w ''vi/Hi'V 4^U /:\ o^ s\ \. vx_x 4a *\\y r-\k\ j>Ar-i%.. ENLARGED AND ILLUSTRATED EDITION. HOMOEOPATHIC DOMESTIC PHYSICIAN; CONTAINING THE TREATMENT OF DISEASES; "WITH POPULAR EXPLANATIONS OF y ANATOMY, PHYSIOLOGY, HYGIENE AND HYDROPATHY: AN ABRIDGED MATERIA MEDLQA^ _ ^*J£E1p„ BY J. H. PULTE, H. D., *V/„ ENLARGED WITH SPECIAL HYDROPATHIC DIRECTIONS, AND ILLUSTRATED WITH ANATOMICAL PLATES. NINTH THOUSAND. CINCINNATI: MOORE & ANDERSON, PUBLISHERS, 28 WEST FOURTH STREET. NEW YORK: NEWMAN & IVISON. PHILADELPHIA: LIPPINCOTT, GRAMBO & CO. BOSTON: PHILLIPS, SAMPSON & CO. 1 852. WBK Entered, according to Act of Congress, in the year 1852, by J. H. PULTK, M.D., In the Clerk's Office of the District Court for the District of Ohio. ■W ^ no. H 303 3 CINCINNATI: C. A. MORGAN & CO., STEREOTYPERS, HAMMOND ST. PREFACE TO THE THIRD EDITION. In offering to the public a third edition of his work, the Author cannot but express his gratification at the favorable reception accorded, thus far, by the public, to his efforts to popularize as much as possible the beneficial effects of Homoe- opathy. The sale in this country of two large editions in the short space of fifteen months, and the immediate reprint of the work in England, have afforded such evidence of its adaptediiess to the wants of the sick, as is equally gratifying and unexpected. The consciousness of having been able by means of it to contribute to the diffusion of the knowledge of Homoeopathy, and to extend its benefits to many who might otherwise have been unacquainted with it, afford to him the highest reward for past labors, and have stimulated him to render this Third Edition still more worthy of appro- bation than were its predecessors. The whole work has been carefully revised, and such alte- rations and additions made as it was thought would render it more practically useful. In the conscientious desire of con- densing in it as much as possible of practical usefulness, the author has developed still farther, what was summarily touched upon in the previous editions, the use of Water as an auxiliary to the strictly medicinal treatment of disease. (iii) ly PREFACE. This, it is now almost generally admitted, when properly applied, may materially aid in many cases the specific effects of homoeopathic remedies, and the author feels, without entering into any discussion as to the relative merits of Homoeopathy and Hydropathy, although he indeed regards the latter as but the handmaid of the former, that the intro- duction into the work of a description of the different bene- ficial modes of applying water will be received with appro- bation by those for whose use it is prepared. Those who are entirely unacquainted with the application of water in disease, will find in the treatise on Hydropathy such general explanations, as are necessary to guide them ; while under the head of the different diseases, in which it may be beneficially applied, the more specific directions will be found, following the remedial treatment. The additions made on this subject amount, in the aggre- gate, to more than thirty pages of matter. The author has introduced into the present edition, in that part devoted to anatomy, such illustrations as he hopes may in some degree contribute to a readier comprehension of the wonderful structure of the human body, and bv so doin«- aid in a better understanding of disease itself. The Author. Cincinnati, March, 1852. PREFACES TO THE FIRST AND SECOND EDITIONS. Of late years a great deal of attention has been bestowed upon the preparation of popular works on the treatment of diseases, by the medical profession, as well by members of the Homoeopathic as of other medical 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 treatises, many valuable volumes having been issued from the press within a short time which have facilitated in a great degree the do- mestic use of the homoeopathic medicines. This service, rendered by the profession to the public in a liberal and generous spirit, has been amply 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. '. he author well recollects that the first " domestic physicians" which speared, were looked upon with distrust by some of the profession. .v.j But the people in general hailed them as welcome friends in their domestic afflictions, where counsel is so often needed at times when medical aid cannot be obtained. 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 silent, but efficient missionaries of truth, declaring it everywhere by facts and conquests over disease, won by the people themselves. The 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 practice of more than sixteen years. (v) PREFACES TO THE FIRST AND SECOND EDITIONS. In the pathology of the work he has followed mostly the views of Hufeland, who is generally practically useful, and of Schoenlein, who is precise and scientific. ... .-, t 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, Thysiology, Hvgiene, 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 eondensed 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 human system and its laws through the treatises on Anatomy and Physiology ; 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 engrossed the attention of the profession and of invalids. In this respect the author himself does not hesitate to declare that he considers Hydrop- athy, applied within her proper limits, the handmaid of Homoeopathy, and that these two, combined in this relationship, are destined to conquer the medical world. 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. The author, thankful for the favorable reception accorded to his work by the public, would express his grateful 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 thankfully received by the author, for by Buch co-operation alone will it be possible to arrive at the greatest degree of usefulness and perfection. Cincinnati, April, 1851. T^ a r 'he Author. TABLE OF CONTENTS. List of Medicines............................................xiii Introduction................................................xvii Dietetic Rules..............................................xxi PART I. 