r
L 

           SMITH'S

omccovatinc
      No. 488  BROADWAY,

           [CORNER OF BROOME ST.]


        J.  T. S. SMITH

Has for sale, a large assortment of Homoeopa-
thic  Triturations,  Tinctures, Dilutions  and
Pellets, including the higher attenuations, both
imported and of his own preparation.
  Cases for  Physicians and  Family use, of
various sizes and prices.
  Pure  Sugar  of  Milk,  Alcohol,  Distilled
Water, and Unmedicated Pellets, constantly
on hand.
  Smith's  Homoeopathic Arnica  Plaster,  a
substitute for the ordinary Court  Plaster, and
an excellent application for Corns.
            COUNTRY ORDERS

(*?• PROMPTLY  AND CAREFULLY  EXECUTED.
©toe/                          ------     ^ 
DOMESTIC  homceopathy:
                    OR

                RULES

                  FOR THE

   DOMESTIC TREATMENT OF THE MALADIES
                    OF

INFANTS, CHILDREN,  AND  ADULTS,

                  AND FOR

      THE CONDUCT AND THE TREATMENT
     ^resnancj, (Eonffnement, anB  Sucfcltruf


           By JOHN EPPS, M.  D.
GRADUATE OF THE UNIVERSITY OF EDINBURGH, DIRECTOR 07 THE ROYAL
  JENNERIAN AND LONDON VACCINE INSTITUTION, AND CONSULTING
       PHYSICIAN TO THE MANCHESTER HOMOEOPATHIC
                 DISPENSARY.

   FOURTH AMERICAN FROM THE FOURTH LONDON EDITION.

              EDITED AND ENLARGED    .  /
         By GEORGE W. COOK, M. D. ^
           BOSTON:
  OTIS CLAPP, 23 SCHOOL STREET:
NEW YORK, WILLIAM  RADDE : J. T. S. SMITH
   PHILADELPHIA, RADEMACHER AND SHEEK:
      CINCINNATI, J. F. DESILVER.
1849.         /Xv
sy/
5*6« 
VM  JS  IS
 E  63   d
  Entered according to Act of Congress, in the year 1849,
                  By  Otis Clapp,
In the Clerk's Office of the District Court of Massachusetts.
                   MEDICINE  CHESTS,
Containing the medicines, prepared with the greatest care,
referred to in this Treatise, are  made  and sold  by Otis
Clapp, 23 School street, Boston.
          CAMBRIDGE :
PRINTED BY BOLLES AND HOUGHTON. 
PREFACE TO THE  SECOND EDITION.
  In  presenting a second  edition of this Domestic
Homoeopathy to the public, it is  agreeable  to  the
writer to be able to state, that the first edition, con-
sisting of one thousand copies, has been sold in less
than one year and a half; a fact, strikingly  illustra-
tive of the  progress of Homoeopathy.
  Parties,  who  have  used  the first edition, have
kindly suggested the  necessity of some  points being
rendered more clear, and of some others being more
fully dwelt  upon.   To meet such suggestions? and at
the same time, to render the  work  more complete,
many particulars, not in  the first  edition have been
introduced  into  this.   Such are the modes  of treat-
ment, before, during pregnancy, at and after child-
birth : These are detailed  in the Second Part.
  I have added, in the Third  Part, two chapters on
the indications as to the appropriate remedy, as de-
pendent upon the agency of the Cause, more imme-
diately producing the disease.   To these chapters
attention is particularly directed ; also to the Fourth
Part,  on Diet.  To this succeeds  another  Part, in
which some of the terms used  in  this work  are  ex-
plained, to  which, if the reader has any difficulty he
should refer.
  It may be  proper  here to remark  that I have still
adhered to  the classification of the  diseases  adopted 
4
 in  the  first  edition ;  a classification, founded  upon
 the different organs affected : such being more par-
 ticularly useful  in  enabling the reader to find out,
 both the remedies best suited to the diseases, and the
 diseases themselves;  an  arrangement, which   with
 pleasure I  have seen adopted  in a late work on
 Homoeopathic Domestic Medicine.
   It  will  be seen,  that,  among  the  diseases, the
 remedies for which  are recorded,  are many, techni-
 cally  called  acute:  diseases,  which require  the at-
 tendance of  the physician : still, the means of cure
 are detailed,  because till the arrival  of, or the commu-
 nication with, the  physician, danger  may thus be
 warded  off,  or the  progress of the  disease may be
 stayed.   This detail of acute diseases and their rem-
 edies has been  of  the greatest  service:  I have pa-
 tients in Manchester and other places, who have suc-
 cessfully treated croup by the means detailed.  Croup,
 it is well known, is  an acute and  highly  dangerous
 disease,  and one, which under  the injurious treat-
 ment, designated, par excellence, "active," is  often
 fatal; and  the successful  treatment of this disease,
 even under domestic direction, (I do not recommend
 persons to trust to such direction wholly,) shows the
 utter fallacy  of the  ignorant but  pompously promul-
 gated notion, that Homoeopathic remedies  are effica-
 cious only in chronic and not in acute diseases.
   The reader will find much fuller  directions in this
 edition  respecting the repetition of the doses of the
 medicines :   directions afforded  by  experience  on a
 very extended  scale,  the  writer having prescribed,
 he finds from  his  patients' names-book, upwards of
five thousand recipes  since the  1st of April, 1841, 
5
and  these for almost  every  form  of  disease, from
catarrh, simple sore  throat,  to diseased  bone, dis-
charges from the hip and the thigh bones, abscesses
in the back,  deep-seated  ulcers, derangement, dis-
eased womb,  tendency to miscarriage, typhus and
other fevers,  with inflammations  of  the eyes, the
larynx, the bronchia,  the lungs, the pleura.
  In  reference to the cases referred  to,  the writer
can add that he has  cured, by homoeopathic means,
many diseases, which, as a practitioner under the old
system  he could not, as  an honest man, have ven-
tured to touch.  He can further add that  many fami-
lies, who have used  homoeopathic medicines under
the instructions contained in  the* Domestic Homoe-
opathy, have with  joy  confessed,  that they have been
astonished at the  successful treatment,  thence  ob-
tained,  of  many  complaints,  which,   from their
severity, they  could   never  have supposed would
have  given  way,  except  to the  miscalled "active"
remedies,  more appropriately designated  active ene-
mies.
   In fact, Homoeopathy, with its  sneered-at infinitesi-
mal doses, is making  its silent,  but steady  and certain
way: a  way,  marked with cures, and  unattended
with  the  injurious effects, consequent upon the  re-
coveries under the other systems  of treatment.
   The  reason  for this success is to be found in the
fact,  that  Homozopathy  is  a part   of  the  Divine
 Truth: an axiom, demonstrated elsewhere.*
   Though  Homoeopathy  is thus  efficient, many, and

  * Homoeopathy and its Principles Explained: being Four Lec-
tures thereon, by John Epps, M. D. Sherwood  and  Co., Paternos-
ter Row, London. 
6
 those often the enemies  of Homoeopathy, attempt to
 discredit il,  because it  is  not all efficient.   If any
 patient dies  under homoeopathic treatment, they in-
 sinuate that  death  came  because of the  want of
 active  treatment:  though perhaps the very objectors
 have had relatives or friends die of the very  disease,
 and though the registrar's  tables show that the dis-
 ease has  been  decidedly  fatal in the  common,  this
 miscalled active-treatment,  practice.   All  the cures
 performed by homoeopathic  means are not  remem-
 bered :  all the  victories gained  are swallowed up in
 the  one unsuccessful repulsion of Death.   This is
 prejudice.    It must be  expected  for a few years.
 Homoeopathy must bide its time.
                          JOHN EPPS,  M. D.
  89 Great Russell Street,
      April 1,  1842.

  [N. B.   In compiling this edition, I have  derived
considerable aid from the valuable  work of Dr. Her-
ing of America, on this subject.] 
PREFACE  AND  INTRODUCTION BY THE

              AMERICAN  EDITOR.



  A daily devotion of near a  quarter of a century to the
study and practice of medicine; over one third of the time
being engaged in the homoeopathic practice, ought to ena-
ble  one to speak with  some  confidence of the comparative
merits of all the means of cure heretofore discovered.  The
fact that I now  practise  homoeopathy in preference to any
other system, of course, is an endorsement of the former ;
and after disapproving of domestic practice with  any other
medicine, as I always did during my allopathic practice, to
recommend so far as to edit a domestic homoeopathic guide,
is proof conclusive that I regard the two  systems of medi-
cine as so widely differing as to  require an entirely opposite
course for their advancement or promulgation.
  Allopathy palliates, while homoeopathy cures radically;
the  former disturbs healthy organs to divert disease  from
those which are deranged, while the latter cures by a direct
action of the medicine to  the part affected; a portion of the
profession have been driven to admit that the homoeopathic
practice is more  successful  than the  old school  practice,
and  attempt its imitation by leaving all to nature's efforts,
but  they are not as successful as homoeopathic  practition-
ers  by a large  percentage,  as  the statistics from various
sources abundantly show.  They may endorse Dr. Forbes's
assertion,  " that the old  school practice is worse than no-
thing,"  and consequently "that homoeopathy is nothing,'!
but  time will compel  them  to admit  that the latter is effi-
cient, and the only true rule  of  practice.
  There are no poisonous influences to be feared from true
homoeopathy, while a curative  effect is sure to follow the
administration  of a remedy  which is truly indicated in a
given case ; the dose being graduated with a full knowledge
of its power, when applied up§n the well known  and long- 
8
tried law, " similia similibus curantur," will not do injury
if a mistake occur in diagnosing the location of the disease;
the only evil being then in delay, may be corrected in
another and more careful selection of a remedy.
  From  the foregoing remarks  it may be comprehended
why domestic allopathy is dangerous, while  domestic ho-
moeopathy is not only safe, but often useful in the absence of
better advice than that of lay practitioners.  I have, there-
fore, with due regard to the  importance of preserving the
high standing  and respectability  of  a profession  of my
choice, and  with  a proper sense of the importance of ele-
vating the standard of medical education, consented to edit
a domestic Homoeopathic Guide, for the use of the nursery,
in the management of those little  departures from  health,
which do not appear of sufficient importance to call a  phy-
sician to treat; and also for the use of those who are so
unfortunate  as to be entirely beyond the reach of a physi-
cian, who has been honest enough to make homoeopathy a
part of his studies.  I can conscieniiously say, that 1 would
sooner trust an intelligent layman who has a domestic prac-
tice of this kind, with a suitable case of medicine at hand,
than trust an ultra  allopathic physician, whose prejudices
have prevented him from making himself acquainted  with
a system which is founded upon the principles of true in-
duction, as we know homoeopathy to be.
  There is no profession  so  complicated  and loaded  with
responsibilities, — no science so profound and which draws
so largely from other collateral sciences as that of medicine ;
and in order to be able to meet all emergencies, extensive
preparation  must be made.  In the absence of the ability
to make this extensive preparation, we may throw out a
few useful lessons  of instruction to help the  novice in his
treatment of disease, when a homoeopathic physician cannot
be obtained.
  It is  generally considered  very difficult to diagnose the
diseases of infants, and to the inexperienced it is so, but to
the physician of experience and observation, it is more  easy
to decide accurately as to ttfe nature and seat of their dis-
eases, than it is in those who are more advanced.   All the 
9
manifestations during the first epoch of infancy, which ex-
tends to the sixth month, may be regarded as most natural,
and indeed nearly vegetative ; it draws its sustenance from
the mother, or if that natural source is  cut  off, artificial
nourishment as nearly assimilating ihis aliment as possible,
should be substituted, and the greatest care should be ob-
served in this  preparation, for sometimes  the  most bland
and nicely prepared will not agree with the  delicate and
sensitive infantile structure.   The bones are in a course of
hardening during this epoch ; strength is gradually impart-
ed to the vital phenomena, and its mental  manifestations
are nearly adapted to the expression of instinctive desires,
pleasure or pain.   At this epoch the existence  of disease is
made manifest by the position of the  body and limbs; the
expression,  the openness, the contraction, the brightness,
or the dulness of the eye ; the  cry ; the changes of coun-
tenance, manifested by a peculiar smile;  the  drawing up
of the limbs ; the sudden scream ; the restlessness, and the
state of the pulse and respiration ; all must be consulted.
The vomiting which so frequently occurs during the first
six months, should  not be regarded as disease; it is a pro-
vision of nature, and  affords  relief to an overloaded stom-
ach ;  hence, if the nurse  is healthy, disturbance  of the
bowels is not common during this period, unless physic has
been  given, and thus one of nature's most perfect works
interfered with.  The question might well be asked here,
why man, the only  thinking  being, should be the only dis-
orderly work of Almighty Creation.  The lower orders of
mammalia are never thought  worthy of a dose of calomel or
castor oil to purge off the  meconium, and yet  they remain
healthy in more  than a hundredfold greater percentage
than the human species.  The mother's  milk is provided
by nature for this purpose, and should never be interfered
with.  On this subject pages might be written ;  we might
go  through a history of our race  from  our first parent,
through  all the steps of civilization, to show the important
influence which interference with  nature has had upon nat-
ural developments.   The lining membrane of  the aliment-
ary canal is abundantly protected during  this  period  with 
10
 mucus, and a cathartic, by removing this, leaves the deli-
 cate mucous tissue a sure prey to  the succeeding  doses of
 medicine which often follow.   As the  second  epoch ap-
 proaches, the gums  begin to look  red, and  swell slightly,
 the child bites  and  discharges saliva, is restless, and the
 eyes are slightly inflamed, or at least the inner surface of
 the lids,  and the vessels of the conjunctiva are fuller and
 more numerous than has been before noticed.
   The great disproportion between the size of the brain
 and other organs, during the first and second  epoch, ren-
 ders diseases of the brain  very frequent.   All  opiates in-
 crease  this  tendency and  should  be studiously avoided.
 Through the whole course of my practice, allopathic as well
 as  homoeopathic, I have unhesitatingly condemned  the  in-
 troduction of opium into the nursery, in any form, whether
 elixir  paregoric, cordials, dovers  powder,  or  any other,
 as directly tending to produce not onlv many of the diseases
 and sufferings of this stage of  life, but as being intimately
 connected with the causes which  lay the foundation for
 an enfeebled constitution and many of the ills of future life.
  The  clothing  should be  carefully attended  to,  while
 every precaution should be taken to avoid cold  and damp
 air; free exposure  to the air  when it is of a mild and
 healthy character should  always be practised, the head
 should always be kept cool.  The practice of dressing the
 tender scalp with a stiff-starched cap cannot be  too  highly
 reprobated, for although it may not add materially to the
 warrnth of the head, will not only make the child  uncom-
 fortable by the irritation  constantly kept up, but they are
 much more liable to the diseases of the ears  and scalp
 usually called  scalled-head.  Washing  first  with  warm'
 then tepid water, during the first month, and as the infant
 gains strength, gradually passing on to cold water, with
 gentle faction  ,s conducive to  the health and strength of
 the  infant   When cold bathing is practised,  it should con-
sist in rapid  immersion, when a beneficial reaction will en-
sue  and a fine glow will  pass  over the  surface, whereas
continuing the child m the water, even for a minute, would
greatly depress the vital energies and prevent the deS>p. 
11
ment  of the healthy secretion of the surface which cold
ablution tends to induce.
  Towards the close of these epochs teething has advanced,
and other physical changes in function  and structure con-
tinue, when voluntary motions, creeping and walking, are
attempted in succession, and there is seldom  much  fear of
disease if there has been no improper medication, or there
is no  hereditary predisposition to disease, and  the  infant
has been accustomed to healthy out-door exercise and com-
fortable dress.
  The most suitable time for weaning is from the tenth to
the fouiteenth month, and  then  there ought to  be at least
six  or eight  teeth  quite through the  gums.  The child
should be  gradually accustomed to food  other  than that
drawn from the breasts of the mother, from the fifth month
upward, but at first it should be of the  mildest and bland-
est  kind.  Animal food is seldom required, or indeed proper,
during the first year;  nature has pointed out the period for
this, in the preparation of teeth to masticate it.  During
these epochs the infant is less liable to all infections and
exanthematous diseases ;  we often find it  most  difficult to
make an impression with the vaccine virus during nursing.
  The period of childhood extends from  the second year
to the seventh or eighth year, when the second dentition is
being completed.   Catarrhal fevers, and  the various dis-
eases  from  indigestion of  improper  food, are common
towards the  latter part of this period.  The shedding of
teeth requires special  attention ; while the  parent should
not be slow in having  the decayed teeth extracted, they
should be careful not to be too precipitate in this matter.
  The  early extraction of  the milk teeth, long before the
second and permanent teeth are advancing, allows the alve-
olar process to be absorbed, and the jaw settling away pre-
vents the  uniformity and  regularity which not  only pre-
serves the symmetry but the comfort of the owner ; on the
other hand leaving them  too long is equally objectionable.
The best course is always to consult a skilful dentist fre-
quently during the process of decay, unless the fangs are
so far absorbed as to be easily detached with the finger. 
12
   Free exercise in the open, pure atmosphere, with whole-
 some  nourishment, should  form a part  of the  every-day
 business of the child.  Sleeping  in large, well-ventilated
 apartments  should  be attended to by the parents.   In em-
 ploying the  faculties of the mind, care should be taken not
 to fatigue the child, or deprive it of that  healthful exercise
 of the physical functions heretofore spoken of.  Its mental
 exercises should be more a matter of amusement than of
 exertion, until  about the seventh year; prior to this great
 injury may be done, by confining a child to a sitting posture
 on  a hard bench, three  hours  in  the  forenoon and three
 hours in the afternoon, in a crowded and badly ventilated
 apanment, such as we often find in our school-rooms.
  After having glanced at the peculiarities of age, it  may
 be useful to  notice the other natural changes of respiration
 and  pulsations,  as age advances;  to  which  temperaments
 may be  added,  as  exerting an influence  in health  and
 disease.
  The average pulsation of infants from eight days to six
 months old,  has been set down from repeated observations
 and notes taken from healthy subjects, at  131 for boys, and
 134 for girls; from  six to twenty-one  months, the average
 for boys was 113, and for girls 126; the extremes vary far
 above and below the average.
  The pulse of the  adult male is stated to  be 70  that of
the  adult female at  80 : the highest number is rather  less
 than 100 in the  adult  male, and  somewhat  more than 110
in the adult  female; 50 may be considered  the least num-
ber in each,  and the healthy standard  preserved, although
much lower numbers  have been observed, and good  health
still  considered  to exist.  Thus  we see a mere departure
 from the uniform standard  of pulsations is  not a sure  evi-
dence of ill health, and shows how important it is to be  able
to comprehend all the  operations of the human system, in
order fully to understand the true disease
  The average  respirations (i. e. inspirations and expira-
tions) may be set down at 18 for the adult, or one  for every
four beats of the pulse ; but  this is subject to even greater
variations, according to age, sex, temperament,11 tha" 
13
that of the pulse.  Posture, sleep, and all causes which
vary the pulses, have a like effect upon the respiration, the
number of the respiration may be varied by the will, how-
ever, and the pulse cannot be.
     At birth the  number is about 46 respirations.
     At 5 years     "       "    32     "
     From 15 to 50 years    "    20     "
  The  respiration of the  female on an average is a trifle
more frequent, except when the free expansion of  their
chests  is prevented by improper dress, when the respira-
tions are very short and mainly  confined to the  upper part
of the  lungs ;  the bosom heaves, while the  waist, dia-
phragm and abdomen remain stationary.   This  is a fruitful
source of pulmonary disease, and  cannot  he too strongly
reprobated.   The time  occupied in emptying the lungs of
air after an inspiration, is not longer than that occupied by
a patient far advanced  in the consumption, which is not
more than  ten  seconds, whereas healthy  adult lungs can
occupy from thirty to forty seconds in  emptying them after
a full inspiration.  Mr.  Abernethy's method of measuring
the capacity of the lungs, consisted in causing  the patient
to take as deep an inspiration as  possible, and then expire,
through a bent  tube under an inverted  jar containing water,
the quantity of water displaced  being the measure of the
capacity of the lungs.  If the lungs were healthy, from six
to eight pints would  be  displaced, a less quantity than this
being evidence  of disease or  pressure from without, in pro-
portion to  the  decrease.  Physicians have better means
than this, but these will do for laymen, who would only be
confused by multiplying directions for  diagnosing those dis-
eases which none but the experienced  can  well understand.
  The temperaments have  some influence  on  the pulse.
The sanguine and nervous have a more frequent pulse than
the lymphatic and bilious.  Having almost unconsciously
touched upon the temperaments,  I shall have to give a
brief description  of  them in order to satisfy the  reader.
There  are four temperaments recognized ; the sanguine, the
phlegmatic,  the  bilious, and the nervous.  A  melancholic
temperament is also considered independently by some. 
14
    1st. The sanguine temperament is characterized by mod-
 erate plumpness of person and firmness of flesh.   The hair
 is red or bright chestnut, the eyes blue, the complexion
 fair and florid, and the skin soft and thin.  The blood-ves-
 sels are large, the circulation active, and the pulse full and
 frequent.  The countenance  is animated, the  movements
 quick, the  passions  excitable, the  mind  volatile and
 unsteady.
   2d. The phlegmatic temperament is distinguished  by
 roundness  of form, softness of the muscles, and repletion
 of the cellular tissue.  The hair is fair, the eyes light blue
 or gray, the  skin  pale, and  the lips fleshy.   The blood-
 vessels are small, the circulation languid, and  the pulse
 slow.   It takes a great deal to arouse one of this tempera-
 ment.
   3d.  The bilious temperament is recognized by moderate
 plumpness and  much firmness of flesh, with  harshly ex-
 pressed outlines of person,  strongly marked features, and
 decided expression of countenance.  The hair is  black, the
 eyes and the complexion  dark.  The  pulse is  full, firm,
 and of moderate frequency.  There is much  energy  of
 character, with great power of endurance and permanence
 of impression, physical and mental.
   4th.  The  nervous temperament is  distinguished by  a
 small, spare form, delicate features, with thin  upper lip,
 slender muscles, quick movements, pallor of countenance'
 and feeble  health.   The  pulse is  feeble, and quick, and
 easily excited  by mental  emotions or nervous impressions
 I he whole nervous  system, including  the brain, is active,
 the senses are acute, the thoughts quick, and the imagina-
 tion lively.                                         6
   5th. The melancholic temperament is  nearly allied to the
 bilious  and is marked by peculiar calmness and serious-
 ness of mind, with a great tenacity of impressions, and a
 tendency to indulge in gloomy thoughts.
   It is  rare that we meet  with pure  specimens of these
temperaments.   They are often so combined that it is diffi-
cult to say which predominates.
   While I have  endeavored to avoid  all interference with 
15
the author's text, I have found  it necessary, in order to
meet the wants of this country, to enlarge upon it, and add
several important articles to it.  In doing this, brevity and
accuracy have been more constantly aimed at than elegance
of style.
  The entire class of Fevers are  added to this edition, also
Tic Doulouroux,  Rickets,  Leucorrhea,  and several  other
diseases; and several remedies which have lately been intro-
duced into our materia medica, Protiodide Mercury, Kalmia
latifolia, Bichromate of Potash, &c, all valuable remedies,
are added, and will be found in their appropriate places.
  The author's directions are confined to the use of pellets.
My plan is to have a duplicate of a few of the leading rem-
edies for a family  case, and then  acute diseases, which ap-
pear to resist the high attenuations, may  be subdued by the
low dilutions or  tinctures;  for  I know, by repeated ob-
servation,  that  colic,  inflammation  of the lungs, cholera
morbus, fevers, and other severe diseases, are promptly and
safely cured by drops of the tinctures of the appropriate
remedies, without any alarming aggravations.
  I will remark,  as a  general  rule  when  not otherwise
directed in  the treatment of the  disease, that whenever the
drops are selected for use, drop two drops in a tumbler half
full  of water, and administer one tablespoonful if the pa-
tient be an adult, or one teaspoonful if it be a child,  every
quarter, half, one, two, or four  hours, in acute diseases,
once a day or less frequently in  chronic diseases.  If the
medicine be in powder, put as much as will lay on a six-
penny piece on the  tongue, unless it is otherwise directed
in the text.  Antimony tart, should always be dissolved in
water, and given as above directed.  If the symptoms are
relieved, discontinue the medicine altogether, or allow the
intervals between the  doses to  be  longer; if no relief is
manifest  after the  second  or third dose, you may be very
certain that the  medicine is not properly indicated, and it
will be vour duty to select another more appropriate one.
        y               GEORGE W. COOK, M.  D.
   New York, Nov. 24, 1847. 
PREFACE  TO  THE  FOURTH  AMERICAN
                  EDITION.
  In  the  present  edition the  tabular  arrangement has
been  dispensed  with,  except  in  one  or  two  instances,
and the usual division into sections adopted ;  a form which,
it is believed, will be more  readily comprehended ;  thus
rendering  the selection of remedies less  difficult.   The
alteration which has been made  in this particular is simply
in the method of arrangement, the original text remaining
unaltered.   In addition to this change, the work has  been
enlarged by the  insertion of the following  diseases,  with
their appropriate remedies, which are not contained in any
previous edition, viz. —
  The article on " Ulcers," Chap. 1, page 34 ;" Vertigo,"
Chap. 2, page 61 ; " Defect of Vision," "Near Sighted-
ness," " Far Sightedness," " Weakness of  Sight," Chap.
3, page 68, 69 ; " Deafness," Chap.  4, page 74 ; " Asth-
ma,"  Chap. 5, page 103; " Bronchitis,"  Chap.  5,  page
105;  "Pulmonary Consumption,"  Chap. 5, page   107;
" Inflammation of  Stomach," Chap. 6, page 131 ;  " Asia-
tic  Cholera," Chap. 6, page 138;  "Sciatica," Chap. 7,
page  155;  the whole of Chap. 8; all  of the  Articles in
Chapter 10, as far  as  " Fainting ; " the Article on "  Milk
Leg," page 220, Part  II. Chap. 4.
  A Chapter has also  been added relative to the  external
application of those remedies in the form of Tincture, which
experience  has proved  to be useful.
  There  will also be  found a  condensed  account of the
" Cold Water Treatment," as far  as it has been generally
considered admissible into Homoeopathic practice.  Hydro-
pathy, as a system of  cure is not, of course, recognized by
the adherents of Hahnemann ; but, as an auxiliary, merely,
to the action of internal remedies;  as an available agent for
increasing,  in certain cases, the susceptibility to medicinal
impression, its advantages are undeniable.
                       JNO. A.  TARBELL, M.  D.
  Boston,  Oct.,  1849. 
DOMESTIC  HOMCEOPATHY.
                INTRODUCTION.

   It  seems  proper,  as introductory to this little
 treatise, to make a few remarks upon

      The rules for administering the medicines.

   There are three methods of administering homoe-
 opathic  remedies;  first,  by smelling;  second, by
 putting globule or globules of the medicine upon the
 tongue; and the third, by  taking  the  medicine dis-
 solved in water.
   For persons  very susceptibla, smelling the medi-
 cine is deemed  sufficient:  for  persons less suscepti-
 ble, the  medicine is  placed  upon the tongue :  and
 for others, the medicine  is given in solution :  which
 last is the form  most  frequently employed.
   Generally speaking, solution  in water is to be  pre-
 ferred.   Filtered rain water, or what is better, pure,
 distilled water* constitutes the best vehicle.   When

  * By pure distilled water is meant water obtained by the distil-
 lation of water: not water that is distilled over in the preparation
 of essential oils.  Any person can make a little distilled water by
putting some water in a retort, and then having connected this re-
tort by its neck with a receiver;  the receiver being kept cold by
 the dropping of cold water, the steam, produced by the application
of a lighted spirit  lamp to the retort, will be condensed in the
receiver.
2 
18
neither rain water nor distilled water can be obtained,
common water, boiled two hours, and poured out while
boiling,  and  allowed to stand in an earthenware
vessel till  cold, can  be used.  The solution should
always be made  in  a new bottle, with a new well-
fitting cork; or if the bottle has been used before for
homoeopathic medicines, it  should be washed  with
water, renewed  four times, well drained, and  then
heated to dryness in  an oven or before the fire.   All
bottles, which have been  used  for the medicines, as
prescribed  under the old system, must not, on  any
account, be used.  The medicines should be kept in
the dark.  The cork should be inserted directly the
medicine has been removed from the bottle.

     Rules for administration in acute diseases.

  In  acute diseases,  the plan I generally adopt is to
dissolve three to four globules * of the medicine in-
dicated, in four spoonsful (either tablespoonful or  tea-
spoonful, according  to  the age of the person,) of
water; give two spoonsful  at once, and repeat gen-
erally every eight hours, sometimes every four hours.
  Generally in acute diseases there  is  more  or  less
of febrile  heat.   Aconitum  is the medicine most
peculiarly appropriate to such a  condition, and hence,
in perhaps seven cases out of ten of acute diseases,
aconitum will be  the remedy best suited  to  give at
first,  dissolved as directed.

  * The globules are impregnated with the medicinal  agent.  I
generally use the globules impregnated with the medicinal solu-
tion at its highest dilution; usually marked 30.  To adults some-
times,  the globules at a less dilution, marked 12. 
19
  Though  aconitum  is suited to general febrile
action* often there is a local diseased condition, to
which aconitum is not so  applicable:  take croup for
instance : here  is a local  affection of the  windpipe :
that is, with the general febrile action there is a local
diseased condition, towards the cure of which acon-
itum is serviceable, so far as it acts on the general
febrile  action, and  also so far as its symptoms are
homoeopathic to those presented in croup ; but there
is another  remedy, peculiarly adapted to the local
affection of the  windpipe,  namely, the symptoms pre-
sented in croup : such medicine as Spongia.  Spon-
gia is therefore  to be given.   The plan is this :  dis-
solve three globules of spongia in four spoonsful of
water, and  take two spoonsful four  hours after the
aconitum, or sooner,  if the local symptoms increase
notwithstanding the aconite.  Wait then six or eight
hours, repeat the aconite  solution, one spoonful,  and
four hours  after, the  spongia  solution, one spoonful:
if progress  is being made, wait twelve hours, and, if
any of the  original symptoms remain undiminished,
give the remaining dose of the aconite, and follow,
four  hours after,  with the remaining dose of  the
spongia.
   In some  violent diseases, such  as spasms, cramps,

  * General febrile action is exhibited in the following symptoms:
First, constant burning heat of the whole body with redness of the
skin; second, distention and redness of  the  face in particular;
third, eyes glistening and prominent; fourth, dry tongue most fre-
quently, sometimes coated with mucus; fifth, great thirst;  sixth,
want of appetite ;  seventh, constipated or absent stools ; eighth,
urine  heating, and passed in small quantities ; ninth, sleepless-
ness; tenth, jactitation or tossing about; and  eleventh, anxiety.—
Hahtmann. 
20
 convulsions, the dose may be repeated every quarter
 of an hour, or half an hour, or hour.

 Rules for  administering in chronic and less acute
                      diseases.

   Generally speaking, in chronic  diseases,  three to
 four globules  dissolved in eight or ten spoonsful of
 water, and one spoonful taken in the morning at
 eleven,  and one at  seven in  the  evening,  or  two
 spoonsful taken the first thing in the morning, or
 two at night, will be enough.
   Additional experience has led me to adopt the fol-
 lowing method in a majority of cases.  After  the
 second day of taking  the medicine, the patient desists
 from medicine, then  repeats, then  desists for a day.
 I have found this  decidedly effective :  the power of
 the medicine, developing itself from  the accumulating
 influence of the first doses, does not require so  fre-
 quent a repetition to keep up the  effect.   In fact,
 too frequent repetition is injurious.
  As general rules, Nux Vomica should be taken at
 night; Pulsatilla in  the afternoon.
  Rhus generally in the morning.

        Rules as to the medicines generally.

  The medicine should be taken before or between
meals, so that an hour and a half or two hours may
have intervened between the time after food has been
taken, or before food is again taken, and the  time of
taking the medicine.
  The time of  day, in which the mind is most free 
21
from  mental  occupation, should  be xhosen, unless
when otherwise indicated.
  In  acute diseases, the  appropriate remedy can be
taken at once.
  All mental excitements*  should, so far as possible,
be avoided while  under  the operation  of  the  medi-
cines.
  All vices should  be avoided ; because,  as disease
is so  often the fruit of vice, it is quite clear, that the
vice,  persevered in, must  keep up the febrile  and
morbid irritation, and thereby effectually resist the
operation of the remedy.

       Rules for the selection of the remedy.

  As to  the selection of the remedy,  the principal
points, are, first, to ascertain the  exact symptoms  or
features  of  the  complaint  of the  patient,  and the
second, to look to the description  of the disease, and
find  out  the  remedy recorded in connection  there-
with, which  corresponds most exactly in its symptoms
to those  of the disease.
  It  does not require  that the similarity should  be
perfect;   better if  it is:  but  if the prominent, the
majority of the symptoms agree, then give the medi-
cine.
  In ascertaining the exact features of the complaint,

  * Many persons have judged from this statement,  that his of
no use to take the medicines when their position subjects them, ol
necessity, to much mental excitement. This is quite a mistake.
It is the more necessary that they should take the  medicine,  ho-
moeopathic to the disease, because thus they may be able to sus-
tain the mental excitement, and may have some of the injurious
effects prevented. 
22
 the patient should always, if relating his  symptoms
 to another, describe  what  he feels  in  his own lan-
 guage, for it  is certain he will describe most influen-
 tially those symptoms troubling him most.   He should
 never  be questioned whether  he  has this or  that
 symptom.
   If, after his description, there seem some deficien-
 cies in the statement, then  questions, but  not lead-
 ing questions, may be put.*

 Rules as to judging  respecting  the  efficiency of the
                     medicine.

   It may be here with benefit remarked that, though,
 often the remedy, although  strictly homoeopathic,
 and therefore certainly curative of the disease, at
 first causes an aggravation of the symptoms, amelio-
 ration  will soon follow;  and as long as  a marked
 amelioration proceeds, so long no repetition of dose,
 or at least a smaller dose, is needed :  when the ame-
 lioration  ceases to progress, then either the medi-
 cine, previously  administered,  must be repeated, or
 some other  medicine selected, best  suited  to the re-
 maining symptoms.
   If these remarks hold good with the use of reme-
 dies in  acute  diseases, it is decidedly the  case with
 remedies used in chronic cases : as long as  a marked
  * In cases of consultation, where the physician is at a distance
and the patient  1S not able to see him, great minuteness is re-
quired ; and the queries m Part  Fifth will  show  the points, to
which attention is to be directedfand  also  will demonstrate the
immense care  the homoeopathic practice requires; quite different
from the usual, where  the  tongue, the pulse, and the secretions,
and these only m general points, are the matters usually brought
under consideration.                            '    3 
23
amelioration  progresses, we should not repeat the
remedy, or at least we must increase the interval be-
tween the doses.
  But it may be inquired, how is  the  homoeopathic
remedial aggravation to be distinguished  from the
aggravation produced by the destructive progress of
the disease.  Hahnemann gives the rules:
  The  progress of dis-
ease aggravation proceeds
on regularly :  and  bears
the same ratio of progress
after as before the exhibi-
tion of the remedy.

  The  progress of dis-
ease aggravation presents
an addition often of new
symptoms.
  The remedial aggrava-
tion occurs almost imme-
diately after the adminis-
tration of the remedy, and
with intensity, so  that it
is seen to arise from some
new agent operating.
  The remedial aggrava-
tion presents an increase
of the same  symptoms,
which, after three to four
hours,  present a lessened
strength.

  These are the chief distinctions : there is-another,
which  powerfully helps to distinguish the aggravation
as remedial, and  this is,  that some of  the symptoms
of the remedial agent, distinct from those, in which
it is homoeopathic to the  disease, become manifest in
the patient.
  This additional  evidence is principally available to
the homoeopathic  physician, because  it cannot  be
supposed that non-medical  individuals are likely to
be acquainted with these symptoms.
  If, however, in four hours after administration, no
effect  should  be  produced  by the  medicine, either 
24
aggravating decidedly the symptoms, or diminishing
decidedly the symptoms, it is certain that the remedy,
homoeopathic  to the  disease, has not been selected,
or that some circumstances, such as diet,  (see chap-
ter on Diet,)  have  interfered with the operation.  It
will  be necessary then to  go over the symptoms of
the patient again, and to compare these  symptoms
with some other remedy or  remedies,  so as to find
the one most  homoeopathic to the symptoms.
   If, still,  after the most  careful examination, the
symptoms are  most correspondent with  those of the
homoeopathic remedy first chosen, it may be that the
want of effect  depends upon the diminished suscepti-
bility to impression, dependent  upon the exhaustion
of the life power; it will then be well  to give a drop
of the dilution itself, instead of the globules impreg-
nated with the given dilution.  But, in  such a case,
a physician's  aid is sure to be sought.

   In regard to diet, the  particulars, to  be attended
to, will be found in the Fourth Part.
   It  is necessary always to select articles of diet  in
which the nutritive property, unattended by strong
flavors, preponderates.
   Cocoa  is the  best  of  all flavored  drinks.  It is
highly nutritive.   It contains an oil  and a fecula,
compounded  in  such  suitable proportions, that.the
most delicate   stomach will, after a time, bear them
thus  joined.   At first, sometimes, the  stomach  does
not seem  to agree with the cocoa; a little persever-
ance, and the stomach will submit.  The author of
this work takes cocoa three times each  day, no tea,
no coffee, no  beer, and no liquid at dinner. 
25
CHAPTER  I
      THE SKIN AND ITS DISEASES.

  Various are the diseases of the membrane, invest-
ing the body.

                            Small Pox.
                            Varioloid.
                            Measles.
                            Scarlet Fever.
                            Purples.
                            St. Anthony's Fire, or
                               Erysipelas.
                            Miliary Fever.
                            Nettle Rash.
                            Burn and Scald.
                            Wound.
                            Sprain.
                            Bruise.

  Of these, one appearing the earliest in life, is

       the milk crust,  (crusta  lactea.)

  Little vesicles,  containing a clear lymph, in clus-
ters, appearing generally, first on  the face, and thence
extending  sometimes over the whole body, soon be-
coming yellow,  then breaking,  and forming  hard
erusts, constitute  this disease.
1.	Milk Crust, or Milk	12.
	Scab.	13.
2.	Excoriation.	14.
3.	Itchings.	15.
4.	Irritability.	16.
5.	Whitlow.	17.
6.	Boil.	
7.	Chilblain.	18.
8.	Scald Head or Ring	19.
	Worm.	20.
9.	Warts.	21.
10.	Corns.	22.
11.	Chicken Pox.	23.
 
26
   When  the  surrounding parts swell, are  red  and
 tender, and the little  sufferer scratches  and is rest-
 less, Aconite * can be administered, followed on the
 second day, when the restlessness and the inflamma-
 tory symptoms are subdued, by the Viola Tricolor.
 The viola tricolor not affording relief, Sulphur  will
 be useful.
   [If it is brought on by variations of temperature,
 accompanied with symptoms of cold, give  Dulcamara
 in the  usual  way.   If there  is much  itching, with
 watery discharge, Rhus.  Tox.  Hep. Sulp., if hoarse-
ness attends the cold, Graph. Arsenicum may also be
required. — Ed.]
  No external application but a little hair powder or
weak soap water should be used.
  When depending upon  constitutional  tendency,
and relief  not being attained  by  these means,  the
physician must be consulted.
  Another malady of the skin in children is


                   excoriation.

  This takes place at the folds of the skin, particu-
larly in infancy.
  Cleanliness, by the use of lukewarm water,  and in
drying the parts, not by rubbing, but the free use of
the common dryingt powder, are often sufficient;

  * For the general conditions under which Aconite is useful see
Introduction.                                    '
  t This powder should be made of the flower of wheat  and not
of that of the potato.                           ' 
27
if insufficient, then Chamomilla can be used for four
or  five days.
  If chamomilla has been used previously, under the
form of chamomile tea, then Pulsatilla or Ignatia is
applicable.
  When the child's body becomes as it were, one
wound from the galled parts becoming as raw, Mer-
cury is best.
  Mercury not succeeding, Zinc may be employed :
but,  on the failure of  mercury, advice  should be
sought.
  If the infant suckles, both  the  mother  and  the
child should take the medicine.
  A third malady of  the  skin, affecting adults as
well as children, may be designated, from the prom-
inent symptom,

                    itchings.

  Little colorless knotty bodies, appearing more par-
ticularly  at the nape of the neck, on the bosom, at the
inner part of the thighs, itch, and being scratched,
become red,  discharge  at their tops, and, in a few
hours,  twelve to twenty-four, form  minute  white,
yellowish, or  dusky crusts or scabs.
  The itching and the inflammation are augmented
by  scratching,  stimulating  drinks,  exercise, at  the
monthly periods, and in the evening.  Variations  in
the  weather often occasion a return.
  Sometimes the  irritation  is  very extended;   the
skin of the whole neck being affected. 
28
   Sulphur is the chief remedy ;  if not wholly curing,
 Carbo Vegetabilis will succeed.
   Should the little knotty bodies appear as flea bites,
 and  the  itching be diffused, pricking and  burning,
 and  if, on scratching,  it .leaves  one part to proceed
 to another, and if it annoys particularly after getting
 warm in bed, then Ignatia is to be used.
   If these means, aided by cleanliness, are inefficient,
the physician's aid must be sought.
   If the itching occurs after  getting warm in bed,
Pulsatilla can be taken ; if the itching always occurs
when undressing,  then Nux  Vomica  or Arsenicum;
if this fail, take Mercurius Vivus, [if there is itching
with oozing of water from the surface like drops of
sweat. — Ed.]
  A fourth malady of the skin may be designated

                   irritability.

  In  some  skins  the least circumstance produces
irritation, attended with  inflammation  and suppu-
ration :  a condition  indicating a peculiar constitu-
tional  state, which,  being removed, this irritable
state will cease.   Calcarea Carbonica is often useful;
but generally, the  selection of the remedy should be
left to the physician.


  A fifth malady of the skin is

          THE  WHITLOW, (PARONCHIA.)

  This  is an inflammation,  affecting generally  the 
29
ends of the fingers at the nail; being attended often
with severe pain, and ending very frequently in sup-
puration.
  Mercurius is the best remedy in suppuration.
  If in the course of eight hours after taking the
mercurius, two globules as  a dose, no improvement
be  apparent, use Aconite and  Hepar  Sulphuris, as
recommended for acute diseases, in the Introduction ;
this will often prevent suppuration and the loss of the
nail, and  even, if not preventing  suppuration, the
process of suppuration will  be rendered less trouble-
some and  painful.
  A poultice should  be employed :  Dr. Hering re-
commends, if the pains are acute, to let a fresh egg
be opened at the thick end  and to thrust the finger
into it,  and let it remain there till the pain abate.
  [Although this disease is sometimes  superficial;
confined to the skin and cellular texture and  glands
about  the nail, it  is improperly  classed with skin
diseases.  More frequently  the worst forms are deep
seated  next the  bone, and  an  incision down  to the
seat of the disease is the only sure means of arresting
a very  painful malady.  Aconite and Mercury, inter-
nally,  and a  soothing  poultice externally, steadily
and patiently persevered in, are the only sure  means
of relief. — Ed.]
  When  suppuration is taking  place, Hepar  Sul-
phuris aids nature most effectually.
  Should the whitlow again threaten, then  Silica
may be employed, alternating this with Sulphur.
  The north pole of the magnet, applied to the whit-
low for a  minute or two^has been found  to be ser-
viceable. 
30
   A sixth malady of the skin is

             THE  BOIL,  (FURUNCULUS.)

   A red spot in the skin, hard and painful appears:
it  rises and swells, and becomes  a painful,  well-
defined, pointed tumor, being highest in the centre,
of a deep  red  color, ending, for  the most  part, in
suppuration;  a head  forming in the centre, which
being removed, pus, mixed with blood, is discharged.
   Arnica will promote the healing, and  prevent the
return.   Arnica being unsuccessful,  and if, with the
boil, there  is an enlargement of  the glands in the
neighborhood of the boil, Belladonna will,  in  most
cases, cure.
   If the inflammation  still persist, and the boil is
very large, and there is feverish  heat, then aconite
and hepar sulphuris, as directed for the whitlow, will
be serviceable.
   Often Mercurius, after arnica  or  belladonna has,
or arnica and  belladonna  have,  exercised  the full
extent of its or their beneficial agency,  without per-
fectly curing, will complete  the curative  process.
Sulphur is useful after the Arnica.
   It should  be remembered  that boils indicate a con-
stitutional state, which should be eradicated, because,
while remaining, there is always  a liability to attack
from other diseases :  for this the physician  must be
consulted. 
31
  A seventh malady of the skin is

                 THE CHILBLAIN.

  This inflammatory affection  attacks the toes  and
the fingers, and seems to be constitutional.  If child-
ren liable to chilblains are treated constitutionally,
the return of them will be prevented.
  I  have just  been  informed  of the children of a
patient of mine in Sussex, who  every winter severely
suffered  from chilblains  for  three  months.  I pre-
scribed the alternate use of Calcarea and Sulphur,
and they have not been troubled this winter with the
chilblains.
  The following symptoms will indicate the appro-
priate  remedies.
  Arnica may be given when the swelling is hard,
the inflammation of  shining appearance, when there
is much pain and itching.
  Belladonna, when  the  inflammation is considera-
ble,  the  appearance bluish  red, with a  creeping,
tingling sensation.
  Chamomilla, if the pain is excessive, and there is
itching with a burning sensation.
  Nux. Vom. when there is much swelling, and the
inflamecf surface bright red, when  there  is itching,
which  is  increased  by  warmth, and the tumefaction
seems  on the point of bursting.
  Pulsatilla, if  the  inflammation is great, and of a
livid hue, with itching, burning, bleeding, throbbing,
and when the pain is increased in  the evening and
night.   This remedy is used first with advantage.
  Sulphur, when the inflammation  is very  violent 
32
and the itching very severe.  Given  often with suc-
cess after Pulsatilla.
  Arsenic, when the pain is acute, and Chamomilla
has not relieved.
  Sulphur  is particularly indicated where the other
remedies have  failed,  or where  the  chilblain has,
before homoeopathic means have  been used, been of
long duration.
  Sometimes the following plan is useful:  lay some
strong glue warm  on  the  part:  put  over  it some
strong paper covered  with  glue.  When the pains
are gone, wash the part cautiously with warm  water.
  [In this country this is most frequently a local dis-
ease,  and the best means of overcoming it is  to use
a foot-bath, composed of one ounce of muriatic acid
to one gallon of warm  water;  keep  the  feet  in this
for  half an hour every evening. — Ed.]
  An eighth  malady, in  which the eruption takes
place in the hair of the head, and which, under com-
mon treatment,  is very tedious, is  that well known
complaint called

     RING WORM, OR  SCALD  HEAD, (PORRIGO.)

  In this disease diet is of the  greatest importance,
and, in the most obstinate cases, Silica has  a most
powerful effect.   All caustic  applications  are  de-
structive.
  [If the eruption extends from the head to the face,
give Hep. S.,  and if the glands of the throat are in-
flamed,  give  Bryonia.  If the  surface has  a corro-
sive discharge oozing  from it, give  Rhus.   T.   If 
33
offensive, Arsenicum, and then Staph.  A little sweet
cream or simple cerate, is the only external applica-
tions  that are admissible or safe. — Ed.]
A ninth disease of the skin is the
                      WART.

  This is generally  indicative of  a  constitutional
diseased condition; and the  use  of Calcarea Car-
bonica, one of the most powerful  means of  acting
upon such constitutional condition,  is generally suc-
cessful.
  When  the wart  assumes more  of the cauliflower
growth; when running into each other, and difficult
to keep  clean,  then  the  Rhus  Toxicodendron  is
useful.                                         .
  But in  case of warts, the constitutional  condition
should  be  inquired  into  by  the  physician  before
adopting  any particular medicine.
  A tenth disease of the skin is

                      CORN.

  The best plan for the  treatment of corns, which
have originated in the use of badly-made shoes, is to
bathe the feet every other  night in warm water, for
about ten minutes; then rub one drop of the 1 inc-
ture of Arnica mixed with  five drops of water on the
               3 
34
corn, having previously pared it as close, layer after
layer, as is prudent, namely, till a slight pain is pro-
duced, and in the morning apply  a piece of  arnica
plaster.
  If the corns resist these means, pursued for  a fort-
night or three weeks,  the inference  is,  that they
depend  upon  constitutional disease, and,  as  such,
must be treated by Sulphur and Silica ;  Silica being
especially indicated if the corns are painful  at the
change of weather.  Rhus also is useful in  pains from
change of weather, and is more immediate.
  Should the corns disappear under the use of those
means  and grow again, Antimonium  Crudum  will
be useful; rub a few drops of the first dilution on
the part.
  Should the corns  at any time,  even during the
alternate use of Sulphur and Silica, become inflamed
or cause severe pain, especially after exercise, the
use of  Arnica will be an excellent auxiliary; a foot-
bath, to which forty drops of the tincture have been
added, is the  best form.
  When the skin becomes hardened on  the sole of
the foot, then Antimonium Crudum is very useful.
   Corns, it should be remembered, depend often on
constitutional causes.
                     ULCERS.

  These open, suppurating sores  upon the  surface
of the body result from wounds, from certain internal
diseases, and from all causes which produce inflam-
mation.  While the process of  ulceration continues, 
35
and is what is  called "unhealthy," the surrounding
edges of the excavation  are  inflamed  and painful,
and a discharge of a corroding nature takes place,
thin and watery, and sometimes tinged with  blood.
When of a" healthy " character, or about to heal, red
points of flesh,  of a cone-like shape, called " granula-
tions," form within the ulcer, gradually  filling up the
hollow, and rising to  a level with the  surrounding
skin.   When these granulations are of  a livid color,
and rise much  higher than  the  surrounding surface,
they are unhealthy, and do not readily form  a new
skin.   External applications, so much  used ordina-
rily, are of small  service in general, and frequently
interrupt the  restorative  process.  The least injuri-
ous ointment  is the simple cerate, or  the " yellow
basilicum," of the shops.
   When  the  veins of the  lower limbs become vari-
cose, that is,  distended with blood, they sometimes
are ruptured, and form ulcers.   Bandaging the leg,
and giving Am. and Puis, in alternation every third
day, is the course recommended.
   Arsenic should be  given  when ulcers  of every
 description  present  a purple  appearance, bleeding
 easily, the discharge  being  like  water and  blood.
 When  they are painful, and the pain is of  a hot,
 burning character.
   Sulphur is a very important remedy, more particu-
 larly if the ulcer is on the ankle or leg, and of long
 standing.   If  there is smarting pain, itching, swell-
 ing,  and brown discoloration.
   Mercurius will  be  found useful when the ulcers
 are deep, and secrete an offensive discharge.  When
 they arise from a venerial or scrofulous taint, and
 the granulations appear unhealthy. 
36
   Silicea, when the edges of the ulcer are hard and
jagged, the discharge thick and of a dirty color, and in-
flammation is extensive, rendering the adjacent flesh
dark red and hard.   It  is oftentimes  very  valuable
when given  alternately with Sulphur.
   Belladonna may be given also when there is much
inflammation.
   Lycopodium is serviceable for  ulcers  which dis-
charge a watery, offensive, and acrid  fluid, or thick
and  deeply  yellow, when the edges look indurated
and shining, and when,  during the night  they are
painful, attended with intolerable itching.
   It is sometimes advisable, while taking the proper
medicine  internally, that a solution of the same (ten
or twelve  globules in a half-pint of water) should be
made for  an external application.   Soft cloths, dip-
ped in cold  water,  and kept  constantly wet,  are the
best dressings for  ulcers, in  general, while  once  a
day they may be wet with the  medicinal solution just
referred to.
  Many other affections of the skin might be noticed;
but these will serve  as  affording general rules:  for
other common cutaneous affections will be seen to
be similar, in most respects, to one or the other of
these, and the treatment can thence be deduced.
  One remark particularly demands attention.   It is,
never to seek to get rid of cutaneous affection merely
by external remedies.


  Besides these  more particularly local affections of
the skin, this membrane  is affected  by several erup- 
37
live maladies, attended with fever, and with an affec-
tion of the general constitution.
  Of these, the first is

          THE  CHICKEN-POX, (VARICELLA.)

  This occurs in children, resident in neighborhoods
wherein small-pox  abounds.   Hence pretenders to
medical science call it small-pox, and thus they, im-
pudent from ignorance, bring  disrepute upon vacci-
nation.
   The little elevations, containing  matter or pus,
hence  called  pustules,  in  chicken-pox  are more
pointed and irregular in their appearance than are
those of  small-pox: the disease, too, is milder in its
progress, and shorter in its  duration, terminating
generally in a week.   It is attended generally with
cold  in the head, and slight fever.
   Aconite  at  the  commencement  will subdue the
 fever:  and Coffcea will remove any  agitation, ex-
 hibited in restlessness and anxiety.
   Should spasm supervene, especially if the child be
 teething, Chamomilla is to be  preferred.
   If the child raises the head  with difficulty, and the
 head and  the hands are hot, much headache, and
 there is  agitation  with griping pains, Belladonna  is
 indicated.                                  .    .,
   When suppuration is taking place, Mercurius aids
 the cure. 
38
   Another eruptive pustular disease is

            THE  SMALL-POX,  (VARIOLA.)

   This disease still  exists, its  continued existence
being a fruit of the ignorance and  the prejudice of
mankind.
   It presents itself in four  stages :  the febrile, the
eruptive, the pustule-maturative, and the desiccating
stage.
   Each stage is attended with its peculiar symptoms
and its peculiar dangers.
   In the febrile stage numerous spots appear; this
stage being attended with lassitude,  headache, often-
times bleeding  at the  nose, vomiting, tenderness on
pressure at the  pit of the stomach, and excessive pain
in the loins.
   In this stage, Aconite moderates the fever and the
congestion of the internal organs.
   When the nervous system is excessively irritable,
the eyes particularly sensitive of light, the glands of
the neck  much swollen, then Belladonna; if the
sleepiness is overpowering, then Opium.
   In the eruptive stage, the  red spots become ele-
vated'and filled with  a  semitransparent fluid; and
on the third to  the fourth day, the pustules are com-
pletely formed on the face, and the patient complains
of itching.
   [During the  eruptive stage, Stibium 1 trit. a pow-
der about the size of a pea  dissolved in a wine-glass
full of water, and  this given in doses  of one tea-
spoonful every  hour or two, I have  found to be the
most effectual  in  aiding the salutary efforts of na-
ture.—Ed.] 
39
  It is proper to keep the patient from the light as
much as possible, as soon as the pustules are formed.
Thus marks will be prevented.
  In this and in the third stage medical aid is neces-
sary : particularly if any symptoms, indicating affec-
tion of internal organs, are apparent.
  In this stage, symptoms of cold, affecting the nose,
eyes, throat,  show themselves.
  In the third stage, the pustule-maturative, the pus-
tules become perfectly developed, have an indentation
in the  centre, and the cellular tissue around, particu-
larly about the face and  the eyes,  becomes swollen;
and the nose and the throat are inflamed : Arnica I
have found useful.
   Should the eruption be very severe, a second fever
supervenes,  called   secondary fever: the  urine  be-
comes clouded, and the odor exhaled from the patient
is peculiarly  unpleasant.  Here the greatest skill is
required to regulate the  progress of the disease.
   In the fourth stage, the desiccating, wherein scabs
form,  cleanliness, by frequently cleansing the skin
with warm water, is absolutely  necessary :  and thus
disfigurement can,  in many cases, be prevented.
   Vaccination is  a perfect  preventive against
small-pox.
   In America, vaccinin, i. e.  the vaccine virus, taken
internally, is used.   " The true small-pox," says Dr.
Herino-, " is cured  by one or  a few doses of vaccinin
so easily  that  we have  no need  to  be much afraid
of it."
Another eruption  attended  with fever, approach- 
40
 ing in many of its features to  small-pox, is called
 Varioloid.
   Belladonna is useful if there is much headache and
 a  furred  tongue.   Sulphur  helps  by bringing the
 eruption to maturity more quickly.
   [This disease is nothing more than a mild  form of
small-pox,  modified and  mitigated by  vaccination,
having partially lost its prophylactic property,  or from
its never having been genuine,  and therefore it re-
quires the same treatment as the genuine  small-pox,
only in a milder form.  To prove this, I have facts
in  my own practice.—Ed.]
   Another eruptive disease, affecting the  skin,  in
which the  eruption  consists not of pustules,  but of
pimples (papular,) is

            the  measles,  (rubeola.)

