in the affected  side of the head and in the face.
  Face.   Bloatedness  and swelling of the face; tearing in
the bones and muscles (of one  side) of the face ; obstruction
and inflammatory swelling  of  the submaxillary glands, with
stinging or pulsative pains. 
MERCURIUS VIVUS.
497
  Teeth.   Tearing, stinging, or pulsative pains in the carious
teeth, or in the roots of the teeth, often spreading  as  far as
the ears, and in the entire cheek  of the side  affected, some-
times, also, with painful swelling of the cheek or of the sub-
maxillary glands,  with salivation and shivering; appearance
or aggravation of  toothache,  principally in the evening or  at
night, in the heat  of the bed, where it is insupportable ;  re-
newed by the fresh air, as well as by eating, and taking any-
thing hot or cold into the mouth; retraction and  swelling  of
the gums, principally at night, with burning pain and  sensa-
tion of excoriation on  touching them  and on eating ; gums
livid, discolored, and very sensitive; ulceration of  the gums.
  Mouth.  Putrid smell  from  the mouth; inflammatory
swelling of the inside of the  mouth ; burning pain, vesicles,
blisters,  aphthae, and ulcers in the mouth ; accumulation  of
tenacious mucus; profuse  discharge  of  excessively fetid
saliva ;  tongue moist, coated with white and thick ;  inflamma-
tory  swelling  and ulceration of the tongue, with stinging
pains ; entire loss of speech.
   Throat.  Stinging pains in the  throat  and tonsils, princi-
pally when swallowing; inflammatory swelling  and redness
of  all the back parts of the mouth and throat ; constant  de-
sire to swallow; inability to  swallow the least liquid, which
escapes through the  nostrils; the  pains  in  the  throat com-
monly extend as far as the ears, the parotids, the  submaxil-
lary glands and those of the neck : they are aggravated,  for
the most part, by  empty deglutition, as well as at night, in the
fresh air and when speaking, and they are accompanied with
salivation.
   Appetite.  Acid and mucous taste ; dislike to all food, prin-
cipally solid nutriment, meat.
   Stomach.   Violent,  empty eructations;  excessive  tender-
 ness of the  stomach  and precordial  region ; pressure as if
 from a stone in the pit of  the stomach.
    Abdom. Region.  Painful  sensibility of the hepatic region 
498
MATERIA  MEDICA.
with stinging, burning pains ;  complete icterus; obstruction
and inflammatory swelling of the inguinal glands.
  Fmces.  Loose and  dysenteric evacuations, principally  at
night, with colic and cuttings ;  tenesmus and burning in the
anus ;  nausea and eructations ; shivering  and  shuddering,
exhaustion and tremor of all the limbs ; scanty evacuations
of sanguinolent mucus ;  evacuations which are mucous,  or
bilious, or putrid, or acid, or of  a greenish or brownish color;
evacuation of acrid and burning  fecal matter; discharge of
blood or of mucus from the  rectum ; discharge of ascarides
and lumbrici.
   Urine.  Frequent, copious emission of urine, like diabetes ;
corrosive and burning urine.
  Larynx.   Catarrh, with febrile shivering; continued hoarse-
ness and loss of voice; pains  in the head and chest Avhen
coughing, as  if these parts were about to burst.
   Chest.   Difficulty of respiration, with attacks of  suffoca-
tion at night, or in bed, in  the  evening when lying (on the
left side) shootings in the chest and side, or extending  as
far as the back, principally Avhen  breathing,  sneezing,  and
coughing; pain as from excoriation and  of  ulceration in the
chest.
   Trunk.  Obstructions  and inflammatory swelling of the
glands of the neck.
  Arms.  Sharp pains in the shoulders and arms, principally
at night and  when moving  these parts.
  Legs.  Sharp and piercing pains in the hip-joints, as well
as the thighs, principally at night, and when  moving; cede-
matous, transparent swelling of the thighs and legs.

                40.   Natrum  Muriaticum.
  Intermittent fevers,  also those which  have changed their
character from strong doses of cinchona; chronic constipa-
tion.
  Fever.   Continual shivering and want of vital heat; fever, 
NATRUM MURIATICUM.
499
with aching  pains ;  yellowish  complexion, headache, weak-
ness, bitter taste in the mouth, ulceration at the angles of the
mouth, absence of appetite ;  the  fever generally commences
in the morning, followed by heat and thirsts ; typhus fever,
with debility, dryness of the  tongue, and violent thirst; pulse
irregular and often intermittent.
  Moral Symptoms.   Irascibility ; easily provoked.
  Head.   Headache in  the  morning, on turning and Avhile
moving the body or  the  head, when running or  in the cold
air, as if the head were to split, with nausea and vomiting;
abundant falling out of the hair.
  Eyes.   Inflammation of the  eyes; the letters are confused
when reading ; the sight is Aveak, as if from incipient amau-
rosis ;  black specks, luminous marks, and  sparks before the
eyes.
  Ears.   Hardness  of hearing;  humming in the ears.
  Nose.   Loss of smell; dryness of the nose.
  Face.   Lips dry, chapped, cracked, or excoriated and ulcer-
ated, Avith  scurf, and burning and smarting eruption ;  tettery
eruption round the mouth ;  frequent swelling of the submax-
illary glands.
   Teeth.  Piercing,  boring,  and  pulsation in carious teeth ;
fistula of the gums.
  Mouth.  Ulcers and Aresicles  on  the  tongue  and   in the
mouth, with burning, smarting, and pain,  on coming in con-
tact with food and drink.
   Throat.   A sensation, during  deglutition, as if there were
a plug in the throat; inflammation of the  throat, Avith sting-
ing pain and ulceration.
  Fmces.   Constipation; burning in the  anus  and  rectum,
durino- and after the evacuations; painful and burning hemor-
rhoidal tumors about the anus.
   Genital  Organs.   Menses too early  and too profuse, or
retarded and scanty.
  Larunx.   Cough  excited  by  a tickling in the throat, or 
500                  MATERIA MEDICA.
in the epigastrium, day and night;  pains  in the head when
coughing, as if the forehead were  about to burst.
   Chest.  Short breathing, especially when Avalking quickly;
anxious and violent palpitation of the heart from every move-
ment of the  body, but principally when lying on the left side ;
irregular and intermittent palpitation of the heart.

                   41.  Nitri  Acidum.
   Aching pains, inflammation, caries, and other affections of
the bones, especially from the abuse of mercury ; syphilitic af-
fections ;  mercurial ulcers;  nervous excitability, especially
from the abuse of  mercury; syphilitic and  mercurial angina,
also with ulceration; chronic relaxation of  the bowels.
   General  Symptoms.—Stinging pains as if caused by splin
ters, especially when touched ; pains from change of weather;
riding in a carriage mitigates the majority of the symptoms.
   Face.  Painful swelling of the sub-maxillary glands.
   Mouth.   Offensive and putrid smell of the mouth ;  saliva-
tion, sometimes from attacks of fever.
   Throat.  Ulcer with stinging pain in the mouth and throat;
inflammation of the throat, with stinging pains, especially on
swallowing liquids, as from excoriation.
   Fmces.  Loose  evacuations, sometimes mucous or putrid,
sanguinolent, dysenteric evacuations, with tenesmus ; swelling
of hemorrhoidal tumors about the anus, and Avhich  bleed at
every evacuation.
   Genital Organs.  Ulcers, like cancers, on the  prepuce and
glands.
   Larynx.   Dry  cough, especially in  the  evening on lying
down ; purulent, yellowish expectoration with the cough.
   Chest.  Short breath.
   Trunk.   Stinging  in and between  the shoulder-blades;
swelling of the glands of the neck and axillae;  suppuration
of the axillary glands.
   Legs.   Chilblains on  the toes. 
NUX VOMICA.                    501
                    42.   Nux Vomica.
  Sufferings from the  abuse of coffee, wine, or other spirit-
ous or narcotic drugs; bad effects from passion or excessive
study, prolonged  watching,  or a sedentary life;  periodical
and  intermittent  affections;  gastralgia;  gastritis; gastrico-
mucous or bilious affections;  dyspepsia, also  with vomiting
of food; vomiting of drunkards, of pregnant women; incar-
cerated hernia;  obstinate constipation ;  blind and bleeding
hemorrhoides.
   General Symptoms.—Repugnance to  the open air;  great
desire to remain lying  down or sitting.
   Sleep.  Too short sleep, with difficulty in going to  sleep
again after midnight, and inability to remain in bed after three
o'clock in  the  morning;  on  waking in  the morning, pain in
the limbs as if  they were bruised, great lassitude,  with  desire
to remain lying down, and fits  of stretching and of convulsive
yawning.
   Fever.   During the shivering, skin, hands and feet, face or
nails are cold and bluish; during the heat, vertigo, headache,
shivering when moving in the least, or when uncovered  in the
slightest degree,  thirst.
   Moral Symptoms.   Hypochondriacal,  sorrowful,  and sad
humor; ill-humor, vexation,  and anger;  dislike to, and  unfit-
ness for, bodily and mental labor.
   Head.  Vertigo, with  sensation of turning and of wavering
of the brain ; heaviness, pressure, and sensation of expansion
in the head,  as if the forehead were about to burst, especially
above the  eyes.
   Eyes.  Eyes inflamed, with redness and SAvelling, also the

   Nose.  Obstruction of the nose, sometimes on one side only,
and often with itching in the nostrils and discharge of mucus ;
obstruction in the head,  principally in the morning, or at night,
and dry coryza with heat and heaviness in the  forehead, and
obstruction of the nostrils.
eyelids 
502                  materia medica.
  Teeth.   Putrid and painful swelling of the gums.
  Mouth.   Fetid,  putrid,  and cadaverous  smell from  the
mouth ; tongue loaded with a white coating, or dry, cracked,
brownish or blackish.
  Throat.  Swelling of the uvula; bitter taste of the mouth;
desire for brandy.
  Stomach.   Frequent, bitter, and acid eructations;  violent
hiccough; vomiturition and violent vomiting  of mucous  and
sour matter, after drinking or eating, or in the morning; pres-
sure in the stomach as  if by a stone; tension  and  fullness in
the epigastrium ; tight clothes are insupportable.
  Abdominal  Region.  Flatulent colic, sometimes in the morn-
ing,  after eating or drinking, with pressing pains, as if by
stones.
  Fmces.   Frequent but ineffectual and anxious desire to
evacuate; obstinate  constipation, as if from inactivity of the
intestines; incomplete  evacuations; small, loose, aqueous or
mucous and  sanguinolent  evacuations;  hemorrhoides,  with
excoriating, stinging, burning pain, and pressure in the  anus
and rectum.
  Urine.  Ineffectual desire to urinate; frequent emission of
watery and pale urine; burning pain in the neck of the blad-
der when  making water.
  Larynx.   Catarrhal  hoarseness and painfal  roughness of
the  larynx and chest;  accumulation of  tenacious mucus,
which it is impossible to detach; pains, as from excoriation in
the  larynx Avhen coughing.
  Chest.   Asthmatic constriction of the chest at night, in bed,
when going up stairs, choking, anxiety.
  Trunk.   Pains,  like those caused  by a bruise in the  back
and loins; rheumatic, drawing, and burning pains in the back.

                       43.   Opium.
  Recent affections rather than those  of long standing;  ner-
vous torpor, and want  of vital reaction against  the medicines 
PETROLEUM --PHOSPHOPvUS.
503
that have been administered ; sufferings of drunkards ; affec-
tions of old men; bad effects of fright, with continued fear,
or of sudden joy ;  typhus ; delirium tremens; ileus ; constipa-
tion, principally that caused by torpor of the intestinal canal,
after frequent diarrhea, or from want  of exercise, and  espe-
cially in the case of vigorous persons, or those who are pletho-
ric, or well fed, as well as in the case of children  and preg-
nant women ; tympanitis ; suppressed or false and spasmodic
labor-pains.
   General Symptoms. — General insensibility of the  whole
nervous system.
   Sleep.  Lethargy, with snoring and  mouth open ; excessive
desire  to sleep, with absolute inability to go to sleep.
   Fever.   Pulse generally  full, slow;  fever,  with lethargic
sleep,  snoring.
   Face.   Face dark  red, sometimes brownish,  hot,  and
bloated.
   Stomach.   Vomiting of fecal  matter and of urine.
   Abdominal Region.   Abdomen hard and distended,  as in
tympanitis.
   Fmces.   Constipation, long continued ; involuntary evacua-
tions.
   Chest.  Noisy, stertorous, and rattling respiration ; attacks
of suffocation on making an effort to cough.