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...........................27 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.....................................................57 (vii) V11I 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 —Verrucse. Whitlows. Felons. Panaris. Ulcers. Abscesses. Tu- mors. Swelling of the Glands. Boils—Malignant Boils—Carbuncles. Scirrhus. Cancer..............................................~4 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— Intermittent Fever—Fever and Ague—Chills and Fever—Febris Inter- mittens ......................................................112 CHAPTER V. Affections of the Mind. Sudden Emotions. Hypochondria. Hysteria. Melancholia. Mania. 143 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 Memory. 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. b. 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.....................150 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, 6. From Scrofula, Scrofulous Sore Eyes. c. From Syphilis or Venereal Disease, d. From abuse of Mercury. 4. Sty 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....................................................175 CHAPTER VIII. Affections of the Ears. 1. External Ear and its surrounding parts, a. Eruptions and Swell- ing of the External Ear. b. 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....................................................187 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—Ozaena Narium. a. Ozaena Narium— Catarrh, b. Ozaena Antri Highmori. 6. Polypus of the Nose. Cancer of the Nose. 7. Foreign Substances in the Nose.................197 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....................................268 CHAPTER XI. 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 Swelling of the Tongue—Glossitis. 6. Canker of the Mouth— TABLE OF CONTENTS. Stomacace. 7. Inflammation of 1 he Palate. 8. Abscess in the Gums— Gum:boils—Swelling of the Jaw Bone. 9. Scurvy—Scorbutus. 10. Salivation—Ptyalism. 11. Paralysis of the Tongue. 12. Difficulty of Speech—Stammering. 13. Ranula, or Swelling under the Tongue. .214 CHAPTER XII. Affections* of the Throat. Sore Throat—Quinpy—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.......................233 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 Xotha. Remarks on Pneumonia. Pleurisy, a. Real Pleurisy, b. False Pleurisy—Stitch in the Side! Diseases of the Heart, a. Inflammation of the Heart. Corditis. b Palpitation of the Heart. Rheumatism of the Heart. Congestion of the Chest—Plethora Pectoris. Hemorrhage of the Luncrs — Haamoptvsis Asthma. Asthma of Millar. Dropsy in the Chest—Hydrothorax Pul' monary Consumption-Phthisis Pulmonalis. Contusion of the Chest by a Fall or Blow............... J ...................................243 CHAPTER XIV. Affections of the Stomach and Bowls. 1. Want of Appetite-Anorexia. 2. Morbid Appetite-Bulimv 3 Dyspepsia-Weak Stomach. 4. Waterbrash—Heartburn T^- ♦• -Flatulency-Sour Stomach-Pyrosis. 5. ^^^Sc^ rangement. Nausea-Vomiting. Sea-Sickness-Spasms Mo- the Stomach-Cardialgia-Neuralgiaof the Stomach 2^1 cT " Enteralgia-Stomach-ache. Congestion and Stagnation of Bin A 7 Abdomen. Inflammation of the Diaph^-DiaS^w^ '"^ Inflammation. 1. Inflammation of the Stomachica^ I' X™?™°* .nation of the Bowels-Enteritis. Inflammation of the Liver-Ho.T be. Jaund.ce. Tetanus. Inflammation of the Spleen 7^ P Worms. Diseases caused by the Presence of Worms nT^^ Costiveness. Diarrhea-LooseSess of Uie Bowels. l^sen^y ^7 TABLE OF CONTENTS. XI 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 .......................................................292 CHAPTER XV. Affections of the Urinary and Genital Organs. Inflammation of the kidneys—Nephritis. Inflammation of the Blad- der— Cystitis. Strangury. Dysury. Ischur/. Anury. Inconti- nence of Urine—Eneuresis. Diabetes. Piles of the Bladder. Polypus of the Bladder. Gravel and Stone in the Bladder—Calculus. Hemor- rhage with the Urine—Haamaturia—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..........................374 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 Chird. 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.387 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— Snuffles—Obstruction of the Nose—Coryza. Swelling of the Breasts in XII TABLE OF CONTENTS. Infants. Restlessness — Sleeplessness. Inflammation of the Eyes. Thrush, or Sore Mouth of Infants—Aphthae. 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................416 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. .431 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. 6. 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.............. 469 III. MATERIA MEDICA................................. 513 Glossary................................. ccq LIST OF MEDICINES. THEIR SYNONTMES AND ANTIDOTES. 1. Aconite. Aconitum Napellus (plant). Antidotes—Camphor, Nux vora., 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 vom., Veratrum. 5. Aurum. Aurum metallicum. Gold. (Metal.) Antidotes—Bella- donna, China, Cuprum, Mercury. 6. Belladonna. Deadly nightshade (plant). Antidotes—Coffea, Hyo- scyamus, Hepar sulph., Pulsatilla. 7. Belladonna00'. 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. Odja0 :. Is the two hundredth potency of Cina. (xiii) XIV LIST OF MEDICINES. 19. Cocculus. Indian berries. Coccle (vegetable). Antidotes— Cam- phor, Nux vomica. 20. Coffea. Coffee berries (vegetable). Antidotes—Aconite, Chamo- mile, Nux vomica. 21. Coffea00-. 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). Antid.tes—Coffea, Spiritus Nitri. 25. Crocus. Saffron (vegetable). Antidote—Opium. 26. Cuprum. Cuprum metallicum. Copper (metal). Antidotes—Bel- ladonna, China, Ipecac, Mercury, Nux vomica. 27. Drosera. Round-leaved Sun Dew (vegetable). Antidote—Cam- phor. 28. Dulcamara. Bitter Sweet. Woody Nightshade (plant). Anti- dotes—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. Sulphuret of Lime. Antidotes—Vinegar, Bella- donna. 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, Coffee, Phospho- rus, Sulphur. " 37. Ipecac Ipecacuanha (vegetable). Antidotes — Arnica Arsenic China. ' 38. Jalappa. Jalap (vegetable). Avtidote— 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).' Antidote— Camphor, Pulsatilla. 