   This  disease seems to increase its danger with the
age of the parties attacked.
   Its fatality science  has of late  years much dimin-
ished.
   Its dangerousness is connected with the affections,
consequent upon its attack ;  the lungs  suffer much J
sometimes the  bowels.
   The eruption in measles is always preceded by the
febrile symptoms  attending  a severe cold, hence
called catarrhal fever.  The eyes water,  are swollen
and red  : cough, attended  with  hoarseness  and diffi-
cult breathing,  are present. 
41
  In about four days' time the skin becomes red, the
fever  is  intense :  the  eyes are more affected : the
cough is incessant, and  attended  with  an annoying
tickling  in the  larynx: the hoarseness  increases:
the patient is sleepy, and is agitated in his sleep : the
eruption papular, and of a semi-lunar form, becomes
defined, first on the face, then behind  the ears, on
the neck, the  chest,  the upper limbs,  then on the
body, and, finally, on the lower limbs.  The redness
disappears under pressure, but quickly returns.
  The fever increases towards evening.
  The eruption being perfect, the fever ceases; des-
quamation, or the formation of scales, which fall off,
takes place, and the cough  becomes moist.
  Twelve to fourteen days is the usual period during
which the disease continues.
  The great object at the  outset of this disease is  to
regulate and  to  lessen  the eruption;  and  this  is
effected by Pulsatilla, which should be given when
the first symptoms appear.
  If the fever  is violent at the  outset, or in the pro-
gress, Aconite should be used.
  If constant thirst, the tonsils and the veil of palate
inflamed, a hoarse, dry, spasmodic cough affecting the
chest, a shooting or pricking pain  in  swallowing,
are present:  if the eyes are much affected, and great
restlessness with  irritability,  watchfulness, and de-
lirium prevail, then Belladonna must be used.
   When the eruption does  not appear, or it has ap-
peared  and it  retrocedes, the  danger is great:  Bry-
onia then  must be used.   This is particularly use-
ful,  where symptoms of inflammation  of the chest
appear. 
42
  If the glands under or before the ears swell, Arnica
will be useful.
  Another eruptive disease affecting the skin,  and
influencing powerfully the general constitution, is

         SCARLET FEVER, OR SCARLATINA.

  A sore throat is often the only warning of the at-
tack; and this affection of the throat is the condition
with which the fatality of the disease is associated.
  The skin in scarlet  fever is of a bright  red color,
is smooth and  glossy : the  redness gradually dying
away in the surrounding skin:  pressure produces a
whiteness, disappearing on  the removal of the pres-
sure.
  The eruption  begins  generally on  the face,  and
other exposed parts; being  fully developed in about
five days.
  When the  eruption passes into desquamation  (ac-
tual  scales being  disengaged from the skin,) the fever
ceases.
  Belladonna is the sheet anchor in this disease, and
should be administered when the disease appears.
  If, however, the throat is  much charged with viscid
mucus,  and  ulceration  and  swelling  are  present,
Mercury is absolutely  necessary : the alternate,  day
by  day,  use  of Belladonna   and Mercurius,  I have
found decidedly useful in some of the worst cases.
  In this disease,* other complications  appear, re-

  * For the poison (if such language may be used,) of this disease 
43
quiring  the  physician;  remembering  always, that
where febrile excitement or inflammatory action dis?
tresses, Aconite is to be used.
   [I  prefer writing an entire article on this disease,
rather than enlarge the author's, which is too brief to
be of any value, as a guide to discern the disease or
select the remedy.   The  great  diversity of shades
which scarlet fever presents, forbids the propriety of
attempting a description  of them  all, which would
only  confuse the lay practitioner.   Yet enough must
be said to enable him to select  understanding^  the
suitable remedy, where  a homoeopathic physician is
not to be had.   The mildest  form, or simple scarlet
rash, when properly treated, passes off in a few days,
without any  untoward  symptoms.   There is  some
restlessness,  a  slight fever,  a red rash appears more
or less upon the entire surface,  continues  a day or
two and declines, leaving slight roughness or a scaly
appearance of the skin.   A few  doses of Belladonna
once  in four hours, will be all the medical treatment
required.
  In  the more  severe form, in from  eight to twelve
days from the time of the exposure to the contagion
of scarlet fever, the patient will  become restless and

and of the preceding, the skill and the research of Hahnemann
discovered antidotes or preventives ■ so that these diseases, existing
in any family, can be stayed in their diffusion.  To measles, the
preventives are aconite and Pulsatilla, used alternately, a globule
every other day ; to scarlet fever, belladonna, a globule every day,
or every other day.  Many evidences could be brought  forward in
proof of the power of these medicines as prophylactics  ; one may
be related.  I had, two years since, a little child who had the
scarlet fever; his sister,  three years older than himself, I caused
to sleep in the same bed, and to keep in the same room with  him
throughout his illness, she takingbelladonna, a globule  every other
day, and she did not have the disease. 
44
feverish,  and if very severe,  sickness  and vomiting
will show itself.   Very soon,  generally within twen-
ty-four hours,  the rash  will  appear ;  first  upon the
stomach and bowels;  then upon the neck,  face, and
finally upon the extremities and entire surface.
  The color is a bright red,  resembling  the shell  of
a boiled lobster;  not~perfectly uniform over the body,
but slightly variegated, and  there are no  elevations
like the measles or small-pox, except a very fine gra-
ter-like, pimply surface, which, on close inspection,
is found to contain lymph.  The  redness disappears
on pressure being applied,  and returns very  quickly
when it is removed.   The eyes are much less affected
than in measles,  and  there is very little or no cough
in this disease ; whereas in measles it is a very prom-
inent symptom.  In the more malignant scarlet fever,
the  throat is  inflamed and  swollen from  the com-
mencement, and has a rapid tendency to mortification.
There is great accumulation  of mucus in the throat,
which produces great  difficulty  of swallowing and
breathing.   The  patient  is extremely restless  and
sleepless ;  slight  delirium attends : nausea or even
vomiting is common,  and is indicative  of cerebral
(brain) disturbance,  and when it ushers in  the dis-
ease it is the precursor of a violent attack.
  The tongue is  often coated, of a  deep  ash color
through the centre,  with the edges bright red, with
red  projecting points called  papillae.   The  coating
clears off early, leaving the whole surface in this con-
dition, becoming dry and hard during  sleep.
  Treatment.  The  first thing to be attended  to  in
all fevers is, to see that the patient's room is as freely
ventilated  as  the circumstances of the place or nur-
sery will  admit. 
45
  Belladonna is  the  chief remedy during the devel-
opment of the rash, and  may be the only  medicine
necessary, if the disease is uncomplicated,  and the
rash is of a bright red, disappearing underpressure.
If the heat is very great, and  the patient is  disposed
to be  flighty  and very restless,  alternate the bella-
donna  with Aconite ;  say  one drop of each in sepa-
rate wineglasses of water, and give one  teaspoonful,
first from one and then from the other every quarter,
half, one, or four hours, according  to the urgency of
the  symptoms.  If the pellets are  used, give  three,
and  repeat in the same manner.
  If the burning heat still continues, the entire sur-
face should be sponged over with cold water, on vin-
egar and  water, in the proportion of one tablespoon-
ful of the former to a tumbler full of water,  and this
should  be repeated every two or three hours, while
the intensity of the heat continues.
  If the throat should be clogged with thick mucus,
and the tongue heavily  coated,  grayish with  occa-
sional  ulcers,  a few powders  of Mercury should be
given every two hours;  if pellets, three, and if pow-
der, about the  size of half a pea at once. If accom-
panied with external swelling of the  glands, and ul-
ceration, or sloughing of the throat and mouth,  the
Protiodide of Mercury  will be  the best,  given  as
other powders.
  If coma or  stupor  should  come on,  Opium, one
drop to a wineglass of water, and a teaspoonful every
half hour, must be given.  If pellets, three  repeated
as above.  If there should be restlessness, startings,
Hyos.   administered as  above; Muriatic  Acid,  or
" Oxy. Muriatic   Acid,"  if it can be obtained, (it 
46
 cannot be kept pure in a family case,) would be bet-
 ter, when there is  a strong tendency to  gangrene,
 and  the  odor  is very offensive, and there  is great
 prostration, one drop in a wineglass of water, and a
 teaspoonful  given  in alternation  with  the  opium.
 Arsenicum,  in  pellets or powder, if there  is great
 prostration together  with the above symptoms.  As
 the fever subsides, the cuticle will be gradually sepa-
 rated and cast off, and the patient suffers very much
 from itching of the surface.   This will be relieved
 by a few doses  of Rhus  Tox. prepared  and  used  in
 the usual  manner of the other remedies,  and wash-
 ing the skin frequently with weak Castile soap water.
 Finally, a few doses  of  sulphur pellets  will  perfect
the cure.  If the patient remains feeble, add one drop
 of China to  three spoonsful of water, and .give one
 spoonful half an hour before each  meal.
  The greatest care must  be observed  during con-
valescence,  for  at least  a fortnight.   Dropsy often
 follows, and when it does appear, Dulcamara, Helle-
borus  Niger, Pulsatilla and Cannabis, are the chief
remedies; one drop of either of these in a wineglass
of water, and one teaspoonful given every  hour, will
soon effect a cure. — Ed.]
           THE PURPURA, OR PURPLES.

  This has been confounded with scarlet fever.  It
is  distinct.   The  spots  are purple red,  like  red
wine:  and the  spots,  when pressed upon by the
nnger, do not turn  white,  as is the case  in scarlet 
47
fever.  At the spots within the skin are numerous
little granules, which do not exist in scarlet fever.
  Aconite is serviceable in this affection, and it should
be given alternately  with Coffoea.
  If, however,  by the alternate use of aconite and
coffbea, the symptoms do not diminish, Sulphur should
be given, waiting some hours, and then aconite.
  Another affection, in which the skin  is of a deep
red, sometimes yellow, glistening, swollen, hot, with
burning pains, tightness, and itching,  attended with
fever, is called

       st. Anthony's fire, or  erysipelas.

  Women at the change of life,  and elderly persons
of a bilious temperament, are most subject to this
disease, which, very frequently, is produced by mental
excitement.
  If the fever is intense,  Aconite can  be  used: if
not Belladonna: and, if aconite  has been used, then
belladonna, this  latter being particularly indicated
when " the erysipelas is radiated, and  the streaks
are produced in different parts."   Dr. Hering.
  In erysipelas affecting the joints, motion augment-
ing the pain,  Bryonia is  indicated,  and afterwards
Hepar Sulphuris.
  If the erysipelas moves from one part to the other,
then Pulsatilla.
  When vesicles appear filled with serum, and typhoid
symptoms threaten, the  Rhus Toxicodendron is use-
ful :  aconite having been previously used. 
48
  When the head  and the scalp are  affected,  the
physician's aid must be sought.  In reference to ex-
ternal applications in erysipelas, dry applications only
are  to be  used.   Rye meal  is  the best of these.
Fine powder from wheaten starch abates the itching.
            miliary fever,  (miliaria.)

   This eruptive  disease, consisting of small trans-
parent elevations, about the size of millet seed, of
the skin, attended  with  fever,  great  anxiety,  and
restlessness,  and symptoms indicating  affection of
the chest, is, when unconnected  with other diseases,
which it  very frequently is, treated best by Aconite,
followed by  Coffaea, when there  is much  nervous
excitability.
   When the head is  affected, and delirium super-
venes, then  Belladonna is preferable to Coffaea.
   If there is diarrhoea,  and particularly when undue
warmth in clothing  has induced the attack,  Cham-
omilla is generally very beneficial.
            nettle-rash, (urticaria.)

  This eruptive disease, consisting in the appearance
of red pimples, often presenting a white  spot in the
centre, and attended with itching, or a fine stinging
suddenly  appearing,  and  suddenly  disappearing,
from one part to  appear on another, is well  known.
It is particularly troublesome towards evening and
night. 
49
   As  this eruptive affection is  attended with fever
 when the symptoms  indicated by Aconite occur in a
 strong degree, Aconite can be  given first, followed
 by Dulcamara or by  Nux  Vomica; Dulcamara beine
 indicated, according to Dr. Jeanes, under the follow-
 ing  circumstances:   the  eruption preceded  by  a
 sensation of sticking as with needles; attended with
 fever;  with  a bitter  taste  in  the mouth, a slimy
 coated tongue; nausea; vomiting; pressing pains at
 the pit of the stomach ; diarrhoea  ; dark, cloudy urine ;
 pains  in the limbs;  extreme  itching;  and  after
 scratching,  burning. .
   When, however, there  is headache, constipation,
 thirst,  hoarseness, and  when the  eruption has appear-
 ed from taking stimulating or indigestible substances,
 then Nux Vomica or Pulsatilla  is to be taken after
 the Aconite.
  Should the eruption have suddenly disappeared,
 and symptoms indicating affection of the chest make
their appearance, Bryonia will be highly serviceable.
  If with headache there  is a red face, then Bella-
donna.
   External  injuries  produce affection of the skin
and parts beneath, which require domestic attention.
The first affection embraces

            the burn and the scald.

   The treatment  of the burn and  the scald differs
according  to  the severity :  this  being  dependent
considerably upon the surface injured.
   Where the skin is destroyed, and the parts below
injured, the physician's aid must be sought.
               4 
50
  Where the affection is slight, the  old practice of
holding the part burned or scalded to the fire is quite
homoeopathic ; the common practice of applying cold
water, or cold  potatoes sliced, cold  carrots, or any
thing  cooling, is injurious.   Goulard's lotion has
often  caused death  by the lead,  contained therein,
poisoning the individual.
  Where the affection is more extensive, the use of
heated * spirits of wine, brandy, hot  rum, or oil of
turpentine, applied by soaking and keeping constantly
moist old soft clean rags or lint, is also homoeopathic.
Cotton is very excellent: it should be applied immedi-
ately, pulled fine, and if cotton wadding is used,  be
slit open  and applied  in thin layers, previously cut-
ting open all blisters and rinsing them with  warm
water.
  [Cotton batting with Olive Oil is the  best and most
effectual applications to recent burns, indeed nothing
else is required, if this is applied at once and kept on,
without meddling with it in any  other way than  to
moisten the cotton with the  oil.  It is too simple for
many  meddling practitioners, but  it is  the  best ap-
plication,  and the   most  uniformly successful and
soothing of any that I ever tried. — Ed.]
  The best remedy in most cases, is soap : take white
or Castile soap, (not brown soap,) shave it fine, and
convert it  by lukewarm water  into a thick salve:
spread this as thick  as the  back of a knife on strips
of linen,  and cover the burns with it, being careful to

  * Spirits of wine, &c, may be heated by putting some in a dish
on or near the stove; but for immediate use, the best plan is to set
fire to the spirit, and let it burn till it is heated, then extinguish
the  flame by covering it, and use this till the other is heated 
51
touch every spot: tie it  well  up, so as to keep the
soaped  linen close to the skin : let it remain 18 to
26 hours, and  remove with care, doing nothing but
apply fresh soaped linen.   It will increase the burn-
ing at first,  but the burning  will soon  be  better.
When the burning recurs, apply fresh soaped linen.
  This is a most speedy method, and if care be taken
in applying equally and completely the soaped linens,
no scar will be. left.
  Creosote water  is useful where the  application of
soap produces an offensive smell.  The blisters being
cut and rinsed, and loose skin cut  away, apply the
water to the wound  with  a  hair  pencil:  put  on
linen  rags dipped in it, and a tight bandage to exclude
the air.  Renew the water  each  time the wound
pains, or about twice a day.
  When febrile action is induced, Aconite  must be
employed : when diarrhoea supervenes it is curative,
and ought not to be arrested unless excessive :  in all
cases  of burns,  water should be taken plentifully and
exercise in the air.
  Another affection, requiring immediate treatment is

                   THE  WOUND.

  The parts should  be washed with warm water to
remove any dirt or foreign substance : the edges of
the wound,  whether cut or torn,  should  be  brought
as nearly as possible  together, and then strap with
arnica plaster, so as to keep them in contact.
  The slips should be  a few inches  long, and should 
52
be narrower  in the middle than at the ends; warm
them either by breathing on the medicinated side, or
by wrapping  them  on the unmedicinated side  to a
bottle of hot  water or round the arm, till the plaster
becomes soft; pull  tightly, so that the edges of the
wound throughout  may  be  kept closely together.
Between the  strips,  leave at the most depending point
an open  spot to let the humor out, in case the wound
should form  matter or suppurate.
  When the  edges  are brought together the bleeding
almost invariably stops : if it should not be  arrested,
apply compresses, and when  fixed steadily and firm,
let them  be  steeped in a dilution of Arnica ; a tea-
spoonful  of  the tincture to six table  spoonsful  of
water.
  Should the bleeding be from any large vessel, and
especially if it be red blood and issues by jerks,  the
bleeding is dangerous.  In such  a  case, tie a cloth
or silk handkerchief above the wound.  If the blood
still escapes by jerks,  then  feel on the inner side  of
the  limb till  the beating  of an  artery is perceived;
put on this a  cork, press it; put over it some doubled
linen folded to the thickness of a finger, and surround
the  whole with a bandage, tightening it till the blood
stops.  At first the bleeding may augment, but it will
soon  cease.
  If,  notwithstanding these means, the bleeding does
not  cease,  haste  for  medical assistance.   Let the
patient take some salt on his tongue ; if this does not
benefit, then  a little vinegar and water.   Let him lie
high with the wounded part, and see that his garments
are  perfectly  loose,  and that  no part of his  body is
pressed.  If  he faints, do nothing; use no  smelling 
53
 bottles:  it is always beneficial.  If the patient turns
 pale and blue, and his  limbs and face are convulsed
 put two globules of China on his tongue.   If he gets
 worse,  let him have some pure old wine, when he
 desires it, (not when, the people around  desire him
 to take it,) and follow with China.
   If the wound be severe, arnica should be  taken
 internally; one to three globules to be administered
 during the twenty-four hours, succeeding the infliction
 of the wound.
   When the  wound becomes very painful, Coffasa
 will do much  service: and any tendency to suppura-
 tion will be checked by Mercury.
   If the margins of the  wound  are  swollen, and
 surrounded  by a red areola, Pulsatilla will be very
 useful.
   If the  laceration  is  extensive,  it will  be well to
cover the bandages used  by a soft  compress of lint,
covered with cerate, taking arnica internally.
  Should suppuration take place, then the  treatment
with aconite and hepar  sulphuris, as directed for the
Whitlow, will be serviceable and curative.
  Where much blood has been lost, the internal use
of the arnica may be preceded by China, two globules
in a wineglass of water, and eight hours after  pro-
ceed with the  arnica.
  Should a severe fright attend the infliction of the
injury, it will be well to administer  Opium before the
arnica.
  In connection  with the wound, the affection pro-
duced, when, after a fall or any other violence, a limb 
54
pains severely, so that it  cannot be moved without
pain, swells, and turns red, called

                    a sprain,

may be noticed.
  The parts, which bind the bony joints together, are
called ligaments.  They  are  extremely strong; but
when a joint  is subjected to any  violent shock, or
extension, the ligaments become morbidly affected,
and pain, weakness, and swelling, occur in them and
the adjacent parts.
  In these cases, Arnica  is to be  used,  both inter-
nally in solution, and externally by friction.
  Should  not the arnica  remove the pain, the swell-
ing,  and redness, Rhus Toxicodendron must be em-
ployed.   Sometimes Bryonia is needed.
  Another very common affection is

                    A BRUISE.

  Any injury by a  rounded or blunted substance to
a soft part of the body,  is attended with  swelling,
and often an extravasation of blood, giving a mottled
appearance to the part.
  Here again, Arnica, externally and internally used,
is the best remedy.
  Instead of using friction, as  in  a strain, an appli-
cation by rags soaked in  solution  of arnica, should
be employed. 
55
CHAPTER  II.
        AFFECTIONS  OF THE HEAD.

    1. Inflammation of the Brain.  4. Megrim.
    2. Water in the Head.        5. Dizziness.
    3. Headache.

  The  head contains the brain, the  part through
which the mind performs its  various operations, and
with which all the various  parts of the nervous sys-
tem are intimately  connected.   Affections  of this
organ must, therefore, be highly  dangerous, and re-
quire much care.
  The brain  is invested  with coverings  within the
skull, which are called the meninges.  These men-
inges serve for the protection of  the brain, and are
closely connected with it.
                  INFLAMMATION

is a diseased state, to which both the brain and its
coverings are subject:  which inflammation, once es-
tablished, is most difficult to subdue.
  It is important, therefore, to  anticipate its attack ;
and the symptoms which precede an attack, are fre-
quently the following :  head hot and heavy :  face red 
56
and  swollen:   excessively irritable and  sensitive:
sometimes  a comatose state :  delirium:  desire to
bury the head in the bolster :  eyes suffused and bril-
liant, pupils often contracted : inclination to thrust
the  fingers  into the  nostrils:  grinding the  teeth:
many indications of spasm : great heat, proportionate
thirst: visible throbbings in the neck :  forcing down
of the lower part of the  abdomen:  constipation:
sometimes slight diarrhoea.
   When such symptoms present themselves, it is cer-
tain that the physician's advice will be sought:  it
may, however, be useful to enumerate the symptoms,
indicating other stages in  the disease.
   When the disease is more  fully advanced, the pa-
tient manifests  strong fits  of passion :  as intolerance
of light: often  wrinkles his brows: has pains in his
ears :  has nausea, attended often with  vomiting, and
cannot sleep :  or, if sleeping, has frights.
   The first step to be taken is to give Aconite, which
will subdue the symptoms  connected with the con-
gestion in the head.
   This should  be followed by the use of Belladonna,
when the symptoms just described are  prominent.
   When, however, the patient lies in bed,  without
taking notice,  with  the eyes closed:  sinks down
without cognizance:  raves upon his own private af-
fairs :  the mouth opening  with difficulty :  the tongue
loaded with white and frothy  mucus: dilatation  of
the pupil and fixedness of the eye : redness  of face:
smiles :  stutters inarticulately :  is, at times, perfectly
quiescent: has frequent twitchings : moves his hands
as if to withdraw the coverlid, attended with anxious
and weak respiration,  full pulse, tense abdomen, and 
57
skin dry and disposed to crack, then Hyoscyamus  is
the best remedy.
  When the patient is in a sleepy state, the sleepi-
ness is attended by  snoring :  the eyes half open :
the patient uttering  no complaint, and in need of
nothing,  and  has frequent vomiting, then Opium is
to be used.
  When the  patient slumbers naturally,  but  has
startings in his limbs, snorings, his movements irreg-
ular, and when waking, appears without cognizance :
sometimes fixing his  attention, sometimes withdraw-
ing himself slowly and with apprehension :  sometimes
retreating  with exclamations of  dread :  and when
these are associated  with ardent fever, 'red  face, and
moist skin, then Stramonium is applicable.
     WATER IN  THE  HEAD,  (HYDROCEPHALUS.)

  This affection is generally preceded by the symp-
toms described in conjunction with inflammation of
the brain.
  It is,  however, often  very  insidious  in  its ap-
proach.   Two  indications  of such  approach  are,
first,  the  unwillingness  of the child to play;  and
second, fractious peevishness, whenever raised from
the  horizontal position.
  [" Helleborus Niger"  should be given in the usual
manner in this disease, and persevered in.  It is far
more effectual with the occasional  aid of the other
remedies  above named, than all the harsh treatment
of the old school  practice;  indeed,  this disease is 
58
never cured by allopathists, and I know, from per-
sonal observation, that it  is  often cured by well-se-
lected homoeopathic means.   Therefore, I would say
to the parent, persevere until you can get the advice
of a Homoeopathic physician,  with  Helleb. where
there is stupor, disposition  in the child to lie down,
trembling  of the limbs,  motions involuntary,  eyes
insensible to  light, pupils dilated, swallows hastily,
strikes about, easily starts, cries out,  pulse  inter-
mitted.   The  other remedies are Mercury and  Ar-
senicum,  and may also be resorted to. — Ed.]
  No parent is, however, justified in treating such an
affection : the physician's aid must be sought.
  Another well-known affection of the  head is that
called

           HEADACHE,  (CEPHALALGIA.)

  Headache  is generally a symptom  of other  dis-
eases, more particularly of affection of the stomach:
still there are some headaches sufficiently uncompli-
cated  as to admit of treatment as distinct.
  Numerous remedies are applicable to the different
forms of headache.  As, however headache is associ-
ated with indigestion, it will be well to examine the
symptoms connected  with the  remedies for indiges-
tion, before deciding on the remedy to be used; more
particularly  if the headache is attended with  indi-
gestion.
  It may be beneficial to remark, that headache, un- 
59
complicated with indigestion or as people commonly
but erroneously express their meaning, with bilious-
ness, claims more attention and more skill,  being at-
tended with more danger, than headache, associated
with indigestion.
  The  majority  of headaches are connected with
irritation of the stomach, technically gastric irrita-
tion, and of the intestines;  an  irritation,  induced
in numberless instances by the destructive method of
attempting to  cure  diseases, more particularly those
miscalled bilious by  purgatives.   Such headaches,
admitting a ready alleviation by homoeopathic medi-
cines,  have opened up  a wide  field,  in which the
skilful  homoeopathic physician may wander  with ben-
efit to  the sufferer, and with pleasure, with reward,
and with honor to himself.
  The principal  medicines to be  used for this affec-
tion are, Aconite, Belladonna, Bryonia, Chamomilla,
Nux vom. and Pulsatilla.
  Aconite should be given when the pain is pressing,
throbbing  with  a sense of weight and fulness, or
burning heat  in the  forehead and temple while the
body and limbs are cold ;  when there is a pricking
sensation in  the forehead;  and when  the above
symptoms are aggravated by rising from a recumbent
position, and  when speaking  or  drinking; relieved
when in the open air, or by lying down.
   Belladonna, when there is a deep-seated  dull pain,
centered in the  forehead, and drawing  outwards, at-
tended  with a sensation of heat with pain,  in the
bones  of the  nose.   When the pains are  rendered
insupportable  by every motion,  particularly  of the
eyes, and by the slightest breath  of air.  And when 
60
they are mitigated by holding back or supporting the
head, and by rest.
  Bryonia, when pain affects the whole head, con-
tinuing from  morning till night, with a sensation as
if the brain would force itself out of  the forehead,
attended with  a feeling of contraction, affecting the
whole head, and nearly depriving one  of senses; —
when it is greatly increased  by movement, and by
mental emotion,  and  relieved by  a  horizontal pos-
ture.
  Chamomilla, when  there is a pressing,  stunning
pain as if  the  skull would burst,  when sitting still,
with a sense of heaviness at the root of nose, as from
a cold  approaching, shooting,  tearing pains  in
temple and  head, and a throbbing pain chiefly on
one side  of the  head;  these sensations being  ag-
gravated  during  the night,  and caused  by a cold,
ceasing  or diminishing  in- the morning, when sud-
denly awaking, or after having risen.
  Nux vom. when there is a pain along the eyebrows;
deeply-seated, shooting pain  at the top  of head, with
a tendency to fall forwards,  or throbbing  pains on
the   left side  of  forehead  and often  over  the left
eye.  When the  headache resembles that which  re-
sults from intoxication, and as if the skull were frac-
tured, or a nail driven into the brain.  When  these
symptoms  are increased by movement,  by  lying
down in a confined  apartment, by intellectual labor,
by  stooping,  by hot  weather, by noise,  and  after a
meal, growing worse towards midday, and  relieved
only by lying down.
  Pulsatilla, when the pains  are similar to  those  de-
scribed under Nux vom. with heaviness of head, and 
61
when they occur principally in the evening, aggra-
vated by stooping,  by mental  exertion, when  at rest
especially  by moving the eyes, and when  they are
relieved  by walking about,  by pressure, or  by bind-
ing the head tight.

  A third, very troublesome, affection of the head is
known under the name of

                      megrim.
  It is  characterized by affecting  one side  of the
head, and  of that only a  portion,  which the patient
states he can cover with his finger, and  feels  as if a
nail was being driven into the part.  The part af-
fected is generally very tender, so  that not the slight-
est pressure can be borne.
  This  malady is generally  connected with  a  consti-
tutional  condition,  which .requires removal; but, in
affording relief, the characteristics, already  given of
headache, will  be of utility.
  [Pulsatilla Platina, Nitric Acid, Causticum Vera-
trum, and  Belladonna may  be  advantageously given
for this disease. — Ed.]
  The physician should, however, be  consulted in
the  choice  of the remedy for this severe  complaint.

               VERTIGO,  (DIZZINESS.)

  Though  this sensation is very  frequently nothing
more  than  symptomatic, and is removed only when
its  general cause is  cured ; yet at times, it may be
considered, as  a primary prominent affection for the
relief of which remedies should be, in a direct man-
ner, administered. 
62
   For that which is produced by congestion of blood,
where there is increased dizziness when stooping, or
rising up.  Aconite is the remedy, and should it  not
be successful alone, it should be alternated with Aco-
nite.
   Conium is of use, where there is a whirling giddi-
ness,  which causes one to  fall  sideways, especially
when looking backwards.
   Lachesis, when giddiness is felt on awaking in  the
morning, or when there  is absence of mind, stupor
and paleness of face.
   Nux vom. when the vertigo appears  after eating,
or when walking in the air, or during meditation, in
the morning in bed,  while lying upon the back, with
humming  in  the ears, nausea, cloudiness of vision,
or fainting.
  Pulsatilla, when  it occurs  on raising the  eyes,
when seated, or during the evening, with heaviness
in the head.
   Sulphur, if frequent, long  continued,  and when
it is more decided on ascending a hill  or going up
stairs. 
63
CHAPTER  III.
AFFECTIONS  OF  THE  EYES  AND  THE
                   EYELIDS.

1.  Inflammation.
la. Inflammation of the Eyes of New-Born Children.
lb. Inflammation of the Eye from some body  acting
       on the Eye.
2.  Catarrhal Ophthalmia.
3.  Stye.
4.  Strabismus.
5.  Near-Sightedness.
6.  Far-Sightedness.
7.  Weakness of Sight.

   The eyes are organs, which, by their use, delicacy,
and importance, well deserve the place they hold.
   They  are subject  to disease, more  particularly,
INFLAMMATION.
   Children, just born, have often inflammation from
sudden  exposure to too strong  a light.   Sensibility
of the eye to light is the first symptom : a slight red-
ness appears in the portion of the conjunctiva  cover-
ing the eyelid, especially at the  internal angle  of the
eye, and a viscid secretion is formed on the  eyelids.
   Aconite, with cleanliness, will remove this;  when
the intolerance of light is  excessive, and when the 
64
'        white of the eyes is much reddened, Belladonna may
        be administered after the Aconite.
          The  remnants of  the  disease  are  removed by
        Sulphur; or if not, Calcarea Carbonica will, in gen-
        eral, cure.
          If the eye is inflamed from any thing in it, common
        sense dictates the  removal of the  body, the bathing
        with warm  water, and then Aconite will prevent the
        inflammation: Sulphur may be  used after Aconite.
          When the eye has become inflamed from a bruise,
        Arnica is very useful.
INFLAMMATION OF  THE EYE  FROM BODIES  ENTERING
                    THE EYE.

  Often a portion  of lime or some  other  body gets
between the eye and the lids.
  Much irritation is occasioned, the white  of the eye
becomes affected, and a pain is felt in the whole  of
the eye ;  a discharge of tears takes place, and the eye
becomes  sensative  to light.   An  attempt  should be
made to remove  the  foreign body, and, after  its re-
moval, Aconite should be administered.  Sometimes
the foreign body cannot be  removed  on account  of
the excesssive sensibility of the eye, then Aconite
being administered will subdue the sensibility, and
render it possible to remove the body in the eye.
A modification of this is that produced  by a small 
65
   insect of some kind entering the eye and stinging it.
   It is called sometimes

                        BLIGHT.

     Considerable redness and pain are present; Aco-
   nite here acts immediate in Relieving the irritation.
     There is an inflammation of the eye and the eye-
   lids, connected with cold, called

                CATARRHAL OPHTHALMIA.

     The eyes and  eyelids are red :  there  is a sense
   of burning  and  pressure as from  a grain  of sand :
   light  is dreaded :  tears  flow, and often  an  abundant
   mucous  discharge:  to  these  symptoms  are  added
   catarrh, with or without fever, and a dry troublesome
   cough.
     Aconite  will subdue  the inflammation,  and Nux
   Vomica the other symptoms.
     When the inflammation is  intense, the redness is
   intense, also the  other  symptoms; when there  is a
>   severe cold in the head, producing excoriation of the
   nostrils,  the wings of the nose and the lips, attended
   with  small  pustules, and cough at intervals, with a
i   suffocation and wheezing, Belladonna should be used
   after the Aconite ; copious  discharge is the charac-
   teristic of this ophthalmia.
     When the redness extends  over the whole of the
   eyes,  the secretion of tears  is  abundant, and there is
   itching by day and adhering by night, margins of eye-
i   lids ulcerated, moist  and  purulent, with  frequent
                  5 
66
blinking of the eyes, shunning light, then Euphrasia
is best.
  When with  the symptoms detailed in the first par-
agraph, there are itching, chiefly in the open air, and
a swollen state of the eyelids, then Mercurius can be
employed.


  Some diseases affect only the  eyelids.  The selec-
tion of a remedy may be made  from the following:
  Aconite should  be given at first, if the eyelids are
red, swollen, hot and dry.
  Hepar will  advantageously succeed Aeon, should
the lids be  of a  pale  yellowish  red,  with  soreness
and pressing pain,  swollen and shining as if transpa-
rent, with moisture in eyes and nose.
  Belladonna, when there is inflammation and swell-
ing, with heat and itching, when they adhere togeth-
er, bleed when opened, tend to turn  outward or  in-
ward, and are heavy and powerless.
  Arsenicum,  when the inside of the lid is much in-
flamed,  with a sensation of violent  burning, and
when opening the eyelids is difficult.
  Mercurius viv. is of service when there are ulcers
or scurf upon the edges of the lid, when the pain is
acute, with sense of heat in the  open air, and the lids
are strongly drawn together, rendering it difficult to
separate them.
  The eyelids have at  their margins,  glands, which
separate an  oily substance.
  These glands become inflamed and form  a

               STYE, (HORDEOLUM.)

   Pulsatilla is the remedy, taken internally, and ap- 
67
plied as a lotion externally during the day.  At night
a warm bread poultice, on which two or three drops
of the tincture, at the third dilution, have been drop-
ped, can be applied.
  Should the stye return, or should a hard lump re-
main and  a viscous matter  adhere,  attended often
with a sticking together of the eyelids, Staphysagria
can be taken.
  If the lumps still remain,  Calcarea carbonica can
be used.
   When the eye as well as the eyelid are affected, or
when the eye alone is affected, many are the reme-
dies; among  them Aconite stands pre-eminent, and
may be used, in general, at  the outset.   The choice
of the remedies to be used, subsequently to the Aco-
nite, must  be left to the physician.

             [strabismus (squinting.)

   This affection, by which  objects are  seen in an
oblique manner, the axis of vision being distended,
commonly  occurring when  the child is  young, and
which, if suffered to continue will become permanent,
may  be reminded  by the  following  method: Place
the child so that the light may fall equally upon  both
eyes, carefully avoiding that position which will force
one eye to  more constant use than the other.  Should
one eye be  already turned  aside, the  opposite one
may  be covered with a shade for several  days, so
that the squinting eye will be used exclusively, until
direct vision is restored.   If both eyes turn outwards,
some dark substance placed upon the tip of the nose,
will often  remedy the defect, or if inwards, —two 
68
pieces of stiff pasteboard may be so bound upon each
side of the head as to project beyond the level of the
eyes in front.
  If the defect is produced by other means than ob-
liquity of light, medical remedies must  be resorted
to; for example,
  Belladonna should be given if strabismus  is ac-
companied by much heat of the head, and throbbing
of the arteries.
  Hyosiamus, if there is reason to suspect the exist-
ence of  worms.
  Alum may be resorted to in strabismus of both eyes,
unaccompanied  by  any symptom of general  irrita-
tion.

                DEFECTS  OF VISION.

  When the eye projects more than natural, or when
the chrystalline lens within the eye is too convex,
the rays of light passing through the lens are con-
verged to a focus before reaching the retina, and dis-
tant  objects are indistinctly .seen.   This  defect of
vision is  called " near-sightedness,"  and  concave
glasses are made use of to counteract such  excess
of convexity.   When, on the contrary, the lens or
cornea is not sufficiently convex to draw the focus
of rays  to the  proper point, that is, the  retina, — a
new  object  cannot be seen  distinctly.  The focus
passes beyond the retina,  and the assistance of con-
vex glasses  are needed.   This  loss of rotundity is
owing usually to the absorption  of  substance  as age
advances, and is  termed  " far-sightedness."  The
medium, however  through which the rays of light
pass  may be affected by disease either local or sym-
pathetic. 
69
                NEAR-SIGHTEDNESS.

  If this occurs, in consequence of inflammation of
the eyes, and has not been of long duration,
  Pulsatilla may be given with good effect.-
  Carb.  veg.  will  often  cure this state of  vision,
when it has been brought on by the use of Mercury.
  Phosph. acid, when  it results  from low nervous
fevers,  or   any  cause  which greatly reduces  the
strength of the system.

                 FAR-SIGHTEDNESS.

  When from other cause than the  gradually lessen-
ing convexity of the  eye by absorption, a person is
troubled with " far-sightedness," or difficulty of per-
ceiving near objects, homoeopathic remedies are often
beneficial.
  Drosera will  be serviceable, should  there be dim-
ness  of sight while  reading,  the  letters  appearing
confused — and dazzling of the eyes by light.
  Sulphur will  follow  with advantage, if no good
effect is perceived from Dros.
   Nux vom.  should  be  selected, if  an  attack of
far-sightedness is brought on by indulgence in stim-
ulants.

                WEAKNESS OF  SIGHT.

  Pulsatilla,  in alternation  with  Euphrasia,  has
proved beneficial when weakness of sight is attended
with great debility, frequent lachrymation, the pupil
of the eye being of a whitish-gray color. 
70
  Sulph. acid, when there  is a burning pressure in
the eye, with cloudy vision, irritable temper, general
emaciation, and when the person thus affected  has
suffered from* hemorrhoids which have  suddenly dis-
appeared.
  Rhus Tox. when weakness of sight happens soon
after the  sudden disappearance of  any cutaneous
eruption, of rheumatism, or of  gout. — Ed.]
  There are  numerous other remedies suited to the
affections of the eyes, but the choice  amongst these
requires the medical man's judgment.
  In reference  to affections of the eyes it should be
remembered that every kind of eyewater, all oint-
ments  and salves, unless homoeopathic, injure  the
eyes.   It is true that diseases of the eyes and of the
eyelids may disappear under their use ; but other dis-
eased states supervene, and often  internal diseases
are produced.
  Pure water, either cold or warm, according to the
feelings of the patient, is the best eyewater. 
71
CHAPTER  IV.
AFFECTIONS  OF  THE EAR AND OF THE
                  CHEEKS.

                    THE  EAR.

  The ear is an organ, the importance of which is
recognized by all.
  It is subject to various affections.
  1. Earache.
  2. Inflammation of the Ear.
  3. Discharge from  the Ear.
  4. Swelling of the  Cheek.
  5. Enlargement of the Parotid and Submaxillary
       Glands.
  One affection very common is

              EARACHE, OR  OTALGIA.

  This affection is sometimes very troublesome and
difficult  to  cure.  Various remedies are applicable.
The following are the principal remedies :
  Arnica, when the pains are pressing, stinging and 
72
darting  behind the  ears :  heat:  irritability  at any
loud noise, and general sensitiveness.
  Belladonna, when the pains are perforating, prick-
ing,  shooting, extending to  the  throat and  parotid
glands, with rumbling sound in  ears,  the  head and
eyes being  affected,— when the pains return more
violently by touching the ear, or by moving.
  Chamomilla, when the pain is violent and sticking,
as though a knife had been thrust within the ear,—
extending from the inside  to the outward ear, and
even to  the  lips.    Intolerable pain in the parotid
glands —with ill-humor and irritability—when the
earache is caused by a cold or suppressed perspira-
tion.
  Mercurius, when there is ulceration of, or discharge
from, the ear, and  a burning of the outward ear,
while there is felt an inward cold  sensation, affecting
also  the cheek.  The pain appears to  be in the inte-
rior  of  the ear,  tearing and shooting even to the
cheeks,  with violent twinges.   The extreme ear
damp with perspiration, with no mitigation of pain.
  Pulsatilla, when the  pain is jerking, tearing, as if
something was being plucked out, the pains passing
to the whole side of the face, the ear externally red,
hot and swollen.   This medicine is best adapted for
persons of a melancholy disposition, inclined to shed
tears,— and for those liable to rheumatic affections.
    INFLAMMATION OF THE EAR,  (OTITIS.)

This disease  is  very distressing.  The symptoms 
73
presented indicate Aconite  and Pulsatilla.   The
symptoms, generally indicative of pulsatilla are the
following:
Ear red,
     hot,
     swollen ;
     painful,
       so much so that the ear cannot be touched.
Pains tearing,
     boring,
     throbbing,
     piercing, and
     burning.
  The pain causes to talk wildly ;  the patient begins
to rave.
  I  have found  great benefit from the use of the
tincture  of Pulsatilla, of the third  dilution, a few
drops being dropped on a poultice  of bread, and ap-
plied to the ear.
  Dr. Hering does not recommend sweet oil, or hot
steam.  He recommends a  sponge dipped in warm
water and bound upon the ear.
DISCHARGE, OR RUNNING FROM THE EAR, (OTORRHEA.)

  If the discharge has resulted after symptoms, de-
scribed under Pulsatilla,  or after measles,  pulsatilla
can be taken : if following the scarlet fever, or if it
occurs in connection with that fever, belladonna can
be taken:  if decided  benefit  does not result, then
o-ive Mercurius :  and in a week's time repeat the bel- 
74
ladonna.  Mercurius vivus is particularly servicea-
ble, if the discharge occurs after small-pox.
  When mercury under  any form has been taken
previously to excess, give Sulphur : if Sulphur itseU
has been taken to excess, then Pulsatilla, and after it
Mercurius Vivus.
  Generally  it is unwise to put oils or other sub-
stances into the ears.   To prevent cold affecting the
system through the diseased condition of the ear, and
to prevent insects depositing their  eggs, and to pre-
vent the diffusion of the offensive smell arising from
the discharge,  it would be  well to use some cotton
or lint.  The pledget should be wrapped round with
a piece of fine  linen to prevent it sliding in  and to
facilitate its extraction, if it does, as sometimes hap-
pens, slide in.

              DEAFNESS,  (DYSECCEA.)

   This may  be occasioned by stunning noises,  severe
colds, paralysis of the auditory nerves, inflammation of
the  membrane,  hardened  wax, the incautious  use of
ear-picks, or original malformation — in many cases,
under the control of remedies, in some instances, in-
curable.  Deafness  may  also be the  accompaniment
as well as the consequence of other diseases.
   Belladonna  should  be given, if the hardness of
hearing follows  an  attack  of scarlet fever.   Hepar
sulph. to be  given afterwards, if necessary.
   Pulsatilla, if resulting  from measles, — and also
 Carb. veg. if Puis, does not relieve.
   Merc, viv., if after  small-pox.  Sulphur  may be
 given alternately with Merc, if the latter alone is not
 sufficient. 
75
   Sulphur is also useful, when deafness may have
quickly succeeded  the  sudden disappearance of any
eruption.
   Dulcamara,  if, in consequence  of having taken
cold, or if from a transfer of rheumatic  pains to the
ear, there is deafness.
   If deafness  arises during the course of, or after
fevers, especially  those of a nervous  nature,  and  is
attended with a sense of fulness in head, Phosphorus
is  indicated.
   When any mechanical  obstruction is the  cause,
that, of course, must be first removed.
             SWELLING OF THE CHEEK.

  Often swelling of the cheek takes place from tooth-
ache, and the toothache ceasing, it disappears.
  Often the medicine,  say belladonna, which cures
the toothache, produces swelling of the cheek.
  If this swelling should not disappear, the antidote
to belladonna, or whatever may have been the medi-
cine employed for the toothache, must be used.
  If the  swelling  is  obstinate  and  rather  solid,
Arnica will be useful :  if there is  much salivation,
Mercury.
  If these remedies are used  too late, and suppura-
tion must take place, a fig poultice is a very good one.
  When the suppuration is established,  let it alone,
except to wash the mouth frequently with warm water. 
76
   In connection with the ears, the affection indicated


 MUMPS,  OR THE  ENLARGEMENT OF  TflE PAROTID AND
               SUBMAXILLARY GLANDS.

 may be  noticed.
   The parotid and submaxillary glands are situated,
 the  one below the ear, the  other  under the jaw.
 They separate the saliva from the blood.
   These glands from cold, from atmospheric changes,
 and as puberty approaches, become enlarged, and are
 often very troublesome.
   [Theparotid glands swell during scarlet fever, from
 the  above  causes, and  from  contagion : when,  from
 the latter cause,  it properly constitutes mumps, which
 is characterized  by the following  symptoms :  sore-
 ness, with  slight  fullness at the angle of the jaw, with
 some  general  heat,  and pain on  moving the jaw.
 The swelling extends upward to the space between
 the ear and cheek, and  downward under the jaw, to
 the  submaxillary  gland.   It  lasts  from four to six
 days, and subsides without suppuration  ; no external
 application should be made to disperse the swelling,
 for  fear of  a transfer to important vital  organs  as
 above described,  or which is  most common, to the
 breast of females  or the testicles of males.  In ad-
dition to the  remedies which  are detailed  in the  text,
I would  recommend Protiodide of Mercury,  if the
swelling  should be obstinate,  or if it is transferred  to
other glandular structures. — Ed.]
  Mercury is the remedy that most frequently re-
lieves this  affection : more particularly  when suppu-
ration  is about  taking place. 
77
  If erysipelas  attends the  swelling,  Belladonna
should be  used :  and after  the  pain has been re-
moved, Hepar Sulphuris is very serviceable.
  If mercurius and hepar sulphuris have been used
without success, Dulcamara is often of the greatest
service,  this being particularly  serviceable  if  the
urine is rendered turbid by the effect of the cold.
  It is  especially  necessary  to  avoid  dispelling or
dispersing  these  swellings by friction with liniments
or ointments.   Friction, if exciting the absorbents to
act, does not alter the diseased  state, which caused
the enlargement, and often this diseased state is thus,
as it were,  forced to effect either glandular structures
in the lungs, and thus pulmonary consumption is in-
duced :  or glandular structures in the abdominal vis-
cera, and thus mesenteric  disease with its miserable
train of emaciation, effusion on the brain and death,
are developed.
  Another  point worthy of remark is,  that  these
swellings should not be cut  open.  Every surgeon
thinks he  must be a surgeon  and use  his lancet.
He is sure to make a scar and not  a cure : whereas
if the abscess is made to discharge itself, it leaves no
scar,  and the cure  is likely  to be permanent.   The
same remarks apply to opening the glandular swelling
by caustic.
  Another evil resulting from the scars thus induced,
is that the  structure thereby (i.  e. by the process
which takes place in healing  the  wound made by the
lancet or by the caustic,) is so altered,  that the part
becomes a  source of pain, from changes of weather
affecting this structure of a texture  different  from
the natural. 
78
CHAPTER  V
  AFFECTIONS OF THE RESPIRATORY
                   ORGANS.

  The next organ in  the  face  is the nose, and as
this organ is, as it were,  the  commencement of the
apparatuses*by which breathing or respiration is car-
ried  on,  it forms a proper commencement for the
enumeration of the diseases, connected with the or-
gans engaged in respiration.
1.	Bleeding from the nose.	9.	Inflammation of the
2.	Cold in the Head.		Lungs.
3.	Catarrhal Fever.	10.	Pleurisy.
4.	Hoarseness.	11.	Spitting of Blood.
5.	Cough.	12.	Asthma.
6.	Hooping Cough.	13.	Bronchitis.
7.	Croup.	14.	Consumption.
8.	Asthma of Millar.		
  The changes, which take place in the blood in
the process of breathing, being essential to the en- 
79
joyment of  health, any disordered condition of the
organs  connected with  this process  must, of neces-
sity, claim attention.
   Concerned in this process are the nose, the wind-
pipe, the  bronchial  tubes,  the substance of the  lungs,
the  membrane,  covering  the lungs  and lining the
ribs, called  the pleura; and to  these  may be  added
the heart.

                    the nose.

   The  nose being, as well  as a respiratory organ, the
organ of smell, is covered  internally with a most del-
icate membrane or skin,  through which  the impres-
sions are  made upon the nerve of smell.
   This membrane, called  the Schneiderian from its
discoverer,  covers a large  surface, the interior of the
nose being  divided into cavities, formed by very thin
bony partitions.   These  cavities are called nasal
fossa.
   Through this membrane an  immense  number of
blood-vessels are distributed.  From these blood-ves-
sels, in young  people of  full  habit, particularly fe-
males, before the natural change, and in adult females
at the cessation of the natural discharge,  a discharge
takes place, called

     BLEEDING  FROM  THE  NOSE, OR  EPISTAXIS.

   Bleeding from the nose  is sometimes beneficial, it
 appearing as the crisis of many diseases.   When it
occurs  frequently, and  when  the  quantity of blood
discharged  is  considerable,  then  medicine  is  re-
quired. 
80
  In curing bleeding from the nose, two objects pre-
sent themselves: first,  to remove the bleeding; and
second, to  prevent  a recurrence,  and relieve the
other consequences likely to result from the bleeding,
  Several remedies can be  employed.  The  choice
can be regulated by the symptoms.
  Aconite is useful  where  the  symptoms recorded,
(see Introduction,)  are present;  or if the  person
looks much  heated, or if the bleeding occurs after
being overheated.
  Bryonia is useful under similar circumstances as
belladonna,  more  particularly  when  the  bleeding
from the nose  takes place from sudden suppression
of the menses.
  Arnica is useful, if resulting from  a blow, when
the blood is thin and  bright  red, the  nose hot, and
there are prickings or titillation  in  the nose or fore-
head,  as from an insect— when it occurs  in men.
  Belladonna, if attended with  darting pains in one
side of the head, occurring  in paroxysms, with swel-
ling of the  veins,  sparks before the eyes, or tingling
in the ears, and follows from  stooping or strongly
blowing the nose.  Also when  the bleeding occurs
during the night, disturbing sleep.
   Crocus, if there is diffused heat over the nose, and
the blood is black and thick, and if the person affect-
ed is irritable and sensitive.
  Mercurius, if the blood coagulates in flowing, and
remains suspended — and when the bleeding occurs
in children, or persons predisposed to inflammation.
   Nux. vom. if the blood is of a dark red color (ve-
nous) and flows in the morning.
   Pulsatilla, if the bleeding of the nose affects adult 
                        81

females,  of irregular menstruation, or persons  of a
gentle placid temper, — and taking place in the after-
noon, evening, or before midnight.
   Rhus  is useful in cases similar to those suited to
belladonna and bryonia, these not curing : or if the
bleeding arises from  stooping, lifting, or using any
great exertion.  Rhus is useful also in cases, where
the bleeding  disturbs  the sleep at night.
   When the  discharge produces weakness, or is so
profuse as to  occasion paleness of face, coldness of
limbs, and even convulsions, China is useful.
   China is useful if the putting  the fingers into the
nose, caused by the irritation  of  worms,  causes the
hemorrhage.
   The common practice of drawing cold water into
the nostrils is not good :  and plugging the nose is to
be avoided,  except under peculiar circumstances : a
cold wet  cloth laid upon the  abdomen will often be
effectual.
   To prevent a recurrence of the bleeding, the gen-
eral  constitutional state  must be investigated and
treated :   Sulphur will be  useful  in most cases.
   To prevent both the  return of this discharge of
blood, and any bad consequences  from the discharge
already having occurred, China is the best remedy.
  When the membrane, lining  the nasal fossa,  be-
comes affected with  inflammation, it is called

         COLD IN THE  HEAD, OR CATARRH.

  This affection  is characterized by a peculiar feel-
               6 
                        82

ing of dryness in the nose, and  also by  swelling.
There is  frequent sneezing ;  there is loss of smell ;
and the patient speaks, as it is called, through the
nose.  The discharge is,  at first,  watery, drop  by
drop ; it excoriates, and  produces crusts on the nos-
trils  and the lips,  and pain oftentimes is felt  at the
root  of the nose.
  The symptoms vary, and so do the remedies.
  The principal are Chamomilla, Mercury, Nux. vom.,
Pulsatilla and Arsenicum.
  Chamomilla is applicable when the nostrils are  in-
flamed, chapped and ulcerated, with discharge of acrid
mucus, chapped lips, intense thirst and shivering, con-
fusion in the head, and  giddiness, one cheek  being
red while  the other  is pale — and, if occurring in
children,
  Mercury, if the nose  is excoriated without and
within, — when the discharge from nostrils is exces-
sive, and rheumatic pains  are  felt at the time in the
limbs.
  Nux.  vom. when there exists painful sensibility of
the interior of the nose, with secretion from nose du-
ring  the day, and obstruction during the night, vio-
lent sneezing, itching in the nose, dryness of the mouth
and throat, heat and confusion in the;head, — heat in
face  which is increased towards evening,  with vexa-
tion  and irritability, or grief, and  general languor.
  Pulsatilla, if the nostrils are painful and ulcerated,
secreting thick, often fetid mucus, with violent sneez-
ing and discharge of blood from blowing the nose,—
los^ of smell, obstruction of the nose,  which becomes
worse towards evening, tickling in nose as from snuff,
sensibility  of  the  eyes  to light; shivering: melan- 
83
choly, with  inclination  to weep;  disturbed sleep.
The above symptoms aggravated in a warm room.
  Arsenicum, if the nose is swollen,  obstructed, and
there is a profuse secretion of watery, acrid, excoria-
ting fluid, with  much  sneezing, a burning sensation
in nostrils, inflammation of the eyes,  with sensibility
to light, shivering, with severe pain in limbs, anxiety,
great prostration of strength and restlessness.
  The plan  I generally  adopt  is, directly sneezing
commences,  to place two globules of nux vomica  or
pulsatilla on the  tongue.  This I have  often found
prevents the usual progress of the cold.*
   When  the inflammation extends, and affects  the
whole interior of the nose and the  membrane, lining
the throat, and even the lungs,  being attended with
a copious secretion of mucus  with  pain, and a feeling
of heat, the  mucus itself first thin, afterwards  thick
and yellow,  the  affection  is called, being associated
with fever —

                 CATARRHAL FEVER.

