DISEASES OF THE LUNGS, 
W. R. Amick, A. M., M. D. A Treatise on Lung Diseases, 
GIVING THE METHODS OF DIAGNOSING AND 
TREATING THESE DISEASES AS 
EMPLOYED BY 
W. R. Atnick, A. M., M. D. 
The chemical treatment having passed safely through 
the probation period of its introduction, its superior 
merits having been proven beyond dispute, by the most 
trying tests; it now presents itself to the most conserva- 
tive physicians, not as an instrument of experiment, but 
a tried and established fixture in medicine. 
Time has convinced the most sceptical that we have 
not exagerated the treatment in any respect, that we 
have kept the best interests of the medical profession in 
view in everything we have done, just as we promised 
we would. 
The generous confidence placed in us by the profession, 
regardless of school, is appreciated and respected by us. 
We shall adhere strictly to the'rules by which we have 
heretofore distributed the medicines to phvsicians. 
The Amick Chemical Co., 
166 W. Seventh St., 
Cincinnati, Ohio, U. S. A. Prefatory. 
At the request of Dr. Amick, this pamphlet is more 
conservative than those which have preceded it. Dr. 
Amick protests that anything more than a mere state- 
ment of his theory, a description of his treatment, and 
an announcement that we are the sole compounders of 
the medicines comprising it, is uncalled for and would 
prejudice his professional standing. We therefore omit 
all matter which might be deemed unprofessional. If, 
however, the mere fact that the Amick treatment has 
been generally adopted by the medical profession is in- 
sufficient for any skeptic, we will send on special request 
any quantity of testimony from thousands of physicians 
now daily prescribing it. 
To those unacquainted with his life work we may be 
permitted to say that Dr. Amick received the degree of 
A. M. at Hanover and that of M. D. from the Cincinnati 
College of Medicine and Surgery. He was connected 
with this last named college for seventeen years as a pro- 
fessor and as the Secretary of the College Faculty. This, 
with his honorable record in connection with the Cin- 
cinnati Hospital and other leading medical institutions, 
has entitled him to the confidence so willingly accorded 
his treatment by the profession. 
The "Chemical Treatment-' for pulmonary diseases, 
which he has instituted, is the happy result of twelve 
years' study and research. 
The etiology and pathology he presents are worthy 
profound consideration on the part of every thinking 
person. 
Taking his new theory as a basis for a suitable and 
successful treatment for these diseases he adroitly worked 
out results truly marvelous in the estimation of leaders 
of the profession. 3 
Not wishing to be classed as a mere theorist, he has 
spent years in perfecting a treatment which would cor- 
roborate and vindicate his etiology and pathology of 
these diseases, and his efforts have teen crowned with 
wonderful success. 
His brother and co-worker, Marion L. Amick, A. M.. 
M. D. is also a graduate of the literary college at Han- 
over. He has teen connected with the Cincinnati Col- 
lege of Medicine and Surgery for twenty-two years as 
professor of anatomy and diseases of the nervous sys- 
tem, also a member of the Board of College Trustees, and 
acting secretary of that body. As a specialist in nervous 
diseases he has no superior in America. He has for 
years enjoyed the largest individual practice in Cin- 
cinnati. 
It is proper to couple his name with this discovery, 
for he is now as he has ever teen closely associated with 
his brother in his work, rendering him valuable aid. 
He has conducted nearly all of the preliminary test 
cases, his extensive practice affording him a wide range 
in selecting suitable test patients. They are both fine 
chemists and have a broad knowledge of materia 
medica. 
We need not urge that these men are eminently fitted 
and qualified to advance medical science as they have 
surely done. 
The author knowing beyond dispute that he has 
worked out an absolute cure for diseases heretofore 
admitted to be incurable, and profiting by the exper- 
ience of others, has, in the interests of suffering humani- 
ty aud for the benefit and protection of all conscientious 
physicians Jhaving an honest desire to heal the sick, 
placed his formulae in trust with this company. 
The medicines for carrying out the Chemical Treat- 
ment are compounded exclusively for physicians. They 
are the purest science can produce. The Theory (Amick.) 
4 
The Chemical Treatment is so named because it de- 
pends upon chemical combinations and chemical action. 
It is based upon the theory given in the author's origi- 
nal article published in the Cincinnati medical journals 
of March, 1892; and subsequently published in numer- 
ous leading medical journals. 
In this article we do not intend speaking of the history 
of consumption, or enter into any discussion of the vari- 
ous theories that have been promulgated as to the cause 
of the disease. We believe there is a unity of cause, but 
there may be many varieties of the disease. This is in 
conformity with nature, as a plant, or flower may have 
a given name, yet be a large family in variety. 
Consumption is a deceptive disease from the fact that 
in the incipient stage, frequently the symptoms that 
would naturally be expected are not present. In com- 
mencing posterior spinal Sclerosis, on account of wan- 
dering and darting pains in the body or lower extremi- 
ties, the subject thinks he has rheumatism. A similar 
mistake is sometimes made in some cases of consump- 
tion. An individual may have a variable appetite with 
dull pain, weight, or sense of fullness or distension in 
the stomach after eating, which may be accompanied 
with heart-burn, headache, firred or coated tongue, de- 
pression of spirits and irritability. He thinks he has 
dyspepsia and takes treatment for that disease. Later 
he has all the symptons of consumption in the second 
stage developed in a few days. This would indicate that 
the disease was in the lungs from the first, but the 
symptoms w'ere deceptive inasmuch as they referred to 
the stomach as the seat of the malady. This error is fre- 
quently made by physicians. They take the rational 
symptoms and from them they make their deductions 
or diagnosis. 5 
We have examined patients in the second stage of 
consumption with the characteristic and typical changes 
in respiration, together with the crepitant and subcrepi- 
tant rales, in which there was an entire absence of sore- 
ness, pain, cough or any rational symptom that would 
indicate an abnormal condition of the lungs. In these 
cases it will be noticed there was an unaccountable 
dyspnoea on exertion and that they were losing both 
weight and strength. These three conditions would be 
all the symptoms that they would mention. 
In order to have a proper conception of the theory 
which we present, and be able to comprehend it, we will 
first refer to some of the conditions which are presented 
by this disease and commence with the question: Why 
does consumption generally begin in the apex of the 
lungs ? 
In order to answer this question properly, we must 
first remember that at the apex the lung tapers almost 
to a point and extends an inch or more above the first 
rib. For the blood to circulate freely in this portion of 
the lungs, there must not be any obstruction or undue 
pressure upon the blood vessels. An obstruction in this 
part of the lungs is a greater obstacle to the circulation 
than in any other portion, for during the time of expos- 
ure, and at the time when a free circulation is impera- 
tive to prevent a congestion, the body is generally erect, 
and the propelling force is not sufficient to overcome 
both gravity and the obstructed or contracted vessels. 
As the result we have a stasis of the circulation in this 
locality, a congestion and dilatation which become mani- 
fest at the extreme apex first. On auscultation at this 
time there would be perceived a harsher, higher pitched 
inspiration sound. Later there would be some exuda- 
tion into the air sacs, and a delicate fine crepitation 
could be heard at the close of a deep inspiration at a 
time when no abnormal sounds could be heard below 
the clavicle. At the inception of the disease no abnor- 6 
mal sounds can be heard at the extreme apex during 
ordinary respiration and they are only developed on 
deep inspiration. 
This is one of the reasons why the disease is frequently 
overlooked in its incipiency. The physician examines 
the lung an inch or two below the clavicle, and then 
says the lung, including the apex, is normal, because he 
does not discover anything abnormal at that point. On 
the same principal we would say that there was nothing 
the matter with the optic nerve because the media was 
clear, or that the retina was normal because the ophthal- 
moscope gave a red reflex from the fundus. 
Congestion, dilatation, and stasis form a trinity that are 
combined in one general condition and is ever present 
in these cases. At first the congestion may be so slight 
that there will be no local symptoms that can be deter- 
mined, especially by a casual examination, but exuda- 
tion and crepitation present themselves if the former is 
not removed. If the other organs of the body are 
in a healthy condition, then the probabilities are that 
there would be enough potential energy and positive 
force generated to remove the pathological condition at 
the apex of the lungs. Otherwise it would develop 
until the symptoms both local and general became 
manifested. 
The upper aiid posterior portion of the lungs are more 
susceptible to cold than any other part, especially in 
thosq who are disposed to hereditary pulmonic disease. 
In these cases also, the rule is, that the antero-posterior 
diameter of the chest below the outer portion of the 
clavicle is very short. This means not only a thin chest 
wall but a very narrow apex with a comparatively small 
amount of circulation. All of these conditions favor the 
action of cold upon this part of the lungs. Cold con- 
tracts these vessels and all that is necessary to have a 
congestive reaction is to have the cold severe enough, or 
sufficiently long continued, and we have all that is nec- 7 
essary to give the disease a start in the catarrhal form. 
After it has once developed a- locality of irritation, it 
will continue and increase, unless something is done to 
overcome the destructive process. 
Nature always makes an effort to expel an intruder, 
and sometimes overcomes the localized inflammatory 
condition, but the effects of one cold follows another, 
with a gradual extension of the disease, and the poten- 
tial energy of the system is reduced until the requisite 
amount of kinetic force cannot be generated to meet the 
demands for it. Then we have the commencement of 
that chain of symptoms with which all are familiar, 
such as emaciation, loss of strength and appetite, cough, 
expectoration, dyspnoea, fever, pain, weakened circula- 
tion, etc. 
It is not our intention to speak of the manifest symp- 
toms that are plainly visible to any one, but direct atten- 
tion to the original cause and the first or incipient stage, 
when the symptoms are obscure and not noticed, or if 
attention is directed to them, they are generally dis- 
missed with the statement that they do not amount to 
anything. 
We have given cold as an exciting cause for con- 
sumption, for the purpose of calling attention to the 
fact that the shoulders and back should be protected 
from its influence, more especially in those individuals 
who have thin or flat chests, or have any hereditary pre- 
disposition to consumption. 
Any obstruction to the circulation may result in a con- 
gestion that will develop this disease. A tumefaction 
pressing upon the nerves that supply the capillaries in 
the apex may be the exciting cause. A pathological 
condition at the origin, or along the course of the par 
vagum or sympathetic, will produce a vaso-motor dis- 
turbance, and a paresis in the walls of the vessels is 
immediately followed by congestion and stasis. From 
the same source we have a defective application of nutri • 8 
tion at the apex and a pathological condition is the re 
suit. In those cases where we have a tubercular deposit 
taking place early in the disease, it is due to a want of 
proper oxidization. This condition, if it does not exist 
in the incipiency of the catarrhal form, is soon devel- 
oped, and in fact, is present before the disease has as- 
sumed the character of consumption. If oxidization 
and nutrition were perfect, consumption would not 
exist. 
In a normal condition of health there is an uniform 
ratio between the action of the lungs and heart. In a 
given case we will say that the heart beats seventy-two 
times in a minute, while in the same length of time 
there are eighteen respirations. This then is the ratio 
of health for these organs. By this we understand that 
for the blood to receive the proper amount of oxygen 
for the system, it must flow through the capillaries of 
the lungs at the rate produced by seventy-two heart beats 
per minute. With the blood flowing at this rate, there 
must be eighteen respirations per minute in order to 
supply the amount of oxygen that the blood will take 
up and that the system demands in health. Then the 
supply and capacity for acceptance are equal. 
If from any cause some of the air sacs are prevented 
from receiving the air, then the blood will not obtain 
the amount of oxygen that the system requires. Nature 
then makes an effort to overcome the trouble by increas- 
ing the respirations per minute so that more air can be 
taken into the cells that are patulous. If the blood cur- 
rent does not flow any faster, then the compensation will 
not take place, as the current was adapted to eighteen 
respirations per minute, and received all of the oxygen 
that it could carry. 
For the compensation to take place, the heart must 
beat more rapidly to make the current flow faster. If 
there is a slight congestion blocking up but a few cells, 
then the increase in the action of these organs will be 9 
slight. The larger the number of cells that are deprived 
from receiving air, the greater the increase in respiration 
and heart action, until it may be two or three times as 
great as the normal health rate. 
This is the reason why we always have increased respir- 
ation and pulse in those cases where there has been a 
disintegration of lung tissue with the formation of a 
cavity, even though the latter may have cicatrized, and 
the inflammatory condition become quiescent, or in 
those cases where the air cells have become obliterated 
without destruction of the parenchyma of the lungs. In 
either case increased respiration and heart action is the 
result with dyspncea on exertion This condition im- 
poses extra work on these organs, and i. long continued 
may exhaust the motor excitability of the heart. 
We might have a condition presented which would in- 
dicate a reduction in the number of respirations per 
minute and an increase in the heart's action. This would 
be like looking at a very near object with a strong con- 
traction of the internal recti and at the same time have 
a relaxed accommodation. It is possible that it might 
occur, but it is not natural or probable and if it did it 
would indicate an abnormal condition. This is the 
ratio that is indicated in the tubercular subject but it is 
not the condition that is present. 
Harmony is the great law of nature and is the natural 
physiological condition that should exist in the system. 
When, from any cause this law is broken, nature makes 
an effort to rectify it She may be successful and equili- 
brium having been restored, the various organs act in 
unison. 
CAUSE. 
There is a disposition on the part of some physicians 
to give very little credence to heredity as a source of this 
disease, and to say that the cause of all forms of con- 
sumption is the bacillus tuberculosis, which must be re- 
ceived either directly or indirectly from some other 10 
tuberculous subject. Any person who will carefully 
study and analyze the above declaration, will perceive 
that it is a broad statement, intended to account for the 
origin of all cases of tuberculosis in which nature, as 
such, has nothing to do. 
In other departments physicians recognize the de- 
velopment and transmissability of traits and conditions. 
In the development of the various races, they see that it 
is the preponderence of the brain case over the facial 
portion of the head, that gives to man his superiority as 
compared with the lower animals, and that the intellec- 
tual capacity for mental and general improvement is 
estimated by the same standard. By a life of thought, 
study, research, and reflection the mental capacity for a 
given profession is acquired. An acquired faculty in one 
generation is the birthright of the next. A faculty or 
bias of character, that has been formed by environments 
and circumstances in an individual, is transmitted to the 
children as an inheritance. If this is true of the mental 
organization, why is it not true with the physical? 
A person may be born with consumption, that is,it 
may be innate, they may be born with the habit or 
diathesis which favors a predisposition or tendency to- 
ward the development of the disease. In other words it 
may have an hereditary dyscrasia. 
It is the opinion of some that consumption is caused 
by a fungoid or vegetable growth in the blood, causing it 
to become watery. 
La Grippe is accountable for a larger number of cases 
of consumption.than any other disease. After the acute 
symptoms have disappeared there remains a little cough, 
a little soreness in the chest, some dyspnoea on exertion, 
with a variable appetite, and a want of the normal am- 
bition ami vigor. They may have the assurance given 
them by the physician, that it will pass off in a few days 
and then they will recover their former state of health. 
But after the few days have passed, they find that they 11 
are worse instead of better. The few days amount to 
weeks, and even months, and during all this time they 
have been gradually failing, until finally they are in- 
formed that they have consumption. 
During the few days that they were on the promised 
probation was the time that a proper conception of the 
nature of the disease and a suitable treatment would 
have restored them to health and prevented weeks of 
pain and suffering, to say nothing about the mental 
anxiety of the apparently inevitable result. 
There are cases not due to heredity, or atavism, or to 
any local exciting cause so far as we can determine. We 
refer to those cases in which the disease is developed so 
gradually and insidiously that it is impossible to state 
the time when it began In these cases we find the first 
symptoms noticed on the part of the individual, are a 
a slight loss of flesh and strength. There may be a little 
soreness, or a burning sensation under or between the 
scapuhe, but it is not considered to be of any special im- 
portance. There may be a little cough, but as it is of a 
hacking character, with little or no expectoration, it is 
considered, and may be so-called by the physician 
pharyngitis. A careful examination at this time would 
reveal deficient inspiration at the apex of one or the 
other, or perhaps both lungs. A comparison in the re- 
spiration in the apices may be deceptive, for the charac- 
ter might be the same, both being equally involved, 
hence, it is necessary for us to be familiar with the phy- 
siological condition and be able to differentiate between 
it and an incipient pathological one. 
This is the most important stage of consumption, for 
if at this time the disease is recognized and the proper 
course of treatment instituted, the individual escapes 
the weeks and months of anxiety, pain, suffering, fever, 
night-sweats, emaciation, etc., that makes up the life of 
the average consumptive. 12 
The nervous system in some individuals is so const!' 
tuted that it can be keyed up to a high tension and 
maintained at that pitch for hours at a time during the 
excitement of business, but with relaxation there 
comes a depression of the entire system with mental 
perturbations and gloomy forebodings. This condition 
can be kept up for a given length of time with a little 
loss of general physical energy after each effort. The 
pathological conditions may be almost imperceptible at 
first, but eventually, like Banquo's ghost, "they will not 
down," and their presence becomes more annoying. 
This class, under favorable conditions, are very amena- 
ble to treatment. 
In some individuals with a bilio-phlegmatic tempera- 
ment, there is a stupidity of the nervous system, so that 
they can not go beyond their own individual environ- 
ments and symptoms. They can not produce a stabile 
tension of the nervous system and mentally go out into 
space and build new conditions out of the elements, but 
are shut up within themselves, and the only companion 
they have is the ever present hydra-headed vampire 
that is living a parasitical life on their vital forces. All 
of the future they can see is a lethal ending of their more 
mental than physical suffering. 
If we can get these individuals to take their thoughts 
off themselves, to quit conjuring up a feeling of morose- 
ness and morbid foreboding, to stop the mental irrita- 
tion of the nervous system and take a drink of the water 
of Lethe, so far as the disease is concerned, then we have 
placed the system in the best condition to be benefited 
by treatment. 
The bacillus tuberculosis is said to be the cause of all 
cases of consumption or tuberculosis, but we will modify 
this statement and say that the bacillus tuberculosis is not 
the cause of consumption, but simply one of the products 
of the disease, as we will show in our theory. 13 
Any condition or disease that depresses the system, or 
reduces the vital forces, will produce a condition that is 
favorable for the development of consumption. Then, 
what causes the condition or disease that makes a reduc- 
tion in the vital forces? The answer to this will be our 
theory of the 
CAUSE OF CONSUMPTION* 
The nervous system is the highest and the blood the 
lowest product of nature's work in the human laboratory. 
The blood stream is the great highway of commerce for 
the system. Into this stream we have poured the crude 
material that is used in the construction and regenera- 
tion of all the tissues of the body. Before the crude ele- 
ments of nutrition can take their place in the system 
and become a part of the organs, they must undergo a 
chemical change. Even after they have been deposited 
and have become a part of the tissues of the body they 
are still dependent upon the common carriers in the 
blood for the necessary vivifleation to continue their 
part in the economy. 
If the nutritious element receives the necessary chem- 
ical action, it will be changed to protoplasm and then 
deposited as an organized product in the various struc- 
tures of the body. It will then be capable of receiving 
the necessary force that it must contain for it to perform 
its functions in a normal manner. 
It must not be supposed that being thus placed in the 
organs that it is therefore a mere brick in the wall, sim- 
ply to support the weight or pressure that is above or 
around it. It is a part of the wall, but it is more-it has 
a function to perform, and it must not only be in condi- 
tion to receive force, but to retain it. and then expend it 
when the demand is made. 
But the conditions are such that the chemical change 
is incomplete. The result is that this imperfect chem- 
ical product is not in a suitable condition to become a 14 
part of the normally organized healthy tissue, and to a 
certain extent, acts as a foreign body and develops an 
irritative tendency. Nature makes an attempt to remove 
it and kinetic force is lost in this unsuccessful effort, as 
the same complete chemical change is absolutely essen- 
tial before disintegration and excretion can lake place. 
Another factor in favor of the disease involving the 
apex of the lungs first is, on account of what has already 
been stated, this part is more liable to receive protoplasm 
that has not been sufficiently oxidized, and nature 
makes an effort to throw it off' at the point where it has 
been received. This, together with a possible peculiar 
elective i ffinity on the part of the lungs, is the reason 
why it is deposited in them, and it then forms those 
little masses called tubercles. 