42. Mercurius (vivus). Quicksilver (mineral). Antidotes — A ■ 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). Alder (vegetable). Antidotes—Arsenic, Cam- phor. 56. Sanguinaria (Canadensis). Common Blood Root. 57. Secale (Cornutum). Ergot of Rye (vegetable). Antidotes— Camphor, Opium. 58. Sepia. Inky juice of the Cuttle-Fish (animal). Antidotes—Aco- nite, Spiritus Nitri, Vinegar. 59. Siltcea. 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 Vitae Tree (vegetable). Antidotes— Camphor, Pulsatilla. 70. Veratrum (album). White Hellebore (vegetable). Antidotes— Ipecac, Arsenic, Camphor, Coffea, Aconite, China. 71. Aloes. A ntidotes—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 mix- ture, 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 c , show- ing, in the Roman numerals, the potency. It is expected that the pre- parations of these latter for the boxes are made in the greatest purity and genuineness. They can be procured all ready 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 pa- tient. 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) xvm INTRODUCTION. parations of Mercury, only one kind has been used, and 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 essen- tially 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 treated 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 Cinacc, 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 \omceopathi- 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 per- sons 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 nearby, 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 during 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 " Hy- giene " 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, such as meats, eggs, and butter. In such cases, he should confine himself to a nutritious vegetable diet, such (xxi) xxJj 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 wholesome 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, raw or soft boiled Eggs, or eggs in Soups (except in cases of diarrhea). Meat Soups, Broths, seasoned with 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 Arrowroot, Tapioca, Farina, Sago, Salep, Oat-meal and the like. Irish Potatoes, Sweet Potatoes, Turnips, Carrots, Toma- toes, Cauliflower, Spinach and green Peas, or Beans (except in Colic and Diarrhea), Rice Hominy, Pearl Barlev, dried Peas, or Beans. Roasted or boiled, fresh-or dried Fruit, as Prunes, dried Currants, fresh, ripe, sweet Apples, Peaches, Strawberries, 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 Strawberry 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 with much Fat or Aromatics, Honey. All kinds of colored Sugar-work pre- pared 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, Whiskey, 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 fire-place, or open hall. Moderate exercise in the open air, as, also, a careful observance of all other hygienic rules (see the article on Hygiene) is strongly recommended. PART FIRST. DESCRIPTION AND TREATMENT OF DISEASES. ( XXV CHAPTER I. GENERAL DISEASES. Rheumatism. Diagnosis.—Pains in the muscles and membranes, together with swelling 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, we would 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, where it generates a pleurisy, not of the usual kind, but one which has the rheumatic character—a rheuma- tic pleurisy. In the same manner, we 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 changes of the atmosphere influence its severity. In (27) GENERAL DISEASES. ^^^Ti^^^^ res.pfiv; atfters' where the diseases of these organs are specially ^ate^ There exists an intrinsic difference between 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 washing and bathing, by acquiring regular habits, and following the rules, as laid down in the chapter on "Hygiene." a. Acute or Inflammatort 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 feverishness in alternation, thirst, constipation, and accele- rated pulse ; then the rheumatic pains appear in places where they either fix themselves, creating swelling, beat, and red- ness, or wander to other parts, where they repeat the same process, while those first attacked heal graduallv and get well. In acute rheumatism, we sometimes find a drv skin ; at other times, a very moist one, drenched with a watery 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, when the fever is high, the skin dry and hot, with excessive thirst and redness of the cheeks; shooting or tearing pains, worse at ni-ht 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. 29 Bryonia, in the same manner, when the pains are worse by motion or at night, when there is headache, fever, swelling of the joints, and gastric derangement, with constipation. Alter- nates well with Aconite or Rhus. (See this remedy.) Belladonna, when Bryonia does not relieve, or when the parts are much swollen, 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, with chilliness and a bruised sensation after sleep. Arnica: Bruised or sprained sensation in the joints of the bands, feet, and in the small of the back, with hard, red and shining swelling; feeling of numbness and crawling in the affected parts; the pains are aggravated by motion; the pa- tient is thirsty and irritable {alternates well with Rhus). Xux vomica, in alternation with Chamomile, when the parts are numb, cold air aggravates, temper is irritable, bowels con- stipated. 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 wants to be uncovered, and is of a mild temper and whining mood, worse 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, when the patient perspires profusely without being relieved by it. Lachesis suits well after Mercury. Dulcamara—-in an attack of rheumatism which immediately follows a severe exposure to cold; the pains set in at night, are worse during repose, with but little fever. 30 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 weather. This remedy, when the latter symp- toms are present, alternates well with Bryonia. (See Bilious Rheumatic Affection.) It is, also, of great use, when there is paralytic weakness or trembling of the extremities, on moving them. 