   The symptoms  indicative  of  this fever, are shiv-
erings, transient chills,- shifting  from one  part to
another, alternating with heats : head confused  and

  * I used, previous to my acquaintance with homoeopathy, to be
a martyr to colds.  If I began to sneeze,  I knew at once that I was
to be unfitted for at  least two days for duty by the cold and the
attendant fever.  Since I was made acquainted with the power of
Nux vomica, taken  internally  to -produce  sneezing, I have  been
enabled to arrest the progress of my colds with the utmost cer-
tainty and success. 
84
heavy:  pressive  pain  above the eyes: taste  bitter
and mucus: appetite deficient: taste  and  smell di-
minished in power: pressure  at the pit of the sto-
mach, attended with anxiety : the back, both in ita
middle and at its lowest  part,  feels  as if broken :
there is a sense of heaviness, with twitchings in the
limbs: symptoms increase towards night:  pulse soft,
and rather  frequent : oppression, increasing towards
night: wakefulness, or disturbed slumber.
  Aconite must be  taken  at the commencement of
the attack, its suitability being apparent  from the
perusal of the symptoms  and the comparison  of its
effects, (see Introduction,)  afterwards  Belladonna,
Chamomilla, Ignatia, Nux  Vomica,  Pulsatilla, ac-
cording to  the symptoms.
  With catarrhal fever, cough  and an  immense se-
cretion of mucus are generally connected: and as the
symptoms, now to be recorded, will have relation  to
the general symptoms, the particulars in connection
with the coughs, associated with the catarrhal fevers,
will be found recorded under  the title of coughs,
(pp. 88-91.)
  Previous to noticing the individual remedies, it  is
proper to  notice, that, when the catarrh  has been
brought on by exposure to wet, Dulcamara is, when
administered early, a most valuable preventive against
the consequences of such exposure : Dulcamara being
furthermore particularly indicated  when, with  taking
cold,  as the expression  is, the  urine becomes turbid.
Aconite when indicated  may be judged of from the
symptoms.  (See Introduction.)
   Belladonna should be given  when there is hoarse-
ness with soreness of throat, redness of face, rattling 
85
of mucus in chest:  cough chiefly  at  night: great
prostration of strength, sadness, excessive irritability,
sleeplessness at night, but sleepiness during the day,
with sudden starts or fits of screaming  while asleep,
screaming as if frightened ; delirium ; when the tem-
perament  is sanguine or lymphatic.
   Chamomilla, if there is hoarseness with thirst, red-
ness of one cheek, but paleness of the  other, ill-hu-
mor, impatience; more applicable for children.
   Nux. vom. when, with hoarseness there is scraping
in the  throat, shivering and coldness on the slighest
motion, affecting the back and limbs, relieved by be-
ing near the fire, and  followed by  flushes of heat;
thirst ;  furred  tongue;  failing  appetite ;  nausea;
vomiting; constipation;  cough severe, particularly
in the morning ; sensation  of great  weakness ; tem-
perament choleric and irritable—applicable to men.
   Pulsatilla, when there is soreness  of  throat es-
pecially on swallowing the  saliva,  with hoarseness;
loss of appetite ;  nausea or vomiting ; no  noticeable
thirst; languor; when the temperament  is lymphatic ;
the disposition mild, disposed to tears and melancholy.
As  Cham,  is,  other  symptoms corresponding, more
generally applicable, in this case as in others, to child-
ren, and  as Nux. vom. is also more adapted to men,
so is this  remedy (Puis.) more suitable,  under similar
circumstances, for women.
   Ignatia suits in many cases where the  symptoms
of Pulsatilla and  of Nux vomica occur,  but it is par-
ticularly indicated in persons  of a gentle, vivacious
disposition, but rapidly changing  from  joy to grief,
and  who concentrate their sorrows in themselves.
   [Tart.  Emetic, if there should be much  chilliness, 
86
with occasional  cold perspiration,  alternating with
heat and sense of burning over the whole body : op-
pression  of the chest: difficult respiration:  cough,
with nausea or disposition to vomit, with pain in the
bowels.
  Protiodide of Mercury, if there  should be much
coucrh, with rattling  in  the  throat and chest from
much mucus. — Ed.]
  Another very  common  affection,  in which the
fauces and the windpipe are affected, is

                   HOARSENESS.

  The hoarseness is most perceptible  in expiration.
  Various are the  features  attendant upon  hoarse-
ness, and, according to these, must be the  choice  of
the remedy.
  Cough, and that  dry, is generally associated with
each kind of hoarseness : and, in the narration of the
symptoms, indicating the choice of remedies for the
various coughs, the remedies for  the various hoarse-
nesses will appear.
  As a general rule, when hoarseness  or soreness  of •
throat makes its first appearance, two globules  of
Belladonna will  often prevent any further progress of
the diseased condition.
  It may be remarked, that bathing the feet for from
five  to ten minutes  in hot water, on going to  bed, is
very useful.


                    INFLUENZA.

   Certain conditions of the  atmosphere induce pe- 
87
culiar modifications of the symptoms, connected with
catarrhal fever, which are designated under title of
INFLUENZA.
  Influenza is a catarrhal fever with peculiar symp-
toms, induced by the peculiar  atmospherical condi-
tions.  As produced by  atmospherical  conditions,
and as affecting many individuals, (for who can avoid
the atmosphere?) influenza  may be defined an  epi-
demic catarrh.
   The most characteristic symptom of the influenza,
in addition to the usual symptoms of catarrhal fever,
is extreme prostration of all the powers, mental  and
bodily : the person is unmanned.
   Arsenicum is the remedy, when with this prostra-
tion there are the symptoms, described as pertaining
to arsenicum, (pp.  82, 83,) under the title of cold
in head, and those under  the title of cough,  (pp.
88-91.)
   The influenza that prevails now (February, 1844,)
and  has prevailed  this  last  month, is attended  with
affections  of the throat, the glands swelling, &c.  I
have treated, with  uniform  and rapid success, these
cases with Aconite, followed by Belladonna, and  then
by Mercurius.
   [Also, Protiodide of Mer. and Tart. Emetic, if the
indications  for their use should be present, as  laid
down  under  " catarrhal fever:'' — Ed.]
   Each influenza requires, according to its peculiar
modifications, its own homoeopathic remedies.
   There  is one  point which all should remember ;
viz., that the influenza is more dangerous in its effects
than in itsfirst symptoms.   Every medical  man's ex-
perience will demonstrate,  that serious  affections of 
88
the lungs very often develop themselves after the in-
fluenza.*  Great care should be taken in eradicating
by appropriate remedies all remaining symptoms.
  The  next affection of  the  respiratory  organs  is
general in  its character, and  is  described  under the
title of

                      COUGH.

  Cough may be  regarded as  a  spasmodic  affection.
It presents various forms, and its characters are so
delicate  in their  shades, that  it  is very difficult  for
any but the physician to select the right remedy.
  [Coughs are most generally symptomatic of other
diseases, and are as necessary  in most diseases of the
air passages, as  blowing the nose is necessary to re-
lieve that organ  from catarrh,  and  therefore attention
should be paid to  the cause in treating all coughs.—
Ed.]
  The  following remedies are those most usually in-
dicated,  viz. Aeon., Bell., Cham.,  Hyos., Ign., Ipec,
Nux vom.,  Puis., and Arsen.
  Aconite  must be resorted to,  should the  cough be
dry, with  frequent and  long-continued paroxysms,
when, after coughing, there is a  sensation of burning
and of laceration  in chest, when the cough is attend-
ed with feverish heat, and inflammation.

  * The  old-system practititioners maintain that their miscalled
active treatment is necessary to eradicate the maladies. That this
result is not obtained is evidenced most fully by the numerous
cases, that come under treatment at  the present period, of which
the patient considers  the influenza, for  which  he or  she had the
old system of treatment, as the origin. 
89
  Belladonna,  for  a  dry, spasmodic  lasting cough,
with asthmatic, suffocating,  stertorous breathing,—
constriction in the chest, pain beneath  the breast-
bone at night, or after a meal, with difficult breath-
ing, pain  also beneath  the ribs and in the  loins —
cough chiefly occurring at night, sometimes during
sleep, after a cold, excited by an  insupportable tick-
ling in throat, on the slightest movement, swelling of
the abdomen.   This remedy is  suitable for persons of
a sanguine temperament.
   Chamomilla, for dry strong cough, which  is worse
at night, continuing even during sleep.   Sensation in
coughing, as though something rose  in the throat,
which would stop the breath.   The  cough 'excited
by a constant tickling in the trachea behind the hol-
low of  the throat,  aggravated by speaking,  and  ex-
cited by a fit of passion, especially in  children.
  Hyoscyamus, for  a frequent, dry,  convulsive cough
occurring  especially  during the  night, preventing
sleep, and with a  tickling irritation in the trachea.
Cough  excited always by  lying  down, and ceasing
when sitting up in  bed, compelling one to sit  up at
intervals.
  Ignatia, for a dry  cough,  proceeding from the
windpipe, equally severe by day and  night  attended
with pain in the lower abdomen, and tightness across
the chest.   For persons of a variable temper  alter-
nately sad and cheerful.
  Ipecac,  for a dry, spasmodic, shaking cough, with
suspended  breathing, a sensation  as  if a wound in
chest,  and  painfuf jerking  in head and  stomach.
Expectoration  of unpleasant  tasting  mucus,  with
nausea,  and  vomiting, tickling  in  throat as though 
90
 contracted.  Constant obstruction in  the nose  with
 loss of smell.  Cough increased by cold air.  Perspi-
 ration.
   Nux vomica, for a constant, exhausting cough,
 from a cold, and  much  tenacious mucus in  chest;
 a  sensation of a heated substance pressing on  the
 chest, with tightness; when cough  is less violent, a
 pain is felt as from a blow or bruise  in lower abdo-
 men, and the same sensation at the pit of the stom-
 ach  and  beneath the ribs.  Coughing causes pain in
 head, as though it  would burst open.  It is excited
 by motion,  by  speaking, and preceded by a rough
 dryness and a scraping in the throat, and  tickling in
 the palate. Becomes worse towards morning. Breath-
 ing is impeded  in the  night.   Temper quick  and
 irritable.
   Pulsatilla, when  the cough is loose and  moist with
 expectoration, after long coughing, of yellow, salt or
 bitter* matter, occasionally  tinged with blood,  and
 producing nausea,  accompanied by  pain in  throat
 and  chest as if raw, and in both sides.  Great ac-
 cumulation of water in the  mouth, with an inclina-
 tion  to vomit.  Cough excited  by a rough  dryness
 in  the  throat, and tickling in the palate.  Cough in
 the morning, with general tremor and distressing by
day and night.  Profuse  night  sweats.  Loss of  ap-
petite, with small, frequent pulse.   Applicable  to
persons of a gentle, placid disposition.
   Arsenicum,  for  a dry, exhausting  cough,  with
thick mucus in  throat which is difficult to detach
 attended  with  a sensation of burning worse in  the
 evening and at night.
   Bryonia  has  many  symptoms,  which  render  it 
91
very valuable in coughs : indeed it will be noticed in
inflammation of the lungs :  its symptoms  approach
much to  Nux vomica, but its peculiarities are, that
generally chillness preponderates, and that the tem-
per is extremely irritable.  The pains produced by it
are sticking, stitch-like pains, and the pains are  felt
deep in the chest.
    HOOPING  OR "WHOOPING  COUGH, (PERTUSSIS.)

  This spasmodic cough, without physic,  will often
wear itself out in four or five months;  with physic,
under the  old system, will  continue  much longer;
and this, on  these grounds, that the physic compli-
cates  the  disease, and produces  a weakness of the
general constitution.
  Under homoeopathic treatment  it is often cured in
three to four  weeks ; sometimes in two weeks, some-
times  in a few days.
  When hooping-cough  is  prevalent and  children
begin to cough, give one  or  other of the remedies al-
ready detailed (pp. 88 to 90) as  suitable  to cough,
selecting the  one most nearly allied to the symptoms
of the existing cough.
  Aconite will be serviceable principally at the com-
mencement, but also  at any period where the symp-
toms  hereafter  detailed  with  fever  are  present:
namely, when the cough is dry, whistling,  attended
with  burning in  the  windpipe, the child putting
his hand to the throat  at the  situation of the wind-
pipe :  and  when there  is fever the aconite should be 
92
given immediately, and repeated as the  symptoms
may indicate.
  If the cough at the commencement is moist, easily
loosened, and  begins  after a violent  cold,  and is
attended with hoarseness,  Dulcamara  will be most
useful.
  Nux Vomica will be  serviceable, if the cough is
dry, and  attended  with vomiting and anxiety,  so
severe as almost  to  induce suffocation:  also if the
sufferer from the beginning turns almost blue in  the
face, and if the cough occurs after midnight, con-
tinuing till  the morning.   If, after the Nux Vom-
ica, the cough becomes loose and moist.  Pulsatilla
will  become appropriate:  and if there is bleeding
from the nose and  the mouth.  Pulsatilla also is to
be preferred to Nux Vomica, if, besides  the cough
being loose and moist, vomiting of mucus  and of the
contents  of the stomach,  and a mucous diarrhoea
present themselves.
  Should the vomiting cease, but the  anxiety, ap-
proaching to suffocation continue, Ipecacuanha will
then be useful.
  Should these means be ineffectual, and  the cough
occurs as a spasm in single attacks, most during the
day, the  evening, and the first part of the night, at-
tended with a redness of,  and pains in,  the throat
when swallowing ; also with watering of the eyes,
Carbo vegetabilis can  be  given,  and repeated  in
twenty-four hours.   This  medicine is particularly
serviceable when  children " complain of a pricking
in the  head, pains about the chest and in the neck,
and, at the  same  time,  have  eruptions on the head
and the  body.  It is a  sovereign remedy when  the 
93
hooping-cough is on the decline."   (Dr. Hering, of
America.)
  When,  however, the hooping-cough is  fully de-
veloped, other medicines are required.
  The following description  by Dr. Hering, of the
attack of hooping-cough, is  so  graphically correct,
that I have adopted it :
  " In real hooping-cough,  the  children  have fre-
quent single paroxysms, before which they run after
their mother, become anxious, grasp at and hold some-
thing : then cough violently  with a sounding hollow
tone,  in such quick succession, that they can scarcely
draw  breath again, or only with  a  long, sobbing,
whistling  tone: this  is succeeded  by great anxiety,
as if they would suffocate, and  they become red and
blue  in the face.   They stretch  out  the  neck far,
everything is  strained  and cramped,  and they can
bear nothing to touch them.   These paroxysms end
with  struggling and vomiting of mucus,   frequently
mixed with blood, which  also  is  often discharged
from the  nose.  Afterwards  the children  are  again
lively :  but, owing to their  throwing  up everything
they eat or drink, they become, as the  attacks  are
frequent,  weaker and much debilitated."
   Dr. Heiing recommends to  try  Veratrum first, as
its  operation  is speedy : to  give one globule, and
wait till the next attack :  then give a second globule,
and  wait twenty-four to  thirty hours : if the cough
improves,  not to  repeat  the dose till the cough is
worse again.
   This course of  administration applies to the other
remedies for hooping-cough.
   Amono- these remedies, Drosera is a most valuable 
94
remedy, especially when the whoop is well defined.  I
have cured many with  it.
   In order to select the appropriate remedy, the fol-
lowing sentences  should  be carefully studied, par-
ticularly  noticing that when one  remedy  ceases to
improve the symptoms, another is to be chosen.
   Drosera is to  be selected, when the whooping is
quite  marked:  when the cough is dry or loose, with
hoarseness and bitter,  offensive, purulent  expectora-
tion.  Fits of coughing  in rapid succession.   Difficult
expectoration  of phlegm,  and vomiting first of food
and  then of phlegm and water.   The breath of a
burnt odor.  Shivering, alternating with heat.   Pain
as of  a bruise in  chest and below the ribs, obliging
the child to hold the parts with the hands.   Oppres-
sion when  coughing as  if  something retained the
breath in the chest, rendering it difficult to cough or
speak.  Cough causes an inclination to vomit  and
griping pains in  bowels.  Child is ill-tempered and
worse when at rest than when moving about.
   Veratrum, when there is fever, more or less con-
stant,  the pulse being small, weak and rapid.  Thirst
great and appetite voracious, with dislike to hot food.
Cold sweats, particularly on the forehead, and much
chilliness.  Cough hollow, deep, and  dry, with con-
stant inclination to vomit,  and copious expectoration.
Pain  in the chest, and much  weakness, especially
about the neck, so as  to  be  unable  to hold up the
head.   Pain also in abdomen  and kidneys, an in-
voluntary discharge of  urine during the cough.  The
child is  not lively between the attacks of coughing,
disliking to move and  unwilling to speak.  A dry,
small  eruption  perceived  upon  the body,  face,  and
hands 
%
                       95

  Cina, when the cough is dry and spasmodic, with
sudden startings and loss of consciousness, the coun-
tenance being pale and anxious, puffed up and purple,
gi eat thirst and ravenous appetite.  Tearing or heavy
pain in  head,  with dilated pupils and impaired sight.
Frequent  griping, pinching pains in abdomen, with,
at  times,  diarrhoea.  Breathing laborious.   Difficult
recovery after vomiting.  During the fits of coughing,
the child  becomes stiff.  After coughing, a clucking
sound  is  heard,  passing  down  the  throat  into the
bowels.  Should the child have had worms previously,
and  now  exhibits symptoms indicating their exist-
ence, such as boring with fingers in nose, &c.
   Cuprum may be given when the respiration  is sus-
pended, and  there  is audible rattling  of phlegm in
the throat, and while  coughing, the  child  becomes
stiff.
  As the  cough  improves, avoid attempting much:
should the sufferer's state remain stationary, select
some medicine  suited  to  the remaining symptoms.
Pulsatilla will often be found serviceable.
  When  there are  relapses, or when the vomiting
continues, Carbo Vegetabilis does good: if still there
is  abundant  expectoration,  Dulcamara:  if  much
crying after the cough, Arnica: if the cough, when
decreasing,  is still hollow  and  shrill, or  dry and
hoarse  with  retching  afterwards  and crying,  Hepar
Sulphuris.
   [Prussic Acid, (Scheele's strength) five drops to
one  hundred  drops of distilled water, and  adminis-
tered in the  dose of from one to three drops of this
to a  child, and repeat  every  four, six or eight hours
if the couo-h  should be suffocating and spasmodic —
Ed.] 
96
   An affection of the windpipe and bronchial tubes,
 most dangerous to the sufferer, is now to be noticed:
 it is

                      CROUP.


   The first  symptoms  are often  those  of common
 cold, hoarseness predominant.   The real  symptoms
 soon appear,  and so  clearly are they marked that no
 mistake can  exist.
   The cough  is  sonorous,  whistling:  it  is croup:
 the voice is hoarse, rough, or wheezing.  The cough
 excites pain, the patient  carries  his  hand  to his
 throat: the face is red at first, or  mottled : as  the
 disease advances, blue : a clammy sweat suffuses the
 body, the breathing is difficult, and the head is thrown
 back to aid respiration.
   Aconite  is  the first resource to subdue the inflam-
 matory action.
   About two to four  hours  after the aconite, Spongia
 must  be used :  and if this  does not  succeed, Hepar
 Sulphuris.
   If the spongia relieves but does not cure, then he-
 par sulphuris will be peculiarly serviceable,  more
 especially   if  the cough has  become moist, or  loose
 with an evident accumulation of mucus in the respir-
 atory tubes.
   Lachesis, Dr. Hering has shown, can be employed
with benefit in the worst cases of this disease, but no
patient in such  a disease can be trusted  to mere do-
mestic treatment
   This disease is  too severe to be intrusted to any
one except  a  physician. 
97
  [The author's  concluding remarks are very true,
but the friends of  Homoeopathy have, very properly,
a very  great  dread of allopathic practice.   With a
few brief directions,  and homoeopathic remedies, a
layman  of cool  judgment, will be  more successful
than the  most skilful allopathic physician.   Symp-
toms— A slight cough of a peculiar barking sound:
soon increases to a shrill crowing, and  the  respira-
tion becomes more and  more  difficult, producino- a
peculiar drawing in of the pit of the stomach  at every
inspiration,  accompanied  with  a  whistling noise.
There  is an acute pain in the throat, and a frequent
cough, which brings  off tough mucus, or shreds of
membrane.   The  pulse  is  frequent,  heat consider-
able, and  restlessness great.   The face  is bathed in
perspiration, pale and livid,  and the expression of the
countenance shows the greatest distress.  In the  first
stage, remedies as directed in the text, will generally
quickly relieve.  They should be administered in more
rapid succession, however, in the same form of the dis-
ease.  My practice has been (and the success has been  <
uniform,) to  administer Aconite, first dilution,  one
dose; in ten minutes if the  breathing  remained diffi-
cult, with wheezing,  1 give  Hep. sulph. three pellets
of the fifth attenuation ; if  the heaving of the chest
still continues at the  expiration of ten minutes more,
I give three pellets of Spongia of the fifth attenuation,
and thus  continue to alternate these two last  reme-
dies until the sufferings are past.  If the case resists
these means, there is great fear  that the disease  has
passed from the spasmodic to the membraneous form.
In this last, there  is  a rapid exudation of lymph into
the air tubes, and the  passage becoming  less  and
                7 
98
less, the distress is very great, and  the danger immi-
nent.  Here Tartar Emetic,  in  slightly  nauseating
doses,  will  generally check this  disease, and  Merc.
sol. or  Protiodide will  change the tendency to exud-
ation to a  healthy character.   The Bichromate of
Potass, is  also  a valuable  remedy at this stage of
croup.   The size of a pea of the second trituration
in a  wineglass of water, and one teaspoonful given
every ten  minutes.   Warm water, by means of a
sponge  applied to the throat, is a good auxiliary. —
Ed.]
  There is one  disease, approaching in many of its
characters, to croup :  it is
THE ASTHMA OF MILLAR.
   Croup  is often, as was stated, preceded  by symp-
toms of a cold.   This is sudden in its attack, and is
preceded  by no warning symptoms;  and  it occurs
several times, and the parties are  said to be  subject
to sudden attacks of croup.  It is not croup.
   The patient is seized with choking, great anxiety,
and difficult  breathing : the voice has a  deep harsh
tone: the cough is  hoarse,  broken, and devoid of
mucus.
   The first  attack is often fatal.
   If_ not,  the attack ends in a few  hours in sneezing,
belching,  and  vomiting :  the little  patient sleeps tran-
quilly, but awakes languid and weak,  with symptoms
like a common cold.  Perspiration generally attends 
99
at the  close of the  attack.  A fresh  attack, worse
than the former, comes on in twenty-four hours.
   Sambucus is the best remedy for this affection, when
the patient becomes sleepy with the eyes  and the
mouth half opened, especially if, being obliged to sit
down, the air enters the lungs with a whistling sound,
and  with a sense of suffocation ;  if he strikes his
hands  behind him :  and if his  hands and  face are
swollen and purple:  and when the attack  comes on
in the middle of the night.
  There are  other remedies;  but the severity of the
affection will be sure to cause the parent to send for
the physician, who will decide.
                    THE  LUNGS.

   The lungs themselves,  so important in the process
of respiration, are subject to attacks of inflammation,
which require medical aid,  but  which  may be par-
tially met till such aid is obtained.


           INFLAMMATION OF THE LUNGS,

is indicated by difficult and  short respiration : great
oppression: by darting  pains in the chest, aggra-
vated when  inspiring:  great anxiety:  cough, at-
tended with much pain, dry at first, afterwards moist,
and the sputa tinged with blood.   The pulse is full,
strong, and frequent, often palpitation of the heart:
the face is  red  and livid:  thirst excessive: generally 
100
constipation: urine  high  color,  red : skin hot, dry,
and  burning.
   A  comparison of these symptoms with those  de-
tailed, in the Introduction, in connection with aconite,
will demonstrate that Aconite  should be  at once ad-
ministered, in successive doses, during the first twen-
ty-four hours.
   After the inflammatory and  febrile symptoms have
given way  partially, (often they will be entirely re-
moved by the aconite,)  Bryonia* can  be given, es-
pecially if  the sputa, tinged with blood, have a rusty
appearance:  and where  there  are pains, considered
rheumatic,  in the back.
   Rhus and Squilla are useful under circumstances,
whiah will  require the physician to decide.
   Phosphorus,  sulphur,   and  other medicines,  are
useful in this disease, but the  phenomena indicating
these need not  be  detailed, as the physician's aid is
sure to  be  sought.
   [Phosphorus  is the most important remedy  for in-
flammation of the substance of the lungs, character-
 ized by deep pain and difficult respiration.
    Tartar Emetic, if the  above does not  relieve, and


   * From the symptoms recorded  in connection with Aconite, it
 will be seen that, where fever exists in connection with inflamma-
 tion it is peculiarly suitable.   But Bryonia is  suited also to in-
 flammatory fevers   Aconite is suited  where there is dry heat,
 constant burning over the whole body.   Bryonia is suited where
 the internal heat is more developed than the external.  Aconile  is
 suited where there is much thirst: Bryonia also where there is
 violent thirst, and  this for cold liquids.  Aconite is suited where
 the heat is constant.  Bryonia is suited where there are alterna-
 tions of chill and heat, or when both exist simultaneously, the
 latter internally, the other perceptible externally. 
101
an expectoration of bloody mucus commences, with
great  oppression, pain, and rattling in the chest. —
Ed.]
  The lungs are covered by a membrane, which cov-
ers also the inner surface of the ribs.
  This membrane, called  the pleura, is  subject  to
inflammation, known by the name of

                    PLEURISY.

  The  peculiar  catching in  the side,  or violent
stitching pains, on taking  a full breath, and the in-
tense   pain, with an  anxious  state, are  strikingly
characteristic of this affection.
  Here again  Aconite and  Bryonia are  employed
with success:  and  if followed up by  the use  of
Thuja, much benefit will result, more particularly if
there  exists a feeling  of something adhering within
at the place where the  pain was.
  The  last disease to be noticed, in connection with
the respiratory system, is

         SPITTING OF BLOOD (HEMOPTYSIS.)

  Generally, before a discharge of blood from  the
luno-s,  occur  heaviness and tightness in the chest,
difficult  breathing, palpitation of the heart,  anxiety, 
102
saltish or sweetish taste in the mouth, tickling in the
fauces, and cough, bringing  up blood.
  Aconite is the best remedy :  it subdues the general
increased action very effectually.
  China and Pulsatilla are  the  remedies  most fre-
quently useful  after the hemorrhage.  The selection
may be deduced from the following table:
       Pulsatilla.

Shiverings  with general
  debility.
          China.

 Patient shivers.

 Patient  has transitory
   heats.
 Short  sweats.
 Inclined to lie  down.
 Limbs tremulous.
 Sanguineous excitement
   lessened.
 Expectorates blood, more Blood expectorated, deep-
   er less, every day.        ]y colored and in clots!
                         Shootings  in  the  chest,
                           and an uneasiness in the
                           lower part of the chest.
                         Difficult breathing.
                         Feet cold.
                         Oppressed-with grief.
                         Inclined to tears?
                         Women,  whose   menses
                           are suppressed.

  Ihave very great confidence in the use  of  Aconite
and Arnica, having seen  such decided benefifsfiom 
103
their alternate use.   I could relate upwards of a hun-
dred cases of the successful use of these two reme-
dies.   Where the haemoptysis results from  a blow
they are specific.
  When China is given, it should be given in the in-
tervals between the hemorrhages.
  Persons are so agitated when hemorrhage from the
lungs takes place,  that  they, in their agitation, use
means  which often  have  a most  decided injurious
tendency.
  The best thing is to give two globules of Aconite
in a desert spoonful of water until the physician  is
called: and  repeat  these  each time there is  a sensa-
tion of warm  bubbling in the chest.
  [Millefolium is  the most  important  remedy for
bleeding from the lungs. — Ed.]
                     [asthma.

  The prominent  symptoms of Asthma are difficult
respiration, causing a distressing sense of suffocation,
and fulness with anxiety in the chest.  It appears in
paroxysms, and has been divided into dry and humid
Asthma.   The former is so called, from the absence
or scanty amount  of expectoration  which character-
izes  the latter.  This expectoration occurring in the
humid asthma becomes  generally profuse towards the
termination of a paroxysm, and affords great relief.
The  attacks are usually preceded by languor, flatu-
lency, oppression, heaviness over the eyes, with sick-
ness,  and restlessness.   They frequently occur about 
104
 midnight, and render a recumbent position intolera-
 ble— while every exertion is made by the sufferer to
 expand and empty the lungs.   In many instances,
 there  is present  from the first a dry hard cough,
 which after one or two  hours, is followed by the ex-
 pectoration of mucus sometimes tinged  with  blood.
 These attacks vary much in violence and duration.
   Ipecac, and Arsen. are the remedies  most to be re-
 lied on, to  relieve the suffering during the paroxysm.
 The former is first to be given, and if followed by no
 alleviation, Ars. should be administered. Aeon., Bell.,
 Cuprum, Nux vom., Puis., Sambucus, Sulph., Dulc,
 are also resorted to.
   Ipecac, is particularly indicated when the person is
 awakened  from sleep by a sense  of constriction  in
 lungs, with rattling of mucus in throat, gasping, pale-
 ness of face, rigidity of the  muscles,  and  cold  ex-
 tremities.
   Arsenic is applicable when in addition  to the above
 symptoms there is great debility and exhaustion, with
 cold  perspiration, and  a burning sensation in  the
 chest.
   Aconite is to be given when  there is  febrile action,
 as hot skin, frequent pulse, &,c. with violent coughing.
   Belladonna, when loss of consciousness attends the
paroxysms, with  flushed  face, moaning  respiration,
and when turning the  neck increases the feeling of
suffocation.  Also when convulsive  movements °are
present.
   Cuprum may be  also given when the abdominal
muscles are convulsed, while the muscles of the chest
are free, and when the cough is spasmodic.
   Nux vom. when the attacks  happen after a meal or 
105
in the morning,  with  aching pain in chest or abdo-
men, flatulence, palpitation  of the heart, and  if the
disposition of the sufferer is passionate and irritable.
  Pulsatilla for females and children, or persons of
a sensitive, timid, nature, when much mucous rattling
attends the difficult breathing, or when the cough is
followed by copious expectoration of phlegm.
  Sambucus should be given  if the sense of suffoca-
tion is excessive, with wheezing respiration, rattling
in the chest, general dry heat, livid  hue of the face,
and  trembling,  with   aggravation of the  symptoms
when in an horizontal position.   The train  of symp-
toms indicating  this  remedy is  more fully recorded
under the head of" Asthma of Milla," (which see.)
  Dulcamara is especially useful when the asthmatic
attacks are brought on in consequence of exposure to
cold, or when they occur during  a damp cold state of
the atmosphere.   In all complaints directly attributa-
ble to cold, this  remedy is regarded as a specific.
  Sulphur is valuable in humid  asthma, with pain in
and discharge  from the ears.  Sometimes this latter
symptom, accompanied by dyspnoea, follows an attack
of scarlet  fever.   In chronic cases of asthma,  Sulph.
is of service, doses being administered at intervals of
three or four days.
                   BRONCHITIS.

  This affection is generally  caused by exposure to
cold.   It is an inflammation of the  inner membrane
of the passages leading  to the  lungs, called " bron- 
106
chial tubes."   These  tubes  separate from the lower
portion of the " windpipe," and ramify through each
lung.  The symptoms in many respects are not unlike
croup, the latter being an  inflammation of the lining
membrane of the larynx, or windpipe, while the former
is an inflammation of the same membrane  continued
after bifurcating from the main  tube  into the lungs.
The same medicines are at the  commencement,
indicated in both diseases.   " Bronchitis " appears in
an acute and chronic form.   The  symptoms of the
former are  chilliness, hoarseness, difficulty of breath-
ing,  fever, violent cough, terminating in  mucous
expectoration,  a loud wheezing sound attends  the
respiration.
  Aconite is given for the attendant fever, and is to
be principally  relied upon in  the first stages, and
until the febrile action is subdued.
  Spergia succeeds the  Aconite, as in croup: espe-
cially when there  is loud wheezing, with hollow, dry
cough, and threatening suffocation.   Hepar is also at
times indicated after this medicine'.
  The same remarks will apply here as are given by
our author  under  the  head  of  croup, viz : that  the
disease is of too  serious a nature,  if not  soon sub-
dued, to be treated by  a non-medical  attendant.
  The chronic form of this complaint may be conse-
quent upon an acute attack ;  may arise from foreign
substances  irritating the  lungs;  or  be the accompa-
niment of certain  fevers.   It may continue  for many
years, with occasional remissions.   Old people  are
those most subject to  it.   During the winter  and
spring of our  northern climate, exacerbations come
on, the symptoms  then, so closely resembling in gen- 
107
eral, those of pulmonary consumption, that the most
careful examination by the experienced  is necessary
to distinguish the one from the other.
  Several remedies are indicated in the  course of the
disease, the principal of which are, Phosphorus, Sili-
cia, Calcarea, Stannum,  Sulphur, Hepar, Lachesis,
Arsenicum, &c.  For the choice, however, of other
medicines, the  reader   is  referred  to the  article
" Cough."   It would be difficult, if not impossible, to
point out here,  with sufficient distinction, the several
symptoms, with their appropriate remedies, which may
arise  in the course  of such a lingering  complaint as
chronic Bronchitis.
      PULMONARY CONSUMPTION.   (PHTHISIS.)

  This complaint so frequent, and alas ! so fatal, in
our variable climate, is well known, after reaching a
certain stage, to be incurable by any medical agent.
In its incipient form, its  progress may be arrested,
and should recovery be beyond the reach of human
skill, much may be done by homoeopathy to mitigate
symptoms,  and  smooth the  sufferer's path to the
grave.   To the one upon whom rests in the absence
of a medical attendant, the responsibility of adminis-
tering to the sick in  this disease, a word of caution
may be necessary.  No relief can be afforded except
by a close examination  of symptoms, and  prudence
in the administration of medicines.  A too frequent
repetition of a properly  selected remedy will add to,
rather than diminish, suffering.   In the  first stages 
108
of phthisis, a single dose may be sufficient for several
days.  While improvement  progresses in the group
of symptoms for which any  medicine is given, the
repetition of a dose only serves to interrupt the resto-
rative process which is going on.  Too much care in
this respect, cannot be exercised.
  The particular indications  for the selection  of a
remedy are the following :
  Aconite, in threatening  consumption, if there  is a
short cough, frequent  signs  of congestion  in the
lungs,  expectoration of blood,  general febrile action,
and when there is  a tendency  to inflamed lungs.
   Calcarea is one of the  principal  medicines when
the expectoration  is thick and  prevalent, when the
cough  is  violent,  occurring  more  frequently in the
evening.  This medicine is  more suitable  for ple-
thoric persons, subject to congestions of blood, to  nose
bleeding, &c, and  for  young girls whose menstrua-
tion is too frequent and too profuse.   It follows ad-
vantageously the administration of Sulphur.
   China may  be given, especially  if the individual
has had frequent  attacks of  hemorrhage from the
lungs,  or is debilitated  by any other kind  of hem-
orrhage.
  Lycopodium is  an  important remedy if a hectic
cough  is  present,  with purulent expectoration, re-
sulting from a violent attack of lung fever.
  Phosphorus,  is  very valuable both at the  com-
mencement of phthisis, and  after it is confirmed, for
meagre, slender persons, for children, and for young
girls of a delicate constitution, with dry, short cough,
short breathing, decided emaciation, with tendency to
diarrhoea or perspiration. 
109
  Stannum may  be given in the first stages of the
complaint, when neglected colds seem likely to ter-
minate  in  consumption.  When there is pain and
weakness in the chest, with obstructed respiration and
difficult breathing in the evening.
  Sulphur is very  valuable in removing  such symp-
toms as appear at first, and also  in  alleviating many
which occur during the course of the disease.  Cough,
with profuse expectoration of thick whitish mucus, or
of a greenish yellow color, and of fetid  smell,  with
feverish  symptoms, hoarseness, dyspnoea, rattling of
mucus in chest,  weakness of the chest, and a sensa-
tion of burning in  the same.  This medicine should
be given in  incipient phthisis at long intervals, of a
week or more. — Ed.]
CHAPTER  VI.
AFFECTIONS OF  THE  DIGESTIVE  ORGANS.

  The organs, which are engaged in the preparation
of the articles  taken for food, so as to produce the
changes necessary in order to render them nutritive,
are numerous, and are liable to diseased states.
  These organs are the mouth, the teeth, the throat, 
110
the gullet,  the stomach, the duodenum,  the  small
intestines and  the  large intestines, the caecum, the
colon, and the  rectum.

  The diseases may be classed —

1. Aphtha                      ~\
2. Stomacace                   f Of the Mouth.
3. Teething                    t
4. Toothache and Tic Douloureux ;

5. Quinsy,  affecting the throat.
 6. Derangement of the Stomach, or Dyspepsia"
.7. Cardialgia, or Heartburn
 8. Flatulence
 9. Vomiting.   9a. Vomiting of blood.
 10. Cramp.
 11. Inflammation.
of the
 Sto-
mach.
12. Constipation
13. Diarrhoea
14. Cholera
15. Asiatic Cholera
16. Cholera Infantum
17  Colic                  /"       Intestines.
18. Inflammation
19. Haemorrhoids
20. Dysentery
21. Worms
22. Jaundice. 
Ill
23. Liver Complaint.
24. Inflammation of liver.
            Diseases of  the Mouth.

  The lips, the entrance to the mouth, and the mouth
itself, are lined by a membrane.
  This membrane becomes  diseased; small,  pale,
grayish spots appear,  and gradually  enlarging, form
round pustules, like millet seeds, filled  with asanious
fluid :  this being  discharged, little  scabs form and
fall off, and are renewed and again fall off.
  These appearances constitute the disease, called

               APHTHA,  OR THRUSH,

  The formation  of these bodies is often attended
with uneasiness,   watchfulness,  difficult  breathing,
breath fetid, voice  hoarse  and  feeble, tongue dry
and swollen, mouth and throat dry, hot, and red, ex-
haustion, and dulness of sense.
  The white apthae, affecting infants, are, in general,
not dangerous, and are cured by Borax:  a weak so-
lution of Borax in water can be  applied  by a brush
to the interior of the mouth.
  Sometimes they become, in very bad constitutions,
malignant:  the choice of the remedy must be left to
the physician.
  In  children  of  gross  habits,  Mercurius vivus is
often useful. 
112
   Sulphur is useful when the whole  interior  of the
 mouth is covered with thick scabs, when the evacua-
 tions are frequent, greenish, with tenesmus,  the body
 covered with a rash, and the thighs excoriated,  with
 a vesicular eruption on the  back.
   To  prevent  this disease, and to aid its  removal,
cleanliness, good and simple food, cleansing the milk-
bottle (if using one) before each suckling,  and not
allowing the infant to  suck  improper things,  such as
rags filled with pap, are essential.
  In  reference  to cleanliness, washing the  whole
body is far more effectual than mere  and  frequent
washing of the mouth.
   A second affection of the mouth, attacking adults
 more frequently,  consists in the formation of ulcers
 on the gums,  these  becoming spongy  and swollen
 and often hot,  and red.   These ulcers  discharo-e a'
 bloody sanious  matter, having an intolerable stench.
   [A disease somewhat analogous to this has come
 under my observation.  Among children, whole fami-
 lies, one after  another, have suffered with it  The
 gums,  inside of the cheeks,  and tongue  are  swollen
 and ulcerated, while  the edge of the tongue presents
 the same marks of the teeth as  in  salivation   The
 edges of the  gums have the same spongy aspect, as
 after the effects of mercury.  Sometimes  these ulcers
extend to the throat  and epiglottis, and thus  very
much increase the suffering and  dano-er.   The odor
from the mouth  has the same peculiar offensive smell
 as that which arises from salivation. — Ed.] 
113
  The patient feels extremely weak and is  feverish.
This disease is

            STOMACACE, OR  BAD MOUTH.

  In this affection, Mercury is the remedy, unless, as
is often  the case, the disease has been  caused by
Mercury.   In such case, and also where the mouth
bleeds  much and smells very badly, Carbo vegetabilis
is very useful.   When swelling and inflammation pre-
ponderate over the ulceration, then Nux vomica can
be employed, particularly with  irritable,  emaciated
persons,  who sit much  in  the  house, and where
affections  of the digestive  system  manifest  them-
selves prominently.
  [In addition to the  above remedies I would recom-
mend the Protiodide  of mercury, where the ordinary
preparations of mercury do not succeed;  and in the
advanced stages,  when the smell is very bad, Nitric
or Sulphuric Acid, the first dilution of either, in drop
doses. — Ed.]
                   THE TEETH.

  The teeth are thirty-two in number, sixteen in
each jaw.   They make  their way in infancy through
the gums, and the process, constituting this exit, is
named

             DENTITION, OR TEETHING.

  This ought to be unattended with fever or  with
               8 
114
 pain.   Frequently, however,  fever and severe pain
 attend this process,  and sometimes serious  diseases
 are developed during the irritation of teething.
   The progress of teething requires to be  watched
 with care.
   Should the gums be  much swollen, be hot, red,
 and  painful—should the child  constantly  drivel:
 put his fingers in his mouth; forcibly bite the nipple:
 or suddenly let go his hold, and be restless,  Aconite
 will relieve.
   Should the child be violent as if delirious, not to
 be pacified, and sleepless, Coffaa ; but if the mother
 use coffee, Chamomilla.
   Should dry cough, with panting and hurried  respi-
 ration,  be present,  then Belladonna.   Belladonna
 will  be  serviceable,   whenever  symptoms  present
 themselves, indicating cerebral congestion.
  Belladonna and chamomilla, as well  as coffaea, are
 serviceable when convulsions occur.
  Chamomilla  is eligible, when the symptoms indi-
 cate  affections  of  the  abdominal  organs,   such  as
 gripings, diarrhoea,  and greenish evacuations.
  When the diarrhoea is watery, Mercurius is useful.
 Constipation, when  attendant,  is  relieved by Nux
 vomica.
  When convulsions occur, and  have resisted the
 action  of belladonna  and chamomilla, Ignatia may
 be administered, one dose every quarter or half hour.
  When the teeth are delayed  in their  appearance, a
 constitutional condition,  opposed to health,  is indi-
cated :  and for this  the  best remedies,  as experience
has convinced  me,  are  Calcarea and Belladonna,
used alternated. 
115
                   TOOTHACHE.

  Hollow teeth are peculiarly subject  to  this affec-
tion.   Taking  cold is generally stated as the cause.
  The symptoms of toothache vary much : the tabu-
lar view, on pp.  116,117, will serve to help in the selec-
tion of the appropriate remedy.

  These tables will show that Mercurius and Sul-
phur are the two medicines,  most extensively cura-
tive of toothache.  Mercury, it  should be remem-
bered,  being so injuriously prescribed by so many
practitioners, is the  cause of numerous toothaches.
It should therefore  be  always ascertained whether
the patient has  or  has not been mercurialized pre-
viously to prescribing Mercurius.
  Next to sulphur stands  Nux vomica: and next to
Nux vomica, Pulsatilla:  next to  it, Staphysagria:
then Belladonna,  Bryonia,  Chamomilla,  and Rhus
toxicodendron.
  Persons, liable to toothache, should  abstain from
coffee : toothache being one of the  effects of coffee.
  The insertion of a globule of the selected remedy
on the  tongue  is  a  most effectual method of cure :
sometimes smelling the medicine will be enough.
  Often the pain is increased at first, a homoeopathic
aggravation : the patient  should wait patiently, and,
in a short time, the desired  relief will   be  obtained.
If the pain should  return  then use the same remedy,
but if new symptoms rise,  then employ a new remedy. 
The phrase " do " in the adjoined tabular view,
  implies that the characteristic in the fiist column
  belongs to the medicine in the column in which
  the " do " is under the name.
 Pains passing into the jawbones and face.
                  the cheeks.............
                  the ears...............
                  the eyrs...............
                  the head...............
 Pains in hollow teeth particularly..........
        the whole rote of teeth............
      with  swollen cheeks...............
      the teeth feel loose.................
                   too long..............
      gums swollen......................
 Pains worse when eating.................,
             after eating.................
            when rubbed.................
                       with tongue......
 Worse  in the open air....................
          the wind.......................
      from a draught of air...............
Better in the open air....................
Worse from warmth......................
            warm liquids.................
            warm food...................
      in a warm room....................
      by warmth of bed..................
do
do
do
 fo do
 ,.|dn
 ..do
do|..
do'dc
doidc
do!d(
do
   do|.
do|d<i
   doj
   do
K (5
.Jdo
.. [do
do
> do ■

 do
d.
do

do
do
do
do
do
do
do 
Better by warmtn..,
Worse  from coldness
            cold air.
            cold water........................
            cold drink........................
            washing in cold water.............
            drawing cold air into the mouth...
Better by applying a cold hand................
                    cold air..................
                    cold water in an instant...
        by dipping  the lingers in cold water.....
Worse  in the morning.........................
        in the forenoon........................
        at night...............................
        in the afternoon........................
        towards evening.......................
        in the evening.........................
Pains when canned by a cold....................
Toothache with children.......................
                men...........................
                women.............,..........
           before, during, and after menstruation
           during pregnancy...................
	5	-a" 3 c3 S s '§ 1 s «3	"<3	3 <§ do do	a s do	a a do	a "a O do do do do	i a §> s a fc.	1 1 a O do	a e s do	a	3 § Si a do	•2 a e	1 s do do do do do	a S o » do do do do do	1 -e a. do	a "s a, do do do do do do do do do	do do do do do do do do	do	■2 a s> B. «J do do do do do	3 ■« -3-<B do do do do do do do do do do do do	2 a Oi K a g. =5
		do																				
																						
		do																				
																						
																						
					do	do																
																						
						do			do				do	do do do do do	do do do do do	do do						do
				do	do		do	do	..|..													
																						
						do			do		do	"	do									
		do			do do do																	..
	do do											do .. do										
									do ..													
																						
	do				do do do		do do	do	'do do ..		do	do1.. do ..		I			do do	do		do		
																						
		'		'																		
 
118
   The  best means to prevent toothache is to take
 care of the teeth by cleaning them with water and a
 brush after each  meal.  As a general rule, the  use
 of toothpowders is unnecessary, when the teeth have
 been  preserved by the  means just stated.  But if
 a toothpowder be used,  no  medicated  or scented
 toothpowder should be  used while taking homoeopa-
 thic medicine.
  The use of a toothpick is  to  be avoided.  The
 teeth are injured by this practice.
  Opium should never be taken.   The pains are al-
ways increased.   Creosote, another common remedy,
should  never be used unless under medical  superin-
 tendence.
  Sometimes toothache assumes a chronic character :
and then means, acting upon  the general constitu-
tion, must be employed.
                 [TIC DOULOUREUX.

   The nerves of the face in this disease are very sen-
sitive, and the pain  is more excruciating  than any
other to which  we are liable.  The  paroxysms are
sudden  and often repeated,  with  intervals  of perfect
ease.   The patient often feels as  if a  red hot needle
was piercing  through the part, which distinguishes
it  from  toothache.  There is no swelling.
   Treatment. — Aconite sometimes is  necessary
at  first,  if there should be heat.
   Belladonna, if the pain is excited by touching the
part, twitches in the eye-lids, convulsive jerks of the
muscles of the face, with occasional flush. 
119
  Causticum,  if the jaws should be stiff and noise
in the ears.
  Mezereum,  when  the  pains extend  into the eye,
temple, ear, neck, and teeth, when coming into the air.
  Lycopodium,  when  the  right  side of the face  is
principally the seat of pain, and  there is a sensation
of coldness,  and the symptoms are worse at night.
  Mercurius, if the entire one side of the head from
the temples  to the teeth are  affected, more particu-
larly at night after  getting warm in bed, particularly
if there is a predisposition to a flow of tears and saliva.
   Conium, if the  pains  come on at  night, and are
of a shooting character.
   Colocynth, if the pains are of a shooting charac-
ter, and occupy the  left  side of the face, and  are
aggravated by the touch.
   Nux vomica,  if the pains are  tearing and drawing
pains, with  aggravation from mental labor.
   Phosphorus, if moving the muscles of the face ag-
gravates the pain ; if the pain is on  the left side ;  it
There is  humming in the ears ; and a bloated appear-
 ance of the countenance.
   Platina, if there is coldness and torpor with a tend-
 ency to  flow of  tears,  and renewal  of pain during

 ^Spigelia, if there is violent pain in the cheek bones
 which will  not bear the slightest  pressure, or with
 sense of anguish of heart.                      .
    Lphysagria, if the pain extends from the eeth mto
 the eye, with coldness of the  hands and  cold per-

 ^Zr^ has  heen  very  success*,!I   in
  some forms of  Tic  Douloureux, more   especially 
120
where  the  right side of the  face  is chiefly  or en-
tirely affected  by pain between the eye and nose in
the afternoon ; " stinging  in the bones  of the jaws,
stitches in the eyes." — Ed.]
                   THE THROAT.

   The throat may be  regarded as a continuation of
the mouth.
   There is a division, called  the hanging  veil of the
palate (velum  pendulum pnlati,) between  the mouth
and the part behind, called  the fauces.  From the
centre of this hanging  veil a little fleshy body hangs,
called the  Uvula;  and  between the fleshy  pillars,
forming  the side of this fleshy veil,  are glandular
bodies, called the tonsils.
   Opening  into the fauces is the gullet, the fleshy
tube, which conveys the food into the stomach :  the
upper part of this  tube, connected with  the fauces,
being called the pharynx.
   These parts become affected frequently with in-
flammation.  They become red, swell, and produce
a powerful effect upon the  constitution, constituting
a  disease, called

           THE QUINSY,  OR  SORE THROAT.

   According to the symptoms, the  remedies for this
affection must be chosen;  remembering that a  lia-
bility to attacks  of sore throat is dependent upon
constitutional conditions, requiring a well directed
and long persevered in course of treatment. 
121
   An examination of the following sentences  will
 guide in the selection.
   Belladonna  may be given, should  there  be burn-
 ing or shooting pains, while swallowing, or pain as if
 from  excoriation, with a sensation as from a ligature
 round the throat, bright redness  of the whole throat,
 with  thirst  and salivation.  External swelling of the
 muscles of the throat, and of the glands of the neck.
 Inability, at times, to  drink, the liquid returning
 through  the nose.  Fever, sometimes  attended  with
 delirium,  pain  in speaking and hoarseness.
   Chamomilla,  if there  is  a  sensation as of a plug
 in the throat,  with  obstruction in swallowing,  the
 latter  sensation produced by  bending the neck. —
 Thirst, with great dryness of the throat, deep redness
 of the same.   Swelling of the glands  of the lower
 jaw, with throbbing pain.   Fever, with alternations
 of heat and cold,  worse towards  evening.   If  the
 above symptoms are caused by exposure to cold or
 a cold current of air  while in a state of perspiration.
 Cham,  answers best for children,  the majority of
 symptoms corresponding.
  Ignatia, if a  sensation as of a ball or hard tumor in
 throat when  swallowing, or  if a wound  is  felt.
 Stitches in upper part of throat.   Swollen, inflamed,
 ulcerated  tonsils.   Greater difficulty in  swallowing
 liquids than solids.   If fever is superadded, and heat
 alternating with cold chills.
  Mercurius, if there is a sense of contraction with
 burning  in  throat, and shooting, stinging pains  ex-
 tending into the ears,  with bright redness of the
throat.  Tonsils swollen  and inflamed.   The gums
and back part of tongue  also swollen.   Mouth filled 
122
with  viscid,  tenacious  mucus.   Offensive  breath,
ulcers in  the throat.   Throbbing in tonsils  while
swallowing, and fever, with  alternations of heat and
cold.
  Nux  vomica,  when there are  pressing pains  in
throat, particularly when swallowing.   When  there
is a rawness and soreness, or scraping and itching in
the  throat, causing a desire to press the tongue  back.
When the  sore throat results from a cold, and cold
air produces pain.
  Pulsatilla, when there are cutting pains in throat,
with rawness and soreness,  and a  bluish-red  appear-
ance.  When the mouth is dry, but  without thirst.
Glands of the neck swollen, and tender to the touch.
Pain  in swallowing the saliva.   Sense of diffused
coldness, increased towards  night, and succeeded by
heat.   When  the above symptoms occur  more par-
ticularly in the evening.
  [When  the lining  membrane is inflamed, rough,
and  discharges a thick mucus, give  Protiodide  of
Mercury.* — Ed.]
                  The Stomach.

  The stomach, performing very important duties  in
the process of digestion, its  affections become  of
very considerable moment.
  It should be remembered that the stomach is situ-

  * See Editor's chemical remarks on " Mercurius Iodatus," in
2d Vol. " Symptom Codex," p. 233. 
123
ated under the ribs on the  left side  of the  body, in
the upper  part  of the  abdominal cavity, extending
across to the right side, passing  behind the trian-
gular part, formed below the end of the breastbone
and  the  margin  of the  ribs,  called  the pit of the
stomach*
  The first affection to be noticed is

           DERANGEMENT OF  STOMACH,

sometimes  called


           DYSPEPSIA,  OR  INDIGESTION.