It can be seen from this that the tubercles are formed 
from nutrition that is only partially oxidized and is not 
suitable to enter into the formative organization of the 
tissues of the body, as they require cells made of chem- 
ically perfect material. The tubercles then develop an 
organism having a lower formation, and the result is 
that in them we have the baccilli formed. The baccillus 
then is a product of consumption, and not the cause of 
it, as the pathological process must exist some time be- 
fore they are developed. 
The tubercles may be deposited or formed in the dif- 
ferent organs of the body, but this irritative tendency 
is generally developed in the lungs first, and they most 
frequently become the seat of the disease. 
As the result of this general condition we have the 
cells in a condition in which they can not receive and 
contain the amount of potential energy that is essential 
in carrying on the functions of life. When a demand is 
made on them they develop a condition of instability 
but their power is soon expended in kinetic ;force and 
they are exhausted and lapse into stability. They should 
then rapidly accumulate potential energy, but on ac- 15 
count of the imperfect condition of the cells in the 
blood they do not receive the amount of oxygen that is 
necessary, and the result is they do not receive the 
proper quality of vital force as rapidly as they should. 
They also lose, to a certain degree, the power of contain- 
ing and maintaining this force in a latent form in the 
proper quantity. The blood does not receive the proper 
amount of oxygen, or if it does receive it, it can not be 
taken up by the system and utilized in the conversion of 
nutrition into tissue, and hence the.cells do not contain 
that intrinsic agent that gives them the substantial ex- 
pression of health, but on the contrary we have a defec- 
tive or perverted manifestation of vital force. The 
human economy is a machine with the mechanism so 
arranged that it generates its own potential energy 
within itself and furnishes its own kinetic force. This 
means that all of the various organs must act in har- 
mony and there must be a normal equilibrium between 
waste and repair. Any condition that prevents this 
harmony or destroys this equilibrium is a cause of 
disease. 
As a result of this incomplete chemical action, this 
'imperfect oxidization, the system does not receive a suf- 
ficient amount of nutritious pabulum and the reserve 
force in the system is utilized. The adipose tissue gives 
up its potential energy to continue the work of vitality, 
and as there is no more power to replace that with 
which it has parted, it becomes absorbed and disappears 
from the system. Then the muscular structure and 
connective tissue in turn give up their latent vitality 
and gradually disappear. This is the cause of the pro- 
gressive emaciation which we see in consumption and 
other wasting diseases. 
As the emaciation increases, the resisting power of the 
system becomes less, until it reaches a negative condi- 
tion where it is easily influenced by almost any addi- 
tional exciting agent. The effect may be to more rapidly 16 
extend the destructive process in the lungs or develop a 
complication in some other organ or part of the body. 
A negative condition is easily influenced by cold, while 
a positive one would not be injured in the same tem- 
perature. 
Light is the great oxygenizer of the universe, and this 
is the reason why consumptives feel better when they 
are situated so they can be i n the open air. Ina major) ty 
of these cases the system is not in a condition to take the 
oxygen from the air and appropriate it, not on account 
of faulty nutrition, but because the nutrition can not be 
assimilated and utilized. 
CLIMATE. 
it might be inferred from the above that climate would 
be an important factor in the treatment of consumption. 
A dry climate, without any sudden changes or great 
range in temperature, where the individual can spend a 
considerable portion of each day in the open air, is bene- 
ficial. The majority of consumptives are not favored 
with this kind of a climate and are so situated financial- 
ly or otherwise that they can not make a change. It is. 
a noted fact that when consumptives leave their homes 
and go to another climate and are apparently benefited, 
that in a short time after they return they have a re- 
lapse. They may then go back to the climate that ap- 
peared to be beneficial, but the disease will progress as 
rapidly as if they had remained home. The proper 
method of dealing with consumptives is for them to re- 
main in their own climate where they expect to live, 
and take the treatment at their own home. Then, while 
the treatment is removing the cause and restoring the 
organs to a normal condition the system becomes habit- 
uated to the climate in which they must live. 17 
(lieprint from The Medical Brief.-St. Louis, Mo 
November, I'O'jJ ) 
The Different Stages and Phases of 
Consumption. 
In order for a person to make a proper examination of 
the lungs, the first thing necessary is to be familiar with 
the normal sounds. Take a man with thin chest walls, 
known to be free from pulmonary disease, and, with 
his clothing removed, apply the ear firmlv to the chest 
two inches below the center of the left clavicle and 
listen to the respiration inordinary breathing. This 
will give us the normal vesicular murmur. Then have 
him breathe deep and notice the change in the character 
of the sounds. Then listen to the right lung two inches 
below the center of the clavicle and notice the differ- 
ence between the two sides especially on deep respira- 
tion. When we become familiar with the normal sounds 
then we will be able to recognize an abnormal or pathol- 
ogical one when we hear it 
The classification which we make is based upon the 
recognized division of consumption into three stages, 
viz: First, second and third. From this division there 
does not appear to be any distinct rule or line of demar- 
cation given to govern us in our diagnosis, but we have 
to depend upon our own judgment as to whether we 
shall say a patient is in the first, second or third stages 
of the disease. For the purpose of aiding the physician 
to discriminate between the various stages of the disease, 
we will give our method which is based upon the 
anatomy of the lungs, and try to make it so plain that 
with a careful examination, together with the requisite 
amount of skill, the various conditions may be different- 
iated. We divide the disease into stages and phases and 
it is easy to determine the stage from the phase. 
BY W. K. AMICK, A. M., M. D. 18 
The first stage is that of congestion of the mucous 
membrane of the air sacs and bronchi with commenc- 
ing exudation into the air cells. The second stage is the 
engorgement of the air sacs and smaller bronchi, in 
which they are occluded or filled with a compressible 
exudation which lessens the expansion of the lungs but 
does not destroy it. The third stage is one in which 
solidification of the exudate in the air sacs and bronchi 
takes place, together with the extension of the engorge- 
ment to the parenchyma of the lungs with or without 
the formation of cavities. The expansion in that por- 
tion of the lung in this stage is obliterated although 
the mechanical movement of the ribs will be observed, 
especially on.deep inspiration. We differentiate be- 
tween a movement of the ribs by expansion from the 
lungs and that from muscular action. Some have an 
idea that a person is not in the third stage of the disease 
until cavities have formed. In order to show that this 
is not correct, it is only necessary to state that at least 
fifty per centum of those who die from consumption 
do not have cavities. 
Percussion is universally practiced in the examination 
of the lungs, yet it is not reliable as a diagnostic sign by 
itself. Dullness on percussion does not always signify 
consolidation of the lung structure beneath, or that 
fremitus will be increased. We never give an opin- 
ion of the condition of the lungs from percussion 
alone. If we have dullness over a portion of the lung, 
then we auscultate that part carefully before we make a 
diagnosis, as it might be the result of pleuritis, effusion 
into the pleural cavity, aneurism, etc. 
The anatomical method of defining rales would be 
mucous and sub-mucous in solidification, sub-mucous 
and sub-crepitant in partial consolidation and crepi- 
tant in commencing exudation, but more than one kind 
of a rale may be heard in the same locality in almost 
any stage or phase of the disease. Adventitious rales or 19 
sounds are heard principally in the third stage. A 
mucus click may be heard in almost any stage of the dis- 
ease, but more especially in the second and third stages. 
As a rule the pitch of respiration increases with consolida- 
tion and is generally harsher and more prolonged Pain 
and wavy respiration are indefinite. They may be pres- 
ent in any stage of the disease. They may be constant 
or they may be absent. A hemorrhage may occur in any 
stage of the disease, and quite frequently the first indica- 
tion of pulmonary trouble is from an unexpected hem- 
orrhage. Laryngitis may also occur at any time, but 
principally in the second and third stages. 
The following classification of the various stages and 
phases ere based on the supposition that the disease 
began at the apex and pursued a typical course. Quite 
frequently it begins at the base or even in the center of 
the lung from pneumonia or pleurltis. We have named 
the anterior regions of the chest only, but there are 
cases where the consolidation or solidification is con- 
fined to the anterior part of the lung, while the posterior 
portion is partially consolidated. It is very easy to de- 
scribe such a condition by saying, "Fourth phase in 
mammary region left lung,but second phase in scapular." 
Any region can be described in a similar manner. An 
entire lung may be involved without consolidation of 
any part of the lung, a condition which freqently fol- 
lows la grippe. In such a case the entire lung is in a 
certain phase of the disease. 
The disease frequently involves both lungs. Then all 
of the symptoms develop more rapidly. Loss of strength 
and endurance with dyspnoea on exertion are much 
more pronounced than when the disease is confined to 
one lung. A condition of this kind can be described by 
saying, "Left lung, second stage, fourth phase; right 
lung, first stage, second phase," or name the regions and 
the phase. We might have one-half or one-third of a 
lung i n the fifth or sixth phase and the rest in the 20 
second, third or fourth. By naming the region and the 
phase the condition will be understood from the classi- 
fication. 
< repitant and sub-crepitant rales may be heard in any 
stage of the disease. A crepitant rale might be heard in 
the same locality with gurgling and bubbling rales, but 
the latter would not exist in the phase that first pro- 
duced the former. A rale is produced in a certain 
phase. It may be heard in the phases that follow, but 
it would not exist previous to its formative phase. Cer- 
tain adventitious sounds may be developed in any stage 
or phase of the disease. It must be understood that 
frequently one or more of the symptons in a given 
phase may be absent and even some of the symptoms of 
another phase present, but the combination of the signs 
will indicate the stage or phase. 
Solidification and consolidation ordinarily are consid- 
ered to mean the same condition ; but we make a dis- 
tinction between the terms. In the ordinary consol, 
idation of the lungs the exudate is not so dense as in 
solidification. This is known by the character of the 
respiration (volume or amount of air entering the lung) 
and expansion which may be quite appreciable in con- 
solidation, while in solidification no expansion exists 
in the part solidified and the respiration is confined to 
the.larger bronchi. By commencing consolidation we 
mean a thickening of the mucous membrane of the 
bronchioles and air sacs not sufficient to prevent the air 
from entering the air sacs, but the character is rough, 
harsh or wavy with crepitation on inspiration. Partial 
consolidation is where there is not only thickening of the 
mucous membrane of the air sacs and bronchi, but exu- 
dation has taken place freely in both, partially filling 
them up, yet air passes into the air sacs. The sub-crepi- 
tant rale predominates and is frequently heard on ex- 
piration as well as inspiration. 21 
In some cases the temperature in the first and. third 
stages may be sub-normal especially in the forenoon, 
and then normal or a very slight increase in the after- 
noon. Night sweats, or more properly ephidrosis, as the 
sweating is not confined to the night, as a rule have the 
same effect upon the fever as an antipyretic and re- 
duces it. 
Rough, harsh or abnormal respiration which may be 
wavy, but vesicular in character, confined to a portion 
of one lung, generally the apex, without rales. Expira- 
tion a little longer than normal. Very little if any 
change in tension, fremitus or percussion note. There 
may be a slight hacking cough without expectoration. 
No appreciable loss of flesh, strength or endurance. No 
sinking in the clavicular regions, and no perceptible 
change in expansion and respiration. There may be a 
slight increase in the pulse rate and a slight elevation 
of the temperature in the afternoon or evening or they 
may be normal. Appetite variable. 
First Stage-First Phase. 
First Stage-Second Phase. 
Inspiration a little higher pitched, generally harsh, 
with expiration slightly prolonged and may be wavy. 
Respiration vesieulo-bronehial to broncho-vesicular, 
with crepitation, especially noted on deep inspiration. 
Thickening of the mucous membrane of the bronchi 
and air sacs with commencing exudation, but the air 
cells are not filled with the exudate. Tension and 
fremitus may be exaggerated. Dullness of resonance 
may exist in the clavicular regions. There is generally 
not very much cough and little expectoration. Sputum 
mucoid or muco-purulent. Commencing loss of flesh, 
strength and endurance. The patient is able to continue 
his occupation but somewhat easier fatigued. A very 
slight sinking may be noticed in the clavicular regions 22 
With scarcely any change in respiration or expansion 
There is generally a slight increase in the pulse rate 
with an elevation in temperature of from one-half to one 
and a half degrees F. Not much dyspnoea on exertion. 
Very seldom any moisture on the surface of the body 
after sleeping. 
Secottd Stage-Third Phase. 
Inspiration higher pitched, harsh with expiration 
prolonged' and frequently wavy. Respiration broncho- 
vesicular with crepitant and sub-crepitant rales. Exuda- 
tion taking place in the air cells and bronchi, but they 
are still patulous so that the air passes into the air sacs. 
Tension and fremitus increased. Decided dull-resonant 
in the clavicular regions shading off to resonant iu the 
mammary region. There is generally considerable 
cough and expectoration, the latter being purulent in 
character. Some loss of flesh, strength and endurance. 
Patient able to continue his occupation, but easier 
fatigued. Sinking may be observed in the clavicular 
regions with some deficiency in expansion and respira- 
tion. Some increase in the pulse rate and temperature. 
Some dyspnoea, on exertion, and occasional ephidrosis. 
In this stage we have a purulent sputum indicating that 
the inflammatory process had extended sufficiently to 
produce this form of an exudation. Tubercles are being 
deposited in which the bacilli are formed. We may 
then expect that bacilli can be found in this and the fol- 
lowing phases. 
Second Stage-Fourth Phase. 
Tn this phase of the disease there is blocking or filling 
up of the air sacs or bronchioles, with exudation, pro- 
ducing consolidation in the clavicular regions. The ex- 
udate is soft and spongy in character and admits of 
compression and expansion. Partial consolidation in the mammary and commencing exudation in the sub- 
mammary regions. Percussion dull in the clavicular 
regions, dull resonant in the mammary, becoming re- 
sonant in the sub-mammary regions. Respiration bron- 
chial in character in the clavicular, broncho-vesicular in 
the mammary, and vesitulo-bronehial in the sub- 
mammary regions. Sub-mucous and sub-crepitant rales 
(from sponginess of the exudate) in the region of con- 
solidation (compressible exudation), sub-crepitant in 
the region of partial consolidation and crepitant in the 
locality of commencing exudation. Tension and fremitus 
increased in the regions of exudation. Cough and ex- 
pectoration increased. Sputum purulent and more 
dense, cough may be exaggerated by reflex irritation of 
the pharynx. Sinking noticeable in clavicular regions. 
Loss of strength and endurance generally more marked 
than the loss of flesh, but the individual can generally 
follow his occupation. Deficient expansion and respir- 
ation in the region of dullness. Increase in the pulse 
rate and temperature and may be also of respiration. 
There may be hoarseness of the voice from congestion of 
the larynx. Dyspnoea on exertion. Ephidrosis common. 
23 
In this phase of the disease there is a solidification of 
the exudate, so that it loses its compressible character in 
the clavicular region; consolidation (compressible) in 
the mammary region and partial consolidation in the 
sub-mammary region. Percussion decidedly dull or flat 
in the region of solidification, shading off to dull and 
dull resonant in the regions of consolidation, and then 
becoming dullness of resonance in the region of com 
mencing exudation. Mucous, sub-mucous (sometimes 
mucous click) and occasionally scattered creaking rales 
in the parts that are solidified.- Sub-mucous and sub- 
crepitant rales in the region of consolidation, with 
crepitant and some sub-crepitant rales in the region of 
Third Stage-Fifth Phase. partial consolidation. Tension and fremitus generally 
quite marked in the regions of.dullness. Considerable 
cough and expectoration, although the cough may be 
harsh, hard and tight, without much expectoration, and 
frequently aggravated by reflex irritation of the pharynx. 
Sputum purulent, generally heavy and tenacious, fre- 
quently nummular, miy be yellowish, greenish or dark 
in color. Sinking in the region of dullness, generally 
quite marked in the clavicular regions. Loss of flesh, 
strength, and endurance more decided, although the in- 
dividual may still follow his occupation but is easily 
fatigued. Decided deficiency of expansion and respira- 
tion in the regions of dullness. There is generally an 
increase in the pulse rate and respiration (the latter 
more noted on exertion) to compensate for the blocking 
up of the air cells. The temperature may not be in- 
creased very much above the fourth phase, then again it 
may be 103° F. or higher. There may be an exacerbation 
in the thermal condition in the afternoon or evening 
with or without a chill. Dyspnoea becoming more de- 
cided. Hoarseness or even aphonia from implication of 
the larynx. Occasional swelling of the feet. Ephidrosis 
common. 
24 
Third Staae-Sixth Phase. 
In the clavicular regions in this phase of the disease, 
the inflammatory process extends to the parenchyma of 
the lungs producing engorgement, frequently causing 
disintegration of tissue with the formation of cavities. 
The exudate may remain solidified, or be softened and 
removed by the mucous membrane becoming pyogenic, 
or by the purulent material from the parenchyma or an 
abscess cavity. Contraction or obb'teration of the air- 
cells and bronchioles may exist. Solidification in the 
mammary and consolidation in the sub-mammary re- 
gions. The condition existing in the clavicular region 
may extend to the other regions and involve the entire 25 
lung. Percussion dull, or amphoric, cracked-pot or 
tympanitic over a cavity or resonant in character from 
removal of the exudate in the bronchi. Dull to flat in 
mammary and dull to dull resonant in the sub-mammary 
regions. Respiration bronchial, tubular, amphoric, 
cavernous or blowing in the clavicular region, chiefly 
bronchial in the mammary and broncho-vesicular in the 
sub-mammary regions. Bubbling, metallic or amphoric 
tinkle, gurgling mucous or crackling rales, heard in the 
clavicular regions; mucus, sub-mucus or crackling 
rales heard in the mammary regions. Tension and 
fremitus generally increased, but they may be reduced in 
the clavicular regions. Cough generally frequent and 
hard (coughing spells), with a large amount of expectora- 
tion, as a rule. Sputum purulent, heavy, tenacious and 
yellow, although it may be thin, greenish, dark or 
creamy in color. Sinking in clavicular region very de- 
cided. Emaciation with loss of flesh, strength and en- 
durance. Individual can not follow his occupation. 
Very easily fatigued. Very little, if any, expansion. 
Pulse weak and respiration shallow, both increased, 
especially on exertion. Temperature generally above 
normal all of the time, higher in the afternoon and 
evening, although it may be sub-normal in the forenoon 
and normal or slightly increased in the afternoon. There 
may be distinct chills, or chilly sensation, or fever with- 
out either of the former. A hectic condition is very 
common. Diarrhea, or swelling of the feet and legs, or 
both are frequent. Dsypnoea produced on slight exer- 
tion. Hoarseness or aphonia from laryngitis frequent. 
Ephidrosis very common. 
The proper time to institute a treatment for consump- 
tion is in the first stage and if possible in the first phase- 26 
There are various forms of treatment for this disease, 
ranging all the way from the domestic cough syrup to 
the hypodermic injection of various agents; from the 
simple inhalation of steam through a paper cone to th# 
pneumatic cabinet. Those who believe that the baccil- 
lus is the cause, say that the proper treatment is one 
that will exterminate this microbe. They treat it on the 
same principle as the itch, and say, kill the parasite and 
the disease will disappear, gome of the medicines used 
in the treatment of consumption are as follows Guia- 
col, creasote, cod liver oil, hypophosphites, morphia, 
opium, hypodermic injections of various agents, such as 
tuberculin, chloride of gold and soda, iodine, iodoform, 
aristol, cantharadine, goat's blood, dog serum, oil of 
cloves, and various germicides. We refer to them for 
the purpose of simply saying that we do not use them. 
We recognize the fact that there is a limit to the effect 
that can be produced by medical agents. It would be 
folly to claim the impossible for any treatment and say 
that it would restore tissue that had been completely 
destroyed. 
The best treatment is the one that will restore the 
largest number to health, give the most relief from pain 
and suffering, and add to the sum of human happiness. 
A treatment to be successful must be able to meet the 
three following conditions: -First, correct the faulty 
chemical action and overcome the imperfect oxidiza- 
tion. Second, it must supply the system with the ele- 
ments that are being reduced or destroyed and fill them 
with potential energy. Third, it must allay the irrita- 
tiye and inflammatory tendency and stop the waste of 
kinetic force. 