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, weakness, or pains in the re-- bath in milkwarm water, in which he remains until he is per- fectly cooled off. These simple appliances, repeated as often as circumstances may require, are powerful accessories to the chronic rheumatism. 31 success of specific remedies. If the patient suffers from con- stipation, give him cold water injections and let him drink cold water freely. 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, however, gruels of farinaceous substances, oatmeal, farina, rice, etc., toast- water and cold water; during the fever, warm or cold lemon- ade and oranges. Cover the patient well with blankets, as many as his comfort dictates. Around the swollen joints and other parts affected, breast or neck, put wool, just from the sheep, or, at least, unwashed; this is necessary, however, only in case the patient cannot bear the hydropathic applica- tions. 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 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 weakened, that it first requires to be strengthened, which can only be done by a systematic hydropathic treat- ment. However, in case of rheumatism, where the system is yet strong, the medicines, as detailed below, may be used, and will be found efficacious in a majority of them. Beside the remedies recorded under "Acute Rheumatism," which 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 Detail.—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 GENERAL DISEASES. affected. Pains worse during repose, or in the warmth of the bed. Pain in the right shoulder and arm, better on movement. Arnica : Pains as if the parts were strained or bruised, with a feeling as if they were resting on too hard a surface; a ting- ling in the hand, red and shining swelling, worse when at- tempting to move. (Suitable before or after China, Arsenic, Rhus.) Dulcamara: Pains after getting cold and wet, worse at night, 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. Sulphur: In almost all cases of chronic, and after a spell of inflammatory rheumatism, when the pains yet lino-er about. Often after Aconite, Belladonna, Bryonia, Mercury, or Pulsa- tilla. Sepia: For rheumatic affections in tall, slender persons, especially females. Application of Water.—The use of the wet bandage is in many cases of this disease most grateful and advantageous ; it relieves pain and subdues inflammation, dissolves obstruc- tions and accelerates the circulation in the parts affected The application of the douche, or of ice and snow, is rather dangerous and must not be undertaken without the'advice of a physician, who is conversant in Hydropathy ; the samem-iy be said of the use of the partial baths, applied to the affected RHEUMATIC pains or cold--GOUT. 33 parts, as the reaction, following their use, might increase the inflammation. The dry packing, to excite perspiration, with the following washing or ablution, is good in some cases, par- ticularly where the pains are wandering, but must in a great many cases be dispensed with, as its frequent repetition would exhaust the system too much. The free use of cold water, internally, is strongly recommended. 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 wear, on his skin, flannel underclothes, except while using hydropathy; 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 taking cold, in persons naturally inclined to rheumatic affec- tions. If they manifest themselves in the chest, they resem- ble a pleurisy, for which the same remedies will be suitable; if they appear in the stomach and bowels, they resemble a colic; to which article we 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 warm, and should perspire. Gout . ( Arthritis.) Diagnosis.—The symptoms of this disease are very similar to those of inflammatory rheumatism : consequently, the reme- dies will be almost the same. It is characterized by pains in 34 GENERAL DISEASES. the joints, with inflammatory swelling, and a feeling of dis- location ; or, in chronic cases, with a swelling of the joints caused by deposits in them of a calcareous substance, which 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 acknowledge an acute and chronic form of gout; recom- mending for both the same remedies, which we 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 ; mitigated 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, Nux vomica, Arsenic, Pulsatilla, Arnica. For the same, with gastric derangement: Antimon. crud. For the shifting, wandering; flying gout: Pulsatilla, Arnica, Nux vomica. For gout with great swelling : Antimon. crud., Arnica, Bryo- nia, Rhus, China, Sulphur. PAINS IN THE SMALL OF THE BACK, ETC. 35 For the gouty nodes and lumps: Antimon. crud., Bryonia, Calcarea, Carbo vcgetabilis, Graphites, Lycopodium, Phospho- rus, Sepia. For gout in persons addicted to spiritous liquors : Nux vomica, Aconite, Sulphur, Calcarea. For gout in persons called high livers: Pulsatilla, China, Antimon. crud., Sulphur, Calcarea. For those who 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 " Rheumatism." Pains in the Small of the Back, Loins, and Neck. Nolalgia. 