                     44.   Petroleum.
   Gastric affections ; sea-sickness; sufferings caused  by the
motion of a carriage ;  chilblains on the hands and feet.
   Appetite.    Repugnance to  meat and fat;  heaviness and
pressure in the stomach after a meal.
   Stomach.  Nausea from the  motion of a carriage.

                    45.  Phosphorus.
   Physical and nervous weakness caused by protracted influ-
ences  injurious to the vital economy ; hemorrhage and con-
       45 
504
MATERIA  MEDICA.
gestion of blood ; cholerine;  chronic  and colliquative diar-
rhea ;  chronic laryngitis ;  disposition to croup.
  General  Symptoms.—The majority of the symptoms mani-
fest themselves morning and evening, in bed, as well as after
dinner, while several others appear at  the  beginning of a
meal and disappear after it.
  Skin.  Lymphatic  abscesses,  with fistulous  ulcers,  which
have  callous margins, and secrete a fetid and  colorless pus,
with hectic fever; copious bleeding from small  wounds.
  Sleep.  Unrefreshing sleep ; in the morning  it appears as
if one had not slept  enough; nocturnal  heat; hectic fever,
with dry heat toAvard evening, especially in the palms  of the
hands, sweat and colliquative diarrhea,  circumscribed red
ness of the cheeks, etc.
  Moral Symptoms.  Anguish  and uneasiness, especially when
alone.
  Head.   Vertigo,  Avith  nausea  and pressing pains  in the
head;  congestion to the head,  with beating; falling off of the
hair.
  Eyes.   Inflammation of the eyes; nocturnal agglutination
of the eyes ;  black spots before the sight.
  Nose.  Unpleasant dryness of the nose ; continual discharge
of yellow mucus from the nose.
  Face.  Face pale, wan,  dirty, earthy,  with hollow eyes,
surrounded by a blue circle.
  Stomach.   Sour regurgitations of food ; nausea of various
kinds,  especially in the morning;  spasmodic  pain and con-
traction in the stomach.
  Abdominal Region.  Spasmodic colic ; sensation of coldness,
with heat and burning in the  abdomen ; flatulent colic, with
grumbling.
  Fmces.  Prolonged looseness of the bowels.
  Larynx.   Aphonia ; cough  excited by  a tickling and itch-
ing in the chest, or with hoarseness and sensation  as if the 
PLATINA.
505
chest were raw; cough, with purulent and saltish expectora-
tion, or of blood.
   Chest.  Obstructed respiration of various kinds ; congestion
to the chest;  palpitation of the heart.
   Arms.   Trembling in the arms and hands.
   Legs.   Drawing and tearing in the knees ; swelling of the
feet.

                 46.   Phosphori  Acidum.
   Phthisical  and nervous weakness, caused by violent acute
diseases, by loss of  the fluids  and other debilitating causes,
especially when they haAre rapidly  undermined a  constitution
that was previously strong ; bad effects  from vexation, with
care and inquietude,  or from disappointed love ; epidemic
diarrhea.
   Fever.   Malignant fever with great weakness, apathy, stu-
pidity, aversion to conversation, diarrhea.
   Fmces.  Purging, but  not debilitating evacuations; loose,
serous,  or undigested evacuation.
   Urine.   Frequent and profuse emission of aqueous urine,
which immediately deposits a  thick  and  Avhite sediment;
urine as in diabetes mellitus.
   Larynx.  Cough, with vomiting of food, and headache.

                      47.  Platina.
   Different affections of females, and principally of irritable
women ; hysteria ; facial neuralgia ;  metrorrhagia,  after ac-
couchement, or caused by miscarriage ; constipation of lying-
in women.
   General Symptoms.—Affections caused by fright, by vex-
ation, or by a fit of passion ;  the majority of the symptoms are
aggravated by repose.
   Moral Symptoms.   Sadness, with great inclination to weep ;
involuntary weeping,  with  great fear  of  death, which  is 
506                  materia medica.
 believed to be  very near; pride and self-conceit, with con-
 tempt for all others.
   Face.   Burning  heat and  glowing  redness  in the  face;
 torpor in the whole side of the face ;  cramp and tensive pres-
 sure in the  zygomatic process.
   Teeth.  Toothache, with pulsative and digging pain.
   Fmces.  Constipation, sometimes very obstinate.
   Urine and Genital Organs. Sensation of bearing down toward
 the genital organs, with pressure in the abdomen ; metrorrhagia
 of thick, deep colored blood, with drawings in the groins.
   Chest.  Short breath  with  constrictive  oppression of the
 chest; anxious palpitation of the heart.

                     48.  Pulsatilla.
   Affections of persons  of mild character, inclined to pleasan-
 try, and to  laughter  or weeping, with  a mild countenance,
 and  of phlegmatic  temperament,  inclining to  melancholy,
 lymphatic constitution, with pale complexion,  blue eyes, and
 light hair, freckles,  disposition to take a  cold in  the head, or
 to other mucous discharges, etc.; bad consequences from the
 abuse of sulphur-waters, of mercury, cinchona, chamomilla,
 or from the  fat of  pork ; rheumatic and arthritic  affections,
 with swellings ;  inflammatory otalgia ;  dyspepsia, Avith vom-
 iting  of  food; mucous  or bilious  diarrhea; inflammatory
 swelling of  the  testes ;  organic affections  of  the  heart; in-
flammatory  swelling of the legs and feet.
   General  Symptoms.—Sharp,  drawing, and jerking pains
in the muscles, aggravated at night, or in bed in the evening,
 as well as by the heat of the room, mitigated in the open air,
 and often accompanied by torpor, with  paralytic weakness or
hard swelling  of the parts affected ; shifting pains  Avhich pass
rapidly from one part to the  other,  often with swelling and
redness of the joints.
   Skin.  Red spots like measles  or nettle-rash ; chilblains,
 with bluish-red swellings, heat and burning, or pulsative pains. 
PULSATILLA.
507
  Head.   Vertigo, as during intoxication ;  headaches in the
evening after lying down, or at night, compression sometimes
mitigates them.
  Eyes.   Pressive, or sharp, shooting pain in the eyes, with
inflammation ; sties on the eyelids.
  Ears.   Shootings, with itching, or sharp, jerking pains and
contraction in and round the ears; the pains sometimes come
on  by fits, attack the whole  head,  appear almost insup-
portable, and almost cause the loss  of reason; inflammatory
swelling, heat, and erysipelatous redness of the ear and audi-
tory duct, as Avell as the surrounding external parts ; tingling,
roaring, and humming in the ears ;  hardness of hearing.
  Nose.   Obstruction of the nose and dry coryza, principally
in the evening and in the heat of a room.
  Face.   Face pale,  and sometimes Avith an expression of
suffering.
  Teeth.   Sharp, shooting pains in the teeth, or drawing, jerk-
ing pains, as if the nerve were tightened,  then  suddenly re-
laxed,  or pulsative, digging, and  gnawing pains, often with
pricking in the gums, and shivering Avorse in the evening, or
afternoon, in the heat of the bed, or of a room, mitigated by
cold water or fresh air.
  Mouth.  Tongue loaded Avith a thick coating of a Avhitish
or yelloAvish color.
  Throat.   Pain, as if from excoriation in  the throat, as if it
were all raw, witli  sensation as if these parts Avere swollen,
principally when swahWing,  or accumulation  of tenacious
mucus, which covers the parts  affected.
  Appetite.   Bitter or sour taste in the mouth, immediately
after having eaten ; sensation of derangement in the stomach,
similar to that caused by fat pork or rich  pastry ; after eat-
ing, nausea, and pressure in the pit of the stomach, and many
other sufferings.
  Stomach.   Nausea and vomitings take place in the evening
or at night, and  after eating or drinking, with shivering, 
508
MATERIA  MEDICA.
paleness  of face, colic ; pressive, spasmodic, contractive, and
compressive pains in the stomach and precordial region, after
a meal or in the evening ; pulsations in the pit of the stomach.
  Fmces.  Loose evacuations,  with  colic and  cuttings, of
greenish, bilious, or watery matter ;  blind and  bleeding he-
morrhoides, Avith itching, smarting, and pain, as  if from exco-
riation.
   Genital Organs.   Inflammatory swelling of the testes, and
of the spermatic cord  (sometimes only  on one side), with
pressive and draAving pains extending into the abdomen ;  me-
trorrhagia ; black menstrual blood, Avith  clots  of mucus, or
discharge of pale and  serous blood ; menses  irregular, too
tardy, or entirely suppressed, with colic, hysterical  spasms in
the abdomen; nausea,  and vomitings,  shiverings,  and pale-
ness of face; leucorrhea thick, like cream.
  Larynx.   Shaking cough in the evening, at  night,  aggra-
vated when  lying down, accompanied Avith a desire to vomit,
or by a choking, as if caused by the vapor of sulphur; moist
cough, with expectoration  of  white, tenacious  mucus, or of
thick yelloAvish matter.
   Chest.  Spasmodic constriction  of  the  chest,  or  larynx, in
the eA'ening, or at  night when  lying horizontally; frequent
and violent palpitation of the  heart.
   Trunk.  Rheumatic, tensive, and drawing pain in the nape
of the neck.
   Arms.  Sharp, jerking, and drawing pains in the shoulder-
joint, as Avell as in  the  arms, hands,  and  fingers.
   Legs.   Pain,  as from subcutaneous ulceration in the legs
and soles  of the feet; swelling of the  knees, with sharp,
drawing, and shooting pains ; great fatigue in  the legs and
in the knees, with trembling.

                       49.  Rheum.
   Diarrhea  in  children;  sourness,  colic,  sleeplessness  and
cries of  children. 
RHUS  TOXICODENDRON.
509
  Fmces.  Loose evacuations of a sour smell, preceded and
followed by  constrictive pinching in the abdomen.

                50.  Rhus Toxicodendron.
  Rheumatic affections, with swelling; vesicular erysipelas ;
bad  effects  from a strain, dislocation, concussion, and  other
mechanical injuries, especially when attended Avith  sufferings
in the joints  and  synovial membranes;  gastric  affections ;
diarrhea and dysentery ; coxalgia and spontaneous dislocation.
  General  Symptoms. — Rheumatic  and arthritic  drawings,
tension and  tearing in the limbs, increased to the highest  de-
gree during repose, in bad weather,  at night, and in the heat
of the bed; red and  shining SAvellings.
  Sleep.  Disturbed  sleep, Avith anxious and frightful dreams.
  Fever.  Malignant fever, with loquacious delirium, violent
pains  in all the limbs, excessive Aveakness,  dry or  black
tongue, dry, brownish or blackish lips, heat and redness  of
the cheeks.
  Head.  Heaviness  and pressive  fullness in the head ; beat-
ing and pulsations in the head, especially in the occiput; bal-
ancing and  sensation of fluctuation in the head at every step,
as if the brain were loose.
  Eyes.  Inflammation of the eyes and lids ;  swelling of the
whole eye and surrounding parts.
  Ears.  Swelling and inflammation of the  parotids, with
fever.
  Face.   Erysipelatous  inflammation and  SAvelling of  the
face, with pressive  and tensive shootings, and burning crawl-
ing ; vesicular erysipelas, with yellow serum in the vesicles;
humid eruption and thick scabs on the face.
  Mouth.    A yellow and sometimes also a  sanguinous  saliva
flows from the mouth at night.
  Appetite.   Thirst from  a sensation of dryness in the mouth.
  Fmces.   Loose sanguinous, serous, or slimy evacuations;
obstinate diarrhea. 
510
MATERIA  medica.
   Larynx.   Cough, excited by a tickling in the  ramifications
 of the bronchi, short and dry.
    Chest.   Shootings and lancinations in  the  chest and its
 sides.
    Trunk.   Pains in the  loins,  as if beaten ; stiffness  of the
 nape and neck.
   Arms.   Warts on the hands  and fingers.

                        51.  Ruta.
   Sufferings caused  by mechanical  injuries (contusion, fall,
 diclocation, injury of the bones, or of the periosteum).
   General Symptoms.—Pains in the limbs, joints, and bones,
 as if beaten, or as if caused by a contusion, fall, or bruise,
 especially in the periosteum of  the limbs.

                      52.  Sambucus.
   Spasmodic asthma and cramps in the chest; asthma Mi-
 lari; croup.
   General Symptoms.—Desire to  sleep, without being  able
 to sleep;  fever, Avith  excessive perspiration,  especially at
 night.
   Larynx — Chest.  Attack  of  suffocating cough, Avith  cries
 in children; Avheezing and quick respiration ; spasmodic par-
 oxysm of  suffocation  at  night, with tears, great  agitation
 and tossing of hands ;  great difficulty in breathing.

