A FEW PLAIN DIRECTIONS FOR THE HOMŒOPATHIC TREATMENT AND PREVENTION OF BRITISH AND ASIATIC CHOLERA, AND ALSO CHOLERINE. <> EXTRACTED KIIOM TIJEf >y r^" f " HOMCEOPATHIC DOMB^TTC MEDl€(^^f^J^) m WITH ALTERATIONS AND ADDITIONS I LONDON: J. LEATH, 9, VERE STREET, OXFORD STREET AND AT 5, ST. PAUL'S CHURCHYARD Fourth Edition, Bvo, bound in cloth, price 12a. HOMOEOPATHIC DOMESTIC MKIMCINH The publisher, in presenting a Fourth Edition of this work to the public, begs to state thai the author has thoroughly revised and considerably enlarged it. He can confidently recommend this :is the best and most useful Work of reference for Clergymen and Private Families in the administering of medicines under this system. The Treatment of the Diseases of Women and Children can be had hound separately. "The very fact of the publication of a third edition of such a work as Dr. Laurie'i proves how widely the practice is spread among the public generally." — Dr. Foebm'i Britith ami Foreign Medical Review, Jan. IS Hi. lSino, bound in clotli, pri< AN EPITOME or THE 1 HOMOEOPATHIC DOMESTIC MEDICINE.' Intended to serve as a Guide to those who are desirous of commencing the Homoeopathic Treatment in Family Practice. Svo, bound in clothj price ids. ELEMENTS OF HOMOEOPATHIC PRACTICE OF PHYSIC 1 A considerable portion of this work has already appeared under the title of Homoeopathic Domestic Medicine; 1 but, in consequence of the growing attention which medical men are beginning to bestow upon our Science, the Author lias been advised to give the result of his labours in a separate form to the Prqfeuienal public. He lias accordingly made considerable alterations in those parts of the aforesaid work which must necessarily be retained in the present one, and lias added many articles fiieh were purposely omitted in what was chiefly designed to be a treatise on Domestic edicine. . . • The Author has introduced into this work a number of diseases which are not ordinarily included in writings on the practice of physic. In deviating thus from the beaten track, he has been led by the conviction thai the line of demarcation which has been attempted to he drawn between diseases that are considered to belong to the province of the Surgeon, and those which have been allotted to the sphere of the Physician, is by far too artificial to admit of its being rigidly adhered to in a practical point of view. Palpably apparent as this must be to the Allopathic practitioner, it is still more strikingly SO to the experienced llouneopathist, who has had repeated opportunities of witnessing the cure of a variety of affections by the instrumentality of Medicine, which he had formerly been taught to believe to he removable by the Knife alone. — Extract from Preface. Bvo, bound in cloth, price 12s MANUAL OK lIOMCEOPATHK 1 THERAPEUTICS, l.v ('. BOENNINGIIAUSEN, M.D TRANSLATED BY DX. LAURIE. $r. Sr. HOMŒOPATHIC DIETETIC RULES The Rules of diet, as laid down by Hahnemann and his snrlier disciples, for the guidance of those who arc under homceonilli'w treatment? consist merely in the avoidance of medicinal mil indigestible substances, both as calculated to interfere with he action of the medicines, and the proper functions of the ilimentary system. Consequently, among liquids, the articles generally proscribed are. green tea, or strong black tea, coffee, nalt liquors, wine, spirits, and Stimulants of every description; emonade, or other acid or alkaline drinks, and natural or irtiticial mineral waters. Cocoa, unspiced chocolate (when bund to agree), toast-, rice-, or barley-water, oatmeal gruel — sweetened with a little BUgar, or raspberry or strawberry syrup f desired, — whey, milk and water, or, sometimes, pure milk lot too recent from the cow, boiled milk, and in some instances mtter milk, or, in short, any non-medicinal beverage is illowable. In animal food, pork,t young meats — such as veal, lamb.;; ie, and among poultry,ducks and geese— had better be avoided, tarticularly when derangement of the digestive functions exists. Jeef, mutton, venison, and most descriptions of game, it not 00 long kept (high), pigeons, larks, rabbits, are allowable at Iscretion. t Fish may, in most cases.be occasionally eaten with a little lain butter, but an exception must be made to the oleaginous )ecies, such as eels, salmon, <bsters, &C, and all kinds of salted, pickled, potted, or smoked (Eggs, raw, or soft boiled (when known to agree) ; butter, ii ree from rancid or unusual taste ; cream, plain, unseasoned UStards, and curds, are also admissible in moderation. * i. c. for iliscNise of long standings t Lean pork of good quality may occasionally be used by patient* under homoeopathic treatment, If they have not been taught by experience thai il is perfect!