  The term Dyspepsia  covers a multitude  of disor-
dered states :  bides a multitude of professional sins :
forms a  most successful  opportunity and means for
medical pillaging; and, when the sufferer is tired of
physic, of  being  pillaged, both as to purse and his
remaining  health, it  affords an excuse to the disap-
pointed patient for leaving  the diseased state to pro-
gress without disturbance on  his part, till permanent
organic  mischief  is produced;  the  excuse being
based on  the idea, deduced from the past want of
success,  that there is no cure.
  Dyspeptics should ever remember,  that diseases al-
most  always progress, when  unaided:  true, many
dyspectic patients get well when they " throw physic
to the dogs; " but then, they had not dyspepsia,  they

  * For a full description of the stomach and its uses, and also of
the other organs of digestion, see " Constipation Curable." Se-
cond edition.  By John Epps, M. D. 
124
had physicpepsia :  and,  desisting from  physic, the
affection, caused by physic, ceases :  and the previous
state, now minus  physic, is found to the patient's
astonishment, to be Health.
  The  stomach,  however, is often  in a diseased
state ;  and, when  in  this  state,  certain  symptoms
present themselves, to  which the pathogenetic effects
of certain  medicines correspond.   These  effects of
medicines  may be  enumerated, and thence may  be
deduced the kinds of  derangement, curable by each
medicine.   Nux  vomica,  Pulsatilla,  Bryonia, and
Chamomilla, are the principal remedies;  the symp-
toms, suited to each of them, are recorded.
  Ipecacuanha is useful  when there is much nausea
and vomiting.   Ignatia often follows Pulsatilla with
effect.
  Sulphur must always  be employed,  where,  after
the use of the previous  medicines, the disease  re-
mains, more particularly  if there are eruptions.
  When tea has been  the  cause of dyspepsia, then
China  is a valuable remedy.
  Nux vomica is beneficial when there is a foul, dry
and white or yellowish tongue, with thirst, bitter taste
in mouth, heartburn, acidity, flatulence, water-brash,
hiccough, nausea in the open air, fulness at  the  pit
and sides of the stomach, tenderness  of the pit of
the  stomach to touch, making the  pressure of cloth-
ing uncomfortable, cramps in  the stomach, and con-
stipation.   When  there is  pain in  top of head with
tendency  to fall forwards,  or  shooting  and throb-
bing pain on left side of forehead, often over left eye,
or a pain in head as if  fractured, or as though a nail
were forced into the head, resembling the  headache 
125
arising from excess of wine;  when  pain  in  head
occurs after a meal or after intellectual labor, with a
yellowness of face and eyes,  and a mist or sparkling
spots before the eyes, with giddiness.   When the dis-
position is passionate.  Nux vom. is  more  suitable
for men generally.
  Pulsatilla, when the  symptoms are  similar to the
preceding, but with diarrhoea instead of constipation,
a want of thirst instead of thirst, pain rather than
fulness in stomach.   When the person is timid and
phlegmatic rather than quick and passionate; and it
is more suitable  for women  and  children  than  for
men.  Aversion to fat food is also indicative of Puis.
  Bryonia, when superadded to the symptoms indi-
cating this remedy under article " Headache," (which
see) there is giddiness, flatulence, hiccough, acidity,
water-brash, great thirst, dry tongue,  pain  and ten-
derness in region of stomach, with burning  at  the
pit of stomach, especially on moving, attended with
chilliness, strong aversion to food, constipation, and
obstinate  temper.   When the  symptoms  are  aggra-
vated in warm or damp weather, and by motion.
   Chamomilla, when there is acidity, flatulence, re-
gurgitation of food, excessive thirst, desire for cold
drinks, dry and cracked tongue, or with thick yellow
coating, obscure  eyesight, yellow tint of  the eyes,
one cheek  being pale while  the other is red ;  shoot-
ing  pains in  temples, and  in  head  chiefly on  one
side:  the pains  more  severe during  sleep : nausea,
or vomiting of food, fulness and pain at the  pit of
 stomach,  chiefly after eating,  and   a sensation of
 sinking in the same region.   Oppressive pain  in the
 reo-ion of the heart.   A burning sensation  at the 
126
pit of the stomach, especially when there is reason
to suppose this last symptom to be the result of coffee.
Generally, relaxation of bowels.
   From the symptoms detailed in the preceding par-
agraphs, it  will be seen that Heartburn, Flatu-
lence,  Nausea,  Vomiting,  and  Cramp  in  the
Stomach, are removable by most of the medicines:
the choice  depends on the  accompanying symp-
toms.
   The  following general remarks, in reference to
each of these diseased states, may be useful.

           cardialgia, or heartburn.

   When it occurs in  children and sensitive persons,
and appears not complicated with other diseased af-
fections, but is attended with a swollen, painful condi-
tion of the region of the stomach and of the lower
belly, with frequent acid  and disagreeable risings of
the food, with little or no flatulence ;  with palpita-
tion of the heart, anxiety, tightness across the chest,
difficult breathing, and pains in the head, with a ten-
dency to faint, then the treatment is easy.
   Young children manifest this affection by bending
their legs on the  body, by short breath, agitation, and
restlessness.
   Chamomilla is  the  principal remedy; and if this
is  not successful, medical aid  must be sought.
   [Sulphuric or Nitric Acid, first  dilution, or higher,
if  deemed best, is homoeopathic to heartburn or sour 
127
stomach, and has always been  more  successful in
ray practice than  any other class of remedies, in pro-
ducing a radical cure.   In adults it may be preceded
by Nux vomica, if high living  has been the cause.
Carbo veget. if there  is much  flatulence, with acid
stomach. — Ed.]
  A second  affection of the  stomach and of the
bowels, very common, is

                   FLATULENCE.

  Flatulence is dependent in numerous cases  upon
general  causes; such as food of bad quality or ex-
cessive  quantity ;  unsuitable  drinks;  and then im-
mediate relief can be afforded.
  When, from  the wind, the lower  intestines are af-
fected with pains and a sense of tightness, the  tight-
ness being felt  also under the false ribs, the wind not
effecting its escape, China is very serviceable.
  When constipation exists, as will be seen from the
table, and the sufferer  is of a  lively temperament,
Nux vomica is  useful.
  When flatulence follows the use of rich food, and
when it occurs in women  of a  mild  and gentle dis-
position, Pulsatilla is an appropriate remedy.
   A more active remedy is Cocculus: it is  useful
when, in addition to the sense of tightness and con-
traction in the lower belly, similar feelings exist in
the genital organs :  also when there is a swelling at
the pit  of the  stomach; uneasiness at the stomach: 
128
gripings, twitchings, anxiety, and pressure under the
cartilages of the ribs, not diminished by the discharge
of wind, but relieved by the expulsion of the offending
matters.
   [Carbo veget.  if indicated  as in  the preceding
article. — Ed.]
   A  third affection, in which  the  stomach  is inti-
 mately concerned, is Vomiting.
                              %
                     VOMITING.

   This, when from excess of food, should  be aided
 by warm water, drank plentifully.
   Should aversion to food, nausea, and heavings of
 the stomach continue after  full vomiting, the  tongue
 being furred, then  Antimonium crudum is useful;
 but if the tongue is clean, Ipecacuanha.
   When vomiting is caused by food  that is  fat, Pul-
 satilla is the remedy.
   When vomiting has been preceded by a fit of pas-
 sion,  and  is attended with  a bitter taste, bilious, and
 bitter  risings, the matter ejected being  green, bil-
 ious, and producing a grating sensation in the throat:
 with fulness, and pressing pain at the pit of the stom-
 ach :  general  languor: total loss of  the appetite:
 anxiety : thirst: giddiness, and  semilateral  pains in
 the head, then Chamomilla must be used.
   Add to these symptoms, the continuance  of the
passion and a sensation of  coldness, then  Bryonia is
 to be  employed. 
129
  When children, who have  pains  in the belly, fre-
quent nausea, excess of saliva, with a  vapid  taste,
pale complexion, discolored  lips, with general cold-
ness and debility, then  Valeriana is the best tempo-
rary remedy :  permanent relief being  obtained  by
the use  of those means which  expel the worms,  the
cause of these symptoms.
       VOMITING  OF BLOOD. (H.EMATEMESIS.)

  This disease is often dangerous, not so much from
the mere vomiting of blood, as from the circumstance,
that  it is  a result of long continued disease of the
stomach or of the liver : sometimes of one, sometimes
of the other, sometimes of both.
  The severity* of the malady will cause the advice
of the physician to be obtained ;  but it may  be ad-
visable, if there is great exhaustion, the countenance
pale, the nausea excessive, to give at once  and after
each recurrence of vomiting two globules of Arseni-
cum  : if relief does not follow the second  dose, the
same dose of Ipecacuanha, but if with the discharge
of blood the patient complains of a bruised feeling
in his limbs, then Arnica is to be preferred.
   [Aconite and Pulsatilla are effectual remedies.—
Ed.]
* A case of this disease and its attendant dtfficulties I published
 the Lancet, 1844, this case being treated homaopatlucally.
             9 
130
   A fourth affection of the stomach, with which the
 bowels sympathize is that designated

             CRAMP OF THE STOMACH.

   This cramp of the stomach presents itself in very
 numerous  forms,  being  attended with constriction,
 pressure,  pinching, tearing pains at the pit  of the
 stomach;  with a feeling as though the clothes com-
 pressed  the-body at the pit of the stomach ;  a feeling
 as of accumulated wind in left side, under  the ribs:
 pain extending to the back and the left side :  strong
 pressure at the back as from a hard substance : hot,
 cramp-like feeling, extending to gullet, with a sense
 of suffocation : increased saliva, fainting, and often-
 times vomiting.
   When  these  symptoms  are present,  and  where
 coffee has been much used, then  Nux vomica is the
 remedy.
   Where, in  addition, the lower belly is swelled with
 wind, where  constipation  exists,  semilateral  head-
 aches, pressive pains in the forehead, Nux vomica is
 useful.
   As a proof that coffee often causes this  cramp, the
 fact  is interesting, that  coffee taken  augments all
 these symptoms.
   When Nux vomica does not relieve, Cocculus of-
ten will, especially where constipation, pain  at  the
lower belly, relieved  by a discharge of wind, and a
 fretful, self-absorbed, sombre disposition, attend.
   When the cramps are connected with nausea and
vomiting,  and severe darting pains at the  pit of the
stomach, then Ipecacuanha will cure. 
131
  When the nervous system is very excitable, so that
the slightest circumstance annoys  the patient, then
Chamomilla is useful.
  [Pulsatilla and Ignatia are also useful, if it occurs
in females.

           it          -----
   INFLAMMATION  OF THE STOMACH, (GASTRITIS.)

  This severe affection consists of inflammation con-
fined to the inner coat of the stomach, and is induced
principally by irritating substances which have been
swallowed.  Cold water drank  while the system  is in
a heated state is one of its most frequent causes.  It
has been  known, however, to result from external
contusions, and  from a sudden transfer of  inflamma-
tion from other portions  of the body.  Emetics  have
produced this inflammation.   It is characterized  by
constant and severe pain in the stomach, with a sen-
sation  of heat and  fulness, great  distress, with cold
extremities, excessive weakness, spasms, and vomiting
of every thing taken into the stomach.
   Aconite is  to be  first  given  in this  case,  as  in
most others, when  there  exists much general febrile
action, (see note on  fever in  first part of volume)
and if cold water  has been  previously taken, while
the person was overheated.
   Bryonia is  often  suitable  after Aeon., when the
above  cause has brought on the inflammation.
   Ipecac, should be given if vomiting predominates,
and there is distension of stomach, violent pain, great
anxiety, and laborious respiration.
   Nux vomica  is  useful  when  an  evident transfer 
132
(metastasis) of inflammation  has taken place, from
some other part  or organ, or when an abuse of alco-
holic drinks has induced this  affection.  In the latter
case, it is advantageously alternated  with Arsen. if
insufficient alone.
  Arsenic is also to be alternated with Aeon, in some
instances, especially when  with considerable fever
there is united the characteristic indications of Arsen.
viz.: excessive prostration of strength, with a  sensa-
tion  of burning; small,  feeble pulse; restlessness;
cold extremities.   The alternation  may  be  made
when the sufferings have  been produced by  drinking
iced water.
  Hyoscyamus may be given  when with evidences of
the local inflammation, there exists cerebral disturb-
ance, as loss  of consciousness, or stupidity, incohe-
rent  talking, confusion  of ideas, convulsive  move-
ments, or when there are dropsical affections.
  Pulsatilla, if from suddenly  suppressed menstrua-
tion  a more light  form of gastritis should appear — as
is sometimes the case — or if the severer symptoms
have arisen from  cold water, or ice in the stomach,
and Ipec. or Ars. has been  unsuccessfully given.
   Veratrum, is indicated by the same group of symp-
toms for which Arsenic is  suitable, and if the latter
should not  benefit, Veratrum  should be given.
  It is, perhaps, needless to add that nothing but the
unavoidable absence of  a  physician  will justify do-
mestic treatment  in this disease. — Ed.]
                The Bowels.
The first  affection of the  bowels is that, in  which 
133
the bowels do not  perform their duty ;  but  require
longer intervals than usual to expel their contents.
  This affection is called Constipation.

                   CONSTIPATION.*

  Constipation  is  generally an effect of disease :  not
of want of power in the intestines :  not  sluggishness,
but the effect of the  vital  power being occupied in
developing disease in some other part'of the system.
   When constipation occurs, both associated and un-
associated with  any chronic diseases, (very rarely in-
deed does the latter  occur,)  the following enumera-
tion of symptoms will be of  use in  selecting the
appropriate remedy ; ever  remembering,  that with-
out exercise, and   without proper food, there is no
remedy for constipation.   The bowels may beforced,
but they will not act;  they may be emptied, but they
will not empty themselves.
   When  newly-born  infants are  troubled  with con-
stipation,  the   food  they  receive is  generally  the
cause.  If a  change of food does not relieve, then
employ Nux vomica,  if the child  be  active,  noisy,
lively;  Pulsatilla, if the  child be mild and placid ;
if there are acid  risings, burning heat  in the pha-
rynx, gripings,  livid  complexion, debility, and shiv-
erings.
   These  remarks apply to children as well as infants.
   In women  mild  and placid,  where constipation is

  * For some views on the origin, the  nature, and the cure of con-
stipation, the reader is referred to a treatise, entitled " Constipa-
tion Curable," by John Epps, M. D. 
134
 attended  with chilliness,  thirst absent, tendency to
 shed tears, melancholia, Pulsatilla is useful.
   Ignatia is suitable to gentle, amiable,  lively per-
 sons;  variable,  sometimes lively,  sometimes de-
 pressed.
   When persons are not relieved  of their constipa-
 tion by the use of homoeopathic medicine,  in the first
 few days after  exhibition, such inactivity indicates,
 that the effects of the medicines, previously taken
 to force the bowels,  have not been  overcome : it'does
 not prove, that the  homoeopathic medicines are inef-
 ficacious.  If relief is  not obtained  by  the fourth
 day, I generally recommend the use of three  quar-
 ters of a pint of warm water by injection.
  In constipation generally the following remedies
 are useful.
  Bryonia,  if the temper is  much  affected  by the
 constipated state of the  bowels, and there is a flow of
 blood to  the  head,  with giddiness  and  headache;
 when there is a sense of pressure   felt  from without
 inwards at the temples ;  and,  on stooping, the  brain
 feels as if forcing itself through the temples.   If con-
 stipation affects  persons easily chilled, and occurs in
 warm weather.
  Nux vomica, if the patient  is of  an ardent,  hasty
 disposition, and  inclined to anger ;  face full of blood.
 If there is headache  on walking, or in lowering the
 head, and the pain is in the forehead, with  giddiness,
 loss of appetite ; thirst;  tongue loaded with mucus ;
lancinating, pressing pains in  lower belly; a  feeling
of constriction at anus; hemorrhoids ; disturbed sleep;
pressure felt at the temples; not relieved  by  sitting
 up or lying down. 
135
  Opium, if the person  affected is devoid  of energy,
with a torpid, weak, and nervous system; loss of ap-
petite, and thirst;  dryness in the mouth ; throbbings
in the lower belly; pressure at the stomach; desire
to evacuate  the  bowels, with a sensation  as if the
passage were closed.
  Nux vomica is useful in constipation  from excess
of food ; Nux vomica, Bryonia, Ignatia, and Opium
are  useful in the  constipation of pregnant women,
alternating, beginning with Nux vomica.
  Constipation, not giving way to these means, re-
quires the advice of the physician.
  Let it ever be  remembered, purging is poisoning.
  An intestinal affection, regarded as the opposite of
constipation, is that called

                   DIARRHC3A.

  When the bowels act more frequently than natural,
and  when the evacuations  have less solid  character
than natural, this is named diarrhoea, or looseness.
  The nature of the  evacuated matter differs  very
much ; and  so do the attendant symptoms.
  Chamomilla is suitable when diarrhoea is produced
by cold or by passion  ; when the motions are watery,
or mucous, with the odor of rotten eggs ; when  pain
in bowels  is  violent, tearing, and incessant, obliging
one to writhe, turnover, and run about; when there
is a feeling  as if the  belly was hollow, or a constant
movement, as of a  ball rolling from side to side ; nau-
sea  or vomiting ; eyes encircled with a bluish ring.
  China,  when  the diarrhoea  is  produced by  cold
liquids, or by cold ; when clear, and  without admix- 
                       136

ture of faecal matter, or containing portions of undi-
gested food, of sour smell; when the pain is preceded
by  violent colic, and there are pressive pains in the
bowels; when there is weakness in the bowels and
much noise ; and when diarrhoea occurs immediately
after partaking of food.
  Dulcamara, when diarrhoea  follows an exposure to
cold, especially  after  becoming  wet, and  is watery, ,
or slimy and yellow ; when there is pain in the region
of the navel, none lower; when there is nausea, or
vomiting  occurring  at night.   Suitable  for  infants
when teething.
  Mercury, when there is a tearing, cutting pain in
lower abdomen,  which  feels   cold, and  a pinching
pain in the pit of the stomach; when the diarrhoea is
caused by cold from the night  air, is watery and pro-
fuse, or green, sometimes tinged with blood ; painful
straining,  called  tenesmus, before, during, and  after
an evacuation ; a feeling  of relaxation, as though  a
motion  would take  place;  rumblings in  bowels;
nausea; shivering, with  weakness  and tendency to
faint.
  Pulsatilla, when the diarrhoea results from errors
in diet, and is frequent; when  there are risings in the
mouth as  of rotten eggs; colic ;  urgent desire and
frequent evacuations ; fulness of lower abdomen, with
rumblings;  nausea;  hiccough; vomitino-.
  Sulphur, when the patient is troubled with cutane-
ous eruptions; when the diarrhoea  is acrid, excoria-
ting the anus and surrounding parts, and causing an
eruption;   when  there is gradual  emaciation,  and
consumption at its last stage. 
137
  Another disease  of the intestines, approaching in
some features to diarrhoea, is

                    CHOLERA.
  This disease occurs most  frequently in the sum-
mer : is referred, generally,  to the  fruits eaten, but
is more justly  referrible  to  the  heat of  the  atmos-
phere deranging the liver, and thereby modifying the
secretion of the bile.
  Before  an  attack of cholera, many  symptoms,
called bilious,  generally appear: inactivity:  heavi-
ness : jaundiced complexion  : tongue covered with a
yellow  mucus: bitter  taste : dislike  to food : bitter
risings : fulness at  the pit of the stomach, with pres-
sure and cramps : urine deposits  a reddish sediment,
and smells offensively, and is passed with  pain.
  Chamomilla will  remove these symptoms.
  If these symptoms are neglected, the patient vomits
first his food,  and  then a  watery bilious fluid ;  vio-
lent diarrhoea takes place, the secretions being at  first
fetid, afterwards  watery and bilious.  These symp-
toms neglected, or improperly  treated, the pulse
sinks: spasms in different parts of the body appear :
tenesmus, cold perspirations, and even syncope.
  Ipecacuanha  is to be used  when the vomitings  and
the diarrhoea are  established.
  If cold sweats  appear, and the vomitings and the
purgings do not abate  under the  use  of ipecacuanha,
Veratrum must be  employed.
  If there is  insatiable thirst:  pulse scarcely per-
ceptible : excessive prostration  of strength :  almost
constant purging, the matter  tinged with blood, then
Arsenic must be employed. 
138
  The medicines in this disease must  be frequently
repeated.
  Chamomilla is particularly useful  when  passion
causes the attack.
  [Antimony Tart.  If the patient continues to vomit
and  purge,  after the above  means have been used,
and there  is great exhaustion, manifested by a cold
perspiration, leaden and shrivelled appearance of the
skin, hoarseness  and  hypocratic  countenance, An-
timony, the 1st trituration, the size of a pea dissolved
in a  wineglass full of water,  and  given in teaspoon-
ful doses every quarter, half,  or one hour.
  Camphor, also, under similar circumstances to the
above, or  when  the exhaustion comes  on  very  soon
and  without protracted  vomiting and purging.

                 ASIATIC  CHOLERA.

  This disease, differing in  many particulars  from
the preceding, is characterized by tbe white appear-
ance of the fluid ejected  in vomiting and  purging,
by cramps, and scanty  urine, by  the great  coldness
of the surface, the lividity of the skin, by  its rapid
progress and frequently fatal termination.   The la-
mentable uncertainty and want of success in the treat-
ment of this singular epidemic by the ordinary allo-
pathic method,  and its comparatively easy control by
" infinitesimal  doses"  present a  striking  contrast,
and  is a convincing proof, were  there no  other, of
the truth of the Homoeopathic principle of cure.
  In general, the premonitory symptom is diarrhoea,
which, if  neglected  or improperly treated, will  soon
terminate in fully-developed  cholera. 
f
                      139

  The principal remedies are Camphor, Phosphorus,
Phosphoric Acid,  Ipecac, Cuprum, Veratrum,  and
Arsenic.
  Camphor, in consequence of its short duration of
effect, is the only medicine given in an undiluted state.
The preparation used by Hahnemann was a solution
of one ounce of pure gum Camphor in twelve ounces
of strong  alcohol.   In  a decided  attack of cholera,
one drop  of  this  tincture in a spoonful  of water
should be taken  every five minutes,  at  intervals,
lengthening as the symptoms subside.   If the  dis-
ease does  not yield in two hours, the Camphor should
be discontinued, and one of the following remedies
given, as the symptoms indicate.
   Veratrum is in most cases indicated  after the un-
successful  use of  Camphor.   It approaches more
nearly  the character of  a specific than any other
medicine.  It  should  be given when the vomiting
and purging is confirmed and frequent, with  yellow
coating upon the tongue, diarrhoea painful.
  Phosphoric  acid should  be given for the diarrhoea,
after Camphor, if  the  evacuations are of a  yellow
color and painless, the tongue covered with an adhe-
sive  viscid coating, and  cramps in the arms  and
hands.
  Phosphorus, if the tongue is coated with a white or
a brown covering, and griping pains or  nausea at-
tend the diarrhoea.
  Ipecac,  if vomiting is the first and principal symp-
tom.                                   .   .
   Cuprum, if  spasms  predominate with diminished
secretion of urine.
  Arsenicum,  if a sensation of  burning heat is com- 
140
plained of in the stomach or abdomen, with excessive
thirst and extreme uneasiness.
  There  are  different  forms  of  this  disease, and
when  developed, or  if complicated, no  one  but a
medical person can treat it properly.  Camphor and
Veratrum, however, have  in  a great number of in-
stances, proved sufficient to cure.
  Two of the above medicines are given  with much
confidence as prophylactics, or preventives of chole-
ra, viz., Veratrum and Cuprum.  Two or three glob-
ules  of each taken alternately every 3d day, is report-
ed to have preserved  all persons who have adopted
this  precautionary  measure.   There are  many pre-
disposing  causes, however, which should be avoided,
such  as great exposure to cold  and dampness, de-
pressing emotions, artificial stimulants, intemperance
in eating and  drinking,  raw  vegetables  and  fruit,
close confinement in crowded or ill-ventilated rooms,
fasting, when  there is an appetite, and  eating  when
there is none.
  Much  motion while the diarrhoea exists, must be
avoided.   If possible, the person should be confined
to one room, if not to the  bed.   Warm applica-
tions may be made  to the surface of body  and to the
feet, and constant hard  friction be used, particularly
if there is coldness, pulselessness, (collapse.)  Cold
water is the best drink,  in small quantities at a time.
When free perspiration occurs after a severe attack,
the  danger is  usually over.  During convalescence,
much caution  should be exercised  with regard to the
indulgence of  the appetite. — Ed.] 
141
  Another disease of  the intestines is that, well
known under the name  of

                 COLIC  OR  GRIPES.

  This  is a disease which affects  the larger intes-
tines.
  Sometimes it is produced by lead, and then it is
called pairtter^s colic.
  Colic consists essentially, of tearing, pulling, rack-
ing pains, unattended  with  inflammation,  passing
through  the  interior of the belly from above down-
wards, being seated principally above the navel:  the
pain is attended oftentimes with swelling of the lower
part of  the belly.
  In children the disease is manifested after a copious
discharge of urine, by considerable  agitation, crying,
sudden  screaming, twistings during  sleep : the legs
are bent upon the body : and by  an inability to suck
during the attack.
  When, in addition  to these general symptoms,  and
those mentioned  under  diarrhoea in connection with
chamomilla, the eyes are distorted, the  saliva is  ac-
cumulated in the mouth, and there is diarrhoea, with
green, watery,  mixed with  mucous,  evacuations, then
Chamomilla is the remedy :  in very  mild dispositions,
Pulsatilla.
  When, in addition to the general  symptoms, the
following symptoms occur,  Nux vomica is indicated,
namely, hardened faeces, constipation :  weight in the
lower part of the belly.
  Pain, as if the intestines are squeezed in different
directions : pain, as in the  belly  upon pressure:  and 
142
coldness of the extremities  at the  time when  the
affection is most violent.
  Nux  vomica is  the best remedy  for windy colic,
which  is  attended  by a  feeling,  when the wind is
about to escape of a sharp cutting instrument making
its way to the bladder, rectum, and  the parts of the
lower part  of the  belly,  attended  with a desire  but
want of power to make  water : this being felt more
particularly in an erect posture, and being lessened
by lying down or sitting  in a curved position.
  When, however, the colic assumes the following
characters, then Colocynth is useful.
  Violent pains in  the belly, constant.
  If not  constant, returning with  augmented  in-
tensity.
  The  pains  having  departed, a bruised feeling as
though  the  intestines were suspended  by threads
easily broken, obliging the patient to walk slowly  and
with extreme caution, remains behind.
  The  pain  limited to one  particular point at  the
upper part of the belly.
  So severe as to make the patient scream :  and even
to bite any thing.
  Twists about like a worm :
  Causes profuse sweating.
  I  have cured many most urgent  cases  by three
globules of the decillionth dilution,  dissolved in four
spoonsful of water; two spoonsful  immediately,  and
one every hour till  relief was obtained.
  [Painter's Colic,  which is brought on by the poison
of lead, is most successfully treated by Nux  vomica
first, and afterward  Opium. — Ed.] 
143
   INFLAMMATION  OF THE BOWELS,  (ENTERITIS.)

  This disease is attended with so much danger that
the physician's aid must be had.
  It is characterized from colic by the existence of
excessive sensibility to touch,  so much so that the
weight of the clothes is  quite  unbearable.  In colic
pressure generally relieves.
  Aconite is always useful.  Belladonna is oftentimes
the next remedy.
  [Bryonia or Opium if there is constipation ;  Ant.
Tart,  if there is  vomiting; Arsenicum, in the ad-
vanced stage, if there is sinking, coldness of the sur-
face with internal  burning sensation. — Ed.]
  The next affection of the intestines is that,  called


             PILES, OR HEMORRHOIDS.

  When this malady occurs in persons of middle age,
they should consult a physician, as the occurrence of
this  affection is dependent generally upon constitu-
tional causes.
  At the termination of the intestines these piles are
found.  The pain  is severe there and  at  the  loins:
itching is  experienced at  the  anus,  and around  it
there  are  excrescences,  painful, often  livid :  blood
and  mucus frequently escape after the  action of the
bowels.   Sometimes  no discharge of  blood  takes
place, and then the piles  are called dry. 
144
  The sufferer may obtain relief by the use of Arsenic,
Belladonna, Nux vomica, and Sulphur.
  Arsenic is indicated, when, in the rectum, in the
hemorrhoidal tumors, and  the parts adjacent, a vio-
lent  burning is felt: when  there are  watery  evacu-
ations  attended with great  prostration of the bodily
powers.
  Belladonna relieves moist piles,  attended  with  a
pain in the loins as if broken asunder, almost  unen-
durable.
  Nux vomica  is  suited  to piles  brought  on by
sedentary habits, irregularity in living, late hours,
intense mental  exertion :   by  constipation:  with  a
feeling of contraction of the rectum, with catching
pains in the loins upon the slightest  movement, pre-
venting the sufferer holding  himself  erect, and the
flow of clear fluid blood after the action of the bowels,
or if without an  action  with  a  desire to relieve the
bowels.
   Sulphur is useful when the desire to go  to stool is
continual, even after  evacuations :  when the pain in
the rectum  is  darting:  when  there  is  itching  and
burning, and the excrescences are moist: when there
is a  feeling  of fulness in the  rectum, with shooting
pains in the loins, and a  feeling as if the skin of the
loins was tight.
  In haemorrhoids, attended with colic, especially  if
the pain make  the patient constantly desire to make
water, without  having the power, Nux vomica is very
serviceable.
   Capsicum  is  useful where the haemorrhoids  itch
much: where there is burning attended with  diar-
rhoea. 
145
    BLOODY  FLUX.  DYSENTERY.  (DYSENTERIA.)


  The disease, so  named, is characterized by fre-
quent actions of the bowels, the evacuations mucous
or purulent, mixed with blood, with gripings, and a
burning heat in the rectum and the colon.
  This  disease,  so  severely painful,  is one  often
attended with fatal  results.  It is often the effect of
long standing intestinal  disease.  When dependent
upon conditions of weather, or irregularities in diet,
the rules in reference to the treatment of cholera may
be attended  to with benefit.
  If much fever  is present, Aconite can be admin-
istered,  and, one  hour after,  Mercurius corrosivus.
This  is  particularly  suited,  when the  stools  are
bloody,  and  when the  pains in relieving the bowels
are agonizing, like as if the bowels would be pressed
out.
  Arsenicum is also highly valuable in this disease :
this being particularly adapted  when  the stools  are
excessively offensive, and  where the skin is burning
hot and dry  as parchment: and where  the prostration
is excessive.
  [Colocynth, if  there is much pressing down, and
the watery predominate over the  bloody  mucous dis-
charges.
  Protiodide Mercury, if the patient  is  of  a scrofu-
lous habit,  and  does  not get ready relief from the
other preparations of mercury.
  The  symptoms in this disease not unfrequently in-
dicate Bryonia, particularly when Aconite has been
            '  10   . 
146
given at the commencement;  when  the complaint
arises during the  summer months, and is connected
with low febrile action,  the  discharges  being brown
in colour, and containing hard substances resembling
undigested food, with pain in the limbs, increased by
motion.
  In the first stages of dysentery, when there is much
restlessness, with thirst  and pain ;  the  tongue being
coated,  bitter taste in the mouth, and previous to the
existence of much tenesmus, Chamomilla has proved
of great benefit.
  Pulsatilla  is of the  greatest service  when much
mucus is observed in the discharges;  nausea; pain
in the back;  chilliness and shuddering while at stool,
with sadness and anxiety.   This remedy often follows
Cham, with good  effect.
   Sulphur  should be given in  cases of an  obstinate
nature;  when the disorder appears for a long time
stationary,  no marked increase or mitigation being
observed;  and when  the patient has  been troubled
with cutaneous eruptions or piles.
   Frequently, the alternation  of  some of the above
medicines  with each other, as Colocynth with Merc,
Aeon, with Bry., when  symptoms correspond, will be
found highly useful. — Ed.]
  Another affection of the intestines is that connected
with

                     WORMS.

  An accumulation of  mucus in the intestinal canal 
147
seems particularly favorable to the multiplication of
worms.
  The intestiual  worms are three,  the  Ascaris,  the
Lumbricus, and the Tcenia.             "■-----*
  liVie"Ascaris or the-Tfiread  worm is a short worm
about arPTncTT long.   It produces  an itching, and a
frequent inclination to relieve the bowels.
  The Lumbricus is like an earth  worm, only white,
the head being studded with slight eminences.  It
fastens itself to the intestines, and  by its motion and
sucking, produces painful griping  about the navel.
  The  Tcenia, or  tape-worm,  is  flat, white,  and
jointed.  It is  very difficult to recognize its exist-
ence  by symptoms:  the only positive proof of its
existence is the discharge of portions.
  Worms are looked upon with considerable horror.
They form a most powerful  means by which quackery
is enabled to pillage the pockets of parents,  and to
destroy the health of children.  Almost every affec-
tion of childhood is referred to worms,  whereas diet,
want of fresh air, too warm  clothing, perpetual rock-
ing, and in-lap-sitting, are the  most frequent causes
of the symptoms which  children have.
  Worms are not so  injurious  as  are the  medicines
taken for their removal.  But, say these nostrum-
venders and these drastic purges-administrators,  the
worms are  killed by the medicine :  and  so oftentimes
are the children: or if destruction does not take
place, the bowels are  so injured that years are passed
before the injury  is removed.   Worms,  too, are  the
scavengers of the intestines : they  remove  many  ob-
noxious  bodies;   and the  mere removal   of worms
without removing the intestinal condition, favoring 
148
their production,  is no  benefit.   The  common idea
that, if the worm is killed, the victory is gained, has
been the justification for the destructive practice of
giving large doses of oleum terebinthinae (oil of tur-
pentine)  under the  old system:  a  practice  fraught
with danger, and  often quite ineffectual.
  When worms  become decidedly  numerous  and
troublesome, then remedies should  be  employed.
The choice will be aided by  the tables.
  It may be remarked that very generally febrile
symptoms attend  the injurious  agency of  worms.
Hence Aconite is generally  useful  to begin with.
Where small worms exist Ignatia is beneficially used
after Aconite.  Where the tape-worm exists, Sulphur
is peculiarly efficacious  generally.  In  all  obstinate
cases, Sulphur  alternating with  Mercury  is highly
efficacious.   The symptoms recorded in the tabular
view (p. 149) are those  presented  by worms: the
symptoms more particularly  belonging to each medi-
cine are indicated by "do" placed in  a parallel  line
with the  symptom.  The perfect  removal  of worms
can be effected often only by a well directed and long
persevered in use of well-chosen  medicines.
               JAUNDICE.  (ICTERUS.)

  This is produced by an  affection of the liver.
  It seems as  if the bile passed into the circulation,
for the eyes become  yellow, also the countenance;
and  the  evacuations become  white and slimy :  the
mouth has a  bitter taste  : the urine is brown  and
thick ; and the belly contracted. 
149
Paleness of the countenance  .  .
Swollen condition of the  face  .
Livid hue round the eyes  .   .  .
Brown hue round the eyes   .  .
Dilation of the pupils  ....
Frequent boring of the nose  .  .
--------picking of the  nose   .
Much saliva in the mouth   .  .
Fetid breath.......
Foul tongue.......
A desire for things, but when obtained rejected
Irregular appetite, generally craving even
    a  meal.........
Grinding of teeth........
Nausear..........
Abdomen swollen........
Hardness at the navel.......
Lower part of the belly hard and tender to the
    touch    ..........
Coldness at lower part of the belly   .  .
Gnawing in the intestines.....
Burning  in the intestines.....
Severe colic pains........
Wakeful at night   .   -......
Screaming when waking......
Diarrhoea...........
Constipation..........
Emaciation..........
Peevishness..........
Fits of crying  when touched   ....
Low spirits..........
Uneasiness..........
Restlessness   .........
Convulsions in children......
Epileptic attacks in adults..... 
150
   Chamomilla is the best remedy, to be followed up
by Nux vomica, and,  if chilliness  and  great irrita-
bility of temper attend, Bryonia.
  If Chamomilla has been taken to excess, then Pul-
satilla and Ignatia are to be employed, which are
followed beneficially by China.  [Protiodide Mercury
has been  very effectual  in this  disease under my
observation.—Ed.]
  Jaundice, it should be remembered, is often caused
by purgative medicine, especially  among infants.
  Jaundice is a manifestation of disturbed liver.
                LIVER  COMPLAINT.

   The  term liver  complaint is  very  common, and
very  erroneously applied.    In  almost all  cases  of
indigestion the liver is disturbed : when, however, its
diseased state is attended with pain, sense of weight,
and  sometimes  enlargement,  in  the  region of the
liver, with pain  at the collar bone, and at the top  of
the right shoulder, with a dry cough, and inability  to
lie on the left side, the liver is considered to be in a
state of inflammation, called hepatitis ;  this is chronic.
When the symptoms assume a more acute character,
then it is acute inflammation, for  which medical aid
must be sought,
  Aconite is the first remedy : and this must be fol-
lowed by Bryonia, or  Nux vomica, or  Pulsatilla, or
Mercurius, according  to the symptoms.
  It is worthy of remark, that tight stays, tight trow-
ser bands, often bring  on and keep up  diseases of the
liyer. 
151
  No young persons should wear stays.   The hand-
somest, the best formed  women, are those who have
not worn stays.
  For
                  BILIOUSNESS,
commonly so called, if attended with  headache, and
vomiting,  and  chills, and ill temper, Bryonia, two
globules in a wineglass of water, is the best remedy :
repeat one globule after each vomiting.
  Nux vomica is next in value ; but the use of this,
and of Pulsatilla and  other remedies,  may be judged
of by the examination of the facts of this chapter.
CHAPTER  VII.
   DISEASE OF THE  MUSCULAR SYSTEM.

  Besides the affections already enumerated, there
are a few, belonging to the

                MUSCULAR SYSTEM.

  These are
    1. Rheumatism.           3. Lumbago.
    2. Gout.                  4- Sciatica.

                  RHEUMATISM

is an affection very extensive in its range, embracing 
152
 the muscles, their  coverings, the tendons, the liga-
 ments, and in some  cases, affecting the membrane
 investing the bones.
   Sometimes the affection is limited to a few muscles,
 and then the sufferer finds relief from the non-use of
 those muscles.
   Sometimes  the  affection  is so extensive, that the
 patient cannot  move himself in any direction without
 excruciating pain.
   Pain on motion is the most striking feature; dimi-
 nution  or cessation of pain on  rest, a  weakness re-
 maining, are other  features.
   The heat of the bed generally increases rheumatic
 pains.
   Rheumatism is generally  a very obstinate  disease.
   Homoeopathy presents several means of relief, and
 the following view of the symptoms will direct the
 choice.
   Aconite will be seen, from a reference to the symp-
 toms, (see Introduction)  to be  suited  to almost all
 cases of rheumatism at the commencement, especially
 where the parts are red and  swollen.
   Bryonia is suited when there are aching pains in
 the joints of the arm, the back, the nape of the neck,
 and breast, principally during motion and inspiration;
 drawing,  tearing pains in  the tendons where  they
 unite with the bones, on rising in the morning;  stiff-
 ness of the body when  moving, especially  after  mid-
 day; pains in the loins, and pains in the  limbs as if
 dislocated.
   Chamomilla, when there  are tearing  pains  in the
joints, aggravated at night, and diminished by  sitting
 up in bed; heaviness in the limbs ;  pains in the loins; 
153
the limbs feel as if paralyzed;  toothache affecting the
whole side of the face, extending to the ear;  general
uneasiness.
  Dulcamara, when there are shooting, drawing and
plucking pains,  resulting from  exposure to  a cold,
damp atmosphere; when the upper  limbs feel as if
bruised,  worse at night and at rest, or cold,  and as
though paralyzed.
  Nux vomica, if tension and pressure is felt in the
external  parts of the chest;  shootings in  the muscles
of the chest and between the shoulders, during respi-
ration ;  tearing pain in the nape of the neck ; pain in
the upper part of back during motion and  respiration ;
pain like cracking at  the shoulder joint and shoulder
blade ; stiffness of the back ; violent pain in the loins ;
coldness of the  feet  and  hands;  shiverings, and
agitation.
  Pulsatilla, if drawing pains are felt in  the muscles
near the joints, and  pains in  the joints  of the feet;
the  pains  frequently  changing their position, and
increased towards evening, with shiverings ;  sense of
great weakness;  cough and sneezing; pressive  pain
in lower part of abdomen ; and disturbed  sleep.
  Rhus toxicodendron where  there is tension, draw-
ing and tearing  in  the limbs ; when  the suffering is
greater at night and at rest, and is relieved by motion ;
bruising pains, as if the flesh was torn  from the bones,
or pressing, drawing pain, as though the bones were
being scraped; sense  of torpor, and dulness in the
parts affected, after motion. 
154
                      GOUT.

  With rheumatism, gout is  in many most import-
ant particulars intimately allied.
  Homoeopathic remedies  afford  most  successful
results in respect to gout : but it is a disease so com-
plicated  in  its production and in its concomitant
symptoms,  as  to require the judgment of the physi-
cian to select the right remedy.  [The most suitable
remedies may be selected from the following:
  Aconite when the pain,.swelling, heat, and throb-
bing is very great, followed  by Ant., Ars., Bell.,
Bry.,Nuxvom.,Phos., Sabina, Sulph., Canth.,Colchi.,
and Arnica.
  If the disease disappears suddenly from the sur-
face and attacks the internal organs,  give Nux vom.,
Ambra., or  Bell. — Ed.]
  The next affection is

                    LUMBAGO.

  This is an inflammatory affection of some muscles
of the loins; and  manifests itself by  violent,  fixed,
drawing, tearing pains in the loins  and the sacrum,
extending to  the  back and  shoulders  down  to  the
thighs.  It is attended often with  an affection of the
bladder, cramps being produced ; difficulty in the dis-
charge of urine, with  an inclination to go to  stool :
the thigh afterwards feels  weak, numbed, &,c, and
the sufferer cannot bend  or  extend  the limb.   The 
155
pain in the back becomes so very bad, that he cannot
lie on  it: fever supervenes:  there  is strong thirst:
the pulse is hard, full, and incompressible.
  To subdue the febrile symptoms,  Aconite must be
repeatedly employed, if necessary.
  "When the pains are worst during  motion, Bryonia
and Nux : when  worst  in a state of rest, Rhus,  and
Pulsatilla:   when   insufferable  during  the  night,
Mercury and  Chamomilla : when the pains are pul-
sative,  and suppuration  threatens,  Staphysagria:
when  spasmodic affections  of the  bladder  appear,
then Cantharides.
  When the pains occur after lifting  a heavy weight,
then Arnica is invaluable: this is  also  serviceable
where the pain is so violent that the patient dares not
sneeze, cough, or  walk.
          [SCIATICA.  (PAIN IN THE  HIP.)

  A violent  rheumatic pain in the hip-joint,  often
extending to the knee and  foot, is termed sciatica, in
consequence of its following the course of the sciatic
nerve.
  Arsenic relieves  when  the pain  is of a burning
character, acute and dragging,  with a sensation of
cold in the limb, with intermissions, when  there is
much general prostration  of strength  with  extreme
rpst 1 pssn gss
  Calcarea, alternated with Hep.  sulph., is of  great
service when there is an insufferably-aching pain in
the hip-joint,  with  extreme sensitiveness to touch,
and lameness, especially at night. 
156
   Chamomilla is to be given when there exists a sense
of numbness in the  thigh and leg, and  when, at
night, the attacks of pain become more frequent or
more severe, attended with extreme nervous restless-
ness.
   Ignatia, when the pain is tearing, lancinating, and
aggravated on lying down and rising in the morning.
Most suitable to persons of a fickle disposition, sub-
ject to alternation of spirits.
  Nux vomica, when the pain in hip  is accompanied
with stiffness and contraction of foot on same side,
and  a sensation of numbness  and chilliness in the
limb, suitable for those addicted to the use of stimu-
lants, or of sedentary habits.
  Pulsatilla, when  the pain is  increased  towards
evening,  and during repose,  mitigated in the open
air,  suitable for timid, tranquil  temperaments, for
women especially.
CHAPTER  VIII.
  AFFECTIONS  OF  THE  URINARY ORGANS.

     Ischuria.                     Enuresis.
     Hematuria.                   Diabetes.

  A deranged secretion  of urine  is manifested in
several forms, and, if neglected  at  first, may termi- 
157
nate in most painful and  serious  disease.   In quan-
tity and quality it may be unnatural, and  proper at-
tention  to  its  character  in  these  respects is of the
utmost importance.  As any derangement of the respi-
ratory organs is certain if prolonged, to be productive
of great distress and danger, so it is with the urinary
apparatus.   Through  the  lungs,  an excess of  car-
bon is continually thrown out of the system.  Through
the kidneys, an excess of nitrogen is separated from
the blood.   Whatever interrupts nature's operations
in one as in the  other instance, is, if not  removed,
destructive to life.  A strict regard to the prompt
ejection of the secretion referred to, when one's  sen-
sations indicate the necessity, cannot be too strongly
inculcated.

        SUPPRESSION OF URINE, (ISCHURIA.)

  There may be partial or entire retention of urine.
When  partial, and attended with  great difficulty in
passing, it is termed strangury :  When  entire, is-
chury.  Strangury is often produced by the applica-
tion  of  a blister, from absorption of the cantharides.
  Aconite  is  suitable, when the  difficulty of  urina-
tion  is caused by fright or exposure to cold.
  Arnica,  when caused by  a fall or a blow upon  the
back or abdomen.
   Camphor, when the strangury has been produced
by the application of a blister.
   Cantharis, when there exists a  continual inclina-
tion  without the ability to urinate,  accompanied with
heat and  lancinating pain in the region of the blad-
der. 
158
   Cannabis is also given for similar symptoms as the
above and when the desire is very urgent, resulting
in the discharge of a scanty quantity of urine tinged
with blood.
   Nux vom., when  the retention may be traced  to
the use of malt or  distilled liquors, or results from
the sudden  suppression of an  habitual hemorrhage,
like that from bleeding piles.   Also, when a derange-
ment of digestion is present, or a constipated state of
the bowels, with nausea.
   Opium is also recommended, when great constipa-
tion exists.
           BLOODV  URINE, (HEMATURIA.)

   This rare affection may be occasioned by injuries,
of the back especially, and violent exertion in riding
or jumping; also from  the presence of a stone in the
kidneys, or  urinary passages;  in which latter case,
it is accompanied by a sharp cutting pain in the back,
or attended with a sensation  of heat  in lower abdo-
men.   The symptom  is indicative of great danger
when it appears during the course of any malignant
disorder.
   Aconite is to be given, should it have resulted from
an injury; sometimes, an alternation of this medicine
with Arnica may be necessary.
   Cantharides, will afford relief when the discharge
is  attended with acute, burning pain and strangury.
   Nux vom., when  it can be traced to the  abuse of
stimulants.
   Pulsatilla, for a burning pain  at  the extremity of
the urinary passage, with a drawing pain in the back,
extending to thighs  and front of abdomen. 
159
      INCONTINENCE  OF URINE.  (ENURESIS.)

  An involuntary discharge of urine may proceed
from a paralyzed condition of the muscular connec-
tion, brought  about  by abuses of various  kinds, or
from the  presence of some  irritating cause  in the
bladder.   It may also arise from  some peculiar acri-
mony of the secreted fluid, and from certain nervous
affections.
  Belladonna, Sepia, Rhus., Carbo  veg., and  Suh
phur, are useful in this affection.
  A form of this derangement  in which  the urinary
secretion is profuse, and the quantity of fluid excreted
sometimes  enormous, inducing, by its uninterrupted
continuance, great emaciation, and terminating fa-
tally, is termed

                     DIABETES.

   Carbo veg.  and Phos. ac, are the principal reme-
dies which have been recommended in this complaint;
the  latter, particularly, when  the  urine is  milky
white, alternating with  the colorless  watery  appear-
ance generally distinguishing Diabetes.
  In diseases  of the  above  description,  the aid  of  a
physician should not  be long dispensed with.   Much
needless suffering has been occasioned by the morbid
nicety which is dignified by the name  of  '* delicacy." 
160
CHAPTER  IX.
               FEBRES OR  FEVERS.

  For the purpose of brevity  we  will divide fever
into three general characters.   First,

               CONTINUED  FEVERS,

  Which may be subdivided into four varieties, viz. :
Simple, Inflammatory, Typhus  (nervous  or putrid)
and Mixed Fever.
  Definition. — All the above are distinguished by
their degrees of severity.   Lossof appetite ; languor;
shiverings ;  prostration ;  increased  heat;  frequent
pulse ; disturbance of all the functions, without any
very decided  primary local  derangement of them.
There is  no marked remission or entire cessation
of fever, although towards evening some sweating
often comes on.

                 SIMPLE FEVER.

  Aconite, repeated a few times, will be all that this
form of fever will require.

              INFLAMMATORY FEVER.

  This fever comes on suddenly, the chill is severe, 
161
the heat intense and burning, the pulse frequent and
bounding, urine high  colored, and deposites a red
sediment,  the strength  is very little impaired, the eyes
are red, tongue covered with a white  fur, and the
bowels are costive.
  Aconite and  Bryonia, in  succession, will soon re-
move all difficulties.   If the skin is very hot and dry,
sponging  with  cold  water will  be  soothing and salu-
tary.   At  the same  time cold water or even ice-water
must  be  freely allowed.   If there  should  be local
complications* they  must be combated by the reme-
dies laid down  under their appropriate heads.


                  TYPHUS FEVER.

  This fever has been known by a variety of appel-
lations, viz. :   Nervous;  Putrid ;  Jail;   Hospital ;
Camp; and Adynamic or weak fever.
  A variety of  grades may be observed from a gradual
prostration of  strength, from slow fever  and slight
alienation  of mind,  to a malignant and rapid sinking
of all the powers of life, with the entire surface  cov-
ered with little spots of a bluish color, called petechias,
and  the gums bleeding; teeth and  lips black,  pulse
intermittent, extremities cold, and clammy while the
head and trunk are  hot, and the countenance bloated
and red.   The patient is  stupid (comatose) or wild
and delirious ;  and  inclined to  spring from bed.
  Aconite, in   the  commencement of all the varie-
ties, is the best remedy.
  Belladonna,  if there is much heat of the head and
the face is flushed, eyes red ; and delirium.
               11 
162
   Hyoscyamus, if there is delirium  and starting from
 bed.
   Antimony  tart, when there  is a desire to vomit,
 and other symptoms of indigestion  and occasional
 diarrhoea.
   Ipecacuanha.   Nausea or vomiting, dry lips, &c.
   Chamomilla, when it occurs with gripings in  the
 abdomen, or when indicated,  Veratrum, Pulsatilla,
 Nux vomica, &c.
   In  the most  malignant variety, when there is a
 putrid  tendency, give Phos.  acid,  and  Muriatic
 acid,  and if the patient is dull, lies upon  his back,
 inclined to  slide down  in the  bed/ Opium alone or
 in alternation with Muriatic acid.
   Rhus toxicodendron,  when there is jerking of  the
 tendons or limbs, (subsultus tendinum.)
   Arsenicum,  when  the prostration is great  and  the
 abdomen is bloated and a watery diarrhoea supervenes,
 with alternate chills and heat and burning.
   Stimulants must be administered,  in  small quan-
 tities  and at short intervals when the  skin becomes
 cold and clammy, pulse  intermits, and the respiration
 is quick and oppressed.  Brandy may be given freely,
even from an early stage of the  more malignant form
of the disease.   Wine whey or  Carbonate  of Am-
monia, may also be given.

                   SHIP FEVER.

  This fever is nothing  more or less than " Typhus
petechialis" or Malignant typhus, changed undoubt-
edly by a train  of circumstances which are easily
traced.   The thousands and tens  of thousands  of 
163
emigrants who are now flocking to this  country to
escape starvation  at home, embark half famished;
half clad;  and  without changes of linen.    They
receive their scanty pittance of bread during a tedious
voyage, and  in  many  instances  land on our shores
with the  accumulated filth of the entire passage.  It
is well known  that while some vessels have arrived
with hundreds  on  board,  all of whom were on the
sick list, other  vessels,  embarking at the same time,
and arriving simultaneously, were all in perfect health.
On inquiring into the cause it was ascertained, that
the captains of the latter vessels compelled every soul
on board, to undergo a complete washing once a day
before they  would give them their rations; whilst the
former had  scarcely applied water  to  the  surface
during the entire voyage.   This  is cause sufficient,
in  all conscience to account for the great prevalence
and mortality of the recent ship fever.
  The premonition of ship fever is gradual, hut suffi-
ciently marked to be noticed by  attentive observers.
In some  instances,  and those of the most malignant
forms, it is only  a short  period of time before the
most malignant symptoms set in.  In most cases, the
progress  from health to active  symptoms is  gradual
and" occupies some days.   The  appetite has  been
gradually failing for even weeks; there has been oc-
casional  alternation of chills and heat, with irregular
bowels;  the tongue is coated, at first moist or occa-
sionally dry  in the centre ;  the patient  is lethargic
at  first,  and gradually becomes stupid; from  the
tottering, intoxicated gait and  indifference or disin-
clination  to society, he becomes insensible or deliri-
ous  and when  addressed  pays no  attention  until 
164
6poken to in a commanding tone.  The countenance
has a peculiar  besotted expression ;  the manner of
the patient is undecided, and careless  at  first;  he
hesitates to express himself, and stops short where a
sentence or word is half uttered. A feeling of weariness
in the back, and it  the patient is still  walking about,
be slops, hesitates, and  feels  uncertain what to  do.
The eyes look dull ; pupils are dilated, and not as sen-
sible to light as usual ; the pulse is generally slow at
first, then rapid and irregular ; the respiration, which
at first is slow with an occasional deep sigh, becomes
rapid,  short, and  weak.   He often complains  of a
great load in the  chest, or about the heart.  As  the
disease advances,  and the delirium  increases, he picks
the bedclothes, and lies upon his  back;  with a ten-
dency  to slide  towards  the foot of the bed.  When
the disease is very malignant  small  ulcers or sores,
at first  resembling flea-bites, are  scattered over the
surface  of  the body ;  these become  purple,   and
spread into sloughing ulcers, called petechias.
   When petechias do not  appear, the skin, particu-
larly  over the  abdomen,  becomes  brownish   and
mottled.
   Treatment. — Where the disease is light, and
evidently superinduced  by scanty or  improper food,
generous diet,  rest,  and if there is much prostration,
brandy and  water will  quickly restore  the patient.
 Carbonate of  Ammonia,  one grain,  a  powder  the
size of  a pea, every  hour, will answer as a substitute
for the  brandy,  or  may be  alternated  with it.  If
there should  be nausea, some diarrhoea, and great pros-
tration,   Veratrum,  one drop  in  water every  half
hour,  will be necessary.  If this should not relieve,
 Stibium, every half hour, must be given. 
165
                REMITTENT FEVER.

  This fever differs from the continued by having a
partial cessation or discontinuance of the fever.  This
generally occurs during the forepart of the day.  The
fever does not leave the patient entirely as it  does  in
intermittent; there are alternate chills and  flushes,
but very little or no perspiration, while the bilious
symptoms are generally very prominent.
  Nux vomica,  in addition to  the remedies above
directed  for  the other forms of fever, will be neces-
sary in this fever, at the commencement, followed  by
  Antimony tart., which is a very  important  remedy
where there is nausea, vomiting, diarrhoea, and other
symptoms, similar to cholera.
   Veratrum, also, for the same  purposes as the last,
and when headache and griping in the bowels attend.
  Arsenicum, as soon as there is a distinct intermis-
sion of the fever, one or two  doses  must be  given
during that period.
  When this disease  occurs in infants it is called
" Infantile remittent  fever," and then, under the fol-
lowing complications, requires Protiodide of Mercury:
If the  abdomen  should be distended ; tympanitic ; or
have a hard  and knotty  feel ; and the  alvine evacu-
ations  should look green-blackish; tarlike; or mu-
cous  and  bloody, and  attended with straining  and
frequent disposition to stool ; also if there should be
a cough during exacerbation of  fever, with rattling in
the chest, or any evidence of the development of
tubercles in the  lungs.
   Chamomilla, if  the child should be teething,  and 
166
 have green stools and some of the above symptoms.
 The same remedies also, as laid  down for  remittent
 fever generally under the same circumstances, as the
 same train of symptoms may occur at any age, from
 infancy up to puberty.

                  YELLOW FEVER.