                    53.  Sanguinaria.
   Arthritic and rheumatic pains.
   General  Symptoms.—Pain in the tips of the  fingers, as
from ulceration ; sensation of heaviness in the head ;  pains in
the head which pass rapidly from one place to another, like
electric shocks.

                       54.   Secale.
   Gastric and bilious affections; Asiatic  and sporadic chole- 
SEPIA.                       511
ra;  diarrhea, especially  in old men ;  metrorrhagia of weak
women.
  Sleep.  Great desire to sleep, and deep, lethargic sleep.
  Eyes.  Eyeballs sunk  deep in the sockets.
  Face and  Teeth.  Face pale, discolored, yellow, wan, with
the eyes hollow and surrounded by a blue circle.
  Stomach.   Excessively painful sensibility  and anguish  in
the pit of the stomach ; burning sensation in the stomach and
abdomen.
  Fmces.  Loose, frequent evacuations, with serous or slimy
faeces, and sudden prostration of strength; involuntary evac-
uations.
   Urine.    Metrorrhagia, of  a black, liquid blood, flowing
especially during a slight movement;  miscarriage.
  Legs.   Contraction  of the  legs  and  toes ;  troublesome
cramps in the calves of  the legs and soles of the feet, espe-
cially at night; mortification of the toes.

                        55.   Sepia.
   General   Symptoms. — The symptoms disappear  during
every violent exercise, except on horseback, and are  aggra-
vated during repose, as  also in the evening; uneasiness and
throbbing in all the  limbs ; violent  ebullition of blood during
the night, with pulsation in the whole  body; great  tendency
to take cold, and sensitiveness to cold  air.
   Skin.  Itching in different parts, which changes to a burn-
ing sensation ;  brown, reddish, and liver spots  on  the skin;
deformity of the  nails.
  Fever.  Profuse perspiration from the slightest movement;
sadness and dejection with tears ;  susceptibility and peevish-
ness.                                                , .
   Head.  Attacks  of  headache, with nausea and  vomiting
when shaking or moving the head, and also at every step ;
semi-lateral headache;  violent congestion  of  blood to  the
head. 
512
MATERIA  MEDICA.
  Eyes.   Pressure  on the eyeballs;  inflammation,  redness,
and swelling of the  eyelids, with sties.
  Ears.   Shootings in the ears.
  Nose.   Scabby and ulcerated nostrils.
  Face.  Yellow color of the face;  yellow streak on the nose
and cheeks in the form of a saddle ; yellow color and herpe-
tic eruption round the mouth.
  Teeth.   Toothache  when  compressing the teeth,  when
touching them,  and Avhen speaking, as also  from the slight-
est current of cold air.
  Throat.  HaAvking up of mucus, especially in the morning.
  Appetite.   Putrid, or sour taste ;  repugnance and dislike to
food.
  Stomach.   Throbbing in the pit of the stomach.
  Abdominal Region.   Enlargement of the abdomen (in wo-
men who have had  children).
  Fmces.  Ineffectual desire to evacuate ; greenish  diarrhea,
often  with putrid or sour smell, or especially in  children ;
prolapsus recti; protrusion of  hemorrhoides.
   Urine.  Wetting the bed during  the first sleep.
   Genital Organs.  Bearing down  in the uterus ;  prolapsus
uteri; leucorrhea, of a yellow or greenish red water.
  Larynx.  Dry cough, which seems to arise from the stom-
ach, especially  Avhen  in bed in the evening, and often with
nausea and bitter vomiting ; cough excited by a tickling, and
accompanied Avith constipation, detached Avith difficulty.
   Chest.  Dyspnoea,  oppression  of the chest,  and  short
breath when walking  and ascending, as  well as when  lying
in bed, in the evening, and  at night;  ebullition  of blood in
the chest, and violent palpitation of the heart.

                      56.  Silicea.
  Obstruction,  inflammation,  induration, and ulceration  of
the glands;  inflammation,  softening,  ulceration, and  other
diseases of the bones; ulcers, almost of  all kinds;  ulceration 
SPIGELIA.
513
of the mammae;  chronic coryza and obstinate disposition to
take cold in the head;  panaritium.
   Skin.   Mild and malignant suppurations, especially in
membranous parts; carbuncles.
   Head.   Vertigo, with nausea, which mounts from the back
to the nape of the neck and head ; tearing pains in the head,
often semi-lateral; moist scald-head.
   Eyes.   Redness  of  the  eyes; swelling of the lachrymal
gland ; black spots before the sight.
   Ears.  Hardness of hearing;  swelling  and induration of
 the parotids.
   Nose.  Scabs, pimples and ulcers in the nose.
   Face.  Ulcers on the red part of the lip; herpes on the
 chin ; swelling of the  submaxillary glands.
    Appetite.   After a meal, sour taste in the mouth; pressure
 in the stomach,  water-brash, vomiting.
    Stomach.  Nausea  every morning.
    Fmces.  Constipation, and slow, hard faeces.
    Trunk.   Inflammatory abscess in the lumbar region ; swel-
  ling and deviation of  the  spine; swelling of the glands of the
  nape of  the  neck, on and under the axillae, sometimes with
  induration ; suppuration of the axillary glands.
    Arm,s.  Burning sensation  in  the ends  of  the fingers;
  panaritium.                                    .   .
    Legs.  Inflammatory swelling of the knee ;  caries  in the
  tibia; offensive  smell from the feet.

                        57.  Spigelia.
     Prosopalgia ; vermiculous affections ; diseases of the heart.
     Head.  Pains  in  the  head, aggravated  by the slightest
   movement, or least noise.
     Eyes.  Pains in the eyes, as if the eyeballs were too large ;
   inflammation  of the eyes, and  ulceration of the  eyelids;
   hanging down  of the eyelids, as from paralysis.
     Face   Jerking tearings, burning sensation and pressure m 
514
MATERIA  MEDICA.
the region of the zygomatic  process, or violent pains Avhich
cannot bear the slightest touch, or the least movement.
   Teeth.  Jerking toothache, or pulsative tearings, especially
in the carious teeth, aggravated by cold water, or by contact
with the open air; offensive exhalation from the mouth.
   Fmces.   Discharge of mucus from the anus, without faeces ;
lumbrici and ascarides from  the  rectum;  itching and sensa-
tion as if something Avere creeping in the rectum and anus.
   Chest.  Danger of suffocation  from the least  movement,
and especially when raising the arms; violent palpitation of
the heart, perceptible to the sight and hearing, often attended
with  anxious oppression of the chest, aggravated by stoop-
ing the chest forward, and by sitting down.

                       58.  Spongia.
   Croup (before hepar, or alternate with it).
   General   Symptoms.  — SAvellings and indurations of the
glands.
   Face.  Face bloated, red, or bluish, Avith anxious expres-
sion of countenance.
   Larynx.   Hoarseness ;  pain in  the  larynx, on  touching it
and on  turning the  head;  sensation  of obstruction in  the
larynx,  Avith impeded  respiration;  IioIIoav, dry,  barking or
whistling  cough, day   and  night, increased   toward  the
evening.
   Chest.  Wheezing  respiration ;  respiration  quick, anxious,
and difficult, sometimes with a fit  of suffocation and mucous
rattling in the chest; ebullition of  blood in the chest after the
slightest effort, and  the  least movement, Avith obstructed
respiration.
                      59.   Stannum.
   Larynx.   Hoarseness and roughness  in  the  throat;  dry,
violent,  shaking cough; cough excited by lying on the right
side, with frequent expectoration  of mucus, greenish, sweet-
ish, or saltish. 
STAPHYSAGRIA--STRAMONIUM.           515
   Chest.  Pain in the chest, as if from excoriation; sensation
of weakness in the chest, as if  it were  empty, especially
after speaking or expectorating.
                   60.  Staphysagria.
   Bad effects from  crosses, with anger and indignation, or
from vexation, with uneasiness.
   Moral Symptoms.   Hypochondriacal humor, with indiffer-
ence to everything; ill-humor, irascibility, and excessive anger,
so as to fling about violently  whatever is at hand.
   Eyes.   Itching and biting, smarting in the internal canthi;
inflammation in  the eyes, which are surrounded with pimples.
   Ears and Nose.  Coryza,  with ulcerated nostrils.
   Face.   Painful swelling  and induration of the  submax-
illary glands.
   Teeth.  Toothache,  immediately after a meal, after cold
drinks,  or inhaling cold air, worse in the morning.
                     61.   Stramonium.
   Convulsions,  St. Vitus's dance, and other  spasmodic affec-
tions ; hydrocephalus.
   General  Symptoms.—Convulsive  movements  and  jerks,
especially when touched, or from fixing the eyes on brilliant
objects (such as a candle, a  mirror, or water), or else appear-
ing periodically.
   Sleep.   Deep sleep, with  snoring.
   Fever.   Small, quick pulse.
   Moral  Symptoms.   Ungovernable  fury, desire  to bite, to
 strike.
   Head.   Congestion of blood to the head,  with heat m it.
   Eyes.  Eyes fixed and sparkling ;  cloudiness of the sight;
 illusions of vision.
   Face and Teeth.   Face bloated and puffed up with  blood ;
 grinding of the teeth.
 '  Trunk and Extremities.   Opisthotonus ;  convulsive move-
 ments  of the arms, above the head ; clenched fists. 
516
MATERIA  medica.
                      62.   Sulphur.
   General Symptoms.—Great sensitiveness to the open  air
 and to the wind ;  the majority of the sufferings are aggra-
 vated, or appear at night, or in the evening, and also during
 repose, when standing for a long time, and by exposure to
 cold  air; they disappear when Avalking or  moving the parts
 affected, and also in the warmth of a room; but the heat of
 the bed renders the nocturnal pains insupportable.
   Skin.   Itching in the  skin, at night in bed ;  scabious erup-
 tions, with  burning itching ; desquamation and excoriation
 of the skin  in several places ; ulcers, with elevated margins,
 surrounded by  itchy pimples ;  inflammation,  swelling, and
 induration,  or suppuration of the glands.
   Fever.  Frequent and profuse perspiration day and night;
 aptness to perspire when working, partial perspiration, princi-
 pally on the head.
   Head.   Fullness, pressure, and heaviness in the head, prin-
 cipally in the forehead; congestion of blood to the head, with
 pulsative, clucking, hammering sensations, and feeling of heat
 in the brain; quotidian, periodical,  and intermittent head-
 aches, appearing principally at night, or in the evening in bed,
 or in the morning; movement, Avalking, the open air, and
 meditation  often excite or aggravate the headaches.
   Eyes.  Itching, tickling, and burning sensation in the  eyes
 and eyelids; inflammation, swelling, and redness of the scle-
 rotica, conjunctiva, and eyelids;  pustules and ulcers round
 the orbits,  as far  as  the cheeks; great sensitiveness of the
 eyes to the light.
  Ears.  Obstruction and sensation of stoppage in the ears,
 on one side  only;  humming  and roaring in  the ears.
  Nose.  Inflammation, ulceration, and scabs in the nostrils.
  Face.  Heat,  and burning  sensation in the face, with dark
redness  of  the  Avhole  face, circumscribed redness of  the
cheeks.
   Teeth.   Appearance or  aggravation of  toothache, princi- 
TABACUM.
517
pally in the evening, at night, or in the open air, and also
from a  current of air, from cold water, eating  and masti-
cating.
  Mouth.   Aphthae in the mouth and on the tongue.
  Throat.  Pressure, as if from a plug, or  from a tumor in
the throat.
  Appetite.   Dislike to sweet and acid things.
  Abdominal Region.  Shootings in the abdomen, principally
in the left side A\iien walking; pains in the abdomen, princi-
pally at night, or after eating  and drinking, mitigated  by
bending forward.
  Fmces.    Constipation,  and hard, knotty,  and insufficient
evacuations; hemorrhoids.
   Genital Organs.  Excoriation between the thighs and groins.
  Larynx.  Moist cough, with profuse expectoration of thick,
whitish, or yellowish mucus;  when coughing, pain as if from
excoriation, or shootings in the chest.
   Chest.   Obstructed respiration, dyspnae and attacks  of suf-
 focation,  principally when lying doAvn at  night, and  also
 during sleep; periodical  spasms in the chest; shootings in
 the chest or sternum, or extending as far as the back, or into
 the left side.
   Trunk.    Pinching  and burning sensation between  the
 shoulder-blades.