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 (back and loin-ache) occurs, frequently, after any quick motion of the back, as in rising from a stooping position. The patient is suddenly seized with a violent pain as if produced from an arrow shot into the part; it pins him, as it were, into a fixed attitude, from which he cannot stir without 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 very quiet, commonly called Kink or Crick in the neck, it has the same origin, and requires the same treatment, as lumbago. Rubbing the neck with a soft warm 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 36 GENERAL DISEASES. a predisposition is acquired by overstraining the muscular system by hard labor during exposure to wet and cold, or when there is a disposition to hemorrhoidal congestion of blood (piles) to these parts, which may sometimes increase to 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 always 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; worse after the slightest motion, or cur- rent of cold air; patient feels chilly ; head and limbs ache. Rhus, in alternation with Bryonia, if the patient feels very weak, trembling, has to get up sometimes to ease himself; throws 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, when the fever- ishness attending the attack is complicated with restlessness, dryness of mouth and throat, headache. Nux vomica, if the parts feel as if tired, or very muck 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 with Nux vomica, if catarrhalic dis- eases, influenza, etc., prevail, or a tendency to dysentery • or if the patient feels very weak, perspires a great deal without relief, worse at night. Pulsatilla: Resembling the pains under Nux vomica but caused by obstructions or irregularity of the courses (mJnses) PAIN IN THE HIP--HIP DISEASE. 37 in younger females of a mild, sensitive, or phlegmatic char- acter. Application of Water.—The use of the wet bandage and cold foot-baths will accelerate the cure of these diseases ; in their chronic forms, where the nervous system has suffered much, sitting-baths, cold ablutions, and finally the douche will be necessary. Constipation is relieved by cold injections and drinking freely of cold water. Administration.—Same as in "Rheumatism." Diet and Regimen.—Also the same. We would advise those afflicted with this disease, to lie down immediately on a 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 weakness of the back remains, together with 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, dis- turbing the rest at night, and thereby inducing general unea- siness 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 during motion, showing its neuralgic character ; while, in coxa- gra (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 terminate in suppuration (white swelling). These diseases are of great importance, and ought not to be neglected, but immediately put under the care of a skill- ful homoeopathic physician, as scrofula is either their remote cause, or excited by them, especially in children, in whom 38 GENERAL DISEASES. they often occasion the so called spontaneous limping (coxalgia infantilis) and white swelling, particularly when 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 will give them here again, to facili- tate the selection: In sciatica (ischias): Chamomile, Bryonia, Rhus, Arsenic, Ignatia, Nux vomica, Pulsatilla. In coxagra (hip disease) : Colocynth, Belladonna, Hepar, Lachesis, Silicea, Mercury, Sulphur. 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, where 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 par- ticularly where the parts affected are more painful than red ; constipation. After it, Rhus. Rhus : Darting, tearing, or dragging pains in the hip- joint, with 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 what he wants. Mercury: Sharp, cutting, burning pains; worse at night, or during movement; profuse perspiration without relief. After Belladonna ; before Hepar. Ignatia: Cutting pains, ameliorated by change of position, PAIN IN THE HIP--HIP DISEASE. 39 temperament mild, yet vasciUating 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. Nux vomica: Pains worse 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). Colocynth. This is the first and principal medicine in hip diseases, acute or chronic, particularly when there is the sen- sation of a tight band around the hips and back, and the pains run down from the region of the kidneys into the leg ; spontane- ous limping ; pains are worse 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 hare not entirely relieved. Lachesis : Emaciation, with tearing and contracting pain in the joint; dread of exercise; deeply penetrating suppurations (in alternation with Silicea). Application of Water.—See "Pains in the Small of the Back." 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 reme- dies as stated in " Chronic Rheumatism." Diet and Regimen.—The same as in "Rheumatism," but 40 general diseases. 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, which is indi- cated by the swelling 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." Diet and Regimen.—Also the same, but without any out- ward application, save cold water bandages, when 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, and downward to the leg, which cannot be stretched, or drawn near to the abdomen, without pain ; increased, also, by turn- ing, when lying and lifting, 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 abdo- men, and causes death ; or it sinks down farther and farther, until it reaches, sometimes, even the knee, before it escapes; frequently, the spine becomes affected and is rendered cari- ous in such cases. The causes of this disease are, beside ex- ternal injuries, rheumatism, and piles. Treatment.—Give, first, Aconite, and Bryonia, in alterna- tion, every two, three, or four hours, a dose (four o-lob.); CRAMP IN THE LEGS. 41 afterward, Belladonna or Nux vomica, if not relieved within twenty-four hours, and when the pains increase during mo- tion ; Rhus and Pulsatilla, however, when the pains are worse during rest; Mercury and Chamomile, when the pains are worse at night. Staphysag., when the pains are beating, indicating incipient suppuration. Colocynth, when the disease assumes the chronic form. If possible, consult a physician in this important disease. Application of Water, in this disease, is confined to the use of the wet bandage, often, renewed, on the parts affected; lukewarm sitting-baths, afterward applied, will accelerate the cure. 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 cramp, either with 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 while 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, oc- curring in the night. Sulphur, Lycopodium, and Sepia, may be taken in inter- vals of four or six days, to prevent the return of the cramps. Diet and Regimen, as in all chronic diseases. 4 42 GENERAL 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 with 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 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. Application of Water.