The treatment that we have instituted for consumption 
is based upon our theory and arranged to meet the three 
general indications as given above First, medicine in 
TREATMENT. 27 
form of a tablet for the purpose of supplying or increas- 
ing the elements that are being wasted and destroyed, 
and correct the faulty oxidization. Second, medicine 
in the form of constitutional drops, which assists the 
tablets in the performance, of their work, allays the irri- 
tative and inflammatory tendency, develops the resisting 
force of the system, and stops the useless expenditure of 
kinetic force. For allaying the local inflammation and 
irritation in the lungs we use an inhaler. It is simply 
palliative and does not remove the cause, but is indis- 
pensable as a part of the treatment. 
lit Uttlsott with Nature (Amick). 
The human intelligence bears the same relation to the 
body that nature does to the earth. It is the all-pervad- 
ing principle which dominates and controls evolution. 
Evolution is simply growth by the rule of nature, and 
this means development by gentle action and not by 
abrupt force. 
It is not the dreadful storm, with its heavy black 
clouds vivid lightning, reverberating thunder, hurri- 
canes of wind uprooting the trees, and torrents of water 
deluging the land, that makes the earth productive, but 
it is the gentle pattering of the rain upon the leaves and 
grass, on the buds and flowers, over the fields and for- 
ests, that makes nature beam with a smile of renewed 
life 
It is the mild and gentle process that is productive of 
the most good in the lower forms of nature, why will not 
the same rule be equally as effective in the higher forms 
of development? 
We claim the gentle zephyrs and the spring showers 
do more good than the tornadoes and the storms. We 
apply this principle to the treatment of diseasesand 
develop the powers of the system by supplying it with 
the natural forces in such a palatable and mild form that 
it can be appropriated and utilized. 28 
The chemical tablet is pleasing to the taste. Four 
tablets are taken in a day, four hours apart. A tablet is 
placed upon the tongue and left there until it dissolves ; 
it then passes into the stomach without causing that 
feeling of nausea which frequently accompanies the 
swallowing of medicines. 
The chemical constitutional medicine is pleasing 
both to the eye and to the palate. Dose, 20 drops, taken 
four times a day in a tablespoonful of water, alternating 
with the tablets. 
These medicines can be taken into the most delicate 
stomach without producing a feeling of nausea or dis- 
comfort, and with the absolute assurance that they are 
not dangerous, and under no circumstance can they be 
productive of unpleasant or injurious results, provided 
they are used according to the directions given. 
The inhaler and chemical inhaling medicine are 
only palliative, but are absolutely essential in this treat 
ment, to give relief from the cough and irritation in the 
lungs while the medicines that are taken internally are 
removing the cause and building up the system. 
For the last few years there has been an epidemic in- 
fluenza affecting the lungs. It may be epinthropoty, la 
grippe, bronchitis, catarrhal fever, or influenza. It 
makes but little difference so far as the name is con- 
cerned, the tendency is, after the Acute stage has passed, 
for a sub-acute inflammation to remain in the lungs. At 
first there may be no cough or pain, but a careful exami- 
nation of the lungs, by a person competent to make the 
examination, will reveal the fact that the disease still 
exists in them. 
The persons afflicted will say that they do not feel right, 
without being able to give any definite .reason. They 
have lost their former vigor and ambition, and to fol- 
The Evil of Procrastination. 29 
low their daily occupation requires an effort or an exer- 
tion which was not the case formerly. 
Cases of this kind show whether the medical adviser 
is a smart, progressive physician who is up, not only 
with the science, but the sign and symptoms of the 
times as well. If he is, on a careful physical examina- 
tion of the lungs, he will find, instead of a normal vesi- 
cular murmur, producing a sound like the gentle zephrys 
sighing through the summer foliage, a broncho-vesicular 
murmur with the characteristics of a gentle winter 
zephyr passing through a forest with a slight increase 
of tension. 
This is the opportune time, and no physician should 
now allow a patient to drift into confirmed consumpt- 
ion ; if he does he should be held responsible for it, for 
the chemical treatment would not only check this ten- 
dency but would eradicate the disease. 
Consumption has been considered the unconquered 
destroyer of the human race, but now, if the chemical 
treatment is used in the proper manner at the proper 
time, there is no doubt it will become a rare disease. 
This may seem a bold statement, but we say it intention- 
ally and mean it. It must be remembered, as we have 
stated in our original article, that pulmonary consump- 
tion is a disease which invades the lungs because the 
oxidizing elements of the body have been changed, re- 
duced, or do not exist in the proper quantity and quali- 
ty. A deficiency in these elements means a decrease in 
oxidization, and this lowers vital action and lessens 
organic metamorphosis. The protoplasm is not suffi- 
ciently oxidized to take on a higher vital action, or to 
be disintegrated previous to excretion. 
A person may be born with this deficiency of the oxid- 
izing elements in the system, but the inharmony thus 
produced may not increase enough to cause death for a 
number of years. The condition exists, and all that is 
required to produce the disease at any time is the neces- 30 
sary exciting cause. A similar condition may be ac- 
quired from catching cold. 
The important question is, can we get rid of this tend- 
ency or condition? Formerly this question had to be 
answered in the negative, but now it can be answered in 
the affirmative. 
To correct the disparity that exists between the oxidiz 
ing elements and the system requires a medicine that, 
will act on the blood and be in fact a blood purifier 
The blood must be in a healthy condition. It must also 
act on the liver and kidneys so that they will seerete, ex. 
Crete and eliminate properly. 
A medicine to prevent the development of, or cure 
either hereditary or acquired consumption must correct 
the faulty oxidization that exists, and to do this it must 
acton the blood, liver and kidneys in such a way that 
the effete products will be eliminated and the organs 
placed in a healthy- condition, so that they will perform 
their functions in a normal manner. 
The chemical treatment does this, but to do so it roust 
eliminate the cause, and when the cause is removed the 
disease must necessarily disappear. We repeat our 
former statement and say, that if the chemical treatment 
is used at the proper time and in the manner indicated 
by the directions, consumption would be a rare dis- 
ease. 
This treatment brings certain forms of consumption 
in a line with the simplest diseases we have to treat. 
The chemical action in these cases is prompt, rapid and 
permanent. 
In the incipient stage, as a rule, the patient notices an 
amelioration of the symptoms within a day or two after 
commencing the treatment, and by the end of a week he 
can see a general improvement. In this stage, where 
First Stage of Consumption. there are no complications, there is a rapid improve- 
ment, and in a month or two all of the symptoms of 
1 ung trouble have generally disappeared, and the patient 
is restored to health. 
31 
Second Stage of Consumption. 
In the second stage of the disease, after the treatment 
has been properly carried out for one week, the night- 
sweats are generally much less, or have ceased altogether: 
the cough is easier, less frequent, and not so troublesome 
at night; the expectoration is thinner and not so free. 
By the end of the second week the pain in the lungs (in 
those cases where it exists) is generally much less; the 
appetite has improved, the exudate in the air cells, caus- 
ing consolidation, is being absorbed; the breathing 
capacity is increased and the shortness of breath cor- 
respondingly lessened. At the same time the heart 
beats less frequently, respiration is not so hurried, the 
fever abates and the nights are passed in restful sleep. 
Gradual but certain improvement follows, and it is 
simply a question of time until recovery takes place. 
At the same time that in this stage all of the symptoms 
are more serious and the prognosis must be guarded, 
yet there is generally room for hope. While the chemical 
treatment can not restore lung tissue that has been 
destroyed, yet if there is a sufficient amount of breathing 
capacity remaining, a large amount of the exudation 
that is blocking up the air cells may be absorbed, inflam- 
mation and irritation may be removed, and from ap- 
parently a hopeless negative condition a sufficient 
amount of positiveness may be restored to the system 
to carry on vital action, and life may be prolonged for 
an indefinite length of time, with a comparative degree 
of ease and comfort. 
Third Stage of Consumption. 32 
If a patient in the third stage of consumption is placed 
upon this treatment it must be done with the distinct 
understanding that we do not claim that it will restore 
an organ to a normal condition after the disease has 
destroyed its functions beyond a given limit. We can 
say, however, that after testing the chemical treatment 
in apparently hopeless cases of consumption in the 
third stage, that it gives prompter and greater relief 
from suffering and pain, and better results than any 
other treatment known to the medical profession. 
Results of the Chemical Treatment in 
Asthma and Chronic Bronchitis. 
Some physicans say that there is no such a thing as a 
specific in medicine; but if there is, then we shall claim 
that this treatment is a specific in all cases of uncom- 
plicated asthma, without any reference to the length of 
time that the disease has existed. As a rule, there is 
a decided amelioration of all the severe symptoms in a 
week Even in those cases in which there exists a 
chronic bronchitis, with a muco-purulent expectora- 
tion, the end of the first week generally finds this con- 
dition improved In uncomplicated cases of asthma 
we consider that it is only a question of comparatively a 
short space of time until the disease is cured, provided 
the directions and treatment are properly carried out. 
Catarrh attd Hay Fever. 
Reasoning from the same basic theory, we have insti- 
tuted a chemical treatment for catarrh and hay fever 
which has given as satisfactory results in these diseases 
as we have had with consumption and asthma. In 
these diseases we use the atomizer instead of the inhaler. 
We also give tablets and a constitutional medicine. It 
should be understood that, although the treatment in 33 
all these diseases is the same in general plan, yet the 
medicines differ in each to correspond with the disease 
and the condition of the patient. 
A brief review of these diseases will better enable us 
to present our customary method of diagnosing them. 
ASTHMA. 
Asthma is a disease that is characterized by periodical 
attacks of difficult breathing, the dyspnoea being caused 
by a spasmodic contraction of the muscular coat of the 
smaller bronchial tubes. The bronchioles having a 
more abundant supply of muscular structure than the 
larger bronchi with a much smaller caliber and con- 
necting directly with the air cells, it can readily be seen 
that a small amount of contraction would have a decided 
influence upon the passage of air through them. In 
extreme contraction a small amount of air may be forced 
through the constriction into the air cells, but only a 
portion of this air can make its escape. 
The reason why this is true is because the inspiratory 
effort has more power than the expiratory. The result 
is that more air is forced into the cells than passes out 
and as a consequence they are over-distended producing 
an emphysematous condition. If this distention is kept 
up for some time, the septte are gradually obliterated 
and the elastic or contractile fibres of the air cells are 
destroyed. 
The natural cell is tabulated, the contractile fibres 
being attached to the septse which gives it this shape. 
When the cells are distended with air these fibres 
stretch, and then by their contraction aid the thoracic 
muscles in the act of respiration. 
By tang continued or oft repeated over-distention 
these fibres lose their contractility, and when the 
septee are broken they may be partly or even completely 
detached and then their function is destroyed. The 34 
cells then instead of being lobulated are round and 
larger, constantly containing more air than normal, pro- 
ducing an emphysematous condition. The percussion 
note is then more resonant than normal. In extreme 
cases it is drum-like, or tympanitic in a thin chest wall. 
The causes that produce asthma may be divided into 
two general classes; viz., the direct and the indirect. 
The direct are those which act upon the mucous 
membrane such as cold, exposure, getting wet, smoke, 
fog, dust, emanations from plants, flowers and animals, 
odor of burnt sugar, fumes of sulphur, acids and seating 
wax, dust of various drugs such as ipecacuanha, chem- 
ical irritants, etc. 
Bronchitis is the cause in probably 80 per cent, of the 
cases. After an attack of measles, whooping cough, 
pneumonia or pleuro-pneumonia the bronchial mucous 
membrane may be left iu an irritable condition, which, 
after a period of latency, may gradually increase until 
an asthmatic condition is developed. 
We do not wish to convey the impression that asthma 
will follow immediately after convalescence from these 
diseases. The sensitive condition of the mucous mem- 
brane induced by them may continue and afterward 
gradually increase, but the required amount of irrita- 
bility to produce a spasmodic contraction of the bron- 
chioles may not be developed for a number of years. 
The indirect causes are sometimes called reflex and 
act through the nervous system and the circulation. 
Asthma may be acquired or hereditary. The former 
might be direct or indirect, the latter would be indirect. 
The indirect or reflex generally acts through the 
excito-motor system, and may be from the stomach, 
then they are called peptic. 
Any cause that produces a functional disturbance of 
the stomach may result in an asthmatic attack. It is to 
be noted, however, that organic disease of this organ 
does not generally result in an asthmatic condition. 35 
Distention of the stomach from eating or drinking 
excessively, certain articles of diet sueh as bacon, 
smoked sausage, ice cream, pastry, etc., may bring on 
a paroxysm. Irritation in the intestinal canal such as 
worms, hemorrhoids, etc., may be the cause. 
In a youth that we treated the attacks had existed 
from the time that he was an infant. He had devel- 
oped the peculiar barrel-shaped chest that is -sometimes 
observed in old asthmatics who have become emphy- 
sematous. This was at first a case of reflex asthma from 
the intestines caused by irritation from a tape-worm. 
An asthmatic condition may be the result of inflam- 
mation or obstruction in the nasal cavities, uterine 
irritation, etc. In uraemia and diabetes mellitus there 
are periodical disturbances of respiration with dyspmea. 
An agent circulating in the blood may produce an irri- 
tation of the nerve centers and be the cause of asthma. 
The type of this class is seen in lead poisoning and gout. 
Certain diseases such as syphilis and eczema may act 
as an indirect cause for the disease. An abnormally 
sensitive condition of the nerve centers, either inherited 
or acquired may be the chief factor in the development 
of the attacks. 
A paroxysm may be brought on by over-exertion, 
walking fast or running, going up steps or a hill, laugh- 
ing, sneezing, excitement, grief, anger, the sight of cer- 
tain objects or animals. 
An attack may be developed by almost anything that 
makes a decided impression upon the nervous system 
and a similar impression may abort or prevent a threat- 
ened paroxysm. 
A person may have asthma in one climate and be free 
from it for a while in another. They may have it while 
living on one side of a street and have temporary im- 
munity by changing to the opposite side. It will be 
seen that the causes are various and may have a different 
aspect in each individual. 36 
An asthmatic attack generally comes on suddenly. 
There may be a prodromal period of depression or 
drowsiness or there may be an exhileration and buoy- 
ancy of spirits. 
A peculiar sensation partaking of the nature of a 
foreboding of impending danger is the premonition in 
some instances. In some there is an unaccountable 
irritability of temper and they can scarcely treat their 
best friends properly. Then there are those that have a 
degree of moroseness or sulliness that is entirely foreign 
to their natural disposition. Others have presentiments 
of various kinds by means of which they can predict 
the advent of a paroxysm. 
The attacks occur most frequently at night, although 
they may take place at any time. In a paroxysm the 
person sits up, leans forward and gasps for breath. 
There is a sensation of impending suffocation and all 
of the thoracic muscles are used in theeffortsof respira- 
tion. The shoulders are either constantly elevated or 
are drawn upward during inspiration. The inspiratory 
effort is short, forcible and frequently gasping while 
expiration is prolonged and laborious. The counte- 
nance is generally pale but in severe.cases the lips and 
face may have a bluish color. 
The fremitus at this time is generally diminished from 
the distention of the cells with air and percussion re- 
sonance increased from the same cause. Dry rales are the 
most abundant in the beginning of the attack and con- 
tinue until secretion takes place. Sometimes they are 
very loud and may be heard at a distance from the 
sufferer. They are not heard constantly in the same 
locality, but are manifest first in one place and then 
another. This shifting of the dry rales is one of the 
characteristic signs of this disease. Later the moist 
rales become manifest especially the sub-mucous and 
the sub-crepitant. All rales are heard plainer on expira- 
tion. 37 
The ratio of inspiration to expiration is about 4 to 1 
in a normal condition of respiration. During an 
asthmatic paroxysm this ratio is reversed. The inspira- 
tory effort being short and strong the air is forced 
through the contracted tubes into the air-cells. The 
expiratory effort does not have sufficient power to force 
it back through the constriction and the cells become 
over-distended. The air in the cells that is thus pre- 
vented from escaping becomes charged with carbonic 
acid and cyanosis is the result if the paroxysm con- 
tinues very long or is excessive. 
The paroxysms last from a few minutes to several hours 
although the effects may last much longer. With the 
relaxation of the contraction in the bronchial tubes, 
secretion takes place and more or less viscid and glary 
mucous is expectorated after coughing. The respiration 
then becomes easier, the gasping for breath gradually 
ceases, the muscles of the chest relax, the pulse, which 
is small during the paroxysm, becomes fuller, inspira- 
tion becomes longer and expiration shorter until finally 
all of the symptoms disappear. During the paroxysm 
but more especially with relaxation the body may be 
covered with perspiration and there may be a desire to 
urinate. Sleep may follow and the person wake up 
feeling comparatively well, but the soreness and results 
of the paroxysm may be felt for a day or two afterward. 
After the disease, whether in the inherited or acquired 
form continues for a time, it becomes a habit of the sys- 
tem or acquires an independent existence and may 
continue for an indefinite length of time even after the 
disease in the organ that was the primary cause has 
been removed. 
Asthma has a strong tendency to a rythmical recur- 
rence and consequently can be classed with those 
diseases that are periodic. 
It may be associated with or occur as a result of 
megrim or malaria. There may be certain seasons or 38 
periods of the year when it makes its appearance, and 
after existing for a few weeks may disappear to recur 
again when that season arrives. With a recurrence of 
these periods the attacks generally increase in severity 
and duration until a sufficient amount of irritability 
may constantly exist for a paroxysm to be developed at 
almost any time. It frequently accompanies or follows 
hay-fever, or it may occur at that season of the year and 
is then called hay-asthma. 
In females it is sometimes associated with the monthly 
sickness and may occur or be worse at that period. In 
those cases where the attacks occur at stated periods, 
there is a paroxysm or a series of them when the disease 
appears to exhaust its force, then there is a period of 
immunity until the force has been regenerated or rede- 
veloped. In some, this condition of irritability exists 
continually, and a suitable exciting cause will develop 
a paroxysm at any time. 
It is common for the attacks to occur at night. This 
would indicate that there was an electrical condition 
of the atmosphere at night more favorable for its pro- 
duction than in the daytime. Darkness itself is a cause, 
and many persons cannot sleep without a light in the 
room. The action of the atmosphere may be an element 
in the production of an attack in some cases. When it 
is quiet they are free from any symptoms of the disease, 
but wind, especially a high wind will precipitate an 
attack. The direction in which the wind is blowing 
has the peculiarinfluence that will develop a paroxysm 
in some persons. 
A. disease like bronchitis may be developed from 
exposure. Apparently all of the pathological effects 
produced by it disappear, and the person is restored to 
a normal condition of health. However the bronchitis 
may have developed a morbidly sensitive condition of 
the nervous system in the mucous membrane of the 
respiratory tract, which remains in a latent form. Then, 39 
not only cold, dust, fatigue, etc., but subtle agents may 
?.ct as irritants and develop the disease, which, in a 
ormal condition, would have had no effect. 
CHRONIC BRONCHITIS. 
The bronchial tubes are divided into three classes, 
viz.: the larger, medium, and smaller or capillary, some- 
times called bronchioles. Bronchitis means an inflam- 
mation of the mucous membrane of the first and second 
varieties, but not of the third. When the smaller bron- 
chial tubes are the seat of inflammation it is called 
•apillary bronchitis, and occurs more frequently in 
•hildren and the aged and debilitated. The air-cells are 
not involved in bronchitis, nor in the capillary form, 
unless as a result of some complication. 
The inflammation may not be confined to the mucous 
membrane, but frequently extends to the walls of the 
tubes and the surrounding connective tissue. 
Bronchitis is a disease that effects both lungs. When 
a pathological condition exists only in one lung it must 
be remembered that it can not be bronchitis unless it is 
secondary to some other disease. Pneumonia frequently 
involves only one lung, and bronchitis may exist in 
connection with it. 
Chronic bronchitis may exist as such from the begin- 
ning or it may follow the acute variety, it is also fre- 
quently associated with or the result of organic disease 
of the heart or chronic lung trouble. It may be de- 
veloped as a result of other diseases, such as Bright's 
disease, albuminuria, scrofula, rickets, etc. It is common 
in those who have a cachectic diathesis. 
