&'■■ >m :: :'& M: -.'■.in** ikii ! THE .'." *.Aj* ■ / V- • HOMUfiGPATHIST, OR C. HER1XG, M. D„ PROFESSOR IN THE COLLEGE OF HOMOEOPATHIC MEDICINE AT ALLENTOWN, Pa. W" v FIRST PART. ^0 SOLD BY J. G. WESSELHCEFT, PHILADELPHIA: No. 9, BREAD STREET, NEAR ARCH. NEW VORK: No. 148, FULTON STREET, NEAR BROADWAY. BALTIMORE: No. 17, POINT MARKET. AT THE ACADEMICAL BOOK STORE. 1835. Price: Dl. 1. WBK \ S35-3£ Entered according to the "Act of Congress" by C. HERING, M. D., in the District Court for the Eastern District of Pennsylvania. ^ INTRODUCTION. This Book is designed as a Guide to families and individuals: — enabling them in most cases of sickness to effect a cure by means of innoxious domestic reme- dies ; or in obstinate or dangerous disorders by the use of Homoeopathic medicines, which rarely fail in afford- ing the desired relief. It is offered to the candid consideration of the Public at large: — to those whom experience has convinced of the inestimable advantages of the New or Hahnemanic system of Medicine, as likewise to those who have had no opportunity of testing its claims to consideration:— who know or have heard nothing of this system ex- cepting the sneers and ridicule of interested indivi- duals. Interest has a powerful effect in Warping the human judgment, and the disciples of Hahneman have experienced their full share of persecution and ridicule from those whose interest it is, and has been, to control the medical opinions of the public:—but "truth is om- nipotent and facts are stubborn things"; — the new system has effected cures (by means at once simple and agreeable) in cases where the skill of the old practitioners was entirely at fault: — the public mind has been aroused by the facts and will naturally inves- tigate "how these things are": — we fear not the 1 — 2 — award, for it rarely happens that the people as a bodyf < judge erroneously. In ordinary cases of indisposition, such as headache, toothache, rheumatism or croup, let any sceptics apply the remedies recommended in the following pages as proper for these disorders, and conviction of the mild, rapid and powerful effects of Homoeopathic medicines will rarely fail to follow: — and when once convinced * they will be cautious of either using or administering medicine according to the old system; and will eschew all cathartics, pills, drops, tinctures or other vegetable or mineral preparations and will beware of bleeding, scarification, blisters, salves and plasters which are much oftener hurtful than beneficial. This volume is intended as a Domestic Physician, to which parents may resort in most cases of indisposi- tion in their families and will obviate the necessity of consulting their physician on every trifling occasion: — to those living in remote parts of the country* it will prove particularly valuable, as the obtaining of Medical aid (especially at night) is attended with much trouble, fatigue and delay; but with this Guide at hand, any person of ordinary intellect can afford relief, by simply following the directions hereinafter given. No attempt at fine writing is made in this work: — it is intended for all classes of the community, and distinct- ness and plainness have been studied throughout: — in fact we have considered it better to be redundant — 3 — than critically concise, for our design is to make the Homoeopathic system intelligible and useful to all: — to the student in his closet and the traveller on the road: — the mother in her nursery and the mariner on the ocean. All are subject to disease and we have endeavoured to make every one, in a certain degree, their own physician. Many ignorant and prejudiced persons have asserted that all the Homoeopathic medicines are one and the same thing, because they taste alike: — in answer to this silly objection we need but remark that the me- dium of conveyance for all is the same, being nothing more than the sugar of milk, but the Medicines them- selves are as various as the animal, vegetable and min- eral productions of the globe, and administered in the most minute quantities. No mystery is made of them or their mode of preparation and although not men- tioned in this Guide otherwise than by numbers, yet any one solicitous on the subject will be fully satisfied of their variety by consulting works on Homceopathia. Another objection against this system is, that its practitioners are unacquainted with the Old System of Medicine: — this, like that above mentioned, is a great error: — no one can be a successful disciple of Hahne- man who is not well versed in the learning of the Me- dical Schools and it would be just as impossible for him to act judiciously without a knowledge of Anatomy, Surgery and Materia Medica together with Mineralogy, 1* — 4 - Chymistry and Botany as for a man ignorant of Navi- gation and seamanship to carry a vessel in safety to any given port; such knowledge is absolutely requisite and any one practising medicine without it is a blun- derer and a quack: —- at once ignorant of the structure of the human frame and of the nature and properties of the various substances used to mitigate or remove " the numberless ills Which flesh is heir to ", The pro- fession of a Physician is a valuable one to the commu- nity and although we differ with the Old School as to the modus operandi yet we most heartily abhor all ignorant pretenders; — and in giving this Domestic Physician to the public, we are not influenced by a desire to injure the profession, but merely to introduce & more judicious and rational system of Domestic Prac- tice and to put the community on their guard against the evils of the Old System of Physic as at present practised. _______ METHOD OF USE. The following directions for using this book must be accurately observed. In most cases nothing more is necessary than to examine the Table of Contents and the remedy to be administered will be readily found. The work is divided into two parts; the first treats of the "Causes of Diseases'" and the remedies applica- ble:— the second of "Diseases most common'''':__ therefore when the cause of sickness is obvious or — 5 — very probable first examine what is said about it in Part I. — afterwards see what is said of the disease in Part II. They are treated of in regular succession, commencing with those of the head, neck, breast &c. &c. enumerating under every head the diseases to which that part is principally subject and concluding with "affections of all limbs or the whole body'''1:— by bearing this arrangement in mind the reader will readily find what he may desire. As examples how to proceed we give the following: — Suppose a case of cold attended with headache, and diarrhoea; look first for "cold", then for "diarrhoea". If a person is taken sick, and the cause is not percep- tible, but he complains of pain in various places, ex- amine all. For instance, some one complains of head- ache, pain in the neck and the right side, look for all three. Thus you will readily find the proper remedy applicable against the whole. Never give more than one remedy, unless the first will not remove the complaint, When a person suffers severe pain, or is seriously ill, or labors under several complaints at once, you will do well to note down all his symptoms, before you consult the book. For if you read in the book, and then ask the sick person: is it so or so, or does this or that hurt you, he may answer in the affirmative, without properly consulting his own sensations, or — 6 — imagine something different from what is really the case, which would lead to an improper remedy. It is the better plan to write down all the sick per- son tells you:— then inquire minutely into every cir- cumstance, adding First: — exactly where it pains. Secondly:— how he feels, requiring him to describe the pain, and to what it may be compared, whether tearing, cutting, beating &c. Thirdly: — when and why it is getting worse or bet- ter;—according to the time of the day: in the morning, or evening, or at night;— according to the weather: — when damp, cold or dry; — according to the position of the body, when still or in motion; — before or after eating; — after sleep; when touched; pressed and so forth. In the fourth place: — Note what signs combine, for instance, when coughing always headache; or with headache inclination to vomit; or with this inclination shivering &c. In the appendix at the end of the book you will find proper instruction relative to all these particulars. Having written down these observations, look into the book for every principal sign, and you cannot fail finding the proper remedy. Having examined without finding a remedy that will suit for all the patient complains of, choose that which is applicable to most of the signs, and best calculated to relieve what principally affects him. Do not be discouraged, if you should miss the proper remedy, or have much trouble in finding a sui- table one. These difficulties will vanish when you become better acquainted with the subject. The more you use the book, the more familiar it will become, the less time it will require, and you will better and sooner find the remedy intended. When you give an improper medicine, the patient will, of course, not get better, yet this need not alarm as it would in treating according to the system hitherto prevalent;—for Homoeopathic medicine is so prepared that it will help, when it is the right one, but it will not injure, should a mistake occur. In such case the disease will generally remain the same, yet sometimes a change will take place, in which case examine the book, to see whether another medicine may not be given to advantage. Should the patient get worse, after having had a remedy administered, look into the appendix for another to counteract the effect of that already given. Homoeopathic medicine can only prove hurtful when you administer it too often, and in too quick succession without giving the first time to operate. Let every remedy operate for the time indicated in the book, and should it afford some relief, give nothing, or, if the patient does not, or only slightly improve, at most one — 8 — of No. 30 diluted in a spoonful of water, every day, or every hour, before you proceed to another remedy. In this manner you can never do harm. HOW TO APPLY THE MEDICINE. It is applicable in three different ways: 1st by smel- ling; 2d by taking one or two globules; 3d dissolved in water. 1st. In all violent complaints, which do not endan- ger life, for instance headache, toothache, stomachache, affections of the breast, to small children, and all per- sons who are easily affected by medicine, you will only give the cork to smell which covers the vial. You pull it out, shutting the vial meanwhile with the forefinger of the lefl hand, and hold the lower part of the cork which came in contact with the medicine, close to one of the nostrils of the patient. With children the prefer- * able time is when they are asleep. Once or twice smelling at the cork is sufficient. The powders from No. 31 upwards, which have been added to the medi- cines, are likewise only intended for smelling. You open the paper as if you were going to take, but are only to smell at them. If intended for children you open them, and lay them on the table, rubbing the medicine a little with the point of your little finger, you will then either put the finger on the child's tongue, or let the child smell it. If you take care to rub your — 9 — finger previously quite dry, you may use the powder nearly a hundred times. 2d. In all tedious diseases of stout persons, to per- sons suffering pains not very acute, or from a fall, foul stomach, sickness accompanied with violent vomiting, and in most other common cases of sickness, you ad^ minister one or two small globules. Tins you do by opening the vial and letting one or two roll into the hollow of your hand; — the patient takes them off with his tongue; or you drop them into a very dry and clean spoon, and let them fall on his tongue. 3d. In all dangerous cases, in tedious diseases, when much medicine has already been taken, and the whole system injured, and in ajl cases, where neither taking the medicine dry, nor smelling it will avail, you will administer it in water. For this purpose the glasses must be very clean, and have contained nothing but milk or water, else you must rinse them several times with cold, then with hot water, dry and heat them on a stove as much as the glass will bear, and then let them cool. The water you take should be as pure as possible, contain no mineral particles, not be hard, but so as to dissolve soap readily, or let it remain covered for 24 hpurs, and then pour off from the top as much as you may want. You should never use the water the patient uses as his drink except in case of necessity. — 10 — Put 2 to 8 globules of the medicine into the glass, pouring thereon from % of a pint to a whole pint of water; then pour this water into another glass, and from that again into the first, thus continuing 4 or 5 times. When there is but one clean glass to be had, you must stir the water with a clean spoon 10 or 12 times. Thus the medicine becomes properly mixed with the water. You will give an adult a table spoon- ful of it, to children a teaspoonful; or they may take a sip from the glass. In every instance where it is stated below how the medicine is to be given, R. signifies smelling; ° 00 means, give so many dry globules; W. in water. It is also mentioned how often such a dose is to be repeated. A general rule is to repeat the dose as seldom as pos- sible , and give as little medicine as you can avoid. The taking dry, and smelling of the medicine is seldom repeated, the taking it in water more frequently. After applying the medicine by smelling, taking, or in water, you must watch the changes which occur in the patient. You wait in bad cases one or two hours, in tedious cases a whole day. If the patient improves, ever so slightly, give no more medicine. But if the patient relapses, and the sickness increases, give the same medicine again. If the patient feels worse, the sickness is either the same, though in a higher degree, or varies from what — 11 — it was; — there is something which the patient did not feel before. If he is worse and his case differs, you must give a different medicine. Yet if worse, without the case being different, you must wait. It will often happen that upon taking medicine, the pains or the particular symptoms of the disease become rather worse;—yet this is a favorable sign for the patient. It proves that the medicine has taken effect, and operates upon the disease. By no means interrupt this opera- tion, for the patient generally improves after it. Should he however get worse and continue so, give the same medicine again, but in a weaker state. If the patient took globules, let him smell at the cork. If he smelled before, give him the same medicine in water. If he took it in water, let him now take it again, but only half the quantity he took before. Should this repetition prove unavailing, give a coun- termedicine, let the patient smell camphor, or spirits of nitre, till a change takes place. If the patient continues in the same state, repeat the medicine within the space of time below mentioned — in violent, dangerous diseases after one, or more hours — in tedious cases after 3, 4, or 7 days. Of the water you may give in bad cases every hour, but in tedious cases a table spoonful every morning until an amend- ment occurs. If an amendment does occur, although ever so slowly, do nothing further. The fairest course of amelioration may be interrupted by giving medicine I too soon. ,__________ During the time medicine is taken — in order to en-, able it to operate and effect a cure, the strictest atten- tion ought to be paid to the diet hereinafter mentioned, else all may be in vain. Should the patient feel better, yet the medicine, being interrupted, should have no further effect, and the complaint should get worse again — for instance in consequence of strong smells frequently not to be j avoided, or catching cold — give first something to counteract the cause which occasioned this interrup- tion, and then recur to the same medicine which had brought about an amendment — or you may repeat this same medicine at once. (X*p* I" *'le United States neat email cases containing the medicines appertaining to this Domestic Physician, can be had of l)r. G. Lingen, No. 105, North Seventh street, Philadelphia ; and in J. G. Wesscl- hteft's Book Stores, No. 9, Bread street, Philadelphia, and No. 498, Greenwich street, New York; also at the Academy, Allcntown, Pa. Empty vials can be filled again, if required at the places mentioned. For various reasons we have not named the medicines, but only designated them by numbers. When paying proper attention to the numbers, no mistake can happen. Vet the name of the remedies is no secret, for no secret whatever obtains in the new system. He who procures the works on the Homreo- pathic system of medicine, can readily find therein the namos of the medicines prescribed, and also how they are prepared. Be careful to stop each vial with the same cork with which it was stopped before , for were you to misplace one cork for another, all the medicine might be spoiled. The case containing the medicine must be kept in a dry place, neither too warm, nor too pold, — 13 — FIRST PART. OF THE PRINCIPAL, CAUSES OF DISEASES. A. OP AFFECTIONS OF THE MIND. FRIGHT often has bad consequences, either imme- diate or remote. If occasioned by sudden joy or surprise, although the cause be agreeable, yet it often affects the mind, occasioning fainting, trembling &c.< particularly with women, or children: — in such cases give No. 1 first R., and if this will not avail then W. If it was but a common fright from a sudden noise or something similar, give No. 2, should it be re- quired immediately; but if only within a half or an hour after, No. 3 will be preferable, substituting, if after the expiration of an hour no effect is perceptible, No. 2, and so alternately, as above, first R*, and should this not answer then W. If the fright was accompanied with great fear, No 2 will answer best; and, if required, then the medicine mentioned under the caption "Fear". If vexation ac- companied the fright, No 3 will help; if followed by grief or melancholy, No> 4 is more to the purpose; Upon the appearance of the worst consequences of fright: pain in the forehead, hitter taste and sour vom- iting, weakness and cold sweat; oppression with in- ward heat, anguish and heaviness in the bowels; or coldness of the body with trembling, oppression of the breast, stiffness, unnatural sleep with loud snoring &c, give No. 2 W., a teaspoonful every quarter of an hour, and if ineffectual within an hour No. 31 R., and should an hour elapse without improvement, take No 3, and repeat (if necessary) several times. If the fright is followed by convulsions, the patient remaining insensible, if he trembles, cannot see, breathes with difficulty, evacuates involuntarily, No. 2 00 or No. 4 will afford relief. When children have been frightened into fits, and they cry loudly, have cramps in their arms and legs, their heads hot and in perspiration, and the face red, No. 2 will help, or afterwards No. 5; should they turn very pale, No. 4, and if they feel very cold, and evacuate, No. 6. In cases of simple vomiting and sick stomach, No. 3. If suffering under diarrhoea from fright, occasioning anguish or joy, take No. 2, and upon a recurrence, the patient laboring under great apprehension, No. 3 — and if this will not avail, No. 6. In fainting from fright No. 2. When the patient becomes cold, sprinkle his face and wash his feet with — 15 — cold water, and should the fainting return, let him smell camphor once or twice. If after the fright the patient continues in fear, and the other medicine will not avail, give him No. 5 once. If fright or vexation is followed by derangemeut of mind, give No. 5. If this will not sufficiently avail, particularly should the patient relapse into a state of stupefaction or deep melancholy, laughing from time to time, or showing great pride and contempt for others, or laboring under much anxiety and fear of death — or if the case is connected with complaints peculiar to females, give No. 32 R. Or in case you have given No. 5, without its having taken effect, the patient remaining in a state of distress, and falling after the slightest exertion into trepidation — if he is unable to sleep because of horrid imaginings — feels always worse at night, cannot bear the warmth of the bed — attempts to escape: — is quarrelsome, or com- plaints of every one around him — No. 7 will prove effective. FEAR is often combined with fright and anxiety, and the same medicine indicated there will answer here. When children are very fearful, No. 3 will help if given in the evening; No. 5 in the morning. 16 - In cases of diarrhoea from fear No. 6* or when the body feels hot, and the limbs cold, No. 8. If other symptoms occur such as stupefaction, im- pediment in swallowing, laughing in sleep, sudden fright and a desire to escape, No. 33 R. GRIEF AND SORROW have more evil conse- quences than any other affections of the mind. Either sudden consequences; or, if remote, tedious and worse than the former. The first are easily removed — the latter not always. Nay without the proper medicine for the mind, all remedies will be useless. He who cannot find that, need not expect that those for the body will avail much. In cases of silent inWard grief with shame, sup- pressed anger, great affliction recurring instantly to the mind, grief from unrequited love; loss sustained which one cannot forget; or When .something preys Upon the mind, give No. 4 R., which in many cases ' may be repeated the next day. When vomiting > sick stomach, headache or vertigo result from it, give No. 4, and should this not avail, No. 10. When epileptic fits are consequent upon grief and sorrow, give first No. 4, if this will not help, No. 2 during the fit, and No. 10 a day after every fit, or in water every day during a week. When the case originates from unrequited love, give — 17 — first No. 4; and after some days, if necessary No. 10, particularly if the patient is very quiet, silent or suffer- ing under a dumb ague. Should he or she talk in a deranged manner, be jealous and violent, give No. 33 R. If from other vexatious causes mental derangement ensues, No. 5 will afford relief, and next No. 10. Also No. 7 and 32 in circumstances stated under "Fright". \ If home sickness is the cause, and the patient is un- abjie to sleep, is hot or red in the face, give No. 34 R. If this proves unavailing, and the patient is visibly in a state of decay, does not Uke to talk, perspires much in the morning, feels sleepy and drowsy, give No. 10. If the patient is much affected, trembles, is restless, full of anxiety, particularly at night, feels cold, and is subject to night sweats, give No. 7. In tedious cases resulting from grief and sorrow, when the patient is vexed, angry, restless, fearful, de- jected; imagines the worst, dreads futurity, is con- stantly in a state of anxiety, feels sleepy the whole day, does not sleep much at night, perspires day and night, looses his hair, and his voice becoming feeble, give No. 11: yet should he from vexation only be unwilling to talk — feel feverish and decay, give No. 10; when he is quarrelsome and insufferably, touchy; — feels distressed &c. &c, give No. 7. 2 — 13 — VEXATION is frequently only connected with silent grief, sorrow and shame, in which case No. 4 will help; if a fit of ague follows, and the patient remains vexed, No. 12 will help; if after vexation he feels cold, and is generally of angry disposition, and No. 12 will not do, give No. 13. If the vexation is accom- panied with great and just indignation, and a detesta- tion of what has happened, if the patient throws away whatever he holds in his hand, or pushes aside what- soever may happen to stand before him on the table, give No. 11. But if the vexation was accompanied with violent paroxysms of anger and heat, give No. 14, which generally will answer best in cases resulting. from anger. If a cough results from vexation, or if palpitation of the heart, asthma, cramp of the breast, or a feeling of suffocation, give No. 14; it will be well also to put the'hands for a short time in cold water, and if this proves insufficient, put the arms in warm water, till an amendment takes place. If from vexation a person has a bitter taste in the mouth, feels inclination to vomit, or does throw up much bile, has headache, palpitation of the heart, op- pression on the stomach, bowel complaint, diarrhcea, hot fever, is very thirsty, looks red in his face and eyes: anguish and restlessness: bilious fever or jaun- dice, give No. 14; repeating the dose but seldom, and if so, after 6, 8 or 12 hours. — 19 — If he feels more of ague, give No. 12, and if this will not answer, No. 6. If, after having taken much chamomile tea, a person gets vexed, or if he has taken chamomile tea against fever, give No. 1, and should it not answer No. 13, and the pains still remaining No. 14. If the patient was always of a mild temper, and No. 14 will not avail, give No. 8. If after vexation a person has been eating or drink- ing, and has in consequence a bitter taste, belching, vomits bile, has stomachache, much heat in his head, is uneasy, his sleep often interrupted, is irritable and labors under similar complaints, No. 14, given once or twice, wDl afford relief; but if the case has occurred often, and this remedy proves unavailing, perhaps No. 8 or 13 may answer. ANGER.—When persons of a violent temper suffer after a sudden fit of anger, No. 13 will help. When anger is the consequence of just indignation, and the patient is of a less sanguine disposition, No. 11 will answer. Should mental alienation be consequent upon anger or vexation, give No. 32 R. When small children get angry, and in consequence lose their breath, or fall into fits, give No. 14; when they weep and cry much, being also much troubled with cough, give No. 15. When they cry continually, 2* — 20 — and cannot be pacified, give No. 5, and when this will not avail, give No. 16, — this last but once. Sensibility and great irritability are the cause of indis- position with many, because they are easily excited by the slightest affection of the mind. When this great sensibility is connected with in- ward vexation, want of sleep, painfulness of the parts affected, so as to excite weeping, the eyes becoming full of tears, No. 1, several times repeated, will help. The patient must abstain from coffee. When the nerves are irritated, the organs of the senses more than usually sensible, when frightfulness and anguish prevail, an inclination to lie down, aver- sion to fresh air, a state of mind angry, stubborn and querulous; when with women their monthly courses are irregular, insufficient, or suppressed, give No. 8. Should this not afford relief, give No. 4: — to those who are of sanguine temperaments, give No. 14. To a person very irritable, full of schemes, and much excited at night, give No. 17. When pain is so violent as to render the patient flighty, give No. 1, if this will not do, and he is feverish, has a very quick pulse, give No. 3, and if this does not answer, give No. 14. To persons thrown by pain into this state, and sub- ject to its return by a change of weather, or their catching cold, and becoming worse by being touched, r- 21 — give No. 17 — and should this within 6 hours prove ineffective, give No. 7. B. . OF COLDS. Colds are the cause of so many diseases, that we need say but little about them. The most usual are catarrh and cough, sometimes Avith fever; or cohc and diarrhoea; or toothache, pain in the ears and limbs. In every case of this kind, examine under the several captions; here follow the most material. The first remedy is: keep yourself warm, and your feet dry; abstain from all spirituous liquors, which will render the complaint worse, and when violent, use neither annual food, nor spices. When you feel that you have caught cold, without perceiving any bad consequences from it, take in the afternoon, or in the evening, some hours or an hour before going to bed No. 13, keep quiet for about an hour, without talking, thinking, reading or other men- tal exertion, drink before you retire a large tumbler full of very cold water, whether in summer or winter, cover yourself well and wait for a perspiration. You will feel well again, if not the next morning, in the course of the forenoon. When children cannot be made to drink water, or — 22 — when from experience you know that this will not produce perspiration, give milk and water in equal portions, well sweetened with sugar and quite warm, Uke tea. To lying-in-women but little of this can be given, or they will perspire too much; with them it will be better to put a Unen cloth in hot water, wring it out, and put it around their feet and the calves of the legs. Yet lying-in-women, when they have caught cold, are more readily brought to perspire by No. 14 R. Robust laboring men or women, who after having overheated themselves, catch cold, may take in the evening hot water with sugar and brandy, or rum, well mixed. To a person who in winter has become stiff with cold in wet weather, give a cup of strong black coffee, and if no sleep follows in consequence, at night No. 13. When perspiration has been stopped by a cold, and one has headache, earache, toothache, or pain in the bowels, No. 14 will usually afford relief. When any one has sweaty feet, and the perspiration by reason of a sudden cold has ceased, take a tubful of bran (of wheat or rye), heat it in the oven or stove, put it 3 or 4 inches deep into the tub, let him put his feet on it, and cover feet and legs up to the knees with the rest of the bran, as hot as it can be borne. The feet should be kept in for half an hour. If this will not — 23 — cure, give No. 21° two mornings in succession, and if required after 7 days repeat the dose. When CATARRH results from a cold, and the pa- tient can neither smell, nor taste, give No. 8; when the catarrh is accompanied with much heat in the eyes and head, and the nose pains, give No. 5; when the nose is stopt, gi,ve No. 13. When there remains a cough, after other remedies, and the cough is dry, give No. 13; if dry so as to excite vomiting, No. 25; if hoUow with the same ex- citement No. 29; if with tough mucus, particularly with children in winter, give No. 14; if moist, give No. 22 or No. 8. Look to what else is said under "Cough". If cough returns with every blast of cold air, give No. 10; if it returns upon having acciden- taUy an arm or a foot uncovered in bed, is hollow and troublesome, give No. 16 R. When the cough originates from cold air, is dry and convulsive, with vomiting, or throwing up bloody mat- ter, give either No. 12, if it is accompanied with pain in the side, or under the ribs, headache, if preceded by a ticklish sensation in the throat and followed by pain in the breast; when the pulse is hard and beats %quickly; or give No. 29, when the pulse is moder- ate , the breast feels sore during the cough and after it has ceased, the pain being not twitching but rather — 24 — burning, oppression on the breast and palpitation of the heart. When through cold a catarrh has returned, give No. 8; when an irruption on the skin has returned, give No. 25 every 2 hours; if this Avill not avail, give No. 12, once or twice. When ASTHMA results from cold, the patient feel- ing as if he should suffocate, give No. 25 W., if neces- sary every hour or half hour; should this prove in- effective, give No. 19 W., every hour, until relief is afforded. Sometimes also those medicines will an- swer which are mentioned under "oppression on the breast". When DIARRHCEA suddenly results from a cold, give No. 2; if this will not avail, or the diarrhoea did not follow immediately after having caught cold, a day or more than one day having intervened, and there is no stomachache or other bowel complaint with it, give No. 22. When diarrhoea originates from catching cold while in perspiration, or a cold bath, and the patient suffers from heat in the head, preceded by a cutting pain in the bowels, or simply a painful sensation upon pressure in the cavity of the breast, and the abdomen, his ex- crements containing undigested food, No. 12 will avail; when bad water is partiaUy the cause of it, food goes off undigested, and No. 12 will not answer, — 25 — give No. 17. When he is troubled with vapors, a cutting pain about the navel, has a hard stool, with shmy matter, or blood, and much weakness; or when the patient is addicted to spirituous liquors, give No. 13. When the evacuation of slimy matter and blood becomes bad, give the remedies against dysen- tery ; if not so bad but tedious, give No. 18 W. When the stomachache is violent and convulsive, particularly previous to the diarrhoea, the evacuation being thin, of a brownish color, with burning in the bowels, give No. 17. Should the pain in the intestines become so convul- sive that the patient cannot remain quiet, and he feel as if a ball were pressed inwardly against his side, or as if his whole abdomen were hojlow, with nausea and vomiting, the evacuation sUmy, green, and smelhng very offensively, give No. 14. When exposure to the night air is the cause of the cold, and the stool is green and watery, preceded by much pressure and a fainty feeUng; with cuttmg pains in the bowels, oppression on the breast, a constant, uneasy incUnation to evacuate, rumbUng noise in the bowels, acute pain in the cavity of the breast and in the stomach, which feels quite cold, with nausea, ague &c, give No. 7. In cases of foul stomach from eating too much pork, pastry &c, when the stomachache is worse in the afternoon, in the evening or at night, the patient being — 26 — troubled with vapors, the abdomen hurting when touched, give No. 8. Thus also with pregnant women, when the pains resemble labor pains. When a cold is succeeded by PAINS, with an incli- nation to weep, great sensibility and want of sleep, give No. 1. When the pains are so violent as to be almost intol- erable, give No. 14. When from colds originate severe headache, a rising of the blood into the head, and these complaints in- crease when the sufferer is walking, going up stairs, at every step, each concussion, or when stooping; be- coming stiU worse when exposed to the draught of air, as if the head were going to split, give No. 5; when the headache is more painful in some particular spot, occasioning tinkling in the ears, and difficulty in hear- ing, give No. 22. When the headache originates from exposure to the draught and is but external, give No. 13; if internal No. 5; if resulting from bathing, and No. 5 will not answer, and the headache is accompanied with nausea, giddiness, a foul stomach, increasing after smoking tobacco, give No. 20. Affections of the EYES resulting from a cold, are best cured by the medicine stated under that head; No. 5 or 22 will answer, either the one or the other, yet not the one after the other. — 27 — When the eyes feel painful, inflamed, are filled with tears and unable to bear the light, give No. 5, and when this will not help, No. 7, and should this also prove unavaiUng, No. 16 R. When the pains are not so great, resembling more obstructions in the sight when reading, with flashes before the eyes, or when upon every catching cold the eyes are affected, give No. 22, and afterwards No. 18 W. Should this afford no relief, or the patient have taken it previously, give No. 35 R. Complaints of the EARS frequently result from colds. When there is much tinkling in the ears, and consequent obstruction in hearing, give No. 22, and should after some weeks the complaint return, and this medicine prove unavailing, give No. 18. When accompanied with a twitching, cutting pain, dryness of the ear, with vexation of mind, Nd. 14 will help, or should it tear, cut &c, No. 13; when the mind is more at ease, the ear moist and running, or hot and red with vivid pain, the face also having something of this appearance, No. 8 wiU answer; or, when the ear is not so hot and red, but much troubled with tinkling, and quite sore from the matter exuded, emitting blood, the glands of the ears and neck being swoUen, give No. 7; and should this not effect a perfect cure, and there remain heat, redness, twitch- ing, pain when sneezing, tinkling and beating, give No. 16 R. once, and thereupon No. 30 several — 28 — times. Should the running of matter, tinkling and burning continue, give No. 18 and afterwards No. 30. TOOTHACHE from cold is usually cured by Nos. 14 or 23. Examine under "Toothache". Should these medicines not avail, give No. 22. When upon every cold toothache returns, Nos. 17 or 18 will afford relief; yet the latter only, repeated once a week, or in water. PAIN OF THE THROAT from cold is in most < cases reUeved by No. 5 or 22. Only have patience and give the medicine time to operate. When cold is the result of drinking, No. 5 is pre- ferable; when the cold is very severe, No. 22. When the throat feels sore and hot, with obstruction in swal- lowing, much saUva in the mouth, the glands being swollen; when the patient finds difficulty in swaUow- ing or speaking, his throat feeUng as if too narrow, when his drink runs partly out of his nose, and he is very hasty, give No. 5 W.; when the pain is not so great, yet the tongue feels as if lame, the patient being troubled with much perspiration, sometimes very of- fensive , which affords him no reUef, give No. 7, or some of the other medicines, indicated under "Inflam- mation of the throat". NAUSEA and vomiting after a cold, particularly when pimples or other cutaneous eruptions have been driven in, will be cured by No. 25, taken, if neces- — 20 — sary, every hour, or 2 or 3 hours. Should this not answer, and the vomiting be connected with much ex- ertion , and sour or bitter, give No. 5 W.; if tough mucus only, No. 22 W.; when constantly returning, with much nausea, particularly after motion, eating, talking, or when riding, or after sleep, give No. 41 R. Should it happen after every motion of the body, and the patient cannot remain quiet, is weak and dry, yet cannot drink, give No. 19 W.; if this will not stay with him, No. 19 R. When the stomach has been injured by eating too much fruit, or swaUowing ice, No. 8 wiU afford re- Uef, particularly should it be attended with colic, and the patient, subject to vomiting, throw up what he has been eating; or should he be subject to sour vomiting at night. Should the stomachache be very severe, accompanied with inward burning, great anguish, vomiting bile; and aU these circumstances be worse after drinking, and No. 8 not avaU, give No. 19 R. Should RHEUMATIC PAINS result from a cold, and the part affected feel uneasy, so as to require a constant change of position, feeUng as though every thing were too hard, and the limbs as if palsied, the patient complaining when a person is walking in the room, or approaching him, No. 15 will help. If he is troubled with fever heat, give first No. 3, and after two hours No. 15. In many cases it wiU be advisable to change alternately both medicines; yet no — 30 — new medicine should be given, except when tbe case is actuaUy getting worse. Should there Unger some remnant of the complaint, administer those medicines indicated under "Rheumatism". If rheumatism is worse when at rest, or at night, with lameness, or numbness of the limbs, white swel- ling, or burning in the feet, or a red inflammatory swelling of the big toe, a stiff neck, very dry skin or offensive perspiration, which affords no rehef, give No. 22, and should this not avail No. 7. « When the same symptoms return after every cold, particularly that uneasiness upon the approach of others, or when the patient attempts to swallow; the symptoms being worse when he keeps himself quiet, better when he is stirring about; with swelUng of the big toe, and cutting, burning, beating pains, give No. 10. If accompanied with sweUing of the knees, knots on the joints of the hands and fingers, give No. 18, and should this not avail, give No. 35 R. When a cold is succeeded by a FEVER, give No. 3. Should the fever increase, or have gone to far already, select one of the medicines indicated under "Fever"; Nos. 13 or 14, 5 or 22, 4 or 8, unless another should evidently answer better. In general the folloAving medicines are most appli- — 31 — cable in complaints from colds, if painful or inflamma- tory, Nos. 1, 3, 14, 13, 8, 5 or 28. When not so painful, Nos. 22 or 25. When tedious, and often returning, and the patient has previously taken much mercury, calomel or blue pills, Nos. 29 or 18; when not, or subsequently to these, Nos. 21 or 35. When resulting from bathing, give Nos. 20 or 18, and after some weeks Nos. 29 or 35. When resulting from want of perspiration, Nos. 14 or 17 wiU often answer, or Nos. 5 or 22, and should these not suffice No. 21. When too great perspiration is the cause, No. 7 or 10 will frequently answer, then Nos. 17 or 29; also Nos. 18 or 16, according to circumstances. When a person is very apt to catch cold, or is un- able to take sufficient care, he wiU do weU to abstain from coffee altogether, to drink rather cold than warm things, and Uttle spirituous liquor; thus his habits will gradually improve, particularly, when using, accord- ing to circumstances, the following medicines: Nos. 1, 5, 13, 17, 22, and preferably Nos. 21, 29, 35, yet not too often, but at long intervals. He ought to wash himself frequently in cold water, accustom him- self to the fresh air, not hesitating to go out and bear every kind of weather. Yet if he cannot do this, his system being affected by every change in the weather, he may take No. 13 — 32 — or 14; — when he cannot bear cold weather, give him No. 19; when his limbs, fingers or nose are apt to get frostbitten, he should, before going out, rub them with spirits of camphor; when frostbitten already, let him take the medicine prescribed against this; when he sickens from every blast of keen air, give, according to circumstances, Nos. 12 or 23, 6 or 7, and if unavailing, Nos. 29 or 35, which wUl recruit him; when he is unable to bear the wind No. 29; when he cannot stand the draught Nos. 5 or 18, 211 or-.35, one after the other; say one within 5 or 6 weeks. When a person cannot bear the night air, No. 7, and after some time No. 18 wiU afford reUef, should i it not, No. 29 will. To one always affected by damp weather, give Nos. 22, 23 or 6, and afterwards Nos. 29 or 35. If the breast suffers Nos. 22 or 29. To one affected by thunder gusts, give No. 12, and afterwards No. 21. To him who suffers at every change in the weather, give first Nos. 7, 9 or 23; should they be insuffi- cient, give No. 18, and afterwards No. 21. At a change from warm to cold No. 22 — from cold to warm No. 29. When catching cold in spring Nos. 6 or 23 will often answer, or No. 29; in summer Nos. 5, 12 or 29; in the fall Nos. 6, 7 or 23; in winter, when dry Nos. 3, 5, 12, 13, 14 or 18; sometimes — 33 — also No. 25; when damp Nos. 22, 6 or 29. It is most prudent always to examine under the names of the various complaints, what is there mentioned par- ticularly about each remedy; for the above indication is merely to serve as a guide in dubious cases. c. OF OVERHEATING, IMMODERATE EXERTION AND EXHAUSTION. After immoderate exertion a warm bath, continued for half an hour is beneficial; should you feel pain in the limbs, rub yourself while in the bath with spirits of soap, which will reUeve the pain and the heat. When by great exertion in summer you have over- heated yourself, you wiU do well to take some drops of rum or strong brandy on sugar, not drinking cold water till some time has" elapsed. If you are very tired, a cup of weak green tea is advisable; when you have fatigued yourself too much during cold weather and you have to go out again, drink cold beer; if you can stay at home, warm mulled beer. Spirituous liquors in the winter season are not good, because you will suffer more from the cold afterwards; during the summer they are beneficial only immediately after you have overheated yourself, yet if taken too copiously, you will feel exhausted the next day. If hot weather 3 — 34 — easily exhausts your strength, drink coffee sometimes, but no spirits. When a person suffers from a stroke of the sun, having exposed his bare head or neck, or slept in the ardent rays of the sun, or near a hot stove, you must give him instantly No. 3, repeating the dose (should he not mend) until he gets better, and then No. 5; this wiU help in almost every case. Should it not, let him smell camphor. In cases of severe HEADACHE from heat, when the head feels as if it were too full, or as if it would burst *, — is worse when stooping, particularly in the forehead; when walking; at every exertion of the mind; accompanied with hot fever, much thirst, vomiting, or want of sleep, give Nos. 5 or 12. No. 5 wiU help, when the affection is accompanied with great anguish and uneasiness; rage or at least great irritation, or despair, frightfulness and fear of things present, lamentation, weeping, crying. No. 12, will help, when the patient feels tired and vexed, as if he could not bear his clothes, or more angry and vexed than inclined to despair, or is appre- hensive of future events. If he is troubled with headache whenever he over- heats himself, and feels heaviness, pressure over the eyes, or pain in the eyes from seeing, give No. 29. When headache is produced during the summer by great heat, exertion in the sun, or before the fire, — 35 — feeUng as if the head were too full, want of appetite, particularly in the morning, much thirst, fever, trem- bUng, sometimes nausea and vomiting, or diarrhoea, give No. 12. DIARRHOEA from heat, particularly stomachache from drinking milk; and fever from excessive heat in summer, will cease upon giving No. 12; sometimes, however, you have to repeat the dose the next day. To a person unable to bear the heat of the sun, or to work in very warm weather, particularly when he is troubled with night sweat, is drowsy, complains of his stomach and bowels, and No. 12 should not answer, give No. 20. When onl^ nausea results from the heat, and the medicine indicated will not afford relief, or the nausea always returns, give No. 20. FATIGUE from walking, or labor, particularly in summer, is often so great, as to get worse when sitting down to rest. If there is no opportunity of taking a warm bath, put your feet in warm water, into which throw a handful of salt. Should this give no relief, take No. 1. When a person is so tired as to feel fainty, or actually to faint No. 6; when during the exertion he eat nothing, No. 1 wiU help; did he per- spire too much, and feels weak in consequence, or is he naturaUy of a feeble constitution and subject to night sweats, give No. 17. If he only feels exhausted in aU his limbs No. 15 3* — 36 — will afford reUef; when the feet are swollen, or pain from walking, take No. 15 W., bathing the feet first in water, dry them, and after wetting them again with the same water, let this dry in. When you have hurt yourself by lifting or carrying, and your limbs feel painful, whether you stand or Ue down, No. 23 wiU afford relief. But if a person, otherwise in good health, should feel tired after the least exertion, and even from talk- ing, give No. 41 R. If this wiU not answer, give No. 6 twice; and if he still remains in the same state No. 35 R. When a person loses his breath from running, gets a cough, pain in the side and limbs, give No. 3; should the pain in the side continue, give No. 15, and if this should afford no relief within 12 hours, give No. 12. Should the asthma continue, and get worse upon walking rapidly, running, mounting, or be ac- companied with cough, and ejection of mucus, give No. 21. NIGHT WATCHINGS are always weakening, not- withstanding their necessity. Should they prove too weakening, as there are people unable to do without one hour's sleep less than they are accustomed to, give No. 41. When staying up at night occasions headache, and to keep yourself awake you have drank much coffee, wine or spirituous Uquors, No. 13, taken before going to bed, will afford relief. When the — 37 — complaint is not occasioned by Uquor, or when the patient cannot lay doAvn, or feels nausea, give No. 25. If the complaint is worse in the evening, and better in the morning, or with women when they cannot go to bed till towards morning, give No. 8. When there is a rushing of the blood towards the head; a heaviness when moving the'eyes; when the headache increases in the fresh air, becomes violent when walking, with persons of a sanguine temper, give No. 13; when the head feels as if empty and light, the patient unable to bear the light, feeling better in the fresh air, worse upon lying down, an oppressive pain when walking, and this happening to persons of an easy, mild temper, give No. 8. When the head trembles, the face being flushed, a blue circle around the eyes, the mouth dry, yet no thirst, nausea before eating, belching, nausea to fain- ting, a full stomach, difficult breath, becoming more troublesome in the open air, by talking, or drinking coffee; the patient being melancholy, and troubled with frightful dreams, give No. 41. When the patient feels as if he were intoxicated, has a cadaverous appearance, heaviness in the forehead, hardly supportable; feels nausea, is feverish, feeble and vexed, give No. 13. After a nightly debauch Nos. 8 or 13 will often answer upon the above indications; or No. 29. See "Affections from spirituous liquors ". CONFINEMENT and much study tire the mind; — 38 — whoever can avoid it, should do so — at any rate he ought to enjoy the fresh air daily at least for an hour. Should he become troubled with dyspepsy, or be ac- customed to coffee and spirituous liquors, No. 13 taken in the evening wUl frequently afford reUef, and after 4 or 5 days, should he get worse again, No. 18 W., every morning for 5 or 6 days. If required you may repeat this within a month. Should the head feel more affected, No. 13 will often prove the best rem- edy;— then No. 5, and sometimes No. 8;— see "Headache". If all these remedies should prove use- less, or headache be the consequence of every exertion of the mind, give No. 35 R. If the patient feels giddy as if intoxicated, No. 13 will help should he be of a sanguine disposition; — No. 8 if phlegmatic. Tooth- ache,* cough or other affections from too great.mental exertion are relieved by No. 13, or the other remedies indicated under that head. EXCESS of every kind injures both mind and body. In cases of intemperance in eating and drinking, look for the medicines recommended for "sick stomach". But when the excess is of that kind where man wastes the very essence of his constitution, much relief may be obtained (provided the patient be strictly abstemious) by the following medicines: The principal remedy to be given at first, and to be repeated after some time, is No. 17. At a later pe- riod, when the patient is ashamed of his vice, give — 39 — No. 10. Examine what is mentioned under the head of the complaints which affect the sufferer, choosing in preference among the medicines indicated Nos. 17, 10 and 11, 13, or 18 or 22; the one or the other, whichever may suit best. This is also apphcable, when the patient, having abandoned himself to unnatural vice, has wasted the very essence of his blood; give at first Nos. 17, 11 or 13; afterwards Nos. 10, 18 or 35. Exhort the wretched sufferer to change his Ufe and guard against temptation, if not by hard labor, at least by constant occupation, moderation in eating and sleeping, avoid- ing the use of spirituous liquors, bad company, and the perusal of bad books; and should a sickly irritation accompany the suffering, as wiU often happen with young persons, give the following medicines: Nos. 17; 7, 29; 13, 8, 11; or 20, 21, 32; or 35, 41. Frequently, when Nos. 17 and 29 will not answer, No. 7 will;—but if not, No. 18 may. Between these remedies, all of which must not often be repeated, Nos. 1, 2, 3, 4 wiU frequently answer, according to circumstances. When by such vicious habits a man has so enfeebled himself as to perceive the evil consequences even after he has married, and is moderate, should the head al- ways feel affected afterwards, give No. 35 R The same, if great weakness, trembling of the legs succeeds; if asthma No. 11; unnatural heat in the parts Nos. 7 or 29. — 40 — LOSS OF FLUIDS by much perspiration, purgatives, long continued diarrhoea, or with women loss of milk or running of other fhiids, or from bleeding, or leech- ing — may occasion incurable disease, unless soon remedied by No. 17, to be repeated after some time, if required. However, in some cases it is necessary to give subsequently Nos. 11 or 18. Whenever from such causes, particularly inconsiderate bleeding (with children who have been leeched, imperceptible bleed- ing at night) result fainting or convulsions, give im- mediately No. 17, but nothing else; as soon as the patient recovers, and his mouth is very dry, or he moves his tongue, give him a little cold water; if he swoons or gets fits again, or does not. quite recover, give him a teaspoonful of good old wine; after a while, if necessary, repeat No. 17 R., subsequently a little more wine. Then he may drink as much cold water as he pleases, only not too much at once. Should there still linger some pains which No. 17 does not remove, give No. 10; and if this proves insufficient, within a week No. 18. D. SURFEIT OF THE STOMACH. When a person has eaten too much, or indigestible food, and complains in consequence, immediately or — 41 — after some time, let him drink some black coffee; should severe headache and nausea foUow, yet no vomiting upon taking coffee, dip a very soft feather in oil and tickle his throat with it, till he vomits; if this will not produce vomiting, let him drink some lukewarm wa- ter. If still no vomiting takes place, and only vain exertion, and the patient feels very hot, particularly in his head, give No. 3; if he becomes cold, and has severe pain in the stomach, give No. 25 W., every 5 to 10 minutes; and if this (in severe cases) will effect no speedy cure, give No. 20 W. Should the patient not have vomited sufficiently, tickle his throat again with a feather, and give him warm water, till he has thrown up every thing. Cease as soon as you perceive bile, and give him a solution of sugar in cold water. If he still feels oppression in the stomach and nausea, let him take some black coffee; and should he not feel better the next morning, but still feel nausea, bad taste and smell, give No. 20; a bitter taste No. 12; foul No. 13; v«ry offensive No. 15; sour No. 8; greasy No. 8; pungent and bitter No. 19. Should other com- plaints appear, look for them under the different heads. At all events the patient ought to eat nothing for some days but thin soup, that his stomach may recover its proper tension. Children are often made sick from being overfed, or eating things hard to be digested, such as mush, bread — 42 — not-well baked; when their dress is too tight; have been rocked too much, or ill treated with purgatives (rhubarb, Epsom salts or castor oil). These noxious things ought to be avoided; give them to still their vomiting, several times No. 25, particularly when accompanied with diarrhoea; should this not effect a speedy cure, No. 8; if diarrhoea only, carrying off much indigested food, or if the child has been enfeebled by purgatives or continual looseness of the bowels, give No. 17; obstruction and vomiting No. 13. A sick stomach from fat meat, pork, pastry, or ran- cid butter, is cured by No. 8, and in cases where this will not avail, by No. 29. A sick stomach from other food, heart burning with a taste of what has been eaten, with nausea, by No. 20. A sick stomach from fruit No. 8, particularly cool- ing fruit, ice-cream, or swallowing ice, which children are apt to do, — is cured by No. 19. When the tongue is slimy, with a taste Uke straw, putrid and cor- rupt ; yet no thirst, nausea after eating and drinking, worse in the evening, sour heart-burning or with a taste of things eaten, give No. 8; if the tongue is dry, with much thirst, frequent drinking, or salt taste, nausea when moving, heat in the stomach, anguish and oppression similar to a burn on a small spot, give No. 19. In cases of tedious sickness from ice in summer, — 43 — with great weakness and Uttle appetite; when the stomach will not retain what is eaten, but throws it up again, with a sour taste, the stomach hurting when touched, give No. 29. A sick stomach from bad, sour wine, particularly with nausea, No. 20; from sulphurated wine No. 8; from sour beer or vinegar, No. 3, particularly when there is oppressive pain in the stomach, nausea, vom- iting of mucus or blood; should there be sour vomiting, or burning in the throat, cutting pain in the bowels, and purging No. 16 R. If there be vomiting of food, burning in the stomach and bowels, criping with cold- ness, anguish and thirst, give No. 19; in great weakness and much sensibility in warm and cold, damp and dry weather, give No. 29. When the stomach suffers from eating short fish or spoiled meat, give immediately some finely powdered charcoal mixed with brandy; should thereupon the pain continue, give No. 17; if there remain trouble- some belching, corrupt taste, give No. 8. For a sick stomach from salt meat No. 29; linger- ing illness from consuming too much salt No. 19. In cases of sick stomach from old cheese, sausages, spoiled smoked meat &c, examine "Poisoning", giving the medicine there indicated as antidotes against "Poi- sonous fat". HEADACHE from a foul stomach, as if the whole _ 44 — head were crushed, with nausea, is cured by No. 25; in cases of severe headache, with heat in the brain, being worse after eating, Avalking, or reading, with a bad taste, give No. 15; if the pain is beating, twitch- ing, with much nausea, and worse when talking, give No. 3; sick headache in general, when the patient feels worse after going up stairs, smoking tobacco, has no appetite, but a bitter taste, belching, nausea, worse upon drinking wine, give No. 20; in cases of a burn- ing, oppressive headache, increasing when the patient stoops, and feeling as if the forehead were going to burst, a beating or twitching pain in walking, worse in the morning, or with ague, give No. 12; in rheu- matic headache, increasing at night upon lying down, or on one side, with a corrupt, earthy taste, without thirst, give No. 8; for heaviness in the head, painful on the outside, with trembling in the jaws, salt taste, cramp in the stomach, particularly in persons who have used much mercury, give No. 29. As to other descriptions look under " Headache ". CRAMP IN THE STOMACH caused by a foul stomach, is often cured by the same medicine indicated under sick stomach; according to what may have been the cause of it. As to the other curatives, see " Cramp in the stomach". VAPORS, which swell the stomach, render the breath asthmatic and troublesome, caused by flatulent 45 - food, cabbage, sourcrout, fresh beer &c. — are often cured by No. 17, particularly when the abdomen feels hard and swelled, painful around the navel; when the patient after drinking feels feverish;' or No. 13, when upon drinking he feels oppression in the pit of the breast, proving troublesome in breathing, when he feels as if he were too tightly dressed, as if something hard pressed his inside; — or No. 8, when the vapors originate from fat meat, causing a rumbling noise in the bowels and are worse in the evening. COLIC from a foul stomach, or eating too much, if sudden, is often cured by taking some black coffee; if not, by No. 8 or some other remedy indicated under "Colic". DIARRH(EA from a foul stomach, is generally cured by No. 8; in children, accompanied with nausea and vomiting, by No. 25; in children, whose minds are too much excited and who cannot sleep, by No. 1; in bowel complaints acting upwards and causing nau- sea, and great weakness after every stool, by No. 13, and other medicines indicated under "Diarrhoea". SLEEPLESSNESS after surfeiting the stomach, is often cured by No. 1, particularly in children, or No. 8 R. If partly occasioned by drinking strong coffee No. 13; when you have taken a hearty supper, drink a glass of cold water with loaf sugar; should this give you too much acid — simply Avater. — 46 — The NIGHTMARE from overloading the stomach cannot be prevented until the cause has ceased to operate, unless sugared water should afford reUef. He who is subject to this complaint, should beware of eating too much, and have recourse to the medicine in- dicated under "Nightmare". FEVER with ague and continual sick stomach, diarrhoea or dyspepsy, in persons of a sanguine tem- per, can be cured by No. 12; in those of a phleg- matic temper No. 34 R. If the fever is intermittent, returning every other day No. 20. PIMPLES from a sick stomach, with ague and a quarrelsome temper, is often cured by No. 8; with nausea and asthma No. 25; if not No. 12. Should they originate from something unwholesome, see "Poisoning". As to other medicines, see "Eruptions". Every one should be able to drink milk and water, grown people a glass of beer, particularly when at work.