   This fever is  classed  with remittents;  although
 its general characteristics are similar, it differs widely
 in degree of severity.   At one time it shows a very
 mild aspect, at others the most alarming malignancy.
 It travels through  all  the grades of fever, from the
 simple  continued to the lowest  congestive  typhus,
 where  there  are  no reactive energies, vomiting of a
 dark coffee-ground substance, and the deep  yellow-
 ness of the eyes and skin distinguishes this  fever.
   Antimony tart, is  the  leading  remedy  in this dis-
 ease, one  grain in a tumbler half full  of  water : give
one teaspoonful of this every ten or  fifteen or thirty
 minutes.
   Veratrum,  as in remittents.
   Opium, if the patient is comatose.
   Muriatic acid, if there is great prostration.
   Stimulants.   Brandy and  Wine, if there is great
 congestion, with no power of reaction.

    INTERMITTENT FEVER.  (FEVER AND AGUE.)

  This  form  of fever usually occurs  in  marshy dis-
tricts or new  lands, just  exposed to  the rays of the
sun after  clearing them  of trees, or turning  up the 
167
rich soil  of prairies, where vegetation has been de-
caying undisturbed for centuries.
  Character. — First, there is great coldness and
shivering, often until the teeth chatter, and the whole
body  is convulsed with the shaking.  After a period
of from a few minutes to several  hours, the warmth
gradually returns,  which rises much above the natu-
ral standard,  becoming finally very intense, and the
pulse  is  high; the head,  limbs,  back, and indeed
every  muscle and joint in the body  is racked with
acute  pains.   This  stage usually lasts from two  to
eight  hours,  and terminates  in  a most profuse and
drenching perspiration.   After the sweating suhsides,
feels as well as could be expected  after such a siege,
gets up and walks about or returns to his usual em-
ployment even, as  if nothing had happened.  The
next two days after, or the third day after, he has  to
go through another course of chill, fever, and sweat-
ing.    When  the  fever returns  every  twenty-four
hours, it  is called a Quotidian, when it  returns ev-
ery forty-eight hours, a  Tertian, when  it  returns
every   seventy-twS  hours, a  Quartan.    These also
have their varieties and changes, but they are. of lit-
tle or  no importance in a practical point of view.
  Indication. — The greatest importance  is  to
ascertain how long the intermission will continue from
the time  the sweat  subsides  until  the next  chill ap-
pears.  During this period the medicines  given must
be of  that class which  will  prevent  the return  of
the paroxysm.   When the chill  comes on, external
warmth  must be  applied, internal stimulants, cold
water, and medicines which  will bring up a reaction
must  be  given.  During the hot  stage those  medi- 
168
 cines, which are known  to  reduce heat  and bring
 about perspiration,  are the most appropriate.  The
 first  indication will  be accomplished  by giving the
 medicine as soon as the  sweating  subsides, and re-
 peating it every  two or three hours, up to the com-
 mencement of the chill.
   China, if  the cause can be traced to marshy mias-
 mata, and there is headache, nausea, palpitation, and
 great hunger, with yellow complexion.
   Chamomilla,  if the  patient has  taken  quinine or
 barks in large  doses before.
   Arsenicum, if there  is external burning heat with
 shiverings, or alternate chills  and heat with bloated
 bowels, with dry, brown, cracked lips, and constipa-
 tion or watery  diarrhoea.
   Ignatia, if there  is great thirst during the cold
 stage, pain in the pit of the stomach and headache.
   Ipecacuanha, if there is much nausea and  vqmit-
 ing, and other  sufferings from indigestion.
   Nux vomica, if there is pain across the forehead,
 eyeballs  feel as  if bruised wh-n moving them, pain
 in the right side, acid eructations, aonstipation, or di-
 arrhoea of a pressing dysenteric character, gastric and
 bilious affections.                   •
   Pulsatilla, if there have been many 'relapses, or
 if the patient has taken much bark or quinine, and
 there is yellowness  attended with gastric and  bilious
 affection.
   Rhus toxicodendron, if there  is much  jerking of
 the tendons (subsultus  tendum,) and great pain in
 the limbs.
   During the hot stage, Aconite, where the heat is
great, violent pain in the  head, stitches in the side,
 and palpitation. 
169
  Antimony tart, when there are great gastric and
bilious sufferings, or vomiting and diarrhoea comes on
and prostrates the patient very  much.
  Belladonna, when violent headache,  with redness
of the face, and  red and weeping eyes attend.
  Bryonia,  if  the  tongue is thickly  coated,  and
aversion to food  with nausea and vomiting of bile and
sweating supervene.
  Natrum muriaticum,  Carbo veget., Cina, Opium,
Veratrum, and Coffcea  may be resorted to under cer-
tain conditions, when the above fail, but the full in-
dications would lengthen this article  too much.
  During the  cold  stage  apply  covering, bottles of
warm  water, or  warm  bricks  to the feet, and cold
water, or ice water  for drink.   If the reaction is very
slow,  and  the  shivering  great, internal stimulants
must be given, until the hot stage comes on.
CHAPTER  X.
GENERAL  AFFECTIONS.
1. Palpitation of the heart.
2. Hysteria.
3. Debility.
4. Dropsy.
5. Spasms.
6.  Tetanus.
7.  Abscess.
8.  Epilepsy.
9.  Inflammation of  the
      knee. 
170
10. Sea sickness.          from a fall;
11. Fainting.               "   drowning;
12. Coma, &c.             "   strangling;
13. Suspended animation:   "   freezing;
       at birth;             "   lightning;
       from starvation ;     "   foul air.
            PALPITATION OF THE HEART.

  This deranged action frequently gives rise to the
apprehension that the heart is diseased.   Such  fears
are generally groundless.   A  disturbance  of  such
kind, at the centre of circulation, may arise from an
indigestion  or  acidity   of stomach,  from  nervous
excitement, mental emotions, or abrupt, hasty move-
ments  when the system is debilitated, from suppressed
eruptions,  loss of blood,  &c.  In  the  latter  case,
should it occur after a hemorrhage of whatever nature,
   China is the remedy  to be first resorted to, and af-
terwards, if necessary,  Sulphur  or Nux vom.
   Opium  usually  removes palpitation of the  heart
caused  by fright.  If  resulting from a sudden  emo-
tion of joy,  it yields to  Coffaa.   If from  passion,
Aeon, or Ignatia will generally remove it.
  Aeon, and Bell, followed by Sulph., will prove ser-
viceable in plethoric persons, who  suffer from this
affection after exercise.
  Arsen. and Verat. in  alternation, especially if pre-
ceded  by  Sulph.,  act  favorably,  if  the palpitation
results from the sudden healing of ulcers, or repelled
eruptions;  causes which not unfrequently give rise to 
171
the most obstinate cases of this complaint.  In the
event of the failure of the above,  Lachesis and Caus-
ticum may be resorted to.
  Pulsatilla, Chamomilla, and  Coffaa are  indicated
when the above disturbance occurs  in mild, nervous
temperaments, or in females disposed to hysterics.
  In some  other instances,  Phosphor, and Ferrum
may be used with success.

             HYSTERIA.  (HYSTERICS.)

  This  singular affection,  consequent upon  a mor-
bidly increased sensibility of the nervous system, and
displaying  itself by a  great  variety of symptoms, is
peculiar  to  the  female.   A  similar derangement in
men is termed Hypochondria.  An attack  of Hyste-
ria most commonly commences with difficult respira-
tion, sadness, weeping, or laughing without cause, in
rapid alternation, singular  fancies,  with  frequent ur-
gency to urinate.  A most prominent cause of com-
plaint is the" globus hystericus," a sensation as if a
round ball  ascended  from the region of the stomach
and lodged in the throat, causing a dread of suffoca-
tion : soon the limbs  are spasmodically affected, and
the body bent and distorted  in every  variety of posi-
tion, or, as in some instances, partial or total  insensi-
bility comes  on,  and the affected person lies,  for
hours, perfectly  motionless.   Hiccough is often  a
distressing symptom.
   When, during  menstruation,  these  attacks take
place, and  there is great agitation of  the limbs, with
cold perspiration, spasmodic  movements and scream-
ing, Coffaa  is to be administered.   One dose is often
sufficient. 
172
   Veratrum is frequently  efficacious when  the jaws
are firmly closed, and the extremities  are cold with
clammy sweat on the forehead.
  Nux vom., Bell, and Stram. are of essential benefit
when hiccoughs are present,  and form  the prominent
symptom.
  Ignatia is of service when  there is present extreme
sensitiveness  to light and  noise, with hard, swollen
abdomen, pale  face, nausea,  and  chilliness, or when
pains are felt, described as drawing, pressing.
  Cuprum may be given when the spasms  are of a
very violent character.
  Puis, relieves, if  the person  is  of  a mild, gentle
nature, inclined to sadness, and  the fits come on du-
ring menstruation ; and are worse towards nigrht.
  Hyoscyamus, Cicuta, Bryonia,  Sulphur,  Cocculus,
and Moschus  are occasionally given with benefit in
this affection.
                     DEBILITY.

  Although debility is, more often, the accompani-
ment or consequence  of some acute or chronic dis-
ease, yet, at times, it is experienced in a condition of
comparative  health.  On the approach  and  during
the  continuance  of warm  weather,  frequent com-
plaints are made of a greater or less degree of weak-
ness for which no direct cause can be assigned.  The
judicious selection of a homoeopathic remedy  will be
the means 'of producing a reaction and restoring the
accustomed  strength, without a resort  to the so called
" tonics," which, while imparting a temporary artifi- 
173
 cial vigor, are certain to bring on, by their secondary
 action, an increase of the debility.   A great loss of
 the secreted  fluids, abuse of stimulants, nervous de-
 rangement, prolonged  watching,  and  want of^exer-
 cise, are among the many causes to which, independ-
 ently of serious disorders, a diminution  of strength
 may be attributed.   This state of the system, if pro-
 longed,  may result  in  more decided sufferings, and
 should,  in season, be  counteracted by  appropriate
 remedies.
   China is the specific for weakness consequent upon
 loss of blood and other fluids,  and is the most gener-
 ally applicable  in all  cases  for  the  restoration of
 strength.   Its special indications are when the  weak-
 ness is general, with trembling, tendency to perspira-
 tion on moving or when asleep, pale, earthy complex-
 ion, sleepiness, want of stability in lower limbs when
 walking,  swelling of the feet, a  sensation  of cold,
 followed by heat  and  perspiration,  over-excitability,
 hypochondriacal tendency.
   When the result  of prolonged  watching, intense
 application to study, &lc, Nux vom., in  alternation
 with Sulph.,  will be found the most serviceable.
   A state of the system in  which there is excessive
prostration, highly acute sensibility, great anxiety, and
sadness, has not unfrequently been induced by the ac-
tion of that most deleterious of all medicinal agents,
Mercury.  The abuse of this destructive poison,  or
rather  its use, — for it  can  hardly be used allopathi-
cally without abuse, — is less  extensive  than form-
erly, and  it is to be hoped that its  total disuse may
not be  far distant.   When, from this cause, the  above
symptoms  are present,  Carb. veg. is most commonly 
174
the best remedy.   Hep., Lach. and Opium have also
been given,
  Should debility  arise from strong mental emotion,
Coffaa and Opium are the most frequently indicated.
  See Chapter I.,  Part 3, and compare remedies for
effects of different mental conditions.
                      DROPSY.

  Dropsy, or an accumulation of water in the cellu-
lar  membrane, may  exist  in the chest, (Hydrotho-
rax); in the abdomen, (Ascites); in the brain, (Hydro-
cephalus) ; or be  generally diffused  over the whole
body,  (Anasarca);  and  may   result  from  fevers,
repelled  eruptions, debilitating loss of  secretions,
abuse of mercury, or intemperance.
  Arsenicum is applicable in hydrothorax,  ascites, or
anasarca, when attended with pale or greenish color
of the face, extreme debility, difficulty of breathing,
with swelling of the feet, and general coldness,  with
thirst.
  Dulcamara, if the  dropsical swelling is extensive,
and happens after perspiration has  been checked by
cold, damp air, when there is want of appetite, great
uneasiness, scanty urine,  thirst, and violent heat at
nighf.
  Mercurius,  when  the dropsy  is  general, or  con-
fined to the chest or  abdomen, — if  there is oppres-
sion of the chest, affections of the liver, cough, dis-
tress, heat, and perspiration. 
175
  Bryonia, for dropsical swelling of the  feet,  when
it increases by day, and decreases at night.
  China, when the dropsy arises  from known influ-
ences, causing debility, or when it is  accompanied
with diseases of the liver.
  Phosphorus,  for dropsical  swelling of the  face,
hands and  feet.
  Helleborus, for the different forms of dropsy, espe-
cially for the recent acute stage, and when there is
great debility, feverish symptoms, shooting pains  in
the  extremities, and suppressed urinous secretion.
  For the treatment of Hydrocephalus, or water on
the  brain, the frequent consequence of inflammation
of that organ, a physician's advice is indispensable.
                      SPASMS.

   These  consist in involuntary contraction  of the
muscular  fibres, and  is  that state  of muscular con-
traction in which  there  is  no  tendency to alternate
relaxation.  When contraction and relaxation exists,
one state  frequently followed by the other, then they
are properly called convulsions.  Both affections are
usually classed under the same head, and the  medi-
cines applicable to the one condition are generally so
to the other.   The causes producing them are vari-
ous, among which  are mental  emotions,  narcotics,
poisonous vapors,  external injuries, suppressed erup-
tions, nervous excitement, &c.
   Arnica should be  given  if  spasmodic  affections
arise in consequence of injuries. 
176
   Chamomilla, if caused by anger, and in attacks of
women or children, if there  is dry, burning heat of
skin, with extreme thirst,  hot perspiration on head
and forehead, anxious, rapid respiration, quick cough,
and diarrhoea.
   Belladonna,  if  the convulsive  movements  com-
mence in the upper  extremities,  with great heat of
the face  and  bloated  appearance,  dilated pupils,
cramps  in the  throat  and  chest, causing danger of
suffocation,  with obstructed deglutition, contortions
of the face, deep, lethargic  sleep,  great  apparent
suffering.
   Cuprum,  if the  spasms or convulsions commence
in the hands or feet, when there is loss of conscious-
ness and of  speech, frequent  micturition,  regularity
of attacks during menstruation.
   Hyoscyamus, when  resulting from  deep chagrin,
when  the head appears principally , affected, with
grinding of  the teeth, staring  in  all directions,  un-
consciousness,  involuntary urination, dry cough at
night, delirium, disposition to  laugh at every thing,
renewal or  increase  of attacks when attempting to
swallow.
   Ignatia, when the convulsions are consequent upon
fright, and these are  spasmodic of the eyelids, lips,
and facial muscles, with throwing back of the head,
alternate paleness and redness of  face, deep sighing,
and frequent yawning.
   Ipecac, for children or hysterical  women, particu-
larly if the  face is pale, loud cries, and rattling res-
piration, with attacks of vomiting or nausea.
   Stramonium, for general convulsions over the whole
body, or of  chest and abdomen, stupid, staring look, 
177
universal tremor, furious gestures, laughter, renewal
of the fits by touch, or  by the sight of brilliant, daz-
zling objects.
   Veratrum, when  there is loss of sense and motion,
the eyelids only  convulsively moving : this state con-
tinuing sometimes for a whole day.
                   [tetanus.

  This is a general spasm of the whole body, char-
acterized  by  strong, continued rigidity.  The body
is bent so violently backward  or  forward, that great
external power would  not suffice to counteract the
forcible contraction.   When  the  rigidity is partial,
and confined  to the muscles  of the jaw, closing the
teeth so firmly as not to admit  of the smallest open-
ing,  it is termed trismus, or  " locked-jaw."  This
painful disorder  is occasioned either  by exposure to
cold, or  by some local injury to the nerves : from
amputation, puncture,  laceration, &c.
  The  medicines here indicated are generally  the
same  as those enumerated  in  the article  Spasms.
For tetanus or trismus arising from  injuries, Arnica
should first be given.
  Phosphorus is useful in either.
  Cicuta vir. has -cured  tetanus  arising  from cold,
with convulsions  of  the  extremities,  in a scrofulous
child, and contracted pupils,  attended with strangury
and constipation.
  Sulphur, alternated  with Moschus, has been suc-
cessful in  tetanus with  lock-jaw, when the pupils
               12 
178
were dilated, with fixed and upward-gazing eyes, in-
cessant  whining, interrupted by a piercing shriek,
and succeeded by profound  sleep.
                     ABSCESS.

   An abscess  is  a  fluctuating tumor,  containing
confined  matter (pus), and is the result of previous
inflammation.    No external  application  need be
made, except  the  emollient poultice of bread and
milk, until inflammation has subsided, when the tu-
mor will  often open spontaneously.   In  some cases,
however,  a lancet should  be  resorted  to.   When
there is  strong  pulsation  in the  tumor, it may be
other than  a  collection of pus, and should by no
means be treated as an abscess.  An incision in this
case might be dangerous.   Give Ars., Lach., and Sul-
phur at long intervals.
   Belladonna is applicable, in general, where there
are evidences of the existence of inflammation :  as
heat, pain, &,c.
   Mercurius will frequently facilitate the  formation
of pus:  as also  Hep. sulph. and Silicea.
                    EPILEPSY.

  It is not intended, with regard to diseases of such
a nature  as  the above, to enter minutely into the 
179
description of symptoms, and of the various  forms
in which the affection may exhibit itself; nor  would
the character or limits of "a work of this kind author-
ize such diffusiveness.  Although entire dependence
is not to be placed in limited accounts, such depend-
ence  as would  induce one to manage a disease like
epilepsy ; still, much  valuable  service may be ren-
dered, in the absence of a physician,  by proper atten-
tion to the distinctive  symptoms  and corresponding
remedies here detailed.
  The attacks  of this disease  are sudden, and are
manifested by   convulsions, unconsciousness, and
foaming  at the mouth.   The causes are \arious, and
in some instances may be recognized, in other cases
the fits come on without manifest, cause.
  Arnica is always to  be administered, when the  at-
tacks are brought on by an  injury  of the  head,  as
from a fall, &c.
  Belladonna, to be  given in cases of recent origin,
and when there is but  a  partial  loss of recollection,
when the throat is distended, and there  is tightness
of the chest,  and pressure in the abdomen.   In gen-
eral, when the individual  is of  a  full and  plethoric
habit.
  Camphor,  or Ignatia, should convulsions  arise
from anger.
  Chamomilla,   when  the epileptic  paroxysms are
preceded by cholicky pains in the abdomen.
  Cuprum, when  there  exists  violent, convulsive
movements of the muscles of the face and extremi-
ties, or when  the fits occur during the night.
  Hyoscyamus,  when from  a  sudden emotion  of
fright, the person falls down  instantly with a shriek, 
180
the respiration is noisy and  rattling, the feet drawn
up, and the hands striking convulsively.
  Stannum,  if epilepsy  attacks a child during den-
tition, the eyes  being distorted, body  bent forcibly
backward, spasmodic motion of the jaws, paleness
of face, and insensibility.
  Sulphur is given  with  effect in cases of a chronic
nature, and  in those which  may have resulted from
a repelled eruption, or the  suppression of an  accus-
tomed discharge.  So also Calcarea, Lachesis.
   Should the attacks be  symptomatic of  any known
derangement, like the presence of worms  in the ali-
mentary canal, disturbed  digestion, teething, poisons,
&,c, the exciting cause must be  removed by the ap-
propriate remedies,
   In  many cases of this  disease, there is experienced
a peculiar sensation like that of a cold vapor (aura
epileptica), arising  up to the brain, immediately pre-
ceding the paroxysm.
   During the  attack, it  is  important  to  remove out
of the way every object which might injure the affect-
ed person in his  unconscious struggles, and to loosen
the clothing about the neck, that the  circulation may
not be impeded.
          INFLAMMATION OF THE KNEE.

  For scrofulous enlargement of the knee, in which
there is usually  but slight external  evidence of in-
flammation (white swelling), Calc. and  Sulph. have
been the remedies employed with the most benefit. 
181
  Calc. is also given when there is evident inflamma-
tion, with swelling and violent pain  in the joint.
  Sulph. for chronic enlargement, proceeding grad-
ually, with decided marks of the existence of a con-
tained fluid.
  Aconite and Bell,  are to be given when erysipelas
attacks the knee joint, causing much pain, and being
accompanied with much general fever.
  Rhus is of service when the swelling is caused by
cold, the pain being severe while the limb is at rest,
and when there is emaciation of the whole body.
  Silicea, when  the pain is of a severe, tearing, rend-
ing description, and when the swollen surface is of a
dark or bluish red appearance.
  Arnica and Ledum  are beneficial when the  knee
is affected with pain and swelling in the course  or at
the commencement of an attack of  gout.
                  SEA-SICKNESS.

  In case one is to be exposed to this affection, the
most intolerable of all others, it would  be advisable
to take a dose of Nux vom. eight or ten  hours pre-
vious to  going upon  the  water.  One  dose of the
above medicine is frequently sufficient to prevent  an
attack.   Should no medicine have been taken as a
preventive before sailing, the alternation  of Nux vom.
and Arsenicum, at intervals of an hour, when sick-
ness comes on, will  relieve greatly, if not entirely
remove the nausea.
  Cocculus may be  taken when there  is headache 
182
 with the nausea, and particularly  if a sensation is
 felt as though the  brains had been removed, accom-
 panied with a tendency to vomit.  The motion of a
 swing, and that of a carriage, often  give rise to that
 train of sensations which this remedy counteracts.
   Petroleum has repeatedly been  given with much
 success in sea-sickness,  when there exists chilliness
 on  exposure to  the air, with a  sensation  of great
 weakness,  an appearance  as of a  veil before the
 sight, with  buzzing in the  ears, and  a  feeling of
 pressure in the stomach.
   Arsenic is of great  service when the sickness is
 fully established, with violent vomiting, and that sen-
 sation of complete helplessness is experienced,  with
 an entire deprivation of  strength,  which renders one
 completely  indifferent  as  to what may become of
 him.  Should this medicine  be taken during the in-
 tervals of vomiting,  it will  almost  always alleviate
 greatly the symptoms above mentioned.
   Ipecac, is given when vomiting  is  present, but in
 a less aggravated form, and  when unaccompanied by
 that sense of excessive debility alluded  to under  the
 head of Afsen.  Pain in the pit of the stomach also
 points to this remedy.
   Silicea has likewise been  recommended.
   A too hasty repetition of the dose, as well as a fre-
 quent change of remedies, will, in the  case of sea-
 sickness, as in  more serious  affections,  diminish  the
 chances of a cure.   If improvement is  perceptible,
 after one or  two doses, every additional  dose of the
same medicine subsequently taken only serves to  in-
terrupt the progress of improvement, and prevent en-
tire recovery. — Ed.] 
183
                    FAINTING.


  The first advice is, be not in a hurry.  This pro-
duces confusion, and often injury.  Let all tight gar-
ments be loosened ; let  the patient lie horizontally;
let the crowd be dismissed ;  and let one or two per-
sons, and those, if possible,.known to the patient,  be
in the room.   Many persons have been seriously  in-
jured  by discovering themselves, on recovery,  unex-
pectedly, in the presence of numerous strangers.
  Having loosened  the garments, sprinkle with a
feather a little clear  water  lightly on  the face, sprin-
kle some on the nape  of the neck and the back  of
the head, and, if not successful,  then on pit of the
stomach.
  If these  have no  effect, let  the patient smell the
Spirit of Camphor.
  The cause  being known, will often lead to the  ap-
propriate remedy.   If fright  has been the cause,
then Opium or Aconite; the latter, if there is  heat;
if from loss of blood or debilitating causes, China,
also wine, but then it should be given only  in drops.
Phosphorus is also very useful.
  If mental emotions have been the cause, then  Igna-
tia or Chamomilla can  be employed, (See Part III.
Chapter 1st,  on the Causes of Disease.)   If fainting
follows after  severe pains, Anconite, and sometimes
Coffaea; if after slight  pain, Hepar Sulphuris.   If
fainting occurs  after the slightest exertion, then  Ve-
ratrum will be useful.   If coming on in the morning,
especially with those who have used much mental  la-
bor, and those who have  used  ardent spirits, then 
184
 Nux vomica will  be the best remedy ;  also, if faint-
 ing occurs after meals.
   When these remedies are  used,  they are  to be
 smelted only :  the smelling  not to be repeated more
 than once after five or ten minutes;  and then, if no
 effect  is  produced, choose another  remedy.    If a
 beneficial effect is produced, but ceases, then repeat
 the remedy.
   If the patient is sick after awaking, do not attempt
 to resist it;  if he  sleeps  after, let him  not  be dis-
 turbed.
   Moschus is suitable to girls of a chlorotic habit, to
 women of a hysterical tendency, and to irritable, del-
 icate men.
   To repeat: let  not persons  be frightened when a
person faints.  It is  oftentimes beneficial : changes
in diseased  states  have  followed  fainting, from the
influence the fainting exerts on the constitution.
          COMA, LETHARGY,  SOMNOLENCY.*

   Persons lose their consciousness, lie in  a  deep
sleep, snore, and cannot be  awakened.
   The eyes should be opened ; if the pupils are very
small, or one very small,  the other very  large, bleed-
ing must not  be practised.   But  if the pupils  are
large, or the one  very large and the other as usual,

  *For the remarks on this Section and the succeeding Sections of
this Chapter, I am indebted to Dr.  Hering ; and to the statements
in reference to the recovery of drowned, strangled, and frozen per-
sons, the attention of the benevolent is particularly directed. 
185
Bleeding may  be resorted  to, if a skilful homoeopa-
thist,  able to select a remedy suitable to the case is
not present.
  If the pulse be full and slow,  the face red or pale,
give opium to  smell, and  lay a  few  globules on the
tongue;  and if  relief is not obtained,  inject a pint
of water, in which some globules have been dissolved :
if the pulse is  very weak, give Lachesis likewise.
  Tartar Emetic  is useful,  when a  nausea or incli-
nation to vomit has preceded  the attack, or a choking
has appeared, then, when the patient is waking, give
some  teaspoonsfull of  a  weak  solution  of tartar
emetic, one  grain dissolved in half a glass of water;
if requisite give  an injection of the same.
              SUSPENDED ANIMATION.

  Suspended  animation,  when  produced suddenly,
should not be  regarded as death.   And  therefore
all  those  suffering from  suspended animation, in-
duced by the operation of some violent  cause, should
not be regarded  as dead,  till  means have been  em-
ployed for restoration.
  It may be useful to notice the circumstances under
which suspended animation presents itself.
         a. Suspended Animation at Birth.

  New-born infants  are  sometimes apparently dead.
The mouth is to be cleansed  with the finger, around 
186
which some linen  has been  put,  and the nose also
carefully cleaned.   The  infant is  to be  wrapped
round in warm clothes, and rubbed on the breast and
the hands with soft  flannel.   If the  umbilical cord
does not soon  begin  to pulsate,  it is then to be cut
asunder as  usual, and the child put into a warm bath,
so as to cover  the whole body, except the face, with
water.   In this bath  the  breast and  the limbs are
gently to be rubbed  and  moved about.   Should no
sign of life  appear after five or ten minutes, then take
as much emetic tartar as will  lie on the end of a pen-
knife, and put it in a large tumbler of water, and lay
a little drop of the solution  on the  infant's tongue.
Should  no  alteration take place in  fifteen minutes,
repeat the drop.   Again in  fifteen  minutes  take  a
tablespoonful  of  the  solution, mix it with a teacup-
ful of lukewarm pure water, and give it as an injec-
tion.  In  the interim, nothing should  be  used  to
smell at, or to rub with,  or otherwise.   If, after  the
application of the preceding means no change is pro-
duced in half  an hour, then take, if the  face is blue,
Opium,  if  it   is   pale,  China,  and   dissolve some
globules in  a  teacupful of water and use for  an in-
jection.  In the meantime, several drops of very cold
water, or a very small stream of it, may  pass from a
tea-kettle,  and fall from  a height of five or  six feet
on the  breast  of  the  infant,  but oarticularly  on  the
left side of the breast: one persow stands on a chair
or table with the kettle, another raises the infant with
its breast out  of the  water, and immediately after puts
it again into  the warm water,  repeating this several
times;  afterwards the gentle rubbing and pressing  of
the limbs, with warm hands, must be renewed, and 
187
thus alternated  for some time.  Old persons are not
as fit for this service  as  are the young, vigorous, and
healthy.  As soon as symptoms of urination appear,
which in many  instances may be  after two or three
hours, then cease to  rub and to pour water ;  let the
infant remain in warm water until it begins to breathe
and cry, then wrap it in a good cloth and lay it by its
mother, or by a young, vigorous, healthy, person.
  If the face of the infant then be red and blue, give
Aconite, if pale,  China.
     b.  Suspended Animation from starvation.

  Small injections of warm  milk should be adminis-
tered and often  repeated.  If signs of life appear,
throw a  drop of milk into the  mouth; afterwards
some teaspoonsful of milk, and gradually more : when
the  recovering person begins to express want, give
spoonsful  of sopped bread, afterwards of broth, and
after that some drops of wine.   A sound sleep ought
then to occur : and for some days, he should eat only
a little at a time.   Eating too quickly, or too much,
is often fatal.
      c. Suspended Animation from a fall.

  Convey the patient  carefully  on a bed,  his head
raised so that he can remain  at  ease, and put some
globules of Arnica  in  water on his tongue, and wait
till a medical examination of his  body is made.  If a 
188
vein is opened, only a little blood should be drawn :
for  whoever is brought to life in this way, would pro-
bably have otherwise recovered.
  If the arnica fails, or if the bleeding does not ap-
pear proper, give  the arnica in  injections.   If the
patient  revive after  the  bleeding, then  give  China,
and, after it, Arnica, in order to hasten the cure.  If
the patient, from the injuries, has lost much blood, it
is madness to bleed, but  give China,  a little  wine, a
few drops, and, after all, Arnica.
d.  Suspended  Animation from strangling, throt-
  tling, hanging, stifling, through a weight or
                    PRESSURE.
  Remove all tight clothes: place on a good bed, so
that the neck be quite free and not bent any way, as
it commonly is, when  a person  lies in bed.  Rub
very gently but constantly, with warm cloths, giving
immediately  an injection  of  opium,  ten  to twenty
globules dissolved in half a pint of water, well shaken,
and given at once, but injecting  slowly.   This is to
be repeated every quarter of an hour, while the limbs
are to be well rubbed up and down, especially on  the
inside.  From time to time a small mirror  should be
held before the mouth and the nose, to see if breath
begins to  escape,  whether he opens his  eyes,  and
sees,  or the pupils  move  at all.   Lay warm  cloths,
hot stones, wrapped  in  cloths, on the feet, between
the legs, on the back, the sides, and  under the arm-
pits.  If no  alteration appear in one or two hours,
take a bitter  almond, pound it fine,  and mix with  a 
189
pint of water, put some of it in  the  mouth, lay two
or three  drops  on the tongue, or  in  the nose, and
give the remainder in small injections.  If the injec-
tion goes forward, then  take a longer pipe and keep
to the anus : after withdrawing it, place the  thumb
upon it for five to ten minutes, and see whether the
injection remains.    In addition,  a  healthy person
may stroke with  the palm of his right  hand, keeping
the hand some inches from  the  body, very  quickly,
from the top of the head to  the toes : at  each fresh
stroke turning himself  about, and carrying the hand
in a wide circle again to the head.
     e.  Suspended Animation from drowning.

  Drowned persons are immediately to be undressed,
the mouth and the throat cleansed for half a minute
or so, with the abdomen and the head  bent  rather
forward, so that the water may run out; then put in
a warm bed, wrapped in warm clothes, or placed in
warm sand and ashes, covered therewith  : if in sum-
mer,  place  the drowned  person,  in  that  season,
wrapped in a coverlet, in the warm sunshine, the face
turned  against the sun ;  the head lightly covered.
Give the opium injection, and begin to rub the limbs
with warm cloths, and  continue so for hours.   The
passing of the hands down may  be  tired.  Bleeding
is madness.  If no benefit is gained,  lay on the tongue
several globules of Lachesis  and use them in an in-
jection, and rub again for some hours. 
190
    f. Suspended Animation from  being  frozen.

  Persons  frozen may, says Dr. Hering, even  after
several days, be restored to life.   They must be taken
up and removed with the utmost care, as the limbs
may be broken :  they  must be  brought into a room
not heated, or into  a  shed, but where  there is  no
draught of air.  They are  then to be covered com-
pletely with snow, at least to the depth of the hand,
even over  the  face, leaving a space that the nostrils
and  the mouth be free.  They  should be so placed,
that the melted snow  may  quickly run  off, and the
snow melted must  be replaced.   If no snow can be
had, place  in a cold bath, coldened by ice; if the ice
attaches to the body or the limbs, it must be re-
moved.  The body is thus thawed, becoming  soft and
pliant; then cover gradually and cut what is neces-
sary of the garments from the  body.  If becoming
soft  and  movable, commence  rubbing  the soft parts
with snow, and continue till  redness  is produced.
This process should be gradually discontinued, un-
dress, lay  on a dry bed, and rub with  cold  flannel,
stockings, pieces  of  blanket, &c.   If still no signs
of life  appear,  take a  morsel  of camphor, or some
spirits  of  camphor, shake it in  some water, and ad-
minister as an  injection.  Repeat this every fifteen
minutes.   If during the rubbing or by the use of the
camphor, symptoms of life or recovery appear, give a
small injection of lukewarm  black  coffee,   and  as
soon as able to swallow, give  some coffee, a tea-
spoonful.
  When the signs of life increase, let everything wet 
191
be removed, rub  every  part  till  quite dry, but not
lukewarm.   The sufferer must acquire  warmth of
himself in  bed and no other warmth should  come
near.
  " If we do not shun the labor,  we can sometimes,
after many hours, restore  the  apparently dead to
life."
  Very often  violent pains now arise.  Give  Carbo
vegetabilis, and  repeat  as often as necessary.  If it
fail to relieve, Arsenicum must  be given.   Should
stitching pains occur, or heat in the head, Aconite
will relieve.
    g.  Suspended Animation from  lightning.

  Persons struck by lightning should be placed with
the face towards the sun, in  pure fresh  earth, and
covered with it, so as to be in a half-sitting and half-
lying posture, and nothing but the face exposed.   As
soon as the eyes move, the face should be shaded,
and  several  globules of  Nux  vomica  should  be
placed  on  the tongue.   Should no signs  of life ap-
pear in  half an hour, repeat the Nux vomica : in
fifteen  minutes after, put Nux vomica in  water, and
lay it on the nape of  the neck : after another fifteen
minutes remove  the  soil from the lower  part,  and
give an injection  of ten  to twenty globules of Nux
vomica, in   half a pint  of water.  Put some cotton
wool in the  anus, to prevent  any evacuation; cover
every part again with earth, and  let the person lie in
this position until he begins to breathe, on which 
192
remove the earth from the chest, and bring the person
into a clear sunny chamber.
  For any complaint which may follow, Nux vomica
and Sulphur are very efficient.
     h. Suspended Animation from foul air.

  From  various  causes, such  as gases  disengaged
from deep  cesspools,  from  limekilns, from charcoal
fires, persons have life suspended.
  The sufferer should be brought immediately  into
the fresh air, undressed, placed  on his  back, and the
breast  elevated.   Throw cold water on his face and
breast.  If a solution of chloride of lime in water  is at
hand, dip a sponge in,  and hold  it before the nose,
the solution to be weakened so as not to excite cough
in a sound person who happens to breathe it.   Put a
teaspoonful of the strong solution  into a tumbler full
of water, and introduce  half a teaspoonful into the
mouth of the sufferer.   Repeat this from five  to ten
minutes,  discontinuing  gradually as the  patient
improves.
  If chloride of  lime solution  is  not  at  hand,  mix
some vinegar with an equal  quantity  of water, and
sprinkle the face  with it: and hold a sponge, dipped
in vinegar, before the nose and the mouth.
  During this time the patient should be rubbed  with
hot flannel.  If the face  has  been sprinkled, wipe it
dry after a little while :  then rub  it with hot  flannel,
and repeat the. sprinkling.   The  feet, the stomach,
the breast  and arms  particularly, ought to be  well 
193
rubbed*  The soles of the feet, and the back may be
brushed a little with a stiff brush.
  Be not too hasty, but proceed gently, and continue
patiently.   Life sometimes will not return till  after
three or four hours.
  If the patient, apparently  dead, does not breathe
at ail,  it is useless to hold a sponge  before his nose;
only try from time to time, by holding a light feather
there, whether his breathing has recommenced. Blow
breath  occasionally  into  his  mouth,  which  is  best
done by a person inhaling as  much  as he can, and
then placing his mouth on that of the apparently dead
(whose nose should be held shut,) and blowing in the
breath  gradually.   If you perceive the breast rising
thereby, let the breath go out of itself, and repeat the
operation.   If  the breath will not come out again of
itself, place a towel around the breast, and after the
breath has been blown in, pull it gently.   Thus by
keeping  up an  artificial  respiration, a person appa-
rently  dead may often be restored again, but he  who
undertakes the operation should  himself  be healthy
and have a clean breath,  and either drink or rinse his
mouth occasionally  with  vinegar.  As soon as the
sufferer  begins to  breathe, or the exhalation of the
breath infused becomes  more rapid, cease the infu-
sion, blow gently  fresh air  towards  him, and  only
when the breath becomes  stronger, hold a sponge to
his mouth  dipped in a very weak solution  of chloride
of  lime or vinegar.   You ought to be  very  careful,
indeed, lest you extinguish the feeble life just return-
ing.   If the patient recovers, give him  a few drops ol
a weak solution of chloride of lime or vinegar.  If he
complains of cold, inclination to go to stool, or  nau-
                13 
194
 sea, and vinegar will not  remove  this feeling, or the
 patient di>likes it, give him a little  black coffee ;  if
 he complains  of heat and great  weakness, give him
 a little good, and if possible, old  wine.   The smell
 of camphor is also often  beneficial.  Consult in this
 respect the wishes of the patient;  whatever is most
 agreeable to him, or affords  him relief, deserves the
 preference.
  Another  mephitic gas  is  developed in deep wells,
 vaults, and  lime furnaces, which  is  suffocating.  It
 has  no bad smell,  but makes him  who  inhales  it
 sleepy, giddy, and at last  senseless.
  Persons affected by it will usually revive in a short
 time, if they are speedily brought into the fresh air,
 sprinkled with cold water, and with vinegar, and par-
 ticularly by the infusion of black coffee.   Do not act
 with too much precipitation — delay is not dangerous
 in such a case.  If respiration does not return, it will
 be necessary to blow in some breath.
  The vapor of charcoal is very dangerous, particu-
 larly to persons sleeping.   Never sleep with  lighted
 charcoal in  a chamber without  a chimney.    This
 refers also to  stonecoal.   It has  also happened that
 old  wood  work has  been  glimmering, and thus con-
 tinued for days without  smoke, and that the inhabi-
 tants of such a house, not minding the not very per-
 ceptible smell of something  burning, were found on
 the  point of death, before the glimmering had  even
 been  discovered.    It is  remarkable that persons,
 exposed to this exhalation, become so feeble as to be
unable to go  into the fresh air, to  open doors and
windows,  or to call  for aid.  They labor under the
greatest  inconvenience, perceive  their  danger, yet 
195
 cannot resolve to  remove  from the  spot, or save
 themselves.  A similar sensation seizes these who in
 very cold weather  sit down  in the  open air to rest
 themselves;  although they know the fate that hangs
 over them, they cannot recover courage to resist it.
   The signs of poisoning from the effect of coal-fire,
 before apparent death prevails, are : — headache with
 nausea, violent exertion to vomit, vomiting, even of
 blood ;  a heavy load seems to oppress the breast; the
 face  becomes  red, purple,  and  full  of blood; the
 patient is  seized  with an  involuntary, convulsive
 weeping, talks incoherently, falls down suddenly into
 fits, becomes senseless and apoplectic.
   Carry him into the fresh air, rub him with vinegar,
 and let him  inhale it.  If the face is already purple,
 and he talks  incoherently, throw ice-cold water over
 his head.   In general, it is well to apply  cold to the
 head, warmth  to the feet.   After  the patient has
 recovered, it will be well  to give him Opium, remov-
 ing the vinegar.  Should Opium help, but not  long,
 repeat it.   After some hours, or sooner, Opium, and
 no effect, give  Belladonna, and  let it  have time to
 operate.   In case of apoplexy only  it will be useful
 to bleed first.
   The dry rot in old buildings has a similar yet slower
 effect,  than that from  coal-fire upon the inhabitants.
 Such  buildings ought to be pulled down ;  however, if
 people have to  live  in them, endeavor to kill the dry
 rot by stone-coal fire.  Apply this, as much as possi-
 ble, above, below, and about  the spot where the dry
rot breaks out.   Brush the spot itself with  a strong
solution of blue vitriol or sulphate of copper.   To
guard against the effects of the  dry rot, put  a few 
196
drops of sulphuric acid into a gallon of rain  water,
and take occasionally a drink of it.
  To obviate the bad  consequences of exhalations
from chloride of lime, to which people are sometimes
exposed, smoke tobacco; or drop some strong brandy,
rum, or spirits of wine on a piece of loaf sugar, and
put it into your mouth.
  In accidents from  inhaling poisonous vapors, such
as prussic acid, or  mineral  acids, take  spirits  of
hartshorn, or spirits of sal ammoniac, which will afford
relief; but do by no means apply the vial containing
such spirits to the nose, you would only increase  the
evil thereby — pass the open  vial at tbe distance of
about six or eight inches slowly before the sufferer, so
as to communicate the smell feebly to him ;  continue
this as often as may be necessary.  Or, put a drop on
a bit of paper, insert  this into an empty bottle,  and let
him sometimes smell at the bottle.  But if the vapors
were  from alkali, this would avail nothing; in that
case let him inhale  the smell of vinegar.   Whether
the vapors are  from  acid or alkali, you will find out
by blue  paper ;  acids  will make it turn red, alkali
will make that which is stained red from acids blue
again.  In cases of poisoning from acid vapors,  you
may put one drop of spirits of sal ammoniac  into a
tumbler  full  of water, and  give of this mixture a
teaspoonful every ten minutes ; in poisoning from  va-
pors of alkali, give from  time to  time a  teaspoonful
of vinegar. 
197
PART  II.
CHAPTER  I.
  THE  CONDUCT DURING  THE  STATE OF
                 PREGNANCY.

  A pregnant  woman occupies a position of the
highest interest.   She bears about with her a living
being,  whose  future physical, and, it may be added,
intellectual, moral, and animal condition is dependent,
in a great measure, upon the conduct and the  state
of mind, which she pursues and cultivates during the
period  of pregnancy.
  The mental and  moral  influence  of the pregnant
female on her offspring, is  a subject too wide to come
within the limits of this work.  The physical influ-
ence may be noticed.
  To enable a mother  to realize for her child that
excellence of constitution, a child has a right to ex-
pect to receive from its parent, she must pay atten-
tion during her pregnancy  to her diet, her exercise,
and her dress. 
198
  In  reference  to diet,  the  mother  should  avoid
both all stimulating food  and  all excess of food not
stimulating.
  In  regard  to  stimulating food, many  think these
are justified by  the peculiarities of appetite existing
durincr the period of pregnancy.   But these peculiar-
ities are  not the  products of health,  but the conse-
quences  of disease, and, as such, should be treated
medicinally and morally ;  not pampered by  articles of
diet, whicb augment the diseased states, upon which
these peculiarities are dependent.
  Another decisive evidence that stimulating food or
drinks are injurious, because  unsuitable, is afforded
in the fact, that  the pulse of the pregnant female is
much more rapid than the usual pulse of the same
female when not pregnant.
  Plain, nutritious,  unstimulating food, should be
the constant source of nourishment to  the pregnant
female.   And this food should not be taken in larger
quantities than  usual.   Many think that,  because a
pregnant female has to nourish a second being,  she
needs this increase of supply :  but it must be remem-
bered that during  the  period  of healthy pregnancy,
the natural monthly discharge, common to women,
ceases; and  the cessation of this  must be almost, if
not quite an equivalent, to the increased demand upon
the constitution  by the living beino-.
  The food should be nutritious and digestible.  In-
digestible articles of diet,  by producing an excruci-
ating colic, have, as Dr. Eberle has proved  by several
remarkable instances, produced abortion, even  so
early  as the fourth month: a result still more likely
to happen, as the period of pregnancy advances nearer
to its termination. 
199
  But,  besides the  diet  of the digestive  organs,
there is the diet of the lungs, necessary to be follow-
ed, in particular by the  pregnant female.   The food
the lungs require is good air.   The bed-room should
always be a well-aired, good-sized room : this is par-
ticularly required by the  female in  this condition.
She should avoid late hours and rise early : make  as
mucb use  as possible of daylight: bed  curtains should
be avoided, and the  bed-clothes should be exposed
to the air  so as to be deprived of the perspiration ac-
cumulated during the night.  The practice of making
beds immediately on rising  may be a tidy, but  is not
a healthy practice.
  The second point to which attention must be paid,
is exercise.
  The muscular system requires exercise, which is
its diet:  Walking is the  best  exercise :  Dancing:
riding on  horseback, unless at very easy paces ; trav-
elling over rough roads, should  be  avoided.  Well
regulated  exercise gives power to the  muscular fibres,
forming the external  investment of the bowels; and,
as on  their healthy  state depends, in  a considerable
measure, the  expulsive  power, necessary  to  aid the
womb in the expulsion of the  child at birth, the im-
portance of walking, by  which chiefly these muscles
are strengthened, must appear.
  These  remarks  lead  to  the  third circumstance
necessary to be attended to by the pregnant female;
it is dress.                                   ,
  The dress should be loose —stays are to be depre-
cated —they tend to destroy the power of the abdomi-
nal muscles, by preventing their regular action  ; and
there can be but little doubt that the ineffectual  labor- 
200
 pains, from which many women in confinement suffer
 so much, depend upon the inability of the womb, un-
 aided by the abdominal muscles, (these having  been
 weakened  by  the want of healthy  action, from the
 impediments of tight-lacing,) to expel the child.
   Stays, tight  stays  or tight abdominal supporters,
 produce worse  effects than  this.   They often occa-
 sion the child to occupy a position in the womb, not
 according  to its natural position, and thereby, if not
 occasioning deformity, which often is the case, causes
 trouble  and  oftentimes danger  in  the birth.   Dr.
 Eberle   remarks,  " the custom of  wearing tightly-
 laced corsets during gestation, cannot be too severely
 censured.  It must be evident to the plainest under-
 standing, that serious injury  to the  health of  both
 mother and child, must often  result from a continual
 and forcible compression of the abdomen, whilst na-
 ture  is  at  work in gradually enlarging it, for  the
 accommodation  and  the  development of the foetus.
 By this  unnatural  practice,  the circulation  of the
 blood throughout the  abdomen  is  impeded,—a cir-
 cumstance which, together with the mechanical com-
 pression of the  abdominal organs,  is peculiarly cal-
 culated  to give rise to functional disorder of the stom-
 ach  and liver,  as well  as to hemorrhoids, uterine
 hemorrhage,  and abortion.   The  regular  nourish-
 ment of  the foetus, also, is generally impeded in this
 way — a fact  which  is frequently  verified in  the
 remarkably delicate and emaciated  condition of in-
 fants, born  of mothers who have practised this fash-
ionable folly during gestation.  It may be observed,
that since the  custom  of wearing  tightly-laced  cor-
 sets has become general among females, certain forms 
201
of uterine disease are much more frequent than they
were sixteen or eighteen yeais ago."
  To these valuable remarks may be appended the
following statements of Dr. Andrew Combe :  " The
Romans were so well aware of the mischief caused
by compression of the waist during gestation, that
they enacted a positive law against it; and Lycurgus,
with the same  view, is said to have  ordained  a law
compelling pregnant women to wear very wide and
loose clothing."
   To  conclude: the female should remember that
child-bearing is a process of health.  The formation
of a child in the womb, when  the exciting cause has
been applied, is as natural  and  as healthy  an  action
as the formation of chyme  by  the stomach when the
food has been introduced into  it; and therefore, this
condition should  not be regarded with a feeling of
anxiety, but rather should be looked upon as a means
of developing  health; and that this is the case is
rendered  evident  by the fact, that a female who has
brought a child into the world, presents a few days
after, in her countenance, a peculiar freshness and
clearness that  must strike  even the most casual ob-
server. 
202
CHAPTER  II.
THE  DISEASES OF, OR DISTURBED STATES
      CONNECTED  WITH, PREGNANCY.

  Though the state  of pregnancy  is one perfectly
natural and therefore perfectly healthy, yet, from the
existence  of disordered constitution, from the  influ-
ence exerted on the frame, by the excessive use of
medicines prescribed  under the old  systems, and by
numerous other causes, it often happens, that attend-
ant upon the state are many deviations from health,
which may be noticed, and the  best  means for re-
moval detailed.
  One of the earliest manifestations is presented in
what is called

               morning  sickness.

  Under the old system the difficulty of curing  this
unpleasant affection all must know.  In fact, the in-
efficacy of the means used had  led medical men to
recommend their patients to consider it a thing that
must be, and that  they must wait till the quickening:
just  as  they  call all complaints,  for  which they 
203
know no medicines, nervous, forgetting that a nerv-
ous affection is a complaint, is a disease, and being a
deviation from the natural  order called health,  con-
sequently admits of cure.
  Homoeopathy  presents remedies, one in particular,
for this morning sickness.   I have tried the one re-
ferred  to, namely, Nux vomica,  in  numerous cases
iwith success.
  Three globules are to be dissolved in eight spoons-
ful of  water;  and let the patient  take two spoonsful
at eight  p. m., for two successive  evenings,  and then
every other  evening.   (Nux vomica, given  to a per-
son in  health,  produces morning sickness, nausea,
vomiting, and heartburn.  Hence its efficacy.)
  If, with the morning sickness,  there is relaxation
of the bowels, Ipecacuanha, dissolved,  and  taken as
the Nux vomica, will be successful.
      No. 2.  CONTINUANCE OF  MENSTRUATION.

  The  discharge of  the  menstrual  fluid  is  the
healthy action of the  womb  in  the non-pregnant
state.*
  The pregnant  state  is a new action.   It  suspends
the previously existing action, namely, that connected
with the formation of the menstrual fluid.   If, there-
fore, this fluid continues to be formed, such  continu-
ance  is a deviation  from health, and must tend to
prevent the proper  concentration of the powers of

  *See Affections of Woman.  The Monthly Period.  By John
Epps, M.'D. 
204
life to the formation of the new being.   Under  such
circumstances the physician's aid should be sought,
and  that early,  as  thus he  will  be able to devise
means by which miscarriage, often connected  with
this continuance of the menstrual discharge, will, it
is likely, be prevented.
               No. 3. CONSTIPATION.

  In many pregnant  females the bowels do not act
except with difficulty.   If any  inconveniences result
from this impeded action, Nux  vomica, Bryonia, and
Opium, are the  principal remedies ;  and, in  refer-
ence to their use, full particulars can be  found  in the
article on Constipation.
                No. 4. TOOTHACHE.

  It is a curious fact that pregnant females are often
subject  to toothache.   Whether or  not  this arises
from the increased action in the system, dependent
upon  the pregnant  state, developing latent tenden-
cies, would form an  interesting inquiry;  but the fact
is so,  and the remedies for toothache, detailed under
that head, will be useful.
  Olfaction or smelling of the selected medicines, is
quite enough in  such cases;  indeed, the internal use
of the medicines  is sometimes  too powerful ; both
facts being explicable  upon  the  increased  suscepti-
bility to impression in  the pregnant state.   The se- 
205
lection of the appropriate remedy will  be rendered
easy by reference to  Toothache, (pp. 121, 122.)
  Another affection, dependent in part on the imped-
iment to the return of the blood to the heart, but, in
a greater  degree, upon  a diseased state of the con-
stitution, appears, and occasions, sometimes, consid-
erable trouble during pregnancy.  It is an enlarge-
ment of the veins of the leg, assuming a corded ap-
pearance, and often attended with considerable pain.
This affection is named

                     VARICOSE,

and the vessels are named

              No. 5. VARICOSE VEINS.

  The veins on the surface of the body, particularly
of the legs and of the  feet, become enlarged, some-
times reddish, more frequently blue  or  lead colored.
The enlargement increases  in standing or hanging
down the limbs, and is relieved by lying : they some-
times  burst,  and  occasion  a considerable loss  of
blood.                             r ,    .
  Pulsatilla and Arnica are very useful : alternating
them week by week.                       .     .
  Gentle friction, before going to bed at night,  is
verv  useful :  the  use of the  bandage, well  applied
that is, applied so as to press equally on every part,
will do much good.                         u-u-t„j
  Nux vomica  and Sulphur,  alternately  exhibited, 
206
are useful, especially where constipation  and piles, or
a tendency to piles, exist.   When in the veins there is
a burning sensation, and the hue is livid, Arsenicum is
useful:  when the parts surrounding the veins appear
as legs do that  have been long  exposed  to heat and
the air,  a kind  of bruised, burnt appearance, Pulsa-
tilla is peculiarly useful.
   A  sixth  affection, connected with  the stage of
pregnancy,  is the too early introduction of the human
being into the world :  namely,

        No. 6.  MISCARRIAGE, OR ABORTION.