A mental trait or a peculiar form of nervous sensibility 
in the parent may make a similar impression upon the 
nervous system of the child. So scrofula, consumption, 
chronic bronchitis, etc., in one generation may be trans- 
mitted to the next. They may not each in turn develop 
the same disease, but any one of them may furnish the 40 
predisposition for the same disease or either of the 
others. Consumption and chronic bronchitis transmit 
a predisposition to disease of the mucous membrane, 
especially of the air-passages, and we see this exemplified 
iu the children of such parents. There may be an im- 
munity for a number of years, but frequently with the 
change from adolescence to manhood or womanhood, or 
from some special exciting cause, the disease shows its 
influence upon the system 
This would indicate that there is a vital principle ex- 
isting in every living being in a form capable of trans- 
mission from parent to offspring, and that it is suffi- 
ciently powerful to make its intrinsic quality become 
manifest. It also has the inherent power of affecting the 
system in such a manner that it will produce a given 
disease, or one that is associated with a similar cause. It 
may skip one generation and the next one be dominated 
by its influence. 
In females the catamenia are frequently delayed be- 
yond the normal age, or, if it has occurred, it is easily 
deranged or ceases altogether without apparently any 
tangible reason except under the comprehensive terms 
of debility or anaemia. 
Syphilis and diseases of the skiu in one generation 
may be followed in the next either by chronic bronchitis 
or pulmonary consumption, or the children of such 
parents contract these diseases from exciting causes that 
in others would not produce them. Alcoholism is a 
cause of the disease due principally to the exposure and 
neglect that accompanies it. 
It may occur in winter from the effect of the cold air 
upon the bronchi and disappear with the advent of 
warm weather. After a few years it becomes established 
and will then continue constantly without any reference 
to temperature or the season of the year. 
It may be developed from exposure, inhalation of ir- 
ritants, such as dust, gasses or fumes from acids and 41 
chemicals. It may follow as a sequel® after any of the 
continued fevers, rheumatism, etc. 
Stone and marble cutters, polishers, buffers, knife 
grinders, etc., by constantly inhaling the dust are not 
only frequent sufferers from chronic bronchitis, but if 
continued may develop asthma or consumption. Fire- 
men, stokers, puddlers, glass workers, and all those who 
are exposed to a great heat and afterwards to cold air or 
a draft are liable to contract colds which are followed by 
inflammation of the pharyngeal and bronchial mucous 
membranes. After an attack from this source the parts 
are more easily influenced by a repetition of the cause. 
As this class are frequently exposed to great variations in 
temperature, they are in a suitable position to have 
chronic bronchitis as a result of "catching cold" so 
often. People who wrork in shops and factories where 
there is much dust and smoke generally have more or 
less congestion of the bronchi. The congestion may re- 
main in a sub-acute or chronic form for an indefinite 
length of time without causing very much distress. 
There will be some cough and expectoration, but as a 
rule little or no increase in the pulse rate or temperature. 
They are, however, in a condition to be easily influenced 
by exposure when an active congestion will follow. 
The inflammation then extends through the bronchioles 
into the air-cells. The excessive congestion in the 
bronchi may subside in a few days leaving them in 
about the same condition as before with the addition 
however, of a similar condition in the air-cells, thus 
producing the first stage of consumption. From this it 
can readily be seen how a chronic bronchitis may from 
exposure to any cause that will add an additional irrita- 
tion to the already congested and hyper-sensitive mucous 
membrane develop phthisis pulmonalis. 
A chronic bronchitis may exist as such for months, the 
inflammation being confined to the tubes. Apparently 
the general health of the individual is not noticeably 42 
influenced by the disease. However, certain changes 
have been gradually taking place. The inflammation 
not only produces thickening of the mucous membrane 
thus lessening the caliber of the tubes and interfering 
with the free passage tof air through them, but extends 
to the bronchial cartilage causing an inflammation of 
that structure which weakens them. It may then pass 
to the peri-bronchial connective tissue causing infiltra- 
tion and thickening in the latter. The tubes being thus 
weakened by the disease are dilated by the violent at- 
tacks of coughing. The dilatation may be uniform like 
a cylinder, tuberous, or there may be an ampullar or 
sac-like enlargement. 
When the cartilage has been attacked by the disease 
the symptoms arel more pronounced, the breath has an 
offensive odor with frequently a greenish color in the 
expectoration. Another cause for the disagreeable odor 
in the breath is from the secretion remaining in the 
sacculated dilatations and undergoing a partial decom- 
position. 
When there is much thickening of the connective tis- 
sue it presses upon the bronchial arteries lessening the 
nutrition of the parts, increasing the venous congestion 
and favoring disintegration and the formation of pus. 
If this condition exists along the bronchioles and ex- 
tends to the air-cells then pulmonary consumption is 
the result. 
There is a close relationship between chronic bron- 
chitis and consumption. We might have the former 
without the latter, but in consumption there is nearly 
always more or less chronic bronchitis. 
The secretion in chronic bronchitis consists of exuded 
and changed leucocytes, serum, mucus, cast-off epi- 
thelium, pus and disintegrated organic elements. 
In the moist or humid form the secretion may be very 
abundant. The paroxysms of coughing are not so severe 
as in the dry form, as the exudation is more fluid and 43 
larger in quantity so that it is more easily dislodged and 
expectorated. 
The cough is generally worse at certain periods, espe- 
cially in the evening when day-light is merging into 
darkness, just after lying down at night and in the 
morning The expectoration may be gelatinous in 
character, it may have a straw color or a greenish ap- 
pearance. 
In the dry form there are violent paroxysms of cough- 
ing with but little expectoration. The cough is the most 
decided symptom. On account of thickening of the 
bronchial mucous membrane from the congestion and 
the viscid secretions adhering to it, there may be 
dyspnoea on exertion. 
Inspection does not show any difference in the two 
sides of the chest in chronic bronchitis, respiration and 
expansion being the same. Unless produced by a col- 
lection of the secretion or infiltration of the connective 
tissue, there is little or no change in the fremitus. The 
percussion note is practically normal although there 
may be some increase in the tension. In some cases of 
long duration with thickening of the peri-bronchial 
structure there may be a dullness of the normal reso- 
nance. The respiratory murmur may be lessened by the 
secretion but when this is removed by coughing it is 
restored. 
Expiration is generally prolonged and harsher than 
normal. There is little or no reduction in weight, 
strength or physical endurance. 
There are two kinds of rales heard in bronchitis-the 
dry and the moist. The dry are the sibilant and the 
sonorous. The former are high-pitched, whistling in 
character and located in the smaller and medium sized 
tubes. The sonorous rale is lower pitched, has more of 
a musical tone and are formed in the larger tubes. The 
dry rales are produced either as aresult of the congestion 
of the mucous membrane before exudation has taken 44 
place or from the air passing through tubes containing 
viscid mucus, and are heard chiefly at the commence- 
ment of the disease or in the dry form. 
The moist rales are either sub-crepitant, sub-mucous, 
or mucous. The sub-crepitant are made in the smaller 
bronchi, are of a fine crackling character and are heard 
chiefly on inspiration, although they may be heard dur 
ing expiration. The sub-mucous rales are in the medium 
sized tubes, have a bubbling character and are heard 
both on inspiration and expiration. The mucous rales 
arc in the larger bronchi, produce a bubbling sound and 
are also heard both on inspiration and expiration. 
Differential Diagnosis-Asthma. 
In making a differential diagnosis between two dis- 
eases the history of the ease must always be taken into 
consideration. Quite frequently that will give pre- 
sumptive evidence of the nature of the disease. 
The following are the principal symptoms by means of 
which asthma may be diagnosticated from other dis- 
eases. The suddenness with which it makes its appear- 
ance at any time, day or night, frequently without any 
apparent cause. The constant elevation of the shoulders 
or the drawing of them upward at each act of inspiration 
during a severe paroxysm. The violent efforts in 
breathing with short and free inspiration but prolonged, 
wheezy and laborious expiration. The impending sense 
of suffocation during the paroxysm. Cyanosis during 
the attack passing off with the latter. Loud and shifting 
rales with slowness of respiration and small pulse. 
Increased resonance during the paroxysms returning to 
normal after it has disappeared. Secretion viscid with 
an entire absence of purulent products and very little of 
the watery element. 
There is no change in the voice and no rise in tem- 
perature, consequently a complete absence of fever. The 45 
rapidity with which all symptoms disappear leaving the 
patient apparently in his usual state of health. 
In laryngeal affections there is prolonged and difficult 
inspiration with easy respiration and no rales in the 
chest In oedema of the glottis the prolonged and diffi- 
cult inspiration is accompanied by a crowing sound 
while expiration is free and without any noise. 
In cardiac dyspnoea the paroxysms may be severe 
and resemble those of asthma, but the absence of rales 
in the lungs and freedom from the prolonged and 
wheezy expiration together with evidence of disease of 
that organ would be sufficient to differentiate between 
them. 
Emphysema has increased resonance existing all the 
time, although it may be more pronounced during a 
paroxysm. The conformation of the chest being more 
or less barrel-shaped; displacement of the heart and 
the readiness with which the paroxysms are developed 
together with the physical examination would reveal 
the nature of the disease. 
Chronic bronchitis is a disease that involves both 
sides of the chest. There is very little if any change in 
the fremitus. The tension may be increased but the 
percussion note remains practically unchanged. Sub- 
mucous and sub-crepitant rales may be heard in both 
hi' gs. In the humid form the mucous rales are present 
at certain times but not constant. 
In the dry form the sibilant rale and occasionally 
the sonorous exist, but they arc not shifting as in 
asthma. In uncomplicated cases there is no* fever. 
Respiration is generally harsh and at times the vesi- 
cular murmur may be obscured by the secretion, but 
when the latter is removed by coughing then the former 
returns. There is no consolidation of any part of the 
Chronic Bronchitis. 46 
lungs, consequently there is no bronchial breathing. 
There is no retraction and the depression under the 
clavicles (if there is any) is uniform on both sides. 
There may be loss of weight in some cases, but it is 
not progressive. At times during the course of the 
disease, there may be some sub-sternal pain and a sense 
of constriction across the chest. 
Occasionally there may be a thread-like streak of blood 
in the expectoration but no hemorrhage. 
Unless there is a dilatation of the bronchi, which is not 
common, there will not be much trouble in making a 
diagnosis of chronic bronchitis. In those cases where 
fibroid phthisis is the result of chronic bronchitis, it is 
sometimes difficult to draw a line of demarcation be- 
tween them. * 
CATARRH. 
Catarrh is a disease that can exist in any organ that is 
Lined with a mucous membrane. We may have a catarrh 
of the pharynx, stomach, intestines, etc. We shall refer 
to the form that involves the nose and is known as 
chronic nasal catarrh commonly designated simply by 
the word catarrh. When the expression "I am troubled 
with catarrh " or " I have catarrh " is used, it is under- 
stood that the nose is the organ referred to. 
Chronic nasal catarrh is a disease affecting the lining 
or mucous membrane of the nose. The mucous mem- 
brane in this locality is sometimes called the Schnei- 
derian or pituitary membrane. The latter name is given 
on account of the character of the secretion. The 
ancients supposed that the secretion was a flux from the 
brain throifgh the ethmoidal foraminse, but Schneider 
demonstrated that it was from the mucous membrane of 
the nose itself. This is the reason why it is called the 
Schneiderian membrane. 
On account of its mucous membrane containing the 47 
terminal filaments of the olfactory nerves the nose is 
called the organ of the special sense of smell. It is also 
the special organ through which the air should pass to 
the lungs, as the mucous membrane is endowed with the 
property of preventing, to a certain extent, the intro- 
duction of noxious agents into the lungs. On account 
of this function people can inhale choke-damp or the 
effluvia from poisonous reptiles through the nose with 
safety that otherwise would be lethal in their effects. 
This disease is frequently the result of an hereditary 
predisposition and a person may be born with the 
catarrhal diathesis. Gout and lithremia are diseases pro- 
duced by the action of morbid or foreign agents in the 
blood which predisposes the Schneiderian membrane to 
Congestion. Defective nutrition and debility following 
the exanthemata as well as the inhalation of irritants 
are frequently the chief factors in the production of 
rhinitis. 
During the earlier part of the disease the mucous 
membrane may have a velvety appearance, but later this 
may disappear sis the result of sclerosis. Respiration 
through both nostrils at the same time seldom occurs, 
but when one side is free the other is occluded. The 
passing of the secretion from the posterior nares into the 
throat is one of the most annoying symptoms. The 
frequent hawking to remove it keeps the pharynx in a 
constant state of irritation. When the disease extends to 
the superior portion of the nose the inflammation may 
injure the connection between the terminal filaments of 
the olfactory nerves and the mucous membrane and the 
sense of smell be partially or completely destroyed. 
Nasal catarrh may be the cause of inflammation of the 
pharynx, larynx or bronchi. It involves the pharynx 
commonly and the larynx frequently by extending 
along the mucous membrane from one organ to 
the other. It might develop bronchitis in a similar 
manner or it might be from the loss of the normal con- 48 
ditionof the nasal mucous membrane. The Schneiderian 
membrane in its healthy sta,te is constantly moist with 
its own secretion. When a current of air passes through 
the nostrils it carries with it dust and irritating agents. 
These particles are brought in contact with the moist 
surface and adhere to it being thus retained in the nose. 
In chronic nasal catarrh there is frequently a hyper- 
plasia of the mucous membrane followed by sclerosis so 
that the erectile tissue and membrane are dry. Then the 
dust and foreign particles in the atmosphere are carried 
into the pharynx, larynx and bronchial tubes where 
they act as irritating agents, As the irritant is kept con- 
stantly acting it can readily be seen how inflammation 
of these organs may be the sequence. 
From the nose the inflammation may readily extend 
by continuity of structure through the Eustachian tube 
to the cavity of the tympanum. In a normal condition 
the Eustachian tube is patulous and in every act of de- 
glutition the middle ear is ventilated. When the lining 
membrane of this tube is congested the natural ingress 
and egress of air to the tympanic cavity is inhibited and 
a condition of catarrhal deafness is developed. In addi- 
tion to the cophosis or deafness there may be tinnitus 
aurium, aural vertigo, and a peculiar sound in the ear 
when speaking-a reflexion of the voice. 
Chronic nasal catarrh is commonly derived from the 
acute variety which is most frequently the result of 
*• catching cold." A person from exposure takes cold 
and as a sequence has acute nasal catarrh or coryza, or- 
dinarily called a "cold in the head." In this condition 
the mucous membrane of the nose is congested and 
swollen. The swelling may be sufficient to close the 
nasal passages and respiration is performed through the 
mouth. There is a. free watery discharge secreted which 
requires frequent blowing of the nose. Most of this dis 
charge comes out of the anterior part of the nostrils but 
a portion of it passes down into the pharynx. With this 49 
condition there is frequently a congested condition of 
the conjunctiva the eyes being red and watery. There is 
headache from congestion of the frontal sinuses, the 
pain extending across the forehead, and generally an 
irritated condition of the throat. 
This condition may last for a few days and then gra- 
dually pass away. From exposure again a similar con- 
dition is developed more easily than at first until after a 
few repetitions the congested condition doesnot pass ofl 
entirely but remains constantly in a sub-acute or chronic 
form. The vessels being over-distended in the acute 
form do not contract to their normal size but remain 
slightly dilated and contain more blood. The congestion 
weakens the walls of the capillaries and transudation of 
plastic material, serum and leucocytes from the blood is 
easier. Some of the plastic material enters the connec- 
tive tissue and causes thickening and induration. There 
is more or less disintegration of the cellular structure 
and change of leucocytes into pus, and this together 
with the serum and glandular secretions forms the dis- 
charge that is almost always present. It may be thin, 
mucoid or watery and it may be viscid or purulent. It 
may be formed in the front part of the nose and escape 
anteriorly or it may come from congestion in the back 
part of the nasal cavities and escape posteriorly into the 
pharynx where it will be observed as a grayish streak 
extending from behind the soft palate down the posterior 
wall of the throat. 
In almost all cases of chronic nasal catarrh there is also 
a chronic pharyngitis, the mucous membrane of the 
throat being red and congested and easily irritated. 
The discharge passing from the posterior portion of 
the nares into the pharynx produces a tickling in the 
throat from its mechanical effect and an effort is made to 
remove it. It may be of an acrid character and would 
develop irritation from this property. In others it acts 
as a foreign body producing an uncomfortable sensation 50 
and an effort is made to dislodge it. As it is viscid it re- 
quires repeated efforts before it is removed, and the 
hawking and coughing that is required for this purpose 
aggravates the irritation already existing in the throat. 
Certain occupations, especially those where there is 
much dust favors the development and continuation of 
this disease. Hence, it is quite common in factories 
where the employees are shut up in the building. After 
the local congestion and irritation have been developed 
in the mucous membrane it may remain after the ex- 
citing cause has entirely disappeared. 
It simply requires a cause for its production and ac- 
quires an independent existence and is then no longer 
dependent upon the primary cause for its continuation 
but furnishes its own irritation from the congested con- 
dition of the parts involved. 
As a rule in chronic nasal catarrh the mucous mem- 
brane is red and congested and may have a velvety ap- 
pearance over the turbinated bones. This is not always 
the case, for in some instances the membrane is pale, 
with little or no secretion producing a condition that is 
known as dry catarrh. This is generally observed where 
there has been hypertrophy as a result of an active con- 
gestion with induration following. This contraction 
lessens the amount of blood in the vessels and prevents 
surface secretion. Sometimes in the aged and debilitated 
with a relaxed condition and lowered vitality of the 
system there, is a free watery discharge without much 
thickening or congestion of the membrane. 
In some instances there is a large quantity of a whitish 
or creamy discharge blocking up the nostrils, requiring 
them to be freed from it every few minutes. Part of this 
is expelled through the anterior part of the nose by 
"blowing it" and quite a large amount is removed by 
drawing the air in forcibly through the nose and then 
hawking afterward. 
When the inflammation extends deep into the tissues 51 
the discharge may have a greenish color and a very un- 
pleasant odor. This condition is liable to follow the ex- 
anthemata such as measles scarlatina, diphtheria, etc. 
It is also found in that class in which there is a tendency 
to glandular enlargements as seen in the scrofulous 
diathesis. There being a large amount of secretion it ac- 
cumulates and fills the various cavities and sinuses in 
the nose where it remains until decomposition takes 
place. The odor then is very offensive and may be 
noticed not only by others, but by the one who has the 
disease. The discharge may partly dry up by evapora- 
tion and form, crusts or scabs which may be removed 
either anteriorly or posteriorly through the mouth de- 
pending upon their location. There may be abrasions or 
ulcers of the mucous membrane and blood be mixed 
with the discharge. 
The discharge frequently collects on the sides of the 
septum in the anterior part of the nose and by evapora- 
tion form a scab which adheres firmly to the mucous 
membrane at this point. As it produces an unpleasant 
sensation an effort is made to remove it by picking with 
the finger nail. In loosening it the mucous membrane 
is scratched or broken and some blood escapes. These 
crusts continue to form and are removed every day in a 
similar manner until the abrasion in the mucous mem- 
brane has developed into an ulcer which spreads in cir- 
cumference and extends in depth. In a comparatively 
short time the ulcerative condition extends down to the 
periosteum and that structure is destroyed at this point 
and then the inflammatory process attacks the bone it- 
self. The ulcers quite frequently form on both sides of 
the vomer, directly opposite each other, at the same 
time. This ulcerative process continues until both the 
mucous membrane and the bone are destroyed making a 
hole in the septum. From this opening the necrosis 
may extend until the entire vomer and the tissues 52 
covering it have been destroyed and removed leaving a 
large cavity without any septum. 
In the fetid or strumous catarrh, generally called 
ozcena, the discharge has a very offensive odor. As we 
have already stated it exists in persons with the scrofu- 
lous diathesis or follows the eruptive fevers. It may also 
be due to a specific cause and is sometimes seen in 
syphilitic subjects. 
Polypi may be formed in any portion of the nasal 
cavities but the middle turbinated bone is most fre- 
quently the seat of these tumors. The chronic inflam- 
mation appears to have an effect on this bone different 
from the others. It divides the bone into two parts 
along the line of embryonic union, pathological changes 
take place and granulations spring up rvhich later 
develop into the soft or mucous polypi. These tumors 
may grow in the post-nasal region or in the vault of the 
pharynx and have a dendroid appearance. 