—Cold foot-bath must not be used in this disease; if a person wants to use the hydropathic means, he had better resort to an institution, as in this disease, simple as it seems to be, the greatest caution is necessary in the use of water, and generally a full treatment, to change the constitution of the patient. Goitre. (Struma.) This disease consists in a swelling of the thyroid gland, in front of the throat. It is, in the majority of cases, of a scrofu- lous origin ; depends, sometimes, however, ou an endemical SLEEPLESSNESS. 43 cause, it occurring most frequently on mountains, especially 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, who 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 be- comes a distressing circumstance for mothers and nurses, as we often are unable to find out its cause. Treatment.—Coffea and Belladonna, two doses in alterna- tion (in children, Coffea00- and Bellad.00), 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, Belladonna, if caused by congestion of blood to the head. Hyoscyamus, especially after severe illness. Ignatia, when caused by grief, indignation. Nux vomica, when 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 44 GENERAL DISEASES. Cham., Jalap, and Rheum., when it h caused by colic. See this article in "Diseases of Children." Application of Water.—Beside these remedies, a sponge- bath of cold water, every evening when going to bed, is strongly recommended; also a cold foot-bath, before going to bed, if the patient cannot sleep on account of congestion to the head. Nightmare. (Incubus.) A well known 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, before the following remedies can have their effect: Aconite : Especially in women and children, when feverish- ness, oppression of the chest, anxiety, and inquietude, pre- vail. Nux vomica, after drinking spiritous liquors, eatino- a full meal in the night, or by sedentary habits. Opium: The principal remedy in severe attacks, snoring, respiration, eyes half open, face covered with cold perspira- tion, and convulsive movements of the limbs. Application of Water. —The wet bandage around the chest during the night is strongly recommended, with a cold ablution and dry rubbing in the morning; beside dailv exer- cise in the open air, and the free use of cold water internally. Diet must be moderate, consisting more of vegetables than meat; constipation is relieved by cold water injections, and the drinking of cold water. PALSY--PARALYSIS. 45 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 homoeo- pathic 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, Lycopo- dium. 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, Belladon., Graphites, Caustic. If the tongue, Bellad., Opium, Stramonium, Hyoscyamus, Lachesis. If the arms, Bellad., Lachesis, Nux vomica, Opium, Lyco- podium. If the lower limbs, Cocculus, Opium, Nux vomica, 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." Application of Water.— Rubbing with cold water, the wet bandage, and finally the douche are powerful helps in this disease ; but their use ought to be sought rather in hydropathic institutions, where the facilities for their applica- tion are greater and more regulated. 46 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 m which appearances of horrible monsters, animals, figures of all kinds, frighten their imagination, combined with ravings, convul- sion fits, and complete inability to sleep. In the long and sleepless hours, they converse incessantly with these sup- posed 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., Nux vomica, Sulphur, one after the other, each, for twenty-four hours, every three or four hours a dose (six glob.), or Cal- carea carbonica, if frightful images appear as soon as the pa- tient shuts the eyes, or when he talks in his sleep, groans, cries, dreams fantastically and frightfully. If nothing will produce sleep, give Lachesis and Arsenic, in alternation, every 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, give 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 onlv restored to health again, but to usefulness and their friends, as they never relapsed into their former error. Epilepsy. (Epilepsia.) Diagnosis.—Convulsive motions, with loss of conscious- ness ; falling down, with cries, foaming at the mouth, the thumbs fixed into the palms of the hands. The loss of'con- ST. VITUS'S DANCE. 47 sciousness is the most essential symptom, not the violence of the convulsions. The weakest convulsion, with unconscious- ness, is epilepsy, while the most violent convulsions, 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 re- frain, 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 own actions, without 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, give him one dose (four glob.) of Bellad.; 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, wandering from one part to the other. The pa- tient retains full consciousness, which 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 when 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 we recommend our readers to apply, in a case ot this kind, to a homoeopathic physician at once, we limit our remarks on the treatment to a few remedies, which may be given in the beginning. 48 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 patient 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 speak more especially of one form of tetanus, called trismus or lock- jaw, which is of frequent occurrence in southern latitudes, and, from its quick termination, requires prompt action, and! therefore, 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 very short time; or it occurs in the first few days after the infliction of a wound, durin* its inflammatory stage, or from eight to ten davs afterward" while the wound is healing and suppurating, without anv 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 dan' gerous are the stitch wounds in tendonous parts 7s LZ sole of the foot and the palm of the hand. ' T e " £ £ quently remains normal, the head free vet th.l anxiety and oppressed breathing. ' 7 * 1S grcat SOMNOLENCY--LETHARGY. 