} un¦uited to their digestive powers. J Lamb, when not too young, Unoi objectionable in manj cuse»j but| as ;i prett) general rule ( it i-i not to be recommended so much ns mutton. LSKS-f IS4& srri I *' Stimulating soups and high-seasoned <>r rich made-dishes are so evidently opposed to homoeopathic regimen, as scarcely to require further notice. Beef-tea, veal- or chicken-broth, &c., thickened with rice, maccaroni, sago, or pearl-barley, and. sometimes, carrots, turnips, young peas, or cauliflowers, anil seasoned merely with a little salt, are allowable in certain cases. Among vegetables, all of a pungent, aromatic, medicinal or indigestible description, or greened with copper, are prohibited : such as onions, garlic, eschalots, asparagus, radishes, horseradish, celery, parsley, mint, sage, mushrooms, tomatoes, cucumbers, beetroot, cresses, &c, ; but others free from snch qualities, such as mealy potatoes, French beans, green peas or beans (deprived of their skins), cauliflower, spinach, seakalc carrots, mild turnips, parsnips, brocoli, vegetable marrow, &c, may be used with the needful precaution of avoiding any particular article of ,l,\>. 12.) The success which attended the homoeopathic treatment of Cholera, even in its most virulent forms, when it last overran Europe; has deservedly tended much to enhance the merited confidence of the public in the system. Now that we are again threatened with an invasion of the SCO urge, it were ardently to be wished that professional men of the old persuasion woidd, in place of persevering with their own discordant and so generally futile, not to say injurious, measures, put those of the new school to the test. Although the disease is one which is, >roperly speaking, beyond the sphere of domestic treatment, nevertheless, from the present comparative paucity of homOßO>athic practitioners, we purpose giving in detail a description >f the symptoms which call for the different remedies which lave been employed with such happy results when timely •esorted to. Before entering upon the treatment, it may be briefly renarked that by the term Cholera Mor bus was formerly understood a disease attended with nausea, griping, purging, and vomiting, generally prevalent towards our summer months, and it the season when fruit abounds. But it has now become a reneric term, under which are included two varieties — the Cholera Morbus, properly so called, and the Asiatic Cholera. Symptoms. The first named, variously called the Sporadic,* bilious, or British Cholera, generally commences with a sudden eeling of nausea and griping, followed by purging and vomitngj in seven: cases, accompanied with coldness of the body, mrtieularlv the extremities, anxious and hurried breathings, xcessive thirst, a feeling of cramping in the legs, sometimes in he arms, with spasmodic contractions of the abdominal*)* nuscles, shrinking of the features, and a hollow expression bout the eyes; pulse weak, sometimes scarcely perceptible; Inn, watery, and fetid, or bilious evacuations, sometimes with ark bilious vomiting, anxiety, and tenesmus.| Causes. The most frequent are worms, gall-stones, 1111-vholesome, indigestible food ; fruits, or crude vegetables, iterations in temperature, moist or marshy situations, damp veather, wet feet, suppressed perspiration from sudden exposure o cold, cold drinks when over-heated, dentition, or parturition. I* Not epidemic, occurring only in isolated Instuncei, from ciuunan flee ting merely c individual. t Appertaining to the belly, X Straining; painful, coitntunt, go to stool, with emicwiun onlj of small quuntitieii of .-lime. 6 Cholera, the following remedies will be found the most efficacious: Ipecacuanha, Chamomilla, Veratrum album, Arsenicum album, Cinchona, and Pulsatilla. Ipecacuanha is very frequently the most appropriate remedy in the premonitory Stage, but particularly when there is nausea, with copious vomiting, and more or less griping, followed by diarrhoea. (See below.) Chamomilla is, likewise, of great utility in the early stage, mrticularly when the complaint has been excited by a 'hill, or when ujit of passion has given rise to it, in which latter •ase indeed this remedy is almost specific. (See also CoLO-3YN i ii.) The following are the symptoms which more especially ndicate its employment: acute colic-like pains, or heavy rressure in the region of the navel, sometimes extending to the teart, with excessive anguish ; bilious diarrhoea, cramps in the :alvea of the legs ; tongue coated yellow ; and, sometimes, vomiting of acid matter. PuLSATILLA is preferable to Chamonilla, when the attack has been brought on by partaking of rich, ndigestiblc food, and when