A deflection of the septum may be the principal cause 
for the occlusion of one nostril while the cavity of the 
other one will be correspondingly enlarged. Later there 
may be cartilaginous growths in various parts of the 
nose or bony spurs from the vomer that will interfere 
with the passage of air through the nostrils. 
HAY FEVER. 
Hay fever is a disease that involves the nasal mucons 
membrane presenting in many respects the symptoms of 
acute coryza. It is not considered to be an inflammation 
in the ordinary usage of that term, but is characterized 
by periodical recurring attacks of a turgescent condition 
of the Schneiderian membrane due to a paresis of the 
venous sinuses of the turbinated bones and of the 
vomer. In this condition the vessels are congested and 
their walls relaxed so that serum escapes in large quan- 
tities producing a free watery discharge. 53 
These periodical attacks may occur in May, June, July 
or August, and even as late as September. From this 
fact quite a variety of terms are used in expressing the 
condition, such as rose cold, June cold, summer catarrh, 
rag weed catarrh, autumnal catarrh, etc., indicating 
either the source of the disease or the season when it 
occurs. The exciting cause in the development of the 
attacks is considered to be due to the pollen of grasses, 
flowers or plants coming in contact with the nasal 
mucous membrane. 
It is evident that all hay fever sufferers are not affected 
by the same cause, otherwise in a given locality they 
would all be afflicted at the same time. Some have the 
disease developed as soon as the pollen from the June 
roses are in the atmosphere, and are not troubled in the 
summer or fall. Some are not influenced by the emana- 
tions from the rose, but the disease manifests itself in 
July or the early part of August when the pollen from 
grasses are prevalent, especially new mown hay. Others 
again will pass by these two periods and not be influ- 
enced until the rag-weed season arrives producing the 
autumnal variety. 
There are some peculiar sensitive people who are in- 
fluenced by all of the above varieties and are scarcely 
free from their rose cold or June catarrh until they have 
a fresh out-break in July from the grasses and later they 
have an other attack from the weeds. 
The summer and autumnal varieties generally con- 
tinue until the cold weather in the fall. The hay fever 
subjects expect to be annoyed with the disease until 
frost has made its appearance when it disappears. 
There have been a number of experiments made by 
different persons to demonstrate that pollen is the ex- 
citing cause of the disease. 
Dr. Blackley was a hay fever subject, and he proved 
by a simple experiment that pollen was the exciting 
cause in his own case. For the purpose of demonstra- 54 
tion he took a small metal plate about one-third (one 
centimetre) of an inch square, moistened it with glycer- 
ine and exposed it in the open air so that the wind 
would blow upon the surface. The pollen being 
brought by the wind in contact with the glycerine 
would adhere to it and could then be counted. 
In the early part of the season the number of pollen 
grains thus caught would not be very large but would 
gradually increase until the 10th of June when the 
number deposited on the disk in twenty-four hours 
would be two hundred and seventy-five or more, then 
his attack would befully developed. It would continue 
until the test would show that the pollen were decreas- 
ing in the atmosphere when the hay fever symptoms 
would gradually subside. 
As the pollen act only as the exciting cause there must 
be other elements that en ter into the development of 
the disease. Dr. Beard says that in all these cases there 
is a hereditary neurosis, and that the family history 
will reveal some form of nervous disease; that the par- 
ents or grand-parents had hay fever, asthma, chorea or 
a strong predisposition to some form of neurotic trou- 
ble. 
Dr. Daly called attention to the condition of the nasal 
cavities in hay fever, stating that they were in an irri- 
table condition and easily influenced by an exciting 
cause. 
The heat of the sun's rays, inhalation of smoke, fumes, 
dust,etc.,may act as the necessary additional irritant that 
is required to bring on an attack. The ordinary road or 
street dust is a common cause, which, besides its me- 
chanical and irritant action may contain a large num- 
ber of pollen grains. 
A peculiarity of the disease is that many of the vic- 
tims can predict the very day, and even the hour, when 
the hay fever attacks will begin. As there is considera- 
ble variety and change in the seasons it is hardly 55 
reasonable to suppose that a given plant, flower or weed 
would be ready on exactly the same day of each year to 
give its pollen to the wind. It is to be noted however, 
that upon the day affixed the disease becomes manifest. 
The disease has also been produced in some individ- 
uals by the smelling of' an artificial rose of the variety 
that they knew was the cause of their attacks. A par- 
oxysm has been induced by a hay fever subject gazing 
upon a landscape painting with a hay field in the pic- 
ture. It is very evident that the psychic sense was 
active and brought to the mind a vivid and impressive 
realization of the effects produced by the objects pre- 
sented. 
Hay fever is not confined to the nose but the eyes, 
mouth, pharynx, larynx and bronchi are more or less 
all involved. The conjunctiva, both palpebral and 
ocular are congested resembling a conjunctivitis, but 
the discharge is watery, whereas in the latter it is puru- 
lent. 
There is a sense o? turning or itching in the former 
that does not necessarily exist in the latter. A common 
symptom in conjunctivitis is the sensation as if sand 
or dirt were in the eyes. This is due to the swollen, 
enlarged and roughened papillte, a condition that is not 
common in hay fever. 
There is photophobia, and the light not only increases 
the irritation and flow of tears but may develop head- 
ache. In some cases there may be swelling of the lids 
and chemosis. As a rule the ocular symptoms are 
external but occasionally some of the structures within 
the eye become involved. 
The mucous membrane covering the roof of the 
mouth becomes involved and there is an itching, some- 
times a stinging pain, in this locality which is occa- 
sionally very annoying. These symptoms are probably 
caused by the congestion in the posterior portion of the 
nose pressing upon the spheno-palatine branches that 56 
terminate in the roof of the mouth. The irritation may 
be transmitted to the terminal filaments, or it may 
render the latter more susceptible to the action of pollen, 
dust, etc. 
The pharynx, larynx and bronchi are more or less in- 
volved either from extension of the irritation from the 
nose, or from the pollen, dust, etc., coming iu contact 
with the mucous membrane of these organs. An in- 
fusion made from pollen grains and applied to the con- 
junctiva, mouth or throat of a hay fever subject will 
produce the congestive symptoms, in those parts, of the 
disease. 
The subjects of hay fever generally belong to the more 
intellectual classes, those who lead sedentary lives and 
spend the major portion of their time in their places 
of business. Those who exercise the mental faculties 
more than the physical develop the formerat the ex- 
pense of the latter. The sympathetic becomes more 
sensitive to impressions and the vaso-motor' system 
weakened and more easily influenced. 
This is shown in this disease by the relaxed and tur- 
gescent condition of the Schneiderian membrane which 
is different from an active inflammation. On ocular in- 
spection a condition resembling acute inflammation in 
many respects is presented, but the discharge is differ- 
ent in character and reflex symptoms are present. 
People who spend the principal portion of their time 
out of doors, and especially at manual labor, are not so 
susceptible to the disease. The inhabitants of cities are 
more predisposed to it than those of the country. Yet 
an out-door life does uot give complete immunity and 
the farmer, teamster or laborer may be subjects of the 
disease, especially of that form produced by hay or 
weeds. 
The first season that a person has hay fever it may be 
mild in character, but with recurring attacks it generally 
becomes more severe. Asthma is a complication that 57 
presents itself in the majority of cases at some period 
during the season. At first it is during the second or 
third week and then gradually takes place earlier until 
it may commence with the hay fever. In some cases the 
hay fever element exhausts itself, or is over-powered by 
a more extensive and influential disease and asthma 
occurs in its place. 
In such cases the asthma is periodical and only pre- 
sents itself at the hay fever season. After awhile the 
asthmatic period is extended and does not cease with 
frost but may last until December or January or even all 
wirter, and not disappear until spring. This change 
frcm the hay-fever to the asthmatic habit is not uncom- 
mon, the seat of sensitive susceptibility being trans- 
feired from the nose to the lungs. 
In the nose there are localities where irritation is more 
apt to be followed by reflex symptoms than others. Two 
of these hypersesthetie spots are connected with the 
inferior turbinated bone, one at the posterior and the 
other at the anterior extremity. If these localities are 
irritated mechanically in a hay fever subject, sneezing 
aid other reflex symptoms follow. 
A similar mechanical irritation may be developed in 
the nose. The congestion of the blood-vessels causes 
(welling and the mucous membrane of one side may 
come in contact with that of the opposite side. It is 
known that two inflammed mucous membranes in con- 
tact mutually irritate each other. 
In the nose we not only have contact from turgescence, 
but the air in respiration causes a separation of the in- 
flamed parts or a sliding movement of the membranes on 
each other. This in the susceptible subject is sufficient 
to provoke reflex symptoms. Irritation of the posterior 
sensitive spot may produce coughing or asthma by reflex 
action through the vagus. 
There are some sections of the country that are sup- 
posed to be free from the disease. These localities are 58 
considered to be either too high for the pollen or else so 
far from the plants producing them that they are not 
carried to these places. However, in those sections that 
claim immunity from the disease, occasionally a subject 
has an attack, either from memories of the past or con- 
ditions of the present. 
In all cases there is a peculiar nervous susceptibility 
in the individual, and unless this is corrected he mill 
have hay fever when exposed to the common exciting 
causes. The disease rapidly acquires a habit and tjiis 
condition must be broken up, or the cause underlying 
and producing it must be removed from the system. 
A polypus or a foreign body in the nose may furn'sh 
the irritation that will result in the development of lhe 
disease. It is not generally observed in cases where 
there is a decided destructive process taking place in tie 
nose such as cancer, syphilis and ozena where the bores 
are involved. The more potential or destructive organic 
disease over-powers or prevents the lesser or functional 
one. 
The action of the pollen grains on the mucous mem- 
brane cannot be that of a purely mechanical irritant. 
If it was then dust would be the most prolific source fcr 
the exciting cause. It cannot be due to any acrid prin 
ciple in them for examinations show that they do not 
possess this property. They probably act on the peri- 
pheral filaments of the vaso-motors causing a relaxation 
amounting to a paresis of the turbinated veins at the 
same time producing excitation of the sensory nerves. 
This would account for the turgeseent or swollen ap- 
pearance of the membrane, and the transudation of the 
serum from the blood. 
The congestion of the membrane would increase the 
excitability of the nerves distributed in it and pressure 
upon these byperaesthetic filaments would produce the 
reflex phenomena observed in these cases. 
Certain conditions of the system may be a factor in the 59 
production of the disease. A gouty, rheumatic or lith- 
semic diathesis frequently develops a condition in the 
nasal mucous membrane that is favorable for the pro 
duction. of the disease from an exciting cause. 
Symptoms-At first there is an uneasy sensation in 
the rose, which soon partakes of a tickling or itching 
character. This is followed by attacks of sneezing. At 
first tie sneezing is only occasional, but as the disease 
develops they occur more frequently. 
If the attack is mild all the symptoms will be of a 
modfied form. If severe, then in addition to the con- 
gestion of the nasal mucous membrane, which will 
cause violent fits of sneezing, there is a burning or itch- 
ingsensation about the eye-lids. The eyes are red and 
watery, with considerable conjunctival congestion. The 
light may increase the ocular irritation, so that it be- 
cones necessary to remain in the house, or even in a 
dare room The turgescence in the nose increases until 
fitter one or both nostrils are completely occluded. If 
lying on the side, the upper passage will be open and 
the lower one closed; or if on the back, both may be 
obstructed and respiration will be performed through 
the mouth. 
A free watery discharge comes from the congested 
nasal mucous membrane, and is very annoying, requir- 
ing almost constant efforts to remove it. At first this 
discharge is thin and clear, later it becomes thicker and 
opalescent from admixture with mucous and glandular 
secretions. 
A tickling or itching sensation in the roof of the 
mouth is a source of much discomfort. 
With the advent of the attack there may be chilly sen- 
sations alternating with slight fever, headache and 
ringing in the ears from congestion in the Eustachian 
tubes. The disease may extend from the nose to the 
pharynx, producing irritation in the throat, to the larynx 
resulting in hoarseness of the voice, or to the bronchi, 60 
causing cough. The irritation in the bronchial tubes 
partakes of a reflex periodical nature, and as a conse- 
quence asthma is generally present at some period 
during the hay fever attack. 
These symptoms continue with more or less intensity 
until frost, when they cease generally as abruptly as 
they began. In uncomplicated hay fever, the subject is 
then free from the disease until the next season a rives. 
There are a few symptoms that sometimes precele the 
disease for several days or even weeks. One is an Unde- 
fined uncomfortable sensation in the nose, whicp in- 
creases as the season approaches. Another is a tickling 
sensation in the roof of the mouth. There may aso be 
an irritation of the conjunctiva, especially at the hner 
corners of the eyes. The mucous membrane of the lasal 
septum frequently presents a wrinkled appearanceland 
in some cases has a grayish cast. This condition inay 
be observed several weeks previous to the advent olthe 
disease. 
Preliminary Tests 
MADE BY LEADING CINCINNATI PHYSICIANS. 
(original clinical test cases.) 
CONSUMPTION. 
Case 7.-Mrs. Kane. Previous duration of disease, 
four months. Father died of hasty consumption. Symp- 
toms: cough, expectoration, fever, rapid loss of flesh and 
strength, loss of appetite, dyspnoea and palpitation. 
Said she was declining like her father, and did not ex- 
pect to live long. Began treatment May 2, 1881. Con- 
tinued the treatment three months. Result: restored to 
perfect health and from that time to the present, a period 61 
of nearly eleven years, has not had any trouble with her 
lungs. In the spring of 1891, she had a severe attack of 
la grippe, but it did not effect the lungs. 
Case II.-Win. Kemery. Previous duration of dis- 
use, three years. Symptoms: cough, moist rales, with 
free expectoration, loss of flesh, strength and appetite, 
night sweats, hectic fever, pinched features, pain in the 
lungs and dullness in upper portion of both lungs. Be- 
gan treatment October 22, 1891. Duration of treatment, 
two months. Result: complete recovery. Mr. Kemery 
lost about fifty pounds in weight. Gained thirty-two 
pounds in six weeks under treatment. Was reduced to 
about 130 pounds, at present weighs 170. He is an engi- 
neer at 243 Sycamore St., Cincinnati, and although his 
work is very hard on the lungs, being exposed part of 
the time to the furnace and then to the cold wind and 
dust, yet he is in perfect health. 
Case III.-Mrs. Winkelman. Duration of disease, 
one year. Hereditary. Has spit up blood on numerous 
occasions and has had several hemorrhages. Symptoms: 
hectic fever, night sweats profuse, cough hard and tight, 
almost constant day and night. Expectorates a thick, 
tenacious, muco-purulent sputa, mummular, sinks in 
water; loss of appetite, flesh and strength. Decided 
dullness all over the upper part of left lung, front and 
back. Moist rales both on inspiration and expiration in 
lower part of left lung and upper part of right. The 
rales were so loud in this case that when she was in one 
room a person in the adjoining room could count her 
respirations without seeing her. Began treatment Octo- 
ber 20,1891. First week the night sweats ceased. Third 
week, the cough had entirely ceased at night, feeling 
better in every respect, appetite and strength improving. 
Fifth week, thinks she is strong enough to run a sewing 
machine, left the city and I have not heard from her 
since. 62 
Case TV.-(Reported by D. S. Brown, M. D., of Ken- 
tucky.) 
Kane, Ky., January 22, 1892. 
Dear Doctor:-Will say that my wife is still improving 
on your treatment. She had been troubled with a long, 
continuous cough, had lost considerable flesh and had 
night sweats. She would cough up a heavy muco-puru- 
lent sputa, but since using your treatment she has gained 
fifteen pounds of flesh, looks well, and is improving 
rapidly. While she was suffering with la grippe she 
continued the treatment and I have reason to believe it 
to be good in that disease. Dr. D. S. Brown. 
Case V.-Grace Wheeler, duration of disease, nine 
months. Symptoms: fever, night sweats, cough, expec- 
toration, loss of flesh, strength and appetite. Constant 
pain in both lungs. Not able to get out of bed without 
assistance. Not expected to live more than a week. 
Debility so great from constant coughing that she was 
completely prostrated. For the last two months has 
been spitting up from a pint and half to two pints of 
muco-purulent material every night. Began treatment 
November 26,1891. Result: in ten days was able to be 
out of bed during the day, night sweats had ceased, and 
appetite and strength improving rapidly. Four weeks, 
does not cough at all at night, says that she does not 
want a better appetite, has but little cough, and feels 
much better. Six weeks, has no cough and says she 
feels as well as she ever did. 
Case VI.-Amanda Tarvin, Kane, Ky. Duration of 
disease, six months. Cough, expectoration, fever and 
chills, loss of flesh, strength and appetite. Began treat- 
ment about January 1,1891. I did not see this lady. By 
request of Dr. Brown, her brother called on me and ob- 
tained the treatment for her. January 11, Dr. Brown 
reports her improving and feeling much better. Febru- 
ary 10, her brother stated that she was about well and 
feeling as well as she ever did in her life. 
Case FIZZ.-Mrs. Margaret L-, aged sixty-five. Dura- 
tion of disease, ten months. Symptoms: fever, temper- 63 
attire at first visit, January 5, 1892, 103.6° F., pulse 120. 
Cough hard and straining, with a heavy, thick, tenacious 
muco-purulent expectorate, raising six ounces during 
the night. Loss of flesh, strength and appetite, with 
night sweats. Dullness in upper portion of left lung, 
front and back. Constant pain in region of dullness. 
Moist rales in upper portion or right lung, both on in- 
spiration and expiration. Pain in this region and under 
shoulder blade on coughing. Complains of pain all 
along lower border of ribs caused by the hard coughing 
spells that are required to dislodge the tenacious expec- 
torate. Placed her upon the chemical treatment on Jan- 
uary 5,1892. January 28, she was able to get out of her 
bed and sit in a chair for a couple of hours. No more 
night sweats, appetite and strength much improved. 
Continued the treatment, and at the present time, Feb- 
ruary 19, she has no pains whatever in the lungs. Dull- 
ness has disappeared, still has some cough, but it is not 
severe; appetite good, regaining strength nicely and 
doing her own housework. 
The following cases are reported by M. L. Amick, M. D., 
Professor of Anatomy and Diseases of the Nervous Sys- 
tem, in the Cincinnati College of Medicine and Surgery. 
Case IX.-Mike S-, aged twenty-eight, married. 1 
was called to him in November 17,1891, as a consumptive 
patient, the mother informing me that he had consump- 
tion and requesting me to go and see him and do what I 
could for him. I visited him, found him very thin, 
weak, cough and night sweats and all of the signs of 
a consumptive. I wrote him various prescriptions and 
gave him different tonics and cough mixtures, all seem- 
ingly doing] him no good. December 1,1891, Ilplaced 
him upon the chemical treatment. His improvement 
was slow at first, so much so that I feared he would suc- 
cumb to the disease, but I had him persevere with the 
treatment and the result is, that about February 8,1892, 
he went to work at his occupation and is still working. Case X-Mrs. McK-, aged forty-five, married. In 
September, 1891, she had typhoid fever, the result of 
which was the development of consumption. As she was 
very weak and feeble I had great difficulty in sustaining 
life. I placed her upon the chemical treatment December 
2a, 1891. At present, February 19,1892, she is beginning 
to set up, is gaining and I expect a complete recovery. 
Case XI- Miss B-, aged eighteen. Very thin, pale 
and weak girl, with a high fever ranging from 102° to 
105° F. For a number of days I was of the opinion that 
typhoid fever was developing, but the cough, peculiar 
sweat at night, and loss of flesh all seemed to point to 
the lungs, which in a few days showed marked dullness. 
As soon as I was satisfied that the lungs were the seat of 
the trouble, I placed her upon the chemical treatment. 
It was several weeks before there was any perceptible 
change and I was inclined to think that the case would 
terminate fatally. I had her persevere with the:treat- 
ment, and, although her recovery was slow and tedious, 
yet when I saw her on February 19,1892, she was entirely 
free from the cough and had been at work for two weeks. 