- If any one feels unwell from it, his stomach is out of order, or something ails him. In this case he may use the following medicine. When upon drinking water his complaints increase, his head feeling giddy, with nausea and heat, take No. 41; in cases of headache and cough No. 3; if he coughs, vomits and feels feverish, take No. 19; if he feels nausea and stomachache, take No. 8, and should it not help, take No. 23. Nausea from — 47 — water drinking is sometimes cured by taking a Uttle salt in the mouth, as much as will cover the point of a knife. When water drinking only occasions belching, take No. 4; if oppression on the stomach, take No. 36 R.; when it causes sweUing of the abdomen, as if from vapors, with oppression in the pit of the breast, asthma and shivering, take No. 13; when occasioning an attack of dysentery No. 34; pain in the breast and shivering No. 6. — When drinking water gives toothache, take No. 12, or according to circumstances, Nos. 7 or 11; should it be only irrita- tion without pain Nos. 7 or 18. When a person from drinking water habitually catches cold, and, to obviate this, has accustomed him- self to mix spirits with the water, yet is anxious to for- sake this bad habit, he should try some of the remedies mentioned. If they will not answer, let him put one drop of sulphuric acid into a pint of water, and to mix it properly, pour it several times from one tumbler into another, and take a table spoonful of it in the morning early, repeating it after a while once or twice. This will warm the stomach again, and accustom it grad- ually to pure water. Indisposition from ice-water, or cold water during a great heat, when sudden and dangerous, will be re- lieved by No. 2, afterwards No. 29; violent cutting pain which will not yield to these remedies, is cured by Nos. 12 or 19; affections of still longer duration — 48 — No. 12 and then No. 29; in convulsions and rising of the blood into the head No. 2 and then No. 5. See "Colds". When simply a cold drink affects the stomach, Nos. 13 or 11 will usually afford relief; if not, No. 35. When the affection of the stomach is consequent upon drinking hastily, give No. 24. MILK every one should be able to drink, and it is a bad sign when drinking it causes indisposition. You ought to take something for it. If it only give a sour taste, take No. 13; if stomachache and diarrhoea No. 12; if nausea and vomiting, and the other medi- cine will not answer, give No. 18; if the nausea continues, give No. 35 R. Whoever feels indisposition from drinking beer, had best avoid it, at all events he should abstain from strong beer, porter or ale, which are generally rendered un- wholesome by noxious drugs. If the beer is good, and you cannot well do without it, should it rise into your head, take No. 23, in the morning; if this will afford no relief, afterwards, No. 5 once. Should the beer occasion vomiting No. 36; nausea No. 19; stom- achache No. 28. Whoever cannot bear brandy, may deem himself happy; let him abstain from it altogether — the best, the most salutary advice that can be given him. —^sSJfc'J^"i©S»-- — 49 — E. CONSEQUENCES OF SPIRITUOUS LIQUORS AND TOBACCO. INTOXICATION. — The shameful state into which this abominable vice throws so many persons, needs no description; yet it wiU require some remedies to restore the sufferer to his senses. Every one knows that the best thing that can be done with a person who is in- toxicated is to let him sleep as long as he will. Yet it may sometimes be necessary to restore him sooner, at least so as to remove him from the scene of his debauch. The principal means is the outward application of cold water. If therefore such a person is lying in the road, throw water on him as cold as it can be pro- cured; if this will afford no rehef, throw water on him with force from a certain elevation by buckets full. If he feels nausea, but cannot vomit, let him drink hot black coffee, as much as his stomach will bear. When he is not so far lost, a cloth dipped in cold water, and wrapped wet around the stomach and cer- tain parts, will afford relief. If he is intoxicated from beer, give him green tea with milk; if from wine, let him eat a bitter almond (if a child, this must not be given); if from brandy, let him drink salt water, and should this not help, put some grated garUc into his mouth. If the drunken man appears dark red in his face, 4 — 50 — stares with his eyes, remains out of his mind, and the throwing cold water on him helps only for a while; when his face is convulsive, so that you cannot open his mouth, use nothing but cold water on the head and wet wrappers, and give him every quarter of an hour No. 2, until he feels better; and when this will no longer avail, according to circumstances, Nos. 3 or 5. Children may sometimes be intoxicated by incon- siderate or worthless people, or become so accidentally from drinking brandy, wine &c.; wash them on the head and stomach with cold water, and let them take every quarter of an hour a teaspoonful of hot water, prepared by pouring one pint on a bitter almond. Should this not bring them into a sound sleep, give No. 13. If while asleep their faces are red and they snore, their heads feeling hot, give No. 2. If they are merry, and too much excited, so as to be unable to sleep, give No. 1. If they fall into a hot fever, give No. 3, and should this not afford relief Avithin two hours, give No. 5 W. If they fall into fits, give first No. 2 R.; if it wiU not help No. 13 R., if this will not help, then No. 14. Lying-in-women, either through ignorance, or bad habits, or advice of bad midwives, sometimes drink spirituous liquors, in order to obtain sleep for them- selves and their infants. This is a bad and abominable practice, endangering the lives of both mother and child, and which, should they escape, may be the cause — 51 — of the child becoming addicted to drink when grown up. Apply to mother and child the medicine afore- mentioned. Exclusive of confirmed drunkards, there are those who occasionally suffer themselves to be misled into intemperance, although they afterwards feel sorry for it. Such we advise to take one globule of No. 13, put it into a tumbler fuU of Avater, stir it well, and driak it before going to bed; they will then use the next morning the medicine recommended against the consequences of intemperance. There are, however, many who have accustomed themselves to this vice from vexation, grief and sor- row. Their own conscience wiU tell them to what abominable means they have had recourse, and we earnestly exhort them to touch not, — taste not again under any pretext whatever, but compel themselves to drink cold water every day, until their stomach gets quite enfeebled from its use, and to use the remedies recommended against the evil consequences from drinking. Subsequently they may also have recourse to those means recommended against grief and sorrow. After having thus become men again, let them in fer- vid prayer implore Him who wiU support them in every tribulation, and who hath promised that He wiU give rest unto every one who calls upon Him zealously, earnestly and Avithout ceasing. But there are drunkards who are led into intemper- 4* — 52 — ance by a morbid state of their physical system. They deserve our compassion, yet they cannot exculpate themselves; for this morbid system wttl mislead one into strife, another into laziness, a third into debauch; but it is no excuse for either, else every one might find a ready excuse for his favorite vice, imagining that he may wash off his lewdness in a sink. When the wrathful man does not bridle his anger, the lascivious his lewdness, nor the intemperate his inclination to strong drink, their morbid sensibilities will increase. No, they ought to pursue a course directly opposite. He who is given to anger, should constrain himself to submit even to unmerited abuse; the Aroluptuary should avoid all vicious thoughts and inclinations; he who is lazy should work until he gets quite exhausted, and he of intemperate habits must not even smell brandy, Avine or strong beer, were he almost dying of thirst. Let every one think:—God hath permitted this mor- bid state of my system, not that I should resign myself to sin, but that I may prove my strength in withstand- ing the temptation. And he who thus conquers, will be doubly strong to do good, and the blessing of Heaven will be upon him. To him, who hath so fortified his mind, we advise to use the following means, which will contribute to subdue the morbidness under which he Ungers: Take No. 18 W. every morning for seven days, — 53 — and then No. 30 W. for another seAren days. Should his morbid state after improving get Avorse again, take in the evening No. 13 R., and should it again return, after 2 or 3 days, No. 18 R., then after 6 or 7 days No. 30, repeating these three means in the same series. If this will not cure, take No. 19, and if in vain after having first proved effective, one day No. 13 R., the fourth day No. 19 R., and then No. 30 every day one globule. This, indeed, will effect a cure in many cases, yet there may be instances in which it will not. Put then a drop of sulphuric acid in a tumbler with Avater, stir it well, and drink it in the morning. Repeat this every two or three days, till it occasions uneasiness. Against this smell camphor. Should this avail nothing, and you are determined to effect a cure, apply to a Homoeo- pathic physician, who will produce the desired result. When a man has become an habitual drunkard, and no admonition can induce him to abstain from his vice, we would advise his unfortunate wife, his children, or brothers, or friends, to administer to him the folloAving remedy in a secret manner. Put a live eel into a bucket or narrow tub, pour wine over it and let it die. Draw this Avine in bottles, and give it to the drunkard, and let him drink as much as he will. You may proceed in the same manner Avith brandy, which, however, ought to stand for a short time before being put into decanters. — 54 — Should this prove abortive, try sulphuric acid. Mix it with plenty of water, so as to taste only a little sour, and give it to the drunkard in whatever he eats and drinks; put some into his coffee, his tea, his soup, his victuals (even if others should partake thereof), and particularly on sour meat or sauce, or lemonade. When it affects the stomach, give him tea of bitter herbs, oranges, or roots, continuing at the same time with the sulphurated water, until the mouth gets sore; then cease. If no bad effects ensue, give nothing for this; but should diarrhoea, weakness of the stomach, vomiting or giddiness be the consequence, give No. 8; if the mouth becomes ulcerated, give No. 7. The consequences Avill not be dangerous, and readily re- lieved. CONSEQUENCES OF SPIRITUOUS LIQUORS. After a convivial meeting, Avhere a person is apt to drink more than he should, or sometimes even after a few glasses of wine, a person feels unwell in the morn- ing , a heaviness in the head, his appearance pale and cadaverous, his eyes cannot bear the light; his mouth is dry and sore, he feels nausea, pain in the pit of the breast, hoarseness, heat in the hands, lassitude in all his limbs, weak, sleepy and feverish; vexed and angry; sometimes with bleeding at the nose, or cramp in the stomach &c — take No. 29 R., or No. 13 R. When the headache is violent, with pressure over the eyes, and somewhat better in the fresh air, take — 55 — No. 29; when it feels worse on one side, when walk- ing , and at every motion; — in the fresh air, when thinking or stooping, take No. 13; nausea only No. 29; Avith incUnation and useless exertion to vomit No. 13; the stool thin and pale No. 29; none at all, or vain inclination towards it, or diarrhoea No_ 13; much giddiness, red eyes, with suppuration in the corners, aversion to light, and dry cough, take No. 13. If after smelling No. 29 no immediate amendment takes place, smell camphor. If the headache after No. 13 in some hours should not abate, take No. 1. If the nausea after these remedies will not cease, and the stomach is much affected, take No. 20. In complaints resulting from excess in the use of wine or spirituous liquors, for instance a long con- tinued sick headache, heaviness in the head, cramp, and weakness of the stomach, indigestion, piles, pain of the ba£k bone, pimples, an itching over the whole body, No. 13 will generally afford reUef. It should be taken at night, and the patient must abstain during the cure from coffee, wine and spirituous liquors. Subsequently, if necessary, let him take No. 29 in the morning. In cases of tedious headache originating from excess in drinking, and increasing upon taking ardent spirits, also headache from mental exertion, speaking, stoop- in0", and in general, when the patient is affected by reading and writing, let him smell No. 35, if he is — 56 — corpulent, or No. 21, if he is of a spare habit, but do not repeat it unless the patient gets Avorse. Little, or no medical aid will avail in that terrible disorder, mania a pot it, when the intemperate man becomes deranged from excess, and suffers under frightful convulsions; — nevertheless, instead of mal- treating him with an abundance of torturing, debilitat- ing medicine, give him No. 2 every hour, and should he not recover Avithin 24 hours, give No. 13, and upon the return of his fits No. 2. Cold water used at the same time, will often be of service. Should these means prove ineffectual, blood letting from 5 to 6 ounces is frequently of great service, at first daily, then every other day; let the patient at the same time drink plenty of cold water, or whey, or butter - milk, or water with toasted bread, eating little or nothing. Should the case become tedious, give for 3 or 4 days No. 13, in the morning No. 18 W. for some days; subsequently if required, give again No. 2 after the fits;—then No. 13, and thereupon No. 18 again. Should the patient improve, and again feel a desire for spirituous liquors, let him drink acids, and use tobacco freely, either in smoking, chewing, or snuffing. In some cases, Avhen No. 2 and No. 13 will afford no reUef, it will be well to administer a weak solution of oats. Pour 2 pints of boiling Avater upon a handful of oats, and let the patient drink it Avarm or cold, with or without sugar and milk. — 57 — EFFECTS OF COFFEE DRINKING. When you are not accustomed to coffee, or drink too much of it, or too strong, you may suffer unpleasant consequences Avhich you may remove by the following means. In want of sleep, heart beating, great irritabihty of the nerves, severe cramp in the stomach, No. 13 will generaUy prove sufficient. In cases of severe headache, when the head feels as if it were riven asunder, Nos. 4 or 13 will help. Should the patient feel better Avhen stooping, or be of an undetermined, inconstant disposition, give No. 4; should he feel worse when stooping, or walking, with much giddiness, and be of a sanguine temper, give No. 13. A severe headache on one side is usuaUy cured by No. 13; with much weeping and crying, and great irritability No. 14. Toothache immediately after coffee drinking, can in most cases be relieved by No. 14. Tedious complaints from excessive use of coffee can be cured by the same means. No. 13 is always the principal remedy; if it should not suffice, take some- times No. 1, and, if necessary, No. 13 again. Frequent toothache from coffee drinking, if violent, generally No. 14; when almost insufferable No. 1, and afterwards No. 14; often also No. 13;' seldom any other medicine: Nos. 41; 5, 7, 29, 8 or 23. Violent cramp in the stomach, getting worse upon — 58 — drinking coffee, Nos. 13 or 41; if thereby removed for a Avhile, yet returning worse: No. 14. Stomachache and cojic Nos. 14 or 13; often also Nos. 28 or 5. If after abstaining from coffee, these tedious com- plaints from the use of it cannot be removed by the medicine Nos. 13, 14, and others indicated, No. 41 R. will frequently cure, when every exertion is followed by debilitating perspiration, trembling, frightful dreams, a flushing heat, frequent toothache when eating, light- ness in the head, melancholy and anguish; particularly, when all these complaints get worse in the fresh air, or by moving, eating, drinking, sleeping,' or even smoking tobacco: No. 4 will cure in cases of debility, a feeUng of emp- tiness in the pit of the breast, cramp in the boAvels, numbness or pain of the limbs, usually oppressive as if occasioned from sharp, pointed, hard objects; the com- plaint urging the patient to a frequent change of posi- tion, and giving Avay thereto; the mind inconstant, now merry, then melancholy. In cases where these means wiU not avail in a few days, and after having been repeated once or twice, give No. 7; should this not cure within 7 days, No. 18. In complaints from TEA DRINKING, particularly green tea, take No. 1, and if ineffective within half an hour, No. 17; in tedious complaints from the — 59 — immoderate use of tea No. 17 is usually the best remedy; — subsequently No. 36. Indisposition from SMOKING TOBACCO in people not accustomed to it, is usually soon cured by No. 8; violent headache with nausea No. 3; giddiness to fainting, vomiting bile and diarrhoea No. 14, and should this fail to cure, or the patient suffer from ague, No. 6; if this wiU not answer, let him smell camphor. Violent convulsions connected with the preceding in- disposition, may be relieved by No. 42. Look for other antidotes against poison. If a person accustomed to smoking, becomes indis- posed, No. 41 usually wiU cure him; if he suffers from toothache, No. 12 avUI help; if nausea Nos. 4 or 8; if uneasiness and nausea No. 11; this is also applicable to indisposition from chewing, yet Nos. 13, 14, 8 or 41 are preferable. Sometimes give No. 42. Tedious consequences from immoderate smoking are difficult to cure; if too great irritability and weakness of the stomach, Nos. 13 or 41 will usually answer; in cases of indigestion give Nos. 13, 11, 7. The disease to which those Avho manufacture to- bacco are subject, is still more difficult to cure, nay im- possible , unless they are altogether removed from the smell of it. The best medicines are Nos. 19, 28 and 42 in water. —-$«*<§•« 3* — — 60 — F. CONSEQUENCES OF MEDICINES HITHERTO IN VOGUE. When suddenly dangerous symptons appear, after a pretended medicine, of whatever name, has been given, the sick person so tortured has been poisoned; examine therefore under the head of "Poisoning". For there is no poison in the world that has not been recommended in the old system as beneficial, and tried upon the sick. And still worse are those who hypo- critically presume to cure all diseases by herbs; for vegetable poison is far more deleterious than mineral, such as mercury &c, as every rational physician, and every one versed in natural philosophy well knows. Thus animal poison, for instance that of venomous ser- pents and toads, is again worse than vegetable; and it is usually deception, whatever is said in praise of pre- tended innoxious vegetable medicines. There are, indeed, many herbs which have no dan- gerous consequences, as well as medicines that do not perceptibly injure; yet even these ought not to be ad- ministered without due consideration, nor in large quantities for a long time. For it is certain that if you give the proper medicine, you will require but very little; but if you give an im- proper one, the larger the dose that is given, the more deleterious it will prove. Thus every medicine may have the effect of poison. In Germany more children — 61 — die from the effects of chamomile than of scarlet fever, and more people die of Peruvian bark than of fever and ague. But formerly the cause of their death was unknown, and the thing was called by a different name. Of a hundred persons who died of dropsy, eighty were thrown into it by quackery, or inconsider- ate medical advice. Ask only how often such persons have been bled, or Avhat drugs they were made to swallow: mercury, bark or quinine, cathartics, sulphur or saltpetre, laudanum or other narcotics; and you wiU soon perceive the cause of the dropsy. Should any one, under an impression of acting properly, have taken such noxious trash, or given it to his children, upon the recommendation of an igno- rant physician or apothecary, he may often save him- self by observing the foUowing direction. Chamomile tea frequently occasions severe pain, or increases that under which the patient labored; in this case give No. 1, and subsequently, if required, No. 13; for cramp in the stomach give No. 13; for nausea, vomiting aud diarrhoea No. 8; to children thrown into fits thereby, give No. 4; if it brought on a hot fever with great irritability No. 1; fever, heat and excruciating pain, but less when in motion, give No. 3. Opium or laudanum often produce dangerous con- sequences, particularly when an ignorant physician has applied it in injections, where it operates ten times — 62 — stronger; look under "Poison". Not much can be done to relieve the tedious effects of laudanum which every one who has used it, must feel sooner or later. The best remedy, however, is No. 1 from time to time, and sometimes No. 7, which ought to operate a whole week or longer; sometimes also Nos. 13 or 5. Peruvian bark, or sulphate of quinine, is a medicine which, next to opium and mercury, most frequently ruins health, and occasions incurable disease. And should a person escape death, yet the effects of bark will trouble him for years. It is more difficult to expel Peruvian bark from the system than mercury; and he who pretends that this can be done by cathartics, is utterly ignorant of physic. It pervades the blood and all the fluids, and cannot be expeUed by any cathartic; by which, on the contrary, stiU more fluids are lost. To relieve the patient from its consequences, will therefore require patience, and may gradually be ac- complished by the foUowing means. The principal in most cases is No. 25, once or twice every day, until an improvement takes place. In cases of lumbago, rheumatism, pain and great irritability in every part of the body, the pain increasing when the sufferer is talk- ing, in motion or hears any loud noise, give No. 15; when the body is cold, with cold sweat, indigestion or diarrhoea, give No. 6; in consumptive cough let the patient drink an infusion of Iceland moss; in jaundice give No. 7, and perhaps afterwards No. 5; in heat — 63 — in the face, rising of the blood into the head, headache, toothache, give No. 5; pain in the ears No. 8; ^veiling of the feet No. 36; ulcers in the leg, dropsy, hectic cough, and asthma No. 19. For other afflictions, examine and make choice of besides the medicines mentioned: Nos. 18, 35, 29, 27. When an intermittent fever has thereby been ren- dered worse, being combined with other evils, worse than the fever itself; or the fever remains and its cure is now more difficult than before, give the following medicines: Has the fever been suppressed, and the patient suf- fers from rheumatic pains in his limbs, ears, toothache, headache, give No. 8, and should this not help No. 35; in affections of the stomach give Nos. 25 or 8; in swellings Nos. 15, or 19, or 36; choose among the medicine enumerated below, according to circumstances: Nos. 5, 6, 7, 8; 15, 18, 19, 25, 27, 29. If the intermittent fever continues, as it often does, give one of the medicines recommended against it, the best at first is generaUy No. 25; frequently after- wards Nos. 19 or 29; only sometimes Nos. 27, 6, 15; more seldom Nos. 5, 7; or 18, 35. When a sick person has been so unfortunate as to have taken, by prescription of his physician, the following vegetable substances: conium or cicuta, — 64 — digitalis, laurocerasus, or hydrocyanic acid, it is almost impossible to restore his health, unless nature should help herself, th$ patient enjoying fresh air, living well and drinking much water. Sick people also are in a critical state who have taken much asa foetida, or Valeriana, which enters into the composition of the notorious Morrison pills. The bad effects of asa foetida are sometimes relieved by Nos. 17 or 7; those of Valeriana by Nos. 1, 13, 14, or 18; those of colchicum by Nos. 8 or 13; of senega by Nos. 5, 12, or 15; of sarsaparilla by Nos. 7 or 5. When a person suffers from an application of spurge- laurel (mezereum), used to raise blisters, or he has applied this often and now suffers from it, let him smell camphor, and subsequently, if he feels pain in the mouth or his bones, take No. 7; if more in the joints, Nos. 12 or 23. When accidents occur after an appUcation of Spanish flies, let him frequently smell camphor, and should this not help, take Nos. 3 or 8. When a child upon the application of yellow powder (lycopodium) is getting worse, as will frequently hap- , pen, let it smeU camphor, and then give No. 8; if it suffers from long continued obstruction No. 13; convulsions No. 14; fever and heat No. 3. When children have taken much rhubarb, and suffer from vapors or diarrhoea, give No. 13; if they vomit — 65 — at night and have diarrhoea No. 8; if their stool is green, or bloody No. 7; violent stomachache con- nected therewith No. 14; and should this not abate No. 28 R. If a person suffers from having taken magnesia, particularly burnt magnesia, let him smell sweet spirits of nitre; if he is deprived of sleep, give No. 1; if he has severe stomachache, give No. 14, and if the symptoms get worse and he has no stool, No. 28 R.; if after 24 hours he has yet no stool No. 13; should he have violent, burning pain, and fever, give No. 19; if magnesia occasioned a thin, sour stool, with pain in the bowels, give No. 9, and should this not avail No. 8. These medicines wiU also prove effective in similar complaints from Epsom salts. SULPHUR is often as bad as Mercury, and the troublesome, tedious effects of it are as difficult to re- move. If you feel unwell after using it, smell camphor; if this will not afford you reUef, or if you suffer severe headache, and heat, take No. 3. Subsequently, or when the effects last longer, Nos. 7 or 8, according to circumstances, will answer better. In complaints from inhaling sulphuric vapors, or when children from lighting matches get a cough, asthma, or pain in the throat and on the breast, give No. 8. MERCURY is in all diseases the principal remedy 5 — 66 — of those pretenders to physic, who, instead of restoring, destroy health. They administer it as calomel in poAv- ders, or dissolved as corrosive sublimate, or in pills — those abominable blue pills. That no one may be de- ceived, at least not by a Physician's recipe, I will mention the names under which physicians usually prescribe this poison. In order to conceal it from their patients, and the names mercury, calomel, sublimate, or corrosive sublimate being too well known, they write murias first, then hydrargyrum instead of mer- cury, or use the sign 8, also precipitate, albus or ruber; however, under all these various denominations they designate the same deadly foe, against which you have to guard. Mercury is as noxious applied -outwardly, as taken inwardly. They cheat people by telUng them that mercury can be expelled by a cathartic taken afterwards. If a man Avho pretends to be a Physi- cian talks such nonsense, he displays the grossest ignorance imaginable. For supposing it were possible to extract mercury as readily as it is to intr6duce it into the system, still the impression made upon the whole body would remain, just as if you were to drive a nail into the leg, and draw it out again, the hole it made would remain. And although this wound will heal in time and by proper appUcation, still it will require time and attention, else the consequences will be dangerous. Yet to administer a cathartic in order to remove the bad effects of mercury, is just as rational as if I Avere — 67 — to put a Avooden peg into a wound made by an iron nail, and then say it is healed. HoAvever prepared, mercury cannot be extracted so easily, and least of all by purgative evacuations. It pervades the whole body, penetrates all the fluids, the glands, and the very bones. This has been demon- strated by frequent trials, for instance, in distilling quicksilver from the remains of a burned leg that had been severed from the body of a dead man, who when alive had been in the habit of using much mercury, and frequent cathartics afterwards, and who after suffering, in consequence, excruciating pains in all his limbs and bones, had died a miserable death. Another instance is well known of a person who had taken many blue pills, and who had been rubbed Avith mer- curial ointment; — after his demise his body was opened, and quicksilver was found on the brain-pan. This is the reason Avhy the slow poisoning by mer- curial medicines is far more difficult to cure than any natural disease: it Avill always require much time, and often nothing more can be effected other than simply appeasing the misery. In most cases, as well immediately after taking calo- mel, as at a remote period, No. 16 will be of great service; particularly in the following complaints: sick headache at night; losing the hair; painful knots on the head; red, inflamed eyes, with a painful sensation in the nose when touching it; eruptions around the 5* — 68 — mouth; much saliva in the mouth, and ulcerated gums; mucus in the throat, swollen glands in the neck; pain in swallowing, cough, asthma, inflamed, suppurating biles under the arm-pit, or small ones on the breast, a slimy and hard stool, sometimes bloody and green; the urine dark red, hot and sharp; cough, whenever a hand, or a foot happens to get cold, or upon drinking, sometimes with spitting of blood; a red, hot swelling on the hand and fingers, on the knee, Uke rheumatism; the whole skin sickly, slight injuries difficult to heal, sores ulcerating and spreading; the skin on the hands and feet crisp and cracking; sores, easily bleeding, and burning at night and feeling very painful; a frosty feeling in the fresh air; pain in the limbs, and ague at night; fever at night, followed by a clammy, disagreeable perspiration; great irritability, so as to cause fainting from pain. You wUl do well to wait some days for the effect of No. 16; should a slow amendment take place, wait at least two weeks; then, should it not continue, repeat the medicine; if the amendment did not last, and it becomes necessary to give something, No. 5 will an- swer best; this you may also give when No. 16 ceased to operate, after having been given twice or thrice every two weeks. In affections of the mouth or throat, when the above medicines will no longer help, give No. 11; also in swelling of the glands, and deafness. — 69 — In great irritabihty at a change of the weather, severe pains at night, increasing upon being touched, great weakness, when the patient has been debilitated by cathartics, or long continued salivation, give No. 17; and when this has been twice or three times repeated every 4 or 5 days, without benefit, and particularly, if the patient is affected by the weather, give No. 29. Should the pains still continue after some of these means, with rheumatism in the bones, or rheumatie swelling, give No. 22, and then No. 10; in swellings on the bones No. 10 and subsequently No. 11; but when neither will avail, No. 35 R. After you have used these medicines a long time, and the complaint is not completely removed, try No. 18 once, and after some time again use the pre- ceding remedies; or, should No. 18 be of good ser- vice for several weeks, No. 35 R., and then another suitable medicine. When the patient, after having used much mercury, had. recourse to sulphur, you had best give him No. 7, and then Nos. 5 or 8, but not No. 16. In this case only No. 7 will answer, but in no other complaint from mercury. When a person has taken much mercury, but no sulphur upon it, No. 16 as above described w_l not answer, but give No. 18. In tedious sufferings, resulting from, or rendered worse by mercury, choose in general one among the — 70 — following remedies: Nos. 16, 5; 17, 10; 29, 22, 11. In many cases, requiring speedy help, Nos. 2,8 or such medicines are applicable, as are mentioned under "Poisoning"; seldom give Nos. 19, 36, 23, 21. When LEAD is a component part of the medicine, and it enters into the composition of white ointment and plasters, applied to eruptions and sores, to dry or disperse them, and of lead-water for eruptions, ulcers, bruises, wounds and burns, these outwardly applied, will prove as poisonous as when taken inwardly, caus- ing obstructions, cough, and affections of the breast; in such case give No. 2 often repeated, and after- wards No. 5, and should it be necessary, after No. 5 give No. 32 R. When there was ARSENIC in the medicine, which is given in fever and ague, when quinine poAvders will not answer, or in cases of cancer, internally and exter- nally, and the patient, as usual, gets worse, give No. 25 in repeated doses every hour, or every two hours, as often as he gets worse; and should no ame- lioration take place, give No. 13 once; if both medi- cines will not avail, or Avhen from circumstances it may, appear suitable, give Nos. 6 or 17. IRON is often administered in the shape of steel- piUs, steel-drops &c. as a remedy (but generally ren- dering the case worse), in intermittent fevers, com- plaints of the breast; to females irregular in their — 71 — monthly courses, and frequently to persons of a pale complexion and feeble constitution; as if the doctors attempted to paint the patient red on the inside, to make him look better on the outside; or as if they sup- posed the iron would pervade his system and give him strength. Yet iron, like all other metals, is poisonous, although it does not kill so soon, as you may perceive where the wells are in layers of iron ore, and contain rust; yet neither man nor beast can thrive with such water, and although people may accustom themselves to it, still sooner or later they Avill feel the evil conse- quences. In such cases, when speedy relief is required, give Nos. 8 or 17; and should it prove inefficient, No. 16, and after some time again the preceding remedies. In all cases of poisoning by medicine, examine under the head of the several complaints, and give the medi- cine there mentioned in preference. He who has taken many and various medicines, but got worse and Avorse thereby, will do well to abstain as much as possible from all, of whatever name they may be. If after some time he does not improve, and the means here indicated do not afford him that relief he expects, let him apply to an Homceopathic physi- cian, without, however, imagining that through him he can be cured as by a miracle. It is in general very difficult to neutralize the bad effects of former medicines. — 72 — This may sometimes require a whole year, and then only a rapid and lasting improvement can take place; provided the patient does not labor under an incurable disease, against Avhich neither the old system nor the new can prevail. G. OF POISONING. It is but seldom that one person administers poison to another with a view to cause death; and it happens as seldom that a man takes poison to destroy himself; poisoning generally results from carelessness in han- dUng noxious substances, ignorance of their properties, or thoughtlessly using them in the preparation of eat- ables and liquors. As every one is interested in being able to point out poisons that may endanger life, we in- tend to give some directions how to trace improper mixtures of the kind, how to guard against poisoning, and then to indicate certain means to be used as anti- dotes in case an accident should occur. Adulteration of food and liquors is more frequent than people are aware, particularly in large towns, and originates principally with the English, who have made the greatest progress in this method of poisoning, and have even taken out patents for it; — others have learned this art of them. — 73 — WINE is very often adulterated, and here more than elsewhere. Wines imported into this country, have either been already adulterated abroad, to make them keep, or they are adulterated here, when they are likely to spoil, or to make them resemble finer wines. But we will give some directions for discovering whether wine has been adulterated to enable those who are interested to judge with more certainty. We request every one who feels concerned for the welfare of his fellow men to make known the poisonous adul- terations he may discover, in order to discountenance such mischief as far as possible. The vender will no doubt endeavor to exculpate himself, aUeging that he bought the Avine thus adulterated; yet the poison is there, and it is but just that people should know how to guard against it. Wines may be adulterated by both noxious and in- noxious substances, and whoever adulterates wine with the former, may do it also with the latter, and for this reason we wUl give some directions how to trace innoxious adulterations. To improve Ught wines by an admixture of finer qualities cannot be called adul» teration, and may be done without any detriment to health. There is WATER contained in the wine, when a Uttle of it put into boiling Avater, cracks; when small drops adhere to a reed oiled and dipt into the wine; when unslacked lime slacks therein. There is SUGAR in the Avine, when you cause a spoonful of it to evaporate over a coal fire, and there remains a sweet sticky substance, similar to burnt molasses. There is BRANDY in it, when the wine burns in the mouth, and a smell of spirits remains, when rub- bing a little of it on your hands until it is dried up. Wine is frequently COLORED, which always proves that it is bad, and usually also adulterated. Fill a small vial with the wine, put a finger over the mouth and place it in a tumbler full of clean water, Avith the mouth of the vial doAvnAvards; withdraw the finger slowly, and leave the vial so for a while without shaking it. If there is coloring matter in the Avine, it Avill gradually be draAvn out into the water, but the Avine will not, Strain the same wine through blotting paper, it will leave the color on the paper. Drop some spirits of sal ammoniac into a glass of wine; it will turn blue, if it has been colored. Green vitriol, dissolved in water, and mixed with the Avine, will leave much black sedi- ment, if the Avine has been adulterated by bark. , All such adulterations cannot do much harm; they prove, however, that he who connives at them does not sell pure wine. We are now going to mention some adulterations which operate as a slow poison, and may be the cause of many diseases. LIME or CHALK is often used to restore wine that lias become spoiled, or to give to neAv Avine the appear- — 75 — ance and taste of old; however, the wine is thereby rendered injurious to all who drink it. Take a few grains of salts of white sorrel and dissolve them in two tablespoonfuls of distilled water, or in water produced by letting the steam from the spout of a teapot filled with boiling water, precipitate in a cold vessel. This salt, itself a poison, you drop into a glass of wine. If you perceive a Avhitish cloud in it, and the next day a white sediment, there is chalk in the wine. Such wine often drank will occasion gravel, hard glands, swellings, ulcers, sore eyes, tedious headache, diar- rhoea &c. SULPHUR or BRIMSTONE is frequently in wines, and there are those who pretend that wine cannot keep without it. This, however, is erroneous, and too much sulphur in wine acts as a poison, particularly with people of consumptive habits, or who are subject to bowel or liver complaints. It is in fact hurtful to every one who drinks it. You can easily discover adulteration by sulphur, by putting a clean new-laid egg into a tumbler, and filling it with wine, let it stand over night, and the egg wiU be found blackened. This Avill also happen to a well pohshed silver spoon. The sulphur will also appear when dropping a solution of lapis infernaUs into the wine, which will leave a brown sediment. ALUM is sometimes in wine, and 'very injurious when drank often; a single glass Avill hurt a sick person. — 76 — Dissolve pot-ash in water, strain it through blotting paper, and drop it into the Avine; if it foams and pre- cipitates a white powder, there is alum in the wine. LEAD, or other metal, is very often in sweet wines, sometimes also in others, and is indeed a slow poison, worse than any other adulteration. Whoever has a nice taste w_l perceive metallic poison in wine, its sweetness is disagreeable. Dilute liver of lime sulphur in water, and drop some of it into a glass of wine; if it turns brown or black it contains metallic poison, Suspend a bit of spelter in the wine, particles of lead will adhere to it, if contained in the wine. Dissolve Glauber salts in lukewarm water till it becomes satu- rated, let it cool, and drop from what is clear of it into a tumbler fiUed half with wine as much as will fill the tumbler;— permit it to stand over night, and there wiU remain a white sediment from the lead. If you put into a glass of wine a feAv drops of diluted sulphuric acid, and the wine becomes turbid, leaving a white sediment, it contains poison. If you put a few drops of spirits of sal ammoniac into a teaspoonful of water, and throw this into a glass of wine and it happens to leave the least sediment, the wine contains corrosive sublimate. Try this same wine also thus: Put a gold coin on a piece of spelter, and press both betAveen a small stick sUt for the pur- pose. ThroAv this into a large tumbler full of wine. — 77 — Should a grey dust immediately appear on the coin, there is corrosive sublimate in the wine. When you dissolve lime in water till the latter be- comes saturated, pour off what is clear of it into a clean tumbler, drop some wine into it, and if the Vine oc- casions white clouds, it proves that arsenic is contained in the wine. To convince yourself stul more, dissolve sugar of lead in aqua fortis, pour a wine glass full of this solution into a bottle of wine, and stir it. The next day pour off what is clear, and with the turbid part wash the sediment well out, and strain it through blotting paper till every drop of the liquid has passed through. Then let the sediment dry with the paper, and put it upon live coals. If it smells Uke garUc, it is arsenic. VINEGAR is often adulterated, for this reason use cider vinegar, which may always be had pure. Wine- vinegar contains poison as often as wine. There is frequently sulphuric acid in it. This you can discover by a solution of sugar of lead which leaves a white sed- iment. Corroding vegetable poison is also frequently used. Such vinegar will burn on the lips, which pure vinegar wiU not do; it leaves also an acrid taste in the mouth. You can ascertain it stiU more positively by dropping a solution of pot-ash into the vinegar until blue paper dipt in no longer turns red. Pure vinegar will then have lost its sharpness altogether, and only — 78 — taste salt or soapy, while poisonous trash will remain of a sharp and acrid taste. BEER is frequently adulterated, yet its effects are not so easily discovered. This is generally the case with the far famed London broAvn stout, or porter, into the composition of which those poisonous grains of cocculus Indicus enter, which probably are also used in the imitations of it made here. You perceive it in a sudden intoxication, and headache the next morning, or when a healthy person drinking a tumbler fuU of it on an empty stomach feels nausea. Any brewer who uses other substances in his beer than malt and hops, breAVS poison; salt and sugar may pass, but the effects of other substances, those who drink it wUl feel sooner or later. It is a vile deception to use bitter roots and herbs in beer, instead of sufficient hops and malt; yet cocculus Indicus is as bad as arsenic. They are apt to use alum and vitriol in beer; which can be discovered as we shall show in the sequel under •" Bread ". Sometimes there is poison also in BRANDY, with or without the fault of the distUler, particularly if the fermentation proceeds too rapidly or is continued too long. This you will perceive when boiUng the brandy over a slow fire, and to go sure, it should be in a bottle put in a kettle full of water, till all the spirituous parts are evaporated. An acrid, disagreeable taste proves the existence of poison, and trials similar to those — 79 — recommended in regard to wines will show what it is. It is usually lead. SWEET OIL is often adulterated with lead or cop- per. Dissolve liver of sulphur in water, and mix the oil with equal parts of such solution; if it t\irns brown or black, it is poisonous. MILK is sometimes mixed with pot - ashes or lime; by putting some aqua fortis into it, it will foam. When milk has been adulterated by starch, it will thicken in boiling, or if you strain it through fine linen, something will adhere to it. BUTTER often contains chalk, sand or dye-stuffs. Melt it in hot Avater, and the addition will precipitate or mix with the water. FLOUR is often adulterated with sand, plaster &c. Burn some of the flour, or bread to ashes, and you will find in the ashes the white grains. BREAD is very often adulterated. A trifling admix- ture of pot - ashes can only affect nervous, debilitated persons; yet when there is too much, it may prove in- jurious to the strongest, occasioning consumption and dyspepsia. Pour hot water over the bread tiU it is quite covered, and let it get cold. Then put in a strip of blue paper, previously drawn through weak Ainegar and reddened thereby. If it turns blue again, there is much pot-ashes in it— the quicker it changes the more pot-ashes in the bread. MAGNESIA is also used as a mixture, to give to — 80 — bread baked of bad flour the appearance of good. This is principally hurtful to children, and to people of a weak stomach. You may perceive it in the bitter taste. Burn a pound of such bread to ashes, and you will find the magnesia. ALUM, a very pernicious substance, is very fre- quently used. In England the bakers make no secret of it, and mixtures of flour and alum, or alum and salt are sold pubhcly, and are intended to make white bread from spoiled flour, doubly detrimental to those who eat it, as spoiled flour in itself is already unwholesome. Some bakers do it without knowing that they injure the health of their customers. Soak the bread in water, knead it till it dissolves, adding enough water to make it thin, let it remain over night, then strain it, boil it down, and let it stand; the crystals of alum wiU ad- here, and you can taste it. COPPER is the worst of all adulterations, and thou- sands had been poisoned with it by the bakers in France and Belgium, before the physicians discovered the cheat; but they were punished by imprisonment. You have reason to suspect when a baker furnishes bread uncommonly white, fine, large and heavy. When burning such bread, you wiU perceive that the flame now and then burns green. To convince yourself per- fectly, soak some pounds of bread in water, and add enough to cover the whole completely, let it get sour and stand until it becomes clear. If you now suspend — 81 — a rod of polished iron in it, and this turns ever so Uttle red, you may be sure that the bread is poisonous, and will ruin the health of any one who often eats of it. We are now going briefly to call the attention of our readers to some other poisons, which ought to be known that they may be guarded against. We are apt to inhale poison through the AIR. Old wells, caves, cellars, vaults, and particularly old privies, contain frequently air that is deadly poisonous; we should therefore not enter such places Avithout proper caution, and previously purify the air by lighted straw, gunpoAvder or brimstone. The glare of charcoal in a close room, or the phosphoric glare of the Avoodwork in ancient buildings may occasion the death of people who sleep there. The dry rot in a house, which grad- uaUy destroys the timber and walls, will cause danger- ous diseases to its inhabitants, which was even known to Moses. Such a building is not tenantable and ought to be pulled down, unless the dry rot can be removed, as indicated below. Mouldy garments and mouldy spots in linen, even after it has been Avashed, are noxious. The smeU of walls newly Avhitewashed, of paint in new buildings, or wherever much painting and varnishing has been done, particularly with poisonous o-reen and red colors, consumes the pure and engen- ders a mephitic air. Nothing that has a strong smell ought to be suffered in sleeping rooms; no clothes to 6 dry, no flowers, herbs, fermenting substances, fresh hay, poison against vermin, or quicksilver, aU of which will prove injurious to persons sleeping there, and much more so to children and lying-in-women. For in sleep man is more exposed to external influence, and things which, when awake, he will hardly notice, or the injurious effects whereof he will easily over- come, will affect him seriously, and whilst asleep may kill him. A person may thus become ill from sleeping on a damp ground, exposed to a draught, in sunshine or moonlight, close to a hot stove, or in an atmosphere fiUed with exhalations of plants or minerals. Water is often impure, and people fall sick from using it. Whoever considers how troublesome even trifling indisposition occasioned thereby may prove to a whole family, will not deem that time lost which is spent upon improving the water. Drink no water from rivers, on which at a short distance higher up there are manufactories, from which dye-stuffs and other noxious matters run in. Spring or well Avater is hard, or contains particles of lime or iron, when soap, will not dissolve in it; such water ought to be boiled, a process Avhich will precipitate the heterogeneous matter. But you ought not to drink too much, nor too often of such Avater, but rather accus- tom yourself to rain water, which can be preserved in cisterns, or in casks slightly covered. Water contain- ing sulphurous or salty particles ought never to be used — 83 — for drinking or culinary purposes, except in cases of the greatest necessity, for water of that kind cannot be improved by boiling. Foul water from ponds, or any stagnant water ought not to be drank, yet when no other can be had, improve it by throwing into it powdered charcoal, shaking it well, and straining it through a double Unen or cotton cloth. The impurities it contains, eggs of insects hardly visible, are apt to occasion tedious fevers and other diseases; and it wiU avail nothing to mix it with vinegar, molasses or brandy; this may do after it has been cleaned by char- coal. Bad wells ought to be well cleaned and secured; for whole famiUes may sicken from water in which dead snakes or toads are found. Water is hurtful when many leaves or other parts of plants are rotting in it. Pipes of copper, lead or spelter, used to convey water, render it injurious. You should always let so much Avater run out as may have stood in the pipes. MILK is often noxious, nay poisonous, when the cows are sick, and he who is not quite caUous wiU rather sustain a smaU loss himself, than subject others to a loss ten times heavier. The MEAT of sick animals, slaughtered just before they were dying, is very injurious, particularly when the animal had an eruption, or was sick in its bowels. The consequences may be remote, yet are sure. Meat badly smoked, or which was not constantly in smoke, or exposed to frost; sausages or liver puddings, 6* - 84 - -►smoked badly or too late, or which have been kept too long, and are greasy in some places; hams, not salted sufficiently, or taken too soon out of the pickle, and smoked at intervals, as in spring, when they got alter- nately warm and cold; or which were kept piled upon each other in boxes, or were packed when damp; par- ticularly when they are smeary around the bones and have a bad, rancid smell — contain a very violent poi- son , which in many cases may kill on the instant, or be the cause of incurable disease. This is the poison of fat. It also originates in hams and meat when pre- served with vinegar instead of being smoked, and we cannot be too mucn on our guard against it. You can easily know the poison which is developed in fat, or cheese, or old hams, by rubbing it on blue sugar-paper, or any kind of blue paper:— if the paper turns red, or reddish, beware of the fat, or the meat, or sausage which contains such a poison. The same poison is contained, though in smaller quantity, in rancid bacon, rancid butter, or rancid sweet oil. It would be best to throw away such things, yet if you must use them, let them be well washed. This should be done first in cold water, then put it in three or four times as much boiUng water, let it boil about ten minutes, take it out of the water, wash it again in fresh cold water, and try whether it still con- tains poison of fat. Whatever has gone into putrefaction, meat, blood, — 85 — eggs, cheese, fruit &c, is hurtful, often poisonous, and nothing can be done to improve it. Meat preserved in summer by ice, which has acquired a certain red ap- pearance , and smells no longer as fresh, is a very un- Avholesome food. Putrid fish, though ever so well dressed, are considered very dangerous. Bile is poison, of whatever animal it be. Poison is developed in trash of every description — in cheese prepared too damp, and without a sufficient quantity of salt. It is a fact well substantiated, that, in the short period since public attention was first led to the poison which developes itself in fat, in cheese, sausages &c., it has been proven that several hundred persons in Wirtemberg have fallen sick of this poison, of whom one half were incurable, and died a miserable, painful death. How many may have thus perished, of whom no one knew! And yet this danger you can easily avoid by eating nothing that is putrid. Cleanliness is indeed the great preservative from poi- son. I know of instances, where whole families fell suddenly sick, the physician was called, the whole house alarmed, every one taken with vomiting and a flux as in cholera; poison was found in the food, the innocent domestics were in the point of being thrown into jail, Avhen it was discovered that the meat and vegetables had been hashed on a newly painted table, and some of the paint had become mixed among the — 86 — victuals; — it was no wonder therefore, for most oil- paints are poisonous. Thus it happened that tAvo men at a tavern, enjoying themselves over a bottle of Avine, fell dead, and the landlord on the point of being ar- rested , to prove his innocence, drank out of the same bottle, but died also; — upon examination it appeared that there was a dead snake in the bottle. Once a whole company at a table were seized with vomiting; after much anxiety some venomous insects were found in their wine. It happened in 1824 in England that all the guests at a tavern feU sick, and died one after the other before a physician could be called. The landlord went himself after the coroner; they examined a new cask of cider from which the guests had been served, and found at the bottom a half putrid snake with her brood, which had crept into the cask before it was filled. A family in Transylvania once invited some friends to dine with them the next Sunday. On Satur- day they prepared a fat goose and placed it in the cel- lar. On Sunday morning the family went to church, the house maid meanAvhile attending to the dinner. She stuffed the goose and placed it in the stove to roast. By the time the father of the family, his Avife and two daughters returned from church she had skimmed off the fat, and as it smelt very savory, they took some into the room, dipped bread in, and eat it. The girl remained in the kitchen, attending to the dinner. The guests came and went into the parlor to the family, — 87 — and found them all lying dead on the floor. The ma- gistrates were called in, and the doctors, yet no one could designate the cause of these sudden deaths. The girl alleging that the family had eat nothing but the fat, they gave some of it to a dog avIio also died. They then examined the goose, and found a toad in it that had been roasted with it. A chUd hard of hearing had a blister put on its neck. After some days the sore was to be dressed Avith cab- bage leaves. The careless mother took leaves full of caterpillars, pushed these off, leaving their slime on the leaves. The child complained of pain and burning, its mother imagining it did so from peevishness, did not mind it, and on the third day the child died of gangrene which had spread all over its back. Trials have been made with the poison of snakes, toads, caterpillars and spiders, and it is ascertained that internally and exter- nally, it is of the most dangerous consequences. Therefore be careful and cleanly, and you will run no hazard. Poisonous insects also infest vegetables, cabbage in particular, or leave their slime on them. MUdew which blasts them, is also poisonous. Thus with grain, the blasted grains which are among it, are hurtful to man and beast. Thus also the seeds of many weeds are noxious. In dry vegetables are often found insects and worms, which we ought to be careful not to eat. Fruit, vegetables and roots with which you are not — 88 — well acquainted, you should not eat, and children ought to be early accustomed not to eat any thing unknown to them. Seed corn and nuts frequently taste sweet, and yet contain rank poison.' Even sound walnuts become poisonous when old and rancid, and occasion in many a chUd a dangerous cough or diarrhoea, which we are apt to ascribe to a cold. Mushrooms are not so good in this country as in Europe, and of these more than one half are poisonous. It is not true that oniohs turn black from poisonous mushrooms. The best precaution is to eat none out of which milk exudes, none that are old, or readily dissolve. As to the others, make inquiry and learn which are eatable. Taste them raw, and if they have any thing acrid or disagreeable either in taste or smeU, eat them not. Let them be well washed in cold water, have them pured and every thing cut out that has been knawed. When cut up they should be scalded with boiling water, then stand, and afterwards be boiled in fresh water. No one should eat fruit which is half ripe on one side, and rotten on the other, at least not without first cutting out whatever is spoiled. If proper attention were paid to children in this respect, they would not be so frequently troubled with bowel complaints, nor Avith a weak stomach when they are grown up. Good kitchen salt being an indispensable article, — 89 — every father of a family ought to endeavor to have it pure. When salt exposed to the open air easily be- comes moist, it is bad. If half an ounce of fine salt does not perfectly dissolve in two ounces of cold rain water, it contains plaster and is hurtful. You should also be careful with kitchen utensils. Those of earthenware are often glazed Avith poisonous substances. Try and let vinegar stand in such a vessel over night, and the next morning mix it with a solu- tion of liver of sulphur in water. If it turns black, there is poison in the glazing. Let therefore nothing acid stand, or be prepared in such a vessel. You cannot be unconcerned as to iron utensils glazed on the inside. Copper vessels ought never to be used for any thing that is sour; they should always be kept clean and polished, and whatever is cooked therein ought not to be left standing until it is cold; for just at that very moment when it cools it will take the poison. This should also be observed with tinned utensils. If during the process of cooking you suffer the tin to melt off, or scrape or stir at the bottom with spoons, it is no wonder that we hear of so many slow and tedious diseases which no physician can cure. But he who is so ignorant as to give to sour cucumbers or beans a fine green color by boiling them in copper ves- sels, and eats such trash because of its fine appearance, or who draws vinegar from casks by a brass spigot, should not complain when suffering from a weak — 90 — stomach, or colic, cramp or other nervous diseases; nor expect that a physician, or any medicine can expel the copper as readily out of his system as he introduced it. There are those who can bear it for a long time, yet the bad effects will inevitably follow sooner or later. The copper itself is not always hurtful Avhen intro- duced into the body, and even into the blood, but cop- per dissolved in vinegar is always poisonous. This is the reason why coppersmiths are not apt to be more sick than other people, and that a person SAvallowing a copper coin gets rid of it without sustaining any in- jury. Thus you may have a leaden bullet in your flesh for years without detriment; but the same lead dis- solved would destroy you in a feAv hours. For this very reason paints are so noxious, because they almost all consist of metallic substances in a state of dissolution. White lead and other white colors are nothing but lead; and as bad if prepared from bismuth or tinglass and tin. Red lead is lead and vermilion or cinnabar quicksilver. Massicot, chrome, Naples and other yellow are compositions of lead. King's yellow, tinsel and orpiment are arsenic. Blue paints contain copper, as ultra - marine; or that dreadful poison, Prussic acid, as Prussian blue, Paris blue, mineral blue; or cobalt, which though not as pernicious as ar- senic, operates badly enough; it is used as smalts, king's blue and blue starch. Green paints consist chiefly of copper, as verdigris; mineral green, Brunswic — 91 — and other green. The chrome green is the least hurt- ful ; but Swedish green the worst, because it contains arsenic and proves injurious even by exhalation. That it contains arsenic is discovered by strewing some on live coals, and it Avill smell like garlic. Bronze Avliich is used in gilding and silvering toys is composed of copper, quicksilver, zinc, tin and bismuth. Be careful therefore with such paints, let no dust from them fly about; use when painting yourself no colors containing arsenic, suffer none to come nigh the tilings that are used in the kitchen. To smaU children no paint-boxes should be given, because it is actually putting poison into their hands; nor painted wooden or leaden toys. Painted wafers also may prove injuri- ous to children. Although mineral paints are the most poisonous, yet others also contain deleterious substances. Gam- boge is a poAverful cathartic. Indigo causes violent cramps and sAvellings. Cochineal causes toothache and obstruction of urine. And we might enumerate many others. HoAvever, Avhere painting is to be done, use in preference chalk, dyed yeUow Avith birch leaves or curcuma, or blue with indigo, or green with both; ochre and other iron colors, and real chrome, also woad, madder, Orleans, cochineal and carmine. Of cosmetics and washes we ought not to speak at all, as it is known that all of them contain poison, and of the worst kind. Cosmetics that are not poisonous — 92 — will not keep long; and such as do keep are poisonous. There is but one true cosmetic: fresh air and cold water, and a rational manner of Ufe. There is one remedy that will certainly dissuade ladies from the use of washes and cosmetics. After having used them, let them wash themselves in the dark with water in which some liver of sulphur has been dissolved. It can do no harm, and will have a good effect. Oil of vitriol, aqua fortis, spirits of salt, aqua regia, salts of white sorrel (which is used to take out spots), are dangerous articles, and should never be left within the reach of children. Sulphuric acid much diluted is not poisonous; aqua fortis mixed with strong spirits is not so dangerous; but the others, however, much di- luted, operate as violent poison. English smelling salts, kali or pot-ashes, lapis infernalis, salts or oil of tartar, soda, spirits of sal ammoniac, salts of hartshorn, un- slacked and even slacked lime are dangerous indeed. Many a person has been killed by spirits of sal ammo- niac, or hartshorn, when those ignorant of its effects have used or given it to the sick, or made those who had fainted smell it. These things ought never to be given to smell, or otherwise to be used except much diluted. Alum, vitriol, saltpetre, sal ammoniac; and liver of sulphur abundantly used are also injurious. Not only things containing mercury, arsenic, lead and copper are poisonous, but also those in which there is antimony, such as tartar emetic, butter of antimony, — 93 — sulphur of gold and various powders. Also whatever contains tin, bismuth, spelter; lapis infernalis (in short every thing that is brought from an apothecary's shop), all minerals and chemicals are more or less dangerous. Even harmless things improperly used may prove so. Innumerable are the poisons proceeding from vege- table and animal substances. Persons should be care- ful of playing tricks with substances, of which they are ignorant. An inconsiderate young man once ad- ministered to a girl the scraped parings of finger nails; she suffered dreadful pains from this dose for several days, and it had nearly proved fatal. Beware of giving children the so-called-remedies against worms. Whoever is so inconsiderate as to fill the stomach of his chfldren with such trash, should first try it on himself, -and every morning take a small spoonful;—we think it would alter his opinion. This remark applies also to remedies against vermin in the head. The remedies in general are poisonous. CleanUness is the best remedy, and should frequent washing and combing not avail, rub oU or a little to- bacco juice into the hair. Cleanliness wul also prevail against all other descriptions of domestic vermin, therefore do not run the risk of having poisonous rem- edies in the house, for they always contain corrosive subUmate, or something similar, and their very smell is hurtful. Vermin in grain is sooner expelled by strong smell- — 94 — ing plants, and frequent shuffling, than by poison, and there are many instances where, notwithstanding the utmost precaution, men have been killed instead of vermin. The worst, the most injurious of all poisons are those abominable Panaceas, which under numerous enticing names are palmed upon the public. No physician will deny that sometimes cures have been performed by them; yet every one knoAVs how seldom this has hap- pened. No medicine will help but where it has been properly applied; where this is not the case, and in the manner in which these things are generally prepared it is impossible it should, it cannot be otherwise than injurious. From the manner in which Panaceas and other nostrums are extolled and recommended, it is apparent that those who offer them for sale are only anxious to find purchasers. Thus pulmonary con- sumption is no fixed disease, against which a specific can be recommended. It is so very different, and in almost every patient of a pecuhar kind, that great re- flexion and careful consideration is required to find out of what kind it is, in every case. The means must be adapted to the pecuUarities of the disease. One and the same medicine cannot possibly answer in all cases. You cannot always rely upon the certificates which accompany the recommendations of these universal medicines. A case often appears worse than it actually — 95 — is — and even'medical men may be deceived: — at the same time a trifling medicine — sometimes simply cold water, will cure it. The great number of universal medicines we see ex- tolled as specifics against various diseases, does certainly not appear creditable to the inhabitants of this vast country. It proves the ignorance and creduUty of the purchasers. He Avho buys and uses such things may be com- pared to him who buys a lottery ticket. The large prize is generally in the hands of those who sell tickets. As many blanks as are in a lottery, as many blanks are there in these universal medicineS; and the number of prizes and cures are about equal. No man of sense will venture in a lottery, if he cannot spare the money which in all probability he wiU lose. But he Avho ven- tures in a medical lottery, not only loses his money, but, if he does not get a prize, receives certain injury, ren- dering his case worse, more obstinate and more diffi- cult to cure. When a physician prescribes medicine for you, you know at least what you get, and should it hurt you, against known medicines there are always antidotes; if you have not taken too much medicine, or persisted in the use of it for too great a length of time, it is always possible to make good the injury that has been done. But Avith those unknown universal medicines it is impossible, we do not know what we are to treat. And Avhoever relies upon the impudent — 96 — assertion that nothing injurious,is contained in these nostrums, must be credulous indeed. We have men- tioned already, in our preceding pages that the poison from many plants is far more virulent than that from minerals. Many of these universal medicines also contain min- eral poison. For instance, the fever drops (diaphoretic tincture) contain arsenic; the imperial pills, mercury; and so with many others. Many things of this kind are sold at an enormous price, and the ingredients of which they .consist may be had in every apothecary's shop for a tenth part of their cost; for instance, Haer- lem oil is nothing but a combination of sulphur with oU, and the value of a vial is less than half a cent. So it is with all others. There is not a single one of these pretended secret medicines, that a genuine physician might not have discovered and made known. A physician can apply any medicine in its proper place; the vender of nos- trums cannot—his object is to make money: — if his medicine kills or cures is a secondary consideration. AA'HAT IS TO BE DONE TN CASES OF POISONING. The main object is to expel the poison as quickly as possible, and to prevent its spreading; or to render innoxious what cannot be expeUed. Much ahvays de- pends upon haste; the sooner every thing is done, the — 97 — better. Yet by too much haste mistakes are often made, or people from anxiety act Avithout consideration. The first rule always is, " never lose your presence of mind ". Whoever is possessed of this, ought to act and direct what is to be done. Let him despatch the by - standers after what may be wanted, thus render- ing those serviceable, Avho would otherwise only be worse than useless. When poison has been taken into the stomach, in most cases the principal object is to excite vomiting, particularly when the sufferer feels inclined to it; or if vomiting has already taken place, to further it. The best means of effecting this is administering tepid Water, and tickling the throat with a soft feather. The cases are very rare Avhere this could do harm; it ought therefore to be done at once. Have water heated as quickly as possible, in the mean time take the whites of eggs and beat them into a foam. Take pure white Castile soap and let soap- water be made. Let another person procure sugar, vinegar, sweet oil, milk and butter. Have some strong black coffee made, and gruel of oatmeal, barley, flax- seed or meal of any kind. The principal remedies which are mentioned be- low, ought to be kept in every family. While you are busy in furthering the vomiting, and procuring what is requisite, inquire and try to ascer- tain what kind of poison the sufferer may have taken. 