the stools are more of a mucous* •haraeter. CoLOCYNTH again, is more appropriate in some ¦asrs arising from a moral cause, more especially a tit of anger >r mortification, attended with indignation. Dose. Six globules to two table-spoonfuls of water, a dessertspoonful every two to six hours, according to the severity of :he symptoms; lengthening the intervals as soon as improvement sets in. IPECACUANHA may be administered after the above, should he attacks of vomiting become more prominent ; or, as already ibserved, it may be selected from the commencement, should 'omiting predominate, or at least assume as marked a character n the complaint as the diarrho&a. Other indications are — sensation of weakness (or of internal sinking), coldness in the face and limbs, sense of shivering in he abdomen (belly) ; slight cramps in the calves of the legs, md in the lingers and toes. Nux V. has been found of great aluc after Ipecac, when the vomiting yielded to the employment ?f that remedy, but symptoms of spasm of the stomach continued. such as weight and constriction in the epigastric^ region, also \ hen anxiety, griping, frequent small evacuations, and straining, rontal headache and shuddering, with predominating internal ¦hills yet remained. J - - Dose, Same as UHAMOMILLA. Vebatrum album. This valuable remedy, which is equally well adapted to the malignant form of cholera, as it is to the milder variety now treated of, should at once be employed if the disease increases, notwithstanding the administration of the Slimy. + The region of the stomach. J preceding reiHc'iiy, 01 v, iiuiii me him. n assumes tut. iouo\>inj^ characteristics : violent vomiting with severe diarrhoea, excessive weakness, and cramps in the calves of the legs, &'c, eyes hollow or sunken, countenance pale, and expressive of acute suffering anil intense anguish ; coldness of the breath and tongue ; excruciating pain in the region of the navel, tenderness of the belly when touched ; great thirst, dragging pains and cramps in the fingers, shrivelled appearance of the skin on the palms of the hands ; extreme coldness of the extremities; cold clammy sweat. Dose. Twelve globules maybe added to two ounces of water, and a dessert-spoonful of the solution given every half-hour, one hour, or two hours, according to the severity of the symptoms. The intervals between the doses may he even less than those; named if the case is very urgent, and the reaction slow ; but as soon as melioration becomes clearly manifest, the intervals must be lengthened. Arssnicum is useful when this malady assumes a severe ¦haracter from the beginning, but is more particularly indicated, \ hen the disease is attended with rapid prostration of strength, nsatiable thirst, excessive anxiety, loss of articulation, with fear >f approaching death, burning -nv/.'W/o// m the region of the stomach, almost constant discharge from the bowels,* or renewal >f the discharge, as often as the desire for drink is gratified ; suppression of urine or scanty micturition, f followed byaburnng sensation ; violent mid painful vomiting, tongue and lips dry, racked and blueish, or black; hollow cheeks, pointed nose; pulse dmost imperceptible, or small weak, intermittent, and trembling: evere spasms in the lingers, toes, &c, clammy perspiration. Dose. Same as Veratrum. CINCUONA is chiefly useful against the weakness which •emains after cholera, but is also serviceable, occasionally, luring the course of the disease, particularly when there are vomiting of ingesta,J and frequent watery ami brownish evaeuaionSj containing particles of undigested food; also when there s oppression at the chest, with eructations, which afford emporary relief; pain in the pit of the stomach, especially ifter partaking of the smallest portion of food ; great exhaustion, sometimes amounting to fainting. This remedy is sometimes equired when the disease has been excited by indigestible substances, such as unripe fruit, &c., or by inhabiting a marshy situation ; but Ar&enicum is preferable when the attack is severe, mil the symptoms as detailed under that remedy. Dose. Three globules, in a dessert-spoonful of w ater, repeated every lour, six, or twelve hours, according to circumstances, until amelioration results. * The stools being usuttlij verj itleiuleil with gtruiiiiiiff. feeling of burning heat — anil This virulent disease generally commences with giddiness, headache j singing in the ears, and general uneasiness, a sensation of flatulence in the stomach (rumbling of wind), or griping pains, rapid loss of strength,* and a feeling of weight and oppression in the region of the heart. But, in many instances, diarrhoea is the first symptom (see Cholerine p. 