Case XII.-Henry K-, had a clear case of consump- 
tion. He has been constantly under my care since April, 
1891. I sent him away from the city during last summer. 
I gave him hypophosphites, cod-liver oil, malt and 
every preparation that has any virtue in it for cases of 
this kind. He returned home last fall and resumed 
work. In two weeks he was down in bed and seemingly 
worse than ever. As soon as I could get the chemical 
treatment I placed him upon it and watched him care- 
fully for a few weeks, until he was up. I have not visited 
him since January 6, when he was slowly but surely 
improving. 
Case XIII.-Mrs. K- was taken sick in April, 1891, 
with a cough and hoarseness. Her family physician said 
it would disappear. She consulted an eminent throat 
specialist, who gave her relief for the time being, but 
64 65 
night sweats developed, and she lost flesh rapidly. In 
August she was under the care of a second physician, as 
her cough and sore throat had returned and was worse 
than it was in April. She then consulted a second 
specialist on the throat with little or no relief. Then 
she passed under the care of an eminent professor in the 
profession, who treated her during the months of June, 
July and August, 1891. About December 26,1891,1 was 
called to attend her. I found her weak, emaciated and 
coughing almost constantly. She was expectorating 
lasge quantities of a tough, darkish expectoration which 
had a very unpleasant odor. 
Upon examination, I found complete solidification of 
the left lung, with deep depression between all of the 
upper ribs of the left side. The solidification of the left 
lung was complete, and while her case had been diag- 
nosed as consumption, there was an asthmatic compli- 
cation with it. I placed her upon the chemical treat- 
ment December 26,1891, and at this writing, February 18, 
1892, the left lung has opened out so that you can hear the 
air entering the air-cells in the lung, and see the expan- 
sion between the ribs. She is improving, and it is only 
a question of time until she will be in good health. 
Case XIV.-Mrs. P-, aged twenty-five, married. In 
December, 1890, and January, 1891, I attended her for a 
severe attack of pneumonia, with a slow but fair recov- 
ery. In December, 1891, she caught a severe cold, and 
her lungs became rapidly Involved. There was hoarse- 
ness, cough, night-sweats, loss of flesh and appetite, and 
great loss of strength. I immediately placed her upon 
the chemical treatment, and at the present writing, Feb- 
ruary 17,1892, her recovery has been all that I could ask. 
Case XV.-Mrs. R-, aged twenty-eight, married, i 
was called to see her on January 12,1892. Family history: 
one brother died of consumption, another following in 
the same direction, one sister tubercular. Examination 
showed consumption. She stated that she had been fed ou morphine for twelve months or more. I placed her 
upon the chemical treatment for consumption as soon 
as I could obtain it. During the last two weeks (this 
report being made February 19) she is improving and 
doing well. At first the disease did not seem to yield to 
the treatment, but perseverance led to success. 
I notice that in some cases there is scarcely any im 
provement the first week or two, but that need not 
discourage. I find my patients not only soon learn to 
like the treatment, but say that they can not afford to 
go a day without it. This lady is now doing all of her 
own housework for herself, husband and two children, 
without any assistance. 
Cases XVI and XVII.-Mr. Schaeffer, aged thirty-five. 
A chronic rheumatic, who has for a number of years 
suffered from both rheumatism and lung trouble. When 
called to treat him in November, 1891,1 placed him upon 
the ordinary cough medicines and hypophosphites. His 
condition did not improve on this treatment. The hol- 
low cough and dullness over the apex of both lungs gave 
me considerable anxiety. On December, 1,1891,1 placed 
him on the chemical treatment, and in less than a week 
he expressed himself as feeling better. He seemed to 
improve from the day I placed him upon the treatment. 
His boy Willie, aged eight years, also had a troublesome 
cough. About the middle of December, 1891, I placed 
the boy upon the chemical treatment. He had only 
used the treatment one week, when he said to his 
mamma, " 1 like it better than the cough medicine: it 
does me more good," They are now both well-the 
father at work at his trade and the boy at school. 
Case A'TTTI.-Miss Nettie N-, single, aged twenty. 
She contracted a cold, which settled on her lungs, accom- 
panied by a severe, and constant cough. Hereditary 
tendency to lung trouble. Was under treatment two 
months-result, recovery. 
Case XIX.~Ia.mes P-, aged thirty-eight, married, 
66 67 
bricklayer. Is subject to frequent colds, and has had 
catarrh, bronchial irritation with a chronic cough for 
months. He was placed upon the chemical treatment 
and he appeared infatuated with it, as he said " it 
reached the seat of the disease." Result, recovery. 
Case XX.-Mrs. Ida Myers, married, aged thirty-two 
years. Has had weak lungs for several years, and could 
not live in a damp or foggy locality. Consumptive 
appearance very decided. Sinking below right collar- 
bone. Dullness all over upper portion of right lung. 
Loss of flesh and strength ; hard cough and night-sweats. 
She was placed upon treatment November 3, 1891. On 
February 11,1892, she writes from home in Kansas, and 
says: " I have been improving right along. The treat- 
ment is doing its part, and I think a great deal of it. I 
am feeling better now than I have for five years, for 
which we are very thankful." 
Case XXI.-William M-, McMillan street. October 20, 
1891, I was called in haste by a messenger, who said: 
" Come in a hurry, for he is bleeding to death." Upon 
my arrival I found that he had a violent hemorrhage 
from the lungs. He was cold, pulseless, and scarcely 
able to speak. I placed him upon stimulants and used 
hot applications. As soon as he rallied from the shock 
I placed him upon the chemical cure for consumption. 
He has not had a hemorrhage since he began the treat- 
ment, and ever since January 2,1892, he has been working 
at his regular employment and is in a good physical 
condition. 
Case XXII.-Mrs. S-, aged twenty-seven, married. Had 
an attack of pleurisy four years ago. Her father has had 
a cough as long as she can remember. One brother, 
twenty-three years old, has had a cough for several 
years. She has always had a cough, "a scratching cough 
from the bottom of her lungs, like sand-paper." On 
October 7, 1891, she had a violent hemorrhage, which 
continued every few hours until October 11th, when I 68 
was called to attend her. She was so weak and exhausted 
from loss of blood that she could only whisper. I 
stimulated her for nine days before there was any return 
of the pulse that could be felt at the wrist. Then I 
placed her upon the chemical treatment for consump 
tion. It was not until November 25th, that she could 
raise her head from the pillows. She has never spit up 
any blood since she began the treatment. At present, 
February 14th, she still has a little cough, but is not only 
out of bed, but is doing her own housework, and every- 
thing indicates that she will have a complete recovery. 
Case XXIII.-Charles K-. Has had consumption for 
fifteen months. Inherits a disposition to catarrh and 
lung trouble. Symptoms-Constant cough, hard and 
tight, hectic fever loss of flesh, strength and appetite. 
Night-sweats profuse. Was confined to the house, for 
four months, and gradually growing worse under the 
ordinary treatment. He was placed upon the chemical 
treatment September 27, 1891. Result-January 2, 1892, 
he was so near well that he went to work, and has con- 
tinued to work every day from that time to the present. 
Case XXIV.-Mrs. S-. Had some lung trouble three 
years ago, partaking of the nature of severe attacks of 
bronchitis. Since then she has lost flesh and strength. 
Has a dry, tight and hard cough, and night-sweats. 
Dullness at the apex of the left lung, sinking under 
the right, clavicle, and jerking respiration with pro- 
longed expiration She was placed upon the chemical 
treatment. October 29. 1891 Result-Completely cured. 
Case A'A'F.-Mrs. S-, aged forty years, slim, spare 
build. Symptoms-Dullness at the apex of both lungs. 
Sinking below clavicles Bronchial respiration. Has had 
a cough for several years; night-sweats. Has had no 
hemorrhages from the lungs, but when a tooth is 
extracted it is almost impossible to stop the bleeding 
Loss of flesh and strength, gradually getting worse 
Placed upon the chemical treatment November 4,1891 69 
Result-Is now about well and does all of her own house- 
work. 
Case XXVI.-(Reported by Dr. C. E. Thompson, of 
Covington. Kv.) 
Covington, Ky., Feb. 17,1892. 
Dr. W. R. Amick:-Dear Doctor.--I have tested your 
treatment i n my practice, and it is the best treatment for 
diseases of the lungs, like consumption and asthma, 
that I ever used. I will report the following case: 
James S-, aged sixty, has had a chronic cough for 
forty years. This was probably due to his trade as a 
moulder. For the past two years he has been gradually 
getting worse, and has been compelled to give up his 
work. During this time he had spit blood and lost both 
in weight and strength. On the first of this month he 
was in a condition that, under ordinary treatment, he 
could not live more than a few days. He would cough 
up a thick, tenacious sputum that wras as black as tar; 
had night-sweats, and had gradually lost strength until 
he was completely prostrated. There was decided dull- 
ness in the upper portion of the left lung. Below the 
dullness there were moist rales. Expiratory sound pro- 
longed. Right lung resonant. In this condition he was 
placed on your treatment on the second day of this 
month. At the present time, February 17th, on exami- 
nation I find that the dullness has completely disap- 
peared and the upper portion of the left lung is as re- 
sonant as the right. Yours respectfully, 
Chas. E. Thompson, M. D. 
Medical Examiner Prudential Life Insurance Co. 
Case XA'FIZ/.-Mrs. N-, aged twenty-five, married. 
A chronic rheumatic. Symptoms: loss of flesh and 
strength ; dry, tight cough, night-sweats, sinking below 
clavicles; eating causing sickness at the stomach, fol- 
lowed by diarrhoea, presenting a condition generally 
that looks unfavorable. She was placed upon the treat- 
ment Decomber 5, 1891. Result: February 20th, 1892, 
recovery. 
We would report more cases of consumption, but we 
think the above are amply sufficient to prove what the 
chemical treatment will do for that disease. We will 
now report a few eases to prove that it will cure- 70 
Case XXIX.-TAts. M , aged fifty-nine. Asthma and 
bronchial cough. She was placed on the chemical treat- 
ment for asthma and completely relieved in one week. 
No return of any asthmatic symptoms since. 
Case XXX-Mrs. Z-, aged forty-three. Asthmatic his- 
tory. Has had asthma for three years. She was placed 
on the chemical treatment December 16,1891. The hus- 
band reported that she did not suffer any more with 
asthma after the first night. 
Case XXXI.-Fred G-, aged thirty-six. On December 
16,1891, had a severe attack of bronchial asthma. He 
was placed upon the chemical treatment at once, with 
almost instant relief, and has had no more attacks. 
Case XXXII.-Mr. W-, had a severe attack of bron- 
chial asthma. He is of a consumptive habit. He was 
placed upon the chemical treatment for asthma, with 
the very best of results. 
Case XXXIII-Mrs. Macht, aged twenty-eight. In 
December, 1891, she had a severe attack of la grippe fol- 
lowed by bronchial asthma. She was placed upon the 
chemical treatment December 20, 1891. In two weeks 
she was relieved and resumed her housework. 
Case XXXIV.-A prominent business gentlemen here 
in the city, whose name and address I will furnish to 
any one desiring it, has had asthma for the last sixteen 
years. He was treated here without deriving any special 
benefit. Naturally desiring relief, and, if possible to be 
cured, he went to a warmer pine-tree climate, where 
there was an institution for the treatment of lung trou- 
ble. He remained there for some time, but it did him 
no good. He was informed by the physician in charge 
of the institution that he was incurable. He then came 
home. A friend told him of a physician in New York 
that made a specialty of treating asthma, and advised 
him to consult this physician, who stated that he could 
ASTHMA. 71 
cure nim. He was placed upon treatment and for a 
while derived some benefit. In a short time the medi- 
cine failed to do him any good, and his asthma was as 
severe, or even worse than ever. 
He would wake up in the morning, and, if he did not 
have an attack immediately, he was afraid to move a 
hand or foot for fear that it would bring on a paroxysm. 
Then he would try to get out of bed by slow and graded 
movements, but he could not escape or avoid it, and 
every morning he would suffer intense agony for about 
two hours. During the day the least exertion or excite- 
ment or mental strain of any kind brought on an attack. 
This constant strain was overcoming his nervous sys- 
tem. 
There were two centers of depression that felt like 
heavy weights. One was in the chest and the other was 
in the abdomen. With the constant recurring asthmatic 
paroxysms there was developed a gloomy and despond- 
ent disposition with dismal forebodings. The sensa- 
tions of depression in the chest and abdomen were 
increasing, and it was only by the exercise of all the 
will-power he could command that kept him from termi- 
nating this increasing miserable existence. 
His mental anxiety was so great that he " died every 
day." During the paroxysms he would suffer untold 
agony, and in the intervals between the attacks there 
was no relief, for the dread of the .next one, which was 
sure to come, constantly stood up in front of him, like 
Banquo's ghost, aud "would not down at his bidding." 
Life was fast becoming so heavy a burden that he could 
not carry it much longer. He was contemplating to 
quit business and seek some climate or place where he 
could have some relief from this terrible anxiety aud 
depression of spirits. 
In this condition I placed him upon the chemical 
treatment for asthma, on the 30th of January, 1892. I 
saw him to-day, February 24th. He has been under 72 
treatment not quite four weeks, and is mentally a new 
man. The centers of depression "have disappeared like 
a fog." The gloomy forebodings are gone. The frightful 
paroxysms are a thing of the past. There is no dread of 
the next time or the next morning. His mind is at ease, 
his nervous system is calm, he can think and study 
about his business with his old-time vigor and lie is 
happy within himself. He said to a physician the other 
day: "Since receiving this treatment I do not think 
about going away, but will be found doing business at 
the old stand." 
The following cases are reported by Dr. M. L. Amick : 
Case XXXV.-Mrs. M-, aged forty-eight. Was called 
to see her January 12, 1892, and found her suffering with 
bronchial asthma. Her history showed that she had 
been suffering with a tight, dry cough and labored 
breathing for some time. Posterior portion of lungs 
filled with exudate. I gave her the regular cough and 
asthmatic remedies, such as potassium iodide, lobelia, 
grindelia, sptr. seth. co., meutbol, camphor, quinine, 
iron, arsenic and strychnia in syr. of hypophosphites, 
but without relief. On January 18, 1892, I placed her 
upon the chemical treatment. She was so much relieved 
that I ceased my visits on January 29. She has been per- 
fectly free from asthma ever since. 
Case XXXVI.-Mrs. Metzger, aged sixty-six. Was called 
to attend her on December 22,1891. Found her suffering 
with asthma, unable to lie down, lips bluish, breathing 
very short and spasmodic, limbs swollen, heart feeble in 
action. I immediately placed her upon the chemical 
treatment. February 5,1892,1 dismissed her as entirely 
cured. She said upon my last visit that " this treatment 
was the best friend she ever had, and that she could not 
live without it in the house." 
Case X5W177.-Mrs. K-. Was called to see her Decem- 
ber 20, 1891. Found her suffering with asthma, unable 
to lie down, lips bine, and breathing very laborious. 1 73 
placed her upon the chemical treatment and watched 
her for seven days, when she was so much improved 
that my services were were no longer required. Her 
husband has since reported her condition as good. 
Case XA'A'FZZZ.-Mrs. R-, aged forty-four. Was called 
to visit her January 27,1892. Found her suffering with 
asthmatic breathing and croup. Prescribed au anodyne 
cough syrup. January 30, not being relieved by the 
cough syrup, I placed her upon the chemical treatment 
for asthma. Discharged her on February 15, with the 
asthmatic breathing relieved and scarcely any cough. 
Case A'A'XZX.-James B. Corbett, nineteen, mes- 
menger in Cincinnati Post-office. He had Asthma for 
twelve years. The attack comes on generally about 10 
o'clock, p. m. and lasts all night, and sometimes for two 
days and nights. Attacks tight and dry. Has been 
treated by various physicians. Has used every remedy 
that any person could mention, but never received any 
relief until I placed him upon the chemical treatment 
for asthma, and this has given him complete relief. He 
called at my office on February 20,1892, and made the 
above statement. 
Case XL.-Mrs. S-, aged thirty-eight. Called to see 
her on December 16, 1891. Physical examination re- 
vealed difficult breathing, and the posterior portion of 
the lungs laboring with a mucous rattle, loud, deep and 
sonorous wheezing, showing a violent attack of asthjna. 
Unable to lie down. Almost a complete stagnation of 
air in the lungs. Worse at night, no sleep and her coun- 
tenance was one of great distress. I placed her upon 
the chemical treatment and soon produced a copious, 
heavy expectoration, filling two or three spittoons dur- 
ing the night. Her difficulty of breathing was constant 
for eleven days, when it ceased under the treatment. 
.She made a complete recovery. 74 
OF INTEREST TO BACTERIOLOGISTS. 
Office of A. F. Juettner, M. T). 
Bacteriologist and Microscopist. 
Case XL-Mrs. S-, Scioto St., 28 years. Sister died of 
consumption. 
First Examination, March 24, 1892. Extreme emacia- 
tion: to do any kind of work; has had several 
hemorrhages. Profuse expectoration, sputum purulent, 
extremely fetid, mixed with blood and swarming with 
millions of bacilli. 
Second Examnination, April 11,1892. Patient has gained 
in flesh and strength ; is very hopeful; voice clearer: no 
hemorrhage for two weeks. Sputum purulent, fetid, 
tinged with blood. Bacilli very numerous. 
Third Examination, April 24,1892. Patient gained more 
weight. Is able to be out of doors. Menses re-appeared. 
Sputum yellowish-green, muco purulent. Bacilli num- 
erous. 
Fourth Examination, May 23, 1892. Patient able to do 
her own housework. Sputum muco-purulent, free from 
blood. Bacilli less numerous. 
Fifth examination, July 16,1892. Patient has done all 
her housework and nursed her six-year-old daughter 
during an attack of typhoid fever. Sputum mucous, 
containing pus and scattered bacilli, nearly impossible 
to find any. August 8th, patient went to the country. 
A. F. Juettner, M. D., 
Prof. Physiology and Histology, Cincinnati College 
Medicine and Surgery. 75 
Ah Autopsy Furnishes Conclusive Evidence. 
POST-MORTEM PROOF. 
C. E. Stewart, a well-known compositor oh the Chatta- 
nooga Times, was a sufferer with consumption compli- 
cated with incurable Bright's disease. His father, Dr. 
Warren Stewart was, during his lifetime, a prominent 
practitioner in Tennessee and had himself been a victim 
of consumption. Mr. Stewart procured the Amick 
Chemical Treatment for the lung trouble from the 
county physican, Dr. G. M. Hunt. 
At once there was an end of what had been a deadly 
race between two grim maladies, for the affected lung 
and bronchial tubes began at once to heal up beautifully 
while the Bright's disease proceeded unstayed and in 
due time caused Mr. Stewart's death. 
At the request of his brother, S. B. Stewart, of Block 
Co., leading wholesale druggists of Chattanooga, an 
autopsy was performed. The examination completely 
vindicated Dr. Amick's claim for his treatment for it had 
performed its work magnificently, leaving the respira- 
tory organs in splendid condition. This is the* first 
instance of a post-mortem upon a patient under the 
Amick treatment. 
REPORTS FROM THOUSANDS OF 
PHYSICIANS 
Now on file in our office prove conclusively that the 
results of this treatment are far exceeding the most 
sanguine expectations of its author. These reports 
demonstrate this average of cures in uncomplicated 
eases: 
First stage consumptionSO per cent. 
Second " " 50 
Third " ■** 20 " 
For bronchitis, asthma and catarrh it is as near a 
specific as may be found in medicine for any disease. 76 
As we go to press we receive the following from a 
well-known medical writer: 
There can be no doubt in the minds of the unpre- 
judiced physicians who have thoroughly tested the 
Amick treatment for phthisis, that it is the best so far 
discovered. I have seen it cure a number of incipient 
and several second-stage cases, and I have lately seen it 
arrest the progress of a case in which the rungs were 
catacombed with large cavities. Certainly the treatment 
c mstitutes, at least, a twenty-five per cent, advance in 
the therapeutics of this dread malady. This is true 
whatever may be Dr. Amick's ethical theories, and 
whether these meet our approbation or not. The physi- 
cian who is also a philanthropist, will swallow a few 
small ethical scruples for the sake of his dying fellow- 
man. The above I give as my honest individual 
opinion. W. C. Cooper, M. D., 
Cleves, 0. 
THE AMICK TREATMENT. 
A RESULT NOTED IN CINCINNATI. 