   There is perhaps no point of view under which the
power of homoeopathic remedies is more interestingly
apparent  than in the prevention of miscarriage.  I
have  succeeded  in several  instances  in  enabling
mothers, who have  been unable to go the regular pe-
riod,  to attain that desirable state.   One lady, in par-
ticular,  who, in spite of the best medical allopathic
and antipathic aid,  and  notwithstanding the  greatest
care,  had  miscarried four times, consulted  me, and
was enabled, although having all the usual threaten-
ings,  to escape  miscarriage, and to present to her
husband a most beautiful  and healthy child.
   To prevent miscarriage in persons, who have had
previous  miscarriages,  these occurring  about the
same  time in the pregnancy, Hartmann recommends
to give Secale on the first cessation of the monthly
discharge, and to repeat it every fourteen days till the
period has passed by. 
207
  The medicines that I have used with most success
are Sabina and Belladonna.  Where, however, such
a hemorrhagic tendency exists,  the  advice  of the
physician should, and no doubt  will, be sought in the
selection of the appropriate remedy or remedies.
  One thing  should however  be attended  to, it is
total abstinence from all warm  drinks.  Milk  is the
best drink, and that should be cooled.
  The  common  remedies  and  the  usual  medical
treatment  when hemorrhage does take place, often do
more harm than good.   The dashing of cold water
has often  produced inflammation and other  serious
diseases ;  the injection  of alum has frequently been
the originating cause of indurations; and the  prac-
tice of stuffing cloths up the passage only conceals the
bleeding, but does not stop it.
  The first  thing is, that the sufferer should lie quite
quiet, moving  herself as little  as possible, trying to
compose her mind by reflecting  that blood is lost from
the nose  in large  quantities,  and  that  still  larger
quantities are  often taken by the  allopathist's lancet.
The utmost stillness should  be  preserved, both in the
room and  in the house: and the attendants should
cultivate the habit of  self-command.  Medical men
are obliged to appear cheerful when they are often sad
at beholding the condition of a patient; others should    ,
try and imitate them.
  With every violent hemorrhage  Dr. Hering advises,
" the  thighs may  be firmly  bound  with  a  cloth, a
silken one  being preferable: also the upper part of
the arms.   A  little cold water  should be swallowed,
and should paleness and fainting  appear, some  drops
of wine, only not more than one  drop at a time, will 
208
be found very serviceable.  Smelling vinegar, rubbing
the nose, the temples and other parts with vinegar, is
in many cases, very good,  only the patient, as  is
often  done, should not be inundated with it; the ut-
most  that  need be, is a teaspoonful brought in the
hand, or the finger may  be dipped, so that the smell
of the vinegar may  afterwards be easily  removed,"
as such smell might interfere with the operation of a
remedy that the physician  may prescribe.   Other
remedies may be seen under the heads  of Epistaxis
and Haemoptysis.
  Purgative medicines are one frequent cause of mis-
carriage; in fact, it is had recourse to for  that effect.
No homceopathist uses such medicines ;  and the fact,
that miscarriage is often induced by such  medicines,
shows  strongly  the  vilue  of homoeopathy, which
affords  remedies that  regulate the  bowels without
purging them.  The following sentences will direct as
to the choice of the medicine in cases of hemorrhagic
discharge from the womb.   Aconite is always useful
when  the symptoms are severe, attended with violent
fever.
  Belladonna, if the blood is bright red, and there is
a downward  pressure of the internal genital organs,
as if they were about to descend ; violent pains in the
lowest part  of the backbone or " sacrum ; " hard, full,
and frequent pulse; agitation.
  Bryonia, if the blood  is dark  red,  with  severe,
pressing pain in the  sacrum, or pain in head, espe-
cially the temples.
   Chamomilla, if there is dark colored and coao-ula-
ted blood, discharged at intervals;  labor-pains in the
lower part  of abdomen, attending each discharge;
much thirst; coldness of the extremities. 
209
  Crocus, if the blood is black, clotted, and tough • if
there is cutting pains in  lower part of abdomen, ex-
tending towards the sacrum.
  Sabina, if the symptoms are like the preceding
but the blood  bright red, and expelled by the con-
tractions  of the uterus.
  Hyoscyamus, when the blood is bright red, flowing
most during  the  spasms, with pains  like 'those  of
childbirth; general  heat; discharge  of blood, ac-
companied by spasms of the  whole body, or single
limbs, followed by stiffness of the  joints ; pulse slow,
weak, and intermittent;  swelling of the veins ; great
general excitement of the nervous system.
  Ipecac, when  there are  cutting  pains  about the
navel;  pressure towards womb and  anus; chills and
coldness of body with internal heat rising to heat.
CHAPTER  III.
    ON  CHILDBIRTH AND ITS  SEQUELS.

                   Section  1.

            the  birth of the child.

  Pains, in badly  civilized  society, that is, society
that has,  in many  most important respects, founded
its civilization on bases quite opposed to nature's
               14 
210
precepts, attend the bringing a child into the world.
These pains are sometimes severe, and  are  felt  with
strong intensity by  women  of peculiarly  sensitive
constitutions; particularly at the  birth of the  first
child, and more particularly when the parent has her
first child at an advanced age.
  To relieve the pains connected with labor, I  have
found, in numerous cases during the last two years,
the  following extremely  useful;  in fact, a written
copy of these directions, with the appropriate medi-
cines,  have been  presented  to  many  patients,  who
have passed through their confinement, since  they
have embraced homoeopathy,  using no means  but
homoeopathic.
  Should the labor-pains be ineffectual,  but  intense,
take three globules of Coffaea.
  Should this fail in affording relief, or if affording
relief, cease to afford relief, the sufferer, in the course
of two hours, may take two globules of Aconite, or
else  two globules of Nux  vomica : the  choice be-
tween the two being, that if there is a constant urging
to stool, Nux vomica is to be preferred.
  Should  the labor-pains  be  absent  or weak, or at
long intervals, and the expulsive attempts ineffectual,
then two globules of Pulsatilla can be taken.
  Sometimes Pulsatilla is ineffectual, and the  labor-
pains occur every quarter of an  hour,  and there are
very severe pains in the hips  and at the  thighs, then
two  globules of Secale can be given with benefit.
 . In some cases  the labor-pains suddenly cease, and
'tremor, stupefying sleep, with snoring occur,  the eyes 
211
half closed, and great difficulty exists in arousing the
patient,  then two  globules of Opium can be  given
with advantage.
  Dr. Hering, of America, whose works corroborate
the beneficial  use of the  above remedies,  remarks,
that, when the pains suddenly disappear,  and  are
unattended with the above symptoms,  two drops of
the mother tincture of cinnamon are very effectual.
   [Tincture Secale, has  been one of the most effec-
tual remedies, for restoring the pains when they have
ceased, or strengthening them when they were inef-
fectual, in my practice,  particularly when the patient
complains of dizziness, and is rather confused, or
threatened with  delirium.   One or two drops every
five or ten  minutes of the tincture  in a spoonful of
water.   This is the most effectual  remedy to control
flooding  after delivery, when  the  womb does not
readily return to its natural condition.— Ed.]
   The after-birth, when not expelled by the womb's
own power,  or  removed  by the   usual mechanical
means, will be aided in  its discharge by pulsatilla, or
secale, or some one of the remedies already detailed,
selecting according to the symptoms.
   During the process of  childbirth, all  stimuli are
to be avoided.
                  Section  2.

          directions  after delivery.

  To all homceopathists, arnica is known as a spe-
cific  against  bruises of soft parts.   The process of 
212
forcing  the child  through  the  passage from  the
womb to the  air may be  regarded as a process, in
which the soft parts are bruised ;  although here  it is
worthy of remark,  the Creator has  so  appropriately
constructed the parts, that  form the walls of the gen-
ital apparatus in women, that these parts are capable
of dilatability, so that  they expand  during delivery,
and  thereby give room  by diminishing  their mass
by diffusing that mass over a wide surface.
  But still  the process is a slightly bruising process.
This idea led me to use arnica; and the benefits re-
sulting  from its  use arve so great, that  I know no
remedy  so serviceable,  and no use of a remedy more
delightful  than this of arnica.  I  could  give many
cases illustrative.
  The arnica can be used  both internally and exter-
nally :   internally, two globules in  a wine-glass of
water :  externally,  by  means  of a lotion, formed of
forty drops  of the  tincture  to a small  tumbler of
water.
  The use of arnica is the most effectual preventive
of what, to  many women,  is more  distressing  than
the labor itself, namely, the

                   AFTER-PAINS.

  These after-pains are caused,  in  most cases, by
the medicines and the stimuli  given during delivery,
by the too great officiousness of the medical  attend-
ant, and often by the too hasty  removal of the after-
birth.
  The use of arnica will,  in general prevent them  :
and the medicines detailed, as suitable  for pains be-
fore delivery will be useful. 
213
                   Section  3.

            diet, etc after delivery.

  The  patient should be kept quiet.   No  opiates
should  be  given to induce sleep.   Slumber  comes
" of nature's  wont."   Should, however,  there be
great nervous excitement, three globules of Coffea
will  subdue the restlessness  and turning  about in
bed :  but, if, with these  symptoms, there is fever, or
if coffaea does not  relieve,  or if feverish heat is the
prominent feature,  then  two  globules  of aconite,
every six or eight hours,  can be given.
  The mother should remain in bed from five to ten
days; after that she may rise daily, each day length-
ening the period during  which she sits up; keeping
the legs more raised than  dependent.  If there is
much weakness,  the horizontal position should be
used.
  The diet should be light, that is,  not concentrated
nutriment.
  All stimulating foods  are to be  avoided:  and so
are the stimuli to the senses ; hence, in reference to
the sight, the room should be  rather dark : in refer-
ence to  the sense of smell, all flowers and aromatics
and scent-boxes should be excluded; in reference to
the sense of hearing, quietness should be enforced ;
and in reference to the higher senses, the moral,  the
religious, and the intellectual, tranquillity should be
sought after.
  The  same  reason, which  demonstrates  that no
necessity exists, that the pregnant woman  should 
214
take stimulating foods or  drinks, demonstrates that
the woman suckling needs no stimuli, or no great
increase of nutriment.
   The menstrual discharge does not exist in either :
the child formation is its substitute in the pregnant
state :  the child nourishing its substitute in the suck-
ling state.
   Porter,  the liquid generally taken  to nourish, is
hardly ever pure.   Different  ingredients  are  intro-
duced, which are deleterious both to the mother and
the child.
   Good cocoa is the  best drink, and supplies quite
sufficient nutriment, and  that without  undue  stimu-
lus : an advantage  both to the mother and the child.*
CHAPTER IV.
    DISEASED STATES AFTER DELIVERY.

               Constipation, No. 1.

  Do not be troubled  about the  bowels not acting,
Nature is busy restoring the natural condition of the
womb  and  the genital organs :  all her  powers  are

  * I have now the pleasure of stating, that mothers, who formerly
suckled  children, themselves taking beer, have been  induced, by
reading the preceding  editions of this work, to suckle their chil-
dren, themselves taking cocoa:  and the benefits, derived both by
child and by parent, have demonstrated to such mothers the exist-
ence of no necessity for beer. 
215
occupied in that direction, and therefore she leaveg
the intestines.   When  she has effected her purposes
the intestines will act of themselves.
  Remember this — that  acute  diseases, inflamma-
tion of the bowels, puerperal fever, and the chronic
diseases, the bearing down of the  womb, the inability
of retaining water, which so  much  trouble women
who have borne children, are, in most cases, the con-
sequences of the purging system.
  About the fifth or  sixth  day after confinement the
bowels generally  act.   If more than a week  occur
without an  action,  take two globules of Bryonia ;
and, if no action take  place in  twelve hours, take
another globule of Bryonia: and, if  in twelve hours
after that there is no action, use a lavement of about
three-quarters  of a pint of warm water, if friction
over the bowels is not effectual.
   [A  teaspoonful  of castor oil,  in  the juice of a
sweet orange may  be administered  after  the fourth
day, if there should  be  any more  feverish symptoms
than usually attend  the appearance  of milk in the
breast.  Any medicine which operates as a physic
previous or during this period is detrimental, but this
preparation of castor oil will move the bowels with-
out any cathartic action. — Ed.]
          diarrhoea of lying-in-women.

  If it be not desirable that the .bowels should  be
puro-ed  by medicine during  the first few days after
confinement, it is quite apparent, that a looseness of 
216
bowels, a Diarrhcea, must be decidedly  injurious,
and requires remedial treatment.
  The  symptoms  recorded in connection with  the
remedies for diarrhoea, will indicate the  medicine to
be chosen to subdue this state ; but, generally speak-
ing, Dulcamara is  the best remedy : as the diarrhoea,
affecting lying-in-women, is peculiarly  likely to origin-
ate in a check to the natural perspiration, for which,
i. e. thus produced, diarrhoea, Dulcamara is  the spe-
cific.
  Hyoscyamus seems to be particularly useful when
the diarrhoea is without pain, and when  the  evacua-
tions are involuntary or almost so.
   When much debility  is induced by the continu-
ance of the diarrhcea, when there Is  much perspira-
tion with the diarrhoea, Phosphorus will be useful, or
Phosphori acidum, but  under such  circumstances,
medical aid ought  to and will, it is likely, be sought.
   [Arsenicum, if there is much bloating and alternate
chills with flushes of heat, and great debility, with
watery evacuations and little pain.
   Secale cornutum, if there is pressing pain  with the
evacuations. — Ed.]

             the  lochial discharge.

   A discharge takes place after delivery, continuing
for some days.   This discharge is called the Lochia,
or the Lochial Discharge.
   When it continues  abundant beyond nine  or ten
days, medical aid is required.
   Crocus is  the principal remedy.   The  character-
istics  indicating  its  use will  be seen  in  article 
217
Epistaxis,  and  in  article  Haemorrhage  from the
Womb.
  Bryonia will be useful when the discharge is of a
deep red, attended with burning pains in the uterine
region, but with chilliness in other parts.
  Calcarea is indicated where there is itching in the
womb.
  Belladonna is indicated  when the discharge  is
nauseous and offensive.
  Sometimes pure  blood flows  each  time that the
child is put to the breast;  then Silicea is the remedy.
  If the lochia should be suddenly suppressed,  puer-
peral fever  may be produced.  Pulsatilla is the best
remedy under such suppression.
                  SORE  NIPPLES.

  To prevent the sore nipples, the best plan is, a few
weeks before confinement, to wash  the nipples with
cold water, or  with spirits of wine, obtained from
distillation of grain :  to continue this after the con-
finement,  adding five or  six globules of arnica to the
water used to wash with.
  If, notwithstanding these means, the nipples should
become sore, give sulphur for two days, and wash the
nipples  with cold water, having five or six globules
of the sulphur  dissolved therein.    If, after two or
three  days, there is no change for the better, use Cal-
carea dissolved  therein.  If still the soreness  is not
much improved, use  alternately  for three  days the
Sulphur and the Calcarea. 
218
          INFLAMMATION OF  THE BREAST.

  Fright, cold, sudden weaning, and numerous other
causes, may induce this disease.
  The milk coagulates  in the milk vessels, swelling
takes place : the skin becomes tense, and inflamma-
tion, approaching to erysipelas, takes place; this, if
not  stayed, proceeds  to  suppuration,  cold  sweats
break out over the body, the  head becomes affected,
and, after almost intolerable agony, the matter  dis-
charges externally.
  Belladonna,  if administered when the  erysipela-
tous appearance, and  the  swelling first appear, will
often stop the progress.
  When the breast is hard and swollen, and the milk
suppressed, then Bryonia can be used.
  [Aconite at  first, where the heat and throbbing is
very great.
  Mercury, if there is evidence of the  formation of
matter, or if a hardness remains. — Ed.]
  In conjunction with  these  affections of the breast
there is a disease, called
                   MILK FEVER.

  This fever is developed, when, from any  cause, the
free formation of milk  is interfered with.
  The treatment depends  greatly upon the exciting
cause.
  If a blow, or a severe and protracted  labor, be the
cause, then Arnica, internally administered and ex-
ternally applied, is the  best remedy; premising  that,
should decided inflammatory symptoms present them-
selves, Aconite must be previously  used. 
219
   When  rheumatic pains exist  in the breast, then
Bryonia,  after Aconite, if the fever be strong; with-
out Aconite, if the fever be slight.
   When erysipelas threatens, then  Belladonna:
   When joy is the exciting cause,  Coffaa :
   When passion is the exciting cause,  and  the fever
is high, Chamomilla, preceded by Aconite :
   When fright has been the cause, Opium:
   When  fright  and  passion have been combined,
then Aconite :
   When a chill, suppressing an existing perspiration,
has been the cause, Dulcamara:
   When silent grief, then Ignatia:
   When milk fever is attended with  symptoms indi-
cating affection of head, chest, or abdomen, there is
reason to  suspect  puerperal fever, in  which  not a
single step should  be taken without the  physician.
   When,  after the inflammation has been subdued, a
hardness  still remains, Mercurius  solubilis  can be
given with effect.
   I have succeeded in  several instances in prevent-
ing abscesses in the breast by the means narrated.
   When,  however, suppuration,  it  is evident, must
take place, then Aconite and Hepar sulphuris,  as di-
rected in the Introduction, will be of the greatest ser-
vice in  bringing about a satisfactory termination of
the disease.
   When  suppuration  has  established  itself before
homoeopathic remedies are used, and there are ill-
looking sores, discharging a  fetid discharge, Silicea
will  cure  in  a  short time,  using  sometimes  Phos-
phorus alternately.  I have succeeded, in cases where
fatal results were  expected, by  these  homoeopathic 
220
means, in so completely restoring a healthy condition,
that  the  mothers,  at  their next  confinement, have
experienced  no inconvenience  in the  breasts pre-
viously affected.
  If the inflammation  has arisen from a blow, Arnica
is, as might be inferred, a  most efficient  remedy.
         [bulk leg, (phlegmasia  dolens.)

   This is a swollen  state of the limb, extending at
 times even to the foot, occurring after delivery.  The
 skin is of the natural color, tense, hot,  and tender.
 When it occurs, it is  usually consequent upon the
 suppression of the milk or the lochia : upon standing
 or  walking too soon after parturition, and  on food
 taken in too large quantity, or of  a too  stimulating
 quality, and sudden exposure to cold.
  The principal medicines which  have  been proved
 beneficial in this affection, are Aeon., Ars., Bell,
 Nux vom., Rhus.
  Aconite  is indicated  here,  as  elsewhere,  by  the
presence of  accompanying febrile  symptoms.   In
alternation  with Rhus,  it  is serviceable, when there
are rending  pains along  the  inner side of the limb
which  is swollen, and on which  pressure is intol-
erable.
  Belladonna may be alternated  with Nux vomica,
when, after parturition, the swollen limb is very pain-
ful, and sensitive to touch, evidencing considerable
 inflammation : when a change of position cannot be
made without extreme suffering. 
221
  Arsenic is usually followed  by relief, when a sen-
sation  of burning  heat  predominates  over  other
symptoms. — Ed.]
    modifications of the secretion  of milk.

  The action having ceased in the womb, an action
takes place in the breast.   A fluid, fitted for the nour-
ishment of the  young being is formed, and upon its
continuance and proper condition, much of the com-
fort of the mother depends.
  Sometimes, however,  the milk is suppressed, and
a dangerous fever,  called puerperal, is  produced.
When the  milk is  suppressed, Pulsatilla  should be
immediately taken, following  its use with Aconite, if
the  symptoms of Aconite  are present, and  taking
the  two medicines  alternately, as directed (see In-
troduction) for  acute diseases.
  Sometimes the milk is secreted in too great quan-
tity ;  the  breasts are  distended  and  painful;  the
milk often  escapes from the nipple;  much weak-
ness is induced.  In  such cases Calcarea is highly
valuable.
  [Belladonna  is one of the most valuable remedies,
but the chief reliance  is to  be placed  upon good
nursing, and proper attention to drawing the breasts;
so as to keep them free  of milk. — Ed.] 
222
CHAPTER  V.
TREATMENT OF THE INFANT AFTER BIRTH.

  Before  birth  the child, lodged  in  the  mother's
womb, was surrounded with a  temperature  equal  to
that  of the mother's body, namely, 96° to  98° Fah-
renheit.  To expose it, when born, to a temperature
much lower, must  be  injurious :  it should therefore
be enveloped  in a soft flannel,  heated to a  tempera-
ture, similar to that in which it  was previously.  The
tenacious mucus, with which it is enveloped, should
be removed by a sponge and warm water, heated  to
the temperature referred to.  The Germans use " an
oval-shaped, shallow wooden bath, with a raised por-
tion at one end for the head, the bath  containing a
quantity of water just  sufficient to cover or float the
child."  After being immersed three or  four minutes,
the sponge  will remove easily all  the mucus, no soap
or oil being needed.
  In drying the child, the advice given in the work,
entitled " A Grandmother's Advice to Young Moth-
ers," is excellent.  It is, as the child from its weak-
ness cannot be held in an erect posture, to have a
large flat pillow or  cushion, ready prepared, and cov- 
223
ered over with two or three  large soft  napkins, on
which  to  lay and dry the child immediately on its
being taken out of the water.
  When dried, if the  skin is  ruffled, it  should be
dusted with flour ; but not if there is no ruffling.
  After being dried, a flannel bandage, of five or six
inches in breadth,  and  of a  length sufficient to go
round the body twice, is to be applied, but not to be
applied tight.
  The child is then wrapped up in a flannel shawl
or blanket; or, if not exhibiting signs of fatigue, is
dressed.   If exhibiting  these signs, then the child is
allowed to sleep before being dressed.
  The dress itself ought to be light, soft, warm, and
loose, and not long:  the use of very long petticoats of-
ten has  induced  deformity :  moderate-lengthened
clothes keep the lower extremities warm.  The clothes,
as Dr. Eberle suggests, should cover the neck, the
shoulders and  the arms : for why should the  legs be
kept warm, and the arms exposed to the cold?  The
custom  of exposing these parts,  Dr. Eberle  rightly
judges, is " one of the principal reasons why  inflam-
matory  affections of the respiratory organs  are so
much more common during the period of childhood
than at a more advanced age."  Of 379 fatal cases
of inflammation of the lungs, which occurred in the
British  metropolis,  228 were  children  under three
years of age.  (Registrar's Report, p. 74.)
  Warm  nightcaps are to  be avoided;  indeed all
caps, except when going into the air.
  The  child,  as  a general rule, should be washed
daily night and morning ; immersing the body is ^he
best mode. 
224
   Many persons think it necessary to give the infant
immediately after  birth, laxatives, to expel  the me-
conium.   The milk of the mother is the best agent
to effect this.  The child is put to the  breast about
six to eight hours after  its birth : the  milk then  is
very dilute, and produces the desired effect.   If not,
a little sugar  and water will produce the effect:  if
not,  a lavement of  a quarter  of a pint of warm
water can be used.
   Should  these means not succeed, then the means
for constipation can be used by the mother.
  As absurd as giving the child physic directly it is
born, is that  of giving  the child food.  It  has just
come from a  rich  depository of nutriment:  it needs
to wait a few hours, not exceeding twelve.
  In  regard  to the diet of tne infant, the fact  that
the milk comes when  the child is born, points out
that the mother's milk is the proper nutriment of the
child, unless  constitutional taint  affects the parent.
If the child  is suckled  by a  nurse, a  nurse whose
child  is of  the same age as that of the one to be fos-
tered, is to be selected :  and  this for the reason that
the milk varies in strength according to the period
after birth : becoming more concentrated each month,
so that the milk  of  a woman, whose child is six
months  old, is not suited to a child who  is only a
month old.
  If the mother cannot supply the proper amount of
nourishment, then cow's milk can be used, diluting
it to a degree in which its strength will be on a par
with that of the  mother's milk ; and as the mother's
milk is warm, it should be made lukewarm.
  In taking this milk or any other milk, not direct 
225
from the breast, the sucking-bottle should be used ;
because the exercise of the lungs in sucking  is  an
excellent means of developing the lungs, and thereby
promoting the child's health.
  A small quantity should  be put each time into the
bottle:  what is left, milk  being so apt to turn sour,
should always  be  thrown away, and  the  false nipple
should be washed.
  The child should be held in a reclining posture,
just  like as  if at  the mother's breast:  the  practice
of placing infants flat  to feed them endangers them,
by rendering suffocation likely.
  About the fifth month the diet  can be changed :
arrowroot, sago, biscuit powder, and the other usual
articles, can be given  in small  quantities daily, milk
still  being the  principal food.
  The infant's stomach rapidly converts the milk into
chyme ; once  every three hours it may suckle; as its
age advances lengthening the intervals.   Regularity
ofttimes is as important to the infant  as to the adult.
  Many children's tempers have been spoiled as well
as their health injured, by not attending to  this.
  One point more is worthy of notice.  The Crea-
tor has given  the female two  breasts.  For
what?  That she should use them; and, by  so doing,
prevent disease in herself and deformity in her child :
for children, being  suckled at one breast,  often  be-
come deformed  on that side :  the same reason  ex-
plains the cause of the impropriety of always carry-
ing the child on one arm.   The mother becomes  de-
formed also :  a  young person  was  lately under  my
care, in  consequence  of a  double curvature of the
spine, brought on by nursing her child on her left
                la 
226
arm.   (Duffin's  Inquiry into  the  Nature  and  the
Causes of Lateral Deformity  of the  Spine,  p.  33,
note.)
  In reference to carrying the  child, — a practice
most extraordinary prevails among nurses of carrying
children with one hand under the petticoats; a prac-
tice bad in every  respect, but dangerous as  exposing
the child to cold.
                    weaning.

  The mother's milk ceases to be beneficial after the
eleventh month.  It should therefore be discontinued
between that and the twelfth month.   It is  thought,
that when  the  teeth are delayed, suckling may be
continued even longer;  but the development of teeth
may be  ensured by the  use of remedies hereafter to
be noticed.
  Weaning will, by attending to the rules regarding
diet, be gradually brought  about.
                      sleep.

  The fact, already referred to, that the child, before
birth, was exposed to a temperature from 96° to 9S°,
and was encased within the walls of the  womb, indi-
cates  that, in  sleep,  when  the vital powers are Jess
active, the infant particularly requires that its warmth
should be preserved. With this view, the child should
sleep  with  its  parent for the  first few weeks.  After
the second month it should be transferred to the era- 
227
die, without  curtains.  The child, in the earlier pe-
riods  of its existence, has little  more than a vegeta-
tive existence.  It lives to eat, to grow, and to steep,
and ought to sleep much.
  The  best time for sleeping is the morning:  after-
noon  sleep may interfere with the night sleep.
  Nature will bring sleep.   Any nurse that gives any
syrup, cordial, or  carminative, ought to be dismissed.
All these advertisement-praised remedies are poisons,
ILL-USED.
  Children,  that  have  these  poisons  administered,
never attain  th;;t  age they might have  attained,  or
become so vigorous as they otherwise would.
  Parents should remember, then, that  sleeplessness
now will be sleep hereafter, whereas forced sleep now
will bring, from diseases thus induced, weeks of sleep-
lessness hereafter.*
                   VACCINATION.

  Before the child  is weaned it  should, if possible,
always be vaccinated.
  The vaccination can be performed with success at
any time and at any season.
  The vaccine  fluid should be taken  from children
free from all  eruptions, and it should be clear;  which
it is always when pure, and when  not mixed with the
blood, which latter need not be drawn  if the vaccine
vesicle is opened in a  proper way.

 * For the causes of sleeplessness, see p. 13, " Homoeopathy and
its Principles Explained."  By John Epps, M. D. 
228
  The vaccination, when properly performed, is a
protection against smallpox as effectual  as  smallpox
itself.  Persons have  had smallpox a second time;
and some have died of the second attack.
  At the Royal Jennerian and London Vaccine In-
stitution, the board of managers have, for the last five
years, given to each child, after vaccination, a pow-
der of sulphur, as  a  preventive against eruptions;
and when children are brought for vaccination, hav-
ing at the time eruptions, a  powder is  given to be
taken before the operation   is  performed ; and the
benefits resulting  in reference to long-standing cuta-
neous affections, from the use of this sulphur powder,
have been evidenced in numerous cases.
  This plan, from the experience of the Royal Jen-
nerian and  London Vaccine Institution, where, as
Medical Director, I  have vaccinated nearly  eighty
thousand  children, I  can recommend  as worthy of
adoption by parents towards  their children  after vac-
cination.
            teething, or dentition.

  About the sixth month the teeth begin to appear.
This development of the  teeth, being a natural pro-
cess, ought to be unattended with pain.  Oftentimes
it is attended with severe affections : a circumstance,
dependent  generally on  the improper  diet of  the
mother, or on the mismanagement of the child.
  The teething seems to  direct the life power to the
head, and hence, during teething, affections of the
head  very  often are developed, and  death occurs. 
229
Four hundred and seventy-seven children died in one
year,  in the  thirty-four metropolitan unions, from
teething.
  The best plan to prevent disease affecting the head
in connection with teething, is to keep the head cool,
and, to  realize this, caps should cease to  be worn
directly the hair becomes a little abundant.  Another
excellent plan  is to rub the  backbone every night.
This, for the  benefits resulting in  other  respects,
should be continued till the child is six or seven years
old.
  Dr. Hering remarks, " When the teeth approach,
the gums are broader,  as if angular,  and  tickle and
itch,  are whitish,  particularly  on  the  edges; the
mouth is, at the same  time, hot;*the  child restless,
especially at night,  has flushes of heat, succeeded by
paleness ; puts everything to the  mouth, in order to
bite it,  and sometimes bites the nipple  hard when
suckling."
  The well-known  phenomenon of drivelling at the
mouth is another symptom :  and one which shows the
direction of action  to the jaws and the parts neigh-
boring in  developing  the  teeth, and, at the same
time,°the means which nature adopts to relieve the
irritation.
  Another means,  which nature  seems to  adopt to
relieve  the irritation,  is a  slight  relaxation  of the
bowels.
  These two  augmented  actions, namely, the in-
creased discharge of saliva,  and the increased action
of the bowels, need not  any medical  treatment, un-
less they become too severe :  then Mercurius will be
serviceable, followed by  Sulphur. 
230
   The use of a crust of bread is an excellent means
 for diminishing the irritation ; but  what is  still bet-
 ter, and what the child always endeavors to get, is a
finger to rub the gums with.
   Lancing the gums, except in  very sickly  children,
 is a bad plan, and never should  be  performed except
 when the remedies, hereafter to be noticed, have been
 used  without success.   If lancing  is performed, the
 incision should be only a nick,  not on the edge but
 on the side of the gum.
   If the premonitory symptoms  of teething  continue
 too long, and the teeth do not seem to progress, I have
 found the alternate, use of  Calcarea  and Belladonna
 highly serviceable.   I   have  succeeded  in several
 cases in families, where the previous children had cut
 their  teeth with fits, in preventing the  children, born
 after  the families came under my homoeopathic care,
 having any  fits with their teething, by the  use  of
 these remedies.
   The principal  remedies in addition are  Aconite,
 Coffa>a, and Chamomilla.   When the symptoms, (see
 Introduction) attend the teething, then Aconite will
 be useful.
   When the child is uneasy, will not sleep, starts  at
 one time too peevish, at another too cheerful, is diffi-
 cult to soothe, Coffiea will be useful.
   Give Coffaea  generally first: if relief is riot  obtained
 and there is fever,  give Aconite : and, after it, Cham-
 omilla.
   Chamomilla  is particularly indicated if the child,
 in addition to the  symptoms described as suited  to
 Coffiea, has  a dry whooping kind of cough, throws
 himself about, drinks often, with a burning heat, red- 
231
ness of the skin and  eyes,  anxiety, with sobbing,
groaning, short  quick rattling breath,  tightness  on
the chest, and tremor of the limbs.
  Belladonna : The many remarks already made in
connection with it, show it to be indicated wherever
there is cerebral irritation.
  It was noticed that diarrhoea often attends the pro-
cess of teething :  sometimes the  opposite state  at-
tends, namely,  constipation : then Nux vomica will
be serviceable.
  Further particulars in reference to teething, when
spasms attack the child, will  be seen under the head
of
                  CONVULSIONS.

  The flesh of the human body is technichally called
muscle: each muscle is composed  of numerous little
muscular  fibres or  threads;   each  fibre  or thread
being endowed with the power of contraction, and af-
terwards of relaxation.   When the muscles depend-
ent on the will, hence  called voluntary, in  their con-
traction and relaxation  follow the will of the individ-
ual, they act  naturally; but when the muscles con-
tract without  the will of the individual, such contrac-
tion, being irregular,  is  called spasm :  and when
such contractions occur in rapid succession, the term
convulsions is applied thereto.
  The  contraction  and relaxation of the muscular
threads depend upon the  nervous power conveyed to
them by the nerves,  connected with the brain or with
the spinal cord : and therefore whenever any  convul-
sions occur, these can be traced in most cases  to some
irritation of the brain or of the spinal cord. 
232
  Children, from the great excitability of their frames,
(an excitability dependent upon the great size of the
brain and the  great preponderance of the nervous
system,)  are  peculiarly  liable  to  be acted  upon, so
to have induced  in them these  convulsive attacks.
This infantile nervous  excitability is   particularly
great at the time of teething, and hence  at that time
more particularly these  attacks present themselves.
  The first  thing  to  be attended to, is  that the at-
tendant be  calm.   Generally speaking there is not
much danger, unless the attack continues very long,
or unless  attack succeeds attack, and each succeed-
ing attack becomes more severe.
  [Nothing shows the importance  of close observa-
tion, with a view of ascertaining and  removing the
cause, than  the management  of the disease.  If it
be teething, the first  thing to be done is  to scarify
the gums freely.   This may  be  done with a sharp
penknife, and all fear of future convulsions will often
cease   One dose of Chamomilla will aid in prevent-
ing its return.
  If the stomach is overloaded with improper food,
unripe fruit,  &,c, of  course wisdom at once dictates
its removal in the  most speedy manner aud with  as
little suffering to the little patient as possible.  This
will  often be accomplished by spontaneous vomiting
as soon as the first convulsion ceases, particularly if
the  throat be gently excited  by  a  feather  dipped  in
sweet oil.  If vomiting does  not come on, however,
by these means, it  must be excited, and  the stomach
emptied, or  another  convulsion will  quickly follow,
more terrific than the first, which, at every repetition,
more and more endangers the structure  of the brain. 
233
Thus a disease which  has  its origin in irritation or
surfeit of the stomach, and  only  produces diseased
action of the functions  of the brain  by sympathy,
becomes an absolute  disease of the structure of the
brain, and a tedious  illness, if not death,  is the re-
sult.   Therefore,  the means  which are  always at
hand should be immediately  resorted to. If the child
can  be induced to drink freely of warm water, either
with or without a little molasses,  it will often bring
about vomiting,  if  aided  by  the oiled  feather, as
above.   If these means should not answer, Ipecacu-
ana  jalap, which  is made by mixing about as much
of the pulv. Ipecac, as will lay upon  a twenty-five
cent piece into a paste with a spoonful of molasses,
and  to this  add  one wineglass full of  warm  water;
one  teaspoonful of this must be given every five min-
utes, until vomiting comes on.  If you have reason
to believe that the food has  passed into the bowels,
 an injection will  be  the  most appropriate remedy.
In the mean time, or as soon as this mechanical cause
is removed, the appropriate remedies for restoring the
 disturbed vital action to its healthy condition  must
 be resorted to, as directed in the text.   One  more
precaution  may  be worthy of attention.  Nurses or
parents  are very apt to keep a child upright after they
 have had a convulsion, or  while their feet are in the
 water ;  this is liable to bring on faintness, and conse-
 quently convulsions.   From  this  cause, therefore,
 the  patient  should be allowed to repose  in  a  hori-
 zontal position,  and perfect quiet observed ; at the
 same time some nourishment  or stimulants may be
 given.                                         ,
   Veratrum alb. has been of signal  service, under 
234
my observation, when this  condition  was  present,
viz., cold  perspiration  upon the forehead, and cold
limbs, with retching and  alternate  crying or scream-
ing.   One drop of the tincture  in a wineglass of
water, and one  teaspoonful of this should be given
every half hour until relief is  obtained.   This last
remedy  may also be given for heat in the  head, with
great restlessness, which  symptoms are the common
precursors of convulsions. — Ed.]
   If homoeopathic remedies are not at hand,  the old
practice of immersing the feet and  legs in hot water,
taking care to  wipe  them  perfectly dry afterwards,
and to wrap them up warm, can be adopted : and, to
this can be added, if relief is not obtained, the pour-
ing of cold water on  the top of the  head, and the
smelling of  Camphor: this last  often relieves the
violence of the  fits.
   But the best  plan is to use homoeopathic remedies,
many of which have  a specific power over  convul-
sions.
   Among these Belladonna,  Chamomilla, Cina, Ci-
cuta, Viroso, Ignatia,  Mercurius, stand preeminent.
   Chamomilla  is, generally speaking, the most suit-
able.
   Cina  and  Cicuta are particularly  useful  where
worms are present: cina being particularly indicated
when the  little  sufferer habitually wets the bed.   Stiff-
ness of  the limbs and of  the whole frame is  another
characteristic.
   In the more violent attacks, the medicine  may be
given during the  attacks; but,  more generally, after
the attack, or in the interval between one attack and
the other. 
235
   Nux vomica and Pulsatilla will be  useful in cases
 where derangements of the digestive  organs are the
 exciting cause.
   Where convulsions occur  from fright,  Opium  is
 the remedy : especially when there are great vacancy
 of expression and great difficulty of breathing.
   Belladonna  should be  given  if the  body or limbs
 are rigid, — clenching of hands, attended with burn-
 ing in forehead and hands, wild staring, greatly dila-
 ted pupils, sudden  starting when  asleep, involuntary
 passing of water on recovery, excessive  sensitiveness
 to touch, so that the slightest touch will often renew
 the attack ; when attacks are preceded by smiles and
 laughter.
   Chamomilla, when the arms and legs are convulsed,
 thumbs clenched, twitching of eyelids  and muscles of
 the  face, half closed  eyes, rolling of the eyeballs,
 thirst, apparent unconsciousness, moving of head on
 pillow from side to side, restlessness, moans, disposi-
 tion  to drowsiness,  one cheek  flushed,  the other pale,
 peevishness, fretfulness.
   Ignatia, when there is  a trembling of the whole
 frame, with crying and  shrieks, muscles  of single
 limbs convulsed, sudden flushes of burning heat when
 asleep, causing  awakening with a convulsive start;
 loud cries, attacks followed by fever and perspiration,
 peevishness, with alternations of joy and sadness, of
 laughter  and crying; fits returning at  a regular time.
 This medicine is suitable for pale, delicate  infants.
  Mercurius, if the limbs  are  convulsed, and great
 weakness after the  fits, belching and a watery saliva
 from the mouth, stomach  swollen and hard, before,
during, and after an attack, attended with  fever and
perspiration. 
236
  Should the attack  become more  severe after  the
exhibition of any remedy, a delay should take place.
  Should no alteration be  produced, repeat the rem-
edy as soon as a worse attack shows itself.
  Should the attacks alter and lessen in severity, wait
for some time, to see  whether the  improvement con-
tinues, or if any change takes place : then select the
remedy most appropriate.
  Weak sickly children, who have convulsions with-
out any other symptoms, are  treated best by Coffaea.
  The  absurdity  in  convulsions  of what is called
active treatment, i. e., bleeding, blistering, leeching,
&c. is shown by the phenomena of  epileptic attacks
in adults, which, though presenting convulsions most
violent, the patient always recovers best if left alone.
            [scrofula,   (king's evil.)

  This disease is generally confined to certain fami-
lies, and is called hereditary, because  it passes from
one  generation to another.  It as  often attacks  the
palace as the hovel.  Whatever tends to  debilitate,
cold, damp  air, want of exercise, proper food, warm
clothing, or attention to cleanliness, predisposes the
constitution to this  disease.   It shows itself in  too
great a variety of shapes  and  locations to be fully
treated of here.  The more general places of attack
are the glandular  structures, comprising, first,  too
glands of the neck, which slowly suppurate  and finally
discharge a flabby  matter  something like curd ;  this
continues to form, and the opening shows very little
disposition to heal. 
237
  Treatment. — Belladonna, if the glands of the
neck are much swollen and inflamed, every hour.
  Calc. C. and Sulphur, alternated  twice a day as
suppuration advances.
  Silicea, Lycopodium, and Sepia, in succession  two
or three times a day.
  Conium, if the ulcers do  not readily heal and the
glands remain hard and indurated.
  If there  should  be cough,  and  the  lungs  are
threatened with  scrofulous  development, in addition
to the above remedies Spongia, Iodium, Carbo veg.,
Kali,  Carb., and  Dulcamara, may be  restored to
three  times a day, one or  the  other as they afford
relief.                         v
  If there is enlargement of the  mesenteric glands
which  is  manifested by tumid  abdomen,  with diar-
rhoea, and at the same time rattling respiration, Pro-
tiodide Mercury, should be given  twice a day.
  When  in addition  to the above  symptoms from
scrofula, the bones begin to suffer, the disease takes
the name of


                     rickets.

  This disease commences  by a paleness and shining
bloated appearance  of the  countenance;  emaciation
and a loose flaccid state of  the muscles, — flesh;  the
head grows large, and the  sutures separate, causing
large soft places  on the top of the  head, which are
distended at times and pulsate  strongly, particularly
during the stage of teething, which is very slow  and
imperfect; the  breast-bone  projects,  while the  ribs 
238
flatten, forming what is called in common  parlance,
"Chicken breast;" the joints  enlarge  and become
spongy, and loose ;  the spine is incurvated  and the
child is unable to support his head erect, from weak-
ness;  the urine is vitiated and loaded with a heavy
sediment  of lime;  finally, hectic fever and diarrhoea
supervene, quickly terminating the child's existence.
  If suitable  remedies are resorted to  in the early
stages of  this disease, and  persevered  in,  perfect
health, is  the almost certain reward.
  Treatment. — Cold bathing by immersion, or
sponging twice a day, free exercise  in the  open air,
nourishing diet,  and the  following remedies,  more
especially, but aided by those named under Scrofula,
from like  circumstances, will steadily  manifest a sal-
utary effect.
  Calc. C. and Sulphur, in alternation twice  a day
will gradually  restore strength and sprightliness.
  Silicea,  may be occasionally given if the improve-
ment should not progress.
  Assafoetida, may also be given after the above, if
there should be jerking of the limbs in  addition to the
above. —  Ed.] 
239
CHAPTER  VI.
            ■  DISEASES  OF INFANTS.

   Infants are particularly liable  to some  affections
 which  are  worthy of notice.

                    sleeplessness.

   When this occurs in infants and  young children,
 disease is  clearly  indicated.   Diet  of  an improper
 nature, particularly if heat and restlessness be pres-
 ent, is  often  the cause, and the green stools, the flat-
 ulence, and swollen condition of the bowels testify to
 this.   In these cases  Chamomilla  will succeed, pro-
 vided this  has not been given to excess previously :
 if so, then  Coffaia*   Chamomilla will  be useful  if
 the crying  is caused by ear-ache.

  * Coffee taken by the mother is often the cause of the sleepless-
 ness of the child.  Mothers, while suckling, should never take
 Coffee.   Mothers should suckle on cocoa, and I have the testimony
 of mothers who  have so suckled, and they state that they found with
 cocoa without BEEit, they produced  quae  sufficient milk, and the
 children  suckled with such diet, were in better health, than those
 suckled on previous occasions when  beer and coffee anJ tea formed
the liquid part of their diet.  Refe.ence has been made to this
before. 
240
  When the stomach has been overloaded, and flatu-
lence and constipation attend the sleeplessness,  then
Pulsatilla can be used.
  If the  infant cries constantly, and  contracts the
legs upon the belly, tosses about  incessantly, and has
severe griping  pains, with  purging,  China will  be
found useful.
  When  some children  are  weaned  they  are  very
sleepless ; the  deprivation  will  in part  explain the
watchfulness;   but  if   the  watchfulness, continues,
Belladonna will afford relief.
  A second  affection is

              the crying of  infants.


  Some infants are  incessantly screaming,*  and ap-
parently without cause: though this is more the case
in children under a year old.
  A  dose of  Belladonna  will  often cause  this to
cease.
  If  much  agitation  and  restlessness  are  present,
Chamomilla.
  If  there  is  a frequent disposition to  relieve the
bowels, the discharge  sour, and the actions present

  * It should ever be remembered, that any means but proper
means to induce a cessation of crying, only perils the child's future
health and happiness:  all allow the troublesnmeness of cryine
children; but if the trouble is spared now by unwise means, it win
be increased tenfold at a future day. 
241
feculent  portions, Rheum: if no  looseness of the
bowels, Jalap:  if much flatulence, Senna.
  [Veratrum, if there is heat of the head, and nausea
or evidences of griping in  the bowels, with great pros-
tration, should be given every two hours. — Ed.]
  Infants are troubled oftentimes very much with

                    HICCOUGH.

  This is  generally  relieved  by laying  the  child
warm on the mother's breast: a little lump of sugar,
as much as will cover the blade of a penknife,  or  a
little  sweetened  water  will remove  this affection.
Treacle is to be avoided,  this producing acidity and
phlegm.
     REGURGITATION  OR RETURN OF  THE MILK.

  Some  infants seem particularly subject to  this.
They should be allowed to suckle less long each time.
If the return of the milk  amounts to vomiting, then
Ipecamana can be used.
  Another disease of infants is

                   EXCORIATION.

  For a description of this, see  remarks  under this
head in Chapter I.
               16 
                       242

  Another diseased state is

             THE THRUSH OR APHTHA.

  For the treatment of  this, see Chapter VI.



  Another disease of infants is

                 THE MILK  CRUST.

  For  the treatment of this, see article  1st, Chap-
ter I.



  The diseased states connected with

             DENTITION OR TEETHING

have been detailed in Chapter VI.



  The method of treatment for

                  CONVULSIONS,

another affection of children, has been fully detailed,
under same head, in Part II. Chapter V.



  Another diseased  affection of infants is that pecu-
liar asthma called 
                         243


                  millar's asthma.

  The treatment of this is detailed in  Chapter  V.
Part I.
  Another  diseased affection of  infants is

                      JAUNDICE.

  The remarks under  that head, (Chap. VI. Part I.)
will make clear the mode of treatment.
  Chamomilla, it may  be added, is the most suitable
remedy in the majority of cases.
  Another affection of infants, occurring often from
the pressure in the process of  birth, is


              SWELLING  OF THE HEAD.


  Arnica* given to the mother, is recommended un-

  * The subjoined will show the value of arnica in the relief both
of swelling and injuries to the infant's head, and of the  inconven-
iences connected with difficult child-bearing on the part of the

mMrsrK was delivered on Sunday, Dec. 13,1842, at 6 PM., of a
child '  The child  was in an unnatural position.   The labor-pains
for twenty-four hours were intensely  severe, but ineffectual; and
at len|th the surgeon felt compelled to effect delivery by the aid of

£nThe"labor'concluded, the surgeon stated to the husband, a homce-
ouathis: that he dreaded inflammation.  Mr. K. gave h.s wife  on
Eg 'this three globule^ of Aconite, and two hours after two 
244
   der the head of  " Treatment after Delivery,"  will in
   most  cases  remove  this.   If not,  arnica should  be
   applied externally.

   globules of Arnica.  The patient  used also the arnica lotion, and
   with such benefit and  refreshment as to cause her to express her
   feelings in regard to the arnica, " It is worth a shilling a drop."
     She passed the night tolerably well.
     In the morning the arnica globules were repeated ; also the lo-
   tion was again used.
     The effects were marked : though delivered by instruments, there
   were no after pains, or at least so trifling as not to be  deemed by
   herself worthy of notice.   No symptoms of fever or of inflamma-
   tion presented themselves, and she recovered most rapidly.
     In reference to the baby, the effects  of the  arnica were quite as
   well marked.   The  following is  the description  by the father:
   "The baby's head  was bruised and  crushed  in a most pitiable
   manner.   Of what shapeit is I can hardly describe.  It is alive, but
   unless you can do something for it, I think it cannot l\ve.  The Sur-
   geon is of opinion it will go off" in convulsions."  This statement
   was in a letter to me from Manchester.
     Mr. K. bathed the infants head four hours after  birth, with the
   arnica lotion, and repeated the bathing the following morning.  At
   eleven at night,  on Dec. 14, it was  convulsed, the head and the face
   becoiningquite black.   Mr. K. administered chamomilla, and  it re-
   covered.   The  following morning it had a slight  convulsion.  It
   cried much during the night.  Excepting the head, it is a fine child.
   It seems unable to swallow easily.  The head is of all shapes.
   The centre of the  forehead, round  Benevolence, is very large  or
   swelled, and  the  back part of the  head is all forced to one  side.
   The mouth is distorted ; the right  side of the face is much swollen ;
   and the inside of the mouth is in a dreadful state.
     " Can anything be done for it / "
     I ordered aconite  to be followed by arnica; and then, if there was
   no  decided improvement, to give  Rhus toxicodendron:  if convul-
*  sions should recur, Chamomilla : and if this failed, Ignatia.
     On Dec. 17, I heard that the baby was  doing welt; no convul-
   sive symptoms; no fever.   The arnica lotion has  been  used ever
   • since.   The head is almost well: and the baby sucks and eats very
   well.
     Feb. 1842, I saw  the little dear: it was  hearty and joyful, and
   observant.  The head of a natural form, and no indications of any
   of  the inconveniences to which it had been subjected.
     Nov. 31, 1843, I saw this child and he was hearty and  well: his
   head, which, as above detailed, was of all shapes, is of a natural
   shape. 
245
  Sometimes a swelling, filled apparently with fluid,
appears at the fontanel, or the opening of the head,
as it is commonly  called.   If  not disappearing  from
the  use  of Arnica,  Rhus toxicodendron should be
administered.
  Should the swelling still continue, notwithstanding
these means,  Dr. Hering recommends  to  make  a
slight incision, and let the fluid discharge.
  Sometimes, from  bad management, ulcers  arise.
In such cases Silicea should be given.
  Another affection troubling infants is

               RUPTURE OR  HERNIA.

  Often the  navel  protrudes, called Umbilical Her-
nia.  In such a case a bandage should be applied, a
piece of folded  linen being  placed  upon the navel,
and the bandage going  two or three times round the
body :  the parent should see  that the linen is kept in
its place,  and when replacing the  bandage, the rup-
ture should  be slightly   pressed back  by the hand.
This requires patience and care, which a mother will
be sure to bestow.
  When the rupture is  at the groin, called Inguinal •
Hernia, no bandage need be  applied.
  The infant should take for either  rupture, first
Nux vomica : if this is not  successful, then  Vera-
trum:  follow this by Chamomilla: and should these
not succeed, Sulphur must be used.  The  rupture
generally  gets well. 
246
   Infants and children  are troubled sometimes with
               RETENTION of urine.

   Smelling Camphor will often relieve this.  If not,
Aconite can be given : and should not that succeed,
follow with Pulsatilla.
   [Cantharides, if there is frequent straining and dis-
position to urinate, without the  ability to pass  more
than a few drops at a time; repeat the medicine  every
two hours,  until relief is obtained.   Graphites  when
there is great urging without the ability to discharge
the water, only by drops, repeat  as above.— Ed.]
  Another diseased state of infants is

           INFLAMMATION  OF THE EYES.

  The cause of this  and the means of avoiding it
have been already explained.
     Another diseased state is a sort  of catarrh, which
  • is very troublesome.   It is called

                 A COLD IN  THE HEAD.

•    This affection causes  the  trouble  it does  by the
   obstruction of the  nose, produced by it, impeding
   suckling.  (Children,  as is well  known, when suck-
   ling, always breathe through the nostrils, as all people
   ought.)  From the remarks under catarrh it will  be
   seen that Nux vomica is the remedy most likely to be
   suited  to it.  It will be seen under catarrh, that, with 
247
the obstruction there is  dryness; there  is  irritable
disposition.
  .Chamomilla will suit in many cases.
  In cases where, with the obstruction in the nose,
the matter  obstructing  is of a  slimy nature,  and
symptoms, similar to those presented in the Asthma
of Millar, are present,  Sambucus has  been  recom-
mended.
[CHAPTER  VII.
          CHLOROSIS, OR  GREEN-SICKNESS.

  This disease is chiefly incidental to young females,
and is very insidious in  its approach; the slight fad-
ing of the usual florid complexion :  the languor and
listlessness ; the fatigue and restless nights, after ordi-
nary amusements or occupations, are  scarcely noticed
by friends.  As the headache, palpitation with pain
in the  left side, hurried respiration, and swelling of
the  limbs come on, however, the attention is aroused
to the true dangers of the patient.  It is not uncom-
mon either for physicians to be led into the error of
prescribing  for  a   headache, a cough,  a  rheumatic
pain, a bleeding from the nose or stomach, or some
other minor sympathetic  suffering, not comprehend- 
248
ing the true cause, sooner than prescribe such reme-
dies as will reach the seat of the disease.
  Treatment. — Exercise  in  the open  air  in
cheerful  company, sea  bathing;  and the following
remedies, persevered  in for  some  time,  will often
effect a cure.
  Conium, at first, two or three times a day  for at
least a week, and if there is an improvement, discon-
tinue  it,  and again resume it if necessary, or give
Sulphur,  one dose twice a day  for a few days, and
then  give  Ferrum, Calc.  c,  Pulsatilla or  Sepia;
either of these may be given a few days, and  then a
few doses of Sulph., and  if there is a manifest  im-
provement, omit  the medicine for  some  days, and
resume if necessary.
  Menstrual colic is best relieved by Pulsatilla, Coc-
culus,  Veratrum or Secale;  a dose of one  or  the
other  must  be given  e^ry hour or  two, until  the
sufferings are removed. ™
  When  the menses do not appear  at the usual age,
and the  health  is impaired thereby, give Pulsatilla
and Sulphur, the first every morning and the latter
every evening, for a  few  days.   The same  course
must  be  pursued when it  is  too slight, or of short
duration, in feeble constitutions.  In  both instances
warm hip baths  and foot-bathing will be most impor-
tant auxiliaries.
    PROFUSE MENSTRUATION, (MENORRHAGIA.)

  When the discharge  of blood  is profuse and ex-
hausting, whether at the regular period or otherwise, 
249
attended with pain in back and abdomen, thirst, and
great prostration of strength, Ipecac, is  usually first
to be preferred.
   Nux vom., if the discharge is  frequent  and long-
continued, as well as profuse : when after ceasing, it
soon  returns, and there is a tendency to faint, with
nausea,  irritability  of temper,  abdominal  spasms,
and,  especially,  if a habit  of using stimulants has
been  contracted.
   Chamomilla will be  of use after Nux, more par-
ticularly if the blood is coagulated, and dark-colored,
with  labor-like pains, cold  extremities,  great weak-
ness and thirst.
   Crocus, if the  above has proved insufficient, and
if there should be superadded to  the foregoing symp-
toms  a sensation  in the abdomen  as from a ball mov-
ing about, with vertigo and  anxiety.
   Platina, China, and Sabina, have  also been  suc-
cessfully used.

    SUPPRESSED  MENSTRUATION,  (AMENORRHEA.)

   There may arise a partial and sometimes entire
suppression  of the menses, from sudden, violent emo-
tion, from  cold, and  other  causes.  In  such cases,
several remedies  have  been  used.   Among the most
important of which are the following:
   Aconite, when  the suppression  is sudden, the con-
sequence of  some strong  emotion, with  great in-
quietude, tendency to faint,  face  pale, and pulse im-
perceptible.
  Pulsatilla, when it is caused by exposure to cold :
and when there is pain  in head, principally confined 
250
to one side, and extending to the face and teeth, pal-
pitation of the heart, inclination to vomit, diarrhcea,
cold hands or  feet, melancholy.
  Ferrum, if there should be strong disinclination to
rise from a recumbent posture, great weakness, with
a sense of extreme fatigue, swelling of the feet.
  Graphites, if the discharge is scanty and pale, par-
ticularly if there is, or has been, cutaneous eruptions,
or an erysipelatous affection.
  Sulphur, if there be  pain in top of head, extend-
ing to back of neck, pressure and heaviness in stom-
ach, difficulty of breathing, diarrhcea, humming  in
the head, ravenous appetite, great fatigue after talk-
ing, constipation and pain in the loins.
  Sepia is applicable for the symptoms under Puis.,
and when the complexion is discolored.   It follows
the latter frequently with good effect, but should not,
of course, be given while an evident improvement is
progressing under  the action of Puis.   This rule  in
the administration of homceopathic medicines ought
constantly, and  under all  circumstances, to be re-
membered.
          LEUCORRHCEA.  (THE  WHITES.)

  By this term we originally meant a white mucous
discharge from the female  organs  of generation.
Now, however, all discharges arising from functional
causes only, whether  greenish,  yellow,  brown, or
white, bear this appellation.  The health  suffers in
proportion to the amount discharged  and the length
of time that it continues.          , 
251
  Treatment. — If the discharge has  been of
long standing, frequent  washing  with cold castile
soap water, and the administration of the following
remedies, will effect a cure.
  Cantharides, every two hours, if there is smarting
and frequent desire to urinate, without the ability to
pass much at a time; Calc. c, if  there is an erup-
tion of pimples and itching of the genitals.   Bovista,
Carb.  mag.,  Carb.  vet.,  and Sulphur, may follow
the other remedies, as circumstances may require. —
Ed.] 
252
                PART  III.