13), and which, if neglected, soon becomes associated with vomiting, severe colic, cramps or convulsions, anxiety, and dread of dissolution which appears to be inevitable. In some, though not all, cases of Asiatic Cholera, we find the ips, nails, and sometimes the whole skin, of a blue colour, but, n almost every instance, the frame loses its power of generating leat, the pulse and pulsation of the heart are almost unfelt, and he circulation of the blood becomes stagnant. The exciting cause appears to depend upon some peculiar condition of the atmosphere. The predisposing influences are : — intemperance n eating and drinking; insufficient or unwholesome food; the use of unripe, or of cold, indigestible fruit, and crude vegetables ; cold drinks when the body is overheated ; exposure to exhalaions from decayed vegetable or animal matter; residence in ow, damp, dark, ill-ventilated dwellings; excessive fatigue; uddenly suppressed perspiration ; depressing moral emotions ; leglect of cleanliness, both personal and domestic ; consti- Utional debility, serious derangement of the digestive organs, veakness of bowels, &c. As any, or, at all events, several of liese in conjunction, tend to favour the invasion of the disease, bey ought, when practicable, to be carefully guarded against r removed. (See also the remarks under the Preservatives ¦gainst Injection, p. 12.) t Patients, who have escaped through the second stage, are equently carried off by a typhoid fever in the third. Treatment. We now proceed to mention the remedies which have hitherto been successfully used against the disease in all its forms, premising that it is of the utmost possible unjjortance to resort to the medicines as soon as the earliest symptoms become (I red oped. When the disease is ushered in by the following preliminary symptoms : giddiness, headache, singing in the ears, diarrhoea, sensation of general uneasiness, sudden loss of strength ; — or when, in addition to, or in the wake of the loregoing, the patient is seized with rigidity of the limbs, ovprolonged cramps in the fingers, arms, calves of the legs, and in the muscles of the belly; sunken, blue encircled eyes; diminution of the senses; slow pulse; blueness and icy coldness of the face and hands, and greatly diminished temperature of the whole body; burning heat in the throat and region of the stomach; distended bowels; much flatulent rumbling; diminished or suppressed * in tl.i' severest forms of the malady the patient suddenly falls senseless to the 9 urine;* hoarse voice; countenance expressive of excessive anguish ; suffocating oppression — the complete development of the malady is frequently prevented, by the administration of the saturated solution OF CAMPHOR, one part of camphor to twenty of spirits of wine, or, as some prefer it, one drachm of camphor to six or eight drachms of strong spirit. f The more promptly the camphor mixture is had recourse to after the first seizure, the more certain will be its effect, the patient being then often resuscitated as if by a charm, after the first dose or two. Indeed few cases have been known to terminate fatally where it was given within the first hour.J Dose, One or two drops of the above, every five minutes, in i teaspoonful of cold water (iced if possible), until a cessation or amelioration of the symptoms takes place, when the intervals jetween the doses must be lengthened, at first to every two, and then to every four or six hours. Ten to twelve doses are generally sufficient to cut short the disease in the above menioned (first) stage. But when Cholera sets in in its worst and characteristic form, vith sudden and violent fits of vomiting and purging, the evacuations resembling starch or rice water, after several )aroxysms ; excruciating //n'jjes, severe clonic crampsh in the calves f the legs fyc. (second stage], ice-like coldness of the entire body, even of the tongue ; cold, clammy sweat ; impeded, gasping cspiration ; feeble pulse; great thirst; excessive weakness; errified look; weak, hollow voice ; groaning and yawning ; — ye should have immediate recourse to Vkhatkum, a remedy vhich all who have had an opportunity of trying have eulogised. Dose. A few globules || (six to twelve) in a dessert-spoonful of water, every hour, every half hour, or even every quarter of an hour, according to the severity of the symptoms — in desperate cases, every five or ten minutes : but should no improvement * An almost constant symptom in cholera. 