7 — 98 — Sometimes a sudden case of sickness is erroneously attributed to poison. Consider therefore Avhat may be most probable, and should an uncertainty prevail, do not over-hurry yourself. You may try many means at random without injury; you wiU have to do this until you attain certainty. There is reason to apprehend poison, Avhen vio- lent, dangerous symptoms occur suddenly, such as are indicated beloAv, particularly Avhen these show them- selves at once, or some hours after the sufferer has been eating or drinking. The reason is stul greater, if the patient had eaten any thing uncommon. Be therefore diligent in inquiring of the sufferer himself as AveU as those Avho are about him, where he has been, with whom and so forth. Preserve carefully Avhat he has thrown up, aiid likewise whatever may have been left of his meals or drink. Do not suffer these things to be thrown away, should they even go into putrefaction; for mineral poison can be traced notwithstanding, an object which may prove inter- esting to the patient, or his relatives. Should this be a matter of importance, throw the whole Iogetber into one vessel, and pour plenty of strong brandy over it. As in every serious case of the kind, an experienced physician, or an apothecary, wul no doubt be called in, let him subsequently examine these things. Yet the treatment must never be deferred; the — 99 — assistance must be immediate, and while rendering it, endeavor to ascertain the cause. Always consider, that he Avho is poisoned may die, if you apply too many things, or proceed too boister- ously. Reflect, and do one thing after another quietly and soberly, lest by the means applied, you hurt the sufferer more than you do him good. When you know what poison has been taken, or when you are almost certain in your supposition, have recourse to such medicines as are prescribed against that poison, avoiding such as might prove detrimental. When you are uncertain, act according to the fol- lowing direction, proceeding from mild- remedies to stronger ones, should the former prove insufficient. In cases of imminent danger you must, of course, use whatever remedy may be at hand. Vomiting is always most important, Avhenever there appears an inclination for it, when the symptoms occur immediately, or soon after meals. Yet to administer an emetic is often as noxious as dangerous. The best remedy (which never injures) is lukewarm water, withftt eiftier oil, grease or butter. Let the sufferer swalloAV as mUch of it as he possibly can; at least every minute half a tumbler full, and more if possible. Try to induce children first by kindness, then by threats, and if neither will avail, by force. Open the mouth, in case of need by inserting a finger at the joint of the jawbone, and pour the water into the 7* — 100 — mouth. Or you may, after the child has just been breathing, suddenly shut its nose and pour the water into its mouth; but beware of doing this while the child is breathing. i At the same time keep your finger in its mouth, or take a soft feather, put it into its throat, turning it around till it excites vomiting. Let the patient incline forward, place your hand on his stomach, support his head, beating him softly between his shoulders. Let him rinse his mouth after he has vomited, and remain undisturbed for a few minutes. As soon, however, as he feels another attack of pain, or other symptoms such as worrying, hiccup, or uneasiness, let him drink again until every thing apparently has been ejected. If he cannot be brought to vomit, or if he cannot i swallow, at least not sufficiently, or worries himself in vain, does not throw up as much as he drinks, or should he absolutely refuse to drink, and you cannot introduce enough, should he even SAvallow again what came up, chew some bread and mix with it half a tablespoonful of snuff, put this on his tongue till it excites vomiting, and let him drink tepid water upon it. With people accustomed to tobacco it will operate but seldom, with them therefore substitute dry mus- tard , or mustard seed, finely powdered, mixed with a teaspoonful of kitchen salt in a tumbler full of water, to be drank off at once; and afterwards tepid water. These means will always suffice, therefore beware of — 101 — using any other. In case the sufferer can get nothing down, is quite confused, cannot sAvaUow, his jaws being tightly closed, blow some tobacco smoke into his posteriors. Take a pipe with tobacco, light it, grease the point of its stem with oil, or fat, insert it in the anus, not deeper than about the depth of a finger nail, turning it carefully, then place on the head of that pipe the head of another empty one, and blow through this into the other, propelling the smoke inward. After bloAving 3 or 4 tunes, stop, and then begin again. The next important remedy is the white of eggs. Have the whites of several eggs beat up, mixed with cold water, and let them be drank. This will never do harm, and Avill surely help, if the poison be me- tallic, or if the patient is suffering violent pains in his stomach, or bowels, feels as though he should purge, as will happen in poisoning by corrosive sub- Umate, quicksilver, verdigris, compounds of tin or lead, alum or vitriol. Give the whites of eggs abun- dantly, and often repeated whenever the substance vomited is of a red or green color, when the patient has a metallic, coppery or salty taste in his mouth; in general when you suspect that he may have swallowed verdigris, red lead, vermilion, corrosive sublimate &c. If the patient find relief from the taking of white of eggs, you Avill continue it, and should he be afflicted with diarrhoea and pain in the anus, give him an in- jection of the water from white of eggs. Subsequently — 102 — proceed as hereinafter mentioned under "After-pains from poisoning". Another very important remedy, in most cases of poisoning, and applicable when white of eggs seems ineffective, is soap- water. But for this purpose you must not take soft soap, nor any resinous hard soap, except in cases of the utmost need, nor any soap which is stained red, as this is done Avith poisonous ingre- dients , but the best white Caside soap. Dissolve this in hot water, and let the patient drink a cup full of it warm every 3 or 4 minutes. Soap-water will only prove injurious when the poi- son itself was alkaline, or lye, or fretting stone, pot- , ashes, soda, salts of tartar, oil of tartar, spirits of sal ammoniac, sal ammoniac itself, English smeUing salts, salts of hartshorn, Ume, slacked or burned, barytes (often sold as ratsbane, under a pretence of its not being injurious to people, because it is not arsenic); salts of tartar, which is often mistaken for tartar emetic, or tartarus tartarisatus. When the substance which the patient vomited does not smell sour but soapy; when blue paper which had become reddish from having been drawn through vinegar, is turned blue again by it; when it begins to foam upon aqua fortis, or oil of vit- riol, or sulphuric or muriatic acid being dropped into it — in aU these cases you must not use soap-water, but substitute vinegar. Soap-water is the principal antidote in poisoning by — 103 — arsenic, lead, oil of vitriol, aqua fortist all strong acids, and most metallic solutions. You may conclude that the poisoning originated from acids, when the mouth of the patient is as if burnt, when blue paper dipt in what he vomited turns red on the instant. Soap-water is also applicable when a person has swallowed alum. It will also prove beneficial in poisonings by plants of a burning, acrid taste, exuding a pungent juice or milk; likewise in dangerous accidents from castor oil. Vinegar, as already mentioned, is an antidote against alkaline poison. As soon as this is ascertained from observation, let the patient drink vinegar in great abundance, and give him injections of it. Let him also eat slimy gruel which will excite vomiting. Yet vine- gar will be injurious upon strong vegetable poisons, A_rious salts, all mineral acids, arsenic, particularly when the stomach pains when touched. On the other hand it is of great service in cases of poisoning from laudanum, mushrooms, all soporifics, carbonic gas, and liver of sulphur. In such cases alternate Avith gruel to bring on vomiting, and subsequently, after having vomited freely, let the patient drink vine- gar again, Which Avill remove a continued inclination to vomit. Vinegar will also answer against poisonous clams and fish. It is an important antidote against the poison developed from fat. If a person feel sick from having eaten spoiled rancid hams or sausages, and his throat is very dry, and he feels nausea, you will hasten — 104 — to give him vinegar to drink, not forgetting, however, the other remedies afore-mentioned. Oil is a remedy by far too generally applied, and taken to be a principal one, which it is not. This refers also to grease, butter and similar things:—also to buttered water. If to be used, you ought to be careful of the kind of oil; — rancid oil, train-oil, or sperm oil ought not to be applied, slimy substances wiU answer far better to envelop the poison, or sugar, which sooner assuages the stomach, or other means to neu- tralize the poison. When you are sure that the poison was alkaline, and you are applying vinegar success- fully, you may alternate with oil, particularly when the patient complains of burning in his mouth, throat, or stomach. Oil, however, may be appUed to great advantage, when a strong acid, aqua fortis, oil of vit- riol &c. has got into the eye, the mouth, the throat or the stomach. Sometimes it is also serviceable against poisonous mushrooms. Oil is hurtful in poisoning by arsenic; useless in most poisonings from metalUc sub- stances; and very injurious when Spanish flies have got into the eye, or stomach. It is literaUy throwing oil into the fire. This is also the case Avith insects and venomous bugs, which may have got into the eye. Oil is of great service when live insects have crept into the ear. Milk is not so good as other slimy substances; but as it is more frequently at hand, it will be Avell to let — 105 — the sufferer drink of it, instead of waiting for other things. Fat milk is good wherever oil is good, injurious wherever that is injurious. Sour milk is good wher- ever vinegar is so, injurious wherever that is. When you have no good oil, fat milk is the best thing; also when oil becomes disgusting to the patient. Sour milk is preferable to bad vihegar; it may also be applied where vinegar has already been used. Milk is very good, whenever the first storm has subsided, and there remain only after-pains; provided the patient likes it, and feels relieved by it. When you cannot ascer- tain what kind of poison the sufferer has taken, and you can therefore not choose between the antidotes, yet you have given milk in the first instance, and the patient feels better after it, you may continue with it. The main object, however, is that the patient vomit at once so much that you may suppose the poison has been ejected with it. Sugar and sugar water, is in most cases one of the very best remedies. Only when you are certain that the poisoning resulted from a mineral acid or strong alkaline poison, prefer the remedies prescribed against such poisons. It cannot do much harm, were you to apply sugar improperly. If the person who is poisoned wishes sugar, give him as much as he desires. It is the best antidote against metallic poisons, poisonous paints, verdigris, copper, tin, vitriol or alum, and you will continue with it, if the patient finds relief from it; — i06~— should he, however, not feel better, alternate with whites of eggs and sugar; or, where it is apphcable, with soap-water. Against arsenic, sugar is also a principal antidote; also when the poisoning was effected by sharp, acrid plants, which occasion a burn- ing or swelling in the mouth, or in the throat. You may give it between other things, letting the patient either put it into his mouth, or give it to him in water. Coffee is an antidote against so many poisons that we cannot do without it. You must be careful that the coffee has not been spoiled in roasting; give it at first very strong, and then somewhat weaker. Do not neglect, hoAvever, to excite vomiting, should it be still required. When the poison is unknown, coffee is the best thing you can give; when the patient is stupefied, sleepy, senseless, giddy as if intoxicated, his face red and full, or pale, cold, and cadaverous; or when he acts as if he were deUrious or raving. In all these cases give him plenty of strong black coffee, till he gets better. Even after he has vomited the whole contents of his stomach, continue giving him the coffee with sugar. In all cases of poisoning give coffee, if the pa- tient desires it. When the poison is known, administer, after the tepid water intended to bring on vomiting, and tickling in the throat for that purpose, black coffee in abun- dance, as a drink and by injection, particularly in cases of Prussic acid, which you will know from its smelling — 107 — Uke bitter almonds, or peach kernels, or peach-brandy. Also against laudanum, poisonous mushrooms &c.; where a person has swaUoAved the juice of sumac; or when dangerous symptoms occur from medicine, con- taining belladonna, coloqupts, Valeriana, conium (ci- ( cuta); or from chamomile - tea. Coffee is also important in cases of poisoning by wine of antimony, or when antimony, phosphorus or phosphoric acid have been swaUowed. Camphor is a principal antidote in all poisonings by vegetable substances, and particularly sharp, acrid, burning poisons, which cause inflammation and red- ness; in all cases of poisoning, where the patient suf- fers from vomiting and flux, is pale, cold as ice, and almost senseless. In such cases, if you do not know what kind of poison had been taken, you should pre- fer having recourse to camphor. It will suffice to let the patient smell it, or rub it on his skin. You can make a salve of it with warm oil, or easily dissolve it in heated brandy. It is the principal antidote in all accidents from in- sects. Against Spanish flies, whether they have been swallowed, or got into the eye, or when used as a plaster, they have a poisonous effect, camphor is always the best remedy. Also when venomous insects or infected honey have been swallowed, in violent symp- toms after meals, in which small bugs or worms may — 108 -r- have accidently fallen, or when one has swallowed small moths: — likewise after tUe sting of insects. When, together with other symptoms, the patient finds it difficult to urinate, or this is very painful to him, and intermixed with blood, you may always pre- sume, that this originates from Spanish flies, or other insects, and camphor is the best remedy. Camphor is finally applicable, when accidents result from the medicine a sick person has taken; when children sicken after the usual preposterous worm medicines; in accidents from tobacco, bitter almonds and medicines that have the smell of these things, or cherry-stones, peach - kernels, acorns, or nuts. It will mitigate after-pains from phosphorus, poison- ing by minerals, or acids, and particularly salty things. When through vomiting every thing has been ejected from the stomach, let the patient smell camphor from time to time. This may also be done in poisonings by mushrooms, or in accidents from charcoal fire. The ingredients sometimes requisite, such as char- coal, lye, kitchen salt, starch, green tea, tobacco, are generally in most families; the other things, often as necessary, such as magnesia, spirits of nitre, spirits of sal ammoniac, ought to be kept likewise, being useful not only in cases of poisoning, but also in many diseases. In cases of poisoning things of this kind can only be serviceable, hoAvever, where the — 100 — poison is perfectly known, and they will be mentioned in their proper place. From the preceding remarks it is evident, that, in cases of poisoning, means ought immediately to be taken: 1st. to excite vomiting; 2d. to lessen the effect of the poison. At first you will have to alternate with either, sub- sequently attend to the latter object only. The usual emetics being poisons themselves (which may prove injurious), the best means to excite vomit- ing are: a. Drinking lukewarm water, as much and as often as possible. b. Tickling in the throat; and only when this proves ineffective, c. Snuff put upon the tongue; or with those upon whom this has no effect, d. Mustard with salt in water; and only in cases where nothing can be got in through the mouth, e. Injections of the smoke of tobacco. The principal remedies to lessen the effects of the poison, when the poison itself is unknown, are, where pains prevail: water from the white of eggs; — where insensibility predominates: — give coffee. As soon as it is ascertained, whether the poison is — no - an acid, a metal, or an alkali;—if acids and metals, give soap-water; if alkali, give vinegar. All other remedies are only applicable, when the kind of poison is known. PROCEDURE AATHEN THE POISON IS ASCERTAINED. In general the same rules wUl apply, but, next to the remedies which wUl cause vomiting, you will have recourse to such as are particularly prescribed. The antidotes recommended against each particular poison, have been arranged according to their efficacy the most efficacious being mentioned first. When these happen not to be at hand, give Avhat can be first procured. If a person, for instance, has swaUowed sulphuric acid, it would be a folly to wait until magne- sia or white soap could be brought from the apothe- cary; Avhere this cannot be had on the spot, take quickly a handful of wood ashes, stir them in water, and let this be drank immediately, although less proper. Thus in other cases. POISONOUS GASES. In deep privies that have not been cleaned for a length of time; in places deprived of a fresh current of air, where animal offals are suffered to decay, a poisonous gas is developed, of a foul, offensive smeU, in which polished metal, particularly silver, turns black. Such gas inhaled will cause nausea and difficulty in — Ill — perspiration; the pulse becomes feeble, the eyes weak; it seems as if a cold pervaded the ears; the abdomen draws together; and unless the sufferer is speedily re- moved from its influence, convulsions and apparent death ensue, which latter, if no medical aid is afforded, will end in actual death. The best remedy is chloride of lime. This ought always to be at hand, before peo- ple expose themselves to such danger; for by the use of chloride of lime, dissolved in water, which will de- stroy this foul air, men may Avork in such places with- out danger. The bad smell is speedily removed by throAving in a few shovels full of quick lime. The person Avho has met with such an accident, should immediately be brought into the fresh air, un- dressed , and placed on his back, the breast elevated. Throw cold water on his face and breast. If you have a solution of chloride of lime in water, dip a sponge in, and hold it occasionally before his nose. The solution should be rather weak, so as not to excite cough in a sound person who happens to breathe it. Put a table- spoonful of the strong solution into a tumbler full of water, and inject half a teaspoonful into the mouth of the sufferer. Repeat this from 5 to 10 minutes; dis- continuing gradually as the patient improves. Vinegar can sooner be had; mix it with an equal portion of water, and sprinkle the face with it; and hold a sponge, dipt in vinegar, before the nose and the mouth. - 112- During this time the patient should be rubbed with hot flannel. If you have sprinkled his face with cold water or vinegar, wipe it dry after a little while; then rub it with hot flannel, and repeat the sprinkling. The feet, the stomach, breast and arms particularly ought to be well rubbed. The soles of the feet and the back may be brushed a little with a stiff brush. Be not too hasty, but proceed gently and continue patiently. Life sometimes will not return till after 3 or 4 hours. If the patient, apparently dead, does not breathe at aU, it is useless to hold a sponge before his nose; only try from time to time by holding a light feather there, whether his breathing has recommenced. Blow breath occasionaUy into his mouth, Avhich is best done by a person inhaling as much as he can, and then placing his mouth on that of the apparently dead (whose nose should be held shut), and blowing in the breath gradually. If you perceive the breast rising thereby, let the breath go out of itself, and repeat the operation. If the breath wiU not come out again of itself, place a towel around the breast, and after the breath has been blown in, pull it gently. Thus by keeping up an artificial respiration, a person apparently dead may often be restored again, but he who under- takes the operation should himself be healthy and have a clean breath, and either drink, or rinse his mouth occasionally with vinegar. As soon as the sufferer — 113 — begins to breathe, or the exhalation of the breath in- fused becomes more rapid, cease the infusion, Uoav gently fresh air towards him, and only Avhen the breath becomes stronger, hold a sponge to his mouth, dipped in a very Aveak solution of chloride of Ume, or vinegar. You ought to be very careful, indeed, lest you ex- tinguish the feeble Ufe just returning. If the patient recovers, give him a feAv drops of a weak solution of chloride of Ume or vinegar. If he complains of cold, inclination to go to stool, or nausea, and vinegar will not remove this feeling, or the patient dislikes it, give him a little black coffee; if he complains of heat and great Aveakness, give him a little good, and if possible, old Avine. The smell of camphor is also often bene- ficial. Consult in this respect the wishes of the pa- tient; Avhatever is most agreeable.to him, or affords him relief, deserves the preference. Another mephitic gas is developed in deep Avells, vaults and lime furnaces, which is suffocating. It has no bad smell, but makes him who inhales it sleepy, giddy and at last senseless. Persons affected by it will usually revive in a short time, if they are speedily brought into the fresh air, sprinkled with cold water, and Avith vinegar, and par- ticularly by the infusion of black coffee. Do not act with too much precipitation — delay is not dangerous in such a case. If respiration will not return, it will be necessary to blow in some breath. 8 - 114- The vapor of charcoal is very dangerous, par- ticularly to persons sleeping. Never sleep with lighted charcoal in a chamber without a chimney. This refers also to stone-coal. It has also happened that old wood- work has been glimmering, and thus continued for days without smoke, and that the inhabitants of such a house, not minding the not very perceptible smeU of something burning, were found on the point of death, before the glimmering had even been discovered. It is remarkable that persons exposed to this exhalation be- come so feeble as to be unable to go into the fresh air, to open doors and windows, or to caU for aid. They I labor under the greatest inconvenience, perceive their danger, yet cannot resolve to move from the spot, or save themselves. A similar sensation seizes those who in very cold weather sit doAvn in the open air to rest themselves; although they know the fate that hangs over them, they cannot recover courage to resist it. The signs of poisoning from the effect of coal - fire, before apparent death prevails, are: — headache with nausea, violent exertion to vomit, vomiting, and even blood; a heavy load seems to oppress the breast, the face becomes red, purple, and full of blood; the patient is seized with an involuntary, convulsive Aveeping, talks incoherently, falls doAvn suddenly into fits, be- comes senseless and apoplectic. Carry him into the fresh air, _ub him Avith vinegar and let him inhale it. If the face is already purple, — 115 — and he talks incoherently, throw ice-cold water over his head. In general it is well to apply cold to the head, ivarmth to the feet. After the patient has re- covered , it will be well to give him No. 2, removing the vinegar. Should No. 2 help, but not long, repeat it# After some hours, or sooner, when No. 2 wiU not avail, give No. 5, and let it have time to operate. In case of apoplexy only it will be useful to bleed first. The dry rot in old buildings has a similar yet slower effect than that from coal - fire upon their inhabitants. Such buildings ought to be puUed down; hoAvever, if people have to live in them, endeavor to kill the dry rot by stone-coal fire. Apply this, as much as possible, above, below and about the spot where the dry rot breaks out. Brush the spot itself with a strong solution of blue vitriol, or sulphate of copper. To guard against the effects of the dry rot, put, a few drops of sulphuric acid into a gallon of rain water, and take occasionally a drink of it. To obviate the bad consequences of exhalations from chloride of lime, to which people are sometimes ex- posed, smoke tobacco; or drop some strong brandy, rum, or spirits of wine on a piece of loafsugar, and put it into your mouth. In accidents from inhaling poisonous vapors, such as Prussic acid, or mineral acids, take spirits of hartshorn, or spirits of sal ammoniac which Avill afford relief; but do by no means apply the vial containing such spirits «* — 116 — to the nose, you would only increase the evU thereby — pass the open vial at the distance of about 6 or 8 inches sloAvly before the sufferer, so as to communi- cate the smell feebly to him; continue this as often as may be necessary. Or put a drop on a bit of paper, insert this into an empty bottle, and let him sometimes smell at the bottle. But if the vapors were from alkali, this Avould avaU nothing, in, that case let him inhale the smell of vinegar. Whether the vapors are from acids or alkali, you Will find out by blue paper; acids wiU make it turn red, alkali will make that which is stained red from acids blue again. In cases of poison- ing from acid vapors you may put one drop of spirits of sal ammoniac into a tumbler full of water, and give of this mixture a teaspoonful every ten. minutes; in poisoning from vapors of alkali give from time to time a teaspoonful of vinegar. MINERAL AND OTHER STRONG ACIDS. In cases of poisoning by sulphuric acid or oil of vitriol; muriatic acid or spirits of salt, nitric acid or aqua fortis, aqua regia, salts of wild sorrel, phosphoric acid, spirits of vinegar, wood-vinegar, or abundance of Wine vinegar: — Perceivable in a sour, burning taste, smell, an acrid heat in the throat and stomach, cutting pain in the bowels; increased when drinking, offensive breath; a sour taste when vomiting, when what is thus thrown — 117 — up foams, and blue paper dipt into it turns red;—the inside of the mouth often spotted, as if burned. Ad- minister 1st. Lukewarm soap-water in great abundance. 2d, Magnesia, a spoonful in a cup of water after every attack of vomiting, or repeated when the pains increase. Burnt is not so good as common magnesia. 3d. Chalk, powdered and stirred in water. 4th. Wood-ashes, a spoonful in warm Avater. 5th. Pot-ashes or soda, the point of a knife full dis- solved in a large tumbler Avith water. Alternate with the first and the second; the others are merely intended as substitutes until the former can be procured. After the patient has vomited sufficiently, let him drink gruel of oatmeal, barley, pealed grain, a decoction of linseed or rice, whichever is at hand, and let him taste nothing else for some days. After the first storm is past, give against sulphuric acid No. 8; muriatic acid No. 12; nitric acid No. 16 R.; phos- phoric acid No. 1; other acids or wood - vinegar No. 3. Before administering these medicines to the patient, you may try smelling of camphor. When strong acids have got into the eye, oil of almonds is best; or fresh, unsalted butter; in case of need, Avc;ik soap-Avater; pure water is injurious, and should not be used till afterwards to wash the eye. If you have scorched yourself outwardly with strong — 118 — acids, soap is to be used in preference to all other things, as soap will heal all burns speedUy. ALKALINE POISONS. Pot and pearl-ashes, fretting stone, lye, salts of tartar, oil of tartar, soda, ammonia, fretting spirits of sal ammoniac, spirits of sal ammoniac, English smelling powder, salts of hartshorn, spirits of hartshorn, burnt and quick-lime— poisoning from these articles is Perceptible in an alkaline, urinous, acrid taste, with small bubbles on Avhat is separated, blue paper turning red in it; else the same symptoms as from acids, al- though Avhat is ejected in vomiting does not smell sour. Give: — 1st. Two spoonfuls of vinegar mixed in a tumbler full of water; warm water, if you h_ve it. Take a glass full every five minutes. 2d. Lemon-juice, or other acids, very much diluted; or sour fruit, pressed out in water. 3d. Sour milk. 4th. Gruel and injections. Emetics are very injurious, and vomiting should only be excited by these drinks, or tickling in the throat with a feather. In cases of poisoning by barytes (a peculiar kind of heavy, white earth, which is sometimes sold as rats- bane), pure vinegar is injurious; give therefore only gruel and oil, and excite vomiting, till Glauber salts or sulphate of soda can be procured, which is to be given dissolved in vinegar, and diluted. Afterwards let the — 119 — patient smell camphor, and if this will not avail, sweet spirits of nitre. After pot - ashes No. 1 is applicable, and subsequently No. 29; after spirits of sal ammo- niac No. 16 R. OTHER SUBSTANCES POWERFULLY EFFECTIVE. Liver of sulphur. Against the effects of which take water with some vinegar or lemon -juice, oily or glutinous drink and injections. If much drinking and tickling the throat will not occasion vomiting, give a weak solution of tartar emetic. After the patient has done vomiting, give him either vinegar, if it relieves, or if not, once No. 5, and no vinegar. Iodine is unfortunately often given as medicine, although it sometimes occasions sudden, dangerous accidents. The remedies are: — 1st Starch, stirred in water. 2d Paste, made thereof. 3d Wheat-flour. Subsequently, thin gruel. Against after-pains No. 5; subsequently, if necessary, No. 19. Phosphorus. Against this,—oil and everything greasy being dangerous, give only gruel, and endeavor to excite vomiting by tobacco or mustard, if it can- not be otherwise brought on immediately. Then give some black coffee. After a few hours it will be well to give a spoonful of magnesia. If neither this, nor the smell of camphor should afford relief, give No. 13, which generally speaking wiU be good after- — 120 — wards. Should the patient wish it, give him a little good old wine, or brandy, the latter dropt on sugar. Alcohol, or strong spirits of wine and ether, if acci- dentally swallowed, may produce bad effects. It will usually suffice to give milk and gruel. Should this, however, not mitigate the pain immediately, put a drop of spirits of sal ammoniac into a tumblerful of sugared water, and give of this by teaspoonfuls. If this does not soon afford relief, give No. 13, and gruel as long as the stomach can bear it. Subsequently give black coffee. Prussic acid is known by its smell (that of bitter almonds), and operates so suddenly, that you must hasten to administer the proper antidotes. In this case there is no time to excite vomiting. Let the patient smell spirits of sal ammoniac, but kept it at a distance. Drop a little on a handkerchief, and hold it so that only a faint exhalation may reach the patient. Or put a drop of it into a tumbler full of Avater, stir it, and give him a teaspoonful of it every 3 or 5 minutes. As soon as you can have coffee made, give him this abundantly, also give it by injection. In case of need let him first smell vinegar or camphor, and then inhale the vapor of it. Subsequently give him No. 1, or No. 25; and should this not appease the after-pains, give No. 13. Alum. Give soap-Avater, or sugar - Avater until the patient vomits; subsequently give Nos. 8 or 6. Pitriol, white, green or blue; in this case give warm — 121 — sugar-water or cold solution of white of eggs in water, till the patient has vomited repeatedly; afterwards give gruel. Saltpetre and sal ammoniac : — against these give lukewarm water, or buttered water until the patient has vomited abundantly; then give plenty of gruel. METALLIC SUBSTANCES. Arsenic such as ratsbane, fly-stone, cobalt, king's yellow, orpiment, in fever drops, unguents and plas- ters for cancer, and numerous secret remedies, and particularly those for horses and cattle. For this give 1st. Soap-water. 2d. Water with white of eggs. 3d. Sugar-water. 4th. Milk. As soon as the patient has vomited, give him the remedy again. There is not much danger, if by copious vomiting every thing is thrown up. Vinegar will not reUev'e, and oil is rather injurious. German physicians have of late recommended oxyd- hydrat. as the best antidote. In lieu of it you may take common rust of iron, half a tablespoonful in a cup of water, repeating the dose, if it proves beneficial. Subsequently give No. 25, several times repeated; if the patient is feverish and restless at night, give in addition No. 17; if he is Avorse in the day time, after his sleep, costive or troubled with a slimy flux: No. 13. If after No. 25 there remained nausea, vomiting, with heat or cold, and great weakness, give No. 6. — 122 — In the liquor which hatters use in the manufacture of fine hats arsenic is contained. The wearing of such hats often occasions eruptions on the forehead, or sore eyes. Have the hat well lined with silk or leather; against the consequences take No. 16. Corrosive sublimate. Against this give 1st. Water from white of eggs. 2d. Sugar-water. 3d. Milk. 4th. Starch from wheat-flour, dissolved or boUed in water or paste of Avheat - flour. White of eggs in water is the principal remedy; you may alternate with sugar-water. The after-pains require the same treatment mentioned before in poison- ing by medicine, under the caption of "Mercury". Copper. Verdigris or any other preparation from copper. Give 1st. White of eggs. 2d. Sugar. Either may be SAvallowed without water. 3d. MUk. 4th. Gruel. The filings of iron in gum - water with some vinegar are said to speedily cure poisoning by copper. Lead. In this case give 1st. Epsom salts, or sul- phate of magnesia. 2d. Glauber salts, or sulphate of soda. The former is the best; when it cannot be had, take the latter. A tablespoonful dissolved in a pint of warm water, and drank often and abundantly, in pro- portion to the quantity of the poison. 3d. Soap. 4th. White of eggs. 5th. Milk. After the salts, or the soap administer gruel as in- jection and drink. Lunar caustic. Against the effects of this give — 123 — kitchen-salt, dissolved, in great abundance, and sub- sequently gruel. Antimony, either as antimonial wine, or tartar emetic. Give 1st. A decoction of gall-nuts, oak-bark, or the peeling of pomegranates. 2d. Black coffee in great abundance. 3d. Gruel. In convulsions No. 200, nausea and other affections No. 25 00°. Tin. Against the effects of this give 1st. White of eggs. 2d. Sugar. 3d. Milk. Poisoning by tin occurs frequently, Avhen any thing acid has remained standing in a tin vessel, and been eaten afterwards. Any thing that is acid ought never to cool or remain standing in tin vessels; neither should silver, tin, or plated spoons be left in food. Acids should only be left standing in vessels of wood, earthenware or glass. i The tedious and frequent afflictions from tin- are relieved by No. 8. VEGETABLE POISONS. Mushrooms (poisonous); show their effect only after several hours; the stomach swells, there is a cutting pain in the pit of it; upon thirst, nausea, hiccups, anguish, follow vomitings and diarrhoea; numbness of the limbs, a feeble pulse, stupefaction, incoherent talk, and fits. Further the vomiting, but rather let the patient drink much cold water, as cold as can be procured; — 124 — give him occasionally finely powdered charcoal made with sweet-oil into a kind of salve. Should this afford no relief, let him gently smeU spirits of sal ammoniac. After-pains are often mitigated by Avine or coffee. Grown corn, or those thick, black, blasted grains in Indian corn, rice, wheat, or rye; as also burns or a black corruption in grains similar to rust of iron, is very injurious to man and beast. However, the ill effects of it can be removed by the common night- shade, broken in cold water and hot water poured over it. Let the sufferer inhale the vapors of it, or have the cattle washed with it. Infection from plants exuding a white juice, which are abundant here, is cured by washing with soap- water, and afterwards with brandy. If some of the juice gets into the eye, use oil of almonds, unsalted butter, or milk; if it gets into the stomach: use soap- water, milk &c., but neither acid, nor emetic. This refers also to all other acrid, burning, caustic plants or gums, such as gamboge, euphorbium &c. In affections from plants which have an intoxicating effect rendering people insensible, or delirious, coffee, drank in abundance and injected, is the principal rem- edy. In some cases vinegar also is good, for instance, against the effects of opium, laudanum, or poppy heads. If the patient has a red face, or a Avild look, cold water thrown over him, may do him good. Parts of plants which smell like bitter almonds, and — 125 — consequently contain that virulent poison Prussic acid, such as bitter almonds, peach kernels, cherry and plumb stones, with many other kernels, and laurel leaves; and in cases of poisoning by things made there- with, such as cherry brandy, persico, noyau, and other cordials: many preparations, called medicines: aU easily distinguished by their peculiar smell, and bitter taste, as well as their consequences; heaviness, giddiness, oppression, particularly on the breast, at first a quick, then a slow pulse, lameness, or a feeling as if lameness were to foUow — in all these sensations black coffee is the principal remedy, and in very dangerous cases let the patient smell caustic spirits of sal ammoniac occa- sionally (but feebly), or drop a little of it into a tum- bler fuU of water, stir it, and give him a teaspoonful every 10 or 15 minutes. Coffee is also the principal remedy in cases of poi- soning by opium, or laudanum, poppy seeds, or a decoction of poppy heads, which people sometimes foolishly give to chUdren to make them sleep. Before coffee can be got ready, give vinegar. If the patient lays quite senseless, beating him hard on his back and posteriors will be serviceable. Emetics are useless, and if no vomiting folloAvs upon his drinking coffee, you must endeavor to urge it on by giving warm water and tickling the inside of the throat. Subsequently it will be good to give several times No. 25, and, if after- pains continue, after some days No. 7. If thorn-apple — 126 — i has occasioned the mischief, also give coffee or vinegar in abundance. Should no vomiting follow, tobacco will be proper; against after - pains give No. 13. Sumac is apt to cause a complaint similar to St. An- thony's fire, in which outward rubbing is improper, and applying any thing like washes or unguents, which would strike-in the infection, would be highly inju- rious. If a careful washing with soap-water does not avail, try to assuage the itching and burning by gently rubbing with wheat-bran, or dusting with hair-powder. Let the patient abstain from Avhatever is heating or acrid, and give him No. 12; not repeating the same, should it help, but doing so, should it get worse again. If the infection happens to be mostly in the face, or if No. 12 wiU not avail, give No. 5. In cases of poisoning by that noxious plant, fre- quently given against worms — pink - root (spigelia) let the patient smell camphor, give him black coffee, and if for some days after-pains continue, palpitation of the heart, giddines &c., give No. 7. In cases of poisoning by camphor, give black coffee till it brings on vomiting, and against after-pains No 2, every hour, until they cease. In poisoning by Saffrqn the same remedies. In afflictions from all other vegetable substances, give camphor to smell, and, if this wiU not avail, let the patient drink coffee; when the effect is more — 127 — stupifying, weak vinegar; when very painful, soap- water and milk. ANIMAL POISONS. Spanish flies (cantharides), or blisters raised thereby, contain a virulent poison, very injurious, if it happens to get into the stomach or the eye. It occasions a violent burning, which is increased by sweet oil, fat, milk &c. The best remedy inwardly, and also for the eyes, is the Avhite of eggs, or lukewarm gruel. Put this thick upon the eye, or in case of need use flour, but do not wash and rub too much; have the poison taken out in preference by a linen rag. In all other bad consequences from Spanish flies, which sometimes also result from bUsters, and in simi- lar accidents from other insects, camphor is the prin- cipal remedy. Let the patient smell it every minute, and rub him with spirits of camphor, where he may be mostly afflicted, for instance, the temples in headache, or on the loins, in heavy pains in the kidneys, or bladder. After poisonous honey, camphor is also the best remedy, to be smeUed and rubbed with: give inwardly Avarm tea or coffee, without milk. The hair of caterpillars are apt to cause violent inflammation. Do*not rub, for it will only increase the evil; put on handkerchiefs rubbed with camphor, or sprinkled with spirits of camphor. — 128 — Among clams there are sometimes poisons, which are very troublesome. Keep up the vomiting, if there is an inclination for it; give charcoal with sugar and water, or in molasses; camphor to smell, and after- wards black coffee to drink. If an eruption occurs, and swelUng of the face, give No. 5. Should poisonous fish occasion bad symptoms, give finely powdered charcoal with brandy, and, should this afford no relief, after some hours give black coffee. If this will not relieve, let the patient eat plenty of sugar, or drink it in water; if this wiU not help, try weak vinegar, inwardly and outwardly. When the poison of toads, frogs or lizard, has got into the eye, rub - in the spittle of a healthy person, and give No. 3 every hour, or Avhenever it is getting worse. If the poison got into the mouth, take at first a tablespoonful of finely powdered charcoal, with milk or oil. If sudden and dangerous symptoms occur, let the patient smell spirits of nitre., Subsequently give No. 19. The grease - poison contained in cheese, blood, meat half gone into putrefaction, particularly in sausages, liver-puddings, blood-pudding, sour meat, bacon and hams, old rancid goose-fat, and similar substances, not sufficiently smoked, — develops itself so suddenly, that things eatable to-day, may be poisonous to-mor- row. The principal signs of a person being poisoned thereby are, besides heart-burning and nausea, a — 129 — feeling of dryness in the throat, sometimes also in the mouth, the nose, the ears; causing the eye-Uds, the sides of the nose, points of the fingers after some days to become quite hard, as though they were dried up. The voice becomes hoarse, the pulse slow and feeble; the patient feels hunger and thirst, yet is scarcely able to swallow. Great weakness usually prevails, the eye- lids are as if they were lamed, the pupil of the eye is enlarged, the patient sees but feebly, as if through a mist, or he sees every thing double. The stomach at the same time is swollen, painful and costive. The knees and the feet become stiff; and unless death re- Ueves the sufferer, a tedious, incurable disease will remain. He who has eaten of such things, and perceives after some hours the commencement of these signs and their gradual increase, should not be tardy in applying the proper remedies. If within 4 or 5 hours after the meal, he feels inclination to vomit, he should drink tepid water to bring it on. Sometimes the burning and dry- ness in the throat is supposed to originate from acidity in the stomach, and people take magnesia, which does not help; or they deem it corrosive poison, and drink milk or oil, which is likewise useless. The only things that can do good, are acids. As soon as the stomach has emptied itself, take weak, dijuted vinegar; wash yourself with and rinse the throat with it. If you have lemon-juice, it wiU answer stiU better. For a change, 9 — 130 — when the acid becomes disgusting, occasionaUy take a Uttle sugar. You may also now and then take a dish of coffee, or what is still better, strong black tea. If the dryness will not abate after these, or returns again; if after injections of slimy substances there is no stool, give No. 12, and wait its effect for 6 hours. If a trifling, yet not lasting improvement takes place, give No. 12 again, as often as it gets Avorse. ■ No other in- jection ought to be given but of slimy warm water, with a little vinegar, lemon or Ume juice. What No. 12 cannot remove, is frequently cured by No. 10; should lameness, or dryness remain, No. 19 will sometimes remove it. In sick persons and also in sick animals, Avhatever sickness it may be under which they labor, there is always developed a kind of poison, similar to that in parts of animals becoming putrified. As various as are the diseases, so various are also these matters; some have but little, some great influence upon others; some operate by exhalation, but the greater part only when they get into the blood, or into the stomach. We loathe whatever a sick person ejects, and thus a natural aversion preserves us from the influence of such noxious matter. For this reason careful people avoid the garments of those who have suffered for a long time with a dangerous disease. But we are not so much on our guard against diseased animals, and yet their exhalation alone will prove injurious in many — 131 — cases. Thus that from horses having the glanders, may affect a human being with a disease quite different. It is worse with the excrements and the spittle of dis- eased animals, and the matter from sores and ulcers is always poisonous. And yet, notwithstanding the de- cidedly dangerous consequences, leprous, or measly swine are still slaughtered by the unprincipled or ava- ricious. The most dangerous disease in this respect is the sick spleen of cattle. If the blood of such a beast only touches the hand, it may prove infectious. The skin- ning (which through ignorance or selfishness continues to be done), and even the tanning and dressing its skin may proA-e as dangerous. Its flesh, though salted and smoked, is a poison, and has almost always caused death, or lingering, incurable disease. The cattle are known to labor under a diseased spleen, when they appear suddenly sad, stumble, tremble after they have been drinking, with a dry heat and short breath; during which symptoms burning tumors are formed. Unless you can save such cattle by frequently throwing plenty of cold water over them, they must die. In this case at least endeavor to preserve the others by cold water. Those which perished thus, ought to be buried in as deep a pit as possible, without being touched with hands. Whatever in any manner came in contact with them ought to be burned, buried, or at least washed with a solution of chloride of Ume in water. 9* — 132 — If a person is so unfortunate as to be infected with the disease of the spleen, he feels at first melancholy, Weak and cold, he gets on several parts of his body a red spot, with a black pimple in the middle; this will soon turn into a blue tumor and terminate in an in- flammatory ulcer. On this by no means put a poultice, or any thing warm and moist; bleeding also is very dangerous. All you can do is to keep quiet, observe a strict diet, drink plenty of cold water, have cold water throwrt on the infected spots and wiped off again rap- idly; inwardly use No. 19, repeating it only when the case gets worse. Whatever Was soiled by horses having the glan- ders, should be washed with chloride of lime in water; however, it wiU not hurt, after having been exposed a good while to the air and sun. Should a person be infected by a horse having that disease, give him No. 10, and if it will not answer No. 19. Subse- quently, if required, you may give No. 18, and if after several weeks the indisposition is not removed, No. 35 R. But give all these remedies only after No. 5 has been administered, repeated within 10 days, and not at all, if the patient is getting better. —«5©*_>«!