                       63.  Tabacum.
    General Symptoms.—Cramps in the limbs.
    Stomach.   Frequent nausea, especially when moving; the
 vomiting is renewed from the slightest movement.
    Fmces.   Violent  diarrhea, fetid,  or yellowish  green,  also
 at night, accompanied and followed by violent tenesmus, and
 burning in the anus.
    Arms.   Cold  perspiration on the hands; cramps in the
 fingers. 
518
materia  medica.
                     64.  Tartarus.
  Varioloids; gastric and bilious  affections ;  asphyxia  of
new-born infants.
  Skin.  Eruption of pustules, like varioloids, with red areola,
afterward covered with a crust and leaving a scar.
  Sleep.   Invincible  drowsiness, with  deep and stupefying
sleep.
  Fever.   Pulse quick, weak, or full.
  Head.   Chronic trembling of  the head.
  Appetite.   Bitter taste in the  mouth; excessive  desire for
acid things.
  Stomach.   Continued nausea; much vomiting, with violent
efforts.
  Fmces.   Slimy diarrhea.
  Larynx.   Cough, with vomiting of food after a meal; hol-
low cough, with rattling of mucus in the chest.
  Chest.   Paralysis of the lungs;  rattling of mucus in the
chest.
                       65.  Thuja.
  Rheumatic  and  arthritic affections; syphilitic and syotic
affections.
  Head.   Vertigo,  when  rising  from a seat and when lying
down.
  Eyes.  Burning sensation in the eyes; inflammatory swell-
ing of the eyelids, with hardness.
  Face.  Boring and  digging pain  in  the face and cheek-
bones; gnaAving in  the (carious) teeth, with painful sensitive-
ness of the whole  side of the  head, greatly aggravated  by
contact with  cold things, or by mastication.
  Mouth.  Ranula, on both sides of the tongue, transparent,
bluish red, gray, and, as it were, gelatinous.
   Urine.   Sensation,  as  if  a   drop  were  flowing into the
urethra; burning sensation in the urethra during  the emis-
sion of urine; itching in the  urethra. 
URTICA URENS--VERATRUM.
519
   Genital Organs.  Condylomata  on the glans and prepuce,
moist, itching.

                   66.  Urtica Urens.
   Burns; dysentery; nettle-rash.

                     67.  Veratrum.
   Sporadic  or  Asiatic cholera; diarrhea, of different kinds,
also those produced by cold drinks, when one is over-heated.
   General  Symptoms.—Pains  in  the limbs, which are  ren-
dered  insupportable by  the  heat  of the bed, and  disappear
completely,  when walking;  sudden, general, and paralytic
prostration of strength.
   Fever.  General  coldness  of the whole  body,  and cold,
clammy  perspiration;  fever, with external coldness; pulse
slow, and almost extinct.
   Head.   Attack  of headache, with  paleness of  the face,
nausea, and vomiting ; cold perspiration on the forehead.
   Nose.   Icy coldness of the nose.
   Face.   Face  pale,  cold, hippocratic, wan,  with the nose
pointed, and a blue circle  round the eyes; cold perspiration
on the face; lips dry, blackish,  and cracked.
   Teeth.  Grinding of the teeth.
   Mouth.  Sensation of  coldness on the tongue; tongue dry,
blackish, cracked.
   Appetite.   Immediate  vomiting and diarrhea, however little
is eaten.
   Stomach.   Violent nausea, with desire to vomit, with  ex-
cessive thirst;  violent vomiting, with continued nausea, great
exhaustion and desire to lie down; vomiting of black bile and
blood; vomiting, with diarrhea; the least drop of liquid and
the slightest movement excites the vomitings; burning sensa-
tion in the pit of the stomach.
   Abdominal  Region.   Excessively  painful sensitiveness of
the  abdomen,  when touched;  cramps in the abdomen, and
        46 
520                  MATERIA  MEDICA.
cuttings, as if  from knives ;  burning sensation through the
whole extent of the abdomen, as if  from hot coals.
  Fmces.   Loose, blackish, greenish, brownish  evacuations;
unnoticed evacuation of liquid faeces.
   Urine.   Retention of urine; urine diminished.
   Genital Organs.   Menses suppressed,  with delirium.
   Chest.   Chest very  much oppressed; cramp in the  chest,
with  painful constriction;  violent  palpitation  of the  heart,
which causes heaving of the chest.
  Arms.   Icy coldness of the hands ; cramps in the fingers.
  Legs.   Violent cramps in the calves of the legs and feet;
icy coldness of the feet.