On the Causes of Diseases, and of Remedial Agents
              in connection therewith.
  It has been the practice, with the view of discred-
iting homoeopathy, to charge homceopathic practition-
ers with looking at nothing save the symptoms ;  with
disregarding the causes of disease.
  The assertion, that they neglect the consideration
of causes, is untrue.   Its untruth, the perusal of the
treatment of the  diseases, already  described,  will
prove.
  An attention to causes forms a most essential  part
in the  investigation of  diseases  in  reference  to
homoeopathic practice.

           Tolle causam, "Remove the cause,"

is as much the motto of the  homoeopathist as of the
allopathist and of the antipathist;  but the homoeopa-
thist can do more than can these practitioners of the
old  systems ; he  can by  his medicines act directly
upon  the effects  produced by these causes.   The
practitioners of the old systems can often do no more 
253
than remove the cause; the effects they are obliged
to let alone ;  or leave them (as they observed) to
                Time's all-healing hand.

  The homoeopathist, having  means,  which produce
symptoms similar to those induced by the causes, can,
by giving such means  or  remedies, take away, by a"
homceopathic  operation, these effects ; and, at the
acquaintance with these remedies, and at this, their
application, he could  not possibly have arrived, ex-
cept by the recognition of the doctrine, that diseases
are  cured most quickly, safely, and effectually, by
medicines, which are capable of producing in a healthy
person symptoms, similar to those existing in the dis-   ,
eases.
  The Causes may be arranged under two Divisions;
those acting upon the  Mind, and  those acting  upon
the Body.
CHAPTER  I.
               MENTAL CAUSES.

                     FRIGHT,

is a most common cause of diseased states.

  I have been consulted, this day, among others, by
two patients :  one, who  has epileptic fits, which were 
254
produced by the fright  caused by suddenly discover-
ing her mother dead ; the other, who  has  become
partially paralyzed on one side from a sudden fright.
  Fright  produces,  in the  individual  frightened,
symptoms, such as stupor, and sometimes an idiotic,
lost appearance; loss of power, fainting, trembling
of the limbs, startings, oppression, difficulty of breath-
ing, and cold sweat.
  Opium, if taken by  a  person  in  health, produces
similar symptoms ; and opium is thereby, namely, by
its homoeopathicity, constituted so useful an agent in
cases  of fright, that  no remedy is equal to it in effi-
cacy,  when administered according to the  homoe-
opathic  formula, in  infinitesimal doses, imme-
diately or soon after a fright.
  When some  interval has  elapsed after the fright,
Sambucus will be more serviceable than opium, par-
ticularly  when, from the fright, the respiratory sys-
tem is principally affected.
  Whenever a person has  been  frightened,  two
globules of opium or of sambucus should be taken.
Thus any bad effects will be prevented.
  I have known irremedial disease of the heart, pro-
duced by an accident; a lady was standing in the
street with two other ladies,  and  the  two beside her
were  killed on  the spot by a horse that had run  away
with a gig.   Had she taken opium immediately, this
disease would not have taken place.
  How often has miscarriage  been produced  by a
fright!   Suppose a mother, who has miscarried sev-
eral times, and that from slight  causes: let  her be
frightened : let her  experience the same symptoms,
as those which preceded her  miscarriages : give her 
255
immediately afterwards opium, and she will not mis-
carry :   though,  under previous conditions,  a  far
less  cause would have caused this lamentable con-
dition.
  A bad case of epilepsy* which I had cured in a
boy, and who had remained free from fits nearly two
years, was again induced, being attacked  with fits.
He had been playing in a field :  a brute, miscalled a
man, came up to the child, struck him with a heavy
stick on his arm,  and broke the  arm.   The child
was  dreadfully frightened : and,  as was likely, a fit
was produced.   Had that child  taken  Opium  imme-
diately, no fit would have taken place.
  I am thus positive in making this assertion by the
fact, that I  have known  children, who,  by  slight
frights,  have  been thrown into convulsions, and have,
subsequently by taking opium after a fright, had no
such effects  produced.
  Again : a child has been frightened.  He awakes
in the night suddenly with a  dreadful fright, exhibit-
ing great anxiety,  difficulty  of breathing,  &c. : he
takes Sambucus, and sleeps quietly afterwards,  and no
untoward symptoms present themselves.
  I have cured the  troublesome affection, wetting the
bed, when other homceopathic means have failed, by
using Opium, after  having learned  that the child be-
gan to be troubled thus after being frightened.
  The cause here leads to the  use of the remedy :
and the remedy  chosen, and  given  with such  benefi-
cial effects,  is pointed out for use by the fact, that it

  * See  " Epilepsy, and some Nervous Affections its  Precursors;
being twenty-two cases, successively treated by John Epps, M. D."
Sherwood & Company. 
256
produces effects upon a healthy person, similar to
those presented  in  the frightened person.   What
beautiful scientific results, equal to these, can the old
system of medicines present ?
              PASSION  AND VEXATION

are other causes of diseased states.
   Fits of rage have brought on Jaundice and Inflam*
motion of the Liver.
   Vexation has caused the same effects,  and also
violent  attacks  of asthma,  and,  more  frequently,
looseness of the bowels.
   Chamomilla is found to be the most effectual rem-
edy for diseased states, brought on by passion or vex-
ation ; and this  because the effects,  produced  by it
on a healthy person,  are  similar to the effects pro-
duced  by passion and  vexation : chamomilla  being
the more particularly  useful,  when purging  and col-
icky pains are produced  as  the consequences of the
vexation.
   When, however, rage  is associated with vexation,
and is  followed  by shivering and coldness  over the
greater part of the whole of the body, then Bryonia
is  the  best  remedy :  bryonia is  particularly suited
where constipation is  consequent  upon the vexation.
   If the rage is attended with indignation, so violent
that the party  dashes away that which he held in his
hand, as  children often do, then  Staphysagria  is the
best remedy. 
257
                  SILENT  GRIEF,

is another cause of disease.
  In this case the party retains within herself or him-
self the grief: the indications  are  occasional sighs,
flushed cheek on  one side,  pale on the other : consti-
pation.
  Ignatia in such  cases is the remedy, because it
produces sighing, the condition of cheek referred to,
constipation, &,c.
AN  intense desire, when absent from home to RE-
          TURN home, called  nostalgia,

is a frequent cause of bodily disease.
  This is attended generally with redness of cheeks
and sleeplessness.
  Capsicum is the best remedy.


          UNHAPPY LOVE WITH JEALOUSY

is often the cause of bodily  disease.


  jSfote. — It  is one  of the peculiar features of ho-
moeopathic practice, that the moral symptoms are so
hio-hly  important;  in  fact,  in  some cases, deciding
the use of a remedy.  Precision  is therefore  one
essential in successful homoeopathic  practice ; and if
precision is  deemed  a  mark  of a  scientific mind,
surely homoeopathy, which  requires such precision,
is to be regarded as possessing a scientific character.
                   17 
258
CHAPTER  II.
              PHYSICAL CAUSES.

               BLOWS,  OR BRUISES.

  Multitudes of diseased states are brought on or
developed into activity by a blow or bruise.
  Miscarriages have often been caused by a blow;
so have inflammations.
  To prevent the bad effects  resulting, Arnica must
be used :  and, if not  decidedly beneficial, must  be
followed by Rhus toxicodendron.
  Suppose epistaxis, or bleeding from the nose,
should take place from a blow,  arnica  will  be  the
appropriate remedy: whereas, were the bleeding to
occur spontaneously, arnica is oftentimes not  suited.
  Suppose a person suffers from hemoptysis, or spit-
ting of blood, and  this occurs after an injury, such
as a blow: then  arnica  will be  the  best remedy:
though  had this occurred without any injury, then
arnica would not be so suitable as several other rem-
edies would be.
  Erysipelas, or rather erysipelatous, swollen condi- 
259
 tion of parts, is induced by injuries in many persons :
 and  when this is the case, Arnica is  more specific
 than belladonna.   The homoeopathicity of arnica in
 such  cases  is  founded,  not only  upon  the  cause,
 namely  the injury, but  also upon the  power  which
 arnica has, of producing  an  erysipelas.   I  have
 known several cases where arnica, applied to wounds,
 has produced erysipelas.   It should, when employed
 for wounds, affecting persons liable  to erysipelatous
 attacks, be in the very highest dilutions.
    Suppose  an inflammation of  the  eye is pre-
 sented: that this  inflammation is  consequent upon a
 blow : then Aconite and  Arnica would  be  the two
i remedies: although had symptoms of inflammation
 of the eye occurred from  other causes, then aconite
 and some other remedy would have been more ap-
 propriate.
    Convulsions,  especially in  infants, result  often-
 times from an injury.  In these cases,  arnica will be
 the appropriate remedy, though in itself not a specific
 for convulsions;  the cause here operates; and,  if
 not curing the convulsions, it will render the  opera-
 tion  of  the  medicine,  afterwards to  be employed,
 certain.
    A fall  on the head has frequently caused an  aggra-
 vation of a previously existing head  affection.  In
 such a case,  arnica  will prevent  the aggravation, or
 remove the induced symptoms, and thereby  counter-
 act any additional danger,  which  otherwise might, by
 the superaddition, be caused.
    In connection with the  use of  arnica,  under such
 circumstances, I  may add, that the successful  result
 of several cases has led me to believe, that, though 
260
the  injury  may  have  been  inflicted  months,  yea,
years,* before, so as almost to be forgotten, yet when
the  symptoms  existing can  be traced  so  as to  be
decidedly consequent upon  such  injury, even  then
arnica  is exceedingly  useful, and  is  often the  first
step towards cure.
               [external applications.

   A few  medicines  externally applied in an undilu-
ted  state, have  been  found very  efficacious, such as
Arnica,  Calendula,  &>c.   When  the  application is
made to  the  surface, a  higher preparation  or " po-
tence "  of the same remedy is usually given internal-
ly.  No other outward appliances, than the following,
with the exception  of water and the simple  poultice

  * A patient of  mine, the Baron----, was attacked with a severe
illness, in the year 1842. He was evidently in great nanger. Among
his symptoms was  one of a feeling of a bruised condition of the
chest, affecting his breathing, producing severe pain on taking a
full breath, and attended with excessive prostration.  1  inquired
anxiously whether he had  received any wound, having been a gen-
eral during the continental  wars, and engaged  in  many battles.
He said no: but on reflecting, remembered  the following circum-
stance. As he was sitting on horseback watching the movements
of the army engaged in battle, with his aid-de-camp at his side, a
cannon-ball passed  between  his horse's head and his breast, and
taking the aid-de-camp in its course, made, to use the Baron's own
expression, a complete rag-fair of him, cleaving his  body asunder.
The  Baron experienced a shock, and his horse was so affected that
he shivered, so to speak, as to  go upon his knees.  The excite-
ment of the battle banished all the rest, and he had  not thought of
the circumstance until I had thus brought  the event back to  his
memory.
  I forthwith ordered Arnica internally and  an Arnica poultice ex-
ternally, and the change was so rapid as to convert to Homoeopathy
a most intelligent friend of the  Baron's, who had been watching
the case with intense anxiety:  the more  so, because having no
faith  in Homoeopathy, he had the greatest  fears on behalf of his
friend. 
261
referred  to  by our  author, is  ever  required  in  the
practice of Homoeopathy.

                Tincture  of Arnica.

  This Tincture is principally and  most advantage-
ously used  in cases of sprains, contusions,  bruises
from a blow or a fall, shocks, and nearly  all injuries
from foreign substances to which  the surface of the
body is subject.   Fifteen or twenty drops of the tinct-
ure is to be mixed with  a half pint of water, and a
linen cloth dipped  in this solution is to be laid upon
the injured part; to be renewed from one to three or
six hours, according  to  the severity  of the  injury.
At the same  time, a dose of the Arnica  in globules
should be administered as frequently as the external
application is made, and  until  there is a decided  mit-
igation of the attendant pain and  the  general  irri-
tation.
   For the effects consequent upon any dental or  sur-
gical operations, especially where the flesh has been
much bruised by blunt instruments, and after a frac-
tured  bone has been  replaced, the  above solution is
of great benefit.
   It is of use,  also, after concussions, or  when the
whole body  has sustained a violent shock,  causing
congestion of blood in the head, chest, or abdomen.
   When pain in the hand, extending to the shoulders,
results from  unaccustomed manual labor :  or where
there exist rheumatic  pains in  different parts, the ex-
ternal application of arnica is  often of great  service.
   Corns  are  frequently  rendered much less painful
and sometimes  permanently cured  by being bathed
with  the  above solution, night  and morning,  after 
262
they have been pared as closely as convenient with a
sharp knife.  Blisters also upon the feet, which often
trouble  the novice in pedestrian exercise,  may  be
readily removed by  bathing the feet occasionally in a
mixture  of five  drops  of arnica to a  half pint  of
water.
              Tincture of Calendula.

  As Arnica is  considered a specific for contusions
and all injuries of that nature, so is Calendula a spe-
cific for lacerations and  wounds made by a cutting
instrument.  The preparation  for  a  wash is made
from  the tincture  in  the  same  manner as  that  of
arnica, viz.:  one fourth of calendula  to three fourths
of water.
  In all cases when the fleshy parts have been carried
away, and the parts of the wound cannot be  brought
together by adhesive plaster, the  calendula  wash is
the best application that can be made.
  The process of suppuration so exhausting  in cases
of extensive  wounds, is very much shortened, if not
entirely prevented,  by the use of the  above.
  In inflammation of the eye, especially if caused by
wounds, and in an affection of the glands, it has been
found highly beneficial.

                 Tincture of Ruta.
  For external injuries, the above tincture has also
been successfully employed, both  externally  and  in-
ternally.  It has  been used with much  advantage, in
the same form as  the  arnica  before described,  for
rheumatic paralysis about the joints of the instep and
wrists.   It has also been  beneficially applied to cer-
tain fistulous ulcers,  those  which  have  a  narrow 
263
opening, leading to a larger cavity below the surface,
situated upon the wrist and arm.
  For a peculiar affection of the eye, consisting of a
diminution or total loss of sight, without any  appa-
rent injury of the organ, arising from paralysis of the
retina or optic nerve, (termed  " Amaurosis,")  the
external use of ruta, in the proportion of ten drops of
the tincture to a half pint of water, has proved bene-
ficial, in  connection with  the internal administration
of the globules of the  same remedy ; and especially,
if the disorder has been caused by confining the sight
to much reading or fine work of any description.

             Tincture  of Urtica Urens.

  This tincture has been principally employed in the
treatment of burns and scalds.  In applying it to fresh
burns the tincture is to be mixed with tepid water in
the proportion of one  fourth of the  tincture to three
fourths of the water; a  linen cloth to be saturated with
the solution,  and laid upon  the burnt or scalded  sur-
face.   The  cloth should  be kept constantly  moist;
as long as the pain is  in  the least degree aggravated
by the application.  If ulceration, however, has taken
place, the undiluted tincture  should  be used in the
same manner, renewing the cloths every three or four
hours.  In very severe injuries  of this  kind, a drop
of the tincture or a lump of  sugar  should be swal-
lowed. — Ed.]
          DERANGEMENT OF  THE STOMACH.

  This condition  has often  been the forerunner of
many severe diseased states, which, if the derange- 
264
ment could  have been arrested  at the outset, would
not have appeared.
  In   these  derangements,   Antimonium  crudum,
Bryonia,  or Pulsatilla,  will  arrest  the  progress:
Antimonium  crudum, if there  are  risings,  nausea,
and feeling as if the person must be sick; Bryonia,
if there is gastric fever, with  shivering and cold;
and Pulsatilla, if the derangement has been  brought
about by fat foods, and  more particularly by eating
pork.
            EXPOSURE TO COLD  OR WET,

commonly called  taking  cold, is a  frequent source
of inconvenience  and  of danger  in the  progress
of diseases, and a  frequent cause of diseased states
themselves.
  Nux vomica (as  will be seen from  the treatment of
Catarrh, Chap. V.) taken at  once, will often arrest
the progress of the symptoms, usually occurring after
such exposure.
  If,  however, the  taking cold  is  attended with a
sense of suffocation  and nausea, then Ipecacuana:
if followed with pain and shedding of tears,  Coffaa:
if followed by a copious  discharge  from  the nose,
and  by the loss of smell  and  of taste, Pulsatilla:
if followed by  relaxation  of the bowels  and thick-
ening  of  the water,  then Dulcamara:  if followed
by  relaxation  of  the bowels  and griping, then
Chamomilla.
  The homceopathist further believes, that, even the
injurious  influence  of weather can be to a certain
extent, prevented  by the use of remedies :  this  sub-
ject is however one too extensive and too important
to be treated of  in this work. 
265
                PART  IV.

On Diet, Foot-bathing, Poultice-making, Fomenting.
                CHAPTER  I.

                      DIET.

  The  homceopathist knows, that, though diet will
not cure disease, improper diet will interfere with the
cure of  disease : * the homceopathist therefore strives
to gain, in reference  to  diet, that  no  impediment to
the efficacy of the means which he uses shall be pre-
sented by the diet used.
   Thus far he trusts  to diet, no farther: he  knows
that all  articles of diet, except those which arepurely
nutritious, have a medicinal character.   These arti-
cles tend  to keep up disease; and  if  not keeping up
disease, prevent the full effect  of the homceopathic
remedy or remedies.
  Persons using homceopathic medicines should avoid
all  articles of diet, which, having properties addi-
tional to their nutritive  qualities, which may be con-

  *« Homoeopathy and its Principles explained," by J*^»J^^1
M. D.: in which the amount of power in curing of disease de
rivable from diet is explained. 
266
sidered medicinal, must necessarily interfere with the
operations of the  homoeopathic medicines.
   It is necessary  therefore  to  select articles of diet,
in which  the nutritive property, unaided  by strong
flavors, preponderates.
   The following articles of diet, either having medi-
cinal  or  stimulating  qualities, in addition to or not
possessing, nutritive qualities, are to be  avoided.
         Animal.

 Veal :  i. e.  meat spoiled in
    killing;
Pork : i. e. meat of an animal
   loaded with scurf;
Ducks: i. e. strong  flavored
   meat;
Geese : i. e. strong  flavored
   meat;
Seasoned  Dishes;
Rotten or decayed Cheese ;
Bacon;
Hah ;
Shell Fish.
   Vegetable.

Unripe fruits;
Unsound fruits;
Sorrel;
Radishes;
Onions;
Celery;
Garlic;
Asparagus;
Waiercresses;
Pepper;
Mustard.
     Liquids.

Coffee;
Tea;
Spirits;
Wine;
Ale ;
Porter;
Soups flavored;
Soda-water;
Ginger-beer:
All mineral waters;
Vinegar.
   Smoking, Snuff, and  Tobacco in  all  its  forms,
are to be avoided :  all perfumes and scents should be
avoided : all cosmetics are to be avoided :  all scented
tooth powders.

        The following articles can be  taken :
      Animal.

Beef ;
Mutton;
Flat Fish ;
Cod;
  and all Fish not oily;
Fresh Game;
Eons, newly laid, lightly
  boiled.
       Vegetable.

Bread ;
Potatoes, mealy;
Brocoli ;
Peas ;
Beans, French and Broad ;
Carrots;
Rice ;
Sago ;
Arrow Root.
   Liquid*.

Cocoa ;
Chocolate ;
Milk ;
Wateb. 
267
Some foods may be taken occasionally.
Lamb ;	Asparagus
Oysters ;	under medical
Chicken;	direction.
Fowls.	
Vegetable.     [      Liquid.

              Tea, under medical
                  direction.
  Where persons have  been habituated to wine  the
homceopathist does not  forbid its use; but the wine
should betaken with  water; generally  speaking, its
use is contra-indicated in all forms of disease.
  Cocoa,* is  the  best of all flavored drinks.  It is
highly nutritive.
  It may be asked, "  Wliy object to coffee and tea ? "
The reason is that both  coffee and tea are medicines.
Coffaea is frequently mentioned as a remedy, as  will
be seen in the preceding pages; it cannot be good to
give medicines to interfere with  medicines which the
patient is taking.
   Coffee is more  decidedly medicinal  than  tea; tea
produces that peculiar sinking at the pit of the stom-
ach, so common to tea-drinkers.
   Exercise  is another part of  the diet.    There
can be  no health without exercise.   When parties,
from age or from loss of power, or  from injury, are
unable to take  exercise, they  should use friction, be
shampooed.                                ,
   Exercise should be taken every day : and  it should
be taken in the fresh  air; if  the  weather be  very

  * Homosopathic chemists generally keep cocoa for sale, with the
view of ensuring that patients shall have it pure. 
268
wet, the exerciser should dress as if going out; put
up the windows of the room in which she is, and ex-
ercise there.
  All vices must be  avoided  : for vice produces  a
perpetual fever.
CHAPTER  II.
              BATHING THE FEET.

   How ought a person to bathe his feet so as to derive
 the full remedial benefit ?  He should always have,
 previously to immersing his  feet in the warm water,
 (which should be comfortably warm and not scalding
 hot, causing him to wait till it  is cold,) a kettle of
 boiling water beside him, so that he can continually
 add fresh hot water, so  as  to  keep augmenting the
 stimulus  to his feet by  augmenting the  heat of the
 water.
   He should allow the feet to remain in the water for
five or ten minutes.   But, in cases where  bathing the
 feet  is adopted as a remedial measure, it is necessary
 to use a liniment to rub the feet, so as to render the
 effect permanent.
   The plan to be adopted is the following: the party
 should  be provided with a well-dried towel, or  with
 towels.   When  the  feet have been in the water five 
269
minutes, he can  remove one from the water, rub it
well dry, and then rub, or  have rubbed, the foot with
the  liniment for five  minutes;  keeping up all the
time the heat of the water, applied to the other foot,
by adding  occasionally fresh hot water.   After'rub-
bing for five minutes, slip  on a stocking.   Take out
the other foot, rub it dry, and then rub with the lini-
ment in a  similar way.
  The liniment  used  in homceopathic practice will
be one similar to the medicine in  use.  I have found
this use of liniments very  useful in cases, where pa-
tients  have, before coming under homoeopathic treat-
ment, been for a considerable time under the allopa-
thic and the antipathic treatment.  I generally use the
tincture at its  first  dilution, putting ten  to fifteen
drops  to   a spoonful of water ; but  in cases where
persons have not the tinctures, about fifty globules
of the medicine in use, dissolved in a teaspoonful of
spirit, and  two teaspoonsful of water will be efficient.
CHAPTER  III.
            MAKING  A POULTICE.

  Few persons know how to make a poultice ;  and
many a sore and many a tumor have gone on their
destructive course, because poultices—but poultices
not properly made — have been applied. 
270
  How then is a poultice to be made 1  Some per-
sons cut cut slices  of the crumb  of bread, and pour
boiling hot water on  the same, and  then  bruise and
press them into  one  mass.   Such is their poultice;
but this is not a proper poultice.
  Some  persons reduce the bread to crumbs, and
then pour the boiling water  on the crumbs:  but this
is not a proper poultice.
  Some  persons get old, stale  bread,  cut  out  the
crumb, rub it  fine  into small crumbs,  then boil some
water in a saucepan, then pour the boiling water on
the  crumbs placed  in  a basin,  and  then  put  the
whole into a saucepan, and  boil, stirring constantly,
one minute or two,  adding  a little  butter or lard at
the last :  now this is a proper poultice.  If we wish
to retain the warmth, after putting  the poultice on a
linen rag, then put outside that a flannel,  and  this
being a bad conductor, it will  keep the heat of the
poultice within for a considerable time.
   I generally  put on the poultice, before application,
a few drops of the tincture  of the first dilution, or a
few globules of the medicine in use at the time.
CHAPTER  IV.
  ON'THE  PROPER  WAY OF  FOMENTING.

  Though  homceopathic  practitioners rarely  use
fomentations, sometimes they are employed with ben-
efit; more particularly where  persons have taken in- 
271
jurious and unsuited agents to remove  the diseased
state or states.
  Hot water and flannels form the materials.
  These  require some judgment to prevent the use
being abuse.
  In  fomenting, there should be, if possible,  a fire
in the room.   There  should  be a vessel  of boiling
water on the fire : there should be a large earthen-ware
pan in the  room : there should be at least two large
pieces of good flannel.   The  patient,  if in  bed,
should have a blanket doubled  passed  under  him,
and then  folded over  him, so that the two edges of
the  fold below and those of the fold above may hang
over the side of the bed ;  then the heated and wetted
flannel can be  introduced  without wetting the  bed
and without pulling down the bedclpthes.   (Many a
person has been more injured by the  exposure in-
duced in  removing  the wet things off the bed, than
he  has been  benefited by the  fomenting.)   The
flannel, after  being soaked in the hot water, should
be well rinsed out, and then applied to the part;  and
before this flannel  is removed,  the other  flannel,
soaked and rinsed in  a similar way, should be ready
for application.
  Often the fomentation increases the pain at first:
this, unless the augmentation continues, should not
be regarded ;  or least, not so far regarded as to cause
cessation of the fomenting process.
  In colic the use  of  heated flannels is preferable to
flannels soaked in hot water and rinsed.
  Fomentations should be regarded simply as aux-
iliary : the curative means must be the appropriately
selected homceopathic remedy or remedies. 
272
PART   V.
Directions  in Cases ,of Poisoning :  of being  Stuns
  with Insects,  Src.    General Directions as  to the
  Course to be pursued when  Pins,  Buttons, Coins,
  Src, are swallowed.
CHAPTER  I.
    DIRECTIONS IN  CASES OF POISONING.

   When a person is  supposed to be poisoned, the
first rule is to be calm.  He who  is most so should
direct the rest.   Let  him despatch the by-standera
after what is wanted, thus rendering those servicea-
ble who  would otherwise  be worse than useless.
   When poison  has  been swallowed, the principal
object is to excite vomiting, particularly when the
sufferer  feels  inclined to vomit, or, if vomiting has
taken  place, to further it.   To do this, administer
tepid water  and tickle the throat with a feather.
   Have water heated as quickly as possible, and, in
the mean time, take the white of eggs and beat them
into a  foam.   Take  pure white Castile soap, and let
soap water be  made.  Let  another  person  procure
sugar,  vinegar,  sweet  oil, milk and butter.  Have 
273
some  strong, black  coffee made, and gruel of oat-
meal, barley, flax-seed, or meal of any kind.
  Poisoning  is  to  be  suspected  when  dangerous
symptoms come  on suddenly, or after partaking of
any unusual food.
  All that the sufferer may vomit, and what is left of
his  food or drink should be preserved.
   Vomiting, -as  was  stated,  is  to be realized  first.
But emetics are  not to be administered.  The best
remedy is lukewarm water, the patient swallowing as
much of it as he can, taking every minute at least a
thimble-full,  more if possible.
   [Vomiting  may  be safely brought  about by the
Ipecac, julap mentioned  in  the chapter on Convul-
sions, or by a draught of strong  coffee, together with
the other means mentioned. — Ed.]
   When this is offered to children and they refuse,
 open the  mouth  by  inserting a  finger  at the end of
 the jaw-bone, and  pour the water into the mouth.
 At the same time  keep the finger in the mouth and
 take a soft feather,  put it into the throat, turning it
 round till it excites  vomiting.  Let the patient in-
 cline forward, place  one  hand on the  stomach, sup-
 port the head, beating him  softly  between the shoul-
 ders  Let him  rinse his mouth after he has vomited,
 and  remain undisturbed a few minutes.   As soon,
 however, as he  feels another attack of pain, or other
 symptoms, such as worrying,  hiccough, or uneasi-
 ness, let him drink  again until every thing appears to

    If he cannot be brought to vomit, or if he cannot
 swallow, or at least not sufficiently, or worries him-
 self in vain, does not throw up as  much as he drinks,
                18 
274
or should  he absolutely refuse to drink and enough
cannot be introduced, chew some bread and mix with
a tablespoonful of snuff, and put  it  on his  tonoue
until  it excites  vomiting, and let him drink tepid
water upon it.  If this does not  act, then some pow-
dered mustard mixed  with a teaspoonful of salt is to
be put into a tumbler  of water and  drank off at once,
and afterwards tepid water.   Use no other vomits.
  In case the sufferer can get nothing down, is quite
confused,  cannot  swallow,  his jaws being  tightly
closed,  blow some tobacco-smoke into his bowels.
Take a pipe with tobacco,  light it, grease  the point
of its stem with oil or fat, insert it  into the anus, not
deeper than about the depth of a finger nail, turning
it carefully, then place on the head of that pipe  the
head  of another empty one, and blow through this
into the other, propelling the smoke inward.   After
blowing three or four  times, stop and  begin again.
  These  remarks,  and  those  which  follow,  are
abridged from Dr.  Hering's  Homceopathist.
  The remedy, in importance next  to  vomiting, is
white of eggs.
  Have the whites of several eggs beat up,  mixed
with cold  water, and let  them be drank.   This will
never do harm, and will surely help, if the poison be
metallic, or if the patient is suffering violent pains in
his stomach  or  bowels,  feels as though he  should
purge, as  will happen  in  poisoning by corrosive sub-
limate, quicksilver, verdigris, compounds  of tin or
lead, alum or vitriol.  Give the whites of eggs abun-
dantly, and  often repeated, whenever the substance
vomited is of a red or green color, when the  patient
has a metallic, coppery, or salty  taste  in  his mouth: 
275
in general when you suspect that he  may have swal-
lowed verdigris, red lead, vermilion,  corrosive subli-
mate, &c.   If the patient find relief from the taking
of white  of  eggs,  continue  it, and should he  be
afflicted with diarrhoea  and pain in the anus, give
him an injection of the water from white of eggs.
   Another very important  remedy, in most  cases of
poisoning, and applicable when white of eggs seem
ineffective, is soap water.   But for this purpose you
must not take soft soap,  nor any resinous hard soap,
except in cases of the utmost need, nor any soap which
is stained red, as this  is done with poisonous ingre-
dients,  but  the best white Castile soap.   Dissolve
this in hot water, and let the patient drink a cup full
of it warm,  every three or  four minutes.
   Soap water will only prove injurious when the poi-
son itself was alkaline, or lye, or fretting-stone, pot-
ashes, soda, salts of tartar, oil of tartar, spirits of sal
ammoniac,  sal  ammoniac  itself, English  smelling
salts, salts  of hartshorn, lime, slacked  or  burned,
barytes (often sold  as ratsbane, under a pretence of
its not being injurious to the people, because it is not
arsenic) ; salts of tartar, which is often mistaken for
tartar  emetic, or  tartarus tartarisatus.   When the
substance which the patient vomited does  not smell
sour but soapy; when blue paper which had become
reddish from  having been drawn through vinegar, is
turned blue again by it; when it begins to foam upon
aqua fortis, or oil of vitriol, or  sulphuric or muriatic
acid being dropped into it — in all  these cases you
must not use soap  water, but substitute vinegar.
   Soap water is the principal  antidote in poisoning
by arsenic, lead, oil of vitriol, aqua  fortis, all strong 
276
acids, and  most metallic solutions.   You may con-
clude that the poisoning originated from acids, when
the mouth  of the patient is  as  if burnt, when  blue
paper dipt  in what he vomited turns red on the in-
stant.  Soap water  is also applicable when a person
has swallowed alum.  It will also prove beneficial in
poisonings by plants of a burning, acrid taste, exud-
ing a pungent juice or milk ; likewise  in dangerous
accidents from castor oil.
   Vinegar is an antidote against  alkaline poison.
As soon  as this is ascertained let the  patient drink
vinegar in great abundance,  and give him injections
of it.  Let him also eat slimy gruel which will excite
vomiting.  Yet vinegar will be injurious upon strong
vegetable  poisons,  various  salts, all mineral  acids,
arsenic, particularly when the stomach pains when
touched.   On the other hand it  is of great service in
cases of poisoning from laudanum, mushrooms,  all
soporifics,  carbonic gas, and liver  of sulphur.   In
such cases alternate with gruel to bring on vomiting,
and subsequently, after having vomited freely, let the
patient  drink vinegar  again, which  will remove a
continued  inclination  to vomit.  Vinegar  will also
answer against poisonous clams and  fish.   It is  an
important  antidote against the poison developed from
fat.   If a person feel sick from  having eaten spoiled
rancid hams or sausages, and his throat is very dry,
and he feels nausea, you will hasten to give  him vin-
egar to drink, not forgetting  however, the other rem-
edies afore-mentioned.
   Oil is  a remedy  by  far too generally applied,  and
taken to be a principal  one, which it is not.   This
refers also to grease, butter, and similar things : — 
277
also  to buttered water.   If to be used, you ought to
be careful of the kind of oil; — rancid oil,  train-oil,
or sperm oil, ought  not to  be applied,  slimy  sub-
stances will answer far better to envelop the poison,
or  sugar,  which  soon  assuages  the stomach,  or
other means to neutralize the poison.   When you are
sure that the poison was alkaline, and you are apply-
ing vinegar successfully, you may alternate with oil,
particularly when  the patient complains of burning
in his mouth, throat,  or  stomach.   Oil,  however,
may be  applied to great advantage,  when  a strong
acid, aqua fortis, oil  of vitriol,-&c. has got into the
eye, the mouth, the throat, or the stomach.  Some-
times it is also  serviceable against poisonous mush-
rooms.   Oil  is hurtful in poisoning by arsenic;  use-
less  in most poisonings from metallic substances : and
very injurious when Spanish flies get into the eye, or
stomach.   It  is literally throwing  oil into the fire.
This is also the case with insects and venomous bugs,
which may have got into  the eye.   Oil  is of great
service when live  insects have crept into the ear.
   Milk is not so good as other viscid  substances;
but  as it is more  frequently at  hand, it will be well
to let the sufferer drink of it, instead of waiting  for
other things.   Fat milk is good wherever oil is good,
injurious wherever that is injurious.  Sour milk  is
good wherever vinegar is so, injurious wherever that
is.   When you have no good oil, fat milk is the best
thing; also when oil becomes disgusting to  the pa-
tient Sour milk is preferable to bad vinegar ; it may
also be  applied  where vinegar has already been  used.
Milk is  very good,  whenever the first  effects  have
subsided, and  there  remain only after-pains ; provi- 
278
 ded the patient  likes  it, and  feels relieved  by it.
 When you cannot ascertain what kind of poison the
 sufferer has taken, and you can therefore not choose
 between the antidotes, yet you have given milk in the
 first instance, and the patient  feels better after it, you
 may continue with it.   The main object, however, is
 that the patient vomit at once so much that you may
 suppose the poison has been ejected with it.
   Sugar and sugar water is, in most cases, one of the
 very best remedies.  Only when you are certain that
 the poisoning resulted  from a  mineral acid, or strong
 alkaline poison, prefer the remedies prescribed against
 such  poisons.  It cannot do  much harm, were you
 to  apply  sugar improperly.   If the person who is
 poisoned wishes sugar, give him  as much as he  de-
 sires.  It is the best antidote against metallic poisons,
 poisonous  paints, verdigris,  copper, tin,  vitriol  or
 alum, and you will continue with it, if the patient finds
 relief from it; should  he, however, not  feel better,
 alternate with whites of eggs  and sugar ; or, where
 it was applicable, with soap water.   Against  arsenic,
 sugar is also a principal antidote ;  also when  the poi-
 soning has been caused by sharp, acrid plants, which
 occasion a burning or swelling in the mouth,  or  in
 the throat.  You may give it  between other things,
 letting the patient either put it into his mouth,  or
 give it to him in water.
  Coffee is an antidote  against so many poisons that
 we cannot do without it.  You must be  careful that
the coffee has not been spoiled  in roasting;  give it
 at first very strong, and  then somewhat weaker.   Do
not neglect, however, to excite vomiting,  should it  be
still required.   When the poison is unknown, coffee 
279
is the best thing you  can give ;  when the patient is
stupefied,  sleepy, senseless, giddy as if intoxicated,
his face red and full, orpale,  cold,  and  cadaverous;
or when he  acts as  if he were  delirious  or  raving.
In all these cases give him  plenty of strong black
coffee till he gets better.   Even after he has vomited
the whole contents of his  stomach, continue giving
him the coffee with sugar.  In all cases of poisoning
give  coffee, if the patient desires it.
  When the poison is known, administer, after the
tepid  water intended to bring  on  vomiting, and tick-
ling  in  the  throat for that purpose, black coffee in
abundance, as a drink and by injection, particularly
in cases of Prussic acid, which you will know from
its smelling like bitter  almonds, or peach kernels, or
peach  brandy.   Also  against laudanum,  poisonous
mushrooms, &.c. ; where a person has swallowed the
juice of sumac ; or when dangerous symptoms occur
from  medicine, containing  belladonna,  colocynth,
Valeriana,  conium (cicuta) ; or from  chamomile-tea.
Coffee is also important in cases of poisoning by wine
of antimony, or when antimony, phosphorus, or phos-
phoric acid have been swallowed.
  Camphor is a principal  antidote  in all poisonings
by vegetable substances, and particularly sharp, acrid,
burning poisons, which cause inflammation and red-
ness  : in all  cases of poisoning, where the  patient
suffers from  vomiting  and flux, is pale, cold  as ice,
and almost senseless.   In such cases, if you do not
know what kind of poison has been taken, you should
prefer having recourse to camphor.   It will suffice to
let the patient smell it, or rub it  on his skin.  You
can make  a salve of it with warm  oil, or  easily dis-
solve it in heated brandy. 
280
  It is the principal  antidote in all  accidents from
insects.  Against Spanish  flies, whether they have
been swallowed, or got into the eye, or when used as
a plaster, they  have  a poisonous effect, camphor is
always the  best remedy.   Also, when venomous in-
sects or infected honey have been swallowed, in vio-
lent symptoms after  meals, in  which small  bugs  or
worms may have accidentally fallen, or when one has
swallowed  small moths;  likewise  after  the sting of
insects.
  When, together  with other  symptoms, the patient
finds it difficult to urinate, or this  is very painful  to
him, and intermixed  with blood, you may always pre-
sume that this originates from Spanish flies, or other
insects, and camphor is the best remedy
  Camphor  is finally applicable, when accidents re-
sult  from the  medicine  a sick person  has  taken;
when children  sicken  after the usual  preposterous
worm medicines; in  accidents from tobacco, bitter
almonds, and medicines that have the smell of these
things,  or  cherry-stones, peach-kernels,  acorns,  or
nuts.
  It  will  mitigate  after-pains  from  phosphorus,
poisoning by minerals or acids, and particularly salty
things.   When, through  vomiting,  every thing  has
been ejected from the stomach, let the  patient smell
camphor from time to time.  This  may also be done
in poisonings by mushrooms,  or  in accidents from
charcoal fire. 
281
CHAPTER  II.
INSECT STINGS. BITES OF REPTILES.  BITE
               OF A MAD DOG.

   The principal remedies are the smell of camphor
and washing with cold water.  Holding the  injured
part near the fire is good.
   Honey rubbed on the stung part is  good, having
previously extracted, as far as possible,  the sting.
   In America lemon-juice is used to mosquito bites,
with great success  : it might be used in stings in this
country.
   If bitten by  a reptile not venomous, rub salt or
gunpowder into the wound.
   If bitten by a venomous reptile, tie tightly, a few
inches length  above the wound, a  cord of any de-
scription, suck  the wound  out at once, but suck  it
well and long, stroking with the hand the part while
you suck, and opening the wound as wide as possible.
   After the sucking, rub  kitchen  salt or gunpowder
well into the wound, and take immediately some salt
or gunpowder.
   When bitten by  a mad dog, do as above directed.
Burning, cauterizing,  cutting, lacerating,  suppurat-
ing, are all useless.  These are done that something
may appear to be done.
   Always continue the proper treatment till the scar
of the wound attains the natural color of the skin. 
282
  If a blister forms under  the  tongue, cut the blis-
ter open, and let  the  patient rinse  his  mouth with
salt water.
CHAPTER  III.
FOREIGN  BODIES, IN DIFFERENT PARTS OF
                  THE  BODY.

  The  treatment  of the eye  when  foreign  bodies
enter it, has been explained.
  Sometimes insects get  into  the ear :  if so, drop
oil into the ear, until the insect becomes visible, and
with a piece of paper rolled  up, pull  it out.  But
if the body be a pea,  or any  thing that swells, and
which cannot be removed thus, then take  a hair pin,
bend  it at the end  to an  obtuse angle, so that the
upper part of the pin may form a knee, like a spoon,
and push the pointed ends  into a cork : place your-
self behind the ear, pull the ear  with one hand up-
wards and at the same time from the head ; then dip
the instrument in oil, and holding the bend in the in-
strument close to the inside of the ear, push  it in  so
as to get it around  and behind the object; then lift
it a little, and the body will fall into the bend of the
pin.
  Sometimes  pointed  things  get  into the ear.   A
case treated, related in the tract  on Arnica Monta- 
283
na,  will  explain what is  best to  be  done after the
removal.
   Children swallow buttons and jfyrthings *  and other


  * The  following case, in which a  farthing was swallowed
and discharged  a month and a day  after  the period  of its being
swallowed, may be instructive, and  illustrative of the remarks in
this section.
  Rebecca Bragg, aged two years, was brought tome April 11,1844,
her mother being iu considerable trouble  because the child had
swallowed a farthing.
  Caster oil had  been administered  to  the  child, before she was
brought to me.   She vomited blood  after the farthing was  swal-
lowed.  I prescribed Arnica, three globules to be taken during the
course of the week :  this was on account of the blood.
   Aprjl 18 —She has been and is very sick, and has cried when
 she eats, but she has cried less the lasthco days : she has not vom-
 ited any blood.  Her mother stales that she passes, by stool, sub-
 stances, like flakes of white paper.
   I ordered Pulsatilla, three globules (for her sickness and the pe-
 culiar stools,) to be taken during the  week.
   ADrif25 —The sickness very much better; she does not crj ,
 harassed™  more portions like paper.  Her moth|« «j«.ed
 with satisfaction " She is much better."   I ordered Pulsatilla to be
 rpneated but the doses at longer intervals.                  .
   ffyI! -She has passed the farthing:  it hav.ng been reta.ned
 within  her one month and a day.                        coinaee
   The farthing which the  mother brought, was ot a late coinage.
 Its surface wa°s d.ngy, presenting -appearance somewhat^s.mrtar
 tn that  nroduced bv the action of fire  on a metallic Dociy.  one
 ^ssed itChou? 2y apparent pain.  Her sickness  is altogether

 S°.nu'       tT,^„r= hnw  absurd is the common  notion, that such
 hJ^ must be  ewSandThat forthwith, from the  intestinal
 canal  There caXbu little doubt that most of the injuries .re-
 canal.   1 nere can i«               h    ,allowmg COins, are pro-
 y^PZmn&v™™*™*™* occasions, these purgatives
 duced by the P"^a nves^          intestinal canal, and thereby
 destroying the healthy condition oi ine ini           ,
 rendering the-coin ir^urious ^J^Cadea diseased
 destructive, but  because rne i    V      hi h h  coin has t0 pas8i
 surface by the V™™™* J" f^ Rasing the  inteslinal surface,
 and has thereby  produceby^« *£«■„*„, them t0 act  power-
 ?ul.Ton\Tefoin1n"hTpeassage, which  action the fluids of the in- 
284
things.   If they are swallowed there  is no  need of
fear, unless actually producing  unpleasant symptoms,
and  unless  they are  sharp-pointed,  such  as  pins,
hooks, &c, and then medical aid will be sought.
   Calmness is here the condition the most necessary :
more mischief results  from a rash interference than
from  the  undisturbed  presence of the foreign  body
in the throat for a short time.
   A few months since, a striking instance of the in-
efficacy of being in a hurry to do something, was pre-
sented in  the treatment of the celebrated  Mr. Brunei,
who had allowed some body to  get into his windpipe.
   Two incisions were made into  his  windpipe, but
without effect;  but  being let  alone for  a  time, and
then by using a slight but  wisely-managed movement,
the body,  that had gained  admission  into  the wind-
pipe,  was discharged.   His  life  was much  more
periled by the cutting into  his windpipe, than by the
presence of the foreign body  there.
   To show how useful presence  of mind and tact
are, the following circumstance, related by Dr. Her-
ing,  is worthy  of insertion:  " A  child  once  swal-
lowed a fish-hook, so that  the string stuck  out of the
mouth ; to push it down was dangerous and  hazard-
ous ;  to pull it  up, impossible ;  if remaining within,
it might prove mortal.  The physician had the  rare
presence of mind to  hit upon the only proper means;
he  had a leaden ball perforated,  drew  the string
through the  hole,  and pushed the  ball  down  the
throat;  the  fish-hook was loosened from the  flesh,
and, lying fast to the ball was pulled up again."

testinal canal, formed when that canal  is in its usual  state, would
not have exerted. 
285
      [" HYDROPATHY,"  OR  THE WATER  CURE.

  As Hydropathy is, at  the present  time, engaging
much attention, and  as it is, to a certain extent, re-
garded by some practitioners, as a valuable adjunct
to Homoeopathy, in expediting the cure of several
diseases, a few particulars  respecling its origin, pro-
gress, mode of application,  &c, may not be  bere
considered inappropriate.   Long previous to the time
of Priessnitz, the present distinguished Hydropathist
of Europe, water had been used as a remedial agent
in various complaints, but its systematic application to
all forms of disease originated  in  the institution at
Graefenberg, under  the  direction  of the  " Silesian
peasant."  The success which the new method there
met  with attracted public attention, and led  to the es-
tablishment of similar institutions throughout Europe
and  America.  That it is  an  universal remedy, or
that it is, as a system, at all comparable to  Homoeop-
athy we are far from believing;  but as an occasional
assistant  to  the  action  of homoeopathic doses, as a
depurative stimulating tonic and simple antiphlogistic,
its importance is now widely acknowledged.
   The modes in which this economical and easily
 attainable agent is applied are various,  consisting of
the  "wet-sheet,"  hip baths,  foot  baths,  douches,
head-baths, eye-baths, leg-baths half-baths, jet-baths,
 affusions,  &c.  The manner  of applying the  wet-
 sheet the seat-bath, and  fomentations  as  they  are
  he  p incipal, if not the only, forms which  Homceop-
 athists  have made use of, never, by them, alone relied 
286
 upon, however, but  only  as  auxiliary to the internal
 use of medicine, will be here described.

                  The  Wet-sheet.

   This expedient is resorted to in  febrile  affections,
 when the surface is hot and dry.  It assists in some
 instances, the action of Aconite, and relieves the ex-
 cessive  restlessness  accompanying  fever, producing
 quiet sleep, and promoting perspiration.   In  inflam-
 matory, eruptive  and other fevers, its judicious appli-
 cation has  frequently been followed  by the most favor-
 able results, working in  conjunction with the well-
 selected  internal  remedy to  aid  the   recuperative
 efforts of nature.   The following  is the process re-
 commended.
   A sheet  is to be dipped in  cold water, and rung out
 as dry as possible, then  spread upon the top  of  two
 blankets  previously  laid upon  the  bed   or mattress.
 The patient, entirely undressed, is to be immediately
 laid  upon the sheet,  and closely covered with it, from
 the neck to the  feet.   After the entire body, with
 the exception of  the head, is enveloped in the sheet,
 the blankets underneath  are to be  separately drawn
 over the  body, and  closely tucked  in,  one over the
 other.  Particular attention  should  be paid in  en-
 closing the neck,  both by the sheet  and  blankets, that
 the cold air from  without may not find an entrance.
The lower  ends of the sheet  and blankets should be
 bound round and then drawn under the  feet, so  that
 when the  packing  is  completed, the whole surface
of the body may  be closely  and entirely enveloped.
Afterwards, five or six thick blankets should be spread 
287
over the patient, and tucked under or pressed closely
against  the sides.  After the  operation is thus con-
cluded,  one  or  two  tumblers  of cold  water drank
slowly will aid in bringing on perspiration.
   At the end of one  hour — longer or shorter, how-
ever, as the perspiration may be more or less decided
— the patient  should be carefully  and quickly un-
covered, and the whole surface  rubbed  with a towel,
or sponge dipped in cold  water, and afterward with a
dry cloth.
   This sponging with cold water while the body is in
a state of perspiration, induced in this manner, is not,
as many are too apt to suppose, attended with dan-
ger.  When perspiration is the result of violent exer-
cise, emotion,  or  internal  febrile  excitement, the
sudden application of cold might be very injurious.
   The person, packed as above, should not be  forced
to breathe the confined air of a close room. A  win-
dow in the apartment should remain open while the
body is enveloped  in the sheet.
   Should  the head become hot and uncomfortable, a
 towel wet  with cold water may  be laid upon the fore-
head.  If,  however,  during the perspiration, the head
 shouid  continue heated, or if there is general uneasi-
 ness, the blankets  and sheet may be removed.   Such
 symptoms  generally   indicating a too  powerful  re-
 action,                                      a.  .
    When the wet sheet is applied to persons suffering
 from violent febrile action, hot, dry skin, and frequent
 pulse, the object is to abstract the superabundance of
 heat as rapidly as possible, and the application of a
 second  wet sheet  is necessary as  soon as the first
 becomes dry, or the  heat of the surface returns.  As 
288
partial inflammation is subdued by the topical  appli-
cation of cold embrocations, so in this  case, where
the inflammation is general, the principle remains the
same.                                        ,
   A half sheet is applied as the  whole  sheet  above
described,  but extending only from  the  arm-pits to
the thighs, and is both useful and convenient.

                     Seat-bath.

   The seat-bath is taken  in a tin vessel  constructed
for the purpose, with a back to lean upon, or a com-
mon tub may be made use of, in an emergency.  Such
a quantity of water is to be poured into the tub as to
reach above the hips of the person sitting.   The upper
part of the body as well as  the lees  should  be cov-
ered.  The length of time for remaining in this bath
must depend  upon  circumstances, usually, however,
from fifteen to twenty minutes ; sometimes an  hour.
When the purpose is to counteract chronic congestion
of blood, the time  is frequently  prolonged  for two
hours.
   It is proper to add here, that too protracted an ap-
plication of cold water, either  generally or locally, is
unsafe, and the  duration  of time should not be left
to conjecture, or to the judgment  of the  bather.   In
acute complaints, as brain, lung, nervous fever, or
when violent pains exist, the time should be graduated
according to the severity of the inflammation, or pain.
   The seat-bath is used with  much  success, in con-
nection with suitable internal remedies, for the relief
of the  pain and  the checking of discharges in diar-
rhoea,  dysentery, bleeding  hemorrhoids   &c.    In
many cases, the  relief is immediate and decided. 
289
                  Cold Bandage.

  For the removal of local pain, or inflammation, a
towel is wrung out dry  in cold  water, and applied
around or upon the part affected, and closely covered
with a perfectly dry cloth.  Bound around the abdo-
men in this  manner, thev produce perspiration, and
quiet the nervous  irritability  accompanying a fever-
ish  condition of body.  This is a beneficial applica-
tion in cramps and pains  in the  stomach and abdo-
men, and  its frequent renewal is  of great service  in
a constipated state of the bowels.
  In headaches, with external  heat, a small, folded
towel, wrung  out  in  cold water, and laid  upon the
forehead,  will be productive of  great relief.
  In croup, the throat may be kept constantly bound
with a  cold compress, closely  covered with  a  dry
cloth.   The local inflammatory  action which,  un-
checked,  renders  this complaint so dangerous, is
more readily  and  safely subdued  by  this   simple
method than by any other external application.
            Drinking of Cold Water.

  The following remarks respecting the frequent and
excessive use of cold water  as a beverage, so highly
recommended  by some practitioners of Hydropathy,
are from the work of Dr. Edward Johnson, the most
eminent Hydropathist in  England.  He  writes thus :
  "I am  decidedly opposed to  the  indiscriminate
drinking of large qualities of cold water   One can-
not understand in  what  manner  these large imbibi-
               19 
290
tions are to operate so as to be useful in the animal
economy.   We know precisely what becomes of the
water soon after entering the stomach :  we can trace
exactly what  course all this water must take, what
channels it must traverse, between  its entrance and
its exit.  We are perfectly  we'l acquainted with cer-
tain physiological effects produced  by it after it has
been received into the system.
  It dilutes  the blood : it   lowers  the  temperature,
and thereby diminishes the  vital  power of the stom-
ach :  it puts  certain  systems  of  capillary blood-ves-
sels on the stretch,  to the great danger of bursting:
and it overtaxes the kidneys.  I have seen two cases
of bloody urine  which were fairly attributable to the
excessive drinking of water.
  An unfortunate gentleman of Nottingham, (Eng.)
who died from excess of treatment, administered by
himself, was  found  to have  the fine, thin, transparent
mucous membrane of the stomach semi-dissolved into
a gelatinous pxdp (which was easily scraped  off) by
the quantities of water he had drank.   He had been
covered with boils,  had a most ravenous appetite, and
had drank seven or eight pints of water daily.
  It  must be  remembered that, in  drinking  cold
water, the full shock  of the cold  is sustained  by the
stomach alone.   It is from  that organ that nearly all
the heat is abstracted by the cold water.  While the
water remains in the  stomach, it is  continually ab-
stracting vital heat  from it.   The water warms itself
by  heat abstracted from  the stomach.   When  it
leaves that organ  and  enters the system, it has be-
come warm  water; and the  heat  which it has ab-
sorbed from  the stomach into itself, it carries away 
291
into  the blood-vessels, leaving the stomach chilled,
and with a lower temperature  than any other part of
the body.   This lowering of its temperature, repeated
frequently, has  a decidedly weakening  effect  upon
the stomach.  The capillary blood-vessels, deprived
of their vital  heat, become relaxed : they open and
admit  a larger  current  of blood :  congestion thus
takes place:  irritation is set up, like that in a blood-
shotten eye :  and  a morbid craving for food, even
between meals,  is produced.
   If the water imbibed indeed lowered the tempera-
ture  of the  whole  body equally, the  case would be
different, and  the practice less hurtful.
   Thus, then, it seems there are certain well-under-
stood and very obvious  injuries  which  the large  im-
bibition of water cannot fail to inflict, while the sup-
posed  benefits to accrue from  it  are altogether mysti-
cal,  problematical, unintelligible.  This, however,
only applies  to excessive drinking — drinking  for
mere drinking's sake, as one  formerly   swallowed
physic.  If persons are thirsty, if their mouths and
stomachs are heated and feverish, let them drink as
much  water as is sufficient to  allay these uneasy feel-
ings.  If the  tongue be foul in the morning,  and  the
mouth parched, half a tumbler of pure spring water
will  be found  very refreshing, and provocative of an
appetite for breakfast.  The quantity of water which
each person should drink during the day must always
depend on his own feelings.  He may always drink
when  the  doing so is agreeable  to his sensations :
when it is  repulsive, never.
   A large quantity of fluid should not be taken during
dinner.  It should  not exceed  a tumbler full: and 
292
the less the better, provided a proper quantity of food
can  be got down without it.  A natural  tbirst will
occur some three or four hours after dinner, and then
a hearty draught of  cold  water will be delicious and
useful.
  All the intelligible good effects of water-drinking
will  be as certainly obtained  from drinking some six
or seven  tumblers a day  (including  meals)  as  by
drinking more :  while all the evils of excessive drink-
ing will be avoided.
  Whenever the appetite is  deficient, I recommend
the patient to drink a tumbler or two  of  fresh cold
water before breakfast, and  two before dinner, arid
to take cold water for breakfast  and supper instead
of tea, if it do not disagree with the stomach. — Ed.] 
293
                PART  VI.