1+ 'Flic first named, or weaker preparation may be preferred In the case of children, umphor being a very volatile substance, the mixture ought to be kept in pbialssuch i are used for containing ether. { A feeling of returning warmth ii, generally, the first symptom of improvement when recovery is approaching; this is, commonly, soon afterwards followed by perspiration, with diminution of anxiety, dfec, and an inclination for sleep — alter an hour or two of which the patient awakes with a sensation of renewed life. I§ Spasms which are of short duration, but liable to be repeated in rapid succession. he term " c/u/n'c" is used in opposition to " tonic," w iiieh is employed to designate spasm that is ot'loni? duration ; the affected part (for instance, the fingers, the arms, i>s, or even the whole body) continuing for some time distorted, or stiff and in¦xihle, without relaxation. The latter form of spa-m, only, is that in which tmphor is efficacious, whereas Veratrum and Cuprum, tfcc, are suitable to both, it especially to the former, in this disease. || A more convenient mode of administering this and the Other medicines about to he named, consists in dissolving fifteen to twenty globules in a couple of ounces (about four table-spoonfuls) of cold (iced) water, and giving a teaspoonful of the solution or mixture at the intervals mentioned above. Many bomotopatbists prefer the tinctures to the globules (which latter are composed of the pures! sugar and starch eaturated with the tincture), and give one to two dims at a time, in a small quantity (if water — or add a few drops (five or six) to a hall pint of water, and administer n spoonful of this every quarter of an hour or oltener, or only every hall hour, or every two or three hours according to the necessities of the case under treatment. 10 set in after several doses, or should the cramps predominate, or change to convulsions, with spasmodic constriction of the chest, vhich obstructs respiration, and twitching or jerking of the imbs, — Cuprum must be had recourse to, in the manner prescribed for Veratrum: and if Cuprum be productive of only lartial melioration, Veratrum maybe administered in alternation vith it. When symptoms of lock-jaw and tetanus* supervene, lamphora has been recommended as preferable to Cuprum. Absbnicum should be selected in preference to, or, in bad bnns of the disease, given alternately with, Veratrum, when an ntense burning sensation is experienced in the stomach and )o\vels, with extreme prostration of strength, insatiable thirst, but liability to take more than a sip of water at a time without idding to the Bufferings, livid spots on the skin, dread that •ecovcry is hopeless and dissolution is rapidly approaching, *kc. (Vide the indications for both these remedies, pages 6-7.) The foregoing then, are the principal remedies which were •mployed with such striking effects by the Homoeopathic pracitioncrs of the Continent during its former appearance in Europe, in 183 1-2-3, when the treatment was had recourse to um'ciently early. In some cases, especially those which had >een neglected, or improperly treated, other remedies became lecessary, such as Carbo r., Acidum hydrocyanicum, Ipecacuanha, Vux voinica, Phosphorus, or Acidum phosphoriewn, Cicuta virosa, Secale cornutum, Cinchona, Sulphur, fyc. Of these Carbo r. was ;iven with advantage when the patient was reduced to the last xtremity,t animation being all but completely suspended, and he pulse scarcely perceptible ; or when, on the cessation of 'omiting, diarrhoea and cramps or convulsions, congestion to he head and chest ensues, with oppressed breathing, coldness )f the breath, redness or lividity of the face (which is covered vith clammy sweat), and lethargy — the patient seeming as if eized with an apoplectic fit. It was found useful in some intances to give a dose or two of Acid, hydrocyanicum, about an lour before the employment of Carbo r. Should the pulse jecome stronger under the action of Carbo r., but the pain, omiting, cramps, &c, return, Veratrum must again be had ecourse to. Dose of Arsenicum and Carbo, name as Veratrum, vith the precautions mentioned under the directions for the dministration of Camphor. {Carbo c, like Cicuta, and perhaps tramon., is, properly speaking, not so appropriate during the isease itself, as against the sequelae. J) Ipecacuanha and Nux v. have been found efficacious jefore or after Veratrutn, or any of the other medicaments, when he symptoms assumed the character mentioned at page <). The Russian homoeopathic practitioners found Ipecac, of pecuiar efficacy.) General spiums. Biird stage of tbedißeuse,oi wbul ia denominated tbat ol a*j>l))xia suffocation) ter effect*. 