49 Treatment.—Enlarge the wound, if possible, and poultice it with bread and milk. Beside, give the following reme- dies : Arnica. In the beginning, externally, in a wash or fomen- tation ; internally, in globules or drops, every two 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. Application of Water.—The action of the homoeopathic remedies, in this disease, may be supported by the following hydropathic process. The patient having been put in a bath- inff-tub, is rubbed well and for a lonff time with cold water, after which he is brought to bed again and rubbed dry with the hands or dry woolen cloths. In an hour or two this pro- cess has to be repeated, if no change has taken place; some- times it is good to expose the spine to the douche, after which the rubbing with the hands must be repeated again. 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 wak- ing 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 5 60 GENERAL DISEASES. 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. Application of Water.—That cold water must be a pow- erful auxiliary in the treatment of this disease, is very evi- dent ; its use must be regulated according to the svmptoms of the case ; cold foot-bath, if the head is hot and congested ; sitz-baths, hand and head-baths are variously applicable. 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 alternation with Bryonia, if there are shootin- pains m the small of the back on moving. China: Weakness after loss of fluids, or heavy perspira- tions. Veratrum, if persons are so fatigued as to cause fainting in alternation with Ipecac. a Coffea and Camphor, in alternation, when the system is exhausted by d,scase> abstiMnce ^ ^ ^ ^ ^ cise Cocculus and Nux vom., if caused by W nio-bf w i ■ Aconite, if, with weakness, there is »S ? .T i g" pain in the side, difficulty of te^lt^£ *' ^ from running fast; and then in ^^^J^*' FAINTING, SWOONING--SYNCOPE. 51 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 warm 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- watching, take Nux vomica; if very much excited and sleep- less, Coffea ; if with 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 couch, where 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, who must now be let alone, to gather strength. If the cause of the fainting can be ascertained, one of the following 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, Nux vom., Chamomile. By excessive pain, Veratrum, Aconite, Chamomile. By the slightest pain, Hepar. By grief, mortification, Ignatia, Colocynth, Platina, Mercury, Phosphor, acid, Staphysag. 52 GENERAL DISEASES. By fear, Ignatia, Pulsatilla, Veratrum, Opiwn. By depletion, blood-letting, etc., China, Carbo veg., Veratrum, when, also, a little wine 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 suspi- cion 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 un- systematic manner. As most cases of apparent death occur under violent cir- cumstances, such as drowning, hanging, etc., it is quite natu- ral that the minds of the by-standers become agitated and confused, not knowing what is first to be done. This uncer- tainty and hurry of action, however, cannot produce any fa- vorable 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 .APPARENT DEATH FROM DROWNING. 53 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 few 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. 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 with the hands, or with warm cloths. Do not suspend, however, the use of the other means. 54 GENERAL DISEASES. 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 him small quantities of warm wine or brandy and water. Be- side, watch him and attend to his further wants carefully. 3. Apparent Death from Freezing. See "Frozen Limbs," page 67. 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 few globules of Nux vomica,'of which, also, a solution may be injected. If the patient recovers, remove him to a light, sunny room where he should be kept quiet for some time, without mental excitement. APPARENT DEATH FROM A FALL. 55 5. Apparent Death from Hanging, Choking, or Suffocation 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 few drops of the following mixture : five drops of laudanum or tincture of Opium in four tablespoonfuls of water ; of which, 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 water, and put a few drops of either of these mixtures on the tongue from time to time. After recovery, treat the patient as stated under the head "Apparent Death from Drowning." 6. Apparent Death from Noxious Vapors. Remove the body into cool, fresh air; dash water over neck, face, and breast, and treat it, in general, as is recommended 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 carefully the patient's condition as regards fractures of bones or other injuries, and do not allow him to be bled, as this expedient is, to say the least, always of a doubtful character, and entirely superseded by the above treatment. 56 GENERAL DISEASES. Continue steadily the use of Arnica, internally and exter- nally; if the patient has been bled, 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 51. 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. Sp>rains 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 (57) 58 EXTERNAL INJURIES. conveniently and better, after the first wound-fever has dis- appeared. 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 would 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 DISLOCATIONS--WOUNDS AND BRUISES. 59 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 bandaging on the third, sixth, and twelfth day, etc., will be sufficient 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, without being confused, whether it can easily be brought back, for which purpose a few trials may be made. If, however, this should be too hazardous, desist from any further attempts, but use cold water and Arnica, as stated in "Fractures 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, which is the quickest mode of heal- 60 EXTERNAL INJURIES. 