In a period of less than ten months, the death rate 
from consumption was decreased in Cincinnati, Ohio, 
21.07 per cent. 
Deaths from consumption from February, 1891 to 
January 1st, 1892 679 
Deaths from consumption from February, 1893 to 
January 1st, 1893 536 
An actual decrease of 21.07 per cent. 
In the two worst months in the year for consumption 
the decrease was greatest: November, 1891, 62 deaths; 
November, 1892, 39 deaths, a decrease of 38 per cent. 
December 1891, 89 deaths; December 1892, 41 deaths, a 
decrease of 54 per cent. 
This is a matter of public record in the Health Depart- 
ment of Cincinnati, and can be verified by anyone. 77 
Dr. Amick's Chemical 
Treatment. 
Instructions to Physicians. We Send Special 
Advice Separate. 
DEMONSTRATION OUTFITS. 
We send to each physician on application, one outfit of 
medicines to last each of his patients suffering with 
these diseases, for ten days-for which we make no charge. 
These outfits are intended to show the patient that a 
prompt response to the influence of the medicines is 
noticeable in nearly every case. And in nearly every 
case the patient feels justified and encouraged to con- 
tinue the treatment. We will not allow free outfits to be 
supplied to patients who have already taken the treat- 
ment. 
No charge must be made for these free outfits by the 
physician. He will, of course, collect his usual fee for a 
physical examination at the time of making it if he sees 
fit to do so. 
But one demonstration outfit must be given to each 
patient. If the patient desires to continue, the regular 
months outfit must be ordered. 
The standard charge to the patient for the full month's 
outfit is 815.00. • 
This Outfit consists of- 
One bottle of chemical tablets (120.) 
One bottle of " constitutional medicine (2400 drops.) 
One bottle of " inhaling medicine. 
One bottle of " injection medicine. 
One hard rubber inhaler with gauze (in the first outfit in 
each case.) 
Medicine droppers (in the first outfit in each case.) 78 
In catarrh and hay fever we send an atomizer instead 
of an inhaler, also atomizer medicine, which differs from 
the inhaler medicine. One should not be used for the 
other. 
The dropper should only be used until sufficient 
medicine is taken out of the bottle to admit of dropping 
from the lip of the bottle without running down the 
side. Then all the medicines should be dropped from 
the lip of the bottle. 
There are one hundred and twenty tablets in the 
month's outfit, the other medicines will usually last 
a day or two longer. We will not supply a single bottle 
of any of the medicines, except where lost through 
breakage. 
Each part of the treatment must be taken to obtain the 
proper results, and if the directions are faithfully 
followed all of the medicines will become exhausted at 
about the same time. 
The charge for single bottles to replace medicines lost 
by spilling or breakage is $5.00. 
Remittance must be made with the order in every 
instance, or medicines must be sent C. O. D. 
We guarantee safe arrival of medicines. When pack- 
ages are apparently in bad condition they should be 
promptly accepted and opened, and the agent certifying 
to the broken bottle, the label should be sent to us by 
mail, and we will immediately replace the medicine by 
mail. This can be done in one-fifth of the time it would 
require to replace through making claim for breakage 
agaiYist the Express Co. 
We have an understanding with all of the companies 
by which all claims for breakage are settled here. Always 
have its agent certify to the bad condition of the package. 
All medicines are carefully packed and breakage sel- 
dom occurs. All medicines must be sent by express 
except single bottles. 
With each package we send carefully worded printed instructions for carrying out the treatment in addition 
to the directions on the labels. 
No mistake can occur if these instructions are followed. 
It is simple and pleasant to take the chemical treat- 
ment. 
We must not be asked to depart from any of our rules, 
they are known and standard throughout the country. 
Physicians should at least give us a brief history and 
description of each case they order medicines for. 
For reasons of professional courtesy we do not present 
here any of the thousands of endorsements of the treat- 
ment from physicians and as the profession naturally 
does not recognize the secular press as competent to pass 
on medical questions we do not reprint any of the hun- 
dreds of pages published by the daily press recounting 
wonderful results from the treatment. It would show 
cowardice and ingratitude however to ignore our appre- 
ciation of the Cincinnati Post's work in first making 
known the merits of Dr. Amick's discovery. 
Its publication of the results in the desperate cases of 
Consumption and Asthma selected by that newspaper 
for public tests of the treatment was instituted volun- 
tarily and even without Dr. Amick's knowledge or sanc- 
tion. The Post never asked or received one penny for 
this humanitarian work. It willingly and freely gave 
the time of its reporters, its medical examiner and its 
editors as well as page after page of its valuable space 
to impartially demonstrate whatever there might be of 
merit in the discovery of the Cincinnati Medical College 
professor. 
There can be no valid or ethical objection to the re- 
printing of editorials from representative medical jour- 
nals, and a few of the many kindly utterances from this 
gratifying source follow: 
79 80 
(The Doctor of Hygiene, New York, Dec. 20,1893.) 
We have delayed for something over a year giving 
notice to the Amick treatment for Consumption for the 
reason that inasmuch as the formula was not given to 
the profession time alone would demonstrate whether 
it merited condemnation or endorsement. With the 
evidence which month after month has accumulated 
we are obliged to admit the preponderance of testi- 
mony favors Dr. Amick's claimsand in the face of the 
results reported from physicians, who if anything were 
rather disposed against the treatment at the beginning, 
and who at all events were certainly not prejudiced in 
its favor, the claims of the Cincinnati physician appear 
to have been within the bounds of truth and conserva- 
tism. In third stage cases Dr. Amick stated as the result of 
his own experience, that where there was no outside com- 
plication his treatment would stop the progress of the 
disease and prolong life indefinitely in perhaps one case 
out of five. He even qualified this statement with the 
remark that naturally where the lung capacity had been 
reduced to a point insufficient to sustain the system, his 
treatment would be of no other avail than to postpone 
the hour of dissolution and to render the last hours of 
the sufferer more peaceful. In second stage cases Dr. 
Amick claimed that the records on file in his office 
proved the recovery to comparative health of one-half 
of the whole number of the cases treated by him, while 
in the first stage cases free from complications of other 
diseases the proportion of those restored to a normal 
condition free from all symptoms of the disease was 
found to be SO per cent. Since the time those claims 
were made the treatment is said to have been adopted 
and endorsed by quite a large proportion of the entire 
number of practicing physicians in this country. The 
Amick Chemical Company, into whose hands Dr. 
Amick has placed his formula, and the distribution 
of the medicines, claim we believe, that one-half of the 
hundred thousand or more physicians in the United 
States have ordered the Amick medicines; at any rate, 
it seems certain that quite a large proportion have ap- 
proved of Dr. Amick's theory on which his treatment is 
based, and a great many prescribe it in all cases of pulmo- 
nary troubles comingin to theircare. It isonly recently 
that prominent medical journals have noticed the Amick 
treatment, but as the cures already reported are proven 
by time to be permanent, the mouth-pieces of the medi- 81 
cal profession are showing a disposition to give the treat- 
ment serious consideration. The Medical Brief of St. 
Louis devoted four pages of its November issue to the 
differentiation of the various phases and stages of phthisis 
and tuberculosis as set forth by Dr. Amick, and this ap- 
pears to be the first time in the history of medicine that 
any exact rule has been formulated for the guidance of 
physicians in making physicial examinations of con- 
sumptive subjects. The various text-books now extant 
are, so far as our examination goes, silent on the details 
of this important matter, and we should be glad to hear 
the opinions of other medical experts on the set of rules 
thus enunciated by Dr. Amick. Whatever he says is 
entitled to respectful hearing, even from those who 
claim that he to-day violates the code of ethics, if for no 
Other reason than his hospital training and his seven- 
teen yews professorship in the Cincinnati College of 
Medicine and Surgery. Ou one point the profession, 
even that part of it inclined to hold Amick blamable for 
withholding his formula, is agreed; he has from the 
first shown an evidently sincere desire to have crucial and 
impartial tests made of the treatment by each physician 
of whichever school no matter where located. To this 
end he distributed broadcast test packages of medicines 
by the thousand, each of which must represent quite a 
little money. It is probable that had Dr. Amick insti- 
tuted a secret remedy for any other disease he would 
not have found it so easy to secure its adoption by those 
of his medical brethren who disagree with him as to 
what constitutes the true ethics of the profession, but 
all conscientious physicians have no hesitancy in ad- 
mitting themselves powerless to cope with this destroyer 
of life and have felt bound by the dictates of the great 
unwritten code, " heal the sick," to give sufferers under 
their care anything from a reliable source holding out a 
chance of recovery. Those, and the number seems in- 
creasing, medical men claiming that Amick's reasons for 
keeping his formula to himself until such time as its 
merits are everywhere recognized are good and sufficient, 
point to the fact that in making his contract with the 
Amick Chemical Company he required them to give 
bonds that his treatment would be confined to the pro- 
fession and that it would in no case reach the patient 
excepting from the hands of the attending physician. 82 
(The Medical Visitor, Chicago, January 189b.) 
CONSUMPTION. 
Dr. J. S. Hopkins of Thomasville, Ga., which place is a 
resort for consumptives, declares that he has joined the 
army of physicians who believe with Koch that tuber- 
culosis should be placed in the category of contagious 
diseases and that suitable safeguards to prevent its com- 
munication-probably isolation-should be adopted. 
Dr. Hopkins emphasizes the danger that lurks in sleep- 
ing cars, carpets, bedding, clothing, and even the walls of 
apartments occupied by consumptives. Says he, "con- 
sumptives should be forced to provide for the destruc- 
tion of sputa. Wherever situated so as not to expectorate 
directly into a germicide or the lire, they should use 
some means of conveying the sputa to the germicide or 
flames. If handkerchiefs or cloths are used th?y should 
not be sent to the laundry,as human happiness and life 
are jeopardized through'the probability of inoculation 
through .abrasions upon the hands. 
"These bacilli should never be allowed to dry up and 
impregnate the air as is now done through ignorance of 
possible result." 
Nineteen years of observation and familiarity with the 
care of the colony of consumptives at Thomasville have 
brought the doctor to believe that the resorts which 
have heretofore solicited the patronage of the consump- 
tive will quarantine against him. 
If we are to accept this seemingly well-considered and 
deliberate opinion, we must admit that the outlook for 
the unfortunate phthisical multitude is forbidding in- 
deed. If medical men generally proceed to cloak them- 
selves in the germ theory, and, admitting inability to 
cope with the disease, or even to appreciably alleviate it, 
spurn the consumptives from the community, whither 
shall the afflicted turn? 
The newest noteworthy effort on behalf of the con- 
sumptive is the treatment of which Dr. W. R. Amick of 
Cincinnati, O., is the author, Quite frequently of late 
we hear reports and rumors from Cincinnati as to excel- 
lent results obtained with the "chemical treatment." 
Although the Amick idea has been rather radical for the 
ultra conservative practitioner,it does seem that the treat- 
ment could not have been taken up with more avidity 
and its virtue seems to have been definitely established. 
We understand Dr. Amick is making no especial effort to 83 
force the profession to his views, but sends his medicines 
for tests to all reputable practitioners free. 
(Medical Review, St. Louis, Mo., Dec. 30th, 1893.) 
=» * * Indeed there are those in the front rank of 
the profession who hold that consumption is not con- 
tagious and that the bacillus tuberculosis is not the 
cause but merely a result, a product of the disease itself. 
Upon this latter theory is based the new treatment for 
pulmonary ailments-that of Amick, of Cincinnati-for 
which a long list of successes has been proveu in a field 
in which medical science has heretofore been admittedly 
helpless. Dr. Amick in his endeavor to prove that this 
ruthless foe of mankind is not invulnerable, has sent his 
medicine to a great number of physicians who have 
expressed a willingness to investigate his theory and 
treatment. In Cincinnati a decrease of 21.07 per cent, in 
the mortality is attributed directly to the wide usage 
there of Dr. Amick's treatment. Probably New York 
City and our foreign friends too may learn something 
from this honored Western physician. 
(Mcdical Arena, Kansas City, Mo., January, 1894. 
Again the influenza is with us, and it brings its usual 
promise of an early multiplication of eases of lung 
trouble. The physician interrogates bis materia medica 
for arms with which to meet the onslaught, and dusts 
olf volume after volume to little purpose. Possibly, after 
all, he is searching in a "back-number" field fora means 
to meet an up to-date emergency. The belief is held by 
several physicians, who have taken up the recently in- 
troduced Amick chemical treatment and who express 
enthusiastic opinions concerning it, that the grip has 
been robbed of half its terrors. Certainly if the treat- 
ment of Dr. Amick accomplishes what is asserted for it 
in lung ailments, the mortality consequent upon the 
present epidemic of the imported plague must be 
materially decreased. Still, however excellent this new 
treatment may be in the wide and important field for 
which it is calculated, the entire profession is unlikely 
to unite in endorsing it by prescribing it as long as Dr. 
Amick continues to withhold the formulae. The 
claimed reason for this declination to disclose the ingre- 
dients and method of composition of the medicines is 
that they would immediately be experimented and sub- 84 
stituted in many cases out of all semblance to them- 
selves, and a great deal of resultant failure and disap- 
pointment would be laid at Amick's door. A critisising 
physician demands, "Are we to understand from Amick's 
statement that there are no able and honest chemists 
outside of Cincinnati?" A moment's reflection will, 
however, show the frater wherein he misjudges Dr. 
Amick, for the latter has not said that all chemists 
would be disposed to alter or impair the usefulness of 
the treatment, but that some, urged by inordinate 
curiosity or avarice, would do so, and Dr. Amick has 
provided by taking his positive stand that not a single 
patient shall be imposed upon or deluded by that ilk. 
(77ic Physio-Medical Journal, Indianapolis, Ind., Dec., 1893.) 
THE AMICK CONSUMPTION CURE. 
Lately a great deal has been heard about a treatment 
for pulmonary and bronchial ailments with which 
remarkable results are understood to have been accom- 
plished by the discoverer, Dr. W. 11. Amick and other 
physicians. These reports have emanated largely from 
Cincinnati, where Dr. Amick has been for over a decade 
and a half a professor in a leading college of the regular 
school. 
According to these accounts it has been no unusual 
thing for Dr. Amick and other practitioners using his 
treatment to effect permanent recoveries in advanced 
eases of consumption in two or three months. The asser- 
tion is made that in incipient and first-stage eases failures 
have been very rare, that in the second stage about half 
the cases recover, and in the third stage about one fifth. 
Dr. Amick's etiology and pathology are directly op- 
posed to the generally accepted germ theory. The 
treatment consists of an inhalent which is palliative, 
mblets and a liquid taken internally, and an enema. 
The entire treatment is easy and pleasant to take, the 
relief is speedy, and the progress toward recovery gradual 
and substantial. 
It is a matter of record in the health department of 
Cincinnati that the mortality from phthisis pulinonalis 
has decreased 21.07 since the Amick treatment was first 
generally prescribed there-this in the face of the 
ravages of grippe and a steady increase in population. 
In asthma, chronic bronchitis, tubercular laryngitis 85 
and catarrh equally encouraging results are said to have 
rewarded the investigators. 
The claims for Amick's treatment will doubtless soon 
have been investigated by every leading physician in 
the land, and every one of them must sincerely hope 
that this time the promised " cure for consumption " is 
no chimera. 
We have before us a list of several thousand physicians, 
including many of high standing in the profession, who 
have continued prescribing the Amick treatment for 
consumption after using the'test medicines. Prefacing 
these names is this statement of the Amick Chemical 
Company, who control the distribution of Dr. Amick's 
medicine: "We do not use the names of these doctors as 
references or testimonials or endorsements and some of 
them, by reason of the code of ethics, will hesitate in 
saying they have obtained favorable results from any 
treatment the formula of which is not made public. 
Dr. Amick insists that his treatment must stand or fall 
on its merits and expresses his entire willingness to 
abide by the unbiased and uninfluenced reports of his 
brother physicians. To this independent and fearless 
statement we respectfully add that in printing this list 
of well-known medical men we prove equal confidence 
in Dr. Amick's discovery and equal willingness that the 
expressions of any of them be obtained by other mem- 
bers of the medical profession." 
While we have never endorsed Dr. Amick in with- 
holding his formula, we do feel constrained to admit 
that his every word and act has shown earnest desire to 
have his discovery thoroughly tested and the results 
impartially made known; he has for the past year or 
more distributed through the Amick Chemical Company 
test packages of his medicines, without cost to the 
medical profession, everywhere and has invited all these 
physicians to make known their experiences in any 
manner they choose. That this has brought forth a vast 
amount of medical testimony favorable to his claims 
and comparatively few unfavorable reports is now well- 
known. We think it worthy of notice also that the medi- 
cines can only reach the patient through the attending 
physician. 
(Medical Current, Chicago, Ills., January, 1894.) 86 
We have several times been asked to express our opin- 
ions concerning the treatment for consumption insti- 
tuted by Professor Amick of the Cincinnati College of 
Medicine and Surgery, but inasmuch as he positively 
declines to make known his formula, we have been 
placed between two fires as it were. On the one hand, we 
could not endorse a treatment while ignorant of its com- 
position until sufflcient time had elapsed for its value or 
worthlessness to be thoroughly demonstrated On the 
other hand, we have felt obliged to consider the recog- 
nized position, influence and standing of the author of 
the treatment as being in a measure something of a 
guarantee and assurance that what he had discovered 
must be, in his own belief at least, what was claimed for 
It. We have therefore held aloof from either praise or 
blame until now that the treatment has been under the 
critical observation of several thousand in the profes- 
sion for a year or more. Without at all entering into 
the merits of the mooted question as to whether Amick 
is any more deserving of censure for what is certainly 
a technical violation of the code than is the rank and 
file of his professional brethren who every day prescribe 
medicines the ingredients of which they are ignorant 
of, it is only simple justice to admit that the reports 
from these physicians have been in the main favorable 
to Dr. Amick's treatment. Even those who dispute the 
correctness of the Amick theory, so-called, express them- 
selves satisfied that the treatment based upon it is more 
successful than any other with which they have been 
made familiar; many amongst those who speak loudest 
in blame of the secrecy with which the formula is 
guarded say they can not conscientiously refuse to pre- 
scribe it, having seen it succeed where everything else 
had failed. It would seem incumbent, therefore, upon 
each physician who has not as yet investigated the treat- 
ment to send for the trial medicines which the Amick 
Chemical Co. advertise in all medical journals to furnish 
without cost to members of the medical profession 
everywhere Whatever offense Professor Amick is guilty 
of concerning the code he has shown an earnest desire 
to guard the interests of the profession as well as his own 
reputation amongst medical men by insisting that the 
treatment must either stand or fall on the results noticed 
by medical experts, and that no patient should receive 
the treatment excepting at the hands of the family 
(The Medical Progress, Louisville, Kg., January 1891,.) 87 
doctor. The question of the code is a vexed one at the 
best, and the lines which some of the profession are 
charged with transgressing are too indistinct and unde- 
fined to warrant the ostracism of a man whose reputation 
otherwise is blameless and without reproach. It so often 
happens that the complainant is himself an offender that 
he should first make sure he has "cast out the beam 
from hi* own eye" before drawing attention to the mote 
in his brother's eye. 
(Toledo Medical Compend, Toledo, 0., December, 1893.) 
We have recently received from a number of physi- 
cians, some of whom are frequent contributors to these 
columns, statements of their experience with the chem- 
ical treatment for tuberculosis of the lungs of which Dr. 
W. R. Amick, of Cincinnati, Ohio, is the author. 
These reports are invariably favorable to Dr. Amick's 
claims for his preparation, viz.: That a large majority 
of cases in the earlier stages and a percentage in the 
latter stages have been restored. Some of the cases are 
attested through microscopic examination of the sputa 
to have been true cases of phthisis, while in others no 
proof is offered beyond statement of physical examin- 
ation. 
Still, so considerable is the weight of evidence offered 
that it is but fair to give some mention to this chemical 
treatment despite Dr. Amick's action in declining to dis- 
close his formulae, which reservation he makes osten 
sibly, that the discovery may not be lost through broad- 
cast attempts at improvement and substitution. 
Dr. Amick's theory is opposed to Koch's in that he 
holds the bacillus microbe to be a mere evidence of the 
presence of the disease - a product instead of a cause. 