11 Phosphorus (followed by Acidum phosphoricum, when great clamminess (sliminess) of the tongue supervened) was found very useful when debilitating diarrkcea remained after the subjugation of the more urgent symptoms. (See Cholerine.) Dose. A few globules every four or six hours, until amendment is experienced. Phosphorus is also useful in the event of congestion in the chest, with oppressed and laborious breathing, during the course of the disease. CICUTA vi rosa proved an appropriate remedy, when there were spasms in the muscles of the chest, continuous vomiting, and little diarrhoea ; when the eyes were turned upwards, and the patient in a drowsy state. It is particularly in neglected cases, and consequently more in the sequelae of cholera, than in the disease itself, that this remedy is more generally indicated. Stramonium may likewise be useful in similar cases. Dose. Same as Veratr. Secale OOBNUTUM is very useful in cases of colourless liarrhota, with pains in the extremities remaining on the cessation of the vomiting, but is also valuable after Veratrum and Cuprum, when the cramps or convulsions do not yield to these remedies. Cinchona is useful against the general debility, and Sulphury like Phosphorus, is one of the most important remedies against irritation orweakness in the alimentary canal, characterised by frequent attacks of or nearly continual loose/was occurring after cholera. In conclusion, it may be added, that a few doses of Cantiiarides will be found useful, when there is great irritation and pain in the bladder, — Rhus and Bryonia, alternately, when a typhoid state with delirium sets in ; or Eyoscyamus when the jaticnt lies in a torpid state — or speaks confusedly, and is red and bloated in the face. If, after the administration of frequently repeated doses of J/yosc. (every half hour) the drowsiness •still continues, Opium must be given, — when the latter fails, Lachesis should be prescribed, — and Add. phosphoricum when colliquative diarrhoea accompanies the typhoid or congestive symptoms. Aconitum is useful when the blue, cold stage is succeeded by heat of skin, quickness of pulse, headache, noise n the cars, dryness of the tongue, with redness of the tip and and margins, high-coloured urine, — and Belladonna when there s extreme tenderness of the belly, or redness of the face, vith fulness and throbbing of the vessels of the head. Lastly, 'hamomilla and Tartarus etneticus have been recommended when he evacuations continue feculent at the commencement of the ittack, or become very bilious at the termination of the disease, — Aconite, Phosphorus, Bryonia, Belladonna s Bfc, t in addition to % hosphorus, should Congestion to the Chest supervene, — nd Aconite, followed byNux v., Jhyonia, or Mercun us, fyc, when the stomach and intestines become the seat of congestion — but these are sequels which require professional aid. (See also Synopsis, p. 15.) 12 When the patients affected with cholera* sought the aid of a homoeopathic practitioner after having been previously treated allopathically, it was found essential to give Camphora in repeated doses, in the first place, partly for the purpose of rousing the reactive power, and partly to neutralise the effects of the allopathicf medicines. The best Preservatives against Infection during the prevalence of the disease, are Veratrum and Uuprum.% Many homoeopathic practitioners recommend Veratrum alone, but the alternate prescription has perhaps been more generally preferred. They may be given alternately in the following manner : a few globules (6 to 8) of Veratrum, in a dessert-spoonful of water, fasting, and repeated after an interval of twelve hours. Two days afterwards, give or take Cuprum aceticum in the same way. Three days after the latter, return to Veratrum t and then again, after another interval of three days, to Cuprum, and so on, always adding an additional day to the interval on resuming the course. § Care ought at the same time to betaken to avoid excesses of all amis, late hours, exposure to night air, melancholy thoughts, or fear, which arc all predisposing causes to attacks of this nalady. When the disease happens to break out, notwithstandng these precautions, it is almost invariably in the mildest form, md easily subdued by means of Camphor, which should then be taken without delay, followed, if needed, by the other remedies ndicated by the symptoms. It may also be remarked, that, during he prevalence of this affection, the clothing should be sufficient o preserve the body at an equable temperature, and care should )e taken to avoid chills or cheeked perspiration, or cold and wet eet : those who are affected with considerable perspiration in heir feet, should change their stockings at least once daily ; a lannel bandage worn round the abdomen is also a useful precaution, and should not be hastily laid aside, even when the [anger seems to have passed away: regular exercise should ikewise be