_*—• — 133 — H. POISONING BY WOUNDS. The sting of spiders, centipedes, scorpions, of bees, wasps, hornets, humble-bees, of moschettos, knats or bugs with a fine tube for blood sucking, are seldom dangerous; they are only troublesome, but may have bad consequences by their great number, or by their touching sensitive parts in delicate persons and young chfldren. The principal remedy in such cases is the'smeU of camphor, and washing with cold water. If you can bear it, you can effect a cure by holding the injured part close to the fire, or holding a Uve coal, a red-hot wire, a burning segar or pipe, as close to the affected part as possible, until the pain is gone. When pursued by a swarm of bees, do not wave your hands about, as it will avail nothing, and only irritate them. When in the woods should a swarm foUow you, or many have lighted on your head, and there be no water near into which you might plunge, lay yourself flat upon the ground, the face doAvnwards, protecting the sides of the head with your hands, and remain in that position till they are gone. Wet the spots that were stung with spittle, scratch them softly with your finger-nails, till sting and poison are drawn out. Then put on black garden earth, repeating it when the pain increases, or rub honey into it, or one — 134 — of the remedies mentioned. Did the bee sting into the eye, or the mouth, honey will likewise do;, if possible try to extract the sting, from the mouth by scratching, or from the eye by very delicate pincers. Subsequently give camphor to smell, until it gets better. The same precaution is also to be observed in regard to the sting of wasps, whose sting, however, does not remain. Warn chUdren not to bite inconsiderately into a pear or an apple, in which there is a hole; some- times there is a wasp inside, and its stinging in the mouth is very dangerous. When a person has been stung in a very sensitive place, and inflammation, swelling and fever foUow, give him camphor to smeU, as long as it Avill assuage, but should the inflammation continue, give No. 3, and if this does not avail immediately, No. 15. Should the tongue be much swollen and No. 3 wiU not afford relief within half an hour, nor No. 15 after the ex- piration of one or two hours, give No. 5 W., a spoonful every half hour, until the sweUing ceases. If this also proves useless, give No. 7 in the same manner. If the eye is swollen, Nos. 3 or 15 will help, given alternately; leaving No. 3 to operate at least an hour, and No. 15 at least four hours, length- ening the period, if some improvement takes place. Do nothing else except wetting a cloth with cold water and tying it around. If after some days the eye still feels sore No. 7 will often prove effective. — 135 — Moschettos are driven away by the smoke of brown sugar, strewed upon live coals or hot iron; let the smoke pass off, and then shut the door and windows. Moschetto bites Avhen painful are easily cured by wip- ing them with lemon-juice. Yet it will not do to remove too quickly the effects of the sting or bite of insects if very numerous; this would be as bad as an eruption suddenly driven-in. You had better give No. 3, and after some hours No. 15, and should it not be better the next day: , No. 16. In the bite of a snake you ought to know, whether the snake was venomous or not. AU venomous snakes have in the upper jaw but two teeth, very long and large; all snakes that have two rows of teeth above and below, are not venomous. After the bite of a venomous snake you Avill feel a violent, cutting and sometimes burning pain. If the reptile is not venomous, rub salt or gunpowder into the Avound. But if it is venomous, tie a few fin- gers length above the wound a cord of any description tightly around the limb, so as to prevent the return of the blood from the wound to the heart, leaving it thus as long as the patient can bear it, or the danger is over. Suck out the Avound on the spot, or let some one else do it. This will hurt no one, unless he happens to have a fresh wound on his lips, or in his mouth. Even the swallowing of the venom can do no harm, provided — 136 — he who sucks, takes either before or after, some garlic or salt into his mouth. However, you must suck well, and continue long, draAving the wound previously apart as much as possible, stroking with your hands, while you suck, all around towards the wound, par- ticularly that part which is nearest the heart. If the person bitten cannot suck himself, and no one else will undertake it, it may be done by a clay pipe, and even by a reed, only you must in that case suck stronger, leaving off as Uttle as possible, and holding the limb so that Avhen taking off" the reed from above, what is sucked out may flow off below. A bit of a new clay pipe, a potsherd, or slacked lime, will adhere itself to the wound, and extract some poison. Immediately after the sucking, rub fine kitehen salt well in, until the wound is saturated, or gunpowder, ashes of tobacco, chewed tobacco, or wood - ashes, or whatever of this description is at hand, yet the first named has the preference. The patient ought to keep himself as quiet as possible; the greater the motion or the anxiety, the Avorse wiU be the consequences. If you are far from home, and otherwise without help, bury the whole limb, or half of your naked body in the black earth, and renew this earth bath from time to time. Inwardly give immediately some salt water, or the point of a knife full of salt, or gunpowder, or some garlic. If notwithstanding bad symptoms occur, if the — 137 — cutting pain increases, stretching from the wound towards the heart; if the spot turns blue, purple, or swells; if vomiting takes place, giddiness, or fainting, hasten to give No. 19 W. Should the case get worse, repeat the same dose within half an hour; otherwise not until after several hours; should an improvement take place, do nothing more until it gets worse again. If after a second or third repetition it will not help, give No. 5. If ash - root can be had, put a poultice of it around the limb, and give an infusion of it to drink. Seneca root is also sometimes serviceable. The linger- ing after - pains No. 10 wUl often remove; sometimes No. 7. The bite of a mad dog, of a raving animal, or even that of an angry, irritated one, should be treated at first in the same manner as the bite of a snake. Burn- ing, cauterising, cutting, lacerating, suppurating and all similar cruelties are positively useless; for no means in the Avorld can extract what is not either pressed, or sucked out at the moment the person is bitten. On the contrary, the more you butcher the wound, the more rapidly will the poison pervade the whole mass of the blood. The Physicians, in fact, have recourse to such bloody Avork only to show their importance, or from a mania after murderous, lacerating and destroy- ing operations; for these methods have never yet done the least good. Therefore, after having the poison sucked out, and salt or other ingredients aforementioned — 138 — rubbed in, suffer the wound to heal, using only the following precaution. The sub-named preventative, or another in Avhich you confide, ought to be apphed untU the scar of the wound attains the natural color of the skin. It should be renewed whenever the wound becomes hard or dark-colored, red or inflamed. Sometimes after seven days, or later, particularly when the patient has a slight fever, a blister wUl raise under the tongue; have this cut open with a pair of fine pointed scissors, or a penknife, and let the patient rinse his mouth with salt water. The steam bath has been found to be a good remedy. If there is an opportunity of applying it several times soon after the accident happened, the patient will un- doubtedly derive benefit from it; at any rate, if it pos- sibly can be done, apply it as soon as the first suspicious symptoms show themselves: viz.: — shivering and aversion to drinking, to any thing shining, or to the wind; combined Avith sadness and melancholy. It may prove beneficial. The patient should be in a place large enough to have sufficient air to breathe, and yet so small as to be easily filled with hot steam.. A small room of wooden partitions, Avhich can be tightly closed would answer best. If the patient already suffers un- der convulsions, he should be wrapped up in a sheet, so as to confine his hands and feet, but leave his head and neck free. Bring into this room stones or bricks — 139 — thoroughly heated, as many as possible, and throw either water on them, or, if the patient is unable to stand this, use wet sand. The stones, as they cool, must be removed, to be heated again. It would be better, were another person within the room to render such assistance as the patient might probably require. However, the whole process wiU avail nothing, if there is not a hot fire kept up, or should there be a want of people to attend to removing and bringing in stones; for the whole room ought to be quite filled with hot steam, and this for a considerable length of time, if the steam bath intended as a preventive, at least for an hour or two; — if used at the appearane of the dis- ease, only untfl the fits cease. We have added two medicines which we deem the best. As a preventive let the patient smell evening and morning No. 39, repeating it every seventh day, till a fever, diarrhoea, bloody flux or something similar takes place; when nothing more need be taken. Should bile or eruptions result from it, no external application ought to be used, they wiU disappear of themselves. Or take a little of this poAvder on the point of a pen- knife every seventh day. We consider this as a suffi- cient preservative. If happen the Avorst and hydro- phobia should appear, it will be easily cured. If the patient already suffers from an attack of hydro- phobia, No. 38 is serviceable. Best only given to — 140 — smell, and always when fits occur. Should the attack become worse after it, wait tiU two or three attacks have taken place, and should they become more feeble, give nothing further; as soon as they increase, let the patient smell again. If they remain as they were, repeat within three hours. If No. 38 wiU avail no longer, give No. 5. The endless variety of remedies against hydrophobia, which in every country increase Avith every year, de- serve not much consideration, because there is no instance of a mad dog having been cured by any one of them. They are generally extoUed as having prevented the disease; however, this pretended prevention signi- fies nothing, as it is well ascertained that scarce one out of twenty persons bitten, gets the hydrophobia. Many people get it merely from imagination; and with such, any remedy will ansAver. For this reason you cannot depend upon such reccommendations; and therefore it is absurd to subject every one bitten to such a martyrdom, as cauterising, scorching, and bleeding to excess. With the greater part there is nothing required, and with those few who are affected with the poison, such remedies are of no use. When bad accidents, or sores result from the bite of an enraged man or animal, apply No. 39. When putrid anitna* substances happen to get into a wound, or matter from an ulcer on man or beast, give No. 19. The principal remedy against poUution with matter from a sick person, or a sick beast, is a solution of chloride of lime, which is to be had in every apothe- cary's shop. I. OF HURTS. Concussion of the body by a fall, blow or kick, may occasion a variety of pains, and other accidents. Some- times inner parts may be thereby extended, or torn, pains originate which increase the next day, severe headache, giddiness, pain on the breast, asthma, cough, spitting of blood, pains in the back, drawing pains in the stomach &c. The principal remedy in all these cases is No. 15. The patient ought, at the same time, to keep as quiet as possible, drink plenty of and bathe the afflicted part often with cold water, drink and eat nothing that is heating, neither wine, brandy, coffee, nor tea; no spices, Uttle salt, and nothing acid. If the sufferer sustained, a violent fright, give first No. 2, and after some hours No. 15. If the person who fell swoons, it will suffice to wash his face, head and arms with cold water, and to give No. 3 °, and when the patient revives, or after some hours No. 15. Bleeding is altogether unnecessary in such cases; you — 142 — can always mitigate inflammation by No. 3, and hasten the cure by No. 15. When pregnant women from a fall, mis-step, or violent motion and concussion, of whatever kind, re- ceive pain in the intestines, as wiU happen often in the first rnonths of their pregnancy, and may bring on a miscarriage, No. 15 will help, provided the patient keeps quiet, laying down for some hours, and avoiding for several days all exertion and violent motions. If some hours after No. 15 has been taken the pains should become more severe, give No. 14, or any of the remedies indicated against "Miscarriage". By lifting heavy loads, or quick Ufting, carrying heavy burdens, there wUl sometimes be occasioned complaints, which No. 15 cannot remove. Then No. 23 R. will do, which may always be used first, when a person has hurt himself by Ufting, being more the consequence of the exertion, than outward violence. If headache foUows, and neither No. 23 nor No. 15 wiU answer, let the patient smell No. 35, only once. If headache follows after a concussion, and No. 15 will not avail, give No. 5 or No. 10, whichever may suit best, conformably to the symptoms indicated under "Headache". A mis-step may occasion similar affections in the limbs, then No. 12 will help; more seldom No. 23. Should the stomach suffer, Nos. 12 or 8 will answer. — 143 — Bruises are in no other manner so easily and rapidly cured as by giving No. 15 inwardly, and applying cold water as a cover outwardly. Only in case the bruises are very bad, and combined with violent fever, give No. 3, and after six or eight hours No. 15 again. It is but seldom that a second dose of No. 15 will be required. If a limb is entirely bruised, you must stiffen it with a piece of pasteboard, so as to keep it in its proper situation, pressing it occasionally, till it again acquires its right shape. Unguents or salves are use- less, often hurtful. The cure wiU be effected by cold water and a correct manner of Ufe, sooner tlian by any medicine. People who have bad fluids, or ulcerate much, should smeU after some days No. 16 once only. If from negUgence inflammation takes place, give No. 17. Do not be in haste for amputation; many persons have preserved their limbs by unwilUng- ness to submit to it. Bruises on the head of a child ought not to be pressed with a knife; if occasioned by a severe fall, put cold water around, and give No. 15. If at a later period bad symptoms should appear, pain or giddiness after shaking the head, the pupils of its eyes distended, if the child tosses on the piUow with its head, gets fever and fits, dropsy of the brain is to be apprehended, and you wiU give No. 5. A Umb is sprained, when, after a fall or other vio- lence, it pains severely, cannot be moved without pain, — 144 — sWeUs and turns red. In such a case No. 15 will help; sometimes No. 12 may be required afterwards. Place cold water frequently around, but do nothing else, and try to move the limb often, without exerting it too much. Dislocation is when a joint has been put out of its proper place. In this case the pain is much more severe, — it is impossible to move the limb, or if at all, not without torture; upon feeling and comparing with the other limb, you wiU easily perceive that the parts are in a wrong position; that the limb is shorter or longer, or stands crooked. This is soon foUowed by sweUing, severe pain, stiffness of the limb, and fever. It will be advisable to give at once No. 15; or if inflammation and redness have already began, No. 3, and apply cold water. You wiU seldom find a person who wiU undertake to put in the joint again, and as useless attempts can only do harm, it is best to send at once for an expert surgeon, by whose assistance the patient will be reUeved. Much benefit wul result from the apphcation of cold water and No. 15. Even after the joint has been put in place there is no occasion for anything else, for aU other apphcations, rubbing, bleeding &c. are injurious. A proper bandage ought to be applied; but as soon as the inflammation dimin- ishes, which after having given No. 15, and, where required, No. 3, will always happen in a short time, the jopt should be moved carefuUy, lest it grow stiff. — 145 — Fractures of bones are known by severe pain the sufferer feels in the bone from the effect of outward violence, sometimes also of a sudden violent motion, the bone feeling thicker upon being touched, and un- even ; by the limb being shorter or distorted, or, when the fracture is but partial, crooked. The limb is usu- ally useless, and may be moved by others where it is broken, as if there Avere a joint, when a pecidiar grat- ing sound wdl be perceivable. In aU such cases send instantaneously for a surgeon, or have the patient carried to him on a litter. The broken limb must be moved as Uttle as possible; on the painful spot apply bandages, which should often be dipped in cold water. Imvardly, when the patient is much affected, or fainty, give No. 3, and after some hours No. 15. In very severe, and almost insuffer- able pains and fits only, give first No. 14, then No. .15. In very rare cases, where the pains are very violent, and other bad symptoms occur, you will be able to afford some relief by stretching the limb. After the bone has been set, No. 15 will promote the cure, and the patient AviU much sooner be able to use his limb. WOUNDS. Persons ought to know what kind of wounds will heal of themselves, and Avhich will not; also, how the healing can be accelerated, or Avhat must be done in dangerous case.?, until a surgeon can be procured. 10 — 146 — Every wound, not mortal, will heal of itself, without medicine, unguents, plasters or smearing. Outward applications are almost always injurious, and have been discontinued for a considerable time by all rational practitioners. Nothing further is needful except apply- ing a proper bandage, and frequently wetting it with cold water; and if necessary, to give medicine inwardly, and see that the patient observes a regular diet. The most important means of healing a wound, is combination. Small superficial wounds can be com- bined by pressing them together with the finger, and keeping them thus by a ligament around the limb. The usual small cuts on the fingers are often troublesome, as they impede the use of the hand, yet they will quickly heal in a healthy person, by being sewed to- gether, which after little practice can be easily and quickly done, and Avithout pain. Press the wound together, that as little blood as possible may escape, and that the skin may appear white, so that you may be able to see and seize the cut. Then take a very fine needle with thread (silk is better), stitch near the cut, or from it across through the upper skin; if it pains, you have stuck too deep. When the cut is very small, and not deep, you may ahvays stitch from one side to the other straight across, making a usual seam with- out a knot in the beginning or the end. When the cut is deeper, and forms an angle, stitch once only across, tying both ends together in a knot over the cut, cut off, — 147 — and in the same manner proceed again, placing one loop near the other. You had better take a short thread; for if you haAre to pull much it may slip out or hurt. It may sometimes be better also to put each end of the thread in a needle, and with each needle to stitch a border of the cut from within to without. When the Avounds are larger, penetrating through the skin into the flesh, you cannot combine them by this superficial seam, but you wiU have to use sticking plaster. Cut this into strips a few inches long, nar- rower in the middle than at either end. Warm them either by your breath, or by wrapping them, on the linen side, around a bottle with hot water, or around your arm, till the plaster becomes soft. The narrow part must be put across the wound. Pull them as tightly as possible, and make them sufficiently long, that the wound throughout and at the bottom may be kept close together. Between the strips you must leave, particularly at the deepest end, an open spot, to let the humour out, in case the wound suppurates. In combining, the wounded part ought always to be brought into a position in which the wound is not gap- ing; and it should afterwards be kept so. Deep, lacerated wounds, or long cuts in the face, on the lips, eye-lids, the neck &c. have sometimes to be combined by deeper seams, which a surgeon only is able to do in a proper manner. Deep thrust, or other narrow but deep wounds must 10* — 148 — not be combined in this manner, because they would heal on the top, yet suppurate within. However, if you can bind them up so as to be pressed together within as well as on the surface, you may do so, until you can procure a surgeon, who ought always to be consulted in such cases. Every wound, besides being sewed, or combined to- gether by sticking plaster, must be tied up in such a way, that the junction may be accelerated, and the air kept out, without the Umb being pressed or laced more than is necessary. Whenever wounds have been combined and ban- daged in the manner here indicated, the bleeding will usually stop. Sometimes it will be necessary to put folded linen upon the wound; press it and keep it tightly on by the bandage. Cold water, which you must apply immediately and often renew, is likewise the best means to stop the effusion of blood. In some cases, however, it will not suffice. When blood is gushing out of a wound on the neck, above or within the thighs or arms, the whole limb, or whole part has to be pressed together, and on the neck the whole side, and you ought to procure a surgeon speedily. When light-red blood issues from the wound, squirt- ing by turns, as the pulse beats, the bleeding is still more dangerous. Hasten to obtain the assistance of a — 149 — surgeon, but meanwhile (a minute's delay being haz- ardous) tie a cloth tightly around above the wound, that is from it towards the heart, feel about above this bandage on the inner side of the limb, until you per- ceive the beating of the artery, put on this spot a cork lengthwise, press it well home, put over it some doubled linen, a few inches long, and as thick as a finger, and around it a bandage, which you will lace until the blood stops. Immediately upon pressing the artery together, the wound sometimes will bleed stronger, but it will soon subside. Do not omit applying cold water or ice frequently to the wound. People are apt to have recourse to very wrong and injurious remedies to stop the bleeding. In the fright they wrap around it one cloth after the other, until they exhaust their whole stock of rags and handker- chiefs. But this AviU not stop the bleeding, it will merely conceal it. If the first firm bandage does not avail, whatever is wrapped around subsequently is useless and injurious, because it only hides the danger, and prevents the cold water from penetrating. There- fore, where the bleeding is profuse, tie a bandage above the wound, and also one below it, draw it together so as to be covered but once, and apply water and the other remedies. Some people put upon a wound which bleeds freely the most heterogeneous things imaginable: such as vinegar, cobwebs, what they call balms, brandy, spunk, — 150 — lead-water, colophonium, white of eggs, sweet oil, wood-ashes, glue, vitriol, alum, rust, lemon-juice, shoemaker's wax, gum arabic, tinder, salt water, tar, nut-galls, warm urine, dragon's blood, tan, the juice of various herbs—oak, alder and other leaves, either raw and boUed; useless salves, unguents, and other trash sold by apothecaries as remedies for stopping blood. But by the application of these things the heal- ing of the wound is rendered much more difficult, as they soil the lips of it, and every thing heteroge- neous entering it, can only be brought out again by suppuration. When it is impossible to stop the blood by a proper bandage, the application of cold water or ice, and a quiet position of the patient, hasten for a surgeon. Until he comes, have recourse to the following means: Let the patient put a little salt on his tongue, and should it not help, give him some vinegar and water; but nothing Avarm to drink. Let him lay high with the wounded part, and see that no part of his body be pressed. Should he faint, leave him at rest, and do not pester him with smelling bottles. SAvooning is always beneficial, because then the blood flows less rapidly, and is more apt to clot in the wound by the coldness of the water applied to it. In case the patient turns pale and blue, his face and Umbs becoming convulsive, then his situation is dangerous, and you will let him smell the cork of No. 17. Afterwards, when he is getting — 151 — worse again, give him a little pure old wine, whenever he desires it, and thereupon, if necessary, again No. 17. The same remedies are applicable after a great loss of blood; hoAvever, let the patient, when the blood stops, drink cold water repeatedly in small portions, whenever he desires it. To stop the blood, when the first bandage and appli- cation of cold water wdl not avail, take some tobacco juice from a pipe which has been smoked by a sound person. Into thirty teaspoonfuls of water put one tea- spoonful of this juice, and drop it slowly into the wound. Better still are those black, glutinous drops which hang in chimneys where wood fire is kept. Take of it as much as the size of a pea, mix it with a tablespoonful of brandy till this turns brown, then mix it with half a tumbler full of water, and drop it into tUe wound. Creosote - water, if it can be had at the apothecary's is to be preferred. However, Avell bandaged the wound may be, it can- not heal, unless it has been previously properly cleansed. Therefore, before you bandage it, see that every thing foreign in it be first removed. If the wound is fuU of dirt or sand, if splinters are in it, small pieces of glass, fishbones, shot or rags; or if the iron which caused the wound was rusty, — it Will render the healing of the wound more difficult. Therefore, clean such wounds well with water, endeavoring to remove by — 152 — laving or syringing every thing of the kind; should it be impossible to get it all out, dress the wound but lightly, to keep out the air, Avithout pressing it, and renew the dressing often; wounds of this kind, par- ticularly when splinters remain therein, ought always to be treated by a surgeon, if he can be procured. When a person has run a naU into his foot, or fish- bones, spUnters, or glass &c., you cannot always remove every thing; surgeons are apt to cut in such a case this way and that, but in vain. Into such a wound put at once a little vulnerary balsam, balm of Peru is the best, but in case of need use Canada or any other, put over it a roll of linen and tie it to the sole of the foot. ReneAv the application of the balsam every day, until the Avound is healed from within. It is requisite at the same time, that the Avounded person walk occasionally, even though his foot pains; the foot ought by no means to be left too much at rest, for by treading on it the Avound becomes cleansed. If there is much inflammation, apply outAvardly cold poultices of water, and inwardly the medicine mentioned below. If the wound in the sole heals, but there remain a painful sensation when stepping, indicative of some- thing remaining Avithin, tie a cork-sole, or a sole cut out of paste-board to the foot, out of which sole you will cut a piece on the spot where the foot pains; and let the patient Avalk about and not be sparing in the use of his foot. Give him for two successive mornings — 153 — No. 21 °, and should it not avail, after seven days No. 16 °, and after seven days again No. 21 °. What- ever remained, within AviU then generally come out. If you feel it under the skin, and this is rather thick, have a cut made, and pull it out, or if this is not feasible pare the skin quite thin with a sharp knife. Besides the blood-stopping, the cleaning and dressing of a Avound, its subsequent treatment, as well as the diet of the patient are matters of importance in healing it. With large Avounds the patient ought afterwards to keep himself as quiet as possible, he should not exert either his mind or his body too much: — he should drink much cold water, and avoid whatever is heating, or salt, spiced, smoked &c. As soon as he becomes quiet, give him as before mentioned in other hurts No. 15; if fever increases, once No. 3, and after some hours again No. 15. If the patient lost much blood, give ahvays first No. 17, and on the day fol- lowing No. 15. People Avho have a morbid skin will find it difficult to heal the slightest wound, as it will always suppu- rate; to such give No. 14, and should it not help No. 16. Sometimes those medicines are also applicable, which are indicated*under "Ulcers". When convulsive symptoms occur, and you have reason to apprehend that tetanus, or locked-jaw will follow, you had better call a physician; yet should — 154 — locked -jaAv actually take place, you need not apply to any of the usual practitioners, for they cannot cure it. In that case have recourse to the medicine recom- mended hereafter against "Tetanus". If the dressing was necessarily put on very tightly at first, you may ease it soon afterwards, should it happen to be troublesome, or the next day. Yet if it is not too tight, let it remain for two or three days, if the wound does not suppurate, and remove it always gradually. When taking off a sticking plaster, always begin at both ends to loose it, proceeding by degrees towards the middle. Begin always at one end of the Avound, putting immediately another piece of plaster in its place, and continue thus to the other end, that the wound may not spring open again, or be rent asunder. If any way possible, let the bandage remain till the Avound is healed; however, in summer it wiU require dressing oftener, particularly if it suppurates. Let the seams remain till they come away of themselves. Cold water serves not only to stop the blood and clean the wound, but afterwards to heal it. Put on a folded rag, which should be frequently dipped in ice- cold Avater, particularly when swelUng, with pain and redness appears. Or take lint, dip it in water, and cover the wound with it. Over it put some paper, rubbed with wax, or thick, oUed paper, tying a handkerchief around it, to keep the patient otherwise dry. At first — 155 — renew it daily thrice, subsequently twice. As soon as the heat mitigates, and the wound begins to heal, use it less^frequently, and discontinue entirely with it when the heat has disappeared. All wounds which suppurate much and for a long time, must after some days be treated as ulcers, in the manner hereinafter mentioned; and not cold, but warm water must be put on them. All wounds that are lacerated, bruised, and others which cannot be combined, need only be drawn to- gether and treated with cold water, unless they should turn into ulcers. All wounds over a bone, either on the head, the breastbone, the elbow, finger joints, or the knee, the shin-bone, or the ankle, you must treat with nothing but cold water, without any bandage, salves and plas- ters. At first only, in order to stop the effusion of blood, you may press them, subsequently tie them up merely to keep off the air. It is very dangerous, in- deed , to put on any thing else, be it what it may, be- cause the Avound may thereby be converted into an ulcer, which may eat into the bone. The sores from leeches often bleed too much; there are instances of children bleeding to death of them during the night. It would be better, of course, not to use leeches; however, he Avho does not understand applying a good remedy, must have recourse to a bad — 156 — one. Such hurts can always be stopped with two stitches, which will not pain in the least. With children) who are afraid of this, you can stop the bleeding by pressing the sore, and applying to it a cover of pitch or wax, and paying attention to them at night. The same precaution is necessary after opening a vein. The wounds from the extraction of teeth are apt to bleed considerably. Vinegar is always hurtful. Stop the blood with cold water; if this will not answer, by the insertion of a plug of linen, bitten in until the bleed- ing is stopped. Should this also prove useless, take the water mixed with rust of iron, as above described, wet the linen with it and plug again. If you suffer much pain and swelUng, take No. 15; if fever No. 3, alter- nating sometimes with either. Should you afterwards catch a cold, and these remedies will not do, No. 23 or No. 12 often wUl. If the jaw-bone sweUs, and a tedious suppuration takes place, take No. 21, every seven days, until you get better. When children fall, and their heads are severely shaken by it, they often begin to vomit, cry but little, or at intervals, and sleep uncommonly long and soundly. Give No. 15, and see that the child be not over- heated, or take cold;— do not let it eat or drink any thing heating, or sleep too long, and should it get a fever or fits, give No. 5 and be careful of cold; if — 157 — this will not do, and the child bores much with the finger in its nose, give No. 27. If the chUd sickens, and tosses much with its head on the pillow, if the pu- pils of the eyes are much dilated, not only in the dark, or when it awakes naturally, but also in day-time, give No. 5, and if this, after a second dose, will not avail, after four or five days give No. 16, which should operate for several Aveeks. If some of the above symptoms still remain, the head enlarges, the skin opens on the soft spot between the bones, and you per- ceive there, when putting your finger on it, a slow beating, let the child smell No. 35 R., which will help. Considerable wounds in the head, with broken bones, large wounds in the face, deep ones in the neck, the breast, thrusts in the stomach, all wounds by which the joints are crushed, or Avhich penetrate into the joints—must be treated by a surgeon in aU cases. When a limb has been partiaUy crushed, it may sometimes be preserved by the application of ice-cold water, or ice itself, and giving inwardly No. 15, alter- nating sometimes with No. 3. It is even possible, after gangrene has already commenced, by giving No. 17, and later, when the skin begins to turn black, by No. 38 R. However, the surgeon is the proper judge of Avhat ought to be done, and we propose this merely in cases where the patient will not submit to — 158 — amputation, or where no surgeon is to be had to under- take it, or where it is already too late. In large wounds in the abdomen, where the bowels protrude, the whole stomach being torn open, do not give up the patient. Though the appearance of such wounds is bad, they are often easily healed. Replace the bowels as soon as possible, yet not without having them previously cleansed, if any sand or dirt adheres. This must be done with lukewarm water, but do not rub, only lave, and see that no water gets into the stomach; do not seize the bowels with your bare hands, but with a clean linen cloth. Let the patient smell no- thing strong, nor give him any medicine, except, should he be quite indifferent, or senseless, No. 2, or when he is delerious No. 1, when he falls into convulsions No. 4, when he turns pale, his nose pointy, "his limbs cold, No. 17; however, as soon as the first tempest is over, in all cases, No. 15. If no physician can be had, sew the wound together Avith a waxed thread, leaving in the deepest place a small opening, bind it up in order to prevent the access of the air. Should very dangerous symptoms prevail, try No. 38 R. HETEROGFNEOUS PARTICLES IN THE BODA*. In the Eye. —Washing out will only avail when dust gets into the eye; but anything soluble will only spread further in it by so doing. Sweet oil is alleviating with — 159 — caustic, burning acids or salts; but injurious with Spanish flies. The white of eggs is good when sharp dusty, mineral particles, paint, or small pointy things have got into the eye. Draw the eye-lids apart, roll a bit of paper so as to be soft before, and that it can be held behind; with this, as Avith a hair-pencil, you can seize and remove what- ever may be in the eye. The eye must be slowly moved in every direction, while you hold and examine the eye-lids, to see whether any thing adheres to them. Unsized paper ansAvers best for this purpose; every thing will stick better to it. When you have to push it far, wet it first with spittle., Particles of iron) particularly those which, when striking fire, or in a smithy are projected hot into the eye, usually stick Arery fast; sometimes you may suc- ceed in loosening and withdrawing them by a bent horsehair, pushed under the eye-lid and moved back- ward and forward, or with a clean ear - spoon. A mag- net will rarely do any good, unless the iron particle should happen to be loose, in which case paper will answer every purpose. Much rubbing is always injurious; it is better to put on a linen roll with cold water. The pain will often abate in sleeping. If the eye is red and inflamed, give No. 3, which will also answer when the particle still adheres to the eye, and cannot be got out. This will ease the pain until the physician comes, or the night is ~ 160 — passed, and you will be able to examine better. If after repeated application of No. 3 the eye remains red and painful, give No. 18; and only in cases where this will not avail, after seven days give No. 35 R. In the Ear, —When insects get into the ear, rest the head on the other ear, and drop- oil in, until the insect •becomes visible, When you can pull it out with a bit of paper rolled up. When a child has put anything inte its ear, seeds, peas, beans &c, which will SAvell, hasten to take a hair - needle, bend it on the upper end, where the wire is turned round, into an obtuse angle, which you may easily do with a key, so that the upper part of the needle may form a knee like a spoon, and push both the pointy ends into a cork: Place yourself so as to stand behind the ear, puU this with one hand upward and at the same time from the head, that you may be able to look far into it; dip the instrument in oil, and the bend close to the inside of the ear, push it in so as to get it around and behind the object; then lift it a little and the end of the needle seizes the object from behind, like a spoon, so that you can easily move it forward and pull it out. If inflammation of the ear and pains remain, give No. 8. When the inflammation is bad, and the ear so swollen that nothing can be got out, No. 8 Avill like- wise do. In some cases, when the patient suffers — 161 — severe pain, has a fever, and talks incoherently, No. 8 wfll not answer, but give No. 5. Subsequently, if pains remain, you may often succeed by No. 18. In the JVose. —Let the chud breathe, shut its mouth, that it may press the air out again through the nose; or tickle the nose with a feather or some dry snuff. Sometimes things may be pulled out of the nose by the same instrument recommended for the ear, or a similar one but longer, or by pushing them backward that they may fall into the mouth. Do not make too many experiments, but rather apply to a physician, who has the proper instruments. The swelling of the nose which will sometimes prevent the object from being taken out, or which may subsequently continue, you can considerably diminish by Nos. 3 and 15; some- times, when this proves useless, give Nos. 23 or 12. For after - pains and suppuration No. 18. In the Throat. — Urge the chUd by beating it be- tween the shoulders to throw up; let it open its mouth, press the tongue down with a spoon, look into the throat whether you can see anything, which you may perhaps seize with your finger and pull out. If it is a large piece, remaining in the throat because of its size or hardness, it wUl be well to excite vomit- ing, particularly, if you perceive that, in worrying, it pushes upwards. It may suffice to tickle the throat; if not, put snuff on the tongue, and give an injection of tobacco. If you can feel it on the outside of the neck, 11 — 162 — a gentle pressure upwards may also contribute. At first you ought certainly to endeavor to bring wjiat was thus swallowed up again; however, do not pro- ceed too hastily. If it is already so far down that you cannot feel it in the throat; if it sticks fast in the breast, it must go down into the stomach, particularly if it is soft, smooth, and dissolveable, and only stuck fast be- cause of its size. If the patient feels that it is slipping downwards, you will let it go of itself into the stomach, giving only some water, if it is something which will not SAvell, or melted butter; or, when the substance is very troublesome, you may try to push it down. For this purpose take a smooth willow tAvig, or a small piece of whalebone, shaved perfectly smooth, tying to one end a bit of sponge. In order to tie it quite tight, make a few notches in the stick, and take waxed thread or silk. Grease this Avith oil, and push it against the back part of the mouth and the throat slowly and cautiously doAvivvvards, Avithout using much force. If a convulsion takes place, and the bit will not move; if pain, difficult breathing and other symptoms occur, give No. 4, or if this AviU not avail, No. 14 to smell, then some sweet oil or butter, and then repeat the attempt to push it doAvn. Frequently the sensation will continue in the throat as if something were sticking there, when the thing itself is already doAvn in the stomach. This, hoAvever, signifies nothing, goes away of itself, or after some — 163 — remedies. You will knoAv it by the pain having been first more violent, then remaining milder without alter- ation, and not causing any other trouble; also, that the patient is able to swallow soft or fluid things, without throwing up again, and which when touching the in- jured spot hurt, without rendering it worse. In such cases you may give No. 15, and if it will not help, No. 7, or one of the remedies hereinafter mentioned. With sharp, pointy articles, such as pieces of glass, fishbones, small bones, needles &c. be cautious, and use no violence. Often it will be sufficient to swallow some bread, slightly chewed, or figs, or dried prunes; or with small pointy things sticking fast, wax pills of the size of a musket ball, dipped in honey. They are best made of wax from the hive, and rolled in its own honey, till they are round and smooth. Should dangerous symptoms appear, violent pain, exertion to vomit almost to suffocation, great anguish, fits &c, you must hasten to extract whatever sticks fast, or at least loosen it. A thread sling will answer for this purpose, or a fine benVwire, which you push in so as to keep both ends of the sling out of thejnouth. Push it until the sling gets below the painful spot, move it up and down, turn it several times, and draw it slowly up again. In some cases a stick of whale- bone, or a small willoAV twig, as before mentioned, will ansAver better. Turn the end carefully below the 11* — 164 — particle, give a drink of water, and after a little while, when the sponge will be a little swollen, pull it gently up again. You may also tie a feather with much hair to a thread, and push it, with the quill before into the throat, so that the feather when puUed up may lean against the side of the throat, and there, by being turned several times, loosen and seize the particle ad- hering. Or you may tie a number of silk slings, made like those for bird - catching to a willoAV tAvig, intro- duce it in like manner, and by turning it several times, seize and bring up needles or similar things. Where needles, or fishbones adhere, it has been of use to let the sufferer swallow a bit of meat or bacon, fastened to a string, and after having passed the painful spot, pull it up again. In case of need, or when splinters of glass stick in the throat, take the upper end of a tallow candle,. tie a strong thread to the wick, have it sAvallowed and pull it up again, repeating this several times. In dangerous cases you must ahvays take whatever can soonest be got, considering of what na- ture the substance swallowed is. Thus a child once swallowed a fish-hook, so that the string stuck out of the mouth; to push it down was dangerous and haz- ardous , to pull it up, impossible; if remaining within, it might prove mortal. The physician had the rare presence of mind to hit upon the only proper means; he had a leaden ball perforated, dreAV the string through the hole, and pushed the ball doAvn the throat; the — 165 — fish-hook was loosened from the flesh, and, laying fast to the baU, was pulled up again. In all such cases let the head be reclined against an- other's breast, press the tongue down with the left forefinger, and introduce the instrument, previously greased with sweet oil, slowly and carefully on the back part of the throat downwards, as far as requisite. In the sudden resistance or convulsive motion and pain of the sufferer, you will perceive that the instrument has reached the wounded place or the heterogeneous matter. In puUing up be careful that you do not hit above the head of the throat, or lose again what you brought up. Rather press the instrument a Uttle side- ways , letting the head quickly bend over, as soon as the end of the instrument comes up. In very dangerous cases, where even an expert prac- titioner is not able to afford relief in this manner, the last means will be to make an incision into the throat, by which sometimes even those may be saved, who were on the point of suffocation. In the Stomach and Bowels. — It is generally suffi- cient that the patient eat nothing but soup and gruel, avoiding whatever is heating, irritating, or acid, and patiently waiting till the undigestible particles swal- loAved be removed. This wUl be accelerated by gently rubbing and pressing the abdomen, by laying on it, using frequent and moderate exercise, without violent exertion. By proper attention and a regular mode of — 166 — life, coins, rings, leaden bullets and other things, often larger in size than the slender intestines, are usually expelled after a time without difficulty. Whoever is troubled with dyspepsia, should take no cathartic, which only weakens the intestines, but live upon light food, eat much butter, and have daily an injection ad- ministered of warm water or milk. In all such cases the patient's excrements ought to fall into a bucket with water, to be stirred and strained through a basket, a coarse sieve, or, when needles have been swallowed, through a coarse cloth, in order to ascertain whether the foreign substance has been ejected. Needles sometimes take a course quite dif- ferent , and come out of the body again, without occa- sioning any injury. Should this state of uncertainty last rather long, give every week No. 21, or as a change No. 16 once. If some time after a person has swallowed needles or coins, bad symptoms appear, and he feels pain at some spot in the stomach, as if something were jammed in there, give immediately No. 25; should it afford relief, repeat the dose whenever he feels worse again; if not, give No. 13. Should notwithstanding danger- ous symptoms appear, with a violent chohc and ob- struction, No. 2, frequently given, will help. Should symptoms of inflammation appear, with pain, as if the spot were going to open and suppurate, No. 38 R. will avail. — 167 — Tilings swallowed sometimes pass without molesta- tion, through all the intestines, and then stick fast in the anus. In this case give an injection of linseed-oil, sweet oil or milk; cut long thick slices of bacon, and push them up the canal, so as to "hang half out, or be held fast by a string. If you can introduce the bacon immediately after the injection, it will protect the anus from being wounded by the object in its passage, and it may often be easily puUed out, particularly if some- body were to assist with a smaU rounded stick of whalebone, or the handle of a silver spoon. Should you not know how to go about it, apply at once to a physician; but have recourse to no cathartics, which may prove dangerous. If the anus closes convulsively, give No. 4. When leeches happen to get into the stomach, they wiU occasion dreadful accidents: a burning pain, hic- cups, blood - spitting, and slow fever, reducing the patient visibly. Administer immediately abundance of kitchen salt, dissolved in water, occasionaUy melted butter, and with children, sometimes sugar, until the molestation ceases; then give No. 15, and after some days against after-pains No. 19. When other live creatures have got into the stom- ach, (if they are insects), let the patient swaUow some sweet oil, or fresh salted butter, and he wiU find re- Uef; if the pain wiU not cease immediately, let him swaUow a bit of camphor of the size of a pea rubbed in — 168 — oil. Should they be worms, snakes, frogs &c, let the patient drink sugar water, and eat sugar till be begins to purge. Should this prove unavailing, give puis of chewing tobacco, of the size of a pea, at night before going to bed, and in the morning fasting; to children but one pill, to grown persons two or three; to such as smoke or chew tobacco from five to six, and grad- ually more. Bad consequences from these pills will be obviated by smelling camphor; and giving No. 25, several times repeated, or No. 13 in the evening. In the Throat and Windpipe. — When a person talks or laughs in swallowing, or rapidly breathes when holding something in the mouth; or when children in their play catch something thrown towards them, with the mouth; it may happen that particles will get into the windpipe, or into the head of the throat. Beating the sufferer betAveen the shoulders with the flat hand, while he is bending forward, or enticing him to sneeze by blowing snuff into his nose, or to vomit by tickling his throat, — will only help at times, and in trifling cases; on the contrary it may render the matter worse, for which reason you ought not to continue long with such trials. You may also try at first to bend the head back, holding it downwards, and thus the thing may be removed by coughing. Yet all this, should it stick fast, will avail very little. Perhaps you may succeed in putting the patient to sleep by medicine, but he must not lay with his head too high, and the foreign 4 — 169 — matter may go away of itself; however, should the danger increase notwithstanding the medicine, the patient will have to undergo an operation. Hasten therefore to procure the nearest surgeon, who may cut into the windpipe, by Avhich means the patient may be saved even were he already on the point of suffocation. This operation, if well performed, is by no means so dangerous as it appears, neither is it difficult: — as nearly all who have undergone it, have been cured, and the saving of such as have severed their windpipe in an attempt at suicide, is nothing uncommon; there- fore never hesitate to have recourse to this operation, when an expert surgeon is at hand to perform it. In the symptoms often resembling those where some- thing remains sticking in the throat, you ought in every case to look into the back part of the mouth, pressing the tongue down, and try if you can reach the object with your fingers or with a spoon. You may also try with a thin rod of whalebone, or willow, whether you can feel anything in the throat. You may also find out by the following signs whether the thing sticks in the windpipe: the pain is more perceptible in the fore part, so that the patient is able to indicate it with his finger; when the thing sticks in the throat, the pain is more backwards. The same difficulty oc- curs in swallowing and breathing, as if something were sticking in the throat; however, the drawing of breath is rendered peculiarly difficult; the face becomes bloated — 170 — and purple, the eyes appear dilated, the voice alters, becomes hoarse, or is gone entirely; the cough whistles or rattles, and threatens to end in suffocation. At first the symptoms do not signify much, yet they increase gradually; or they disappear at times for a Avhile, and then return and become worse. When you have ascertained that the foreign particle is in the windpipe, give at once No. 25, repeating the dose, if it helps, as often as the difficulty increases. Except sugar, or sugar water, nothing else should be given. Until you can obtain the assistance of a physi- cian, you might, if No. 25 should not suffice, give No. 5 W., which cannot but have a good effect. As soon as the patient faUs asleep, leave him at rest, and do not, when the symptoms reappear, give a new dose immediately, but only when they become worse. Some- times the intruding substance will be ejected during sleep. When No. 5 will not suffice, or when mo- lestation remains after the danger is passed, you may try No. 16 W. If despite of aU these remedies suffo- cation threatens, give No. 20, or should the patient's face turn purple, first No. 2, every quarter of an hour, in some water. When dust has been inhaled into the windpipe, and occasions a bad cough, or hair, or feathers have got into it, No. 5, and subsequently No. 16 wiU afford relief, but only by degrees. It is advisable to take at the same time some sugar, or gum arabic. — 171 — Under the Skin. — When something remains stick- ing under the skin, you can always apply the remedies indicated in pages 151-153. I AA'ill only add* what is to be done when numberless small, pointy particles, thorns, thistles &c. stick in the skin. When such things trouble you, put oil on the spot where they are, and hold it as close to the fire as you can bear, then take a large common knife, not too sharp, and shave with it slowly on the skin. Put on the whole edge, as you do when shaving with a razor, pressing as hard as can be borne; when the thorns or thistles stick crooked, shave contrary to the direction in which they penetrated. Repeat this operation, if required, putting on oil and holding it to the fire, untU every thing is extracted. The same operation might be tried when splinters of glass have got into the skin; however,'it would be very painful, and it will be better to extract them by suppuration, treating the spot Uke any other wound. If the splinters do not come out after No. 15, give No. 16, and if they do not then suppurate out, give No. 21. In cases where the matter is deep in the flesh, and neither Nos. 21 nor 16 will avaU, let the patient smeU No. 38 several times, 'or give him afterwards No. 7. =_____=_ BURNS. When you have burnt your skin, the best thing you — 172 — can do is to hold the spot close to the fire — the worst to put cold water, or anything else on it, which is cool- ing, such as potatoes, carrots, turnips &c. Every one knows that these things always occasion bUsters and sores; whereas heat, on the contrary, draws out the fire, and the effects of it disappear entirely and within a short time, without afterpains by applying something which burns with less violence. A good remedy in many cases is oil of turpentine. However, this is only appUcable in burns of small spots, because it is very apt to occasion other molestation, and is, if abundantly applied, very dangerous. The application of spirits of wine, strong brandy, rum &c, particularly, if heated, is much better. Put some in a dish on a stove to heat, and at the same time in another dish, or a saucer, set some on fire, and let it burn until it is heated, then extinguish the flame by covering it, and use this till tUat put on the stove is heated. With this wet the burns as long as the pain is somewhat increased thereby. You may apply it also to large spots, by dipping rags into the spirits of wine, putting them on the burns, and keeping them constantly wet. However, it is not very feasible, when half the body is burnt and there are deep wounds. Neither can it be done near the eyes, and other tender places; nor will it do any good, if in the first conster- nation cold water has been applied. In many cases where the burn has spread over a — 173 — large surface, without causing deep wounds, raw cot- ton is a clean and very good remedy. Pull the cotton finely apart, or cotton wadding slit open, and spread it in thin layers, one over the other, upon the burnt spots. Blisters should previously be stuck open, and washed out with warm water. If the wound sup- purates , take off the upper layers, but let the lower remain, placing fresh ones over it. The whole mem- ber ought, however, to be well bound up. The quicker the raw cotton is put on, the better it will be. Should, however, cold water, or anything cooling have been applied before, it wUl not avail much. The very best remedy in most cases is soap. Pot- ashes , it is well known, are a substance very fretting and burning. Combined with fat, as soap, it retains its fretting property, else soap could not take off dirt, neither would it burn in the eye, or on the tongue; however, the fat considerably mitigates its violence. For this reason soap is a very proper remedy, and as it can easily be got anywhere, and is readUy applicable, it is to be recommended in bad and deep burns. It will still do even after much bungUng with other things. Take white, or in preference Castue soap (but no brown, or resinous soap), shave it fine and convert it ■by lukewarm water into a thick salve. Spread this salve as thick as the back of a knife on strips of linen or other cloth, and cover the burns with it, being care- ful to make it touch every spot; for if any remains — 174 — without being in contact with it, it cannot heal. When bUsters have already risen, cut them open and cut aAvay the loose skin as much as possible. Tie it well up, so as to keep the plaster continually in contact with the skin. Thus let it remain for 18 or 24 hours, and, if the skin has been much injured, be careful in re- moving the plaster, do not wipe or wash the sore, but only put on a fresh plaster. This wUl at first increase the burning a little, yet it will soon ease the pain. When the pain, after having abated, begins again to increase, it is time to put on a fresh plaster. After the first bandage, therefore, make a fresh supply of salve, which you will then be better able than before in the hurry to prepare nice and even. Thus continue until the wound is completely healed, which, though it be ever so bad will happen much sooner than after the application of cold Avater, lead water, sweet oil or other remedies of the kind. To heal slight burns in this man- ner Avill only take two days, the worst not more than eight. Nay, its healing effects avUI even be perceived where the skin has been burnt to the bone. If the sore is properly attended to, it will heal usually without sup- puration, and without leaving any mark. An invaluable remedy, which, causing a burning sensation on the skin and in the eyes, must be healing in burns, is Creosote water, Avhich in a short time Ave shall be able to get in every apothecary's shop. In cases where the application of soap occasions a bad — 175 — smell, Avhich will not pass off upon renewal of the ban- dage , or where the application of salve is too trouble- some , either because the bandage cannot be properly fastened, or the patient is not able to keep himself quiet, — in all such cases the application of Creosote water is preferable. Its healing effects wiU be perceptible in the slightest as well as the most dangerous burns — im- mediately after they occurred, or subsequently — after any proper, or improper remedy. Apply it to the wounds with a hair pencil, put on them linen rags dipped in it, and put a light bandage around to keep off the air. Blisters must be stuck open, and be cut aAvay as soon and as far as possible. The pain it occasions is insignificant, and the wound will heal quickly. Renew it whenever the,wound pains again, everyday once, tAvice or three times. If no Creosote water can be had, make something similar of dripping soot. Shake this in double its weight of brandy, and put a teaspoonful of this mixture into a pint of water, and of this use neither what is swimming on the top, nor what precipitates, but simply.the solu- tion. In case of need you may also take tar to put on sores from burns; but they will easily become unclean, and it will be well to put a fine rag on the wound, and the tar over it. Violent pain after burning will subside, if nothing else can be got, by streAving flour or hair powder on the burn. — 176 — In fever, which sometimes takes place, give No. 3; but No. 15 ought never to be given in burns. In extensive burns sometimes diarrhoea or costiveness obtains; but no remedy ought to be given except against the latter, should it continue longer than four or five days, when you may give injections of warm water. The diarrhoea, which sometimes occurs, is very necessary for the preservation of Ufe, and ought by no means to be stopped, unless it should continue for Aveeks after the burns have been completely healed; then give first No. 25, after some days, if required, No. 12; should it prove unavailing, No. 22. Yet in most cases the diarrhoea will cease of itself, upon drinking plenty of water and frequent motion in the open air. Either is indispensable for restoration to those who have had severe burns. As to the application of lead ointment, or, worse still, lead Avater, I can only say that it has never yet done the least good; the horrid suppuration, ulcers and ever - remaining scars, consequent upon it — could not haAre been Avorse, if nothing had been done. Expe- rience has proved in numberless instances, that persons who have had a large part of their body injured by burning, have been poisoned by it; and that aU child- ren, who have had lead water applied to half their body, generally die — not, as is falsely alleged, in con- sequence of the burns, but by being poisoned, as is palpably evident in the symptoms: — and it cannot be — 177 — mentioned too often, in order to induce people of common sense to abstain from this abominable incon- gruity. (Jfe* AVhat has to be done when parts of the body Buffer from Cold' will appear under "Chilblains".'How persons who are Frozen ought to be treated, will appear under "Apparent Death"' where also rules will be found as to the treatment of people apparently dead from suffocation, hanging, drowning and other causes. —(g)«3*— PHILADELPHIA: PRINTED IN J. G. AArESSELH_FT'S GERMAN, ENGLISH AND FRENCH PRINTING OFFICE. Juit publiihed and for tale by J. £t. II*3£<46S£— — 38 — C. Of the Ears. For eruptions behind or within the ears, see "Erup- tions ". The mumps are a swelling, of the great salivary gland lying before and under the ear. They frequently affect children, yet are not dangerous, if they do not strike in. Sometimes the swelling extends over the whole neck, so that the patient can neither chew nor swallow, and increases for 3 or 4 days; but there is no danger; on the 5th or 7th day the swelling in the neck disappears, and shows itself on the breast, or the testi- cles, which are sometimes red and painful, or stomach- ache occurs or other symptoms. This is the most critical time. Keep the patient therefore continually warm, not excessively so, prevent his taking cold, or overheating himself, and all stimulants in meat or drink. No outward application must be allowed; at most, a cotton or linen handkerchief may be tied about his neck, but no silk or flannel. The principal remedy is No. 7, which requires but very seldom to be repeated. When the patient as- sumes an inflammatory appearance, or the swelling is red resembling erysipelas, or when it strikes in and affects the brain, Avhich is perceivable by a sudden col- lapsion followed by insensibility and flightiness. No. 5 will help; given in dangerous cases in water a tea- spoonful every hour, until the improvement appears. - 39 — When the patient has a slow fever, the swelling be- coming harder, and will not disperse, when striking in it falls upon the stomach No. 29 will assist. Should this in a case of slow fever not help, then give No. 41 to smell. If No. 5 does not relieve the inflammation, and fever in 36 hours, then give No. 33 to smell. If No. 7 have been given at the commencement, without effect, or if the patient formerly has taken much calo- mel, give No. 29 immediately. When pain in the throat is combined with it, see what is prescribed for that affection. When great, hoarseness prevails, No. 29 will almost always relieve. Inflammation of the ear. Should the ear be red and hot, swollen and painful; the passage often nearly closed, the pains so severe, that the ear hardly allows of being touched, and the farther inwardly the worse; sometimes with so violent a tearing, boring, throbbing, piercing and burning sensation, that the patient talks wildly and begins to rave; then give No. 8. In some cases only, when the brain is affected, great anxiety, vomiting, coldness of the limbs and other dangerous symptoms appearing, No. 5 will help. Otalgia or other pains in the ear from cold, suppres- sed perspiration, single violent stitches as if a knife pierced in; the inner ear dry and without cerumen, the pain passing from the ear to the flaps; making the patient irritable, ill humoured, the pains appearing in- tolerable No. 14 Avill apply. If perspiration occur, — 40 — yet without reUef, Avhen the drawing pain reaching the cheeks is piercing deep within, at the same time tear- ing or pressing or burning even outwardly, yet Avith an inward cold feeling, with violent twitches, particu- larly if the ear be damp - swet, No. 7 is to be given. Should it be a rheumatism fallen on the ear, with a jerking tearing pain, as if something would be pressed out, or when it is externally red, hot and swoUen, the pains passing through the whole side of the face, par- ticularly with persons of a cold and melancholy dispo- sition, No. 8 is useful. For those of an ardent temper