Therefore the treatment is only incidental germicidal - 
the microbe decreasing in numbers and disappearing as 
the improvement progresses. 
Dr. Amick has not debarred the profession at large 
from making the most searching investigation or experi- 
ment with the chemical treatment, inasmuch as he 
requests of all practitioners that they send him diagnosis 
of phthisical caseson hand, whereupon he agrees to send 
from Cincinnati, enough of the.medicines to test its 
action in each case. This proposition must be quite as 
PULMONARY TUBERCULOSIS. expensive as it is unique, for the so-called "outfits" of 
medicine include an Amick inhaler and quantities of 
each of the four medicines. It would seem that Dr. 
Amick's personal confidence in the treatment he has de- 
vised must be very great indeed, and from the evidence 
at hand his confidence appears to be well founded. 
88 
(The Southern Clinic, Richmond, Th., Jan., 1S94.) 
Other Things in the World Besides 
Microbes. 
"Let us proclaim loudly enough to be understood, that 
there are some things in the world besides microbes. It 
is a very flood of animalcules that has been let loose upon 
the world., Let us stop ; for mercy's sake, let us stop." 
Charcot's characteristic exclamation is doubtless fre- 
quently echoed in the hearts of many American physi- 
cians. * Since the advancement of the Koch theory and 
tuberculin-saddest of disappointments to an expectant 
and hopeful world-the germ theory has been going 
about, figuratively speaking, on crutches. 
Meanwhile in our own country has arisen a theory of 
treatment for tuberculosis which vividly brings to the 
mind of the practitioner the fact that " there are some 
things in the world besides microbes." Just as the Koch 
concoction has become obsolete and given place to tbe 
chemical compounds of Prof. Amick, so the germ theory 
in its entirety has passed to a timely interment. 
With the progressive physician, it is results-permanent 
results- -which weigh heaviest in the balance, and it is 
due Dr. Amick to state that the chemical treatment has 
not failed in a vast number of cases of which record is at 
hand to effect a very marked and gratifying benefit 
which in the majority of cases has been substantial and 
lasting. 
The claims of the author for his chemical treatment 
are that in the first stage of tuberculosis 80 per cent, 
recover entirely; in the second stage 50 per cent.; and in 
the third stage 20 per cent., or one patient in five, is re- 
stored to health, reasonable vitality and activity, and a 
capacity for happiness for the remainder of his life. 
Rather than being exaggerated, physicians generally 
who have intelligently and conscientiously used the 
treatment-which is by no means a heroic one-declare 89 
that Dr. Amick's modesty and conservatism has caused 
him to underrate the value of his treatment, in other 
words that the percentage restored is, in each stage, 
greater than the estimate he makes. 
Although we do not publish the testimonials even of 
physicians our files are filled with thousands of the 
strongest testimonials that can be constructed from the 
English language, from grateful patients and their more 
than pleased and satisfied physicians. These files are 
always open to interested persons. 
Complications in Consnmp- 
tion (Amick.) 
Serious complications are very frequent with persons 
suffering with pulmonary consumption. As we have 
frequent inquiries as to the best method of treating 
these complications, we have concluded to give a few 
formulae for the benefit of the physician, which we have 
found effective. 
Where the inflammation has extended into the paren- 
chyma of the lung, with or without the formation of a 
pyogenic membrane, or where there is a malarial ele- 
ment, there will be persistent fever with, generally, an 
afternoon or evening exacerbation, frequently attended 
with chills or chilly sensations. For this condition we 
suggest the following: 
PRESCRIPTION FOR CHILLS AND 
FEVER. 
No. 1. Acetanilidgr. xv. 
Quinine sulphgr. xxx. 
Soda salicylategr. xi.v. 
M. Ft. capsules No. 15. Sig. One three times a day. The attending physician may increase the amount of 
aeetanilid to two grains. This is a good combination to 
reduce the fever that is more or less continuous in lung 
diseases. The ordinary fever of the first and second 
stages generally disappears under the use of the chemi- 
cal treatment. Where there is persistent fever without 
any tendency to chills or chilly sensations, the following 
may be used: 
No. 2. Tinct. aconite rad 5ss. 
Tinct. verat-veride (Norwood) 5i 
Tinct. digitalis 5ij. 
Antim. et pot. tart gr. ij. 
Tinct. gelsemium 3ii j. ss. 
M. Sig. Seven drops in a tablespoonful of water every 
hour while the temperature is 102°.F. or above, and 
every two or three hours -when it is below 102° F. and 
above 99° F. Where there is any- objection to the use of 
antim. et pot-tart, it may be omitted and the dose in- 
creased to ten drops. 
If the time for giving the fever medicine should be at 
the same time as the chemical constitutional medicine, 
they can be given together. If it should be at the time 
for taking the tablet, it can be given a few minutes be- 
fore or afterward. In nearly all of these cases there is a 
reflex irritation of the spinal cord, so that it is necessary 
to apply a counter irritant to it. We use the tincture of 
iodine and paint a strip two inches wide and six or eight 
inches long, commencing at the seventh cervical verte- 
bra and extending downward between the scapulae. 
This should be done every day until the skin begins to 
crack or scale, when it can be discontinued for a few 
days and then applied again if necessary. 
In some cases there is an atonic condition of the 
stomach quite frequently attended with evidence of a 
catarrhal condition. Coughing may produce nausea or 
vomiting. The appetite ts poor and the patient states 
that the stomach is weak. For this condition we use 
the following: 
90 91 
PRESCRIPTION FOR GASTRIC 
DISORDERS. 
No. 3. Ik Ac. carbolic 5i. 
Tinct. iodine 3i. 
M. Sig. Two drops in a tablespoonful of hot water 
three times a day, fifteen minutes before eating. 
In these cases it is generally beneficial to use lime 
water in the milk, as it not only has a tendency to pre- 
vent nausea and vomiting but to check the disposition 
to diarrhoea that is common in this condition. Quite 
frequently we find an irritable condition of the stomach, 
attended with or followed by pain in the bowels, which 
is generally followed by a diarrhoea. For this condition 
we would recommend the following: 
No. 4. ik Tinct. camphor 5i. 
Bis. sub. nitrat 5ij. 
Syr. limonis 5iv. 
Syr. zingiber, q. s. ad . . . 3ij. 
M. Sig. Teaspoonful in two tablespoonfuls of hot 
water every fifteen or thirty minutes until relieved. 
Another complication which presents itself quite fre- 
quently is diarrhoea. As a rule, when a consumptive 
has diarrhoea, he loses flesh'and strength quite rapidly, 
so that it is essential to check it as soon as possible. We 
would recommend the following: 
No. 5. Acid tannic . ...... . gr. xij. 
Ext. belladon gr. i. 
Pulv. ipecac gr. i. 
Pulv. opii gr. vi. 
Coni'ec. roses 3ss. 
PRESCRIPTIONS FOR DIARRHOEA. 
M. Ft. capsules No. 12. Sig. One every six hours. 
The following is probably the best remedy in the 
largest number of cases and especially where there is a 
dysenteric tendency: No. 6. 1,< Tr. opii Sii. 
Pulv. amyli Si. 
Aq. dist. q. s ad 3ii. 
92 
M. Sig. With a small syringe inject a teaspoonful 
into the bowel every four or six hours. Always shake 
thoroughly before using. 
NIGHT-SWEATS. 
For the night-sweats that are so common in pulmonary 
diseases we would suggest the following: 
No. 7. It Atropia sulph grs. %. 
Ziuei. oxide grs. xv. 
J£xt. hyoscyamus grs. xv. 
Pulv. doveri grs. xv. 
M. Ft. capsules No. 15. Sig. One at bedtime, to ' be 
repeated if necessary. 
Another valuble remedy which generally stops the 
night-sweats after it has been used a few times, is: 
No. 8. It Quinine sulph 5i. 
Alcohol 3xvi. 
M. Sig. Sponge the body and limbs quickly but 
thoroughly at bed-time. If the patient has been per- 
spiring, sponge the body and limbs with water, to which 
a little aqua ammonia has been added (teaspoonful to a 
quart), rub dry and then apply the above. 
Where there is a persistent and hacking cough that 
keeps the patient awake at night, the following can be 
used: 
No. 9. 1,1 Pulv. doveri 5ss. 
Kalii iodidi 5ss. 
Ammon, mur 5i 
Syr. prun. virg 3ss. 
Glycerin® 3ss. 
Aq. dist. q. s. ad Sii. 
M. Sig. Teaspoonful at dose to be repeated every two 
hours it necessary 93 
For irritable or sore throat the following will be found 
beneficial: spray the throat with hydrastis, listerine, or 
pinus canadensis, diluted with five times the quantity 
of water, or salicylate of soda five grains to the ounce of 
water. Guaiac tablets are also good, or 
No. 1O. Tr. aconiti gtt vi 
Tr. guaiac 5ii. 
Tr. ferri. chlor Siss. 
Kalii chlor 5ss. 
Glyceriute 3ss. 
Aq. dist. q. s. ad •. 3ii. 
M. Sig. Teaspoonful in a tablespoonful of water 
after meals. 
On account of reduction of vital force there may be 
weakness, debility or prostration so decided that a stimu- 
lant becomes necessary. Ten grain doses of carbonate of 
ammonia given in an ounce of milk every half hour, 
hour, two hours, or as may be required, is an excellent 
remedy. While we do not recommend the regular use 
of alcoholic stimulants, yet when they are indicated by 
marked weakness, prostration, syncope, etc., we do not 
hesitate to use them. When these conditions have dis- 
appeared, then we cease to give them, as their continued 
use, except sometimes in the last stage, is not desirable, 
but does more harm than good. 
SWELLING OF THE FEET. 
Swelling of the feet and lower extremities may be due to 
weakness in the capillary circulation, as a result of the 
general debility of the system. It may be due to disease 
of the heart, liver or kidneys. Where the swelling is 
from general debility, it is almost always associated with 
imperfect digestion and assimilation. To overcome this 
condition, we must increase the appetite and aid diges- 
tion. For this purpose we would recommend the fol- 
lowing : GENERAL TONIC. 
94 
No. 11. # Shaeffer's Pepsin 5iss. 
Syr. limonis Si. 
Elix. Quiniae, ferri-phos- 
phas et stryeh 3ii. 
M. Sig. Teaspoonful in water three times a day be- 
fore meals. 
Should the physician find disease of the heart, liver 
or kidneys, he can prescribe such remedies as in his 
judgment, may be indicated. We want the physician to 
understand that none of the medicines that are gener- 
ally prescribed by the profession in the treatment of the 
complications that may arise in diseases of the lungs, 
are incompatable with the chemical treatment. Any of 
the foregoing formulae that we have given, or any reme- 
dies that may, in the opinion of the physician, be indi- 
cated, can be used in connection with the chemical 
treatment. 
HAEMOPTYSIS. 
No. 12. K T inct. Cinnamon 5ii. 
Tinct. Digitalis 3ss. 
Fl. Ext. Ergot(Squibb's)q. s. ad.gii. 
For hemorrhage the following may be used. Absolute 
rest is imperative. 
M. Sig. Teaspoonful every hour at first; then every 
three to six hours. 
No. 13. li Pulv. Alum 5i. 
Pulv. Ipecac 5ss. 
Sacchari Albi (sugar) 5ss. 
Mix. Make eight powders and take one in water every 
two to four hours. 
Gallic acid and hamamelis are both good. A hemorr- 
hage may sometimes be stopped by the application of 
ice to the chest for one or two minutes at a time. 
While there is spitting of blood, the medicines are to 
be used according to the directions, but do not breathe 
so deeply while using the inhaler, until all signs of blood 95 
have entirely disappeared from the expectoration. For 
spitting of blood, use either one of the above prescrip- 
tions, taking a dose three or four times a day. 
BLEEDING FROM THE NOSE. 
As persons suffering from catarrh and diseases of the 
lungs may be troubled with bleeding from the nose, we 
would suggest that the following be used: 
No. 14. IA Acid tannic5ii. 
Bismuth sub. nitrate 5x. 
M. Sig. Snuff up the nose freely or use it with a 
powder-blower. 
Aristol may be used in the same way and will be found 
very useful in checking the hemorrhage. 
As a rule we allow quite a wide range in diet, includ- 
ing soups, fish, meats, vegetables, fruits, etc. We gener- 
ally say, eat any good wholesome food that is easily 
digested ami agrees with the stomach. When there is a 
disposition to diarrhoea, especially in the last stage of 
the disease, be careful in the use of fruit and berries, 
particular those that have small seeds in them. A 
patient soon becomes a law unto himself in regard to 
diet and then that law should be obeyed. 
DIET. 
EXERCISE. 
The best exercise is walking. Horse-back riding is not 
recommended, as the jolting favors hemorrhage. Car- 
riage or buggy riding does not give any muscular exer- 
cise, and sitting in a draft in a buggy is just as liable to 
produce a cold as sitting in the draft of an open window. 
Out-door exercise is good, but it must not be carried to 
excess. Violent or exhausting exercise is injurious, but 
a judicious amount of walking will not injure any person 
who is physically able to be out, provided the weather is 
favorable for such exercise. THE CHEMICAL LIVER PILL. 
96 
In the majority of diseases the physician finds there is 
a torpid condition of the organs of secretion and elimi- 
nation. It is frequently a difficult and tedious under- 
taking to relieve a patient oi almost any disease while 
the organs are in this condition. The trouble is that a 
diuretic does not have the desired effect upon the liver, 
and a cholagogue does not overcome the torpor of the 
spleen and pancreas. The difficulty has been to obtain 
the proper remedies in a suitable form that would have 
the desired effect on these organs. 
After a prolonged clinical test with different agents, 
we have succeeded in making a combination in a pill 
form that overcomes the torpidity and sluggish action 
in these organs. We have seen cases of chronic malaria 
that had resisted all of the anti-malarial remedies, 
respond readily to quinine and arsenic by taking one of 
thechemical pills at bed-time.- In disorders of digestion 
with dizziness, eructations and spitting up of food, we 
have seen the atonic and apathetic condition of the 
stomach, together with the attendant disorders, disap- 
pear under the effect of one chemical pill a day. In 
remittent fever, and the so-called billions fever, we have 
seen the fever decline in twenty-four hours after the 
chemical pills were taken. In these cases where there is 
a coated tongue, langour, headache, hot and dry skin 
with constipation, we have seen all of these symptoms 
rapidly disappear under the use of one chemical pill 
every four hours until they had acted on the bowels in 
conjunction with the fever medicine given according to 
the directions. We have seen general dropsy, that was at 
first abdominal, disappear from the system under the use 
of the chemical pills and boneset tea, when all of the 
ordinary diuretics had failed. We have removed the 
fluid from the abdominal cavity, following scarlatina' 
with the chemical pills and small doses of elaterin when 97 
all diuretics and hydragogues, including elaterin, had 
failed. The course of all acute diseases can be modified 
and quite frequently aborted by the use of the chemical 
pills. In habitual constipation, they relieve the nervous 
torpor in the muscular coat of the bowels and relieve the 
congestion of the portal system. They are excellent in 
headache, as they supply the proper tone to the organs 
that are the principal cause. For a torpid or sluggish 
condition of the liver they are the best that can be made. 
They provide a natural laxative. 
No pain or griping accompany the taking of the 
chemical liver pills. Physicians, in ordering the chem- 
ical treatment for consumption, asthma, or the other 
diseases, may call our attention to conditions needing 
the chemical pills and we will send ten (10) pills with 
the outfit. We will supply them in quantities as follows: 
1OO Pills $1OO 
500 " 4-00 
1OOO " 7 OO 
Sent by mail. 
CHEMICAL HALSIQUINE PILLS. 
We have received a large number of letters from physi- 
cians asking for information and advice about their 
patients. It is evident from these letters that there are 
many people who are suffering from a want of proper 
nervous energy and harmony between the different 
organs. This condition is frequently present not only 
iu consumption but in many other diseased conditions. 
It may follow as a sequelae of a number of diseases or it 
may develop gradually independent of any acute malady. 
It is a condition in which there is a want of nervous 
tone in the organs frequently without any acute disease 
in any of them. Its type may be seen following La 
Grippe in which there is left a condition of inability on 
the part of the nervous system to appropriate the proper 98 
quantity and' quality of substantia from the pabulum 
furnished it to generate and carry the necessary amount 
of vital influence to the various organs that will enable 
them to perform their function in the economy. 
It is a condition that would be expected in brain 
fatigue, producing a weariness and languor in the organs 
of the body. The appetite may be fair, variable or poor, 
but there is something more than food required for the 
system to overcome this lethargic condition. There is a 
languor in the functional activity of the entire organic 
system and a want of natural vigor and ambition. 
It is a condition that is also a result of the hustle and 
hurry of the average American business man. He finds 
after a certain length of time that he does not possess 
the normal amount of vitality, and business cares have a 
tendency to worry and depress him. 
This condition is one that precedes or paves the way 
for numerous diseases. It may be followed by disease of 
the kidneys especially Bright's disease and diabetes. It 
may be the cause of -weakness of the muscular system, 
especially of the heart or sphincter muscles. It may 
produce depression of spirits with a weakening of the 
intellect so that in reasoning or studying on any subject 
the mind is unable to develop or retain a connected 
chain of thought, but the ideas become confused. 
To overcome this condition and restore the nervous 
energy and vigor of the brain Dr. Amick has originated 
a treatment which we have put up in pill form. We call 
them the Chemical Ilalsiquine pills, and they can be 
depended upon to meet the indications in the ab®ve 
conditions. We have used them extensively and have 
reports from a large number of physicians speaking of 
the benefit derived from their use. Whenever there is a 
want of nervous tone in the system they can be relied 
upon as the best pill for that purpose that is offered t® 
the profession. They are also indicated in debility fol- 
lowing any disease, and in the majority of cases no other 99 
medicine is required to restore the system to a normal 
condition, surpassing the hypophosphite preparations 
for this purpose. They are the ideal nerve tonic. We 
will supply them in quantities as follows : 
1OO Pills$ 1 OO 
500 4 OO 
1OOO " 7 OO 
Consultations with the Drs. Amick 
Drs. W. R. and M. L. Amick have been retained by 
this company and their services are now devoted ex- 
clusively for the benefit of physicians using the chemical 
treatment, and of patients sent by them to Cincinnati. 
The Drs. Amick have each given up their general prac- 
tice, their college professorships and hospital work, and 
each outfit of medicines is prepared under their personal 
supervision, to meet the varying indications present in 
the case. All correspondence with physicians, where 
medical questions occur, symptoms given or expert pro- 
fessional advice is asked, has Dr. Amick's personal 
attention. No charge is made for this service to physi- 
cians prescribing the treatment. 
Dr. Amick can not be seen on Sunday, and physicians 
sending their patients to Cincinnati should time their 
arrival here accordingly. No day now passes which 
does not bring physicians or sufferers from several dif- 
ferent states, and it is advisable to make appointments 
by mail or telegraph. Much discretion must be exercised 
by the physician concerning the coming to Cincinnati of 
enfeebled consumptives from a long distance; unless 
the patient has sufficient strength to travel without 
being occasioned more than ordinary fatigue' the trip 
would be ill advised. Patients come to Dr. Amick every 
week, residents all the way from Maine to Texas, and 
from New York to the Pacific coast, who could have 
received the treatment with equal benefit from the 100 
hands of their family physician. In overcoming outside 
complications, so often present in consumption, it is 
necessary that a minute history of the case be sent; this 
done the profession is assured of all the benefit which 
would result from a personal consultation with both the 
Drs. Amick. Where patients express to their physician 
an intention of writing Dr. Amick personally they 
should be told that their letters will be acknowledged 
by us, but will not reach or be answered by the doctor, 
as he has asked us, in all such cases, to say that he can 
not advise with patients except through their physicians. 
While it is now evident that sooner or later all physi- 
cians, regardless of school, or code, or creed, will find it 
necessary to prescribe the Amick treatment, they are 
assured that its use will always be confined to reputable 
members of the medical profession. It will be kept out 
of the channels of quackery at whatever cost, and sur- 
rounded with everyipossible safeguard that conservative 
ethics can suggest. 
The Amick Chemical Co., 
No. 166 W. Seventh St., Cincinnati, O