Explanation of some Terms used in  this Work : and
  Directions as to the points to be attended to  in
  Consultation.
CHAPTER I.
       EXPLANATION OF SOME TERMS.

   Health.  " As long as the organs of the body
 are in their natural, sometimes called their normal
 state, the life, acting through them, presents the phe-
 nomena of vitality in so beautiful  an order, so suita-
 ble a  harmony, that, were we not constantly habitu-
 ated to the contemplation, we should be struck with
 wonder.  These orderly phenomena, these beautifully
 harmonizing manifestations, are health.   (Homoe-
 opathy and its Principles Explained, by John Epps,
 M. D., p. 7.)
   Disease.  " What then is disease but irregular,
 abnormal manifestations of life!  Disease is vitality
 disturbed in its manifestations: life, not disturbed in
its own nature, but disturbed, because the appara-
tuses,  the organs, through which  it  acts, are not in 
294
 their natural, their  normal,  their  regular  state.
 (Ibid. p. 9.)
   Aliment.   A substance, placed in such a relation
 to the human body in a state of health as to, when
 taken, afford nourishment.
   Medicine.  A substance placed in such a relation
 to the human body in a state of disease as to, when
 taken, restore the body to its regular and natural
 condition.
   Remedy.   The same as Medicine.
   Therapeutic agent.   The same as Medicine.
   Pathogenetic  IlaOog, pathos, a suffering :  and
 yePETtxog, genetikos, producing.   A  term  applied to
 the effect or the effects, produced, upon a  healthy in-
 dividual, by taking any  medicine, remedy, or  thera-
 peutic agent.
   Allopathy, (Jllog,  alios, another;  and nadog,
pathos, suffering,)  is the doctrine that develops the
principle, that diseases are to be cured by inducing
other diseases in some part of the system, not already
 affected.
   Allopathic.   Of or belonging to Allopathy.
   Antipathy.  Avttt anti, against:  and  nadog, pa-
 thos, suffering; is the doctrine that develops the prin-
ciple, that diseases are to be cured by inducing states,
directly antagonistic  to  those manifested  in the  dis-
 eases.
   Antipathic  Of or belonging to Antipathy.
   Homceopathy  (from  oyniog^ omoios,  like ;  and
nadog, pathos, suffering;) is the doctrine  that devel-
ops the principle, that diseases are cured most quick-
 ly, safely,  and effectually, by medicines,  which are 
295
capable of producing in a healthy person symptoms,
similar to those existing in the diseases.
  Homoeopathic   Of or belonging to Homoeopathy.
  Globule.   A term  applied to  the round  little
grain, made of sugar and fecula, which, impregnated
with any remedy, is the form  under which the rem-
edy is administered.
  Abdomen.  The  part of  the  body situated  be-
tween the chest  and the pelvis; the cavity in which
the stomach, the liver, the spleen, and the intestines
are contained.  This part fastidiousness miscalls the
stomach — whereas the stomach occupies but a part,
and that the upper part, of the abdomen.
   Periosteum.  The delicate membrane investing
the bones of the body.
   Psora.   Hahnemann considers  that the eruptive
 state,  designated  by  the  term  psora, is  the  most
 frequent  cause  of disease :  or more correctly, that
 psora exists in the majority of individuals in a  dor-
 mant  state;  and  that  the  constitutional condition,
 thus induced, is one which  is, so  to speak, a pecu-
 liarly favorable soil  for the production of diseases by
 the influence of noxious agents.
   Semilateral.   Affecting  one half either  of the
 whole body, or of any part of the body.
   Specificity.   The peculiar  relationship   estab-
 lished in nature between the properties of a remedy
 and the symptoms  of a disease, that they (when
 brought to act on one  another,)  are mutually active,
 so as^to remove the disease.
    Meconium.  The name given to the feculent mat-
 ter, contained in  the bowels of the just born infant.
    Lymph.   A transparent fluid, circulating through 
296
the absorbents.   These vessels are small and trans-
parent, originating in every portion of the body, sup-
plying the blood with that part of the food eaten which
is fit for circulation, removing the superfluous fluid
effused on different cavities, and conveying into the
system medicinal  and other matters applied  to the
skin.
  Gangrene.  A loss of vitality of any part  of the
body — synonymous with mortification.
  Cuticle.  The outer membrane, which, with two
others, constitutes what is ordinarily  denominated
the " skin."  The thin white membrane, which be-
comes detached from the others in  " blisters," is what
is called the "cuticle."
  Conjunctiva.   The anterior, external coat of the
eye.
  Effusion.  The escape of any  fluid out  of the
vessel naturally containing  it, and its lodgment  in
another place.
  Purulent.  Having the appearance of pus.
  Congestion.   An unusual accumulation of blood
in any particular  set of vessels.  Congestion  on the
brain, &c, means a distention of the  blood-vessels
there situated.
  Acute.   As applied to a disease, means one  at-
tended with violent symptoms, terminating in a few
days, and attended with danger.
  Sputa.  Any kind of expectoration.
  Tenesmus.  A continual inclination to evacuate
the bowels, without success.
  Flatulence.    A greater accumulation of air than
is common in the stomach or intestines.
  Adynamic  A condition of the system, when the
vital power is deficient. 
297
  Tympanitic   Applied^ to an  elastic,  distended
state  of the  abdomen,1 which sounds  like a  drum
when struck, and which is caused by wind.
  Comatose.  Having a strong  propensity to  sleep.
  Chronic  A term applied to  diseases which are
of long continuance, and mostly without fever.  Used
in opposition  to the term " acute."
  Vesicle.  An elevation of the  cuticle, containing
a transparent, watery fluid.
  Suppuration.  That diseased  action,  succeeding
inflammation, by which  a cream-like fluid (pus) is
deposited in tumors.
  Dyspnoea.  Difficulty of respiration.
  Specific  A remedy which, for a certain train of
symptoms,  is in all cases,  and  under all circum-
stances, curative.
  Vertigo.  Dizziness.
  Hemorrhage.  A flow of blood.
  Cerebral.  Relating to the brain.
  Depurative.   Applied to those agents which free
the fluids and solids from impurities.
  Antiphlogistic  A term applied to those  medi-
cines, plans of diet, or other influences which tend
to oppose  inflammation, or which, in  other words,
weaken the system  by diminishing the activity  of the
vital power.
  Capillary.   The very small  ramifications of the
arteries, which  terminate upon the external surface
of the body, or on the surface of internal cavities, are
called capillary vessels.
  Cauterizing.  A method, in use  in  allopathic
practice, of destroying the vitality of a part by  burn-
ino- with a  red-hot iron or caustic alkali. 
298
  Intermittent.   When  applied  to  the  pulse,
means an irregularity  of pulsation, the beating of the
artery ceasing for two, three, or  more seconds, and
then returning to beat regularly for a short time, suc-
ceeded by a cessation, and so on.  When applied to
fevers, means an entire cessation of febrile symptoms
for  a certain period, the  paroxysms of fever coming
on once or twice a day, every second or  every third
day, leaving  intervals of absence from  all feverish
indications.
  Remittent.  When  symptoms of fever diminish
considerably, but not entirely, at certain periods, to
recur with their previous  severity after the ameliora-
tion.
  Malignant.  A term  applied to any disease which
is so severe as to threaten extinction of life ;  more
generally used to signify  a dangerous epidemic.
  Petechia.   Red or purple spots, resembling the
bites of fleas.
  Lethargy.  A  heavy, constant sleep,  with but
few waking intervals.
  Paroxysm.  A periodical attack of a disease.
  Epidemic  A contagious disease, which attacks
several persons at the same season,  and in the same
place.
  Plethora.  A superabundance of blood. 
299
CHAPTER  II.
                INSTRUCTIONS,


BY WHICH PATIENTS AT A DISTANCE, AFFLICTED WITH
    CHRONIC DISEASES, MAY COMMUNICATE THEIR
         CASES TO A PHYSICIAN BY LETTER.
Re-published from the American  Journal of Homoe-
                     opathy.
  The patient should first describe his complaints in
his own way, as though these instructions were not
before  him;  viz., their commencement, progress,
and presumptive causes.  The  age  and sex of the
patient and whether he be married or single;  whether
of a large  or  diminutive frame  of body, meagre or
stout, feeble or robust.  Whether the complexion be
florid or pale, or dark.   Concomitant bodily infirm-
ities,'as hernia or rupture, prolapsus  uteri, curvature
of the spine, lameness, &c,  should be made known
The disposition mild and placable, or boisterous and
violent -firm or yielding, lively  and  communicative, 
300
or reserved  and taciturn :  anxious, apprehensive, or
timorous, or irritable, &c.
   The patient  is next  required to give an accurate
and particular description  of the incidents or symp-
toms of his  disease, such as pains and other morbid
sensations, and their exact  character.  He should
describe precisely the region or part, and  on which
side of tbe  body they are seated, and  how large is
the space they occupy.   Are the symptoms continued,
or do they remit or vary in  intensity  from  time  to
time !   Do  they occur  at  regular times of the day,
or at certain intervals of one or more days !  Is their
recurrence,  aggravation,  diminution, or   cessation,
connected with the exercise of any bodily  function !
Do they  arise or disappear,  are  they increased or
diminished  by exercise, or  during rest,  by  lying
down, or sittingfby stretching out or bending up the
body, by walking, by  standing, by warmth or  cold,
in the open  air or within  doors, by light,  by noises,
by  talking,  by eating,  by  drinking or swallowing,
soon after eating, by the motion of the affected part,
or by touching or pressing it by mental emotion —
fright, anger, during bodily or mental exercise, read-
ing 1 &c. &c.   Are the symptoms  associated  with
anxiety, greater or less?  Do they impair the powers
of thought or recollection,  or the due exercise of the
senses ?
  During the  sufferings of individual  parts or func-
tions of the  body, (even when  these  sufferings are
not the principal ones,)  further  information is to  be
given respecting the state of the patient's mind;
whether he suffers patiently,  or  is inclined to weep,
to be morose, passionate, despairing, greatly anxious, 
301
or fearful, &,c , or whether  the mind is remarkably
affected in these respects by the  disease.   Are  the
intellectual functions, power of thought, memory, or
desire, or ability for mental or bodily exercise weak-
ened ?   Aberrations of mind, morbid affections of
the moral  and intellectual faculties,  are  to  be de-
scribed by the narrators strictly as they are manifested
by the patient's words or conduct.
  Is there dizziness, or  " a dull, heavy sensation,"
of the head.   Disorders of sight.   Does the patient
see objects  indistinctly, as through a veil  or mist?
Does  he see  dark specks floating  before the eyes, or
sparks, or  false colors?  Do objects appear double
or quivering ?  Is the patient short or long sighted ?
Is tbe pupil contracted, dilated, or very changeable?
Are the eyes watery,  red,  inflamed, averse to  the
light?  Do the eyelids frequently  adhere  together?
Do they open and close properly ?   Are they affected
by convulsive motions  or twitchings, or  beset with
sties ?   Are there specks upon the cornea ?
  Disorders  of hearing.  Is there a roaring, whiz-
zing,  or ringing noise in the ears ?  Is the ear-wax
dry or fluid, oozing from the ears, or fetid?
  Are the nostrils obstructed ?  Is there a cold in the
head, with or without  a discharge from the nose?
Sneezing.   Sense  of smell. .Soreness and rawness
of the nostrils, or a bad smell from them.   Bleeding
at the  nose.
  Are the teeth incrusted with tartar, loose, decayed,
and have any fallen out or been extracted ?  Are the
gums pale or red, hard or soft, spongy, swollen,  apt
to bleed, or retracted from the  neck of the  teeth  ?
  Is there a dryness in  the  mouth ?   Or excessive 
302
flow of saliva?   Is the saliva  viscid, slimy, fetid,
bloody ?   Is the surface of the tongue, tonsils, uvula,
palate, fauces or lips affected with blisters, swellings,
or ulcers, or  covered  with mucus?   Is  the  tongue
dry or moist, acutely sensible, chapped, sore or raw,
clean or  covered  with fur (white or yellow)  ?  Are
the functions of speech,  chewing or  motion of the
tongue unembarrassed ?  ' Is  swallowing  performed
without difficulty ?  (Is the swallowing of fluids or
solids or of the  spittle, attended by inconvenience?)
Has the  patient a bad  breath ?  Is the taste  natural
or  absent, slimy, salt,  bitter,  sour, foul ?   Have the
different articles of food their proper taste, or are they
insipid, slimy, bitter, sour, salt, &c?   How are the
appetite  and  thirst ?   What articles of food or drink
are preferred ?  What complaints  arise after eating
and drinking? Is the patient troubled with frequent
belching of wind, with or without taste, — or  does
it taste of the food just eaten, or of what ?  Is there
regurgitation  of fluids  from the stomach, or a conflu-
ence of saliva in  the  mouth ! and of what taste in
either case?   Is there vomiting of water, saliva, or
mucus, of an acrimonious,  acid, or  bitter taste;
or of a putrid taste and smell, or of a yellow, green,
or bloody  aspect?  Does  the patient  vomit coagu-
lated blood,   or  food ?.   If  there  be sickness  or
nausea?   Is  the abdomen tense, full, hard, or empty
and retracted ?  In the case  of pains or other com-
plaints in  the abdomen,  the particular  region  in
which they are seated  should be  accurately  defined
(for  example : pit of  the  stomach,  region  of the
navel,  immediately below the ribs, in which side,
&c.)   Is the patient troubled with flatulency ?  Are 
303
there frequent rolling and rumbling in  the bowels?
Does the wind readily escape, or is it retained ; and
what are the complaints which  it  seems to give rise
to ?  Are the  evacuations from the bowels effected
with ease or  difficulty?  How frequent  are  they?
what is their consistence? are  they fsecal, or slimy,
or bloody, &c. ? '  What is their color?   Are there
any  complaints  immediately preceding, during,  or
following a stool ?   Are any large or small  worms
discharged ?   Are there  abrasions or  sore  places,
warts, or  piles, in  the rectum  or  anus; and do the
latter sometimes protrude or  bleed?   What com-
plaints arise before, or  during, or after the urinary
discharge? and  is the discharge sparing or copius?
What is the aspect of the urine ?   Is it clear, high-
colored, or turbid ?  Does it soon change after evacu-
ation, and deposit mucus or  sand, or a white or a red
sediment? Does it contain  blood, pus,  or gravel?
  Is the  breathing short, or  otherwise  oppressed?
Can the  patient  ascend a height?  Is the breathing
asthmatic, wheezing,  or rattling?  Does the  patient
make any complaint on drawing a deep breath ? How
is the voice ;  rough, hoarse, hollow, &c. ?  Is there
a cough? is it slight and short, or hard and difficult?
does it seem to come  deep from the breast ?  do the
paroxysms of coughing last long, and  are  they at-
tended by swelling  of the face  and loss of breath?
How does the cough  sound?   Is  it dry or followed
by expectoration ?   Is expectoration easy or difficult,
sparing or copious, mucous, purulent,  resembling
saliva,"bloody, (interspersed, or  tinged with blood,
and of bright, or dark  color, or  is  it pure  blood?)
white, yellow, green, ash-colored, &c. ?  Does it taste 
3D4
salt, sweet, bitter, or  what taste has  it ?  Is there a
superabundance of  mucus  in  the  larynx or trachea,
or does it seem to lie  deep in the breast ?  In what
part of the organs of  respiration is seated the irrita-
tion to cough ? and from whence  proceeds the mat-
ter expectorated?   Is there palpitation of the heart?
or throbbing in other parts of the body ?   Does  the
patient suffer from transient flushes  of heat?   He
can, perhaps, describe  the condition of the  pulse.
Are the glands under  the ear, under the jaw, in  the
armpits,  on  the head,  in  the  groins, swollen or sup-
purated ?  Is the patient afflicted  with goitre, or an
enlargement of the gland over the windpipe ?
   Are there swellings of  the  bones  or joints?  are
there tubercles or  swellings, or swollen  or knotted
veins ?   Are there any parts red, swollen, and pain-
ful ?  Are the hands or feet swollen ?   Is there lame-
ness of one or more of the limbs ?   Are there cramps
or spasms,  tremor,  twitching or starting, stupor or
falling asleep, or other morbid sensations in  any of
the limbs?   Is  the skin pallid, yellow, &c. ?  Is it
dry, or inclined, to sweat, or  otherwise  in  an  un-
healthy condition ?
   Is there itching of  the skin (tickling, slight prick-
ling, or  a  sensation  of biting, burning,  crawling,
sticking) ?   Is it relieved  by  scratching, or  is  the
sensation thereby only changed for another?  The
presence in  the skin of wheals, swellings, boils, chil-
blains, and corns, is to be mentioned, and the attend-
ant sensations described  : also cutaneous eruptions.
   Is there chilliness, or a feeling of heat ?  Chilliness,
heat, or sweat of particular parts?  Sweating of the
feet, whether  warm, cold, or fetid ?  When  the  pa- 
305
tient has fever, does the paroxysm consist of a cold,
hot, and sweating stage ?  Do they alternate  with or
succeed each other ?   What is the order of their suc-
cession ?  With what  intensity, and  how long does
each continue?  Are they general, or do they affect
particular parts only ; with or without thirst ?   With
paleness or redness of the face and skin?  Are there
other symptoms accompanying the paroxysm  of fever
(cold, hot, and sweating stage) ?
  Does the patient sleep long, or is he restless, and is
the sleep interrupted by frequent waking or startings ?
Does he talk  or  moan in his sleep, or  has  he the
nightmare ?   Is  the  sleep  disturbed  by  anxious
dreams,  and  of what  character?   In what  posture
does the patient lie during sleep ?   Is he accustomed
to sleep with  his mouth open ?  How is his strength?
Is he obliged  to lie  down,, or can  he  remain up?
Does he feel  languid,  weary, or sluggish, &c. ?  Is
he emaciated ?
  The patient should relate his previous diseases,—
particular cutaneous diseases — itch, eruptions of the
head, tetter,  erysipelas, small-pox, measles,  pimples
on the face, or any itching eruption of the skin.

  By the use  of these questions, which show the mi-
nuteness of statement on the part of the patient, and
the correspondent minuteness of investigation on the
part of  the physician, necessary for the  application
of homceopathic means for the cure of diseases, I have
had  the pleasure of curing many patients in Ireland,
Scotland, and various parts of England, whom I have
never had the opportunity of personally seeing.
20 
306
INDEX TO SUBJECTS.
        —♦—
Abortion	PAGE 206	Catarrhal Ophthalmia .	PAGE 66
Abscess	178	Case of Scarlet Fever pre-	
Acute Diseases, admin-		vented	43
istration in,	18	Case of Wound treated .	51
After-birth	222	---- of Swelled Head .	243
-----Pains .	212	---- of swallowing a Far-	
Animation, suspended 185-196		thing ....	283
Antidotes to Scarlet Fever 43		Causes of Disease .	252
-----■-----Measles	43	Cephalalgia or Headache	58
Aphtha, or Thrush	111	Cheek Swelling	76
Arnica, over dose of	00	Chicken Pox .	37
------ Tincture	261	Chilblain .	31
Asiatic Cholera	138	Childbirth .	209
Asthma of Millar .	98	Chlorosis	247
Ct cc	103	Cholera ....	137
		Clothing of Infants	200
Bad Mouth .	113	Cocoa ... 24,	267
Bathing the Feet .	86	Cold bandage	289
Bath-seat	288	----in the Head . 81,	246
Biliousness	151	Colic ....	141
Bites of Reptiles, &c.	281	---- Windy .	141
Bleeding from Nose	79	Coma ....	184
Blight .	65	Constipation . 133, 204,	214
Boil	30	Consumption . Convulsions .	107
Bloody Flux .	145		231
Bowels .	132	Corns ... 33	261
Bronchitis	105	Cough ....	88
Bruise . . 54, !	253, 261	Cramp of the Stomach .	130
Burns	49, 263	Croup ....	96
Buttons, &c. swallowed	283	CrustaLactea, or Milk Crust 25	
*		Crying of Infants .	240
Calendula, Tincture	262		
Camphor an antidote to		Deafness	74
poisoning .	279	Debility . . .	172
Cardtalgia	126	Delivery, Directions after	211
Catarrh or Cold	81	--------Diseased States	
Catarrhal Fever	83	after ....	214
 
307
    PAGE
113,  228
     257
     159
 35,  215
     265
 Dentitioh
 Desire to return home
 Diabetes .
 Diarrhcea
 Diet
 ----after Delivery      .    213
 Digestive Organs,  Affec-
  tions of                  109
 Dizziness    ...     61
 Drinking Cold  Water   .    289
 Dog, Mad, bite of  .     .    281
 Dose, repetition of .     .     19
 Dropsy  .    .     .     .    174
 Drowning    .     .     .    isg
 Dysentery    .     .     .    145
 Dyspepsia    .     .     .    123

 Ear affections          .     71
 Earache .    .     .     .     71
 Enteritis, or Inflammation
  of the Bowels   .     .    143
 Epilepsy     .     .     .    178
 Epistaxis, or  Bleeding
  from the Nose   .          79
 Erysipelas    ...     47
 Excoriation   ...     26
Exercise     .     .     .    199
External Applications   .    260
------— Injuries  .     .     49
Explanation of  Terms   .    293
 Exposure to Cold or Wet    264
Eyes  and Eyelids, Affec-
  tions of         .     .     63

Fainting     ...    183
Febres or Fevers   .     .    160
Fever, Simple          .    160
  "   Inflammatory   .    160
  "   Typhus     .    .    161
  "   Ship   ...    162
  "   Remittent   .    .    165
  "   Yellow     .    .    166
  "   Intermittent     .    166
------and Ague  .     .    166
Flatulence    ...    127
 n                        PAGE
 b omenting, proper way of   270
 Foot-bathing      .    .     268
 Foreign  Bodies in differ-
  ent parts of the body      °°°
 Foul Air    .
 Fright   .
 Frozen  .
 Furunculus or Boil.

 General Affections .
 Gout
 Green  Sickness
 Grief, Silent  .
 Gripes or Colic

 Hanging
 Hsematemesis,  or Vomit-
    ing of Blood  .
 Haemoptysis, or Spitting
  of Blood
 Haemorrhage, violent
 Haemorrhoids
 Head Affections
 Headache
 Heartburn
 Hepatitis,  or   Inflamma-
  tion of the Liver,
 Hernia or Rupture
 Hiccough
 Hip, Pain in the
 Hoarseness
 Hooping-cough
 Hordeolum or Stye
 Hydrocephalus
 Hydropathy  .
 Hysterics

 Icterus or Jaundice
 Indigestion
 Infants, treatment of
 Inflammation of the Bowels  143
 -----------------Breasts 218
-----------------Eyes     64
-----------------Liver   150
-----------------Lungs   99 
308
		PAGE	PAGE
Inflammation of the Head		55 Nostalgia, or desire to re-	
	-Ear	72 turn home .	257
	Stomac^ ,QI ^rt°a »t*°		79
	- Knee	180	
	- Brain	55 Ophthalmia Catarrhal .	65
Influenza		86 Otalgia or Earache	71
Instructions in presenting		Otorrhea	73
Cases Jo a Physician .		299	
Irritability		28 Pain in the Hip	155
Itchings .		27 Painter's Colic	143
		Palpitation of the Heart	170
Jaundice	148	, 243 Paronychia or Whitlow .	28
Jealousy		257 Passion ....	256
		Piles ....	143
King's Evil .		236 Pimples ....	40
Knee, Inflammation of the		180 Pertussis or Hooping Cough 91	
		Physical Causes	258
Labor Pains	,	210 Pleurisy ....	101
Lancing the Gums		230 Poisoning	272
Lethargy		184 Poisonous Vapors .	196
Liver Complaints		150 Poultice making	269
Lochial Discharge		216 Pregnancy . . 197	-202
Lumbago		154 Puerperal Fever	221
Lungs .		99 Pulmonary Consumption Purgatives, destructive	107
Measles .		40 Effects of .	59
Megrim .		61 Purpura or Purples	46
Menstruation, conti	nuanceo	f203 Pustules	38
" profuse		248	
" suppressed		249 Quinsy or Sore Throat .	120
Mental Causes		253	
Miliaria .		48 Respiratory Organs, Af-	
--------Fever		48 fections of .	78
Milk Crust .		25 Retention of Urine	246
---- Fever		218 Return of the Milk	241
---- Leg		220 Rheumatism .	151
Millar's Asthma		98 Rickets ....	237
Miscarriage .		206 Ringworm	32
Morning Sickness		202 Rubeola or Measles	40
Mouth, Diseases of		111 Rules for administering	
Mumps .		76 Medicines .	17
Muscular System,	Affec-	Rules for selecting Re-	
tions of the		151 medies	21
		Running from the Ear .	73
Nettle Rash .		48---------------Nose	78
 
309
Ruta Tincture

Saint Anthony's Fire
Scald Head or Ringworm
Scald
Scarlatina
Scarlet Fever
Sciatica .
Scrofula.
Sea-sickness  .
Seat-bath
Secretion of Milk
Sightedness, Near
---------- Far
Sight, Weakness of
Skin Affections, Evils from
  External Remedi
Sleeplessness .
Sleep   .
Small Pox
Somnolency   .
Sore Nipples .
----Throat   .
Spasms .
Spitting of Blood
Sprain  .     .          54,
Stomacace or Bad Mouth
Stomach     .    ._    122,
Squinting or Strasbismus
Stifling .     .    •     ■
Stings of Insects  .
Strangling
Stye    ....
Suppuration   .
Suspended Animation at
  Birth ....
------from  Starvation .
----------a Fall .
.-----■-----Strangling, &c.
__________Drowning  .
---------- being Frozen
          ■  Lightning  .
  PAGE                          PAGE
    263 Swelling of the Cheek  .      75

     49 Teething     .     .    113, 228
     32-------Delayed  .    .     226
49,  263 Terms Explained  .    .     293
     42 Tetanus ....     177
     42 Tincture of Arnica     .     261
    155 ---------Calendula  .     262
    236---------Ruta   .    .     262
    181 —-------Urtica Urens     263
    288 Tic Douloreux    .    .     118
    221 Throat, the  .    .    .     120
     69 Toothache   .    .    115, 204
     69 Thrush ....     Ill

     69 Ulcers  ....      34
              in  the Mouth   .     112
 ~5 Unhappy Love
2j9 Urinary Organs, Affections
226   of the .
 33 Urine, Suppression of
184    «  Bloody
217    "  Incontinence of
120 Urticaria or Nettle Rash
175
101 Vaccination
261 Varicelli or Chicken Pox
113 Varicose Veins
263 Variola or Small Pox
 67 Varioloid
188 Vertigo .
281 Vexation
 67 Vision, Defects of .
 66 Vomiting
 29-------of Blood .
_____.-----Foul Air
___________Coal Fire
Swelling of the Head
185 Wart
187 Water in the Head
187 ------Cure  .
188 ------, drinking Cold
189 Weaning
190 Wet-sheet, The
191 Whites, The (Leucorrh
192 Whitlow
195 Worms  .    .     •
243 Wound  .
    33
    57
   285
   289
   226
   286
1)  250
    28
   146
    51 
310
INDEX  TO  THE  REMEDIES  USED,  AND  THE DIS-
  EASES IN WHICH  EMPLOYED, AND ANTIDOTES.
Aconite: p. 25, Milk Crust;  28, Whitlow ; 30, Boil; 37, Chickeu-
  pox ; 38, Small-pox ; 40, Measles ; 42, Scarlet Fever; 46, Pur-
  pura ; 47, Erysipelas; 48,  Miliary Fever;  48, Nettle-rash ;  49,
  Burns and Scalds ; 51, Wounds ; 56, Inflammation of the Brain ;
  58, Headache ;  62, Dizziness ; 64, Inflammation of the Eye;  65,
  Blight; 65, Catarrhal Opthalmia ; 66, Inflammation of the Eye-
  lids ; 66, Stye ; 72, Inflammation of the Ear ;  79, Bleeding from
  the Nose; 83, Catarrhal Fever; 86, Influenza;  88, Cough ;  91,
  Hoopiug Cough ; 96, Croup; 99, Inflammation  of the  Lungs ;
  101, Pleurisy :  101, Spitting of Blood; 104, Asthma; 106, Bron-
  chitis ; 108, Consumption ; 113, Teething;  115, 204, Toothache ;
  118, Tic Douloureux; 128, Vomiting; 143, Inflammation of  the
  Bowels;  145, Dysentery ;  146, Worms ; 150, Liver Complaint;
  151, Rheumatism; 154, Gout; 154, Lumbago; 157, 158, Urine;
  160, Fevers; 170, Heart;  181, Knee; 183, Fainting; 135, Sus-
  pended Animation at Birth;  190, Suspended  Animation from
  being Frozen;  206, Abortion ; 210, Labor Pains ; 218, Milk Fe-
  ver;  221, Puerperal  Fever; 228, Teething;  236,  Scrofula.
  Camph., Nux vom.
Ammonia carb.:  p. 164, Fevers.  Arnica, Camph.
Antimonium crudum: p. 33,  Corns; 115, 204, Toothache; 128,
  Vomiting of Food; 264, Diseases increased by Derangement of
  Stomach.  Hep. sulph., Merc.
Arnica: p.  30, Boil ; 31, Chilblain; 33, Corns ;  38, Small-pox;
  40, Measles; 51,  Wound;  54, Sprain; 54, Bruise; 64,  Inflam-
  mation of the Eye ; 71, Earache ; 75, Swelling of the  Cheek ;
  79, Bleeding from the Nose ; 91, Hooping Cough ; 101, Spitting
  of Blood ; 115, Toothache ; 129, Vomiting of Blood ; 154, Lum-
  bago ; 157, Urine ; 177, Tetanus ; 179, Epilepsy  ; 175, Spasms ;
  187, Suspended Animation from a  Fall; 211, After Labor ; 217,
  Sore Nipples ;  218, Milk  Fever; 243, Swelling of the Head ;
  258, 259, Miscarriages, Inflammations; Bleeding from  the Nose,
  Spitting of Blood, Erysipelas, Inflammation  of the Eye, Con-
  vulsions, produced by blows or Injuries.
Arsenicum: p. 27. Itchings :  31, Chilblains ; 32, Ring Worm ;  34,
  Ulcers ;  42, Scarlet Fever; 57, Water in the Head ; 66, Inflam-
  mation of the Eyelids;  81, Cold in the Head ;  86, Influenza ; 88,
  Cough ;  115, Toothache; 129, Vomiting of Blood;  139, Cholera;
  143, Inflammation; 137, Cholera; 143, Piles; 145, Dysentery;
  155,  Hip; 160, Fevers;  170, Heart;  174, Dropsy; 178,  Ab-
  scess; 182, Sea-sickness; 104, Asthma; 190, Suspended An- 
311
  1SS.fr,be,ng Fr°Z€n 5 2°5' Varic°Se VeinS « 215> Diarrhoea.

B^^a: I T,'£^t- Ch^afn' 2ti
  pox; 38, s£Ji:^,; ^VSl^uy-SS^^^;
  fever; 47, Erysifela's; 48, Miliar^ FeS ;  48 Nettler'ashie'

  t?onoffl^mEavrfi0/Tthfle  Brai"-; 58' Headachef6rinflahmma6i
  uonoj tnetuye; 66, Inflammation of the Eyelids • 65 Catarrhal
  S^m3tin1f.;7471'nErChe 5 ^.SweUiag If the' Cheeks*^
  Nosesi V^SfpSS; 76' M^mPs' 79' Bleedin<? from  the
  r    k    2^ata.rrh,al Fever 5 86> Hoarseness ; 86, Influenza • 88
  Cough ;   104  Asthma ;  113, Teething ; 115,  Toothache  1 ??'
  Urine; 160 Fevers ; 120, So're Throat, or Quinsy  143  Inflam-
  mation of the Bowels ; 143, Piles; 176  Spasms? 78, AbscesT-
  CoaltefoB !f!'  Knee ' 195'r So-pencTed Animation  froma
  OoaJ Kire; 206, Abortion; 216, Lochial Discharge ; 218,Inflam-
  Tnl   ot th£Brea?ts ! 218> Milk  Fever;  226, Delayed TeeX
  cffJ^Put™*'' 239> S1-Plessness;  24o!  Crying.
Bichromate of Potass., or Kali Bich:  p. 96, Croup
Bleeding: p. 184, Coma, Lethargy
Borax:  p. Ill, Thrush.  Cham., Coff.
Bryonia:  p 32, Ring Worm ;  40,  Measles;  47, Erysipelas ■  48
  Nettle-rash ; 54, Sprain ; 55, Headache; 79, Bleeding from the
  JNose; 88, Cough ; 99, Inflammation of the Lungs ; 101, Pleuri-
  sy ; 115, Toothache ; 118, Tic Douloureux ; 122, Derangement of
  btomach ; 129, Vomiting of Food; 133, Constipation; 143 In-
  flammation  of the  Bowels; 148,  Jaundice;  150, Liver Com-
  plaint; 151,  Rheumatism; 154,  Lumbago; 160, Fevers; 175
  Dropsy;  197,  Constipation of Pregnant Women; 184, Uterine
  Haemorrhage; 216, Lochial Discharge ; 218, Inflammation of the
  Breasts; 218, Milk Fever ; 169, Fever; 256, Vexation, or Pas-
  sion ; 263, Diseases increased by Derangement of the Stomach  ;
  151, Biliousness.
Calcarea carbonlca:  p. 28, Irritability; 31, Chilblain; 33, Wart;
  64, Inflammation of the Eye; 66, Stye; 108, Consumption; 113,'
  Teething; 115, Toothache;  155, Hip; 181, Knee; 216, Lochia]
  Discharge; 217, Sore  Nipples ; 221, Profuse Secretion of the
  Milk ; 226,  Delayed Teething ; 236, Scrofula; 237, Rickets ;
  247, Chlorosis.  Aeon., Cham., Nux vom.
Camphor :  p.  137, 139, Cholera ; 159, Urine ; 179, Epilepsy ; 183,
  Fainting;  231, Convulsions; 190, Frozen;  157, Retention  of
  Urine.  Opium.
Caniharides :  p. 154, Lumbago ;  157, 246, Retention  of  Urine  ;
  250, The Whites.  Camph.
Cannabis: p. 46, Scarlet Fever;  158, Urine.  Camph. 
312
 Capsicum: p. 143,  Piles; 257, Desire  to return Home, or Nos-
   talgia.   Camph.
 Carbo vegetabilis .•  p. 27, Itchings; 69, Vision ;  74, Deafness ; 91,
   Hooping Cough ; 113, Bad Mouth ; 115, Toothache ; 127, Flat-
   ulence ; 126,  Heartburn; 159, Urine; 159, Diabetes; 172, De-
   bility ; 160, Fever ;  190, Suspended Animation from being Fro-
   zen ; 250, The Whites.  Ars., Coff.
 Causticum :  p. 119, Tic Douloureux ; 171, Heart.  Coff., Nux v.
 Chamomilla:?. 26, Excoriation ; 31, Chilblain ; 37, Chicken-pox;
   48, Miliary Fever ; 58, Headache; 71, Earache ; 81. Cold in the
   Head ; 33, Catarrhal Fever; 160, Fever;  88, Cough;  113,
   Teething; 115, Toothache ; 120, Quinsy, or Sore Throat; 122,
   Derangement of the Stomach ; 126, Heartburn ; 129, Vomiting
   of Food ;  130, Cramp of Stomach ; 135, Diarrhcea  ; 137, Chol-
   era ; 141, Colic ; 143, Jaundice ;  151, Rheumatism ; 154, Lum-
   bago ;  156, Hip ; 161, Typhus Fever ; 170, Heart ;  179, Epilep-
   sy ; 176,  Spasms ; 183, Fainting;  194, Uterine Haemorrhage ;
   218, Milk Fever ; 228, Teething ; 231, Convulsions  ; 239, Sleep-
   lessness ;  240, Crying of Infants ; 245, Rupture, or  Hernia of
   Infants ;  246, Cold in the Head of Infants ; 256,  Vexation, Pas-
   sion ; 264,  Diseases  increased  by taking Cold. Aeon., Nux ,
   Puis.
 China : p. 43, Scarlet  Fever ;  51, Wounds ;  79, Bleeding from the
   Nose ; 101, Spitting of  Blood,  108, Consumption ;  115, Tooth-
   ache ; 122, Derangement of Stomach ; 127, Flatulence ; 135, Di-
   arrhcea ;  148, Jaundice ;  160, Fevers ; 170,  Heart;  173, Debili-
   ty ; 175, Dropsy ;  183, Fainting ; 185, Suspended Animation at
   Birth ; 187, Suspended Animation from a Fall  ; 240, Sleepless-
  ness.  Am., Bell., Sulph.
Cinnamon, Tincture of: p. 210, Labor Pains suddenly ceasing.
Chloride of Lime  : p.  177, Tetanus ;  192, Suspended Animation
   from Foul Air.
Cicuta : p. 231, Convulsions.  Am.
Cina: p, 91, Hooping  Cough ;  160,  Fever; 146, Worms; 231,
  Convulsions.  Bry., Ipecac.
Cocculus: p. 127, Flatulence;  130, Cramp of Stomach ; 181, Sea-
  sickness.   Camph.,  Nux.
Coffaa :  p. 37,  Chicken-pox ; 46, Purpura ; 43, Miliary Fever •
  51, Wounds;  113, Teething; 115,  Toothache;  171, Hysteria'
  171, Heart; 183, Fainting : 210, Labor Pains;  218, Milk Fe-
  ver ; 228, Teething; 231, Convulsions;  239, Sleeplessness;
  264, Diseases increased by taking Cold.  Aeon., Cham., Nux. '
Colocynth:  p. 141, Colic: 118, Tic Douloureux ; 145, Dysentery.
  Camph.
Conium : p.  62, Dizziness ; 129, Tic Douloureux ; 247, Chlorosis.
  C°ff- 
313
Creosote Water : p. 51, Burn ;  115, Toothache.
Crocus : p. 79, Bleeding from  the  Nose ;  209, Uterine Hemor-
  rhage ; 216, Lochial Discharge.  Opium.
Cuprum:  p. 91, Hooping Cough ;  104, Asthma :  139,  Cholera ;
  172, Hysteria ;  179, Epilepsy ; 176, Spasms.  Bell., Nux.
Drosera :  p. 69, Vision ; 91, Hooping Cough.   Camph.
Dulcamara :  p. 42, Scarlet Fever ; 48, Nettle-rash ;  76, Mumps ;
  75, Deafness ;  83, Catarrhal  Fever ;  91, Hooping Cough ; 105,
  Asthma;  135, Diarrhcea;   151,  Rheumatism; 174, Dropsy;
  215, Diarrhcea  of Lying-in-Women ; 218,  Milk  Fever ; 264,
  Diseases increased by taking-Cold.  Camph.  Ipec.
Euphrasia :  p 65, Catarrhal Opthalma ; 69, Weak Sight.  Puis.
Felix Mas :  p. 146, Worms. Camph.
Graphites: p. 246, Retention of Urine ; Ars., Nux.
Hepar sulphuris: p. 28, Whitlow ; 30, Boil; 32,  Ring Worm; 47,
  Erysipelas; 51, Wounds;  74, Deafness ; 76, Mumps; 91, Hoop-
  ing Cough ; 96, Croup; 106,  Bronchitis ;  155,  Hip; 115, Tooth-
  ache ; 178, Abscess; 183, Fainting ; Bell., Cham.
Hyoscyamus : p.  42, Scarlet Fever ; 57, Inflammation  of Brain ; 68,
  Squinting;  88, Cough;  115,  Toothache; 161, Typhus Fever;
  172, Hysteria;  176, Spasms;  179, Epilepsy; 206, Uterine Hem-
  orrhage ; 215, Diarrhcea of Lying-in-Women.  Bell., China.
Helleborus: p. 57, Water in the  Head.   Camph., China.
Ignatia: p. 26, Excoriation ; 27, Itchings ; 83, Catarrhal Fever; 88,
  Cough;  113, Teething;  115, Toothache; 120, Quinsy, or Sore
  Throat; 122, Derangement of Stomach ; 133, Constipation ; 146,
  Worms; 148, Jaundice ;  156,   Hip; 176, Spasms;  160, Fevers;
  179; Epilepsy; 172, Hysteria; 183, Fainting; 231, Convulsions ;
  257, Silent Grief.   Puis., Cham.
Ipecacuana:  p. 88, Cough; 91,  Hooping Cough;  104, Asthma;
  139. Cholera;  123, Indigestion;  128, Vomiting of Food ; 129,
  Vomiting of Blood;  130, Cramp of Stomach ;  137, Cholera;
  160,  Fevers;  182, Sea-sickness;  176, Spasms;  202, Morning
  Sickness ;  196, Uterine Hemorrhage ; 241, Return of Milk ; 264,
  Diseases produced by taking Cold.  Ars.,  Am.
Jalapa: p. 240, Crying of Infants.  Camph.
Kalmia latifolia: p.  118, Tic Douloureux.
Lachesis :  p.  62,  Dizziness ; 96, Croup ; 184, Coma ; 178, Abscess :
  189, Suspended Animation from Drowning.  Arsen., Bell., Nux
  vom.
Lycopodium: p.  34, Ulcers ; 108, Consumption.
Mercurius: p. 26, Excoriation;  28, Whitlow ; 30, Boil; 34, Ulcers ;
  37 Chicken-pox; 42, Scarlet  Fever; 51, Wounds;  71, Earache;
  65'Catarrhal Opthalmia; 66, Inflammation of the  Eyelids; 78,
  Running from the Ear;  75, Swelling of the Cheek; 76, Mumps;
  79 Bleeding from the Nose ;  81, Cold in the Head; 86, Influen- 
314
  za; 113, Stomacace ; 113, Teething ; 115, Toothache ;  120, Quin-
  sy, or Sore  Throat; 135, Diarrhcea; 146, Worms;  150, Liver
  Complaint; 154, Lumbago; 173, Debility;  178, Abscess; 174,
  Dropsy; 218, Milk Fever ; 231, Convulsions.  Arn., Bell., Sulph.
Mercurius Corrosivus: p. 145, Dysentery.  China, Hep.
Mercury vivus: p. 74, Deafness ; 27, Itching; 111,Thrush.  Am.,
  Ars.
Mezereum: p. 118, Tic Douloureux.  Camphor.
Millefolium: p. 103, Bleeding of the Lungs.
Moschus.  p. 183, Fainting ; 177, Tetanus.   Camphor.
Muriatic acid: p. 42, Scarlet Fever.
Natrum muriaticum: p. 160, Fevers. Ars., Camph.
Nitric acid:  p. 126, Heartburn.  Camph., Sulph.
Nux vomica: p. 27, Itching; 31, Chilblain; 48, Nettle-rash; 58,
  Headache; 62, Vertigo;  69, Vision; 65, Catarrhal Opthalmia;
  79, Bleeding from the Nose; 81, Cold in the Head;  83, Fever;
  88, Cough; 91, Hooping Cough; 104, Asthma; 113, Stomacace,
  or Bad Mouth ; 113, Teething ; 115, Toothache ; 120, Quinsy, or
  Sore Throat; 122, Derangement of Stomach;  126, Heartburn;
  127, Flatulence; 130, Cramp in the Stomach ; 133, Constipation ;
  141, Colic;  143, Piles ; 146, Worms;  148, Jaundice ;  150, Liver
  Complaint;  151, Biliousness; 151, Rheumatism  ; 154, Lumbago;
  181,  Sea Sickness;  156, Hip;  158, Urine ; 173, Debility ; 172,
  Hysteria ; 183, Fainting;  191, Suspended Animation from Light-
  ning; 202, Morning Sickness; 197,  Constipation of Pregnant
  Women; 205, Varicose Veins; 210, Labor  Pains; 228, Teeth-
  ing ; 231, Convulsions; 245, Rupture, or Hernia of Infants; 246,
  Cold in the Head of Infants; 264, Diseases  increased by taking
  Cold.  Aeon., Camph., Puis.
Opium: p. 38, Smallpox; 51, Wound ;  57,  'Inflammation of the
  Brain; 133, Constipation ;  141, Colic; 158,  Urine; 160, Fever;
  170, Heart;  183, Fainting ; 185, Suspended Animation at Birth ;
  188, Suspended Animation from Strangling, &c ; 189, Suspended
  Animation from Drowning;  195, Suspended  Animation from
  Coal Fire ; 197, Constipation of Pregnant Women; 210, Labor
  Pains suddenly ceasing;  218,  Milk  Fever; 231, Convulsions;
  253, Fright.   Camph., Sulph.
Phosphorus: p. 75, Deafness; 108, Consumption ;  115, Toothache;
  118, Tic Douloureux; 139, Cholera;  171,  Heart; 177, Tetanus;
  175, Dropsy ; 183, Fainting; 218, Milk Fever   Camph., Coffee.
Phosphori acidum:  p. 139, Cholera;  69, Vision; 161,  Typhus
  Fever; 216, Diaarhoea.  Camph..  Coff.
Platina: p. 118, Tic Douloureux.   Puis.
Protiodide of Mercury: p. 42, Scarlet Fever ; 76, Mumps ; 86, Fe-
  ver ;  86, Influenza; 96,  Croup;  113, Bad  Mouth;  120, Sore
  Throat; 145, Dysentery ;  148, Jaundice; 165, Fever; 237, Scro-
  fula.   Arnica, Ars. 
315
Prussic Acid: p. 91, Hooping Cough.
Pulsatilla: p.  26,  Excoriation; 27, Itching; 31, Chilblain; 40,
  Measles ;  42, Scarlet Fever ;  47, Erysipelas ;  48, Nettle-rash ;
  51,  Wound;  58,  Headache;  62, Dizziness;  69, Vision; 74,
  Deafness ; 66, Stye; 71, Earache; 72, Inflammation of the Ear;
  79, Bleeding from the nose; 81, Cold in the Head ;  83, Catarrhal
  Fever; 88, Cough ; 91, Hooping Cough ; 101, Spitting of Blood ;
  105, Asthma;  115, Toothache; 120,  Quinsy, or Sore  Throat;
  122, Derangement of Stomach; 126, Heartburn; 127, Flatulence ;
  128, Vomiting of Food;  130,  Cramp;  133, Constipation; 135,
  Diarrhcea; 141, Colic;  148, Jaundice; 150, Liver Complaint;
  151, Rheumatism ; 154, Lumbago ; 156, Hip;  168, Fever; 205,
  Varicose Veins; 158, Urine;  172, Hysteria; 210,  Labor Pains ;
  216, Lochial Discharge; 221,Puerperal Fever ; 231,  Convulsions ;
  239, Sleeplessness;  241, Retention  of Urine;  241,  Chlorosis;
  263, Diseases increased by Derangement of Stomach ; 264, Dis-
  eases increased by taking Cold.  Cham., Coff., Nux vom.
Rheum : p. 240, Crying of Infants.  Camph., Cham.
Rhus toxicodendron: p. 33, Wart; 33, Corn; 42, Scarlet Fever;
  47, Erysipelas ; 54, Sprain; 70, Weak Sight ; 79, Bleeding from
  the Nose ; 99, Inflammation of the Lungs; 115, Toothache ; 151,
  Rheumatism;  154, Lumbago;  159, Urine; 181, Knee; 243,
  Swelling of the  Head;  258,  Miscarriages, Inflammations, &c.
  produced by physical injuries.  Bell., Bry., Sulph.
Sabina.  p. 206, Abortion.   Camph.
Sambucus: p.  98, Asthma of Millar;   105, Asthma; 246, Cold in
  the Head of Infants; 253, Fright.  Arsen., Camph.
Secale:  p. 206, Abortion;  210, Labor Pains;  215,  Diarrhcea.
  Camph,, Op.
Senna: p. 240, Crying of Infants.  Cham.
Sepia: p. 159, Urine; 247, Chlorosis.  Aeon.
Silica ■ x>  28, Whitlow ;  32, Scaldhead ; 33, Corn; 36, Ulcers;
  115  Toothache; 178,  Abscess;  131, Knee;  182,  Sea-sickness;
  216' Lochial Discharge; 218, Milk Fever ; 243, Swelling on Head
  of Infants ; 236, Scrofula; 237, Rickets.  Camph., Hep.
 Soap: p. 49, Burns.
Spia-elia: p. 118, Tic Douloureux.   Camph.
Splits of Wine: p. 49, Burns
Spongia: p. 96, Croup;  106, Spongm. Camph.
Sauilla-  p  99  Inflammation of the Lungs.  Camph.
Slaphysairia: p. 30, Ringworm ;  66, Stye ; 115, Toothache ; 154,

 ^t^'^flmantox; Soever;  176. Spasms.
 Imrnmmfp stlnSamrnation of the BrWi/  Bell., Nux vom
 ILSur  T25^Milk Crust; 26,Itchings ; 28, Whitlow; 30, Boil;
   31, Chilblain ; 33, Corn; 34, Ulcers; 62,Dizziness; 69, Vision ; 
316
  46, Purpura ; 64, Inflammation  of the  Eye; 40, Varioloid; 74,
  Deafness; 73, Running from the Ear ; 79, Bleeding from  the
  Nose; 105,  Asthma;  109, Consumption;  111, Thrush; 115,
  Toothache; 122, Derangement of Stomach; 135, Diarrhcea; 143,
  Piles ; 146, Worms; 159, Urine; 170, Heart; 177, Tetanus ; 131,
  Knee; 173, Debility; 205, Varicose Veins:  217, Sore Nipples;
  228, Teething; 228, After Vaccination ;  245, Rupture,or Hernia
  in Infants;  237,  Rickets; 247, Chlorosis;  250, The Whites.
  Aeon., Puis., Nux vom.
Tartar emetic: or Antimony tart. p. 137, Cholera; 85, Fever; 86,
  Influenza; 96, Croup;  99, Lungs ;  143, Inflammation of the bow-
  els; 161, Typhus Fever;  165,  Remittent do.;  166, Yellow do.;
  184, Coma; 185, Suspended Animation  at Birth.   Coccul., Ip.,
  Put.
Thuja:  p. 101, Pleurisy.   Camph., Put.
Vaccinin: p. 38, Small Pox.
Valeriana: p. 128, Vomiting of Food.  Bell., Coff.
Veratrum: p. 91, Hooping Cough; 137, 9, Cholera; 183, Fainting;
  165,  Fevers; 170, Heart; 177, Spasms; 170, Hysteria; 245,
  Rupture,  or Hernia of Infants; 210, Crying of Infants.   Aeon.,
  Ars., Coff.
Vinegar: p. 192, Suspended Animation from Foul Air; 206, Abor-
  tion.
Viola tricolor: p. 26, Milk  Crust.  Camph.
Zinc: p. 26, Excoriation.


  This enumeration of the medicines used, (and these are not more
than a fourth of those employed in homceopathic practice,) will af-
ford the best answer  to the ignorance-fdunded assertion, that hom.ee-
opathists use but  one medicine.  This is urged by some, it  is
believed, because the medicines are colorless :  a  circumstance de-
pendent upon the medicines being prepared by trituration with
sugar of milk.
  The examination of this Index will show, that the medicines  to
be studied most are  Aconite, Arnica, Arsenicum,  Belladonna, Bry-
onia, Chamomilla, China, Ignatia, Nux  vomica, Opium, Pulsa-
tilla, Rhus toxicodendron, and Sulphur. 
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Hahnemann, on  Chronic Diseases,  their Specific
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                        318


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Encyclopaedia of Homoeopathy, in German, 5 vols.
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Jahr's Short Elementary Treatise upon Homoeo-
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                        319


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   Homceopathic Treatment.                       50 cts.

Rueckert's  Therapeutics: or, Successful Homoeo-
   pathic Cures, collected from the best Homceopathic  Period-
   icals, translated and edited by C. J. Hempel.  One large 8vo
   vol., bound. 1846.                              $3i50*

Ruoff's  Repertory  of  Homoeopathic  Medicine,
   nosologically arranged.   Translated from the  German by
   A. H. Okie, M. D.  1844.                        $1.50

Hartmann,  Dr. F. ;  Practical  Observations on
   some  of the Chief Homceopathic Remedies.   Translated
   from the German by A. H. Okie, M. D. Cambric,   $1.75

Rosenstein's Theory and Practice of Homoeopathy.
                                               45 cts.

Sherill's Manual of Homoeopathy.            50 cts.

Epps's Diseases of the Head.              621-2 cts.

------ Principles of Homoeopathy.           75 cts.

------ Epilepsy.                              75 cts.

------ Rejected Cases.                       ss cts.

______ On the  Use of Arnica Montana, for Bruises,
   Sprains, &c.                                  15 cts.

Hempel  on  the  Use of  Arnica Montana,  for
   Bruises, Sprains, &c.                           17 cts.

Transactions of the  American Institute of  Horn
   ^nathv.  1846. Bound.                        $1.5(
eopathy.  1846.  Bound.
50 
320
The Practical  Advantages  of Homoeopathy, illus-
   trated by numerous cases.  Dedicated by permission to her
   Majesty, Queen Adelaide.  By H. Dunsford, M.D.    $1.00

Okie's  Homoeopathy  Explained,  and  Objections
   Answered.                                12 1-2 cts.

Family  Guide  to  the Administration of Homoeo-
   pathic Remedies.                             25 cts.

Dr.  Okie's, Dr. Wesselhoeft's,  and Dr. Neidhard's
   Replies to Dr.  O. W. Holmes.            12 1-2 cts. each.

Dr.  Hempel's Eclecticism in Medicine.      25 cts.

Dr.  Holt's Views of Homoeopathy.          is cts.

What is Homoeopathy ? By Isaac Colby, M. D. sets.

Joslin  on  the Power  of  Small Doses, and Atten-
   uated Medicines.                              10 cts.

Wm. Henderson,  M. D.   Homoepathic Practice,
   1846.                                       50 cts.

Forbes,  M.  D.   Homoeopathy,  Allopathy, and
   Young Physic,  1846.                           19  cts.

Wm. Henderson, M. D.   Letter  to John  Forbes,
   1846.                                       19 cts.
|3r The above three books, bound in one volume.         $1.00

Gunther's  New Manual  of Veterinary Medicine,
   translated from the third German edition, with additions. $1.25
     The British Journal of Homoeopathy, published in London,
   says of this book : — "A good work on Homceopathic Veter-
   inary Medicine, has long been a desideratum in this country,
   and this, as  far as we can judge, seems calculated to supply
   the want."

The Mariner's Physician  and  Surgeon;  or,  a
   Guide to  the Homceopathic Treatment of those Diseases to
   which Seamen  are liable, comprising the Treatment of Syph-
   ilitic Diseases,  &c.  By  Geo. W. Cook, M. D.    37 1-2  cts. 
 
NATIONAL LIBRARY OF MEDICINE
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