No. 13 will be of service. With very sensitive per- sons who are troubled with it on every slight occasion, with a pressing stinging pain within and behind the ears, heat and irritability at any loud noise No. 15 will help; but if the pain be more drawing outwardly, stinging and tingling within, give No. 17. In other cases like these, Avith stinging in, and behind the ears, boring, screwing, with draAving and stinging even to the throat, with a tingling, rumbling round in the ears, particularly when the head and eyes are also affected, the pains returning more violently at intervals by touching or moving, No. 5 will help. If this fail, and it stings when sneezing, beats and roars in the head, give No. 16 R., or in similar cases, where the pains are very severe, as in cramps, with a jerking, rumbling and rolUng sensation in the ears, these being as if deaf and cold with crawling towards the face, give - 41 — No. 32 R. In other cases of the same kind, particu- larly from colds, where the pains are more severe when lying down, than when stirring, particularly at night, Avith nausea, No. 22 is good. Other remedies are suitable, such as Nos. 10, 18 and 20, you may choose according to the other complaints. Use no outAvard applications; sweet oil may become dangerous, hot steam may scald the ear, and when once injured, it can never be restored again. A sponge dipped in warm Avater and bound upon the ear, is the only thing which may probably abate pain without do- ing injury. When the remedies are found to succeed, then no cotton or avooI should be put into the ears. Indeed this should only be done when the running of the ears makes it necessary, as has been spoken of, when the remedies prescribed for children,.do not immediately succeed, then tie a thread dipped in sulphur around the ear, which often occasions a running and brings relief. Running of the ears is a malady which must be borne with the greatest patience, because the most trifling discharge, when suppressed, may be followed by the most serious consequences. Let nothing be in- jected, even oil is pernicious, because some of it ahvays remains in the ear and becomes rancid; other things which are becoming dry, are still more noxious; tepid water, as much as is necessary for cleanliness, is the only innocent thing. In this case some cotton, or Avhat — 42 — is better, some lint, may be put into the ear; in winter to keep out the cold; in summer to exclude flies, which sometimes deposite their eggs there and occasion fright- ful agonies. It will be necessary, should the patient feel the creeping of the vermin, to drop sweet oil into the ear until it is full and proceeding as before directed in page 160. Important as it is to have some cotton in the ears, particularly Avhen the discharge smells offen- sively, during Avarm weather and in sleep, still it will require much precaution. If the pledget be too thick, then the ear suffers; if too small, then it may slide in, and is with great difficulty got out again. It may be well to wrap around the pledget a piece of fine rag, which will prevent its sliding in, or facilitate its ex- traction. If the flux from the ear remain after an inflamma- tion, or when combined with pain, particularly, pres- sing outwardly, or the ear is hot and red, or a scurfy, itching eruption on the ear, or it follows the measles, then give No. 8, or if that have already been given without effect, No. 18. If it follow the scarlet fever, then give No. 5, and after 8 days, if it be necessary No. 7, and then No. 5 again; if that be not suffi- cient, then give No. 16. If it remained after the small pox, or is combined with stinging, if sometimes blood comes out of the ears, if outwardly ulcerated, and the discharge offensive No. 7 will relieve. But if the patient have taken much calomel, then give No. 16; — 43 — if too much sulphur, No. 8, and subsequently No. 7. Should it notwithstanding become very tedious, then take as much of potassa as will lie on the point of a knife, shaking it in a bottle of rain water, until it is dis- solved, then let a tea-spoonful every day be put into the ear, until it begin to mend. If the discharge be purulent and tedious, then No. 7 may be given, after eight days or later No. 18, and this last, three times every week; if after that it does not improve, then smell No. 35 once. If there be a severe head-ache combined with it, and No. 7, or 18 have afforded no relief, then give No. 5, and afterwards No. 38. Should no benefit be found from it, then give two mornings successively . No. 21, and repeat it again after from 8 to 14 days once, if neces- sary. A tedious discharge is sometimes relieved by No. 45, particularly when the subject is liable to rheumatism. But if all fail, then try borax in a weak solution, as was described above in reference to potash. Should the discharge be checked, or suddenly dis- continued, whether it be of a long or a short duration, there is always danger. Examine the ear carefully with an hair pin, whether a crust be formed, or some- thing else obstructs it; admit warm steam into the ear, not too warm, to soften what may have been hardened; but if the ear be not obstructed, yet inwardly dry, then take some bread broken from a loaf just out of the oven, and lay the crumb on the ear, not hotter than — 44 — can be borne without pain, and repeat it as often as the bread becomes cold; or take a small loaf made of rye flour or bran, make a hole into the crust, and hold the ear over it. When the glands of the neck swell and become hard after the suppression of the discharge, give No. 8, and subsequently No. 7 or 5. If severe head-ache and fever occur, then give No. 5 first, and if it fail No. 12. If it be after a vio- lent cold, occasioned by wet feet, and the patient is better when moving much about, then give No. 22; if it is better when keeping quiet No. 5; if worse when warm in bed, then give No. 7. If after a sup- pressed discharge, a swelling like the mumps, lakes place, then administer the remedies in that case pre- scribed; but if the swelling be on the genitals, then give No. 13, in the evening, and if it be no better No. 8 in the morning, or alternately No. 13 in the morning and No. 8 in the evening. Sometimes a violent head-ache arises, Avhich be- comes afterwards obtuse, with a pressure, as if the skull were too small, the eyes become red; pains when moving, followed by fever, sometimes spasms in the face, SAvelling on the head; the recollection vanishing, &c.; followed by a sounding and rustling in the ears, deafness and a sudden discharge of matter. This must not be meddled with; only let it be cleansed Avith warm Avater, and let the patient lie on the side of the ear affected, having a small cushion or folded napkin placed — 45 — around it. If the malady is perceived before the pu- rulent discharge, smell No. 16, then give No. 30; if it do not assist No. 7 and afterwards No. 30; if that fail also, No. 38, and then No. 30; then No. 16 again. Every time Avaiting from 4 to 8 hours. Adopt the same course, if the running should stop. If the matter escapes, the patient is safe, and nothing more need to be done; if it do not flow out, the patient must die, and the most skilful physician can in this case do nothing. Sounding in the ear. This complaint is usually con- nected with a discharge from the ears, sometimes with head-ache, congestion of blood to the head. Give the remedies prescribed for these maladies. If unattended by other symptoms, and has lately arisen from a cold, then give, if it be worse in the morning No. 13, in the afternoon and evening No. 8; in the night No. 22; with persons who easily perspire No. 7; for those who do not No. 14, with very sensitive individuals, who have taken much calomel, or who have suffered from fever, liver complaints, when the sound is very faint, a tinkling and singing sensation, give No. 17; but if it be very loud, like a rumbling and roaring noise, or when No. 17 will not do, then No. 29. If the sounding of the ear has been of long standing, consult a physician. Sometimes when the ears are very sensitive to any noise No. 18 may assist given once, subsequently No. 3, frequently repeated; if this — 46 — does not cure, then give No. 29 once, and repeat No. 1 frequently; if combined with great sensibility against cold air, or with reverberation from every step, sound or word the patient speaks, with persons who suffer frequent pain in the limbs No. 45 may relieve, given two mornings and then No. 30 several times. Hardness of hearing results from other complaints generally, and can only be cured with them. An old complaint of this kind, is very difficult to cure, but if of a recent date it may be removed easily. With child- ren, and not unfrequently with adults, it is caused by a stoppage in the ears. The ears should be carefully ex- amined, as was directed in page 160, placing the pa- tient if possible, so as to allow the clear sun-light to fall into the ear, passing an ear spoon or hair pin as far within as the patient can bear, very cautiously drawing it out as soon as it gives pain. If the indura- tions in the ear be too firm, let the steam of warm milk pass into it. If it arise from too great a dryness of the ears, a lack of cerumen, which is absolutely necessary to hearing, then No. 29 will sometimes avail. Should running of the ears be combined with it, administer the most suitable remedies prescribed for it, particu- larly Nos. 8, 7, 18, 35, 45. Should it have arisen I from the measles No. 8 or 29; after scarlatina No. 5, or 16; after the small pox No. 7 or 18 will do. If it be connected with catarrh, when it is ordinarily felt also in the throat, and relieved after — 47 — swallowing, then gargling with warm water is advise- able; if that fail, give No. 14, or 19, or 38 R. If connected with rheumatism, or with a cold, then give the remedies against those pains, subsequently No. 22 or 18. If from suppressed eruptions, or dis- persed ulcers, or other running sores, then give the remedies prescribed for such cases, particularly No. 18 or 20. If the patient have had the piles, then some- times No. 13 wdl help; if it remain after a nervous fever, then give No. 15 or 10. If the glands of the neck be swollen and produce hardness of hearing, then No. 7 or 11 will frequently be useful. The best remedy, when the complaint becomes tedious, is abstinence and drinking cold water. If that fail, then consult an homoeopathic physician. When looking over the other symptoms, choose, in preference, among the remedies there prescribed (besides the above), Nos. 6, 11, 19, 33, and in very tedious cases No. 21 or 35. D. Of the Nose. For pains in the face, the nose and cheeks, see "Tooth-ache". For eruptions in the nose, see "Erup- tions". Swelling. When the nose swells in consequence of a blow or fall, or has a very sudden irritation on it, Avithout any known cause, with pain on the nasal bone, — 48 — as from a stroke, No. 15 will help. When it occurs at the same time with catarrh, particularly when the rims of the nose are swollen and sore, with redness, heat and pain, sometimes to the interior, with burning, piercing, dryness, the sense of smelUng at one time very sensitive, at another very dull, then No. 5 will apply; subsequently, if necessary, give No. 16. When the catarrh is attended with much watery discharge, and the nose becomes sore, has a red and shining swel- ling, with itching, pains in the bones when pressed, then it is best to give No. 7 first, and subsequently No. 16, or No. 5. When persons have taken great quantities of mercury, first give No. 16 and after- wards No. 7. For tedious painful swellings No. 12 sometimes applies, or when black specks are on the nose No. 18; red spots No. 10; warts No. 45. If the point is red No. 23; if coppery, with persons adicted to the use of ardent spirits No. 19. Bleeding of the nose. It appears at the crisis of many diseases, and is of much benefit to the patient, therefore should not be interrupted when not too violent, or of too long continuance. Inconsiderable ap- plications of cold water, vinegar, sponges and pledgets in the nose, brandy, tinder, ice or sea-water, salt, creo- sot, &c. may be very injurious. To plug up the nose is always very useless; it is better simply to press and observe whether the blood staunches, or runs into the mouth. - 49 - For bleeding of the nose after a blow, or with a titil- lation in the nose, or forehead, when the nose is hot, the blood thin and bright-red, particularly with men, give No. 15; with Avomen, particularly of mild, quiet temper, or such who have their menstruation weak, No. 8 helps. If it appear after overheating, or the patient is like one much heated, give No. 3; if it af- ford no immediate relief No. 12; if it be from stoop- ing, or arises from great exertion, lifting, &c. give No. 23. If the bleeding of the nose, results from a determina- tion of blood to the head, and is preceded by the com- plaint before described in page 3, or continues with them, then in many cases No. 3 is the best, or among those mentioned Nos. 13, 5, 14, 17, 23. Draw- ing cold water into the nose is improper, it is better when the bleeding will not stop by the means directed, or when these are not at hand, to lay a cold wet cloth on the abdomen, as recommended before, at page 50. When it proceeds from overheating, or wine drinking, and will not cease after the prescribed means have been used as Nos. 3, 5, 12, or in the second case No. 13; then let the patient put his hands in warm water and remain quiet. When the blood congeals and adheres in clots to the nose, then No. 7 will be of use. If it arise from catarrh, which at one time flows and at another stops, No. 8 will help. When Avorms in chUdren are the cause, or rather their scratching, 4 — 50 — rubbing and boring in the nose, then No. 27 may serve. With languid debilitated men, if it frequently return and continues long, give No. 17. If it occur every afternoon, at night or before mid-night, or gener- ally about these periods, then give No. 8: if it disturb sleep at night, give No. 23, or 12, or 5. If it appear every morning Nos. 13, 12, or 5; after long continued bleeding, give afterwards on account of the weakness No. 17, which will also help when the loss of blood is so violent as to occasion convulsions, paleness of the face, and coldness of the limbs. To per- sons very liable to this complaint, give No. 18. Catarrh. The principal remedy for an ordinary catarrh, .particularly when it has become general, is No. 7, and with those Avho have much calomel in their system No. 16. If it occur Avith much sneezing, with copious watery discharge from the nose, which often is someAvhat swollen, and sore, the mucus becoming offensive, and if there be common head-ache existing in the forehead and cheek bones, give first No. 7°. Also Avhen the patient perspires at night, and the ca- tarrh returns in the morning, if he have fever, and is averse to being left alone, but especially if he have much thirst, heat being oppressive and the cold intoler- able. After 12 hours the catarrh is either better, in which case, use no remedy, or Avorse; then give No. 16, if every slight exposure to cold air produces a fresh ca- tarrh, or head-ache; if the catarrh is only confined to — 51 — side of the nose, or the head-ache is worse by every movement. Should No. 16 not give relief after 12 hours, then give No. 5. In cases of the Avorst kind of catarrh, when there is a constant flow of water, every part sore and swollen, then smell No. 38. There" is another kind of catarrh, when the patient has not so much redness, heat and thirst, but has a Avish for warmth, drinks often, but little; is uncommonly Aveak, restless, anxious; complains of a burning as of fire, without any apparent heat or redness; when the mu- cus is not offensive, but very sharp and corrosive, when the nostrils are exceedingly sore and painful, when relieved by motion and warmth, and the case is not rendered worse by every slight cold; here give Nos. 19, 22, 13, sometimes also No. 25. No. 19, when the nose is stopped and still flows, the fluid being very acrid and burning within and Avithout, with sleepless nights without any particular cause; the nose begins to bleed; if he cannot lie quiet; if not better in 12 hours, or when the discharge»flows during the day and stops at night, the mouth dry without much thirst, the chest dry and the stool hard, then give No. 13; when the catarrh is partly Uke this case and partly as at first described, but the patient is better when stirring and worse when still, but every cold air renews the stoppage in the nose, then give No. 22; or when No. 19 or 13, appear serviceable, but do not relieve, then give No. 25, and if this succeed, 4* — 52 — repeat it, which is not adviseable with the other remedies. When the catarrh is not so very violent, yet deprives the patient of appetite and smelling, with a thick yel- low or green offensive mucus, then give No. 8; when a great discharge of white mucus, and the eyes are affected and weep, then give No. 44 R. An acrid catarrh with a sore nose, chaped lips, one cheek red and the other pale, chilliness and thirst, is often cured by No. 14; particularly with children and when it arises from suppressed perspiration. Fever with catarrh, with many pains on different parts of the limbs by No. 7; fever, with cold and heat intermit- ting, particularly in the evening, with heat in the head, in the face, or over the whole body by No. 13. A tedious catarrh often recurring, attended either with discharge or Avithout it, is relieved by No. 21R., two mornings successively. If the catarrh be suppressed and head-ache ensue, then give No. 3; and should it not speedily return No. 8; should the chest be affected, with difficult breathing, then give No. 25 several times, and when that does not avail No. 12; let the patient at the same time drink warm milk and water sweetened with sugar, and draw the steam of it up the nose. If all fail, give No. 18 W. Should other symptoms be connected with catarrh, particularly with those affecting the breast and occa- - 53 — sioning cough and hoarseness, then look to the follow- ing article — "Breast". E. Of the Breast. Hoarseness. Among the various domestic remedies, many are directly injurious, and which, should they relieve, will still leave a tendency to a relapse. A hoarseness which often returns, is an unfavorable symptom. You may eat raweggs, or the yolk with rock candy, or fresh raisins, also a stocking may be tied around the neck at night, if it belong to a person in good health, and no harm will follow; but a regular cure can only be effected by the following methods. Hoarseness with catarrh from viscous phlegm in the throat, dryness, burning and thirst; tickling causing a cough, evening-fever, fretful discontent, morose dispo- sition, without desire to talk; particularly with children: No. 14 is proper. For a rough, deep, dry cough, which proceeds from dryness in the throat, with tight- ness and pain in it, and which cannot be expectorated, alternating heat and cold, with morose, petulant, obsti- nate, churlish temper, give No. 13; for stinging, sore throat, and palate, pain in swallowing, catarrh with much yellow and green or offensive discharge, loose cough with pain on the breast, with chilliness, without thirst, a desire for different things: give No. 8; which is particularly serviceable when the patient has not for — 54 — several days been able to utter a distinct sound; if it be not entirely removed in one day, then give No. 18 W. A principal remedy for a hoarse rough voice, with burning and tickling in the larynx, with inclination to perspire, yet affording no relief by it, and when worse by the smallest draught of cold air, is No. 7; if there be a creeping and tickling in the nose, combined with a stopping catarrh, or with cough, producing pains here and there, then give No. 34R. But when with the hoarseness, there is a rawness in the throat, with much sneezing and mucus, without a real catarrh, or Avith shortness of breath, give No. 23; with ob- structed respiration, deep, hollow cough, Avithout phlegm, or much yaAvning, with restlessness and thirst, then give No. 31R. For a tedious hoarseness, which is worse every morning or evening, increased after much talking, or remains after the measles, give No. 29; if it be connected with a tedious catarrh No. 21; very hollow and deep No. 26. Cough. It is either combined with catarrh; or it is in the breast. When there is a catarrh in the nose, select then from among the remedies mentioned before. Or if it be occasioned by other diseases, having still other symptoms, which you must refer to. For example, when the cough is dry and short, with violent pains on the breast, also when breathing, if the patient have first coldness and then great heat, with a quick or hard pulse, it is then an inflammation on the chest, and vou - 55 — must refer to the remedies prescribed in that case. A tedious cough can but rarely be cured by the remedies first recommended; you will have to give remedies of longer operation, which will be referred to afterwards. A cough of long continuance can seldom be cured but by a homoeopathic physician, being frequently the effect of an already incurable disease, when the cough ap- pears; for instance, when the patient ejects tough lumps resembling cheese, viscous or cartilaginous pieces. No 13 is serviceable for a dry cough, which origi- nates from a raw, acrid, sharp sensation in the throat, and tickling in the palate, tedious and depressing; with a pain as if the head would split, or in the stomach as if it were bruised; afterAvards pains below the ribs, par- ticularly when the cough is very early and interrupts sleep, or is worst in the morning, and when with diffi- culty small quantities of viscous phlegm are thrown off. Also when a slight cough continues all the day, with pain in the pit of the throat, is more violent in the evening, but milder at night; or otherwise if at night respiration be oppressed, as if something lay on the chest, and the patient have a hot and dry mouth. It will do for persons of an active plethoric temperament, who are accustomed to take coffee and ardent spirits, when affected with a dry troublesome cough, which is Avorse at night, and relieved only in the morning; worse from reading, thinking or stirring about No. 14 will avail for a similar dry cough, which is Avorse at night, even in sleep, occasioned by a tickling in the pit of the throat; by which something rises in the throat, and obstructs the breath; particularly with children from taking cold in the winter. Or in a tick- ling cough, which is occasioned by speaking, morning and evening; yet subsiding in the warm bed; also when some viscous bitter phlegm is thrown up in the morning. No. 33 is serviceable for a dry cough, which is worse at night, interrupting sleep, which is worse when lying doAvn—abates on rising up—with tick- ling in the wind-pipe, or in attacks resembUng the hooping-cough; sometimes with stinging over the eyes; the breath sometimes rattling from phlegm in the wind-pipe. No. 25 will very often relieve children, even in- fants, Avhen they are nearly suffocated with cough and phlegm, when it is so convulsive and affecting, that breathing is scarcely possible, the face becomes red and blue; and stiffness folloAvs; when there is a tick- ling and a contraction in the wind-pipe; the cough quite dry, or seldom attended with expectoration, or the phlegm tastes bad, or nausea is occasioned, and vomiting of phlegm; at the same time pains in the ab- domen, particularly about the navel, or a pressure on the urine as if it could not pass off, or a beating in the head or in the pit of the stomach and soreness on the chest appear; after the cough, shortness of breath, per- spiration on the forehead. The cough is frequently roused by Avalking in the cold air. This remedy, when it is necessary, may be repeated, once after some hours. No. 5 Avill answer in similar convulsive cough, which almost deprives the patient of breath, when it shakes the whole frame, from a constant intolerable tickling in the upper part of the throat, and scarcely any phlegm on the chest; or as if the down of feathers were in the throat, and the head as if it would spring apart; pressing in the nape, as if it would fracture; or a cough with a small bloody expectoration, with stitches in the breast, and left side under the ribs; tearing in the chest, short, quick, agitated breathing; chaped lips, red face and head - ache; or if the attacks close with sneezing, connected with catarrh, as described above under No. 5, or piercing in the hips and deep in the abdomen, as if something were tearing loose there. No. 7 may be given in dry coughs, which are very violent particularly at night, or a tickling cough before going to sleep; sometimes with bloody expectoration, piercing pains in the chest, with children attended with bleeding at the nose, inclination to vomit, pains as if the chest and head would fly apart, sometimes with hoarseness, flowing catarrh, diarrhoea. No. 29 is applicable for convulsive coughs occur- ring several times in the day, or in the evening, cough- — 58 — ing up blood with burning pains on the chest, soreness in the wind-pipe, stitches through the head. No. 34 applies to a dry cough, which is worst mor- ning and evening, producing sometimes ah inclination to vomit; and exciting flying pains, particularly a severe head-ache; at one time a pressing pain in the neck and ears, at another, with draAving from the breast to the neck, piercing in the breast and back, or pressure on the bladder and stinging in it, or piercing and tear- ing on the hips to the knees, or feet. No. 23 will cure sometimes a dry short cough at night arising from a tickling on the chest, producing anxiety and shortness of breath, particularly in the evening and before mid-night, by which both head and chest are much shaken, or with straining and stinging on the chest, pain in the stomach, sometimes with stinging in the loins, particularly if the cold air aggra- vates it, and warmth and motion abate it. Also for cough attended with a taste of blood in the mouth. No. 27 may be taken for a dry cough, with occa- sional expectoration of phlegm in children, with sud- den starting, as if they were losing their senses, anxious gasping for air, crying and looking pale, or for a hoarse short cough every evening, particularly with children, who have worms, or catarrh attended with discharge accompanied with burning in the nose, with violent sneezing, occasioning them to cry. No. 4 is good for a cough which is dry both day — 59 — and night, with cold in the head attended with dis- charge, with those who have been much vexed, or when it is always worse after eating in the day, and after lying doAvn at night and after rising in the mor- ning. It may be necessary to repeat it once after a lapse of 6 hours. No. 44 is proper Avith a cough and a severe cold in the head, Avhich affects the eyes, with oppressive ex- pectoration by day, sometimes with obstruction of the breath, almost the whole night; worse again in the morning and Avith considerable expectoration of phlegm. No. 8 is proper when the cough in the early part of the day is dry, with efforts to vomit; then with ex- pectoration, which is easily thrown off, sometimes streaked with blood; particularly when it is very yel- low, saltish bitter in the morning, the expectoration offensive, sometimes nauseating; a scraping in the wind-pipe and soreness in the abdomen as if beaten, the pain moves into the arms, the shoulders, the back, or if the urine escapes when coughing. No. 12 is very serviceable for both dry and loose coughs; for dry cough, when it is occasioned by a tick- ling in the throat, or after meals followed by vomiting; or with violent stitches in the side, and afterAvards with bloody expectoration; or with a cough on entering a warm room; when the expectoration is yellowish, when at each effort to cough pain flies to the inside of / the head, or stinging in the head, neck or breast. | No 17 is good, where there is a light cough as if 1 caused by the steam of brimstone, without any expec- ' toration, but is fast in the wind-pipe, and a Avhistling breathing; afterwards the expectoration is streaked \ with blood, with pressing stinging pains in the chest i and wind-pipe, or a clear viscid phlegm, which loosens with difficulty, the pain extending to the shoulders, sometimes with vomiting of bile; also for coughs after a hoemorrhage from the lungs. I No. 15 may be given for a cough with expectora- tion, mucus and clotted blood, or light frothy blood, combined with contraction on the chest, all the ribs and abdomen feeling as if beaten and bruised, stinging ' in the head, breast, belly, and small of the back; also with loose or dry cough in children, in the morning or in sleep, with moaning and crying. No. 6 is applicable for a deep hollow cough, as if from the abdomen, with cutting in that part, Avith sali- vary flux, face blueish, involuntary urination, violent pains in the side, and accompanied by difficult breath- ing and great weakness; sometimes with stitches which shoot along the abdomen, as if a hernia would be produced. No. 19 should be given for a loose cough, yet with- out much expectoration, which remains on the chest, producing tightness of breath; coughing after every — 61 — draught, nightly discharge of blood with a burning heat on the whole body, want of breath, excessive faintness and perspiration, or a dry cough every even- ing with much weakness, with oppression on the chest on going up stairs, or in the cold air; with palpitation of the heart and anxiety at night. No. 22 likewise for loose cough, particularly after a cold, with hoarseness, sometimes with the expectora- tion of light-red blood at night; or a grasping, barking cough occasioned by breathing deep; cough from a cold, which is worse in the room and when lying still, and better when stirring about. No. 26 will serve for a loose cough, or a dry one with hoarseness, pain in the breast and under the ribs, so that one has to hold the part with the hands; some- times with inclination to vomit and griping in the ab- domen, if the phlegm will not easily be discharged, vomiting of food, and then phlegm and water; bitter, offensive purulent expectoration; or with oppression, as if when coughing, something held the breath back in the breast, so that one can scarcely cough or speak. No. 11 is suitable for a cough with expectoration of phlegm, yellow like matter, particularly at night, with pains as from an ulcer under the breast - bone, a col- lection of water in the mouth; sometimes a discharge of blood after an itching on the chest. No. 10 will do in coughs from expectoration, great hoarseness, cough from a tickUng in the pit of the — 62 — stomach, or in the pit of the throat, dry in the evening, with white or yellowish expectoration in the morning; cough with pressing pains on the chest, and purulent expectoration. When coughing, the head aches as if it would split; inclination to vomit, burning in the throat and in the chest. No. 21 applies to tedious coughs Avith much dis- charge of phlegm, transparent lumps, or yellow matter, with pressure on the chest; or so agitating, that it causes pain in the throat and abdomen; or to a deep hollow cough with bloody discharge, or dry with great soreness in the breast, or to a cough at night threaten- ing suffocation; with shortness of breath and wasting away. No. 18 may be given for tedious dry cough from crawling in the wind-pipe; coughs, by which the chest is contracted, with retching; cough, only at night, pre- venting sleep; or dry cough at night, by day a yellow- ish, greenish, offensive expectoration; or thick phlegm, purulence with blood; with the cough, single stitches in the chest, or under the right ribs; as if the breast would burst asunder by the effort of coughing and sneezing; tightness and fulness on the chest, difficult breathing, whistling and rattling on "the chest, palpita- tion of the heart, must sit up at night; or the cough accompanied by pains in the head as if it would burst, darkness before the eyes, heat in the head and face, but cold hands. — 63 — No. 35 is useful with tedious coughs from a tick- ling, as from down of feathers, more violent toAvards evening and night, so that every artery beats; or at night in sleep; dry with pains on the breast, or rattling on the chest, particularly with very fleshy children; Avhen No. 25 is serviceable, but will not prove suffi- ciently efficacious; or with considerable expectoration, particularly through the day, clotted, purulent; yellow- ish, greenish, brown, bad smelling, sometimes so far as to produce Aomiting; with the cough stitches in the side, and breast; burning in the chest, tearing and stinging in the head. Besides the stitches in the side with deep breathing, when moving and bending; in the evening heat, then chill and thirst, night-sweats, particularly on the breast, great debility and anxiety on account of their complaint. No. 38 applies to a cough occasioned by a pressure in the throat, the patient can bear nothing on the neck, coughs in sleep at night; or tickling in the pit of the throat; the chest, to the part between the shoulders painful, with stitches in the side and expectoration of blood; or a cough, as if something fluid had got into the wind-pipe; or violent cough from ulcers in the throat, with efforts to vomit, forcing up phlegm and much saliva in the mouth; with difficult expectoration; particularly severe after meals and every nap; after rising from the bed, combined Avith pains in the neck, ears, head and eyes. — 64 — No. 45 is good for old, dry, short cough, or hollow with pain as if sore: a burning on the chest and in the wind - pipe: scraping in the throat and rattling in the chest; pain in the hips, as if they would burst; or other rheumatic symptoms; or when urine escapes while coughing. For tedious coughs choose particularly the last re- commended; Nos. 45, 38, 35, 18, 21, 10, or among the remainder Nos. 11, 22, 19, 29; when the first chosen remedies have not after a time proved useful; all the other remedies are again particularly serviceable for short recent coughs. When a cough suddenly arises, and at the same time a tightness on the chest occurs, a difficulty of breathing, pains in the throat and wind-pipe as if sore, particularly at night the cough is followed by a burning, the voice rough and hoarse, hot fever, and accompanied by a quick hard pulse; then first give No. 3, and five or six hours afterwards, or the next morning another suit- able remedy. But when the cough is very tight and suffocating, and much phlegm remains in the chest, then as before give No. 25, and after some hours another suitable remedy. If the cough be rough, hol- low, and barking, or whistling and sobbing, particu- larly with children, then observe what was said before on hooping-cough and croup, and compare the reme- dies recommended with those prescribed here. — 65 — For recent coughs with cold in the head, it is always preferable to keep Avarm for a couple of days to avoid taking cold; but this must not be carried too far, as they Avho keep their rooms too closely, are always more liable to colds. It is much better, particularly with children, to allow them fresh air on fine days, and Avash them in cold water every day. Children who often Avet their feet, should Avear no stockings, only shoes or half-boots, and instead of stockings, Avrap a piece of paper around the feet. A patient with a cough should not remain in a room Avhich is cold or damp, or which lies either north, north-east or east; but where it is possible in a dry chamber which lies on a warm and dry side. To those who very frequently are attacked with ca- tarrh and cough or sore throat, it is very serviceable every day to brush and wash the whole body; it is often very useful to wear a black or Avhite silk ribbon around the neck, or a silk stocking or a cravat made of a silk stocking, which may lie close and firm to the skin. Upon the naked body cotton, but nothing wool- len which is suitable only for mariners, or those who are exposed to be frequently wet. For aU others, flan- nel on the skin is injurious; as much so as chewing tobacco. For a cough, particularly with children, something sweet may be given, such as lequorice, barley sugar, dried figs; also boiled apples or figs.—Gum arabic is in 5 — 66 — many instances serviceable to be kept in the mouth. Most other pseudo - remedies sold for the purpose, are injurious. Honey is in many cases very good, but it ought not to be used at the same time that our medi- cines are taken. Goose grease or fat of fowls, for a stoppage of the nose or chest, may be rubbed on the part; if it has been done once without effect, it is bet- ter not to repeat it. It is dangerous with a cold in the head to draAV cold water into the nose, and only with very tedious cases may it be tried. Foot baths are only to be allowed, when anxiety and suffocation, and small hard pulse accompanies the cough, but then bathing the arms is still better. No patient with a cough should be refused cold water; even if the cough is worse after it; no one should be constrained to drink much of warm liquids; it is abominable advice by which many have gone to the grave, and numerous patients have to undergo the most grievous sufferings. More than a thousand ex- periments confirm it, that cold liquids in all cases, if the patient have a desire for them, are beneficial; but warm draughts are seldom good, and only for a short time; by their continuance an incurable debiUty is produced. Simply as a sudorific hot milk with water and sugar may be taken in the evening; at all events not through the day and at night. The vulgar superstition introduced by ignorant phy- sicians, that after a cold something should be taken to — 67 — carry it off, has for a long time been discarded by every sensible man, because, not being beneficial, it is often injurious. In reference to the many cough drops and other universal remedies, it is only necessary to reflect, that in no country on earth, are there so many of this kind of preparations sold, as in this, and yet is there no part of the globe where so many die of maltreated diseases of the chest as here. If these remedies were of the least possible use, they must relieve the disease. In- stead of that, they are prejudicial. For where these things appear to relieve, they weaken the parts, so that this or a worse disease, sooner or later returns. In other countries, where the climate is equally unfavor- able, but the people are more discreet, and only drink cold water, scarcely half as many persons die. The indiscreet use of emetics for every hollow cough, as a precaution against an imaginary danger, is rather to be excused, though the effect of it is always to weaken the stomach, and becomes the means of in- creasing the imperceptible approach of dyspepsia. Hooping-cough is a speaking proof, that every far famed remedy, which has been extold and venally recommended for it, is totally useless; the more they are used, the longer it continues, and the worse will the complaints resulting from it, remain. It is a well known fact, if even nothing be used, the cough will 5* — 68 — abide for 18 weeks—and if a regular scientific physi- cian should visit daily, it will continue the same period; but if a prescriber of medicines be called in, it will con- tinue a much longer time. With the remedies here recommended it will continue scarcely half that time, ordinarily 3 weeks — in many instances only 2 weeks, frequently only a few days, provided, that the remedy be properly applied, and the diet carefuUy attended to. All children who have formerly had a cough, who have been maltreated with common remedies, or who have already taken much strong medicine, or who on ac- count of this disease have used every thing, wUl re- cover but slowly." But it is then ahvays better to have patience and to do nothing else, it will lay the funda- tion of greater evils, in order to stop the cough a little earlier. When the hooping-cough is prevalent and children begin to cough, then immediately give one of the be- fore mentioned remedies, which is most applicable and most serviceable; by doing so in most cases a farther cough is prevented. If the cough is at the same time very dry and whistling, and fever with it, or the child complains of burning in the wind-pipe, and pointing the hand to it, then immediately give No. 3, and wait some hours, or half a day. If the cough in the commencement is moist and easily loosened, and be- gins after a violent cold, accompanied by a hoarseness, then give No. 22. If it be loose and is followed at the — 69 — same time by vomiting, then give No. 8. If it is dry, and produces vomiting and anxiety, as if he would suf- focate, if the children at the beginning soon become blue in the face, if the cough occur particularly after midnight and continue till morning, then give No. 13, and if after it the cough is moist and loose No. 8 is proper. If the vomiting cease, but the anxiety even to suffocation remains, then give No. 25. Review those remedies the particulars of which have been before spoken of. Should they not prevent the hooping-cough, or should this occur in the beginning in single attacks, as a spasm, so that the children for a Avhile cough vio- lently Avith a hollow sound, and such attacks appear more during the day, but especially in the evening and the first half of the night, attended with a redness of the throat or some pains in the throat when swallow- ing, and watering of the eyes, then give immediately No. 29,, which, if it do not relieve in the first 24 hours, may be given again once. It is serviceable when child- ren complain of a pricking in the head, pains on the chest and in the neck, or when they at the same time have eruptions on the head and the body. It is a sovereign remedy ay hen the hooping-cough is on the decline. In real hooping-cough, the children have frequent single paroxysms, before Avhich they run after their mother, or become anxious and grasp and hold some- thing; then cough violently with a sounding hollow tone, in such quick succession, that they can scarcely draw breath again, or only with a long, sobbing whistling tone; this is succeeded by great anxiety, as if they would suffocate and become red and blue in the face. They stretch out the neck far, every thing is strained and cramped, and they can bear nothing to touch them. These paroxysms end with struggling and vomiting of mucus, frequently mixed with blood, which also is often discharged from the nose. After- wards the children are again lively; but OAving to their throwing up every thing they eat or drink, they be- come, as the attacks are frequent, weaker, and fre- quently much debilitated. For this cough, if it has already gone far Nos. 6, 26 and 27 may be given; either one or the other; sometimes one after the other, or alternating with the remedies prescribed before, par- ticularly Avith Nos. 13 and 29. No. 6 acts very quickly and may therefore in most cases be first tried. Immediately after the attack give one globule and wait until the next attack, then give another and then wait for 24 or 30 hours; if it be bet- ter, wait until it become worse again and then give another. Also if the cough continue tedious, the remedy may often be-repeated Avith advantage, if the children be already very much reduced, have some fever, cool sweat, particularly on the forehead, small, rapid weak pulse and much thirst. It is also particu- larly serviceable, when during the attacks the children _ 71 — dircharge urine, or complain of pains on the chest, the abdomen, and kidneys; between the attacks, they do not become very lively, nor like to move themselves; when the nape is so weak, that they cannot hold the head up; when they are very chilly and thirsty, un- willing to say much; also when they have a dry small eruption on the body, or on the face and hands. After- wards No. 26 or No. 29 are generally serviceable. No. 26 may be given in two succeeding doses like No. 6, and wait at the farthest two or three days; then if it abate, wait as long as the improvement con- tinues; Avhen it does not abate, then select another remedy. This remedy is in many cases useful, where the symptoms are similar to those before prescribed, where No. 26 was recommended. It is best, when the patie"ht is worse when at rest, than when moving about; if, when chilly, he has no thirst, but only after- wards when the perspiration is not cool, but more warm, or only at nights; or when coughing fits are very violent, and shrill sounding without any fever, or Avith a distinct fever, shivering, or heat, but not so lingering as when No. 6 was prescribed for. No. 27 is serviceable, when the children during the cough become quite stiff, and when after the fit a clucking noise is heard, which passes out of the throat down into the abdomen. This must be given in pre- ference to every other remedy, when children bore a great deal in their nose, have frequent griping and itch- — 72 — ing on the anus, have formerly had other fits from worms, or Avho have voided large worms. Sometimes children have a cough, which resembles that prescribed for under No. 7, which either comes only at night, or also by day, so that two attacks will always soon succeed each other, and return only after a considerable interval. Then it will be proper to give this remedy once, particularly when they during the vomiting, bleed profusely at the nose and the blood congeals easily; when the children perspire freely at night, and are very sensitive, have suffered formerly from worm disease attended with spasms. After No. 7 frequently No. 29 is still serviceable. Sometimes an alteration appears when the cough is similar to that described under No. 5, with complaints in the head, as is prescribed for under No. 5 for "Congestion of blood to the head" and "Headache"; then this is to bo given and subsequently another. With some kinds of hooping-cough the patients be- come quite stiff, the respiration ceases, they recover with much difficulty after vomiting, and besides the cough, there is a rattling of phlegm in the chest to be heard. First give No. 42; afterwards No. 6, Avhich is generally serviceable. As soon as the fits become milder, and the cough not bo dry, vomiting ceases to follow, but a thin phlegm is easily coughed out, be not in hurry to give other reme- dies, but aAvait their operation so long as they appear ~ 73 — to do good; Avhen a whole week has passed, and it remains the same, then a suitable remedy may be selected and given; commonly when there is one which the patient has not yet received, very often No. 8 is serviceable. For relapses, or when the vom- iting will not discontinue No. 29 is good; with abun- dant expectoration No. 22; Avith much crying after the cough No. 15; but hollow and shrill, or dry and hoarse, Avhen the cough is decreasing, with retching afterwards and crying No. 16. Croup. This fearful disease may in most cases be very easily and quickly cured by homoeopathic reme- dies, so that scarcely a fifth part of the many children die from it, as under the usual treatment. But this is only possible with attentive observations; the patients ought therefore accurately to know its symptoms; and because it always is a dangerous malady, we wish that those who have not as yet a proper confidence in the small doses, would become acquainted with the ordi- nary medicines and thereby avoid the greatest errors. Commonly children have for some days together some cough and a rough voice, and often the cough sounds somewhat hollow. If among the foregoing remedies prescribed, one be chosen for it, the malady may almost always be avoided. For a hollow whist- ling cough No. 16 is always the best, but it is only slow in its operation; in order to accelerate its benefit, give a tea-spoonful of the water in which it has been — 74 — dissolved. After this, if necessary, Nos. 33, 27, sometimes also Nos. 13, 6, 14, 17, 26 may be given. When this foregoing cough is not cured, in many cases also suddenly, the actual croup begins. The children awake about midnight with croup cough, which has a shrieking sharp sound resembling the -» braying of an ass, or the crowing of a very young cock. It sounds very hoarse, has some clinging whiz- zing sound, or is quite rough, deep and hollow, like the barking of a hoarse dog. At the same time the patient draws his breath laborously slow, and then by fits presses it out again, is very anxious, and stretches out his neck. When it has arrived at this stage, there is yet no danger, yet there must be no negligence. The best thing to lessen the anxiety and to take away the malignancy of the disease, is a Avarm bath for the arms. Thus as soon as possible let both arms be put deeply into water, as warm as can be borne, and as long until the irritating cough discontinues! At the same time give one globule of No. 3. But those who have great confidence in the old method, may now give an emetic; but not if it have advanced far, when it would be injurious. It is not well to be so hasty with such remedies for every cough which sounds a little hollow, as it weakens children without advantage. Also in no case give too many medicines for it, but rather a little and repeat it, until it operates. - 75 — In most cases the first attack soon passes over, but the children remain fretful and retain a hoarse voice. If No. 3 be given at night, then No. 16 may be given in the morning. But if the emetic have been given, then it will be of no service. Notwithstanding this keep the children warm the next day, give them proper diet and lay at all events a blister on the back of the neck. If the disease be not cured by this method, or if in the very first night it advances and grows worse, if the children complain of burning in the throat or point at least with the finger to the gullet, which is very sensitive, also when touched, and somewhat swollen or hot. The attacks become violent, as if they would stifle, fever and great thirst acceding to it. The patient is lulled to sleep, but soon awakes again with a worse fit. The breath is also panting in sleep, anxious and often the head bent backwards, so that the neck is strained forward, and can endure nothing to touch it. If No. 3 has not already been given, then give it now, and if necessary, repeat it after 2 hours, or give No. 3 W., every half hour, or as often as it is worse. The baths for the arms are yet very serviceable. The head should be quite free, but the feet kept Avarm. If the children do not struggle very much against it, an injection of warm Avater may be given. If after taking No. 3 it is better, if the fits are less frequent and weaker, if perspiration appear, then may 5 or 6 hours - 76 - pass after it; but if it be not better in 2 hours, or if the disease progress in defiance of every thing, which has been done, the danger increasing visibly, then give still sooner No. 43 W. after every fit, a small tea-spoon- ful. If it be not immediately improved, then give No. 16 W. You may alternate both remedies until the amendment occurs; but be not too hasty, and watch the smallest improvement as long as it continues. According to the old practice, when the croup has so far advanced, an emetic must by no means be given as being highly prejudicial; on the other hand now is the time to apply leeches to the wind-pipe, and in truth if it be done at all, the more the better. Also now is the time if you have confidence in this barba- rous method of cure, to give calomel, and to lay a blister around the neck, yet not on the part Avhere the leeches were. To keep the children as quiet as possible under it, give them only occasionally some warm mucilage to drink, if they AviU take it willingly. If the disease progresses still farther, the hands and feet become cool, the pulse quite small, and the suffer- ers bend the head as far back as possible; Avith every draught of the breath the belly moves very far up and down, but not the chest. The head must by no means be bent with poAver forward which could sufibcate the children. At the same time a rattling in the breath is heard, as if something were seated in the Avind-pipe. — 77 — With the cough occurs also an effort to vomit; finally a thin membranous substance is forced out. Then the children are not so red, rather pale, but receive to the stifling cough a blueish countenance, the eyes pro- truding full of anxiety, and they grasp around anxiously with the hands. If it has come so far, notwithstanding the application of the above prescribed remedies, then little hope remains indeed; it will however be best to continue the two last remedies. Should the old customary treatment have been adopted, which leads in most cases to such events, then only give emetics again, take away the plaster, which in these cases operates injuriously, and likewise the leeches and calomel. If the children cannot swal- low any more, then tickle the throat with a feather which has been dipped in the emetic tartar. You may also, when the foregoing state first begins to shew itself, pour some water on some sulphuret of lime, and let the child inhale the steam several times. In a timely and suitable application of homoeopathic remedies, extreme cases occur but very seldom; yet if in one instance success should delay and the burning pains in the wind-pipe become worse, some leeches may be applied. But it must then be expected, that the child may remain much weaker and more irritable, and that on every occasion a croupy cough may return again, and against which medicines will effect very — 78 — little. But the warm bath may always be applied, without damage. Admitted , that the above described dangerous state should appear under homoeopathic treatment, that the children begin to be cooler, paler, and still breathe very anxiously, the neck continuing bent over, it may then be useful to apply the steam of i sulphuret of potassse calcis, certainly without danger. But every other thing must be laid aside with this medicine and not now the one and then the other be applied. For the remaining hoarseness give No. 16, if it have not already been used, then No. 5, and if this ; do not assist No. 29, or No. 15 which may be , repeated. For the other after-pains, seek for the suit- ' able remedies, keep the children from taking cold, and j if a hollow cough returns, repeat after two weeks or later No. 16. i Congestion of the blood to the chest. The chest ' seems as if too full, strokes are felt in the whole | chest, and palpitation of the heart, combined with anxiety, complaints in drawing breath, short panting I sobbing breath, cramping; for these give No. 13 in the evening. But if the shortness of breath be very severe, with an abiding short cough, which disturbs sleep, much heat and thirst, and it appears dangerous, give an injection of warm water, and then give No. 3. If these do not afford reUef in an hour, or if it occur a second time, then give No. 5 to smell once. For — 79 — other remedies look for "Congestion of blood to. the head"; if the causes are the same, the same remedies are to be applied as are mentioned there. Strong suck- ing on the nape of the neck is often serviceable, or a dry cupping is still better. Whoever is subject to these complaints, should avoid violent exercise, spirituous liquors and strong beer, should drink much water and wash the chest and arms every day with cold water, and rise early. Hemorrhage or coughing up blood. If while cough- ing some blood is thrown up, there is not so much danger to be apprehended, as many persons suppose. Blood often comes from the hinder part of the nose, or from hollow teeth, or only out of the throat. If it really comes from the chest, then there is almost al- ways a sensation connected with it, as if it came up deep, it is warm, mostly of a sweet taste, which pre- cedes its discharge, or is connected with pains and a burning on the chest. In such cases every thing which strains the chest, must be avoided, as long loud speaking, shouting, singing, blowing on the horn or trumpet; all straining exercise of the arms, or quick running, ascending the stairs too quickly, sometimes it occurs from inhaling dust, lime, gypsum, or tobacco, sulphuric acid, &c. If the expectoration of blood be only slight, but the cough so that a remedy can be chosen for it, then look — 80 — among the remedies for coughs, where the bloody expectoration is mentioned, with Nos. 5, 7, 29, (23), 8, 12, 17, 15, 22, 11, 21, 38. But if already worse, and the blood rise in greater quantity, or when it suddenly commences severe, it then is in- deed ahvays dangerous, but still not so much so as to give way to anxiety about dying and fright, which only makes the matter Avorse. It seldom is as bad as it mostly appears. Only with persons who have had fre- quent attacks of it, or when it has been for a long time preceded by other diseases, there is cause to fear, that death may follow, but particularly, Avhen the blood comes in great masses, and at the same time is very black. In other cases it ordinarily soon ceases of it- self; the most important affair is the cure afterwards, because then the greatest danger first comes, either that the hemorrhage frequently returns, or an incur- able pulmonary disease is formed. We should never allow ourselves to be misled by the too common remedy, during a hemorrhage, or after it, namely opening a vein; tins is a bad method, because it always without exception, increases the danger after- wards. In the worst cases above described, it may be done and risked, because there is not much lost, par- ticularly when there is no physician at hand. If any one have had repeated attacks and every time has been relieved by bleeding, his state is so much the worse on that account, for by every bleeding the main — 81 — point becomes worse; he is now exposed to more fre- quent and violent attacks, and his frame having be- come enervated, other means are almost ineffectual. The best method is, to submit to a long course of treat- ment by a physician, before it is too late. Bleeding is the most injurious, where the piles cause loss of blood already; or when the monthly period is suppressed and instead of it a coughing of blood occurs. Such cases are not dangerous and can be easily reme- died by proper medicines. After a heavy fall, a blow on the breast, apoplexy &c., it is likeAvise in most cases wrong to bleed, often more injurious than the accident itself, and is merely an old custom, when nothing better was known. In such cases No. 15 and proper diet will suffice; if fever occurs or pain on the chest after some days, No. 3, and when it returns again, repeat No. 15, and thus alternately. The first thing which, with a violent hemorrhage can be done, is, to bind a cloth around the left upper part of the arm as tight as the patient can suffer it; then around the right thigh; when it does not stop, around the right upper-arm, and the left thigh. When it has subsided, loosen the bandages gradually, and finally remove them. During this, let the patient lie quite at ease, and half sitting, supporting his chest and head with pillows; he should be kept also after it is over, a long time quiet, always in a cool air, drink 6 — 82 — nothing warm for 10 days and no ardent spirits, rather mucilaginous soups. He should avoid all vexation and anger, and sometimes sleep during the day, especially before meals. If the bandages do not quickly relieve, or the patient cannot bear them tight enough, then put dry cups on the abdomen under the ribs and upon the pit of the stomach. These can be easily procured, if bits of bur- ning paper be thrown into an empty tumbler, or some cotton &c, and then the glass quickly turned over, so that the fire may fall out, and then as quick as possible the glass pressed upon the particular place on the bare skin; if it will not draw, then repeat the burning, until you succeed. A cloth wet in cold Avater may be applied to the ab- domen. Besides this make no use of any cold things, give not even water too cold as a drink, if the cough be worse after it, because it is then more injurious than useful. Give frequently some fine dry table salt, but only if the cough is not aggravated by it. If the cough does not discontinue, and the blood comes Avith it again, give sugar with the white of an egg, a tea-spoonful. The principal object next, is to give suitable reme- dies by which the patient may not only be quickly relieved, but also guarded against a relapse, as much as possible. — 83 — In cases of great danger, select without delay, among Nos. 3, and 25, or 17 or 2. If the blood is thrown out only from a slight hacking, the patient having previously perceived a bubbling of the blood in the chest, which appears to be full, with a sensation of burning, palpitation of the heart, anxiety, restlessness, worse Avhen lying down; with an anxious pale face, the discharge of blood is profuse, then give No. 3, and wait some hours; if it returns, repeat the dose. If there still remain after several hours a taste of blood, slight cough, expectoration streaked with blood, nausea, weakness, then give No. 25. If No. 3 has not been sufficiently efficacious, and the anxiety and palpitation of the heart increase, not permitting the patient to sleep, or disturbing his rest, obliging him to leave his bed, with dry burning heat, then give No. 19; if it must be given before midnight, then let him only smell it; wait for its operation. If it be worse again, then often Nos. 25, 13 or 18 are good, the indications of which must be sought for. If it be worse after these remedies, then give No. 19 again. If the blood does not, as before, come only with hacking, but always by a violent cough, which was previously dry and rough