taken, during the best part of the day, in the open ir. Adherence to the homoeopathic rules is a sufficient dietetic ¦vide, but too sudden a change of diet is not advisable ; raw egetables, such as celery, salads, cucumbers, pickles, and cold ruits, for example, melons, oranges, apples, pears, &c, should At tin- former visitation of this scourge in Germany. t A term employed to designate tin- old system ot medicine. IJ Dr. Murenzeller, of Vienna, states that be nave the.su medicines to 150,000 ¦rsons, and that not one of them fell victims to the disease. The .same striking mlts were obtained among 80,000 people in Poland and Hungary. Should the c carefully abstained from, and even the more wholesome arieties, and all cooked vegetables should l)e used in extreme moderation; pure beer and non-acid wines are unobjectionable or individuals not attacked, and accustomed to ///fir daily use, vith the same limitation. It may appear almost supererogatory o observe that purity of air and thorough ventilation arc highly necessary. Accessory Treatment. The patient should be kept in a oom of a warm temperature, the bed should be heated by artificial neans, — bottles of hot water applied to the feet, if necessary, md hot flannels to other parts of the body. The observance of his rule greatly facilitates the action of the medicine employed.* frictions with woollen cloths have also been recommended. Anything which might disturb the equanimity of the sufferer, uch as noise or contradiction, should be carefully avoided, and iis spirits should be sustained as much as possible. Cold vater is the best drink, but the patient should not be allowed o take too much at a time ; the occasional administration of a mall piece of ice, if possible, or of iced water in teaspoonfuls, s often attended with benefit ; and injections of iced water are ometimes serviceable in relieving the colic and cramps in the ntcstines. When cold water, in lieu of diminishing, increases he vomiting or other sufferings, and the patient expresses ;i vish for a little nourishment, tepid emulsion of sweet almonds, bin gruel, barley-water, toast-water, milk and water, (all warm md given in spoonfuls at a time,) may be administered. During he convalescence following this disease, we must be careful not o indulge the patient to the full extent of his appetite. CHOLERINE. This name has been given to those cases which are of frequent occurrence during the prevalence of cholera, and which present only a few of the symptoms of the disease, diarrhoea forming the eading feature. In the case of the strong and healthy, sueb ittacks often pass off without the aid of medicine. But with he less robust, and particularly the debilitated — cither by other liseases or constitutional inheritance — the symptoms cither become gradually complicated with vomiting and other characeristics of cholera proper, or they turn into exhausting liarrhoeas accompanied by excessive flatulence, and terminate, f not attended to, or if improperly treated, in delirium and severe convulsions. I Phosphoric acid is the remedy which has proved specific in he majority of such cases. It ought therefore to be taken without lelay when excessively frequent and debilitating, but painless, liarrhoea and flatulence are the sole, or at all events the only Kreloping the patient in a damp sheet, (one which has previously been soaked in nter), (md then wrapping him in blankets, i< another useful auxiliary mode ol it. 14 marked symptoms. In more complicated instances. Ipecac, and Veratrum will claim a preference. The former, when the predisposing cause of the attack is attributable to an overloaded stomach, feral rim, when the stools arc watery, and, from the onset, accompanied by great general debility, with cramps and coldness of the feet and legs, griping and, occasionally, vomiting. These two last-named remedies may be sometimes given in alternation with advantage. If the diarrhoea increases, but the other symptoms subside, after the administration of Ipecac, or Veratr., or both, — Acid, phoaphoricum must be had recourse to, or Secede. (See below.) Camphor is rarely of use in pure cholerine,* never when it has already been of some days' duration. Considerable injury has often arisen from its abuse in this disorder. Coffee, without milk, is the best antidote to the bad effects of camphor, either in cholerine or in cholera itself, when given in an overdose. Mercv/rius has proved serviceable in some cases, especially when the evacuations consisted chiefly of small quantities of slime, sometimes mixed with blood, and the inclination painfully ncessant. The Senile cornutum when the motions were copious, watery, and colourless, exhibiting no traces of