                       68.   Aloes.
   Congestion of blood  to the head, chest, and  especially the
abdomen.   General heat of the body;  accelerated  pulse  ;
anxiety.
  Head.   Periodical headache,  alternating with pain in the
back; stitches  in  the  left  temple, worse when treading; dry
and chapped lips.
  Stomach.  Loss of appetite, violent thirst,  bilious eructa-
tions.
  Abdomen.  Sensation of  sickness, pressure,  tension  and
heat in the region of the liver,  fullness, heat and distension of
the abdomen ; Aiolent cutting in  the  abdomen.
  Fmces.   Bilious  papescent  stools, with heat  of the body
during the evacuations  ; stools not very profuse  but of a putrid
smell.
  Bloody stool with violent colic; violent burning in the rectum;
fistula and stricture of  the rectum.
   Urine.   Scanty, hot urine.
   Chest.   Oppression of the chest,  with anxiety.
  Back.   Drawing and burning in the small of the back. 
GLOSSARY
OF   MEDICAL   TERMS.
Abortus.  Miscarriage; abortion.
Abscess.  A collection of pus seat-
  ed in  any particular organ or
  tissue:
Adhesion.  In surgery, the direct
  union of parts, that have been
  divided.  This union is often at-
  tended by  inflammation, which
  is thence called
Adhesive Inflammation, which at-
  tends the union of surfaces, sep-
  arated by a wound; it is syno-
  nymous with union by the first
  intention.
Adypsia.  The absence of natural
  thirst.
Alkali.  A substance which unites
  with acids in definite proportions,
  so as to neutralize their proper-
  ties more or less perfectly, and
  to form salts.  It changes vege-
  table blues to green.
Allopathy.   A term used by ho-
  moeopathic writers to designate
  the old practice of  medicine in
  contradistinction  to  their own,
  now generally employed by both
  parties; literally implies, curing
  a disease with a medicine which
  produces a dissimilar one.
Amenorrhea.  Absence or  stop-
  page of the menstrual flux.
Anasarca.  Dropsy of the cellular
  tissue, or membrane, immediate-
  ly under the skin.
Angina.  Sore throat.   The  term
  is  also applied to diseases with
  difficult respiration.
Angina Membranacea.  Croup.
Angina Parotidea.  Mumps.
Angina Pharyngia. Inflammation
  of the membrane which lines the
  pharynx.
Anorexia.  Want of appetite.
Anthrax.  Carbuncle.
Antiphlogistic. Applied to reme-
  dies employed in the old system
  against inflammation; literally,
  against heat.
Antrum Highmori. The maxillary
  sinus.  A hollow or cavity above
  the teeth  of the upper jaw, in the
  middle of the superior maxillary
  bone.
Anus.  The inferior opening of the
  rectum.
Apoplexia.   Apoplexy; a loss of
  voluntary motion and conscious-
  ness.   See Diagnosis under this
  head.
Apyrexia.  The intervals between
  febrile paroxysms.
Arthritis.  Gout.
Ascaris,  plur.  Ascarides.   Pin-
  worms.
Asphyxia.  Absence of pulsation.
Asthenic.  Low;  applied to dis-
  ease; literally, want of strength
Astringents.   Medicaments  used
  in the old practice to contract the
  animal fiber.
Atony.   A  want of tone or energy
  in the muscular power.
Atrophy.  A morbid  state of the
  digestive system, in which the
  food taken into the stomach fails
  to afford  sufficient nourishment.
  A wasting of the whole, or of
  individual parts of the body.
Auscultation.  The  detection of
  symptoms  by the ear in  dis-
  ease.
                  (521) 
MEDICAL  TERMS.
522             GLOSSARY OF
Bilious.  Connected with the se-
  cretion of bile.
Blepharitis.  Inflammation of the
  eyelids.
Borborygmus.   Rumbling in  the
  intestines, caused by flatus  or
  wind.
Bronchia;  Bronchi.  The tubes
  into which the trachea or wind-
  pipe divides.
Bronchitis. Inflammation of the
  ramifications of the windpipe.
Bulimy; Bulimia.   Canine, or ex-
  cessive hunger.
Cadaverous. Resembling a corpse.
Caecum.  The blind gut; so called
  from its being perforated at one
  end only.
Carcinoma.  Cancer, adj. Carcino-
  matous.
Cardialgia.  Pain in the stomach.
Carditis.   Inflammation  of   the
  heart.
Caries. Ulceration of the bones.
Carotids.   The name of two large
  arteries of the neck.
Carpologia.  Picking at the bed
  clothes.
Cartilage.  Gristle.
Catamenia.  The menstrual flux.
Catarrh.   Cold; used, also, to ex-
  press inflammation of the mucous
  membrane.
Catarrhal Ophthalmia. Simple in-
  flammation of the conjunctiva.
Cathartic  Purgative.
Cellular  Tissue.   The fine, net-
  like  membrane  enveloping  or
  connecting most of the struc-
  tures of the human body.
Cephalalgia.  Headache.
Cerebral.   Appertaining to  the
  brain.
Cervical.  Belonging to the neck.
Cessatio Mensium. Discontinuance
  of the menstrual flux.
Chlorosis.   Green sickness.
Chronic  Long continued, in con-
  tradistinction to acute.
Cicatrix.   A  scar left after  the
  healing of a wound, etc.
Clavi  Pedis.  Corns.
Clonic Spasm.  A spasm Avhich is
  not of long duration.  It is  op-
  posed to tonic spasm, which  see.
Coagula.  Clots of blood.
Coagulable  Lymph.   The term
  given to the fluid which is slowly
  effused into wounds, and after-
  ward forms the uniting medium
  or cicatrice.
Colic  Griping in the intestines.
Collapse.   Failing of vitality.
Colliquative.  Excessive discharge
  of any secretion.
Coma.  DroAvsiness.
Coma Somnolentum.   Drowsiness,
  with relapse thereunto on being
  roused.
Comatose.  Drowsy.
Compress.    Soft lint, linen, etc.,
  folded together so as to  form  a
  pad,  for the purpose of being
  placed, and secured by means of
  a bandage, on parts which  re-
  quire pressure.
Congestio  ad Caput.  Determina-
  tion of blood to the head.
Congestio  ad Pectus.  Determina-
  tion of blood to the chest.
Congestion.   Overfullness  of  the
  blood-vessels of some particular
  organ.
Conjunctiva.  The membrane lin-
  ing the  eyelids, and extending
  over  the forepart of the eyeballs.
Contagion.  Propagation of a dis-
  ease  by contact.
Cornea.  The anterior transparent
  portion of  the eye.  It  is  of  a
  horny consistence.
Coryza.  Cold in the head.
Coxagra.   Inflammation   of  the
  hip-joint.   Literally, seizure or
  pain in the hip.
Coxalgia.   Literally, pain in the
  hip;  inflammation of the hip-
  joint.
Cranium.  The skull.
Crepitation.  Grating  sensation,
  or noise, such as  is caused by
  pressing the finger upon a part
  affected with  emphysema; by
  the ends  of a  fractured bone
  when moved; or by certain salts
  during calcination. 
GLOSSARY  OF MEDICAL TERMS.
Crepitant  Rhonchus, or Rale.—
  The fine crackling noise heard
  in consequence  of the passage
  of air through a viscid fluid.  It
  is heard in the first stage of in-
  flammation of the lungs.
Crepitus.  Crackling or grating.
Cutaneous.   Appertaining to the
  skin.
Cuticle.  The outer or scarf skin.
Cystitis.   Inflammation  of  the
  bladder.
Deglutition.  The act of swallow-
  ing.
Delirium.   Derangement of  the
  brain, raving.
Depletion.   Abstraction  of  the
  fluids; generally applied to ve-
  nsesection.
Desiccation.  A drying up.
Desquamation.   Falling off of the
  epidermis in  form of scales.
Diaphragmitis.   Inflammation  of
  the diaphragm (muscular parti-
  tion between  the thorax and ab-
  domen).
Diagnosis.    Distinction  of  mala-
  dies.
Diarrhea. Looseness of the bowels.
Diathesis.   Constitutional tenden-
  cy.
Dietetic.  Relating to diet.
Diplopia.  Affection of the eyes, in
  which objects appear double or
  increased in number.
Diuretic   Medicines which in-
  crease the secretion of urine.
Dorsal. Appertaining to the back.
Drastic  Powerful purgatives.
Duodenum.   The  first  intestine
  after the stomach, so called from
  its length; the twelve-inch gut.
Dtscrasia.   A  morbid condition
  of the system; adj. Dyscrastic.
Dysecoia.  Deafness.
Dysmenorrhea. Painful menstru-
  ation.
Dyspepsia.  Indigestion; literally,
  difficulty of appetite.
Dyspncea.   Difficulty of  respira-
  tion.  Shortness of breath.
Dysuria.  Difficulty in  passing
  urine.
Effusion.   A  pouring out,  or
  escape of lymph or other secre-
  tion.
Emaciation.  A falling off in the
  flesh.
Emetic  Provoking vomiting.
Encephalitis.    Inflammation  of
  the brain and membranes.
Endemic  Peculiar to a particular
  locality.
Endocarditis.  Inflammation of the
  internal parts of the heart.
Enteralgia.   Colic.
Enteritis.   Inflammation  of the
  intestines.
Ephemeral.  Of a day's duration.
Ephialtes.  Nightmare.
Epidemic  Diseases arising  from
  general causes.
Epigastrium.   The region of the
  stomach.
Epilepsy, Epilepsia. Falling sick-
  ness.
Epistaxis. Bleeding from the nose
Epithelium.   The cuticle.
Erysipelas.   St. Anthony's  fire,
  Rose.  A disease of  the skin.
Erysipelas Phlegmonodes. Phleg-
  monous erysipelas.
Erysipelas (Edematodes. GMema-
  tous erysipelas.
Erysipelas Erraticum.  Wander-
  ing Erysipelas.
Erysipelas  Gangrenosum.   Gan-
  grenous erysipelas.
Erysipelas  Neonatorum.   Indu-
  ration of the cellular tissue in
  infants.
Exacerbation.   Aggravation  of
  fever, etc.
Exanthema. Eruption terminating
  in exfoliation.
Expectoration.  Discharge of any
  matter; phlegm; pus from the
  chest.
Exudation.    Discharge  of  fluid
  from the skin, etc.
Faeces.  Alvine excrement.
Fasciae. In anatomy, dense fibrous
  expansions, which either attach
  or invest muscles.
Fauces.  The throat.
Febris.  Fever. 
524
GLOSSARY  OF MEDICAL TERMS.
Febris Nervosa.   Nervous fever,
  or typhus.
Femur.   The bone of the thigh.
First Intention.   See Union  by
  the.
Fistula.   An obstinate, tube-like
  sore, with a narrow orifice; adj.
  Fistulous.
Fistula Lachrymalis.  An ulcera-
  ted opening in the lachrymal sac.
Flatus.   Wind in  the intestines.
  Flatulency.
Fcstus.   The infant in the womb.
Fomentation.  The application of
  flannel wet with warm Avater.
Functional  Dl*kases.   Those  in
  which  there is  supposed  to be
  only derangement of action.
Furunculus.  A boil.
Furunculus Malignans. Carbuncle.
Gangrene.  Incipient mortification.
  Adj. Gangrenous.
Gastralgia.  Pain in the stomach.
Gastric  Belonging to the stomach.
Gastritis.  Inflammation  of the
  stomach.
Gastrodynia.  Vide Cardialyia.
Gland.  A small body  met with
  in many parts  of the body, and
  consisting  of various  tissues,
  blood-vessels, nerves, etc.
Glossitis.  Inflammation  of the
  tongue.
Glottis.  Opening  of  the wind-
  pipe.   The superior opening of
  the larynx.
Granulation.  See Incarnation.
Hematemesis.  Vomiting of blood.
Hemoptysis.  Discharge of blood
  from the lungs.   Spitting of
  blood.
Hemorrhage.  Discharge of blood.
Hemorrhoides.  Piles.
Hectic Fevkr.  Habitual  or  pro-
  tracted fever.
Helminthiasis.  Worm disease.
Hemiplegia.  Paralysis of one side
  of the body, longitudinally.
Hepatitis.   Inflammation  of the
  liver.
Hepatization. Structural derange-
  ment of the lungs, the result of
  inflammation,   changing  them
  into a substance resembling the
  liver; hence its name.
Hernia.  Rupture.
Hernia Congenital.   Congenital
  hernia.  Literally, hernia from
  birth.
Herpes Circinnatus.  Ringworm.
Hordeolum.  Stye.
Hydrocephalus.   Water in  the
  head.
Hydrophobia Symptomatica.
  Symptoms   resembling   those
  arising from  hydrophobic  virus.
  appearing during the course of
  other diseases.
Hypertrophy.  A morbid increase
  of any organ, arising from  exces-
  sive nutrition.
Hippocratic  Sunken and corpse-
  like.
Hypochondrium.  Region of  the
  abdomen, contained  under  the
  cartilage of the false ribs.
Hypochondriasis.  Spleen disease;
  great depression of spirits, with
  general derangement;  bA].  Hypo-
  chondriacal.
Hypogastrium.   The lower  ante
  rior portion of the abdomen.
Hysteria.  Nervous  affection; al-
  most peculiar to females.
Ichor.  A  thin, watery discharge
  secreted  from wounds, ulcers,
  etc.; adj. Ichorous.
Icterus.  Jaundice.
Icterus Neonatorum. Jaundice of
  infants.
Idiopathic  Original or primary
  disease.
Idiosyncrasy.   Individual peculi-
  arity.
Ilium.  The haunch-bone; it, to-
  gether with the pubis, sacrum,
  and ischium,  contributes to form
  the pelvis.
Ileus Miserere.  A form of colic,
  a twisting pain in the region of
  the navel.
Incarcerated.   Strangulated  or
  constricted;  a term  applied  to
  rupture.
Incarnation. The process by which
  abscesses or  ulcers are healed; 
GLOSSARY  OF MEDICAL TERMS.
525
  this takes place by means of
  little  grain-like  fleshy  bodies,
  denominated granulations,which
  form on the surface of ulcers or
  suppurating wounds, etc., and
  serve the double purpose of fill-
  ing up the cavities and bringing
  closely  together, and  uniting
  their sides.
Incubus.   The nightmare.
Infection.  Propagation of disease
  by effluvia.
Infiltration.  Diffusion of fluids
  into the cellular tissue.
Integuments.   The coverings of
  any part of the body.  The skin,
  with the adherent fat and cellu-
  lar membrane, form  the common
  integuments.
Intention.  See Union by the first.
Ischias.  Pain in the hip.
Ischuria.  Suppression of urine.
Lachrymation.  Tear-shedding.
Lactation.   Suckling;  also  the
  process of the secretion  of milk.
Lacteal.  Appertaining to the pro-
  cess of the secretion of milk.
Lactiferous.  Conducting or con-
  veying the milk.
Laryngeal.  Belonging to the lar-
  ynx.
Laryngitis.  Inflammation of the
  larynx.
Larynx.  Upper part  of the wind-
  pipe.
Lesions.  Injuries inflicted by vio-
  lence, etc.
Lesion, Organic   Structural de-
  rangement or injury.
Leuco-phlegmatic  Torpid or slug-
  gish;  mostly applied to a tem-
  perament characterized  by want
  of  tension of fibre; with  light
  hair, and general inertness of the
  physical and mental powers.
Leucorrhcsa. Female sexual weak-
  ness;  vulg. whites.
  Lochia.   Discharge  from the
  womb after delivery.
Lumbago. Rheumatism in the loins.
Lumbar. Appertaining to the loins.
Lumbricus.  The round  or long
Luxation.  Dislocation.
Lymph.   A colorless liquid, circu-
  lating in the lymphatics.
Lymphatic  As applied to  tem-
  perament; same as leuco-phleg-
  matic.
Lymphatics.   Absorbent  vessels
  with glands and valves distribut-
  ed over the body.
Lymphatic  Glands.   Conglobate
  Glands.   These are  composed
  of a texture of absorbents, or
  lymphatic vessels, connected to-
  gether  by a cellular membrane.
Mamma.  The breast in the female;
 . adj. Mammillary.
Mania.   Insanity; madness.
Marasmus.  A wasting away of the
  body.
Materia  Medica Pura.   The title
  of that splendid work of the im-
  mortal Hahnemann, in which the
  true properties of medicaments
  are given, as determined by ex-
  periment upon the healthy body.
Maxillary.  Appertaining to the
  jaws.   The superior and inferior
  maxillary bones from  the upper
  and lower jaws.
Megrim.  A pain affecting only one
  side of the head.
Meibomean Glands.  Small glands
  within the inner membrane  of
  the eyelids.
Menorrhagia. Excessive discharge
  of blood from the uterus.
Menses and Menstrual Flux. The
  monthly period.
Meningitis Spinalis.    Inflamma-
  tion of the spinal membranes.
Metastasis.  The passing of a dis-
  ease from one part to another.
Meteorismus.   Extreme inflation
  of the intestines.
Metrorrhagia. Discharge of blood
  from the womb.
Miasm, or Miasma (Marsh).  Pecu-
  liar effluvia or emanations  from
  swampy grounds.
Micturation.   Urination.
Miliaria.   Eruption  of minute
   transparentvesicles of the size of
   millet seeds: miliary eruption. 
526
GLOSSARY OF MEDICAL TERMS.
Miliaria Purpura.  Scarlet-rash.
Morbus Coxarius.   Disease of the
  hip; hip-disease.
Mucous Membrane.   The mem-
  brane which lines the sides of
  cavities which communicate with
  the external  air, such  as  that
  which lines the mouth, stomach,
  etc.
Mucus.  One of the primary animal
  fluids; secretion from the  nos-
  trils.
Myelitis.    Inflammation  of  the
  spinal-marrow.
Myopia. Short sight; near-sighted-
  ness.
Narcotic   Having the property
  of inducing sleep.
Nasal.  Belonging to the nose.
Nasal Cartilages.  The cartilages
  of the nose.
Nephritis.   Inflammation of the
  kidneys.
Neuralgia  Facialis.  Face-ache.
Nodosities.   Swellings; nodes, a
  swelling of the bone or thicken-
  ing of the periosteum.
Notalgia.  Pains in the loins.
Occiput. The posterior part of the
  head.
Odontalgia.  Toothache.
(Edema. Swelling; dropsical swell-
  ing; adj. CEdematous.
Olfaction.   The act smelling.
Omentum.   The caul.  The viscus
  consists of folds of the perito-
  neum connected together by cel-
  lular tissue;  it is attached to the
  stomach, lying  on the anterior
  surface of the bowels.
Ophthalmia. By this term is now
  usually understood simple  in-
  flammation of the  Conjunctiva.
  Catarrhal Ophthalmia.
Ophthalmic Nerve.    The  first
  branch given off from the Gasse-
  rian ganglion of the fifth pair of
  nerves; it divides into the lachry-
  mal, frontal, and nasal nerves.
Ophthalmitis.  Inflammation of the
  entire ball of the eye.
Organic Disease.   In  pathology,
  diseases in which there is  de-
  rangement or alteration of struc-
  ture, are termed organic.
0s  Uteri.  The mouth or opening
  of the womb.
Ossicula  Auditoria.   The  small
  bones of the ear.  They are situ-
  ated in the cavity of the tympan-
  um, and  are  four  in  number:
  termed the malleus, incus, stapes,
  and os orbiculare.
Otalgia.  Earache.
Otitis.  Inflammation of the ear.
Otorrhea.  A discharge, or run-
  ning from the ear.
Ozsena.  An ulcer situated in the
  nose.  See Ozatna.
Palate Bones.   These are placed
  at the back  part of the roof of
  the mouth, between the superior
  maxillary and  sphenoid bones,
  and extend  from thence to  the
  floor of the orbit.
Palpitatio Cordis. Palpitation of
  the heart.
Panaris.    Whitlow;  panaritum;
  paronychia.
Pancreas.  A gland situated trans-
  versely behind the  stomach.
Paralysis. Palsy.
Paralysis Paraplegica. Paralysis
  affecting one-half  of the  body
  transversely.
Parenchyma.  The connecting me-
  dium of the substance of  the
  lungs.
Parotitis.   Inflammation of  the
  parotid gland; the mumps.
Paroxysm.  A periodical fit of a
  disease.
Parturition.   The act of bringing
  forth.
Pathogenetic  The producing or
  creating of  abnormal  pheno-
  mena.
Pathognomic    Characteristic  of,
  and peculiar to, any disease.
Pathology.   The investigation of
  the nature of disease.
Pectoral.  Appertaining to  the
  chest.
Pectus.   The chest.
Pelvis.  The  basin-shaped cavity
  below  the abdomen, containing 
GLOSSARY  OF MEDICAL TERMS.
527
  the bladder  and  rectum, and
  womb in woman.
Percussion.   The act of striking
  upon the chest, etc., in order to
  elicit sounds to ascertain the state
  of the subjacent parts.
Pericarditis. Inflammation of the
  Pericardium (sac containing the
  heart).
Perineum.  The space between the
  anus and the external sexual or-
Periosteum. The membrane which
  envelopes the bones.
Peritonaeum.   The  serous  mem-
  brane which lines  the cavity of
  the abdomen, and envelopes the
  viscera contained therein.
Peritonitis.  Inflammation of the
  peritoneum.
Petechia.   Spots of a red or pur-
  ple hue, resembling a flea-bite.
Phagedenic  A term applied to
  any sores which eat  away the
  parts, as it were.
Pharynx.   The throat, or upper
  part of the gullet.
Phase.  Appearance, or change ex-
  hibited  by any body,  or by dis-
  ease.
Phlebitis.   Inflammation of the
  veins.
Phlegmatic  Vide,  Leuco  Phleg-
  matic.
Phlegmon.  An inflammation of
  that nature which is  otherwise
  termed healthy inflammation.
Phrenitis.   Inflammation of the
  brain.
Phthisis (Pulmonalis).  Consump-
  tion, abscess of the lungs.
Physiology.  The branch of medi-
  cine which treats of  the  func-
  tions of the human body.
Plethora.   An excessive fullness
  of the blood-vessels.
Pleura.    The  serous  membrane
  which lines  the  cavity of the
  thorax or chest.
Pleuritis or Pleurisy. Inflamma-
  tion of the pleura.
Pleurodynia.   Pain or stitch in
  the side.
        47
Pneumonia,   Pneumonitis,  Peri
  pneumonia. Inflammation of the
  parenchyma of the lung.
Polypus.  A tumor most frequent-
  met with in the nose, uterus, or
  vagina.
Porrigo Scutulata.   Ring-worm
  of the scalp.
Precordial Region.   The fore-
  part of the chest.
Prognosis.  The act of predicting
  of what will  take place in  dis-
  eases.
Prolapsus Ani.  Protrusion of the
  intestines.
Prosopalgia.  Face-ache.
Prurigo.  Itching of the skin.
Psoas Muscles.    The name  of
  two muscles situated in the loins.
Psoitis.  Inflammation of the psoas
  muscles.
Pubis.  The pubic or share-bone.
Puerperal  Fever.  Appertaining
  to child-bed.
Puriform.  Pus-like, resembling
  pus.
Purulent.   Of the character of
  pus.
Pus.  Matter.   A whitish,  bland,
  cream-like  fluid, found  in ab-
  scesses, or on the surface of sores.
Pustule. An elevation of the scarf-
  skin, containing pus or lymph,
  and having an inflamed base.
Pyrosis. Heart-burn; water-brash.
Quinsy.  Inflammatory sore  throat.
Quotidian.    Intermittent,  about
  twenty-four  hours  intervening
  between the attacks.
Rabies.  Madness arising from the
  bite of a rabid animal, generally
  applied to the disease showing
  itself in the brute creation.
Rachitis.  The rickets.
Raucitas.   Hoarseness.
Rectum.  The last of the large in-
  testines, terminating in the anus.
Remittent.  A term applied to fe-
  vers with marked remissions, and
  generally subsequent exacerba-
  tion.
Repercussed.   Driven in.
Resolution.   A termination of in- 
52 ti
GLOSSARY  OF MEDICAL TERMS.
  flamniatory affections  without
  abscess, mortification, etc.  The
  term is also applied to  the dis-
  persion of swellings, indurations,
  etc.
Rheumatic Ophthalmia.  Inflam-
  mation of the tunica albuginea,
  and of the sclerotica.
Rose.  A term applied to  erysipe-
  las, from its color.
Rubeola.  Measles.
Sacrum.  The bone which  forms
  the base of the vertebral column.
Saliva.   The fluid secreted by the
  salivary  glands into the cavity
  of the  mouth.
Sanguineous.  Consisting of blood.
Sanies.  A thin, greenish discharge
  of fetid matter, from sores,  fis-
  tula?, etc., adj. sanious.
Scabies.  Psora.  Itch.
Scapula.  The shoulder blade.
Sciatica.   A rheumatic affection
  of the hip-joint.
Sciatic Nerve.  A  branch of  a
  nerve of the lower extremity.
Scirrhus.  Indolent, glandular tu-
  mor, generally preceding cancer
  in an ulcerated form.
Sclerotica.   The hard membrane
  of the eye; it is situated im-
  mediately  uuder  the  conjunc-
  tiva.
Scorbiculus.   Pit of the stomach.
Scorbutus.   Scurvy.
Scrofulous Ophthalmia.  Inflam-
  mation of the conjunctiva, with
  slight redness, but great intoler-
  ance of light, and the formation
  of pimples, or small pustules.
Secretory  Vessels,  or   Organs.
  Parts  of the animal economy,
  which separate or secrete the vari-
  ous fluids of the body.
Semi-lateral. Limited to one side.
Sinus.  A cavity or depression.
Solidification. Vide Hepatization.
Somnolence.   Disposition to sleep.
Specific  A  remedy possessing a
  peculiar curative action in certain
  diseases.
Spleen.  A spongy, viscous organ,
  of a livid  color, placed on  the
  posterior part of the left hypo-
  chondrium.
Splenitis. Inflammation of spleen.
Splints. Long, thin pieces of Avood,
  tin,  or  strong  pasteboard, used
  for preventing the extremities of
  fractured bones from moving so
  ;is to interrupt the  process  by
  which they are united.
Sputa.  Expectoration of different
  kinds.
St.  Anthony's  Fire.   Erysipelas.
Stertorous.  Snoring.
Stomacace.   Canker or scurvy of
  the mouth.
Strabismus.   Squinting.
Strangury.   Painful discharge of
  urine.
Sternum.  The breast-bone.
Stethoscope.   An  instrument to
  assist the ear, in examining the
  morbid sounds of the chest.
Stricture.    A constriction  of a
  tube or duct of  some part of the
  body.
Struma.  Scrofula.   The  king's
  evil; adj. Strumous.
Sty.  An  inflammatory small tu-
  mor  on the eyelid.
Sub-maxillary.  Under the jaw.
Sub-maxillary  Glands.    Glands
  on the inner  side of the loAver
  jaw.
Sub-mucous Tissue.  Placed under
  the mucous membrane.
Sudorifics.   Medicines Avhich pro-
  duce SAveating.
Sugillation.  A bruise, or extrava-
  sated blood.
SurpuRATiONi  The morbid  action
  by which pus  is  deposited, in
  inflammatory tumor, etc.
Syncope.  Fainting or swooning.
Synocha.  Continued inflammatory
  fever.
Synovia.   A  peculiar unctuous
  fluid secreted within the joints,
  Avhich it lubricates, and thereby
  serves to facilitate their motions.
Synovial  Membrane.  The mem-
  brane which lines the cavities of
  the joints, and secretes the syno-
  via. 
GLOSSARY OF MEDICAL  TERMS.
52(J
Tenia.   Tape-worm.
Tartar.   A concretion incrusting
  the teeth.
 Temporal.  Appertaining to tem-
  ples.
Tendon.   The white and shining
  extremity of a muscle.
Tenesmus.  Painful and constant
  urging to  alvine evacuations,
  without a discharge.
Tetanus, adj. Tetanic A spasmodic
  rigidity of the parts affected.
Therapeutics.   That branch of
  medicine  describing the  action
  of the different means employed
  for the curing of diseases and of
  the application of those means.
 Thorax.  The chest, or  that part
  of the body situated between the
  neck and the abdomen.
 Thrush.   Numerous small, white
  vesicles  in  the  mouth.   See
   Thrush.
 Tic Douloureux.   Face-ache.
 Tinea Annularis.  Tinea Capitis.
   Ringworm of the scalp.
 Tinea Faciei.  Milk-crust; milk-
   scab.
 Titillation.  Tickling.
 Tonic   Medicines which are said
   to increase the tone of the  mus-
   cular fibre when debilitated and
   relaxed.
 Tonsils.   The  oblong, sub-oval
   glands placed between the arches
   of the palate.
 Tonsilitis.   Inflammation of the
   tonsils.
 Trachea.  The windpipe.
 Tracheotomy.  An operation  by
   opening the windpipe.
 Traumatic.   Appertaining  to
   wounds; arising from wounds.
  Tremor.  Trembling.
  Trismus.  Lock-jaw.
  Trituration.  The reduction of a
    substance to minute division, by
    means of long-continued rubbing.
  Tubercle.  A small, round, erup-
    tive    swelling,   anatomically
     speaking.   In  pathology,  the
     name is applied to  a  peculiar
     morbid product  occurring   in
  various  organs  or textures, in
  the form of small,round, isolated
  masses of a dull whitish yellow,
  or yellowish gray color, opaque,
  unorganized,  and  varying  in
  shape and consistence according
  to  their stage of development
  and the texture of the part in
  which they are engendered.
Typhoid.  Applied to  diseases of
  a low character.
Umbilical Cord. The navel string.
Umbilicus.  The navel.
Union   by the  first  intention.
  The  healing  of wounds by ad-
  hesion; the growing together of
  the opposite surfaces of a wound,
  when brought into close approxi-
  mation, without suppuration or
  granulation.  The latter process
  of healing is sometimes desig-
  nated the second intention.
Urethra.  The urinary canal.
Urticaria.  Nettle-rash.
Uterus.  The womb.
Varicella. Pimples, quickly form-
  ing pustules, seldom passing into
  suppuration, but  bursting at the
  point and drying  into  scabs.
  Chicken-pock.
Variola.  Small-pox.
Variola.   Spuria.   (Varicella.)
   Chicken-pock.
Varix, plur. Varices.  Swelling or
  enlargement of the veins.
Venesection.  The abstraction of
  blood by opening a vein.
Vertigo.  Giddiness, with a sen-
   sation as if falling.
 Vesicle.   A  small, bladder-like
   eruption; an elevation of the cu-
   ticle  containing  a  transparent,
   watery fluid.
  Vicarious.  Acting as a substitute.
  Virus.   Contagion or poison.
  Viscid.  Glutinous and gelatinous.
  Viscus, plur. Viscera.   Any organ
   of the system.   A bowl.
  Vomica.  An  abscess of the  lungs.
  Zygomatic Process.  A thin, nar-
   row projection of bone,  defining
   the squamous portion of the tem-
   poral bone at its base. 
 