and painful, with a taste of blood; if the patient feel chilly, but has occasionally a flying heat, is very weak, always disposed to lie down, sometimes perspiring, but not long, if he begins to tremble, Avith darkness before the eyes, or the head 6* — 84 — confused, or also, if he already is quite faint, from loss of blood, or pale and cold and begins to jerk with his hands and face, then use No. 17, and in the last case let it only be smelled, and wait, even if it be afterward, at first somewhat exacerbated. Subsequently with the same patients Nos. 36, 15 or 19 are serviceable. If the blood is discharged with a light vomiting, not in large quantities, if it is quite pure and bright-red, if the patient have at the same time pains between the shoulders, is asthmatic, especially at night, cannot sit, feels better moving here and there, but must often lie down, is very weak, especiaUy after speaking, then No. 36 is useful, particularly with emaciated persons, of a yellowish countenance, who cannot sleep well at night. If the blood is clotted dark, comes up quite easily; tightness of breath being connected with it, also stitches in the chest; burning, drawing together, palpitation of the heart, severe, debilitating external heat, approach- ing to fainting, then often No. 15 is serviceable. If tjie blood comes with ejection and cough, bright- red, frothy, mixed with small clots, and with phlegm; sometimes with tickling under the breast bone, Avhile coughing a stinging in the head, every rib as if beaten, then give likewise No. 15. If it still continue, clotted dark blood escaping, the patient being anxious at night, chilly, complaining of - 85 — weakness, pain in the chest, soreness of the stomach, if he is timid, doleful, slow in his actions, then give No. 8. In these cases, but where the blood is neither light-red, or the disposition more anxious, angry, restless, and when worse after vexations, or there is much tickling on the chest, give No. 23. Under the same circumstances, but with violent choleric persons, and with aggravation in the morning, the cough affec- ting the head, then give No. 13. Should the hemorrhage probably originate with the piles, which either ceased, or have been suppressed by cold, or vexation &c., then in the evening give No. 13, and if the next forenoon it be no better, give No. 18; or else one of the prescribed remedies which the symptoms may require. If the hemorrhage arise from suppressed menstruation, then give No. 8, and sub- sequently No. 41; or other remedies Avhich will restore it. No. 2 is serviceable, when the expectoration is very thick, and frothy, mixed with phlegm, particularly with persons who were given to drinking; or when the cough is Avorse after swallowing, where an obstruction of breath is connected with it, or tightness of the chest and anxiety, burning on the heart, tremor in the arms; sometimes connected Avith a Aveakness of speech; slum- bering and anxious shrinking; coldness, especially of the limbs, or heat, especially on the chest, and on the — 86 - belly, without perspiration; after some hours, or ear- lier, when it is necessary, this remedy may be repeated. No. 33 may be given when a dry cough appears, particularly at night, which does not permit lying down; when the patient after slumbering starts up again &c; also with those addicted to the use of spir- ituous liquors; afterwards Nos. 2, 13, or 19 may be given. No. 5 is serviceable for a cough, caused by a tickling in the wind-pipe, and connected with a sensation, as if too much blood were in the chest; with pains accom- panying it, especially stitches, and worse by moving. No. 22 may be given Avhen it is worse at rest, and at other times as above; especially when bright-red blood is discharged, when it is occasioned by a cold, or from a loose cough of long standing. No. 29 is useful when there is a violent burning on the chest, continuing after the hemorrhage has sub- sided, particularly with such persons as cannot bear the weather, or who have taken much calomel. To remove the weaknesses following the loss of blood, be not in too great haste in administering reme- dies; a good diet will be preferable; eating little and often; little meat, much milk, eggs, food prepared with flour, and walking in fine weather. Should the pa- tient still continue weak, or very sensitive, then No. 17 may assist; frequently alternating with No. 1, if he is Aveak and too easily excited and fretful No. 4. — 87 — Palpitation of the heart. The cause of this com- plaint often suggests the remedy. Passions or spir- ituous liquors ordinarily occasion it; the best remedy is drinking cold water, especially before retiring, and eating little in the evening, particularly young persons. Whoever is subject to it, had better sleep on the right side with the head very high. If it arise from vexation, then No. 14 frequently relieves, from fear No. 6, from joy No. 1, from fright No. 2 or 1; from great anxiety either No. 2, or a bitter almond, rubbed between the fingers and then the scent inhaled. With pregnant women, when it is connected with nervous weakness, cramps and fainting, often return- ing, they should take from time to time a drop of Span- ish wine, or a drop of whiskey; but during the attack it is sometimes better, to take a spoonful of hot water, especially when the skin is very dry; smelling vinegar will often answer for pale women. Such as suffer from this, should drink no coffee nor tea. No. 3 very often relieves plethoric persons, and then afterwards No. 13, or 5; with nervous weak- ness No. 8, and when it is worse by lying on the side: No. 8. No. 17 is serviceable often to persons who have been weakened by loss of fluids. Give No. 5, when the head resounds from the beating in the heart, if the chest be full, or restlessness — 88 — and beating in it, particularly after confinement, or it the milk has disappeared, or after weaning; in the last case let No. 17 follow after some time. No. 18 for the same symptoms, or when No. 5 has not succeeded, or when it occurs after an eruption has disappeared, or an ulcer healed; also when the palpitation has always arisen from the act of ascending. No. 19 may frequently be given after No. 18, when this has faded; it is suitable also when it comes always at night with great anxiety or otherwise, is very severe, with burning heat in the chest, obstruc- tion of breath, worse when lying, and better when in action. No. 6 is serviceable in the same cases with obstruc- tion of breath and anxiety; particularly when it is bet- ter when lying, and worse when rising up, or even when moving. For tedious palpitation of the heart, where the pre- ceding remedies only avail for a short time, seek the aid of a physician, and persevere in the remedies, otherwise an incurable disease of the heart may arise. Shortness of breath, asthma, cramp on ihe chest and other complaints of respiration. The cause here should be first considered; very often the worst attacks are occasioned by apparently harmless things, such as chammomile tea, ipecacuanha, vapour of sulphur &c, for which the smell of camphor or sweet spirits of — 89 — nitre is useful; sometimes also some strong coffee without milk; if it be from sulphur No. 8 will do. For sudden attacks relief can often be procured by putting the hands in hot water, or by putting a glass in which the air has been heated, as a dry cupping glass upon the stomach or pit of the stomach, as recom- mended for hemorrhage on page 82. Likewise a firm bandage around the upper part of the arm often re- lieves; you begin with the left arm, and if this should prove unsuccessful, then the other limbs one after the other, may be bandaged. If the attacks come after meals, especially after mid- day sleep, and the patient can obtain no air, drawing and stretching the head, as if he must suffocate, feeling dry and as if too tight in the wind-pipe, without hav- ing great anxiety, then let him chew some ginger with sugar. If it come from a cold with a cough, which will not loosen, then he may take a tea-spoonful of weak anis seed tea, especially at night. Whoever is much subject to this, should often drink Avarm beverage, as often as he can, brush and rub his whole body, and every morning smoke tobacco. Better however is the use of the following remedies, which must be selected with all caution, and always only lightly smelled, while holding the naked cork be- fore the nose or mouth during inhaling. If the chest feels as if laced together, the breath — 90 — laborious, a rattling in the wind-pipe, as if proceeding from phlegm; or if the air appears dusty, which pre- vents breathing; if he gasps anxiously for air and fears suffocation; Avith pale face, cold hands and feet, give No. 25 R., to be repealed after several hours, if neces- sary. Afterwards Nos. 19, 12, or 13 are ser- viceable. In cases of the worst kind, when a catarrh is checked, with a weak breast besides, being worse about mid- night, the breathing then becoming more and more difficult, rattUng on the chest, with anxiety, groaning and sobbing and restless throwing about; or when, particularly with aged persons, it comes whilst walk- ing, if they can breathe, but it still does not relieve, at intervals a pressure on the heart, aggravated by every motion, particularly stepping into bed, No. 19 R. will serve. Afterwards, if it is Avorse No. 25 R. is ser- viceable; sometimes, when it is severe, towards mor- ning No. 13. After No. 25 often No. 12 may be given, when it is worse by moving, particularly after the suppres- sion of an eruption, or when it does appear on the skin, when the patient often sighs, at night accompanied by pain in the bowels, with ineffectual efforts to go to stool. No. 5 is suitable, when it is worse by motion, and still not relieved by rest, coming on by spells and with short quick, or at one time short, at another long draAV- - 91.- ing of the breath; a dry cough accompanying it, and the chest as if too full. No. 15, when it is more severe, not only by motion, but even whilst blowing the nose or in speaking; the breath drawn anxiously and accompanied by stitches in the chest. No. 17, when there is a whistling and wheezing, or phlegm on the chest that threatens snffocation. When awaking at night, or the patient can only breathe, Avith his head quite high, when he easily perspires, and is very liable to take cold. No. 1 applies to very sensitive persons, when the attack is produced by mental excitement, when there is laborious respiration and at short intervals, with anxiety, restlessness, heat, perspiration; if this does not do, then give No. 3, or alternate with both. Then also No. 8 often succeeds afterwards, with complain- ing, timid, or No. 13, Avith choleric, petulant per- sons. If it occur from mortification and inward vexa- tion, then No. 4 will serve; from violent provocation, and anger or contention No. 14. No. 14 also avails, when the patient makes ineffec- tual attempts to cough, where there is a severe pres- sure on the chest or heart, and no perspiration will arise. No. 8 is also helpful, when there is giddiness with it, and weakness in the head, Avith sleepiness, palpita- — .92 - tion of the heart, heat in the breast, and catching of the breath low in the chest. No. 6 is often very serviceable after Nos. 25, 19, 17, 15, particularly when it is bad enough to cause suffocation, also in sitting up and moving, with pains in the side, hollow cough at intervals, when cold per- spiration breaks out, or the face and limbs become cold; particularly when it is somewhat better by ly- ing stiU. Pleurisy, inflammation of the chest and lungs. These diseases are according to the old treatment, al- ways to be cured by bleeding; but whoever perfectly understands Homceopathia, can always do without it. Most cases of simple, common inflammation are cured without difficulty. Whoever is compelled to act without a physician, and does not very soon feel re- lieved after the first two remedies, will do well to have a vein opened, and when it is once done, make a large incision and allow a good quantity of blood to escape. Then still other homoeopathic remedies may be taken, which are always far preferable to the compounds with saltpetre and salts, or still more to the mercurial pills. There is a danger to be apprehended in these dis- eases, lest they should be confounded with shortness of breath or asthma or other maladies, the different kinds should be distinguished, where bleeding avails nothing, but is always injurious. — 93 — The chief symptoms are difficult breathing, and the breath as hot as with one who has laboured hard in the heat; with asthma, the breath is not warmer than ordinary. When the chest is inflamed, a cough is al- ways found to accompany it, mostly without expecto- ration, or only some saliva, which is frequently bloody, or frothy, brownish expectoration. Pains are different, according to the different kinds of affection. A violent stitch when breathing, is not to be taken always for pleurisy. When no cough accompanies it, or none of consequence, or when no shivering chills are present in the commencement, it then is no real pleurisy. Cases of this kind commonly begin with rheumatic pains on the neck and shoulders; the pains in the chest change their position, the chest is sore to the touch, particularly between the ribs, for which symptoms, no skilful physician of the old school will order bleeding. Here No. 15 almost always relieves; when not, then give No. 12 or 13, and for that reason look under "Rheumatism". Sometimes the pain is under the chest, and the pa- tient cannot breathe well, but still can more easily take in the breath, than emit it; which is the very reverse with real pleurisy. Then feel the abdomen beginning from the ribs, towards both sides, and if it pains on pressing on it, particularly on one side, then is bleed-. ing likewise to be avoided. Here give No. 8 or 15 or the other remedies for "Rheumatism". — 94 — If any one has rheumatic pains and they suddenly fall on the chest, as if a burden lay on the chest, amidst great anxiety, the heart beginning very violently and quickly to beat, the breath becoming more and more oppressed, and cough quite impossible, the parts from which the pains did proceed, becoming cold after the pain has subsided, then death is near, and if a vein is opened, the fatal crisis will follow the sooner; very often patients of this hind are cured by smelling No. 3; it may be repeated every time when the patient is worse, and when it relieves no longer, alternate .vith Nos. 8 and 18. Real pleurisy commences with a chill followed by fever and cough; the breath coming out is hot, the pulse hard, breathing obstructed by stitches, mostly between the ribs on one side, and on that side the pa- tient prefers lying; the cough is very painful and vio- lent, scarcely any thing but bloody saliva is expecto- rated. The colour of the face is pale; the patient would readily speak, but the pain prevents him; towards morning it is always somewhat better; and the skin is moist. As soon as expectoration occurs, there is an amendment. This disease is not so very dangerous and is easily cured without bleeding being required. Let No. 3 .be given, and if after some hours it be worse again, or even not better repeat it a^ain; if after that it be no better, then give No. 12, Avhich may UkeAvise be — 95 — once repeated. If afterwards complaints remain be- hind, Avhen the patient is able to go out again, then give him No. 18. Inflammation of the lungs is far worse. It begins also with chills; the fever decreases not in the mor- ning, the skin is continually hot and dry, the pulse is at first weak and beats 5 times during every inspira- tion, is subsequently hard; the breath is likewise hot, the breathing is not so very much obstructed by stitch- ing pains as with the preceding, and the pains are more oppressive and in the middle of the chest; but respiration is considerably accelerated; the cough is not so frequent, but more tormenting and holds on longer at a time, occasioning frequent head-ache; the face from the commencement is a bluish dark red, with red cheeks; the patient does not lie on his side, but rather on his back, wants to be still, is averse to talking, and frequently very surly. Almost always, a large blue vein in the neck is distended, thicker than on the other side, mostly on the left, which does not happen in the analogous diseases. Very often the cough is first quite dry, afterwards attended with bloody expectoration. As soon as the expectoration becomes thicker, more abundant, with frequent cough, the pressure on the chest decreasing, the skin remaining moist, then the danger is over; only a prefer diet should be observed for 2 Aveeks; eating often, but little at a time, &c. — 96 — Here very often a speedy amelioration takes place, if No. 3 be given several times, and afterwards No. 12 once or twice; if it should not become better upon this, and where no homoeopathic physician can be had, a vein may be opened, but let the incision be large and take away 16 ounces of blood at once. Sub- sequently give No. 17, and if afterwards it is worse again, be not in haste to repeat the bleeding, but give No. 23, and if it is not better No. 18, upon which, after some hours, if it be required, No. 3 may follow. In many cases also Nos. 5, 7, or 8 relieve; if the patient be quite stupid No. 2 will bring him to himself again; in many very dangerous cases also Nos. 19 or 10, or 33 may be used. For this no instruction can here be given; you will decide on the selection of these remedies according to what has been more particularly prescribed for Fevers. Another kind of inflammation of the lungs is par- ticularly dangerous, because, when bleeding has been resorted to, it is only in most extraordinary cases that a cure is possible. After every bleeding, the patient feels better immediately, but not for any length of time, and thus after every repeated bleeding for a shorter time, until he dies for want of blood, or after the in- flammation ceases, a purulent expectoration begins, under Avhich the patient sooner or later sinks. Lack of blood by bleeding, in all cases of pulmonary inflam- mation, there is, from the commencement, a decrease — 97 - of blood, and always the more so in proportion to the violence of the attack, so that nearly every one who dies by that disease, dies from a want of blood. It be- trays very great ignorance, when we suppose that there is too much blood in such patients; it is impos- sible for the blood to increase in so short a period, on the contrary it may very quickly diminish. Persons who have much blood, hold out much longer in all cases, than those who have less. The last mentioned species of inflammation, for which bleeding is so very pernicious, is characterised by the following symptoms: pulse commonly soft, but rapid, pain in the side when drawing a deep breath, anxiety and great heaviness in the lungs, breathing very quick attended by a short and frequent cough, with bloody saliva which continues to increase; voice weak and low, finally hissing, speaking producing vio- lent cough. With all the anxiety, he is yet not so morose, and the head not so benumbed, as ahvays is the case with the species of inflammation before men- tioned. The fever also somewhat abates in the mor- ning; the skin moist with slight perspiration which is of no benefit. As soon as a thick expectoration appears, the breath becomes sIoav, and the fever discontinued for a con- siderable time, the patient is better. At the commencement of this state give No. 3, by Avhich bleeding is rendered unnecessary, and as soon 7 — 98 — as it is Avorse, take No. 7, which may be repeated when necessary. If a feeling of constriction on the lungs and a dry cough remain, then give No. 5. The further treatment, if not better afterwards, is diffi- cult. If the breathing remain very whistling, give No. 14, after which No. 13 is sometimes useful. If it be no better after No. 7, the breathing con- tinuing anxious and very quick, give No. 25, and repeat it several times. If after that a constriction and anxiety still abide, and the limbs become cold, give No. 6, which after a short time may be repeated; where the patient continues weaker and labours in- effectually to obtain air enough, often No. 19 relieves. Should a purulent expectoration show itself, when the inflammation is past, and no homoeopathic physi- cian can be had, then give No. 7; then No. 16; then No. 17, then No. 22, sometimes No. 8, also and with a hot fever No. 3, until accurate advice can be had, which is very necessary, and allowing of no delay. __________ There is another slowly advancing bad kind of pul- monary inflammation, with which bleeding is little bet- ter than murder. Without bleeding there remains hope; after it none at all. This disease characterises itself by its slow approach, whilst the others come on in sudden attacks. The pa- tient is always, for several days together sick, without — 99 — knowing properly what fails him, his appetite is gone, sleep is bad, he has head-ache, then chills appear, sen- sation of heaviness on the chest, with shortness of breath; afterwards a viscous expectoration, very sel- dom somewhat bloody. At the same time great heat prevails, of which the patient, however, does not com- plain, who generally lies quiet. How very sick he is, is to be seen in his weak eyes, clammy sweat on the forehead, the grey countenance, the dry nose, the black dry tongue; he murmurs and talks continually as in sleep and answers still correctly, when asked; he urinates involuntary, afterwards also evacuates; the breath is always short, unequal rattling, the small quick pulse is irregular, paleness and weakness in- crease. Notwithstanding the rattling and the black tongue, the patient assures yet, that he is not ill, com- plains only of things, which do not exist at all, for in- stance he ascribes the rattling in his chest to the noise produced from sawing of wood, or believes to be in the dark at mid-day, &c. When a general exhalent perspiration breaks out, or small shining globules appear in the urine, then is the danger for the most past over. But if in the course of the disease bleeding is only once allowed, then there is nothing more to hope. Whoever in such case is without all medical aid, let him begin by taking some doses of No. 2, after which 7* — 100 — it sometimes abates, then give No. 15. Should it relieve, but not completely, then No. 6 may some- times effect much, in one or two doses. But if the weakness and rattling still increase, then give No. 19; in many cases No. 25 assists, and No. 19 again; in other cases, when Nos. 6 and 19, each relieve in some degree alternate with both of these. If the amendment be only for a short period and the patient relapses again, then give No. 18, and then of the others again, which seemed to have the best effect. When the patient is sore with lying, and this, as it may easily occur, becomes gangrenous, give No. 17, and alter- nate this with No. 19. I£ there are signs of the blind- ness referred to above, then give No. 5. If the strength, notwithstanding continues to decline, give No. 40 in water, some drops as often as it is worse, which might still alter the case. Bruising the breast, or violent concussions. It has been shown in the first part, that in this case No 15 is applied and is always better than bleeding; when hemorrhage is observed No. 3 is to be alternated with No. 15; in many cases, when fever continues, worse in the evening, a pain in the chest, as from an inward ulcer, No. 8 is afterwards given; but if a cough remain, with a thick yellow expectoration, give No. 7; if a sweetish expectoration and asthma remain, No. 13; should other consequences abide, as dry short — 101 — cough and difficulty of breathing, pale face, little ap- petite or bad sleep, give No. 17. F. In the Throat. Under the term sore throat, are to be understood the various diseases, by which a pain in the throat, is particularly oppressive to the patient. The distinctions ought to be as accurately as possible investigated, and the throat also always examined. Take the patient to the Ught, if possible at a high window, let him open his mouth as wide as he can, tongue stretched out, pressing it gently down with the handle of a spoon. In this way the whole interior of the mouth may be seen, Whoever is not expert in examining, must look in for sometime, and persevere until he can see beyond the soft palate. Children, when they AviU not open their mouth, should have a cork placed between their jaws; in doing this, care should be taken not to injure the tongue, by pressing it doAvn too severely. Compare then all the symptoms stated by the patient and your oAvn observations, with the remedies men- tioned; if there is a hoarseness, or even any other complaint combined Avith it, then look for them accor- dingly. It is easy, Avhen one remedy does not com- pletely relieve, to find out another, and Ave are certain of much greater success, than with the ordinary do- mestic remedies. -102 — If however these should be preferred, we may, in many cases, relieve by tying, over night, around the throat, the woollen stocking of a healthy person, and who is not of the same sex as the patient, but it must be observed, that it is improper to keep the neck wrap- ped up too closely, or for any length of time. Whoever is subject to this, should accustom himself to wear no- thing on his throat, except a silk neck-cloth or a black woollen string. GargUng is an old bad method, which even the better physicians of the old practice have quite abandoned. If it be often serviceable, the same may be obtained and better by inhaling fresh steam of boiled milk. If the throat is dry and swollen, the complaint violent, then it is proper to boil figs in milk and inhale the steam, also a part of a fig may be taken in the mouth, and some of the mUk drunk. If it be a tedious case, with difficulty to swallow, then boil Avheaten starch in water for this purpose. In the first stage, or when it has continued a long while, brandy in hot water is often serviceable; if it be worse after it, give No. 1 or 13. If No. 3 is found to answer, then repeat it after some hours, Avhen there is difficulty and pain in swal- lowing or speaking, when the throat is much redder than usual; with burning stinging and stricture in it, fever, anxious impatience and restlessness. No. 14 succeeds very often, particularly Avith chil- dren, or when it is occasioned by a cold, or cold draught - 103 — of air, when in a perspiration; in addition to the symp- toms with No. 3, a dryness in the throat, with thirst, when swallowing produces an uncomfortable obstructing sensation, also when bending the neck; there is, as if something were in the throat, which ought to be removed, but still remains with a sensation resembling that produced by a plug in the throat. The glands on the under jaw are swollen, with throbbing pains; the fever appears towards evening, alternately hot and cold; sometimes a catarrh attending it, with a tickling and coughing, stitches in the upper part of the wind-pipe and rough voice. After having taken this remedy, perspiration must be wailed for. No. 4 for symptoms similar to those under No. 14, when the patient feels something like a hard tumor in the throat, and when SAvallowing, that spot seems to be sore, or severe stitches, even when not swallowing, when liquids are more difficult to swallow than solids. This is also useful when the tonsils are inflamed and swollen,' or ulcerated, or when they are hard; for which however compare first Nos. 5 and 7, then No. 16 or 18. No. 13 for symptoms similar to those under No. 14, and No. 4, a sensation of a swelUng, like a lump or tumor in the throat, peculiarly so when swallowing; with more pressing than stinging pains, especially when swallowing saliva; a raAvness and soreness in the throat, a scraping and itching in the swallow; the — 104 — cold air producing pain. Sometimes the tonsils are red and swollen. No. 8 is very similar to No. 13, the same sensa- tion when swallowing, the throat feels narrow and swollen, the same raAv scratching sensation, yet at the same time as if too dry Avithout thirst; less stitching pain in the throat when swallowing, than when at rest. Nevertheless a tightness, and the internal glands painful Avhen touched; the throat has a bluish red ap- pearance, constant thirst, alternate chiUiness and heat in the evening. No. 12, when the throat is painful by rubbing, par- ticularly by turning, swallowing difficult and painful, as if obstructed by something hard; the same stitch and soreness, but with a dryness, which renders speak- ing difficult; sensations such as there are felt after eating or drinking very hot; fever often attends it Avith or without thirst and great fretfulness. No. 23 resembles No. 12, only the pains are lower down, or the patient more inclined to weep; or when No. 12 is not of sufficient benefit. No. 34 is similar to the remedies above mentioned; it may be given when these might fad, the fever con- tinues, chills with thirst, then heat; the pains particu- larly pressing, the swallow spasmodically contracted, soreness and ulcers in the gullet, with a burning in the mouth; a cough, with acute pains in the throat, — 105 — particularly Avhen the patient is inclined to sleep and is afraid of the open air and cold. No. 1 is proper, when a catarrh is present, also an irritation to cough, and worse in the open air, at the same time wakefulness and heat; and feels sensitive or complaining. It may be repeated several times. It is of great use, when there is pain on the side of the palate next the throat, constant, worse when sAvallow- ing; when it is swollen over the tonsils and they are elongated, the patient feels a slimy sensation as if ad- hering without the power to SAvallow it; also a dryness and heat in the throat. No. 5 applies to symptoms something like those under No. 1, but the outside of the throat is swol- len ; with spasms when drinking, the fluid returns to the nose; at the same time great inclination to swal- low, a stinging sensation when touched; the swallow- ing difficult causing spasm, as if something rendered the passage too narroAv, with a dryness and burning. In the intervals of SAvallowing, a tearing pain Avhich extends to the under jaw or to the head. Ulcers in the throat, which suddenly arise and spread very much; swollen tonsils elevated, often yellowish redness of these parts, or this redness without swelling; violent pains when swallowing and hawking, sometimes when speaking. Pressing, stinging in the tonsils, as if they would burst; outwardly swollen glands, combined with violent fever, sometimes also with great thirst, much — 106 — saliva in the mouth, head-ache in the forehead, furred tongue. When scarlet fever or similar diseases pre- vail, it is suitable in most affections of the throat, some- times alternated with No. 7. No. 7, equally good as No. 5 for ulcerated sore throat, may often be given when No. 5 will not suc- ceed, particularly for ulcers; when the throat does not remain very red. If the ulcers are without pain, and arise slowly, then give No. 7, alone sometimes alter- nated with No. 16. It is suitable at the commence- ment, even better than the preceding, if the stin- ging pains when swallowing, are very acute, passing up into the ear, or into the glands of the neck, and the lower jaw; when the burning in the throat almost prevents swallowing, with stitches in the tonsils, and very disagreeable taste, gums and tongue swoUen be- hind; at evening first chill, then heat and perspiration, but no relief; at night restlessness, or all the symptoms worse; also worse from cold air, severe pains in the head and drawing in the nape of the neck. After Nos. 5 and 7 avoid taking cold. No. 16 is suitable often after No. 7, particularly when cold has been taken and after No. 16, when there is no favorable change, No. 7 may be repeated. No. 38 is proper, when Nos. 5, 7, or 16 have been of service, but not sufficiently efficacious, when the gullet and the tonsils are swollen, the urgency to swallow very severe, much saliva in the mouth and — 107 — mucus in the throat; bad ulcers in it, or a spasm, which prevents drinking; all worse in the afternoon, sometimes in the morning, particularly with persons who have taken much mercury. No. 6 is good, when the throat is dry and burns, very rough and itching, pressing in it, as if swollen, with pains and spasms when swallowing. No. 41, when it is seated deeper in the throat, pains, when the food passes by it, or is dry deep below, or when there is a rumbling noise when drinking. No. 17, when it stings and is dry, and pains when swallowing, is worst from every draught of air, alter- nating with other complaints, sleep at night inter- rupted, and returning with every cold. No. 18 with frequently returning, or long continued pains in the throat, particularly when the inside of the throat and tonsils are swollen, swallowing prevented, also beside the pains a particular stinging, or as if ob- structed by a tumor, with soreness or dryness. Or. In the Teeth. Pains in the teeth very frequently pass into other parts of the head, into the lower jaw, towards the ears, into the upper jaAv and the facial bones; in like manner they pass out of these parts into the teeth. We have for that reason appended here the pains in the face at — 108 — the conclusion. The origin is not to be sought in carious teeth; for though they frequently cause pain, it yet proves no more than that they are affected by diseases, and they may indeed become completely de- cayed, and even fall out without any pain, whilst on the contrary, perfectly sound teeth may be subject to frightful pains. The extraction of teeth is only admissible when the gums are fistulous; and even then, they may for the most part, be cured homceopathically; except with a few uncontrollable cases, especially with children pre- vious to their shedding teeth; in all other cases, it is a bad remedy, especially as the root comes out, and the lower jaw is injured, whilst the root might remain without ever giving pain, if the correct mode of curing them is only found out. It is furthermore highly ob- jectionable on this ground, because almost ahvays, when a decayed tooth is extracted, another becomes carious the sooner. The caries ahvays advances very slowly from one tooth to another, when they remain in their place. There are only a few particular diseases excepted, that produce the rapid decay of the whole or of many of the teeth. If the disease be of this sort, then the extraction of some, nor even of the whole would be of any avail, as this disease would in this case attack the bones. Moreover, the many sorts of tooth-powder and tinc- tures are injurious in ten cases out of a hundred. The — 109 — teeth and gums are injured by the frequent use of the tooth-pick, which is a very bad custom; avoid too hot and too cold food and drink; keep them pure by rins- ing every morning and after every meal, use the tooth- brush, and if prejudiced in favor of powders, apply one made from the husks of almonds, alternating some- times with hard dried and finely pounded crust of bread, principally rye-bread. Burnt bread is injurious, as also char-coal. If any one have the tooth-ache, let him select without loss of time one of the prescribed remedies, and in most cases, it will quickly cease. Should these remedies not succeed, then apply to a homoeopathic physician, who has many other reme- dies, beside these. The worst of all bad remedies is opium; it is a posi- tive injury. The pains which are removed by opium, will to a certainty be followed by a two-fold suffering sooner or later; they are never remitted. It is only very rarely a true remedy; if it be so, it is best by binding a bit of real opium of the size of a pea out- wardly on the cheek. It is most preferable, when it is suitable, to put a morsel of the gall-nut into the hole of the tooth. Also to place common salt steeped in brandy, on hot coals, and allow the steam to pass on to the teeth. If the tooth be too long, then lay a bit of cork upon it, and bite it slowly until the tooth returns to its place. Kreosote must be used with the greatest caution, in many cases it avails little or nothing, for • — 110 — example, very rarely with pregnant females; in most cases, it merely lulls the pain for a short time, and from it arise afterwards ulcers in the mouth, on the tongue and in the stomach; as soon as it is brought into the mouth, the stomach is affected by it. To per- sons of a Weak chest it is also injurious. Every one who suffers from tooth-ache, should ab- stain from the use of coffee, as almost in all cases the teeth are hurt by it. They must, if they use homoeo- pathic remedies, carefully avoid every thing which may disturb their good effects, not only while using them, but for a considerable time after. It is found that, if a proper remedy be obtained, one globule laid on the tongue, or even in bad cases, smel- ling "the cork, cures very quickly. Frequently the pain is more acute, for awhile after, but if after waiting patiently, it begins to abate, nothing more should be taken, until the improvement is complete. If it be worse again, and proceeds as before, then renew the same remedy; but if it has different symptoms, then chose another. Since this plague is so general, and so severe, that life is embittered by it; and since nothing procures reUef, when the right remedy is not hit upon, we would wish as much as possible to facilitate the choice, teaching by a double mode to find the true remedy. In the first place, look for each individual symptom complained of by the patient, and write its correspon- — Ill ~ ding number down, by comparing all the numbers, you will discover, that one or the other occurs most frequently throughout, which of course corresponds best with the whole complex of symptoms complained of and hence must be the proper remedy. It must be observed, that not every symptom which stands under the specified remedy, must also occur to the patient, although every thing or chiefly so of which the patient complains, must be found under the remedy. We give a familiar example. A patient has severe drawing or tearing pains, here and there, with tearing in the gums (a); sometimes it rages up into the head (b); it is exacerbated by cold air (c); it is chiefly in the morning (d); with this is accompanied a determi- nation of blood to the head (e). Now we find under the specification (a) pains in the gums, with- Nos. 7, 8, 11, 16, 19, 29, 33, 35; (b) pains which rise into the head Nos. 7, 11, 13, 14, 18, 19, 20, 23, 33; (c) worse from cold air Nos. 5, 7, 11, 18, 33; (d) worst in the morning: Nos. 4, 7, 8, 10, 11, 12, 13, 17,-18, 19, 33; (e) with deter- mination of blood: Nos. 3, 8, 17, 33, 35; all these numbers which occur only once or twice, may be struck out; we then readily find, that Nos. 8, 11, 18, 19 occur three times, No. 7 four times, No. 33 five times; this last we must refer to, and find No. 33 the most similar and suitable to the case, promising a speedy relie£ — 112 — Gums swollen: Nos. 3, 5, 7, 10, 11, 13, 16, 17, 18, 23; painful: Nos. 7, 8, 11, 16, 19, 29, 33, 35. Teeth loose: Nos. 7, 12, 13, 19, 23, 33; too long: Nos. 12, 15, 18, 19; obtuse: Nos. 10, 18, 22. Pains in hollow teeth, particularly Nos. 7, 8, 11, 13, 17, 20; also, Nos. 1, 10, 12, 14, 18, 21, 35; in the whole row of teeth: Nos. 7, 11, 14, 23; on one side: Nos. 7, 8, 14, 23. Pains passing into the jaw-bone and face: Nos. 7, 13, 18, 23, 33; to the cheeks: Nos. 12, 21; to the ears: Nos. 7, 8, 11, 12, 14, 18, 19, 23; to the eyes: No. 8; to the head; Nos. 7, 11, 13, 14, 18, 19, 20, 23, 33. With a determination of blood to the head: Nos. 3, 8, 17, 33, 35; distention of the veins on the fore- head and hands: No. 17; heat on the head: Nos. 3, 8, 33; burning in the eyes: No. 5; redness of the cheeks: Nos. 3, 5, 14; paleface: Nos. 8, 19. With swollen cheeks; Nos. 5, 7, 8, 11, 12, i 13, 14, 15, 18, 19. With a flow of saliva: Nos. 5, 7, 22; with a dry j mouth and thirst: No. 17; and no thirst: No. 8; dry throat and thirst: No. 5; with chills: No. 8. With diarrhoea: Nos. 14, 22, 23; with consti- pation Nos. 7, 11, 12, 13. With irritable nerves: Nos. 1, 3, 5, 33. , — 113 — From a cold: Nos. 3, 4, 5, 7, 8, 13, 14, 22, 23, 33. Worse from coldness; Nos. 7, 10, 18, 19, 20, 35; from cold air: Nos. 5, 7, 11, 18, 33; from cold water: Nos. 12, 13, 18, 20, 35; cold drink: Nos. 7, 8, 11, 13, *14, 18, 35; from washing in cold water: Nos. 7, 18, 35; from draw- ing cold air into the mouth: Nos. 5, 7, 11, 12, 13, 18. Better by applying a cold hand: No. 23; by cold air: No. 8; by cold water in an instant: No. 12; by dipping the fingers in cold water: No. 14. Worse in the open air: Nos. 5, 11, 13, 17, 18, 23; in the wind: Nos. 8, 23; from a draught of air: Nos. 17, 18, 35; worse in the room: Nos. 14, 18. Better in the open air: Nos. 8, 12, 16, 20. Worse from heat: Nos. 5, 10; from warmth: Nos. 1, 8, 12, 14, 18; warm liquids: Nos. 7, 13, 14; warm food: No. 12; from warmth chiefly, in a warm room: Nos. 8, 10, 16, (14, 18); warmth of bed: Nos. 5, 7, 8, 10, 12, 14. Better by warmth: Nos. 7, 13, 18, 19, 23, Worse from smoking tobacco: Nos. 4, 12, 17; better by smoking: No. 7. Worse by drinking coffee: Nos. 4, 13, 14; drink- ing wine: No. 13; drinking any thing: No. 14. Worse when eating: Nos. 5, 7, 8, 10, 11, 12, 16, 18, 29; after eating: Nos. 1, 4, 5, 8 ^-IT4 — '" 11, 12, 13, 14, 18, 20; some time after: No. 5. Worse when moving the mouth: Nos. 13, 14; Avhen chewing: Nos. 7, 11, 12, 13, 18, 19, 29, 33; when biting Nos. 1, 5, 8, 13, 16, 18, 23; when pressing the teeth together: Nos. 16, 17; better after it: Nos. 1, 17, 19. * Worse when rubbing: Nos. 5, 7, 10, 11, 12, 13, 15, 16, 19, 29; with the tongue: Nos. 4, 7, 17, 29. Better when pressed: Nos. 5, 8, 17, 23; when rubbed: No. 7. Worse when picked: No. 8; better, when the blood comes: No. 5. Worse when in motion: Nos. 12, 13, 17; better when quiet: No. 12. Worse when sitting: Nos. 8, 23; better sitting up in bed: Nos. 7, 19, 23. Worse when lying: No. 4; upon the affected side: No. 19; on the opposite side: No. 12. Better when lying: No. 7; better when lying on the side affected: No. 12. Worse at night: Nos. 1, 5, 7, 8, 10, 11, 12, 14, 16, 18, 19, 21, 23, 35; evening in bed: Nos. 7, 20; more acute when sleepy: No. 19, better: No. 7; worse before mid-night: No. 12, after mid-night: Nos. 7, 11. Worse when awaking: Nos. 5, 13, 29; mor- - 115 - ning: Nos. 4, 7, 8, 10, 11, 12, 13, 17, 18, 19, 33; forenoon: Nos. 8, 18, 29. Worse afternoon: Nos. 7, 8, 13, 18; towards evening: No. 8; evening: Nos. 4, 5, 7, 8, 12, 13, 18, 20, 23. Worse from a noise: No. 35; when another speaks: Nos. 12, 19; when vexed: No. 23; when think- ing: Nos. 5, 13; Avhen reading: Nos. 4, 13. Tooth-ache, with women particularly: Nos. 1, 3, 5, 8, 17, 33, 35; before, during and after men- struation: Nos. 14, 29, 35; during pregnancy: Nos. 5, 8, 11, 23, 33, 35. Tooth-ache, with children particularly: Nos. 1, 3, 4, 5, 14, 35. No. 15 serves as a very beneficial remedy, after the extraction of teeth; it staunches the bleeding, and cures quickly j no venegar should be applied, and no scientific practitioner would ever allow it to be used. After fixing artificial teeth, it relieves the pain and swelUng; after fiUng out carious teeth (frequently a most beneficial operation), a few globules should be mixed with a tea-spoonful of water and laid on the filed parts. It very often relieves when the pains are the most violent after extraction, as also No. 38 and others; when the symptoms are severe after fixing the teeth, take No. 15 and alternate with No. 3. No. 15 is often soothing in tooth-ache, pressing, pulsating, as if 8* _-TTfT=---- the tooth would by the blood be pressed out, or as if it were wrenched out, worse when touched; it will often remove a hard swelUng of the cheek, when other rem- edies have removed the tooth-ache. No. 1 may be given, when pains are most acute, when the patient is quite beside himself, moaning, trembling, full of anxiety not knowing what to do, and incapable of describing his pains. It may be repeated, when necessary; if it do not succeed, then give No. 3 or 6, 18, 33. With a stinging jerking, or inter- mitting pressure, pain when biting, it is preferable to every other. No. 3 is given, when the patient is quite beside himself; the pains not admitting of description and No. 1 fails; troubled with a pulsating pain after tak- ing cold, with blood rushing to the head; burning in the face, particularly with children it may be repeated; when it ceases to reUeve, then give No. 14 or 5. No. 14 is of service in many cases, particularly with children, and adults who have frequent vexation, and indulge in coffee drinking; with females previous to menstruation and pains in hoUow teeth; after hav- i ng taken cold, particularly from checked perspiration, and if with the pains the patient is very fretful. If the pains are quite insufferable, coming in very severe paroxysms, worst at night, if the affected tooth cannot be distinguished, or if it be a hollow tooth, which ap- pears as if too long and loose (if it appear to be only — 117 — loose, but is not so, then No. 12 is often useful), or if it pass through entire rows of teeth, and every tooth appears too high; or if it pass through the jaws into the ear, through the temples towards the eyes, mostly on one side, in the teeth, jaws, ears and head; if the pain be crawling or stinging, or grating and scratch- ing on the nerve in a hollow tooth, increasing con- stantly, until tearing and drawing reaches the highest degree, becomes stinging and jerking up into the ear; if the pains are increased by the warmth of bed, fre- quently appear after eating and drinking, especially after warmth, become extremely exasperated by cold drinking and using coffee, which nothing can assuage, but dipping the finger in water; if with the pains, the cheeks be red and hot, or the gums and cheeks swol- len and a pale red, if the glands under the chin begin to be painful, if there be great weakness withal, especially in the joints; a pain in the joint of the jaw, when opening the mouth advancing into the teeth, then No. 14 will assuredly relieve. If it succeed only in part, then try for hollow teeth No. 20 next, farther those which here follow. No. 13, is good for persons of a violent temper- ament, with a red face, who are fond of coffee and ardent spirits, come seldom into the open air, or after taking cold; when a sound tooth appears painful and loose, or the teeth as if too long; jerking stitches in the lower jaw, drawing pains advancing to the temples, or — 118 — from a carious tooth over the whole facial bones; the whole side affected; or only a corroded tooth drawing and boring pain, as if it were wrenched out with single violent stitches, which shake the whole frame, espe- cially when inhaling air; when an obtuse pain in the bones, sometimes a tearing is felt through the teeth and cheek bone, or it bores, grubs, gnaws and tears on one side; sometimes with jerking pains, or rheumatic Avith sharp stitches; when they arise, chiefly in the morning in bed, or in the evening, forbidding to chew, become worse, or return, when cold air is admitted into the mouth, or when reading and thinking; or the tearing is worse from cold liquids, and better by keep- ing it warm; chiefly worse after eating or exertion; when with the tearing the glands on the lower jaw are affected; but especially when with the tooth-ache there is a swelling beginning on the gums, which will 'suppurate. No. 8 applies more to persons of a mild, quiet and timid disposition, to females and children who are of a whimpering habit; if it be only on one side; to such as in the spring of the year are frequently subject to the tooth-ache with tearing in the ears, and hemicra- nia; Avhen it stings in hollow teeth, from which the entire left half of the face is sensitive, even to the ear, with heat in the head and chilliness in the body, but peculiarly so when the pain in the gums gnaws and stings sharply, even draws and jerks in the teeth, as if — 119 — the nerve were strained and suddenly let loose again; or if it jerks and tears, as if the tooth were struck loose, or stung and throbbed, worse after cold water; but is particularly severe by the warmth of the room or the bed, or warm things in the mouth, but abated by fanning, a cool breeze, or in the open air; worse when sitting, better by moving about, worse by using the tooth-pick, better by pressing them hard together, if it is not worse by chewing; it comes chiefly towards evening, seldom in the morning, with it a chilly sensa- tion with a pale face, or the blood advances to the head; or if heat comes on still no thirst accompanies it. No. 4, should the preceding remedies correspond, but the temperament be more delicate and sensitive, soft and mild, now cheerful, then depressed; especially with persons who are much grieved; serviceable when the jaw-teeth pain as if bruised, if there be a rubbing around the incisors, when there is a sore pain in all the teeth; worse after drinking coffee, smoking to- bacco, dining, lying down at night and awaking in the morning. No. 33 is particularly applicable to very sensitive, nervous, irritable persons; even becoming outrageously tearing and pulsating through the cheeks and into the lower jaw, or tearing raging in the gums, with a grumbling pain in the tooth which is loose, when chewing as if it would fall out; or jerking, throbbing, — 120 — draAving, tearing into the forehead; severe drawing now here and there in single teeth; by turns with flying heat, and determination of blood to the brain; originates from the cold air, mostly in the morning; sometimes with jerking in the fingers and on the arms, with such persons as are subject to the cramp. No. 5 is often of service to females; also to children, when they are very restless and throw themselves about from anxiety and pain, or when they are of a melancholy disposition and inclined to weep; when the gums and teeth pain as if bruised, and when biting as if the roots were ulcerated, with stinging, cutting, jumping, tearing; but especially with drawing pains, worse during the night; or sharp stinging in a hollow tooth, day and night; or pain in a hollow molar tooth, as if pressed in by too much blood, with heat in the gums and throbbing in the cheeks; mitigated by no- thing but picking them till they bleed or the gum is swollen with burning and stinging, severe salivary flux, swollen cheeks; sometimes attended with burning of the eyes, dryness in the throat and great thirst. The pain often returns when awaking in the morning, or begins again soon after eating. The pain is renewed in the open air, or by contact of any kind, food, drink, &c.; but relieved by a strong pressure on the cheek. No. 17 is adapted to females, frequently while suckUng, also when otherwise gay people become peculiarly fretful and vexed; pain comes periodically, _ 121 - is pulsating, shooting, pressing tearing or drawing, severe pressure or undermining pain; the teeth become as if benumbed; it is worse by moving, or touching, returns after a draught of air; the gums swell, the mouth is dry, with thirst; the blood rises to the head, the veins in the forehead and hands rise; night's rest is disturbed, even when the pain ceases. No. 7 applies very often to children; particularly so in many kinds of tooth-ache, where several teeth near- est to the hollow one are affected, the pain seizing the entire half of the face, or draws and stings up into the ear; is especially sensitive at night; or with fearful jerks and stitches in the teeth, especially at night, which sting up into the ear or into the head; when it rages in one hollow tooth, worse after eating and drinking, cold or warm; if it is in the whole worse in cold, but especially in damp air; abates in the warmth, or when rubbed; frequently the air passes painfully into the incisors; or the tooth-ache lasts only during the day and ceases at night, when followed by perspi- ration, but the same pain returns the following mor- ning, with shorter or longer pauses, alternating with vertigo, or tearing in the limbs. In almost all cases the teeth become loose, the gums swell, or become Avhite and ulcerous, retire from the teeth, burn and are sore to the touch, or begin to jump, bleed or sup- purate, with drawing through the roots of the teeth, or with painful swelUng of the cheeks. — 122 — No. 16 will sometimes serve after No. 7 or 5, when a painful swelling on the gums remains, or a pain as if the blood were pressing into the tooth, or a drawing, worse after meals, or in a warm room or at night. No. 29 is sometimes proper, when No. 7 or 19 appears to mitigate, but not entirely removes the pain, occasionally with persons who have taken much calo- mel, especially if the gums bleed, stand out, drawn back from the incisors, the teeth become loose, ulcer- ous, pain when touched by the tongue, worse after meals, Avith drawing and tearing in the incisors. No. 18 is suitable for a stinging jerking in hollow teeth, which advances into the upper and lower jaw and ear; when the gums SAvell, with a throbbing pain, bleeding gums, swelling about old stumps; when the teeth ache in the evening, or in the air, or in a draught; worse when rinsing the mouth with cold water. No. 19 is sometimes proper when the teeth become loose, protrude with continued jerking, or burning, tearing in the gums, worse when touched, or lying on the painful side, in general when still, from a cold, abated by the warmth of the stove or hot cloths, or when sitting up in bed; especially when the strength is reduced. No. 20 is a sovereign remedy against pains in hol- low teeth; with a tearing, digging, grubbing, jumping pain, frequently into the head, especially in the evening — 123 — in bed, worse after every meal, by cold water, but better in the open air. No. 12 is suitable for rash, petulant, ardent, obsti- nate persons; pain in hollow teeth, but yet more so in sound ones; with pains that sting, jerk toAvards the ear and cheek, as if a nerve were laid bare, sometimes a sensation as if the air went into the nerve of a hol- low tooth, and when the actual contact of the air causes pain; when the teeth appear too long, or loose, yet are not so, and still when biting feel as if they would fall out; the pains increased by smoking, or chewing tobacco, from warmth in the mouth, abated in the open air, sometimes relieved by cold water for an instant, also when lying on the affected cheek, or Avorse when lying on the other side. No. 23 applies sometimes with the same painful sensation, as if the teeth were too long as with No. 12, or loose and shaking, as if the-teeth were hollow, and as if the air were drawn into them; especially when the gums are swollen, burn, itching like an ulcer, are sore and project from the teeth; when the stinging is by jerks, or a strong drawing, as if the teeth were coming out (similar to No. 8), when a tedious stinging, pulsating, raging in both rows of teeth is drawn up into the jaws and temporal bones with a severe pain; commonly only on one side; originating in a cold, or after vexation, is exasperated in the open air (with No. 12 better), during the night it is intolerable, but — 124 — abated by warmth. Sometimes there is an offensive odour from hollow teeth. It is most suitable for sedate persons (not as No. 12), who are inclined to be melan- choly and sad, or prone to anxiety and fearfulness (similar to No. 5). No. 11 may be used when the teeth become black, hollow and scale off, gums pale, while, corrode away, swollen, are painful to the touch, with pulsation in them, have bladders and ulcers on them; with pains in hollow teeth, penetrating, fretting drawing or rag- ing, especially in the roots, or through the whole range of teeth, or a pain from one hollow tooth extending up to the ear, Avith throbbing in the temples; increased in the air, by cold drink, chewing or eating, especially at night or towards morning. No. 10 is useful with bleeding swollen gums; rag- ing pains increased in the warm bed; by heat or cold; burning in the front teeth at night; pain in hollow teeth up into the head. No. 21 applies to tedious boring, raging pains night and day, increased at night; the whole cheek is affected as also the bones. When offensive purulence is pressed out from an opening near the root of a tooth or gums; or the jaw-bone swollen. No. 22 is given, when the tooth-ache proceed from a cold, particularly if a diarrhoea accompany it, and No. 14 does not relieve,it; also when the head is be- — 125 — wildered by it, much saliva issues from the mouth (similar to Nos. 5 and 7), and the teeth become obtuse. No. 35 relieves sometimes the tooth-ache of preg- nant females; pain in hollow teeth; pressing drawing jerking, soreness; drawing, stinging, boring, gnawing, delving, throbbing tooth-ache, with swollen gums, which are sensitive, bleeding easily with a throbbing and raging pain in them; it is only suitable, when the blood presses to the head; particularly at night; when the pain arises from a cold or becomes worse from it, or likewise from a draught of air, cold, averse to both cold and hot drink, even worse from a noise. Should the tooth-ache cease, but the swelUng of the cheek remain, then give No. 8 after 7 or after 14; or No. 7 after 8 or 5; or No. 5 after 7; or No. 18 after 5, 12, 19. * If the swelling be red, like erysipelas, then give No. 7; if hard and stiff and not so red, give 15; if it will break, then give No. 16, and let a fig boiled in milk, be taken into the mouth; if it do not subside sufficiently soon, then give No. 38 once or twice, and then No. 16 again; if No. 7 have not been used, then it may now be useful. A cloth may be bound around the cheek to keep off the air, beside this no outward appli- cation is required, except when it is very tight and not extended far and throbs, then a piece of linen cloth folded of the size of a doUar dipped in warm water, -~T26 — pressed out and laid wet upon it, and a dry cloth bound over it; but if it be enlarged and radiating, or yellow- ish red or a bladder on it, then lay a small bag of rye- meal made warm, and flat, on the cheek. If it itch very much, then hair-powder or starch may allay it. If it break outwardly, then let a cloth greased over with good fresh talloAV, be laid upon the opening, and a cloth bound over it. The face: ache. The same remedies may sometimes apply in this case as with tooth-ache, but if they should not, then application should be made to a homoeopathic physician. No man is to be trusted pretending that it can be cured by cutting, scorching or burning; in most cases when the nerve has been cut out or burnt out, a pain more severe of another kind appeared. No. 3 is serviceable, when it alternates with rheumatic pains, when redness and heat are joined with it, or others of the above described symptoms; with heat and throb- bing, No. 15; when heat and other pains with it, compare No. 11 or 12; when there are many vio- lent pains No. 17 is suitable; when the pain is tear- ing No. 35; when stinging drawing No. 19, cut- ting or tearing in the upper jaw, itching and fretting in the bones No, 5; heat and pressing pain, better when pressed upon No. 12; when raging and draw- ing in the bones, worse when touched No. 17, or 16; pressure or cramp appearing in the cheek-bone ™127 — No. 33; pressing, cutting, stinging No. 23; burning and pressing in the cheek-bone, heat, throbbing, sting- ing, raging, drawing, cutting No. 11. Beside these relief may be had, when on one side there is pinching and drawing, almost to madness by using No. 6; when the violent pains are mostly in the bones (refer to Nos. 5, 16, 17, 33, 11), particularly pressing in the cheek-bone, worse when touched (refer to Nos. 16 and 17), and increased in the evening No, 34. As a domestic remedy cold water may be sprinkled on the painful spot; even ice may be laid on it; if these avail not, then try and fold a linen cloth dipped in hot water. H. In the Month. The taste is sometimes altered without any other complaint, in which case nothing more is necessary than to try a remedy which here stands first recom- mended for each kind of taste; sometimes other symp- toms are insufficient to select a remedy in another divi- sion, then the following may serve in guiding you. Bitter taste in the morning: Nos. 18, 7, 12, 35, 21; food tastes bitter: Nos. 18, 12, 9, 23, 16, 28, 36; eating and drinking: Nos. 8, 17; bitter- ness in the mouth after eating and drinking: Nos. 8, 12, 19; in the morning or evening: Nos. 8, 15; — 128 — in general at different times, or constantly, besides the foregoing: Nos. 3, 5, 6, 13, 14, 20, 29. Sweet taste: Nos. 7, 18, 42; 5, 8, 12, 17; 36, 43; in the morning: No. 18; if the bread tastes sweet: No. 7; beer: No. 8; it resembles the taste of blood: Nos. 36, 18: like nuts: No. 1. Saltish: Nos. 29; 9, 10, 13; 18, 19, 40, 42; food: Nos. 29, 18; when coughing: Nos. 29, 41. Sour: Nos. 9, 10, 13, 17; 18, 34, 35, 40, 41, 42; food: Nos. 17, 35; after meals: Nos. 8, 13, 29; 40, 41, 21; after drinking: Nos. 13, 18; after drinking milk: Nos. 29, 18; in the mor- ning: Nos. 13, 18. Biting sharp taste: Nos. 6, 23; empyreumatical, smoky: Nos. 8, 13, 18; Uke herbs; Nos. 6, 13; Uke peppermint; No. 6, 39. Earthy taste: Nos. 8, 16, 17; insipid: Nos. 8, 9, 11, 12, 17, 18, 22, 23, 25, 34; slimy: Nos. 5, 9, 15, 23, 32; fatty, oily: Nos. 21, 45; greasy: No.45; viscous: No. 10; watery: Nos. 11; 17, 34. Nauseous taste: Nos. 15, 7, 5; 12, 14, 8; 3, 6, 10, 18; 23, 40, 42, 45; in the morning: Nos. 18, 23; after meals: No. 23; Uke pus: No.8. Tobacco tasting sharply: No. 11; bitter: No. 41; loathsome: No. 25; disagreeable: Nos. 4, 8, 13, 15; 35, 41. Taste of food insipid: Nos. 7, 8, 11, 