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 were the parts together. This process applies to all the other kinds of wounds, including the punctured and gunshot wounds. 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 wound, 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 water mixed with a few drops of Arnica tinc- ture (see "Fractures"); if it does not stop, however, or if the blood gushes out of the wound in jets, and is of a bright red color (arterial blood), try to compress the wound with lint dipped in arnica-water, overlaid with a sponge ; and if this does not succeed, compress with 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 wine and a few doses of China; he will feel stronger in a short time. When this is done, dress the wounds, either with adhesive plaster (if they are cut or incisive wounds), or loosely with lint kept constantly wet 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 SPRAINS AND CONCUSSIONS. 61 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 allowing 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; inter- nally, 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 48. 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, wounds, or fractures, which 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 62 EXTERNAL INJURIES. 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 which 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 with soap every burned part, and keep it moist for awhile with cold water, which 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 off access, is raw cotton, with which the burned parts must be covered, pressing it lightly on the wounds. BURNS AND SCALDS. 63 If a person lias inhaled hot steam, or has burned his throat with 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 inter- nal burns, as it acts specifically on the injured nervous sys- tem and composes immediately. Another remedy is the tincture of Vrtica 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, wash 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 when 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 wounds, open the blisters which 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 which the wounds pain very much and become inflamed, red, swollen (a kind of erysipelas in the scalded parts), give Aconite and Belladonna, in alternation, every two hours a dose, and dress 64 EXTERNAL INJURIES. the wounds with dry lint; but if the wounds were already suppurating when this took place, give Chamomile, Bellad., 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 homceopathists 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 pre- fer 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 POISONED WOUNDS. 65 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 repeated 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 repeated several times, recourse must be had to Belladonna; Senna also frequently proves efficacious. 6 66 EXTERNAL INJURIES. 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- bic, 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 wash them with 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 shudderino-s 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- drophobine, 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. FROZEN LIMBS, ETC. 67 If the raging state has commenced before assistance can be procured for the patient, the medicines ought to be care- fully administered 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 thawed 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 way 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 whole body appear, give Carbo veg. (twelve glob, dissolved in half a teacupful of water), every 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. 68 EXTERNAL INJURIES. 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 gan- grene or mortification ;* their bad effects on the svstem, 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,| or, to neutralize its action by means of suitable antidotes. * This peculiarity of the mineral poisons, to kill only by corrosion of the mucous membranes 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 in 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 POISONS. 69 To produce vomiting, the following 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 with 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, with or without diarrhea. In all cases in which the poison imbibed is unknown, the white of an egg is first given when 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 stomacli. In the same way, Surgery might be pronounced insufficient in its doings, because a surgeon can not heal a wound as long as the knife continues to lacerate and even enlarge 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. 70 POISONS. 2. Soap (white household soap), one part dissolved in four parts of hot water, is given in all cases where the white of an ec.2.\ when indicated, was insufficient. In cases of poisoning by alkaline substances, it must be omitted 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 do- mestic practice, as it can be most easily procured. 5. Milk and Olive oil are substances not so well calculated to envelop 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 Nitric and Sulphuric acid. 6. Mucilaginous drinks, in draughts and injections, are very useful against alkaline poisons, particularly in alterna- tion 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, Nux 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 poisonino- with the different substances alluded to. TABLE OF ANTIDOTES. 71 Table of Antidotes to the POISONS. I. ANIMAL POISONS. a. Cantharides (Spanish fly)..... b. Poisonous fish, clams, muscles, etc. c. Poison of fat in half putrefied meat (Sebacic acid), as it appears often in cheese, sausages, etc. II. VEGETABLE POISONS, in general. a. Opium (Laudanum, seeds of Pop- py),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, 6. Alkaline Substances—Pot and Pearl ashes,Lapis infernalis,Salt, and Oil of tartar, most Powerful Poisons. 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, Bryo- nia, Phosphoric acid, CreosoU. Require mostly Camphor, by smell- ing, and Black coffee in a drink. iVarco