INDEX.
                           PAGE
Abdomen, dropsy of the.....332
    "    external injuries of
  the......................334
Abdominal inflammation .... 286
Ablutions.................. 441
Abortion.................. 361
Abscesses..................  78
Abscess in the gums........ 193
Acute dropsy .............. 253
Adherence of the after-birth.. 366
Affections of the ears........ 153
    "       "   eyes....... 141
    "       "   face, lips, and
                  jaws.....173
            "   head  ...... 117
    "       "   mind...... Ill
      from fright and fear ... Ill
      excessive joy......... Ill
      grief................ HI
      home sickness........Ill
      unhappy love........ Ill
      jealousy............. Ill
      mortification, insult... Ill
      contradiction and  cha-
         grin  .............. Ill
      violent anger........112
     "     of the nose........ 163
     "     "     penis......344
     «     "     stomach and
                  bowels.... 256
     «     "     teeth, gums,
                  and mouth 179
     "     "     testicles___344
     «     "     throat...... 197
     «    "     windpipe
                  and chest . 208
     «    "     urinary  and
                  genital or-
                  gans ......335
 After birth, Adherence of the 366
                          page
After pains................367
Agrypnia  .................. 15
Ague in the breast..........369
Air and exercise............431
Alimentary organs, Anatomy
  of.........:.............405
Allopecia.................. 140
Amaurosis................ 149
Amblyopia................ 149
Amenorrhea................350
Amygdalitis...............206
Anatomy and Physiology 389, 391
Anatomy of the bones...... 394
Anger  .................... 112
Angina faucium............ 197
  "    gangrenosa  ........204
  "    membranacea  ......211
Anorexia..................256
Anthrax...................   79
Anury ....................338
Anus, itching of the........330
Aphonia ..................208
Aphtha?...................  378
Apoplexia  ................  124
Apoplexy..................  124
Apparent death from hunger .   24
     "    from drowning ....   24
     "    from freezing......   26
     "    from hanging, chok-
           ing, or suffocating
           by burdens  and
           pressure........   26
     "    from noxious vapors  27
     "    from a fall  or blow.   27
     "    of a new-born infant 375
 Appetite, morbid  .."........  257
         want of..........  256
 Arachnoiditis..............  125
 Arthritis...................    6
 Ascaris lumbricoides........297
                     (531) 
532
INDEX.
                           TAGE
Ascaris, vermicularis........ 297
Asiatic cholera  ............ 321
Asphyxia.................. 375
Asthma....................247
    "  Millari............. 384
    "  of Millar............ 252
    "  of children.......... 384
Backache..................   8
Bad taste in the mouth......189
Bedridden................  69
Bedsore....................  69
Biliousness................265
Bilious colic...............276
Bilious remittent fever...... 100
Bilious fever............... 100
Bilious rheumatic fever......  91
Birth, premature........... 364
  "   regular.............. 364
Bites and stings of insects ...  35
Bites of serpents............  36
Black vomit..............94, 268
Bladder, inflammation of the. 337
    "   piles of the.........342
Bleeding of the nose........165
Blindness..................149
    "    incipient......... 149
    "    sudden  .......... 149
         by night.......... 150
    "    by day  ..........150
Bloody flux................ 315
Boils......................  79
Bowels, affections of the .... 256
    "  inflammation of the.. 288
    "  looseness of the......309
Breast....................368
  "  ague in the........... 369
  "  gathered.............. 369
Breath,  offensive............ 188
Bronchitis.................211
Bulimy....................257
Burns and scalds...........  33
Buzzings of the ears........ 158
Calculus................... 343
Cancer.....................  80
  "    of the face........... 177
  "    of the nose.......... 172
Canker of the mouth........ 191
Carbuncles.................  79
Cardialgia..................270
Carditis.................... 236
Caries of the teeth.......... 188
Carious teeth............... 188
                           l'AGK
Cataract................... 149
Catarrhal cough............216
         dry............... 216
    "    loose.............216
Catarrh.................... 170
Cessation of the menses..... 354
Chafing of bedridden patients  69
Chagrin....................Ill
Change of life..............354
Chancre................... 346
Chapped hands from working
    in water...............  70
Chest, affections of..........208
  "   congestion of the......241
  "   contusion of the......254
  "   dropsy in the........252
Chicken-pox...............  CI
Chilblains.................  68
Children, treatment of....... 375
Chills and fever............ 104
Chlorosis.................. 349
Choking fits................ 384
Cholera Asiatica............ 321
   "    infantum........... 386
   "    morbus............. 319
Cholerina.................. 328
Chorea....................  19
Chronic Angina............204
   "   dropsy of the chest... 253
   "   dyspepsia............258
   "   eruptions............  66
   "   hoarseness...........210
   "  inflammation of the eyes 145
Circulation of the blood.....412
Clap...................... 346
Clavi pedis.................  74
Clothing and occupation..... 433
Cold in the head............ 167
  "   in the chest...........    6
  "   in the stomach........    6
  "   in the limbs...........    6
  "   swelling..............  78
Colica..................... 275
Colic bilious............... 277
  "   flatulent or windy.....277
  "   painter's or lead.......277
  "   with obstinate constipa-
      tion ................277
      caused by piles or hemor-
      rhoids ............... 277
  "   inflammatory intestines. 277
  "   from worms........277,301 
INDEX.
533
                           PAGE
Colic from indigestion....... 277
  '*  from indignation, rage . 277
  "  from a chill...........277
  "  from cold, damp weather 277
  "  from bathing.......... 277
  "  from external injuries .. 277
  "  in children............ 279
  "  in pregnant or lying-in
        women............278
  "  in hysterical women ... 278
  "  at time of menses......278
  "  from low spirits.......278
  "  during confinement.... 374
griping.
275
     of infants.............376
Common or ephemeral fever..  84
    "   sore throat........197
Concussions................  32
Confinement, duration of .... 367
Congestio ad caput.....---. 117
Congestion and stagnation of
    blood in the abdomen.... 284
Congestion of  blood  to  tho
            head...........H7
    "    of the chest.......241
    "    or determination of
          blood to the head  117
    "    from great joy.....118
    "    fright or fear...... 118
    "    anger, violent.....118
    "    anger, suppressed.. 118
    "    a fall or blow.....118
    "    loss of blood.....« 118
    "    a cold............ H8
    "    constipation....... 118
    "    drinking liquors... 118
    "    sedentary habits ... 118
    "    critical periods of
            girls........... 118
    "    stoppage  of  men-
             struation.......118
    "    dentition in children 118
 Congestive fever............   91
 Constipation....i;.....:::::3084