12, 13; 19; - 129 — if the taste be quite gone: Nos. 6, 5, 8, 9, 12, 16, 33; in tedious cases of long duration: Nos. 21, 40. Offensive smell from the mouth. Clean your mouth and teeth every morning and after every meal, with cold Avater; avoid all odoriferons things, which only conceal the offensive odour, and leave it in the end as it was. If it be necessary for the sake of others to remove the smell for some time, then a piece of char-coal may be crumbled, water poured on it, and the mouth rinsed with it, or used as a gargle. Should it arise from carious teeth, then roll printing paper together, and turn it round in the hollow tooth until all the offensive humidity is out, then press wax into it. If wax will not remain, then bite a ball of wax for some time on the tooth, then take it carefully out and cut a piece to the true shape from a gall-nut, so that the shell come out, and the inner part of it accurately fitted to the tooth. This frequently succeeds in preventing the bad smell as Avell as pain. The smell of garlic or horse- radish vanishes by a glass of wine drunk immediately after their use, or by eating a pear or boiled red beet. Sometimes relief is found when it only occurs in the morning from Nos. 13, 21; morning and night: * No. 8; after meals: No. 18, also 14; in general in addition to the preceding Nos. 7, 12, 15, 19, 33. Scurvy in the mouth. The gums are hot, red, very tender, swelling and spongy, are withdrawn from the teeth, occasioning small ulcers on them, Avhich smell 9 — 130 offensively; they are also on the inside of the lips, cheeks, palate, and even on the tongue; a fetid and highly disagreeable smell proceeds from the mouth, viscid odour, mucus and saliva, the submaxillary glands often swell and pain, the patient is very weak and a sIoav fever arises. Almost in all cases No. 7 suc- ceeds, except Avhen it is occasioned by mercury, then No. 29 or some other antidote must be given. In cases Avhen No. 7 does not completely avail, then give No. 22. With sluggish, corpulent persons it often arises from want of cleanliness or too little exertion in the open air, with such is better first to give No. 34. With irritable emaciated persons who sit too much in the house, No. 13 is suitable. If it originate from too much salt meat, then give No. 29, and if this does not soon relieve, then take sAveet spirit of nitre a drop once or twice a day. No. 24 is to be given when it is so severe as to ex- tend to the nose, and the ichorous matter flows into the stomach and produces painful sensations and diarrhoea. No. 19 applies when the ulcers are very bad and bum violently; the patient falls away exceedingly, or No. 7, if not much relief is found. No. 22 may at the same time be first given, when a cold appears, attended with hard swelling of the sub- maxillary glands. — 131 — No. 29 is besides in cases produced by mercury and salts, exceedingly good when it bleeds much and smells bad; and if it should not prove sufficient, another rem- edy may be tried. No. 40 is serviceable with tedious spreading ulcers in the mouth, which do not yield to the foregoing rem- edies, when the gums swell, bleed and are very sensible to cold and warmth, food and drink, and especially Avhen bUsters and small ulcers arise on the tongue, bite and burn and render speaking troublesome. Of the many domestic remedies which are in use for this complaint, the folloAving may sometimes be recom- mended, when the above are found to fail: rubbing the gums with sliced lemon peel, which at the commence- ment of the malady, particularly in summer and on ship board, operates very beneficially, sage also, is in many cases a specific; sometimes rinsing the mouth with good French brandy is of great service. For inflammation and swelling of the tongue give No. 3, and after some hours No. 7; if these fail, or other parts of the mouth are painful and ulcerous, then administer No. 5; if it arise from an injury, then give No. 3; and alternate with No. 15, equally so when it proceeds from the sting of a bee or the like. In dangerous cases Avhere no physician can be ob- tained, give No. 19 and then 38. When the tongue 9* — 132 — is indurated Nos. 7 and 5 are helpful, if it be from frequent biting the tongue in sleep, No. 10 is best. I. In the Stomach. Loss of appetite. The ordinary means used to restore the appetite, are rather calculated to injure it still more. Articles strongly salted and pickled, burning, heating roots, but especially, bitter roots, vegetables or barks, which are steeped in spirituous liquors, and used as stomachicks, are all artificial, but not nourishing. They are all very beneficial as remedies, when used at proper times, for proper purposes, and in suitable quantities, and every one knows either from his own experience, or from what he has seen in others, when they have been serviceable. But since all medecines are injurious, when used in large quantities, or often and much at a time, the common use of such articles must be also very deleterious, and more so when it has become habitual. The appetite may for a day or two be im- proved, but it passes away again. As a part of all nutriment remains in the system, and only a part is carried off, so is it with condiments. A part of them remains in the body, and not being suitable for nourish- ment, they do not become assimilated,'and hence accu- mulate so as to occasion very dangerous diseases. It is not in the intestines they fix themselves, whence they may be purged off, nor in the blood that one may — 133 — draw them off, such notions are puerUe; every medical man who understands the human system, knows that scarcely any thing can remain fixed in the intestines, nor yet in the blood, as these are undergoing a change every day. No, it is in the solid parts of the body, where the change takes place. Whoever takes noAV and then these articles in small quantities, is less in danger of being much injured by them. Sometimes a salt fish, or the occasional use of pickles, especiaUy in hot Aveather, may sometimes have a good effect, particularly when one has felt a strong inclination for them, and when the enjoyment of them, serves to allay the longing for them for a good while. But should the inclination very soon return, then is it a symptom that a further gratification is injurious. The best remedy is the moderate use of cold water. A glass of water should regularly be drunk the first thing in the morning, an hour or so before and after dinner, and in the evening before going to bed. When at table, but little should be drunk, and but little after a hearty meal. A weak or vitiated stomach. That which is the most serviceable in this case, when the Aveakness of the stomach appears soon after eating and drinking, has been stated in page 42, likewise Avhen arising from other causes in pages 16, 18, 29, 55. But there are many cases when different causes operate, or when the cause is unknown; many are of a transient kind, — 134 — others of long continuance and then are known in this country by the term Dyspepsy; many are the com- mencement of inflammatory and even dangerous dis- eases. We will mention here different species of this affection, that every one may cure himself, yet there are many others, which the homoeopathic physician alone can cure, particularly this so termed dyspepsia. In the commencement each of these may be reme- died ; if it have not already advanced very far, by a suitable diet, which consists in this: to avoid all old salted, potted, or else spoiled and dried up victuals, for instance rancid old butter, which is in common use in great towns; in the morning take a reasonable break- fast, that is, light food, little or no meat, at most eggs, at any rate nothing prepared in fat or butter, no fresh baked bread, but stale, not toasted and through that rendered nearly unfit for use; for dinner good vege- tables with meat, boiled or roasted; at supper stale bread and fresh butter, no cakes and pastry, no so called pies, not. even the fruit out of them, and most particularly so Avhen baked with fat. The most important condition would therefore be, a rational mode of living, a wholesome, sufficient and nutritious diet, and this continued constantly, not now and then only for a season, but ahvays. In all cases which rapidly appear, when generally a Avant of appetite, nausea, pains, especially cutting in — 135 — the abdomen, restless sleep, weakness occur, select from among the next following remedies; in cases more tedious, those farther on are especially prescribed. No. 15 is suitable not only after a thrust or a blow, upon the stomach, or arising from lifting, with pain or cracking in the small of the back, but also after a lack of sleep, much mental exertion, when it comes in the whole from much provocation and sensitiveness, when, as we say, the nerves are much affected, when the tongue is very dry, or yellowish furred, the taste fetid or bitter and sour, with an offensive smell from the mouth, aversion to the accustomed use of tobacco, longing for acids, eructation, sometimes resembling bad eggs; apparent fulness in the pit of the stomach after meals, inclination to vomit, complaints from wind in the hypogastrium, the abdomen extended; with these a heaviness in all the limbs, weakness in the legs, ver- tigo, confusion in the head, particularly above the orbit of the eyes, dulness and heat in the head, uncomfort- able warmth, frequent awaking, starting in sleep anxious heavy dreams. Should No. 15 not suffice in these cases, then give No. 13, or if that fail No. 14. No. 13 is applicable for the effects of nocturnal re- velry, Avine and coffee drinking, especially when cold is added thereto, or in general when the mouth is dry and without thirst, the tongue white furred, much slime in the mouth, heart burning, no taste, or all food is insipid, collection of water in the mouth, vomiting, — 136 — pressure in the stomach, the abdomen strained, small stools, or retarded efforts to stool; reeching, giddiness, or cloudiness in the head, heaviness in the hind-part of the head, stinging in the ears, drawing in the molar- teeth, now in the upper, and then in the lower jaw; drawing in the limbs; relaxation and disincUnation to think; restless, quarrelsome, petulant, sometimes also heat in the face, single red blotches in the face. If No. 13 do not relieve, then give No. 14. No. 14 is given when one has eaten or drunk after vexation; a bitter taste remaining after it in the mouth, eructation as of bile, vomiting of green slime, or bright bile; throwing about in sleep, frequent awaking, pain in the head and fulness in it, the face hot and red, the eyes red and burning; the disposition very sensitive. If it do not relieve, then give No. 8, and if that fail No. 13. No. 8 is given Avhen various and unsuitable food and drink have been taken, particularly such as excite flatulency; or much fat, especially pork and mutton, or sausage, or any thing roasted brown in butter (especially old bad butter), or in pies baked with butter or other kinds of fat, or in general when the taste is bitter in the mouth, saltish, or as if after bad meat, or tallow; every bit of bread causes a bitter taste, also other food; no taste for tobacco; the mouth slimy, tickling in the throat, bilious eructation, or acidity and acrimony in the stomach, particular aversion to warm — 137 — food, the abdomen distended, strained, especially under the ribs, rumbling and rattling in it, tedious, oppressive small stools or diarrhoea; drawing in the limbs, as with a cold fever, the patient being chilly, weak, fretful, low spirited displeased about trifles, with little inclination to speak. No. 17 often succeeds when noxious vapours pre- vail in the air, in the spring or fall, when dry days succeeded wet ones, particularly where canals are per- haps recently dug, or the exhalation of low lands, many fogs; also with persons who have to labour, Avhere they inhale unwholsome vapours, and have not a sufficiency of fresh air; it often cures the complaints Avhich precede the ague, so as to prevent its devel- opment. A constant sensation as if satisfied, indif- ferent to meat and drink, after meals the food lying a long time in the stomach, much belching, the undigested food sometimes thrown out with it, longing for some- thing solid, sharp, sour; weakness in the whole frame, with an inclination to lie down, but cannot lie at ease on one spot, must bend or stretch the limbs, which in the morning are quite stiff; a frequent sense of heat; shuddering with every slight puff of wind, urine dark colored, leaving a sediment; cannot get to sleep when lying down, or sleep always interrupted; sulky, ill- humored temper. No. 20 is used when the patient feels qualmish, the tongue furred or bladders on it; frequent belching, which tastes of the food last taken; — 138 — the mouth appears dry, or the saliva runs out of the mouth, much thirst, especially at night; mucus in the throat, or vomiting of mucus and bile, the stomach painful, as if it were overloaded, or painful to the touch, moreover wind and a cutting in the abdomen, diar- rhoea and constipation with it. If it do not soon relieve, then give No. 12. No. 12 is suitable for a vitiated stomach with chills and cold; the bowels are constipated, the tongue furred white or yellowish, or blisters on it, as under No. 20. The same thirst, but more in the day and night, and more dryness in the throat and stomach with it. In summer especially and in warm wet weather No. 12 may be administered, after ten or twelve hours, if ne- cessary, repeat it, and when it does not cure, No. 20. No. 25 is given when the stomach is molested with phlegm or for other weakness; when with nausea, vom- iting &c. the tongue is not furred; also with a peculiarly severe loathing of aU food, even tobacco, with easy and violent vomiting, especially when accompanied with diarrhoea; likewise when it return every day or every other day at the same hour. * No. 16 may be given when the stomach is too easily affected, and if this occurs often through the ordinary mode of living, notwithstanding the utmost care; with a desire for acids, strong, acrid things, or for wine; when nausea, urging and belching attend it, chiefly in the morning, occasionally acid, bile, or mucus — 139 — is thrown up, with phlegm in the throat, pains in the bowels and hard dry stool; particularly when for these complaints mercurial pills have been used. No. 38 is employed when No. 16 was insufficient, Avhen especially the complaints appear always after meals, or early in the morning; when constipation continues for several days. The most tedious cases of this so called dyspepsia may often be cured by No. 16 or 18, if they are not too often repeated, but always waiting till it is evidently worse again, and wlien the first ceases to relieve, then the other is resorted to. Should both fail, then it is adviseable to take No. 5, or No. 7 several times, and No. 18. When a phlegmatic state of the stomach manifests itself by the quantity of phlegm, which collects in the mouth, or is thrown up; otherwise the symptoms re- semble a vitiated stomach, the taste is commonly A-ery insipid or sweetish; the patient is very weak and de- jected before meals, and after them, full and restless, No. 25 may be taken several times, and then select one of the other prescribed remedies. If diarrhoea be connected with it, thin, brown, slimy, particularly sour or musty smelling stools, then No. 9 will assist; if much bile be thrown up or otherwise discharged, and the symptoms very violent, then give No. 6 once or tAvice. If there be a burning in the throat, stomach or with the stool, then give No. 34. Heart burning, that is a burning, sour, acrid rising — 140 — from the stomach, by the throat, into the mouth; it is chiefly combined with other symptoms in the stomach, and may be removed by those remedies applicable to them. No. 13 often succeeds; or, if it appear particu- larly after meals No. 17; if Nos. 13, 14 or 8 should not succeed, then give No. 34; if No. 17 fail, then try No. 29. If it arise after smoking tobacco, No. 11, if much thirst prevails, give No. 5. With pregnant women, if No. 5 and the other remedies have failed, take lemon-slices with sugar in the mouth. Sometimes it is useful to drink every morning Avater, sweetened with sugar, which may be constantly drunk plentifully, should even the evil first increase. Water crackers will serve to alleviate it. The use of lye and wood-ashes should be avoided, which may cause dan- gerous consequences; likewise chalk, magnesia, oyster shells, &c, which often remain lying in the body in the shape of hard balls, particularly when aperients have been taken after them. Nausea and vomiting. Here the possible causes are to be considered and measures taken according to them. Very frequently the complaint ceases after vomiting, this therefore can be promoted by the use of lukewarm water, tickling the throat with a feather, or by strong coffee without sugar or milk. An emetic should on no account be taken, since by it the stomach is frequently dangerously affected. That Avhich these emetics are to effect, may be brought about by No. 20, — 141 — when the tongue is thickly covered with a white or yellowish fur, or No. 25, when the tongue is clean. Nausea or vomiting is occasioned sometimes by fright, see page 15, 16; by trouble page 16, 17; vexation page 18, 19; cold page 21, 22; overheating page 33; night watching page 36; if it arise from a sick or vitiated stomach page 40, and with a weak stomach; from ex- cessive drinking page 38, 41; from tobacco page 59; from chamomile tea page 61; rhubarb page 64; and other so called medicines; when it proceeds from other poisons, see page 60, particularly page 72. Should nausea and vomiting arise from a fall on the head, then give No. 15, as in page 141; if it arise from something sticking in the throat page 168. If it be combined with giddiness page 1; with head- ache page 5, 10; if the remedies there recommended fail, then try No, 38, once or twice, and after that No. 5. For vomiting with a cough page 28; also, page 56, No. 25, and page 57, No. 7; page 58, No. 34; page 59, Nos. 8, 12, and page 60, No. 17; page 61, No. 26, 10; page 62, No. 18, and page 63, Nos. 35, 38. With hooping-cough, see page 69, 72. If it arise from riding in carriages, or from travelling by water, then No. 41 may be taken; also, No. 41, once or twice every day, in several cases Nos. 18 or 21 should be given once as an intermediate remedy. Vomiting from a Aveak stomach, arising after every meal, is often removed by No. 8 or 13, alternated — 142 — with No. 12. If the stomach be so Aveak, that only a very little can be taken at once, when the smallest in- crease occasions vomiting, with spasms and cutting in the abdomen, or giddiness, with vomiting white viscous slime, diarrhoea, weakness in the limbs, frequently to fainting, then give No. 8, sometimes also No. 41. If it continue, then give No. 13, and upon that No. 12; if these will not succeed, then compare all the other symptoms which the patient has, and select No. 17 or 36, which may alternately be given; or No. 18 and then 19; in many violent cases No, 33 relieves, and in many tedious ones No. 35 avails, particularly after No. 18. Vomiting Avith children from worms, see under "worm-complaints". Spasm and pain in the stomach. Among the do- mestic remedies for these complaints, many are very injurious, as for instance opium and morphium pills are in no diseases more dangerous and deleterious than in these. The remedies which may be tried and which often relieve are, a table-spoonful of milk from time to time, and Avarm olive or linseed oil rubbed on the region of the stomach, it is sometimes relieved by tak- ing inwardly a spoonful of linseed oil. Many find relief from thin chicken broth, others from a sheet of blotting paper steeped in rum and laid on the stomach. To such No. 13 will be of greater and more lasting benefit, if they will only avoid using and even smelling - 143 — spirituous liquors. A few hands full of common oats may be roasted in a pan like coffee, but not so broAvn, and these laid warm on the stomach in a small bag. This assists especially when the patient has before taken opium or laudanum, and through it as is custom- ary, has become much worse. No. 13 will relieve such who Avere fond of spirits and coffee, Avhen they entirely discontinue that habit; further Avhen there is in the stomach a constriction, pressure, cramping, Avhen it is as if the cloths were too tight there, or as if flatulence were accumulating under the left ribs, worst after eating, often as soon as the patient leaves his bed in the morning, many times awaking him even out of sleep; with these pains is often connected a cramp on the chest, as if a band were drawn around it, which descends from the back between the shoulders to the small of the back; very often there is nausea with the. pains, or a collection of clear water in the mouth, or acid, bitter, burning water ascends the throat; vomiting of the food eaten, acid nauseous taste in the mouth; flatulence distending the abdomen, the bowels constipated. Sometimes hemi- crania is present or pressing on the forehead, or heart- beating Avith anxiousness. A globule may be given in the evening, if it be not better the next morning, give one more, Avail then its good effect for a week; if it be worse again before that time, then give No. 8, or 14 or 4; if it be worse after a week, repeat No. 13; — 144 — should it be unsuccessful, then give No. 29; if No. 13 does not relieve from the beginning, then select Nos. 14 or 41. Should coffee drinking exacerbate it, then give No. 13; if it alleviate it somewhat No. 14. No. 14 is given, when there is a pressure Uke a stone, and at the same time the pit of the stomach and left side of the under ribs are distended, as if the heart would be pressed out; shortness of breath and anxiety combined with it, at night the worst, the patient on ac- count of anxiousness and restlessness, knows not what to do, throwing himself about in the bed; sometimes a beating throbbing pain in the vertex, compelling him to leave his bed. The pain in the stomach is alleviated by lying quite still, snd bent together. If the pains are very acute, then give No. 1, and afterwards, when necessary, No. 14 again. If No. 14 does no good, then give No. 5. Spasms in the stomach during menstruation, are commonly removed by No. 13, or some hours after- wards by No. 14; but should the menses be weak, then No. 8 or 41 is to be preferred. No. 41 is given, when No. 13 has somewhat aUe- viated the pain, but it returned soon again, when the stool is hard or protracted, and the stomach-ache at- tended with a pressing contraction, extending itself over the sides of the abdomen, abating after the dis- charge of wind; when with the nausea, water flows — 145 — into the mouth, without heat and burning, when the patient is not vexed, angry, violent (then No. 13 ap- plies), but is rather sullen and morose. No. 5 is proper when No. 14 has not relieved, or only mitigated it, frequently with females, particu- larly the delicate and sensitive; when there is a knaw- ing, pressure, or spasmodic straining which compels to bend backwards, or to hold the breath, which mo- derates the pain; again, when the pain comes always after dinner; when it is so violent as to deprive the patient of the use of his senses, or if fainting fits arise from it. Commonly thirst is combined with it, and after drinking the pain is worse; the effort to stool comes too late, evacuation little, night without sleep. No. 12 for a similar pressure as under No. 14, particularly when it comes during meals or immedi- ately after them, and it is as if the pit and region of the stomach were swollen; sometimes the pressing, constricting pinching or cutting is abated by a pressure on the stomach, or by a belching which then folloAvs; the pains become worse during motion (the opposite of No. 17). Constipation is ordinarily combined with it; often a pressing in the temples, forehead, or occiput, as if the skull would be pressed asunder, better when the head is hard pressed upon, or firmly bound around. No. 8 apply when the pains are stinging, worse in walking, especially when false steps are made; always with nausea or vomiting; also where the stools are 10 — 146 — at the same time thin and fluid; no thirst, but with ex- cruciating pains, when it is strained and cramped vio- lently, or throbs there with anxiousness; a griping abated by eating, or, Avhen worse by eating, pressing and pinching, chiefly suitable for mild soft hearted men, or when cakes and other fat things may have been the cause. No. 4 is proper when No. 8 has not succeeded, but after some days the disease appears not quite gone; when the pains are as with No. 4, but without hard stools and less vomiting; also when after each meal a pressure arises above in the stomach, or quite down on the throat; also with such persons who had suffered hunger, or had for some time not enough to eat. No. 17 is suitable for enfeebled persons, who have used many emetics and purgatives, or have been bled and cupped, or otherwise lost much blood or other fluids of the body, that have been much salivated, &c.; for which reason it should always be first given when women in nursing have cramp in the stomach, espe- cially when much milk escapes (after which No. 5 is to be given), or, where they have nursed too long, that is, longer than 9 months, when the child should be weaned. Generally when the patient has a bad diges- tion, slime, acid, bUious acrimony in the stomach, the stomach then feels sore, becomes distended and op- pressed by every eating and drinking, worse at rest, better in motion. — 147 — No. 29 is used, especially when No. 13 did only relieve for a short period; generally when the pain is burning; also with a continued, painful, tormenting pressure, worse when touched; or with a contracting spasmodic sensation, which compels one to bend to- gether, affecting the breath, worse when lying down. Heart burning and nausea often accompany it; a loath- ing at the very thought of food; constipation. No. 35 is suitable for lasting pains, or where No. 5 relieved for some time, with pressing, cutting, con- tracting, spasmodic, pinching, choking with a sensation of anxiousness; worse after meals, often with vomiting of the food eaten, or worse at night; with pain by out- ward pressure; especially with females, who have strong menstruation, or had them formerly, or with others, who bleed much at the nose. Inflammation of the stomach, see inflammation of the hypogastrium. K. In the Abdomen. Pain in the abdomen. Colic. They often arise from cold, particularly when perspiration has been checked by it, see page 21, the remedies Nos. 13, 17, 14, 7, 8; also often from a vitiated stomach, examine the preceding remedies, also look to page 33, but especially page 40. It arises, not unfrequently from medicines so termed, or poisons, especially from lead, which should 10* — 148 — be reviewed. If it be combined with the monthly pe- riod, then look to that article. No. 14 serves often for children as well as others, when in addition to the symptoms in pages 21 and 22, there is a blue ring around the eyes, much saliva in the mouth, raging around the navel, the small of the back as if broken; if this should not relieve, then give No. 8. No. 14 will relieve, when flatulency is ob- structed in different parts of the abdomen, as if it would force its way through; under the ribs and in the region of the pit of the stomach, every part is distended, with anxiety, restlessness and clammy perspiration, fre- quently a rumbling and rolling is combined, a pressure to stool, small, slimy, watery stools. No. 13 is applicable for constipation, or hard evacua- tion ; a sensation like a weight in the abdomen, rum- bling and rattling and unusual warmth in it, the pains cutting, drawing, contracting, as if the intestines were pressed here and there as by stones; pressure in the pit of the stomach; the abdomen is painful to the touch, is strained; producing short oppressive breathing, as if every part Avas too full, as if under the ribs it were crammed; with the most painful attacks, cold hands and feet, many times a total deprivation of all senses; colic and wind deep in the abdomen; sharp pressure, as if with a dull knife, upon the bladder and rectum beneath, as if the wind would cut its way out; it draws the patient double; worse with every step (the same — 149 — as No. 5), better at rest, in sitting and lying. There is ordinarily connected with it, a violent pain in the small of the back and head; many of these attacks are con- sidered by ignorant people as originating from consti- pation, who imagine they must use purgative medicines for it; compare what was said on constipation. - No. 7 applies to violent, twisting, compressing pain in the bowels; a hardness about the navel, jerking on the abdomen, which is distended and hard; a creeping in the throat, hiccupping, canine appetite, loathing of sweet things; inclination to vomit, with which water rises to the throat, urging to stool; or straining and burning around the navel, with much saliva in the mouth, eructation, diarrhoea, discharge of mucus, great weakness; exacerbated attacks of colic about mid- night ; if, in the last cases it does not soon relieve, and an itching is connected with it in the nose, then give No. 27; should that not completely reUeve, then give No. 18. No. 8 is used for stinging pains in the abdomen, pulsating in the pit of the stomach, very uncomfortable straining in the abdomen, as if every part was full; rumbling and rolling, the wind does not pass off; a Avarmth in the abdomen causing anxiety, by Avhich it is distended; general heat, with swollen veins on the hands, and forehead, the patient must undress on ac- count of the heat and tension on the abdomen, which pains as if bruised when pressed upon; every thing is — 150 — Avorse while lying, somewhat better when walking up and down; the small of the back is as if beaten, when standing up; the same with pinching cutting, worse when touched, raging and stinging around the navel; restlessness, heaviness in the abdomen, Avhich is pain- fully tightened, and suffers from pressure; a tendency to vomit, while frothy saliva in the mouth, diarrhoea; yellow gray discharge, with violent pains in the stom- ach, pale face, blue margin around the eyes (compare No. 14); bending of the Avhole body (as with Nos. 13, 5, 8); pressing straining head - ache. If it arise from an overloaded stomach, then give pure coffee, and afterwards, when requisite, No. 8; should this fail, then No. 5. In cases similar to those last mentioned under No. 8, the bladder is sometimes affected; when violent pains arise, by which the parts, especially in the region of the bladder, are drawn as with a spasm, inwardly, with a continued urgency to pass water, but without effect, restlessness and anxiety combined with it, the most acute sensitiveness of the abdomen. Here No. 3 is helpful, in one or a few doses; afterwards when requi- site, No. 13. No. 28 is a sovereign remedy in all violent colics. If the pains be very acute, continue uninterruptedly or occasionally remit alike, after which they return again with greater violence, then it may always be first given. It is particularly serviceable, when the pains — 151 — are most severe on a single spot around the navel, when it conies every five or ten minutes (as with No. 5), when it commences with a gentle drawing on the side towards the centre, which always increases and ends in a cramping, pressing, griping, undermin- ing, and raging, so violent, that the patient shrieks out, from anxiety and pain knows not what to do, twists himself like a worm, is covered with sweat, or when the patient, during the paroxysms, presses with his fists against the abdomen, or like one frantic, presses his abdomen against the bed-post, corner of the table, &c., lies on his belly, stuffs pillows under him, and so finally gets some ease. For colic after excessive anger, when No. 14 avails not, give No. 28. Whoever has previously had such attacks, continuing by intervals or lasting whole days, and had to take opium, by which it is doubtlessly caused to return again, may when its first approach is felt, immediately take No. 28. Especially when the former paroxysms after their departure, occasion a weakness in the in- testines, as if every part were bruised and suspended on a thin thread; so that they appear liable with every step to be torn to pieces. In all such cases, No. 28 remains the most suitable. If the first dose, do not produce an immediate improvement, then wait not more than an hour, if it be worse, then give after»some minutes, some pure coffee, not more than a tea-spoon- — 152 — ful at once, which may be repeated as long as it miti- gates; when it becomes worse again, give No. 28 again, then coffee again and so on. When coffee ceases to relieve, give No. 28 again, until it ceases. While the pain is tolerable, give nothing, always repeat the remedies as soon as the disease grows worse again. So soon as it ceases to be worse after a globule of No. 28, but is getting, though slowly better, let no more coffee be given and let it, when it is possible, proceed to operate for some weeks undisturbed. Com- monly the second and often the third dose is of a bene- ficial effect; and then in the worst cases nothing more need be done. If after-symptoms remain, then No. 45 may be applied, in two doses evening and morning. Should the patient unluckily during the colic have taken opium or laudanum, in this disease especially, a pernicious medicine, then give in the first instance coffee and then No. 28. Should it not help, because the patient has been vitiated by that poisonous medi- cine, then try as an intermediate remedy No. 14 and then No. 28 again. But sometimes there are colics so violent, that No. 28 may not help, but one of those remedies which are arranged here, particularly No. 5. No. 5 is used, when with the pains a thick roll like a sausage, protrudes obliquely over the abdomen, and when lying doubled up, or pressing inwardly gives some relief; and when it twitches and tugs down- — 153 — wardly, as if the bowels would fall down,- which is al- ways worse, when the patient is up and walks about; especially when a thin purulent stool is connected with it. In the last case No. 7 often is useful afterwards in removing the remainder of the disease. Generally No. 5 is helpful, when the face is very red, the blood rises to the head, the veins swollen and combined with it, the pains so violent, that the patient resembles a raging maniac. Further, with pains under the navel, when it seizes and gripes one as with nails. Some- times pains in the small of the back are combined as they correspond with No. 5, which have to be revieAved. No. 41 applies to pains similar to those described under No. 13; especially when the lower part of the belly is as if laced together, urging and pressing out- wardly and downwardly, Avith some nausea; or when the winds escape without relief, on account of their constant succession, which cause here and there an obstruction (like No. 14) in the abdomen, and pro- duce pain; or also when the winds swells up the chest and stomach, with a rattling and cramping in the stomach, with anxiety, pressing under the ribs, all of which is reUeved when the wind passes upwards. No. 17 succeeds when the colic arises from twist- ing similar to Nos. 14 and 41, when first in the under part of the abdomen the intestines are as laced together, amidst urging and straining pains pressing — 154 - outwardly, with a construction under the short ribs and Avith anxiousness, particularly when it comes on at night, with weakly persons, or after excessive per- spiration, or with nursing females. No. 4 applies to colics at night, which awaken one out of sleep, or with stitches towards the side and breast, if the wind passes off with difficulty, but after its escape the pains become milder; frequently with sensitive females. Should the pain in such cases, come every evening, and the wind with nausea and vomit- ing, then No. 8 is preferable. A colic which pre- cedes a bitter taste, yellow furred tongue, much thirst, which, as we say arises from bile, often attended with vomiting of bile, or bilious stools, is commonly cured by one or two doses of No. 14, in bad cases also No. 28, and if this remedy do not succeed, No. 18. Flatulence frequently causes colic, and the remedies for it have already been prescribed. If it produce no violent pains, but nevertheless heat, restlessness, dis- tension of the abdomen, confining of the breath, if as is often the case after flatulent food, beer, or after having drunk water after fat meals, then give No. 17; afterwards with persons of a violent temper No. 13, with mild quiet individuals No. 8, if it arise from pork No. 8 also, when No. 17 does not relieve. If it often return, then give No. 18, and if this should also fail, then consult a homoeopathic physician. Inflammation of the bowels and stomach. The treat- — 155 — ment of this disease by the ordinary domestic remedies is just as injurious as with the common physicians, though it is impossible to give directions in all these cases, yet it is always far better to be guided by such rules as we can give here, than to have recourse to a violent treatment. If it be possible to consult a homoeo- pathic physician, it is always to be preferred., An inflammation of this sort may be supposed to exist, if there is a burning pain, sometimes stinging, tearing, in any part of the belly, which is very painful to the touch, and painful also by every movement or shaking, such as caused by coughing, snee»ng, laugh- ing &c., this spot is sometimes distended and swollen. If it be above, near the breasts, it causes difficulty of breathing, particularly to inhale with which very often vomiting or eructation are combined, which afford no relief. Almost always* constipation is combined with it, which induces many to use purgatives, though they are in this case real poison, or likewise emetics, which may prove fatal. The bowels should be left perfectly undisturbed, give water to drink and at most occasion- ally mucilage, but beside them nothing. The longer the constipation lasts, the better it is. When the pa- tients return to a healthy state, and begin to eat, then the stool will come by itself. I have seen such danger- ous cases, Avhere the stools were kept back for 15 days, and the patients became yet healthy and strong. With the foregoing symptoms the following are commonly — 156 - connected. The countenance is pale, $ray, sunken; vio- lent fever, but only a weak pulse; the temper very de- jected and anxious. When it has attained its highest stage, the vomiting is very violent as also are the pains, the weakness is very great, the arms and legs become cold, the patient is hiccupping and his abdomen dis- tended. If the disease be seated in the stomach, then com- monly the pain is in the pit of the stomach, and passes down the ribs towards the back or through to the bowels; the vomiting follows immediately as soon as any thing has been eaten or drunk, and with a violent thirst there is ordinarily an aversion to water. Should it be fixed elsewhere, then the pain is to be felt there, the abdomen becomes hot, the vomiting always appears some time after any thing has been eaten. In all these cases apply in tne first days of the dis- ease No. 3, repeat it every hour, and as soon as it abates, wait and repeat it only when it is worse again. If it ceases to relieve, then we have to select from the following remedies. Should the pains be worst in the centre and forward, and towards the left inwardly under the ribs, from whence it extended, farther under the ribs forward, or towards the back, or the abdomen with a swelling of the region of the stomach, great anxiety, much vomiting, after which it is rather worse than better, then the vomiting may be aUeviated by No, 25, if it be better after it, the dose may be repeated; but if the tongue be furred whitish or yellowish, then it is better to give No. 20 once or twice. Should a foul stomach be the»frrst cause of it, then No. 8 or* 13 may be given. If the pains or the fever be very severe, if they arise from a cold, especially from drinking cold water when hot, then give after No. 3 or 25 immediately No. 12, and repeat it as often as it is worse; but when this fails to relieve, then have recourse to No. 13. Should the patient be benumbed, confused and speak deliriously, or know not how sick he is, then give No. 33, and repeat it several times, as often as it is requisite; but if this will not ameliorate it, then give No. 5 and wait if possible one day. Should the limbs become cold, and the strength fail, if the face be very pale, or else very much altered, then give No. 6 in repeated doses; if this do not assist, No. 19, which however ought not to be given more than twice. Very often No. 3 can be given with advantage after No. 19, and so on both alternately several times. If it be worse after No. 19, then give No. 13. Should the pains be more in the left side, under the ribs, from thence passing downward, then very frequently a vomiting of blood is early joined with it. If the fever be very severe, then give No. 3, but before growing much Avorse, give immediately No. 17 to be repeated as often as the pains increase. This in most cases re- lieves, and where it does not succeed No. 15 may — 158 — afterwards be given, especially when an urging, sting- ing pain continues, which takes away the breath, or when attacks appear as with the nervous fever, when the patient lies quite indifferent and confused, does not distinctly feel how sick he is, or pretends that nothing is amiss. In many cases No. 13 may afterwards be given, when constipation and pressing on the stomach continue long, and it is not better otherwise. If beside the constipation there is a stinging pain also, which, with every movement is very acute, then give No. 12 in two doses. If on the other hand a diar- rhoea appear through the loss of much blood, and the pains without abatement, when they are particularly burning, and the patient is exceedingly weak, then give No. 19. If every other day it is.worse, then give No. 17 once after the bad day has passed, and then immediately again when the bad day begins; should this not relieve, then give after some days No. 19. Should the pains be more to the right under the ribs, in the side and towards the front, passing either above or below, then give one of the following remedies. For an obtuse urging pain which is not increased by outward pressure, turning about or respiring, with pressing in the stomach, tension under the ribs, op- pressed breath, yellow tongue, bitter taste, yellow colored skin, and anxious attacks, give No. 14. If the anxious fits become more frequent, especially at — 159 — night, if with them green slimy diarrhoea appears and nausea, then No. 8; but if there be constipation with it, the color of the skin not so yellow, on the other hand, the breast more so affected, No. 12. Two or three globules of these remedies are given for a dose, and after half an hour or an hour, if it be no better, a globule is given again. With urging pains which forbid lying on the right side, bitterness in the mouth, more thirst than hunger, unceasing chilliness, very yellow colored skin and eyes, No. 7, alternated with No. 5, or in bad cases with No. 38 relieve. Should the urging pains advance to the cavity of the stomach and up to the shoulders, if the pit of the stomach be distended, with straining above the navel, passing obUquely over the belly, Avith oppressed breathing and anxiousness, if a determination of blood to the head be connected with it, if darkness be often before the eyes, with giddiness approaching to fainting, often violent thirst be combined with it, anxious throwing about, sleeplessness, then give No. 5, which after two or three hours, if it be no better, may be repeated; if after it, there be no favorable change the day following, then give No. 38, likewise in two doses, and as often as it is worse again; if No. 38 ceases to help, then give No. 5 or one of the other specified remedies. For pains that sting, sometimes with throbbing and stitching, so that the part becomes very sensitive to the touch, sour or bitter taste, nausea or even vomit- — 160 — ing, oppression and shortness of breath, as if the cloths were too tight, and when loosened, it is rather worse than better; thirst, red urine, urging, pressing head- ache, then give No. 13, and if this give no relief, and the stinging pains continue, give No. 18. In all cases, if the preceding remedies do not produce a rapid improvement in a few days, or if it be better, but"_ocs not continue so, then give No. 18, and if upon that, in the course of six or twelve hours, it is no better, one dose more, and then No. 30 several times a day for a week. If it is Avorse every other day, then give No. 17 as above where the pains on the left side were referred to. If the pain be more in the abdomen in its middle or lower part, if by exertion or pressure it is worse, and the part which is worst distended, then give No. 3 frequently repeated, that is always after 3 or 4 hours, when it is no better, or after it was better, it become worse again. If after this alone it be no better, and the belly continues very sensible to the touch, then give No. 38, after one hour repeat it. If this do not re- lieve, then give No. 5. In many cases Nos. 33, 12, 13, 19, and 7 may do (this last especially) after No. 38, the Indications for which should therefore be compared where they have been mentioned. In this disease more especially all purgatives are to be avoided; there is always obstinate constipation con- nected with it, and the longer it continue, the earUer — 161 — and more completely will the patient be in health again; but if he take any thing to carry something off, or even to vomit, then either it will carry him to the grave, or entail a tedious disease, which will be removed with great difficulty. Constipation is therefore a good sign in this dangerous disease, as on the contrary it is a very bad symptom, when a thin discharge passes away involuntarily. In this state of imminent danger assis- tance may be found in No, 33 Avhich, if the patient has no relief in 2 or 3 hours, or only feels relieved, then repeat it once more, but upon that, as long as it is not much worse again, patience must be had and nothing more administered. Small children have often an attack, Avhen, with pains in the bowels, a distention in the pit of the stom- ach and under the ribs is joined, in such cases No. 14 is helpful in one or tAvo doses. Look over "diseases of children". Determination of blood to the bowels, or an oppres- sive sensation of heat and burning in them, with hard- ness, straining, obtuse pains, symptoms as if the stom- ach were overloaded, without this being the case, or with hypochondriac persons, who sit too much, or with the piles. The sovereign remedy is No. 18. But if pains in the small of the back are combined with it, as if it would sever, as if there were no strength, so that it is scarcely possible to walk, then No. 13 will do good. If combined, with it is a soft small, slimy, 11 — 162 — watery 6tool, then No. 34 will relieve; if it be con- nected with great weakness No. 19. For other reme- dies see "Piles"; there are especially suitable Nos. 5, 6, 8, 12, 14, 23. Worms. Much has always been attributed to worms, which arises from entirely different causes; for in- stance, when children are fed with improper things, filled up with pap, allowed constantly to eat cakes, or the mother whUe nursing, pays no attention whatever to her diet, whence children must necessarily become sick, or inclined that way, so that afterwards they actually become diseased. Also when the children are wrapped up loo warm, and not brought into the fresh air. Particularly when mothers or grandmothers sit the whole day, with the dear infant upon the rocking chair. By this usage the brain is accustomed to a wrong motion, and the diseases of children in the brain are attributed to the intestines and the worms. If to all these defects are added the many medicines for worms, the very many injections and vermifuges, then it must follow the worms cannot fail to prosper. Care should, above every thing, be taken, when children are supposed to have worms, to furnish a rational diet, by Avhich means the Avorms will abate of themselves, or the remedies have then a better chance to operate. — We have a great deal too much fear of these vermin; they are by no means as bad as the medicines for them, particularly the many nostrums, — 163 — which are passed about in the newspapers. Good easy people believe it, and purchase the trash; but if they knew what they or their children swallow down, thefl would they rather pay double the money, to keep it out of the house, than to use it. Nevertheless these things help sometimes to destroy the worms, so does every poison, but it destroys the children also not un- frequently, or injures the bowels so, that the effects appear after many years. In the first place we should consider, that every child has worms, sometimes even in the womb, and that it is often a sign of a bad dis- ease when they pass off of themselves; in the next place, it should be considered, that these worms live on matter, which otherwise would lead to more damage than the worms themselves. Almost every thing at- tributed to worms, is only some complaint or other, by which the worms are unusually increased, especi- ally if accompanied with a wrong mode of living. If thus they have become too numerous, then they will produce different symptoms, which acceding to the original disease render the case sometimes even danger- ous. After the removal of the worms, those symptoms will indeed abate which were caused by them, but the real disease wiU be the more aggravated. Sometimes are new diseases arising which are worse than the first, though proceeding more slowly, as it often occurs towards the 10th year and afterwards. The removal of worms by itself is of no real use. Through the 11* — 164 — remedies here prescribed, one can very often cure the disease, and where there are really too many worms, which is very seldom the case, then will they pass away also. Children should have sufficient to eat, but not too much bread, and little or scarely any pastry and pies, let them eat more fresh, or baked, or dried fruit, electuaries, and molasses, but particularly carrots. When it is not certain whether worms are there or not, if the child is emaciated and often vomits, then give first No. 25, but if the tongue be furred, No. 29, if it be not better from it, No. 8; if it previously had a diarrhoea or must purge, No. 17, if constipation be combined, No. 13. If worms sometimes pass off, if the belly be thick, or the children rub much on the nose, then give No. 27, which is a sovereign remedy against all complaints, which really arise from worms. Colic from worms, with great inclination to vomit, when with it, water comes into the mouth, when it is hard around the navel, and the whole belly is hard and distended, with frequent urgency to go to stool, yet nothing comes or only slime, first give No. 3, after some hours No. 27, and if this do not sufficiently relieve, No. 7. In all complaints from Avorms it is of great importance to be- gin with No. 3, and if they wiU not escape after tUis or the next remedy No. 18 is the best, especially No. 7. With these remedies relief may be found in almost all cases, except in a few, with much thirst, — 165 — fright, and shrinking, then No. 5 must also be given; in very bad cases No. 38 several times. Whoever has tape-worms, will observe that parts of them pass off from time to time; these are almost four- cornered , quite flat, nearly as broad as a small finger; and nothing but the actual discharge of such pieces, particularly at the new and full-moon, can be relied on as a certain sign of the presence of a tape-worm. Whoever has the tape-Avorm indeed, should not be alarmed, as if he had any thing monstrous in his body, which requires all the poison in the world to destroy. Should there be success in driving it away suddenly, then it is still worse for the patient than if it had re- mained; for it then occasions another complaint. Let No. 18 be taken two successhre mornings, at the waning of the moon, the next full-moon No. 7, and eight days after No. 18 twice again, and repeat this several times. If this does not succeed, then apply to a homoeopathic physician. What is proper to do in case of small ascarides, which are seated in the anus, refer to "Itching in the anus". Itching in the anus, when it is inwardly or outward- ly, more severe when sitting, moving, after hot meat or drink, pains connected with it, also swollen piles, which are dry, or humid or bleeding; when the patient is costive, when occasioned by taking too much ardent spirits, beer or coffee, or with persons Avho sit — 166 — much, with pregnant females, or when it arises from small ascarides, which seem to move when the sphinc- ter ani is drawn apart, then give No. 13 in the evening. When it arises from small worms, but No. 13 does not relieve when the children are delirious at night, restless, feverish, then give either in the evening or at night No. 3, and if this does not succeed, give No. 4 in the morning. But should the children be often annoyed "again, especially at the full and new- moon, then give after each full and new-moon No. 18, when the dose does not succeed, give it the next time in water, a spoon full every morning for a week. If at the next full-moon there is no favorable change, then give No. 35 in the same manner, which may be repeated every seven days. Allow the chUdren no pork to eat, and as little pastry and sweet meats as possible. Should this also fail, then let them smell at No. 36 every other morning; should a diarrhoea arise, then discontinue it, and if the diarrhoea continue, give No. 17. While the children are using these remedies (Nos. 18, 35, 36), no others should be given, unless there be some fever, then No. 3 is proper, and if it do not help, they may smell camphor. Besides, sweet oil may be rubbed in the anus, or a piece of bacon, cut like a little finger, with a thread tied around 2 or 3 times, and then put in the anus and after about 10 minutes — 167 — removed. Should this not relieve, let a small injection of cold water be applied every evening. All these do not disturb the action of the remedies; but should they not succeed, as will be Avith many children, who have it from their birth, then try small injections of weak salt-water, and when this fails or produces a diarrhoea, injections of water with a little vinegar. It has also been found good, in the time of asparagus, at which time worms are generally most troublesome to allow children to eat asparagus every day. When the itching arises from piles, from swollen red, blue nodes on the anus, then give the following remedies. When beside itching, a burning and sting- ing is felt, also, the anus being drawn together and so narrow, that there is scarcely room for the passage of the stool; combined Avith this, a dull stitch, and jerk- ing in the small of the back and about the anus, with every motion a pain in the small of the back as if bruised, so that the patient shrieks out, can neither walk nor sit bent or uprightly, then No. 13 assists, or after one or two days No. 4 in two doses. If besides the itching there is a pain like a sore in aud round the anus, with stinging; if it itches and burns, and the nodes are Avet; if there is a feeling of fulness and heaviness in the rectum, or if the same entirely protrude; with a constant urging and pressing to stool, or with thin bloody stools, violent stinging pains in the small of the back, stiffness in that part, or — 168 — tension as if too short, then give No. 18, evening and morning, and if the improvement does not advance ra- pidly enough, give No. 30 several times, then it will assuredly help. But should it be worse after No. 18, then give No. 3, and if not better after that, then smell camphor. Hemorrhoids, or piles, for so the disease is called, which chiefly consists in this, that commonly every 4 or 6 weeks, after more or less preceeding complaints some blood escapes from the anus, after which for the most part there appears an amelioration. By this, many other bad diseases are often prevented, and hence its old German name "guldene Ader". The preceeding symptoms are often very oppressive, the discharge is checked and no blood escapes, or too little; frequently too much passes off as to become dangerous; nodes on the fundament arise, which are sometimes very painful, especially when no blood escapes. Many times the disease is transferred to other parts, and then it is attended with very serious consequences. With reference to this, remedies should be used; but especially the diet should be regulated, so that the disease do not become more malignant. The patient should not sit much, especially on very soft cushions, particularly while the nodes are pro- truded, but by no means, and at no time on rocking- chairs, which never fail to aggravate the complaint; all strong liquors must be avoided, especially strong — 169 — beer, nor any coffee drunk, but much water, and with- al use much exercise. Physicians of the old method generally know of no other mode to cure these nodes, than cutting them off, nor are the pains very acute, but it is very useless and may often be followed by dangerous conse- quences. Frequently the bleeding cannot be staunched, otherwise than by a hot iron, or by kreosote, which, on the other hand, produces ulcers, which they can not heal. In all cases however, the cutting off* the nodes avails nothing, except the discontinuance of the pains for a while, but these nodes soon after grow again, yet higher up in the rectum; hence they are naturally much worse, give greater pain, render it now more difficult to cut them aAvay again in that situation, through which the rectum becomes incurably injured; if this take place again and again, they will grow still higher up, and what is then to be done? Then the skill of these operators is at an end. Noav the disease is become worse than at first, and the patient is left to his fate. The homoeopathists on the contrary, have remedies, with which they can remove these nodes without any cutting. But the more they are cut, the more difficult is it to relieve r since by it the disease becomes more obstinate. Cold Avashing and injections of about half a pint of cold water, repeated once or twice a day, are excellent means, if the hemorrhoids be not bleeding; but not in — 170 — this case as then they might be checked. At the most, the trial should be only made when the flux is too great, but still always attending to the prescribed reme- dies. The injections ought also to be very cautiously used, the water not too cold, the part which is intro- duced must be entirely of wood, not too slender, drawn in a somewhat oval or club like shape, the fore-part about the size of the little finger, and must always previously be rubbed over with very fresh sweet oil, or tallow; it should cautiously and slowly be turned in, and then the syringe fixed in it, and when pressing on this syringe, the point should be held and pressed back, so that the point when pressing is not pushed in too far. When the nodes on the anus are very painful, so that nothing can be introduced, then let a sponge dipt in cold water be held to the painful part. It may give much reUef, if the nodes are moistened with one's own spittle, only it should not be done after eating or smoking tobacco; tobacco chewers or those who have ulcers in the mouth, must not adopt this method. If the nodes bleed but little and are very painful, and if from the cold water, they are after a while worse again, then take a bucket with boding water, also if you choose with wheaten bran boiled in it, place it on the night-stool and sit over it, or with a bucket half full and sit upon it. Sometimes mucilaginous things are good, particu- larly the emulsion of quince-seeds softened in water. But medicines are chiefly to be depended on. If __ 171 - there be much itching connected with it, then look over the article "Itching in the anus". Should colic- like pains arise from it, the remedies prescribed for "the colic", among which Nos. 8, 13, 28, are par- ticularly to be recommended, No. 8 most frequently for females, No. 13 for brandy-drinkers, and seden- tary persons; No. 28, if the pains are unusually se- vere. See also "determination of blood to the abdomen". No. 3 often relieves, when blood escapes, but with it a stinging and pressure in the anus, the abdomen as if too full, with tension, urgency, colic-like pains; the small of the back as if beaten. No. 13, when the nodes have burning stinging pains, the symptoms similar to those mentioned under "Itching in the anus"; if much bright blood flows after the stool, or with urging to stool, also with costiveness, or dur- ing pregnancy. If it be insufficient, then give No. 4, and afterwards if it return again No. 18. No. 8 when blood and mucus are discharged with the stools, amidst very painful pressing upon the nodes; pains in the back; pale colored countenance, tendency to fainting. If it be not sufficient, then No. 7 is often serviceable in these cases, and afterwards No. 18. No. 34 is serviceable, when the nodes are much swollen, the blood escapes amidst burning pains, with the stools also slimy blood; when it draws in the small of the back, and cuts in the abdomen. No. 4 is proper Avhen stitches are inwardly violent, — 172 — with itching and crawling, where much blood