 Consumption, galloping.....254
       "      pulmonary.... 25 J
       «      scrofulous .... 254
 Contagious typhus..........  91
 Contradiction..........• • • • 1U
 Contusion of the chest,  by a
     fall or blow............254
                           PAGE
Convulsions or spasms of in-
              fants ........380
      "     in labor........365
Corns......................  74
Coryza....................167
Coryza of infants........... 376
Costiveness................304
Cough..................... 216
  "   croupy...........211,212
  "   hooping.............223
Coughing up of blood.......242
Courses....................347
Coxagra...................  10
Coxalgia...................  10
Coxalgia infantilis..........  10
Cracked  skin from cold......  70
Critical period.............. 354
Cramp in the legs...........  13
Cramps iu labor............365
Croup..................... 211
Croupy cough...........211, 212
Crustea lactea..............  72
Crying of infants...........376
Cutaneous diseases.........  45
Cystitis....................  337
Deafness...................  158
Debility during confinement..  374
Deficiency of milk..........370
Delirium tremens...........   18
Delivery, treatment after.....366
 Dentition..................381
 Determination of blood to the
     head..................117
 Diabetes...................341
 Diaphragm, anatomy and phy-
     siology of the...........403
 Diaphragm, inflammation of
     thef...................285
 Diaphragmitis..............285
 Diarrhea................... 309
     "   chronic............. 312
     "   in lying-in females  .. 312
     "   of infants...........382
     "   from worms.........301
 Different forms of typhus ....  87
 Different  modes of applying
     cold water.............441
 Difficulty of speech......... 198
 Discharge from the womb dur-
      ing confinement........ 373
 Diseases caused by the  pre-
      sence of worms.........300 
534
INDEX.
                           PAGE
Diseases   consequent   upon
    scarlet fever  and scarlet
    rash ..................  59
Diseases during pregnancy .. 358
    "  of females.......... 247
    "  of the heart........236
Dislocations of joints......  30
Disposition to fester........  69
Disorders consequent  upon
    measles................  53
Dizziness.................. 121
Douche....................452
Drop-bath.................451
Dropsy of the chest........ 252
    "  of the abdomen......332
    "  of the brain......128, 383
    "  of the scrotum...... 345
Duration of confinement .... 367
Dysentery.................315
Dysmenorrhea .............350
Dyspepsia................. 257
    "      recent.......... 258
Dysury.................... 338
Earache................... 156
Ears, affections of the.......153
Ears, running of the........160
Elements of the human organ-
    ism ...................394
Elongation of the head of in-
    fants ..................376
Encephalitis...............125
Enlarged glands............  78
Enteralgia.................275
Enteritis...................288
Enteropyra.................100
Enuresis...................339
    "  nocturna............340
    "  spastica............ 340
Epilepsia..................  18
Epilepsy..................  18
Epistaxis.................. 165
Eruptions and swelling of the
    external ear............153
Eruptions of the face........173
Eruptions of the genital ^or-
    gans ...................345
Eruptions on the  nose.......164
Eruptive fevers.............  45
Erysipelas bullosum........  47
    "      erraticum........  48
     "      oedematodes......  50
           of face and lips... 173
                           PAGE
Erysipelas of infants........379
    "     of the nose....... 163
          of the throat___, 203
    "     on the scrotum ... 346
    "     or St. Anthony's
            fire............  47
    "     wandering.......  48
Excoriations................  69
    "       of infants......379
Exercise...................431
External injuries............  28
    "      "    of the abdo-
                  men.....334
Eyes, affections of.......... 141
Face-ache.................. 174
Face, affections  of. -......... 173
Fainting...................  22
Fall-baths................. 457
Falling off of the hair....... 140
    during confinement.....374
Falling of the body.........331
   "    of the eyelids........ 151
   "    of the palate.........207
   "    of the womb........ 355
   "    False pleurisy.......234
Far-sightedness............ 151
Fatigue....................  22
Fear....................... 112
Febris intermittens......... 104
   "   remittens............100
   "   simplex.............  84
Felons.....................  75
Females, diseases of........347
Festering..................  69
Fever and ague............ 104
Fever-cake.................297
Fever and chills............104
  "   bilious............... 100
  "   bilious remittent......100
  "   congestive............  91
  "   ephemeral or common..  84
  "   gastric...............100
  "   inflammatory.........  85
  "   intermittent.......... 104
  "   irritative, inflammatory,
        torpid.............  83
  "   milk.................368
  "   puerperal............373
  "   remittent of infants.... 384
  "   rheumatic............  91
Fevers.....................  81
  "    of infants............ 383 
INDEX.
535
                           PAGE
Fever, typhoid or nervous....  86
  "   yellow...............  91
Flatulency................. 264
Flatulent or windy colic.....276
Flooding.................. 352
Fluor albus................356
Food and drink............418
Foot-baths.................450
Foreign substances  in  the
                      eye .. 151
     "       "     in the ear . 162
     "       "     in the nose 172
Fractures of bones..........   28
French measles.............   54
Frenzy.................... 116
Fright..................... 112
Frozen limbs...............   38
Full-baths................. 445
Galloping consumption.....254
Gastralgia.................270
Gastric affections........... 266
   "   bilious affections.....266
   "   colic................ 277
       derangement.........265
   "   fever................  100
Gastritis................... 286
Gastroataxia............... 266
Gastrodynia biliosa......... 266
Gathered breast............  369
General  complaints  during
     confinement............ 374
General inflammatory fever ..   85
General plunging-baths.....446
Genital organs, affections of the 335
          "   eruptions of the 345
Giddiness.................. 121
Glaucoma..................  149
Gleet......................346
Glossitis...................  190
Goitre.....................  1^
Gonitis....................  1*
Gonorrhea................. "*4°
Gout
Gravel.....................  343
Green disease..............  •**"
Grief......................  Ill
Griping colic..............  275
Gumboils..................  19j>
Gums, affections of..........  179
Haematuria.................  343
Hematuria vesicalis........343
Hanging jaw...............  178
                           PAGE
Hardness of hearing........ 158
Headache.................. 129
    "    from  abuse of  to-
          bacco ............ 135
    "    excess of bodily or
          mental labor..... 135
    "    grief............. 135
    "    anger............. 135
    "    changeable weather 135
    "    from bathing...... 135
    "    suppressed  erup-
          tions ............ 135
    "    mechanical  injuries 135
    "    from  catarrh  and
    "     cold in the head.. 131
    "    from congestion of
          blood to the head . 131
    "    from constipation.. 133
    "    from drinking coffee 135
    "    from overheating .. 135
    "    drinking  ardent
          spirits........... 135
    "    loss of sleep....... 135
    "    external causes.... 134
    "    gastric derangement 134
    "    nervous.......... 137
    "    from rheumatism .. 132
    "    sick.............. 135
 Head,  affections of.......... 117
 Head-baths................. 447
 Heart-burn................. 264
 Heart, diseases of........... 236
   "   inflammation of the ... 236
   "   palpitation of the.....237
   "   rheumatism of the .... 239
 Heat of infants............. 378
 Heat spots................. 378
 Hemorrhage of the lungs---242
 HemoiThage with the urine ..  343
 Hemorrhoids............... 329
 Hemorrhoids vesicae.........  342
 Hepatitis......."........... 291
 Hernia..................... 331
 Herpes circinnatus..........   70
 Herpes.....................   70
 Hip disease................   10
 Hives......................   46
 Hoarseness acute...........  208
     "      chronic.........210
 Hsematemesis..............  268
 Haemoptysis................  242
 Home-sickness.............  Ill 
536
INDEX
                           PAGE
Hooping-cough............. 223
Humming of the ears........ 158
Humors in the ear.......... 153
Hydropathy................436
Hydrocele.................. 345
Hydrocephalus..........128, 383
Hydrops saccatus........... 333
Hydrophobia...............  37
Hydrothorax............... 252
Hygiene................... 418
Hygiene and Hydropathy.... 389
Hypochondria.............. 113
Hysteria................... 113
Icterus.................... 295
Ileus miserere...........292, 293
Impotence.................345
Incontinence of urine....... 339
Incontinentia urinas.........339
Incubus....................  16
Indigestion................264
Indurated glands...........  78
Induration of the skin......74, 75
Inflammation, abdominal.... 286
      "      in the abdomen
              after delivery. 373
             of the bladder . 337
             of the bowels.. 288
      "      of the brain ... 125
      "      in children.... 127
      '■      of  the   dia-
              phragm ...... 285
     *"      of the ear..... 155
      '•      chronic  of the
              eyes........ 145
      "      of the eyeball.. 144
      "      of the margins
              of the lids.... 143
      "      of the eyelid and
              the margins .. 142
             of the eyelid .. 142
      "      of the eyes from
              abuse of  mer-
              cury ........ 147
      "      of the eyeball.. 144
      "      of the eyes from
              scrofula...... 146
      "      of the eyes from
              syphilis or ve-
              nereal disease. 147
      "      of  the eyes,  of
              infants...... 377
             of the face___173
                           PARK
Inflammation of the heart---236
      "      of the kidneys. 335
      "      of the knee joint  12
             oftheHver.... 291
             of the lungs... 227
      "      of the lungs, or
              pneumonia in
              children..... 231
      "      of the nose.... 163
      "      of the palate .. 193
      "      of the penis ... 344
      "      of the spine—
              spinal marrow   9
      "      of the spleen .. 296
      "      of the stomach. 286
      "      of the testicles. 344
      "      of the tongue.. 190
      "      of the tonsils.. 206
Inflammatory colic.......... 277
Influenza.................. 214
Insult..................... HI
Intermittent fever........... 104
Internal ear................ 155
Intertrigo  .................. 69
Irritation of the skin........  66
Ischias....................  10
Ischury.................... 338
Itch ......................  71
Itching....................  66
  "   of the anus.......... 330
  "   in the ear............ 153
  "   of the nose.......... 165
  "'   on the private parts .. 360
Jaundice..................295
  "   of infants............ 379
Jaw-bone, swelling of ...... 193
Jaws, affections of.......... 173
Jealousy .................. Ill
Joy, excessive.............. Ill
Kidneys, inflammation of the 335
Labor-pains................ 365
Laryngitis  catarrhalis ...... 211
Lead-colic................. 277
Lethargy..................  21
Leucorrhea  ................356
Lienteria.................. 314
Lips, affections of.......... 173
Liver complaint........293, 296
  "  grown................286
  "  inflammation of the .... 291
Local applications..........454
Local baths................446 
INDEX.
537
                           PAGE
Lochia.................... 373
Lockjaw...................  20
Loin-ache..................   8
Looseness of the bowels . — 319
Love, unhappy  ............ HI
Lumbago..................   8
Lungs, hemorrhage of the.... 242
Malignant boils............  79
Malignant quinsy.......... 204
Mania .................... 116
  "   apotu................  18
Materia Medica........389, 461
Maw-worms................297
Measles....................  51
Medicinal diseases..........  43
Megrim.................... 137
Melaena....................268
Melancholia................ 116
Memory, weakness of....... 123
Meningitis  ................ 125
Menorrhagia  .............. 352
Menses, cessation of the .... 354
    "   suppression of the... 350
Menstrual colic........278, 350
Menstruation ..............347
       "       of too long du-
                ration ...... 354
       :<       painful ......350
       '       too  early.....  351
       "       too   late   and
                scanty .....  352
       "       too  copious....  352
 Mental exhaustion  .........   22
Metritis
373
Mictus cruentus............ 343
Milk bad, too thin, or repug-
  nant to the child  ........ 371
Milk-crust  ................  72
Milk, deficiency of  ......... dW
   <  excessive secretion of .. 371
  «  fever ................ 368
  «  leg .................. 374
  "  secretion of  • • • •...... 368
  "  suppressed secretion of 370
Mind, affections of the...... HI
Miscarriage...............* 361
Morbid appetite............^57
Morbilli ..................  51
Morbus Coxarius   ......---  10
Mortification and insult  --- HI
Mouth, affections of ...---- 179
Mouth, canker of   .......... 191
                           PAGE
Mouth, ulceration of........ 191
Mumps.................... 154
Muscles.................... 401
Myelitis  ..................   9
Myopia.................... 150
Nausea.................• •  • 267
Nausea  and vomiting during
  pregnancy  .............. 360
Nephritis..................335
Nervous and spasmodic cough
                        216, 217
    "    colic of women .... 278
    "    headache   ........137
    "    or typhoid fever ..  86
    "    svstem, anatomy of
            the............414
Nettle-rash ................  46
Neuralgia in the face........ 174
    "     in the head  ......137
    "     of the stomach .... 270
Nightmare ................  16
Nipples.................... 368
    "    sore................368
Nose, affections of.......... 163
   "  swelling of   ........ 163
Notalgia  ..................    8
Nursing women, sore mouth of 372
Nutrition Table............425
Obstruction of the menses  .. 348
      "   of  the nose in in-
             fants  ......;. 376
Occupation................433
Odontalgia................ 179
 Offensive breath............ 188
 Onania.................... 346
 Ophthalmia  .............. 144
 Otalgia.................... 156
 Otitis..................... 155
 Otorrhcea  ................. 160
 Overheating................   22
 Ozaena antri Highmori  ..... 171
    "   narium ............ 171
 Pain in the abdomen after de-
   livery  .................. 373
 Pain in the hip ............   10
 Pain in the stomach........ 270
 Pains, rheumatic............    «
   "   in the small of the back
         and loins..........    8
 Painter's or lead  colic  ......276
 Palate, elongation, swelling  of 207
    "   falling of the........  207 
538                        INDEX.
	PAGE |		PAGE
	237 |		345
Palsy......................	17		360
	237	Pseudo-typhus, or bilious-	
	75 17		Ml
			13
	151		195
" of the face and jaw.	177		373
	196		253
	443 154		264
			204
	389		197
	364		205
	344		116
" inflammation of the....	344		198
	211		45
	253		208
Physiology of the bones	400	Rawness of the skin in infants 379	
Piles......................	329	Real pleurisy...............	233
	342		378
	174		164
	297		364
Placenta, adherence of the..	366		233
	241		104
	233 233	Remittent fevers of infants... Respiratory and Circulatory	384
			