escapes, or the rectum protrudes with the stool, or after it an acute pain and contraction, especially with ineffectual urgency to stool, or bloody mucus escapes. No. 14 for the discharge of blood, with contracting pains in the abdomen, urging to stool, alternating with occasional fluxes when they are burning and biting; with raging in the small of the back, especially at night. No. 20 often is very useful, when slime escapes from the fundament, staining the linen; it may in many cases, be alternated with No. 8; Avhen this slime burns very severely, then No. 29 still oftener assists, especially when bleeding at the nose is combined with it, and the blood advances much towards the head. No. 29, is proper when with the escape of blood there is a burning and the patient is very weak; if it be not sufficient, then give No. 19 or Avhen it is worse again, alternate with both. No. 18, is a chief remedy, both for flowing or (blind) piles; it is peculi- arly serviceable with continued ineffectual urging and pressing to stool, where it pains in the anus as if a wound were there and with violent stinging, also round it Avhen the nodes burn, are moist, protruding far, scarcely can be brought back; with violent stinging pains in the small of the back, and stiffness in the small of the back, as if every thing were too short; also Avhen it burns in passing water. Should any one have previously used much sulphur or harlaim-oil, by — 173 — which very many patients have been much injured, then first take No. 7, and after five or six days take No. 18, morning and evening; but if he have former- ly taken much calomel and sulphur, then first lake No. 38 once or twice; if it then be worse, take No. 7 and after that No. 18. No. 5 if it flows, but with severe pains in the small of the back, as if it would break; when this will not suffice, No. 16 may be given, and if this also does not effectually succeed, after 4 or 5 days, give No. 23. All these remedies the patient must take only twice, morning and evening, or evening and morning. When the flowing discharge is too violent and strong, then smell the cork of No. 3; if this does not reUeve, but passes on like a haemorrhage, then make no delay, but smell No. 25, and if this in 10 minutes does not assist, then No. 18, and then No. 3 again; should it even now not cease, then smell No. 5, and then No. 35. If it abates after any one of these remedies, take nothing farther; if it is worse, repeat that one; if it has no effect, then use the next pre- scribed. Should the patient be very weak, then, as an intermediate remedy, smell No. 17. The foregoing remedies are adapted to exigencies, still they, sometimes, may remove the whole tedious suffering. If this be not the case, then apply to a homoeopathic physician, and give him an accurate de- scription of every symptom. - 174 — Diarrhoea very often arises from causes described in the first part, for example from fright, page 14; from fear, page 16; vexation, page 18; colds, page 21; heat, page 35; sick stomach, page 42; after a burn, page 176. Many persons to this day are liable to the most piti- able credulity, supposing that purging is a cleansing always necessary and proper for the restoration of health. It is admitted, that many diseases cease by a diarrhoea, but that is no reason to consider it as the cause by which a morbid state was relieved since, equally as many diseases commence with it. The delusive sensation of ease and weakness, which follow laxatives or artificial diarrhoeas, is with many persons, who know no better, esteemed a healthful and easy one, only because they previously found themselves in an opposite and far different state of disease. Thus many believe, the state of slight intoxication after strong beer or brandy, to be a healthy one, because they had before felt more sick, they are however worse, though they imagine they feel better. It is as if a man moving to the west, goes astray towards the north, and when he perceives it, turns round and runs di- rectly south. Hence he arrives not at the point inten- ded, but runs still as far wrong in another way. Who- ever supposes that without purging or artificial diarrhoea he cannot remain healthy, should first try, Avhen he feels himself sick, the remedies which have been pre- scribed for "constipation", and he will find, that these — 175 - often cure, without producing any diarrhosa. But whoever has at any time an artificial or natural diar- rhoea, let it not for that reason be checked, Avith artifi- cial means such as wine or brandy &c., but allow it to take its course, take only remedies which cure it in a natural way. The stoppage is not always dangerous, but is so very often, especially with young children and old persons, or with such, who have other com- plaints. When the after-effects appear, it is called dyspepsia, liver-complaints or something else, alike uncorrect. The worst effect of a checked diarrhosa is, that it ceases to be so easily cured. Whoever should believe that to stop a diarrhoea is dangerous, because impurities remain, falls into another mistake. A stop- page is only dangerous, in as much as it changes one disease into another, and it is not easy to know, into what other disease; commonly it is a worse one. Most impurities exist only in imagination. Concerning the artificial production of such impure matter, review what was said on "constipation". But if such matter really were in the body, then they AviU pass off through no diarrhoea, but far better by a natural evacuation. For by the very diarrhoea the impurities remain constantly in the intestines, which always are only afterwards removed by natural stool; with hard stools, on the contrary, nothing remains seated there. This is quite natural and easily accounted for. The intestines are a tube, which is at first narrow and then is widened. — 176 — It is not a leather tube like those in a fire engine, the contents of which must be pressed at one end, and driven forward, that they may come out at the other; it is not a dead tube, but a living one, and is in con- stant activity. With this motion nothing can remain at all fixed, if they are in order, but only, when these movements are disordered, irregular or relaxed. With all diarrhoeas, but especially after laxative medicines, these movements always become disordered, irregular, and very hurried, in order that it may get rid of the poisons (laxatives) introduced into the body, and after that the intestines are naturally very weak and af- fected. If the laxative medicine were not poisonous, it would not be a laxative; for nothing can be laxative, which the body can agree with, and needs not throw- ing out. What poisons laxatives are, is seen by the bad symptoms which appear, Avhen they remain in the body. That is to say, when the body cannot get rid of them, then they show their entire power as poisons. The doctors then readily inform the people, that it came from the disease, but no one who is better in- structed, will believe it. There die consequently more men from magnesia and castor oil, and more children from rhubarb, than from arsenic of which every one is afraid. With every hard evacuation the movements of the bowels are stronger, for otherwise the hard stool could not come from its place, so on this account can nothing else remain seated; the hard stools always fill — 177 — up the intestines entirely, which the diarrhoea never does. When these movements cease of course, then every thing remains fixed; but they can very easily be excited, as this has been taught Avhen treating of con- stipation. Physicians who dissected hundreds of dead bodies, have found in such, as had died from diarrhoea, almost in all cases impurities; but in men who pre- viously had hard stools, they found none. If with a diarrhceic stool a mitigation of another dis- ease takes place, then wait for some time, before reme- dies are taken, and if it continue, or be combined with other complaints, choose from amortg the foUowing remedies. If children have a lax when teething, allow it to pass for a few days, provided they do not com- plain otherwise. Only remembering, that during all diarrhoeas, all acids should immediately be laid aside, all coffee and tea, and things strongly saline; all fruit fresh or dried: eggs and poultry and other birds are always injurious. Nothing should be eaten but muci- laginous food and drink, oat-meal, rice, hommony, &c.; if the patient have a good appetite, then he may have mutton broth and use it with the forementioned. Milk fresh from the coav is also good, when the patient is fond of it, yet not too often, otherwise it may make the diarrhoea worse. No. 25 applies Avhere there is crying out, throwing about, restlessness, much saliva in the mouth, distended abdomen, frequent ineffectual urging, repeated, small, 12 — 178 — yeUow stools, with pains in the rectum, or thin, slimy, like fermented yeasty discharge, smelling very bad. With these, weakness, inclination to lie down, sleepi- ness, pale countenance with blueness around the eyes, the patient being chilly, captious, petulant, his temper easily irritated. Should No. 25 not help nor be suf- ficient, then give No. 9; when the stools smell sour, it is then better than No. 25. No. 14 is especially suited for children Avhen they cry and are restless and wanting ahvays to be carried, who behave very badly, cry as if out of their senses, bend themselves double, and draw the legs up to the abdomen; the belly tight, hard, stools very frequent, mostly slimy or watery, or green and brown, or un- digested and smelling then like rotten eggs; combined with it is rolling in the abdomen, no appetite, thirst, furred tongue, frequent belching and heaving even to vomiting. With adults, especially when the diarrhosa is green, watery, hot and fetid, bitter taste in the mouth; bitter eructation, bilious vomiting, fulness in the pit of the stomach, cutting in the abdomen, head- ache. No. 8 is good for diarrhoeas of a pap-like consis- tence or fluid, fetid, which produces a soreness on the anus, burning and painful, associated with loathing, nausea, eructation, cutting in the abdomen, more fre- quent by night than by day. With excrementitious — 179 — diarrhoeas, only after mid-night, preceded by belly- ache, which ceases after an evacuation No. 23. No. 8 also for slimy diarrhoeas, when these every time shew a new colour. If they are very griping, theh give No. 28, and if this produces disagreeable symptoms, then give some pure coffee. But if the slime be green, bloody and straining with it, then give No. 7. No. 7 is for frequent crying, bending together, repeated urging to stool with ineffectual pressing, com- bined Avith cold sweat and trembling; the discharge green, watery, and slimy, sometimes bilious, with some blood, connected with great debility, bad morbid smell from the mouth, no appetite, inclination to vomit, and immediately with the diarrhoea vomiting. The same also helps when the stools are so sharp, as to burn and itch. No. 18 applies to diarrhoeas which are so acrid, that all around the anus is sore, or cause an eruption resembling purples; often an emaciation is connected with it, or a distended hard belly with children, when a disrrhcea comes after every cold, also after the other remedies have been taken for it. No. 20 applies to watery diarrhoeas with foul stom- achs, white furred tongue; No. 36 Avith the same, which also affect the anus with soreness, with spas- modic pains in the same, and back, it presses after every meal in the stomach, the eyes very weak, and 12* — 180 — the countenance pale. If watery diarrhoea have con- tinued for some time, and the other remedies do not succeed, then give No. 10. No. 9 is suitable for acrid or sour diarrhoeas, thin, slimy, as if fermented (look to No. 25), common to children, who then cry from the belly-ache, or are restless, and draw up the legs, saliva flows from the mouth, paleness of face (if the face be red, then give No. 14, and if that fail No. 5), frequently the entire child smells sour, notwithstanding it is well washed; if then No. 9 do not assist, and the pains are A-iolent, give No. 14, and if this does not apply, the pains cease, but the weakness continues with a distended ab- domen, then give No. 18. No. 17 is good not only in all diarrhoeas of debili- tated persons, but also in all other kinds, Avhen amidst violent pains, particularly spasmodic, like pressure and constriction, a quantity of broAvni^h thin stuff escapes, sometimes with burning pains in the fundament, Avith much weakness in the abdomen, rumbling from wind, eructation. Very often, Avhen aAvaking in the middle of the night after a cold, with these spasmodic pains, it instantly relieves, even before a diarrhoea can be formed. No. 12 is suitable very often in a hot summer, espe- cially Avith complaints after a cold drink, or moreover after a cold, or a diarrhoea after eating fruit, arising in — 181 — the whole from too much eating; also Avhen vexation was the cause and No. 14 did not relieve. No. 22 is proper, when after a cold, especially in the summer and fall, diarrhoeas appear, which are worse at night; very often the discharges, more watery, are either without great pains or with colic; if this does not relieve effectually in 6 hours, give No. 12, and repeat it after 6, 8 or 12 hours once more. Should there be more weakness than pain, if it come quickly after meal-times, if the food passes with it undigested, then commonly No. 17 assists, frequently also No. 12 or 9, which may be reviewed; if with it the weak- ness be very great, and also the belly ache, then give No. 19, and if it do not soon relieve No. 13. For undigested stools, No. 36 often is'very helpful, fre- quently alternated with No. 17. With great weak- ness with the diarrhosa No. 25 commonly serves or No. 6 or 19. With diarrhoea without any pain No. 36 is mostly necessary. When diarrhoea alter- nates Avith constipation, as it often occurs with old people, No. 20 frequently helps. About diarrhoeas with pregnant and lying-in fe- males, see especially under article "diseases of women". About the summer-complaint with little children: "dis- eases of children". Dysentery and dysenteric diarrhoea so called, when the stools contain little or no faeces. The next follow- — 182 — ing remedies may also be compared Avith those for diarrhosa. No. 7 is good for urgency to stool, as if the rectum would be pressed out; after long urging, a discharge of clear blood; or hacked green stools Avith the blood; and after the stool still greater urging than before. When chddren combine crying and shrieking with it, and babes refuse the breast. No. 3 serves for tearing in the limbs, in the head, nape and shoulders; if it does not succeed in a few doses, then No,. 14; in many cases also No. 8, when mostly only slime escapes, with streaks of blood on it; or No. 23 which review under "diarrhoea". No. 3 is also the best remedy, when dysenteries ap- pear with great 4ieat and cold nights, with violent chills, severe heat and thirst; if it does not succeed, then review what was recommended under Nos. 12, 13, or 7, which are often very serviceable. No. 17 is proper, when the dysentery affects per- sons in a marshy region, or where canals are digging, especially Avhen it is Avorse every other day. No. 24 is the chief remedy for fall dysentery, espe- cially Avhen No. 3 has first been given; when violent urging to stool and colic pains are combined, the dis- charge beginning with much bile, but continuing with blood and slime. If after the first dose it is better and afterwards worse again, then repeat it; if it does not help, then compare the other remedies, especially — 183 — which is here recommended, both for colic and diar- rhoea under No. 28. No. 28 Avith severe belly-ache, as if the bowels were compressed between stones; the patient is obliged to sit crooked, is very restless, the discharge is slimy, often bloody, combined with a distended abdomen, often like a drum, it presses like a fulness in the belly; a shivering from the abdomen spreads over the whole body, the tongue is furred with white slime. Compare what is said about colic with No. 28. No. 18 is in all cases to be given, when it is better after other remedies, but not permanent. No. 19 is used, when the stools become offensively fetid, sometimes pass off involuntarily, the urine also becomes offensive, the patient loses all power, becomes quite indifferent, as if confused, a bad smell from the mouth, spots nearly red or blue arise here and there. If the breath be very cool with it, or he complains of burning, or if No. 19 will not assist after repeating once or twice, then give No. 29. Should it be worse after No. 19, then give No. 13. If after No. 29, the bad smell still remains, then give No. 17, and after- wards No. 29 again. Constipation. Every body ought to know, that he may congratulate himself, if he have no worse desease than this. Experience shews that individuals of costive habits become very old and remain very strong; pro- vided they did not in early life make use of sarative --- 184 - medicines as on the contrary all those, who have fre- quent diarrhosa, are rendered Aveak before their time and seldom become old. For there arises really at no time a diarrhosa, unless there is a poisonous injurious matter in the body; Avhilst on the other hand, consti- pation arises always, when a person perspires much, and eats much meat. About the opinion of impurities remaining in the system, see what has been said on diarrhoea. The widely extended idea, that it is healthy to purge, not only in deseases, but also occasion- ally, when a man does not feel himself quite Avell, and the supposed removal of noxious matter out of his body, by purging is altogether false and groundless. The people have so long heard this, and one has repeated it to another, that more than half the world, presume scarcely to doubt it. And yet it is nothing more than a silly and mischievous credulity. This false notion is the chord, on which the old practice of medicine hangs and upon which it moves. By speaking with pathos and dignity of cleansing out the system, they induce many a one, who is othenvise healthy, to look for them regularly, that he may, by cleansing and scouring be- come inwardly pure and clean. It may be easily perceived that we have the best reasons for opposing the use of laxatives, by the follow- ing facts. Whoever takes opening medicine for 8 days together, may still be very healthy, but his evacuations will be very bad, especially after jalap and mercury, — 185 - from which it follows that the medicines artificially pro- duce such stools, so much so, that we are able to ascertain by their nature, what medicines have been used;* after salts, for example, the discharge has the odour of bad eggs, after the drastic rosins, they are very thin and watery, after mercury, they become green, after rhubarb and magnesia, they commonly be- come sour, &c. If we further inquire into the cause of these so called medicines, operating as purgatives, we find that they possess that quality in common with all poisons and hence must be of the same nature. Viru- lent poisons even given in small quantities, produce purgative effects, or destroy the stomach; less virulent poisons, are oidy called purgative medicines, because they do not destroy the part, but commonly are thrown out again by an effort of nature. Whoever suffers from constipation should pay at- tention to the following rules. He should persue a rational mode of living, should not eat too much meat, particularly salt provisions, masticate properly; eat with meat always, vegetables, fruit, or bread; take frequently soups, and drink no tea; abstain from spirituous liquors, rather drink beer, cider, or still better sour milk or butter-milk; eat every day at dinner some fruit, if dried it is preferable, or good ripe apples; instead of butter and cheese prefer apple- butter; neither chew nor smoke before meal-time, or discontinue cheAving tobacco altogether, by Avhich the — 186 — saliva is wasted, or destroyed; every evening before retiring, drink a glass of cold water which is very essential. Among the domestic remedies there is nothing to recommend, unless now and then an injection. Many have a foolish fear, that the use of it might become a habit which is scarcely possible, when other remedies are at the same time properly used and the injection only consisting of water, and not too frequently made use of. It is ten times worse to accustom oneself to purgatives. Far preferable to the syringes for this purpose are the leather injecting tubes (to be had at Mr. Ba^uersachs's in Philadelphia), which have first to be filled with water, before they are introduced, and then the water passes in, by its own weight or gentle pressure, while the open end is elevated. For other prudential rules for injections, see under "piles". Injections however are only palliative, but in the mean time, the cause may be removed by medicines, though cases of constipation of long standing are some- times effectually removed by injections of cold water, as cold as it comes from the spring, half a pint, at once, and so every evening before going to bed. If possible, the injection should be kept in the rectum. Whoever continues it a week or two, will in most cases gain by it a regular daily passage, if he at the same time lives properly. Those Avho suffer from the piles should use it. Whoever has neither syringe nor pipe, let him take — 187 — a hog's-bladdcr, bind a cork firmly in the natural open- ing, then bore a hole through the cork with a hot nail, fill the bladder through this hole, then fasten a small tube wound around with oakum, at the end of a quill &c, from the point of which cut a little, then first press all the air out of the bladder, bring the tube into the rectum, and press the bladder, till half the water is out; all other injections, and all additions to the water arc not advisable, unless fresh boiled milk, which fre- quently is preferable for children. A good remedy however is, the regular exercise on foot, especially in ascending steep places, yet so that no perspiration is brought on; a regular habit, every day at a determined time (particularly in the morning), to go to stool. No. 13 often applies to sedentary persons, drunkards after eating irregularly, overloading the stomach, or when the constipation has succeeded a diarrhosa, or when the diarrhoea was stopped, with lack of appetite, repulsive taste in the mouth, slimy furred tongue, loath- ing, nausea, tension of the abdomen, pressure in it, heat, stinging here and there, a sensation as if a weight lay there, deep beneath, cutting belly-ache, heat espe- cially in the face, head-ache, aversion for labour, restless sleep, contracted breathing, vexation and fre- quent complaining. If there be at the same time a quiet moroseness, disinclination to speak, and after having eaten too much pastry, rancid butter &c, then — 188 — give No. 8, if it is combined with vexation and chills, give No. 12. No. 12, particularly in summer, or when it is worse in the summer, with persons subject to rheumatism; a dose morning and evening, and then wait some days. No. 2 is suitable, when there is an inclination to evacuate, while the anus is as if closed, so that there is no proper pressure there, sometimes a weight and throbbing in the abdomen also, pressure on the stom- ach, dry mouth, thirst, no appetite. May be taken several times from 3 to 6 hours. No. 32 is good, when great straining is only fol- lowed by a small evacuation, urging and creeping in the rectum, after the stools shivering over the whole body, and a sensation as of weakness and constriction in the abdomen, a bearing down, pressing in the stom- ach, as if wind Avould pass upwards, which however is ineffectual. No. 38 is for tedious constipation with the same pressing in the stomach and ineffectual eructation. No. 7, when a bad taste arises in the mouth, the gums begin to pain, otherwise Avith a good appetite; if No. 7 should not apply, then give No. 11. No. 40 is valuable in tedious cases, where all the preceding remedies remain without effect, when there is even no desire to go to stool; but should there be a — 189 - frequent tendency and an ineffectual effort, then give No. 18 twice. Urinary complaints, or painful, difficult, obstructed urination. This is sometimes occasioned by other com- plaints, as by a venereal disease, or from chronic affec- tions in the kidneys and in the bladder, in both these cases a homoeopathic physician should be consulted; still the most violent symptoms may be mitigated through the remedies here recommended. Thus at least a worse disease is prevented originating from medicines taken in large doses. If not occasioned by the forementioned causes, then may these symptoms be very easily removed. The folly of men is so great, that the major part are constantly thinking about purgatives, but scarcely re- flect on regular urination. But this secretion is so ex- ceedingly important, that it is more to be noticed, when any one has for a whole day, passed no water, than if he had no passage for a whole week. Again, many diseases originate from not carefully attending to it. It should never be restrained, on account of any cir- cumstance, but after the first indication the call as soon as possible must be obeyed. Whoever therefore trav- elling in a stage and has a call, must make it a con- stant rule at every halting place, rather to forget eating than this. It is unconceivable, how any rational man, on account of a company, procession, or any thing of the kind can expose himself to so much danger, when — 190 - every one knows, that many men have died the most miserable deaths, only because they once, on account of rules of convenience, retained their water too long. Stools may be repressed without danger for 5, 12, even 24 hours, but the urine not one hour. The second rule is, that it is not to be done in airy places, of which those principally ought to be careful, who are subject to such diseases. The third rule is, to take a suitable time, neither to urge in order to accelerate the evacua- tion, nor to discontinue before every drop has been discharged from the bladder. We should reflect, that the little time thus spared, might be doubly and trebly lost on a sick bed. The fourth rule is, to drink often water, especially when we notice, that less water is passed than usually. Little children ought also not to be overlooked, and left to an excruciating thirst, under the false notion, that they cannot endure cold water. The warm sweet mixtures which are then given to them, only make the thirst the worse. When any one during a certain time, passes always less and less water, this is indicative of a disease, that suddenly may become dangerous. It is then proper every day to take a lukewarm foot-bath, regularly to drink water freely; now and then butter-milk; but in such case, all diuretics should be avoided, particularly gin. Should an urgency arise, Avith any discharge, or pain, then it is evidently dangerous to use diuretics, because there is often an impediment, by which the — 191 — water is repressed; the more when it is urged by medi- cine, the severer will be the pains. Then try the fol- loAving remedies recommended, which very often re- move the obstruction. Besides, it is sometimes good to bind a cloth, dipped in warm water, around the part. Indeed are there many domestic remedies, herbs, which sometimes relieve, but they very often make the mat- ter worse. If there be only pains when urinating, burning &c., then it is well, to drink mucilaginous tilings, especially oat - meal, and to eat nothing acrid, salt, or acid. Common cases with a painful urging to urinate, whilst but single drops or nothing at all is voided, when the discharge is quite red, dark, cloudy; it may almost al- Avays be cured by No. 3, especially with children and women; to be repeated as often as necessary. No. 8 is the next most important remedy, especially Avhen in the region of the bladder the pains are the worst, when it urges, presses, cuts there, or is hot and red. Very often it arises with children, from a blow, fall, kick, either in the back or on the bladder, then No. 15 ought to be given, alternating sometimes with No. 3. Frequent urgency and small painful discharge of dark colour, at the same time stinging pressing pains in the back, under the ribs, mostly only on one side, on which the patient cannot lie; sometimes also pains in the bladder, combined with fever and thirst; some- — 192 — times the scrotum on the affected side is drawn up, or the legs on that side are benumbed. If the patient have blisters laid on some part, or the same taken inwardly through malice, then camphor will help, by smelling it often, or some spoonfuls of water in which it has been shaken. This avails also when it arises from other poisons. In all other cases first give No. 3, and afterward No. 13, when it is arising from suppression or hemorrhoids, particularly when it causes in the back between the ribs and hip- bones, a sensation of straining, burning, and pressing; No. 8 in very -similar cases, particularly from sup- pressed, or too late, too sparing menses; No. 5 is better when the pains are more acute, going from the back down to the bladder, are periodically much worse, with great anxiety and restlessness, colic-pains, and when it only mitigates, or relieves for a short time, No. 16. With very severe constant urging to urinate, the discharge at the same time being very Aveak, especially when with it perspiration breaks out readily, give No. 7, especially when the dark red urine soon be- comes cloudy and offensive. If the urine be also acrid, corroding, or some blood comes after passing it, then it may be alternated with No. 16. If the urine be viscous and gelatinous, or the pains are insufferably severe, then No. 28 may be given. When with constant violent urging to urinate, and — 193 — pains in the bladder, this region is also distended and painful when touched, and when the pains become more acute as soon as the Avater flows, by which it is often bloody red, or clots of blood come with it, give every time No. 3, several times, except it had arisen from poison, then camphor should be first applied; After No. 3 often No. 13 can succeed or No. 8, which already have been mentioned, sometimes also No. 33. When scarcely any urine escapes and also no stool, which is sometimes the case with children, very often when the mother was vexed and then nursed the child, or when she had previously had a great fright. The child's abdomen becomes distended, laxatives afford no reUef; there even is the highest degree of danger, No. 3 may help when given every half or quarter of an hour till it is better. For the retention of urine, where the water scarcely escapes, or only in a slender stream, and slowly, with burning in the passage and a burning heat in the beUy, camphor very often is of service, only not too much of it should be taken, but only smelled, or shaken in warm water and of this sometimes a tea-spoonful taken. When any one has suffered formerly with the piles, particularly if he have been perversely treated, as is almost always the case, namely by cutting off the nodes, then often times urinary complains arise, which are 13 — 194 — very difficult to heal, by which the pains and burning are very acute, especially when the urine passes off only by drops; sometimes blood comes with the urine, and causes some relief; here warm injections are very good. Nos. 3 or 7 mitigate the symptoms, like- wise No. 18, and afterwards when the pains are very severe, No. 3 again. Next to it No. 13 may mitigate the pains, especially if they arise in part from the use of ardent spirits, or became worse by them. If it be worse after every cold, then No. 22 will be of service for some time. If from time to time small firm clots pass off with it, particularly after No. 18, previously given, then give No. 35 in two doses. If the burning arise again, and is very sharp, then try Nos. 29 and 19. A complete cure can only be ex- pected , when the patient has been in the hands of a homoeopathic physician for a considerable time. Bloody urine is often associated with diseases of another kind, and is cured by those remedies which have before been recommended; if it originate in violence, then No. 15 is suitable, from ardent spirits No. 13, from de- bauchery No. 17; if blood escape with semen in sleep, No. 7; if it often return, No. 16. For burning pains on the extreme point ofthe urethra, scrotum, and penis spasmodically drawn up; spasmodic pains in the legs and knees up into the flanks, contracting and cutting pains in the small of the back towards the navel, then give No. 8. — 195 — Discharge from the urethra. This complaint is of different kinds, sometimes very insignificant and again worse and even in the highest degree dangerous; many arise without infection, many with married men, when the wife has a leucorrhcea, which is quite common and originating from itself. It is here taught, how to miti- gate the most violent attacks, and to cure the more easy ones, so that every man as much as possible may escape the frightful treatment which he would have to submit to by the old physicians, or even the quackery of patent medicines. From an insignificiant disease I have often seen through a perverse treatment, arise a long continued painful, often entirely incurable suffer- ing, and every one should knoAV the frightful conse- quences when such a complaint, produced by infection, is by strong medicines suppressed. A strict manner of living is proper in urinary affec- tions, the pains are mitigated by warm injections, but not by syringing the urethra, which almost always is injurious; the penis also may be bathed in warm sweet Oil, or in rags wound round, which have been dipped in good fresh sweet oil. The common remedies, copaiva and cubebs, often cause great damage and do not cure, only because they are used in too large quantities. In cases of infection, take balsam of copaiva and rub the sole of the foot with a piece of the size of a pea and draw the stocking over it, or when accompanied with much urgency to urine, some leaves of parsley; in tedi- 13* — 196 — ous cases a tea-spoonful of pounded cubebs. To take these things inwardly, is folly, because it is not the quantity which produces the cure, and were it other- wise, then arise commonly complaints of the breast from the balsam of copaiva and stomach complaints from the cubebs; and besides that they both act from the soles of the feet, quicker and stronger upon the part, than from the stomach. When these do not relieve, and when nothing else is used, not even any thing outwardly, then a few globules of No. 3 often mitigate the most violent pains, and in many cases afterwards No. 7, when it is neces- sary, two or three mornings in succession; when the pains are gone, the remainder may, in 8 or 10 days commonly be removed by No. 18, with very violent burning pains, when the discharge is purulent and greenish, No. 7 is helpful; Avhen the discharge is white like rich milk, then No. 34 is good, especiaUy when it burns when urinating, but moreover stings and cuts. If the pain is more drawing and pressing, constricting and troublesome when urinating, then give No. 8; in tedious cases No. 13 frequently removes the remainder of the disease; sometimes when it still escapes like milk, No. 36. If it be from an acrimonious leucorrhosa, originating with persons of reputation, where no venereal taint is combined Avith it, then No. 40 is suitable, taken — 197 — evening and morning by both parties, and then wait some weeks. Complaints on the male sexual organs. For swel- lings, redness, pains on the fore-skin, when they arise from any tangible causes, friction, pressure, &c., then give No. 3, after some hours No. 15, and when it is improved thereby, if it often become worse, alternate with both; but if No. 15 do not reUeve, then give No. 23, in two doses; should it arise from want of CleanUness, then give No. 3, after some hours No. 7. It also takes sometimes place with little children, to whom the same method applies. Should it have arisen from poisonous leaves, which have been handled, then No. 12 or 5 is proper, alternated with No. 3; for a purulent discharge of the urethra, No. 7, and if it do not allay the burning No, 34; if after several days something of it still remains, then give No. 16 twice. If a part of the skin be indurated, then give No. 38 twice. If it be very acute and blue spots appear here and there, then give No. 19, once or twice. For little children, when Nos. 3 and 7 avail not, give No. 35 several times. The scrotum, swollen, painful, after a kick, blow, fall, &c, alternate Nos. 3 and 15, after the sup- pression of mucous discharge No. 8, and sometimes No. 7, after the mumps, look to that article; if there be a pinching, squeezing, strangling pain in it, with violent stitches up into the abdomen, then No. 43 — 198 — often assists; if the pain be more pressing and the stitch more burning, then No. 11 will apply; if it arise from the senseless use of mercury, then give the remedies prescribed under "Poisoning". Should it threaten to continue for some time, take No. 18, and consult as soon as possible a homoeopathic physician. Hernia. May almost always be cured by internal remedies, if they have not been left too long; certainly not by the old common mode, wherefore the ordinary physicians deny the possibility of curing them by in- ternal medicine. Trusses have been very much im- proved in this country, but they have become an object of speculation, by which money is made, and bad trusses are thus thrust upon the people. Important as a good truss is, so is a bad one just as injurious. When it does not fit accurately, when it presses too much, or slips from its place, then it may produce an incurable rupture. A good truss must not distress, at most it may at first be someAvhat inconvenient; it must be first adjusted, after the rupture has been completely replaced, then it must keep the same completely back. If it be observed when wearing it, that it somewhat protrudes, then the truss should be taken from the part, and the patient lying on the back, the rupture replaced, and then the truss again fixed. When the rupture often protrudes, then the truss is good for no- thing. He who uses no truss, or has a bad one, or exerts himself too much, or is otherwise careless, ex- — 199 — poses himself to the danger of a strangulated or in- flamed rupture. It is also very important to know, how a rupture should be replaced. Whoever perceives the protrusion of a rupture, for the first time or afterwards, should lie on his back, and some pillows or any thing else placed under the body, so that the ruptured part may be higher than the other of the abdomen, inclining somewhat more to the side where the rupture is, in such a manner, that the ab- domen may be quite easy, not strained. It is best Avhen the replacing of the hernia is undertaken by an- other, still there are some who do it themselves. It is done by pressing gently the left hand on the side of the rupture, so as if it were to be enclosed, and with the fingers of the right hand first pressed upon it, then gently moving the hand over .it backwards and for- wards, and from time to time, pressing the palm of the hand upon it for some time and gradually stronger for half an hour, or with large ruptures still longer. Com- monly, even with the Avorst cases of strangulated her- nia, they may very easily be replaced, Avhen remedies are previously given, especially after having taken No. 3 for a time, or after No. 13. If a rupture will not bear the pressure, then the sensitiveness should first be removed by remedies, when it will often return of itself. In many cases it returns easier, when a rag dipped in Avarm water, is laid upon it; many have used cold water, even ice in a calf's bladder; this however — 200 — ought never to be done except for a short time, and not at all when the rupture is hot and red. With violent burning pains in the abdomen, as if burning coals were in it, which admit not of the slight- est pressure without giving pain, with naUsea, bitter, bilious vomiting, anxiety and cold sweats No. 3 is proper, which may be repeated, if it be worse again. If the replacing does not abate the pain, then smell at No. 18, if a sour vomiting come instead of bitter, then smell No. 18, and let the patient rest a while, and when asleep be kept quiet. When the rupture is not so sensitive to the touch, and the vomiting not so violent, but the breathing is very oppressive; when it arises after a cold, overheat- ing, vexation, or a defective diet, in eating and drink- ing, then give No. 13 ; if, in two hours, it be no better, repeat it; if the face be red, the abdomen distended, or even a badly smelling or tasting eructation or vomiting appears, then give No. 2 every fifteen minutes until it changes; if it is attended with cold sweat, or the limbs become cold, then give No. 6, if this do not alter it, in 2 doses, then give No. 5. As soon as the abdomen becomes tender and will not bear touching, then give Nos. 3 and 18 as before. If the rup- tured part assumes a bad colour, if the attacks are very severe, then give, when no physician is to be had, No. 38, and repeat if it be better after it, as often as it — 201 — becomes worse; but if, in some hours, it be not im- proved, then give No. 19. In all cases of strangulated hernia, a physician should be sent for, but the above remedies will serve until he arrives the better; if they do not relieve, the physician can do what is farther necessary, and it will then al- ways be far easier to effect, as a thousand experiments have confirmed. But should he have the hardihood to assert, that through this treatment it is made worse, so that he now could do nothing for it, he then is not an honest man, but will cheat and deceive you, and you may treat him accordingly. L. Diseases of Women. Menstruation is very often retarded in the years, Avhen it should appear, or comes only after much diffi- culty; very frequently there are afterwards cramps, or other complaints combined with it; yet the diseases are worse at the period, when it should cease. These evils ordinarily arise from complaints, which previously were in the system, and can then only be cured by a homoeopathic physician and by a long continued at- tention. Often they are occasioned and sustained, by a defect in the mode of living, commonly by too light clothing, which, especially in a climate so changeable as ours, is very injurious. The young girls in this country spend more money than they ought, on finery — 202 — and show, instead of being careful about sufficient linen, good warm under-cloaths, or even suitable cover- ing for the legs, during the period they are suffering. But many diseases originate from other causes, which ortly can be removed by medicines, and not en- tirely by an improved manner of living alone. If the menstrual flux does not appear at all, or is too weak or too late, then beware of all forcing domestic medi- cines, by which many females have been made wretched for life. Use no other remedies than those here pre- scribed, and if they should not succeed, then apply to a homoeopathic physician. In the first instance give No. 8; if it does not improve, and it remains for a Aveek, then give No. 18, and then in some weeks repeat No. 8. If there be many nervous symptoms accompanied with it, or if only a little and black blood escape, then give No. 41, once or twice; if with other complaints the feet and hands are often cold, then give No. 6 several times. Should instead of the menses bleeding at the nose appear, then give No. 12, two successive mornings; if it effects no change, No. 38, several times. Should the flux have been suppressed by a fright, vexation, cold, then look to those articles for the proper remedy. If instead of the menses only spasms appear, deep in the abdomen, with pressure on the breast, anxiety, anguish sighing, groaning, great weakness so that the patients can scarcely speak, then give No. 41. But if the spasms — 203 — advance upwards, produce vomiting, or spasms appear in the limbs, they cry, then give No. 42. SpasntS during menstruation, very often only in the abdomen, or commencing with jerking of the limbs, anxious bending together, crying out, cold anxious Sweat, prostration on the ground, are commonly re- moved readily by No. 1. If the patient has regularly drunk coffee, is very chnly and complaining, worse in the evening, then give No. 8. Frequently the above mentioned means for spasms appearing instead of the menses, viz. Nos. 41 and 42 are suitable. If nausea and fainting be present, general coldness, paleness of face, the eyes failing, or too sensible to the light, and aversion to the noise; or warmth of body, abdomen dis- tended, hard, the pains searching, winding,|with press- ing and drawing, then give No. 4. Colic with menstruation; No. 14 is proper when suffering as with labour pains, pressing from the small of the back towards the abdomen; No. 8, with heavi- ness in the abdomen, like a stone, violent pressure at the extremity of the back-bone or in the small of the back, drawing downwards in the thighs, which become benumbed when sitting; painful pressing on the rectum as if there Avere an urging to stool and pains in the back; No. 5, Avhen it is similar to No. 8, but at- tended Avith bearing down, as if every thing would fall out of the Avomb; No. 13, with a twisting about in the belly with some nausea, working, pains as if from — 204 — overstraining, stinging and spasms in the womb, upon the bones over the vagina as if beaten, and at interval a pressing and drawing sensation; squeezing in the bladder, a feeling in the abdomen as if it would 6well and burst; No. 1, for the same sensations, as if the body would burst, with fulness and pressing in it, very violent spasms, which extend to the breast; as if the whole intestines were cut into pieces; the patient is beside herself, bends together, throws herself about, gnashes with the teeth, cries frightfully, becomes quite cold, stretches herself, so as to become at last stiff and motionless, with groaning, and the breath becoming shorter. If the menses be too strong and return before the 28th day, continue more than 4 days, cease and then commence again, then give No. 13, and forbid all coffee, wine, cider, whiskey, especially mince-pies and all ardent spirits for several months. If the pains with it are drawing, griping, extending from the small of the back, towards the region of the womb, thirst, coldness of the limbs, fainting, if the blood be dark and coagu- lated , then give No. 14. If it yet continues too long the next time, or appears too soon, if the spasms present resemble a pinching and contracting, then give about the 4th day of the menstruation, No. 4, and repeat it towards the 8th—14th day, and on the 3d day of the next menstruation. If one dose makes no alter- ation, or only for some time, then after 12 hours give — 205 — another. If all these remedies produce only little im- provement, then the cause is either in the mode of living, for example, the sitting on a rocking-chair &c, or another disease. Some days after the menstruation No. 18 may be given and repeated during 8 days be- fore the next menstruation; and if it remain the same, the next month, give No. 35 two mornings in suc- cession. Hemorrhage of women, especially during pregnancy, or in confinement. The common domestic remedies and the ordinary medical treatment, commonly produce, even when they afford momentary relief, on the other hand more mischief, for instance, the cold water, after which often inflammation follows, consequently it is especiaUy dangerous after the birth of a child; rubbing with aether produces frequent nervous attacks, alum often brings on indurations and other bad symptoms &e. To stuff in different things commonly answers no other purpose than to conceal the bleeding, since it still flows, only advances more upwardly. It is necessary in every attack of this sort, for the woman to lie quiet, and move herself as little as possible, her mind remaining without care, and the utmost stil- ness be preserved in the room and in the house. Again, with every violent hemorrhage, the thighs may be firmly bound around with a cloth, a sdk one being preferable; also the upper-part of the arms. A — 206 — little cold water should be swallowed, and should pale- ness and fainting appear, some drops of wine, only not more than one drop at a time, will be found very serviceable. Smelling vinegar, rubbing the nose, temples, and other parts with vinegar is in many cases very good, only the patient, as is often done, should not be immundated with it, the utmost, a tea-spoonful brought in the hand; or only the finger dipped in, so that the smeU of the vinegar may afterwards easily be removed. With long continued hemorrhages of older wo- men, not in confinement, it is advisable, that they should abstain from aU Avarm drink for a whole year; on the other hand, drink cow-milk 5 or 6 times a day, which has been cooled in the cellar after milking, or has con- gealed, or become sourish. In cases of such tedious discharges of blood, a homoeopathic physician should be consulted; if there be none near, then write to the nearest, who can send the remedies, which in most cases wiU afford assistance. For pregnant females or after lying in, the cinnamon tincture is sometimes of use, one drop in half a cup of water, well mixed and then a tea-spoonful, or only a few drops taken, as often as it is worse; particularly when the hemorrhage arises after heavy lifting, carry- ing, from reaching too far with the arms, or after a false step, it may be immediately resorted to. In cases of necessity, a pieee of cinnamon may be taken and chewed. If it do not immediately relieve, then give — 207 — some sugar, and Avhen the burning is over, give No. 15. For very copious continued hemorrhage, especiaUy with pregnant women, which never entirely subsides, with cutting round the navel, great urging pressing towards the womb and anus, with chills and coldness of the body, at the same time heat advancing to the head, great weakness, tendency to lay down, give No. 25. If there are labour pains attending it, or it be no better in a quarter of an hour, then give No. 14, and see what has been said respecting too copious menstruation on No. 14. No. 25 is also the most important remedy in all copious hemorrhages ^fter lying in. When dark-red blood escapes in great quantities, with violent pressing pains in the small of the back, and pains in the head, especiaUy in the temples, as if they would part asunder, then give No. 12. No. 17 is, very important in the most dangerous cases, when heaviness in the head, vertigo, vanishing of thoughts, sleepiness appear, with attacks of weak- ness fainting, coldness of the limbs, paleness of face, even twitching around the mouth, distortion of the eyes, or when face and hands become blue, strokes and jerks pass through the whole body; at the same time the abdomen may be gently rubbed, or vinegar mixed with water and a cloth dipped in it laid on the parts; afterwards some drops of wine given. It is moreover — 208 — helpful, when the hemorrhage come more by starts, with spasms, labour pains in the womb, which go to- wards the anus, an increased discharge of blood with it. Also when cutting in the abdomen, frequent pres- sure to urinate, and a distinctly felt tightness of the hypogastrium is present. It is always serviceable for after-complaints of hemorrhages. No. 33 is useful for paroxysms resembUng labour pains, with drawing in the loins and small of the back, or in the limbs; heat all over, with a rapid or full pulse, swollen veins on the back of the hand, or in the face, great restlessness, excessive liveliness, tremor in the whole body, or numbness in the limbs, the senses van- ishing, mist before the eyes, delirium, twitching of the sinews or with the limbs, jerking in single* limbs, alternating with stiffness of the joints. No. 5 is good, when the blood is neither particularly clear, nor cloudy, with bearing doAvn into the female parts, as if they would fall forward, violent pains in the small of the back, at if it would break to pieces, and other symptoms which are mentioned under "Abor- tion". No. 32 is used, when the blood is dark, thick, yet not clotted or congealed, the pain in the small of the back is not as if it would break, but it draAvs more to- wards the abdomen, as far as the groins and by these pains the internal parts are pressed down, by Avhich the whole female parts become uncommonly tender. — 209 — No. 36 is applicable, when the blood is black and clotted, and then fluid, with pains like throes, com- monly Avith a red face; after it No. 17 is frequently useful. If the blood is very black and clotted, and the remedies prescribed do not relieve, then take saffron, rub some it between the fingers and smell it. Abortion, the too early delivery of the foetus, may often be prevented, even when the discharge of blood and pains have appeared, or when this is not possible, yet the complaints which accompany it abated, and the worst consequences rendered tolerable. It entirely depends on the causes and is often a very obstinate disease. Through the medicines of the common prac- titioners the evil is only made worse, because they have no suitable medicines for such cases. When bearing down pains with a pregnant female appear, or even real labour pains, with some discharge of blood, or at least slime, then the cause is to be ascer- tained. If it be from a blow, too heavy lifting, and stretching out, a fall or otherwise a powerful concus- sion, then commonly No. 15 succeeds. If it arise from the state of the mind, then look for that. The sooner the remedy is given, the better. With violent pains No. 14 is the first, with severe discharge of blood No. 25; and constant tedious con- stipation No. 13, or if that fail No. 12. No. 14 is applied, especially with violent cutting in the bowels, from the small of the back, upon both sides 14 — 210 — towards the region of the womb, with a sensation, like an urging to stool or to pass Avater; these pains come periodically like throes, afterwards together with the pains blood and many small clotted pieces appear. No. 5 serves with violent straining, urging pains in the whole abdomen, particularly at the bottom of it, with the sensation, as if the whole were constricted or distended, or at the same time a bearing down, as if the whole intestines would be pressed out; pains in the small of the back, as if it would break in pieces. No. 33 applies to spasms, thrusts, jerks and twitch- ing followed by a stiffness of the whole body, without consciousness; likewise a discharge of light-red blood, always stronger with the spasms. No. 25, when with the same spasms, the conscious- ness is retained, when a cutting pain is present around the navel, when with the discharge of blood, it presses towards the lower parts. No. 32 assists sometimes in such cases, also No. 27 which are to be looked after in other places and cases. With ineffectual labour pains, when the pangs are so painful as to drive to distraction, then smell No. 1; if it do not help or only for a short time, then No. 3; if Avith it there is constant urging to stool, No. 13, or if this fail No. 14; should this also not relieve in an hour, then give No. 5 to smell. Should the labour pains be too weak, then give No. 8. If the same suddenly cease, and bad attacks appear, — 211 — tremor, stupefying sleep with snoring, then give No. 2; in many cases, Avhere it is not so bad, cinnamon affords some relief, as has been before prescribed in cases of hemorrhage. Be cautious of using ergot, which is given as a black powder or a brown tincture, in such doses, as frequently poison both mother and child, or plunges them into very tedious diseases. When urgent necessity induces to the use of this poisonous medicine, then the fresh powder may be rubbed with sugar, as much as will lie on the point of a penknife, or only smelled at. This, if persons will have patience for an hour, will have more effect, than swallowing down the same by the spoonful. After -pains, are very often occasioned only by med- icines, Avhich are applied in parturition, in great quan- tities, or through too premature, violent labour, when the woman or the doctor, or both are in too great a hurry and will not allow nature to take her proper course; also through the hasty removal of the after- birth, which here, to the reproach of the physicians, is so common and which is always in the highest degree injurious. The after-birth may remain, without any inconvenience, 6, 12, or 24 hours, and it is even better when it is not done so rapidly, and infinitely preferable when it passes off itself, than when it is forcibly taken out, from which treatment many childbed-fevers and other dangerous consequences take their origin. If the after-pains are moderate and tolerable, then 14* — 212 — nothing need be done for them, for they are proper and it is better, if they are rather too strong, than too weak. The less and the shorter the pains, the sooner will they be followed by another disease. But if they are very violent, so that the patient is pre- vented from rest, then give No. 1 several times, then No. 15, in an hour if it be no better No. 14, but then No. 13; No. 8 is especially given, when the pains are each time very long continued, or for several days constantly returning. Milk-fever. After every moderately difficult birth, No. 15, in order te promote the cure of the part. So long as the milk-fever is not too severe, allow it to go undisturbed; should it be too high, it then may be mit- igated by Nos. 3 and 1 every 6 hours, the one or the other. Sometimes afterwards Nos. 5, 12, 23 are serviceable, which may be looked over in other cases. For constipation in childbed, nothing should be done, and if it continue 14 days, as it is always a very good symptom, the woman will in consequence be the healthier and stronger. Should the 14 days pass, then give one of the remedies recommended for constipation, particularly No. 12; if it have no effect in 12 hours, once more, if in several hours after that, no stool ap- pears, then administer an injection of warm water. But should real inconvenience and unpleasant symp- toms be caused by the constipation (not only such as — 213 - arise from silly anxiety or mere imagination), then apply without delay a remedy for it. But should a woman be very much alarmed, perhaps because old women have put foolish notions into her head, then give her several times a day No. 30. Loss of milk, is removed by No. 8; sometimes also by other remedies, when other symptoms are combined with it. Sore nipples, may often be avoided by washing them in cold water, before the confinement, and after it by washing with cold water, in which 5 or 6 globules o£ No. 15 are dissolved; if this does not soon answer, then give No. 18, and then wash them in the morn- ing and evening with No. 18 in water. If in 2 days it be no better, then give in like manner No. 35, and if this also do not ansAver, then give No. 18 inwardly and wash Avith No. 35 in water, and after some days if no better, give No. 35 and wash with No. 18. Sometimes they are very hard to cure, still a woman should never wash them with poisonous things, not even Avith alum or vitriol, because some of it always becomes absorbed, and the children may be injured even by little of them. Sore breast from the loss of milk is relieved by No. 8; from suppressed milk, when the child is put to the breast too late, or sucks not sufficiently, then give the child the remedy indicated and draw the milk out. The best way is, when any one can suck properly, or — 214 — good sucking-glasses are to be had. If not, take a large jug, or a large tumbler, and rarefy the air by heat, as is directed on page 82; if this do not assuage them, then pour some strong brandy into it, and set it on fire; then the woman must bend over the jug, and the breast, as soon as the flame begins to go out, must be laid upon the jug. One must not despair, if it do not immediately succeed, but try again after some hours a few times. Should it be caused by a bruise, or by vexation or fright, then give the remedies recommended in such cases. If it still continue, or other causes have produced it, then give here the indicated remedy and lay aside all salves and quack-medicines, by which the breasts are often rendered far worse, or it is driven on the lungs, where there is no more help. As soon as possible the milk should be given again to the child. In the first instance give No. 12, after 6 hours re- peat it once; if it be no better after 3 days, then give No. 5, in 2 doses as before; if it continue after 4 days, to be here and there hard, then give No. 7; if it still remain red, then give No. 12 again. Should that not remove the redness and swelling, then give No. 31, after 6 hours, a second time; if it terminate in suppu- ration, then give No. 16 to smell, several times. If after that the suppuration proceed, even to different parts, then give No. 21; if after 12 hours it be no better, No. 21 again, and after 12 hours No. 16 again &c. But as soon as it begins to improve, wait — 215 — as long as possible and use these remedies only, one after another, as often as it pains badly again. (Jt5* Particular instructions concerning the many disease* of women, as also the regulation of conduct during pregnancy, parturition and confinement; the directions how most of the accompany- ing attacks may be avoided or removed, will be given in a separate work, in which will be also treated the management of new-born infants, more fully than could be done in this work. —*m&S