	234	organs, anatomy of the....	410
	234		377
	234	Retention of urine during con	
	233		374
	9,27		70
" in infants and child	231		6
			1 4
	232		2
	. «3«	" inflammatory ...	2
	. 233		4
	. 242	" shifting or wander	
		mg...........	3
	35		239
	. 39		70
	42		73
	4&	Running of the ears........	160
	A1-).		331
	346		195
Polypus of the bladder.....	342 161 . 171		, 71
			73
			33
	. 358		55
	364 331	Scarlet-fever ..............	. 55
		" " malignant.....	58
	355 174	Scarlet-rash ..............	. 54
			10
	6H	Scirrhus .................	80
 
INDEX.
539
                           PAGE
Scorbutus ................. 193
Scrofulus consumption .....254
Scrofulous sore eyes   ....... 146
Scrotum, dropsy of the .....345
    "    erysipelas on the .. 346
    "    prurigo on the .... 345
    "    tetter on the...... 345
Scurvy   ................... 193
Sea-sickness................ 269
Secretion of milk...........368
Seminal weakness.......... 345
Ship fever..................  91
Short-sightedness........... 150
Shower baths...............443
Sick headache.............. 135
Sitting  baths............... 448
Sitz baths.................. 448
Skin, anatomy of the........ 416
Sleep  .....................429
Sleeplessness...............  15
Sleeplessness  during confine-
    ment .................. 374
Sleeplessness  of infants..... 377
Small-pox..................  62
Snake-bitten.............. -  36
Snuffles ................... 376
Somnolency................  21
Sore mouth of infants .......  378
   "    "   of nursing women 372
   "  nipples...............  368
   "  throat................  197
   "  throat, chronic........204
Spasms in the stomach......270
Spasms of infants..........  380
Spasmodic pains
     «        "   in labor ...  365
     "        "   during con-
                   finement .  374
 Specks on the eyes..........  147
 Spitting of blood...........  242
 Spleen, enlargement of the...  296
 Spleen, indurated...........  296
 Spleen, inflammation of the .  296
 Splenitis ..................  296
 Spontaneous  limping.......  10
 Spots on the face........... 177
 Spots  on the  face   during
     pregnancy.............  361
 Spots  on  the  nose, black,
   y red....................164
 Sprains and concussions ....  32
 Squinting.............
151
                          PAGE
Stagnation of blood in the ab-
    domen .................284
Stammering................  198
St. Anthony's fire...........   47
State of the bowels after deli-
    very...................  371
Stings of insects............   35
Stitch in the side...........234
Stomacace.................  191
Stomach-ache..............  275
Stomach, affections of the....  256
    "    cold in the........    6
    "    inflammation of the 286
    "    neuralgia of the —  270
    "    sour..............264
    "    spasms and pains
           in the.......... 270
    "    weak.............  257
Stone in the bladder........ 343
Strabismus................151
Strangury.................338
Structure of the human organ-
    ism ................... 392
Struma....................   15
Stuttering.................. 198
St. Vitus's dance...........   19
Stye on the eyelid.......... 148
Stymatosis................. 343
Summer-complaint.......... 387
 Sunstroke.................. 129
 Suppression of the catarrh, or
     cold in the head........  169
 Suppression of the menses ... 350
 Suppression of the milk.....370
 Sweating..................457
 SAveating feet...............   14
 Swelling of the breasts in in-
           fants ............  376
     "    of the cheek.......  173
     "    of the ear.........  153
     "    of glands.........   78
     "    of the jaw-bone....  193
     "    of the nose........ 163
          of the palate......207
     "    of the tonsils......  206
     "    under the tongue ..  198
 Swooning..................   22
 Syncope...................  22
 Synocha...................  85
 Syphilis................... 346
 Taenia.....................297
 Tape worm................297 
540
INDEX.
                           PAGE
Tastes, different............ 189
Taste, loss of............... 190
Teeth, affections of.......... 179
Teeth, anatomy of the.......404
Teething................... 381
Testicles, affections of the--- 344
Tetanus...................  20
Tetter.....................  70
  "   dry.................  70
running
71
                           PAGE
Variola....................   62
Varioloid, or modified  small-
      bleeding.............  71
  "   ulcerating............  71
  "   on the scrotum.......345
Throat, affections  of......... 197
Throat, erysipelas of........203
Thrush....................378
Tic douloureux............. 174
Tinea capitis...............'  73
Tongue, inflammation of .... 190
   "    swelling of........ 190
   "    swelling under the.. 198
   '•'    ulceration of....... 191
Tonsils, inflammation of---206
Tonsils, swelling of.........206
Toothache................. 179
Treatment after delivery..... 366
Treatment of children.......375
Trismus...................  20
Tubercular consumption.....254
Tumors....................  78
Tussis convulsiva.......... 223
Typhoid pneumonia........229
Typhus....................  86
    "    versatile...........  88
    "    stupid.............  88
    "    putrid.............  88
    "    contagious.........  91
Ulcerated sore throat........204
Ulceration in the nose.......  170
Ulceration of the windpipe ..  211
Ulcers on the ear............  153
Ulcers.....................   76
Ulcers on the eyeballs.......  146
Umschlaege................454
Urinary organs,  affections of. 335
Urinary system, anatomy of .. 409
Urine, bloody.............. 343
Urine, incontinence of the.... 344
Urticaria...................  46
Vaccination................ 385
 Varicella...................  61
 Varicose veins.............. 361
pox
66
Variolois...................   66
Veins varicose..............  361
Verrucce...................   75
Vertigo....................  121
   "    from disordered  sto-
          mach ............  121
   "    from irritation of brain  121
   "    from suppressed ulcers
          and eruptions ....  121
   "    from riding in a car-
          riage ............  121
   "    from  congestion  of
          blood to the brain.,  121
Vomiting..................267
          after a fall........268
          of blood.........268
          bile..............268
    "     of mucus.........  269
          of water..........  269
          sour.............  269
Want of appetite............256
Warts.....................   75
Warts on the face...........  177
Warts on the nose...........  164
Water-brash................  264
Weakness of memory........  123
Weakness of sight..........  149
Weakness, seminal..........345
Weak stomach..............257
Weaning................... 371
Weeping or watery eyes..... 148
Wet bandages.............. 454
Wet linen sheets............ 456
Wetting the bed............  340
Whites.....................  356
White  swelling.............   10
   "      "     during  con-
                  finement ..  374
 Whitlows on the fingers.....   75
 Wind-colic.................276
 Windpipe,  affections of......208
 Windpipe, ulceration of the..  211
 Womb, falling  of the........355
 "Worm-colic................  301
 Worm-diarrhea.............  301
 Worm-fever................  301
 Worms.................... 297
 Wounds and bruises........  30
 Yellow fever.............  ^ 
^
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