bile. Other medicaments, such as Anenicum, China, Tart, einet., Chan/., Dale., §'c.,f might be indicated in certain cases. But in all cases which, ;hough meliorated, threaten to become protracted and exhaustng, Phosphoric acid ought to be given, and, failing it, Sulphur. ilhse of the above remedies — a few globules in a dessertpoonful of water at first every hour, every two, four, or six, ccording to the urgency of the case, then at longer intervals s the disorder subsides.;]; I Diet and Regimen. Acids, coffee, strong tea, fruit, most egetables, eggs, veal, poultry, pastry, and smoked or salted neat and fish, should be strictly abstained from. If the appeite is pretty good, at the beginning of the attack, mutton-broth r beef-tea thickened with rice or sago, may be taken ; otherwise gruel, rice and milk, sago and milk, ike, made thin, are preferable. Food of a more substantial quality must be ventured upon with great caution. Exercise is to be very sparingly indulged in ; and exposure to cold and damp avoided. Whenever cholerine threatens to pass into true cholera, Veratrum or Arse- NIGUMj &c, should be forthwith employed. (See Cholera.) * But when cholera breaks out in such n form that the preliminary symptom is, most invariably, diarrhoea — undistinguished by any very peculiar features— or whenver diarrhoßa comes on (particularly In very warm weather) in association with iddiness, headache, or ringing in the ears; flatulence and griping; pain, weight r •uffocatlng oppression at the fore part of the chest; heat in the gullet and pit f the stomach, diminished or entirely suppressed urine — camphor is quite in place, nd will, very generally, speedily arrest the symptoms, If given soon after their lvasion. (See also the preliminary symptoms of Cholera, pages 8 and 0.) + The leading indications for these medicaments will become readily apparent on referring to the parts of this pamphlet where they are specially alluded to. See also Art. '• Diarrhoea," in the ' Homoeopathic Domestic Medicine,' by the Author. I It is sometimes advantageous to give a dose after every movement of the bowels, for the first twelve or twenty- four hours. C\c *1 ' ' 1 * I*4-' f •#1 Ti line nmnlnr/id ill flip Ilrmwnn I *i t li c principal mciicfitions tor tuc itCiiicciic?> cnipioxtiini tin ihmiiikjj>athic Treatment of Sporadic or British Cholera — Epidemic, Malignant, or Asiatic Cholera, and Cholerine. SPORADIC OH HUFFISH CHOLERA Ipecacuanha. Copious and easy vomiting, with watery looseness of the bowels, and Blight cramps — the sickness forming tin 1 most prominent symptom. Veratrtm. Sudden and severe fits of vomiting and purging — violent, permanent or prolonged cramp-, greal thirst, and icy coldness of the feet and lean, or of the whole body. Aksknk ru. Paroxysms of severe ami distressing retching, attended with acrid, scalding stools, and straining — intense colic, continuous burning pains in the stomach am/ bowels — extreme prostration of strength — excessive coldness of the skin — and insupportable anxiety, restlessness, and fear of approaching dissolution. CiiAMo.Mir.r.A. Bilious diarrhmi, griping, cramp in the calves of the legs, yellow furred tongue, anxiety, and, sometimes, acid vomiting. Chiefly required at the commencement of the complaint, and particularly when it lias been excited by a chill, or by a fit of passion, and occurs in children, or delicate and excitable females. Cinchona. More especially against debility after the disorder has been subdued — but also during the attack when it has been induced by eating fruit, and there is vomiting of ingesta, griping, and somewhat frequent stools containing portions of undigested food. Arscnicuni is often required before, after, or in preference to this remedy when the attack has been produced by eating fruit. EPIDEMIC, MALIGNANT, OR ASIATIC CHOLERA FIRSTLY, (Ordinary C 'ases.) Camphora. During the preliminary stage, or sometimes, even when vomiting has commenced, provided the cramps or spasms are. of a tonic* description. f K.TBUM. Violent, sudden and frequent paroxysms of vomiting and , with cramps or spasms either of a tonic or clonic description, and c thirst. Cuprum. When there is vomiting and purging, but the cramps or spasms form the predominating feature of the disease, and particularly when convulsive movements (jerkings or twitchings) are present. The alternate employment of Verdtrum and Cuprum is often of great efficacy when the latter alone produces only partial improvement. Arsknm im. When the burning pains, in the stomach and bowels, which are so frequently complained of in cholera, form a promineni symptom — when the vomiting and purging are very distressing, but the upward and downward evacuations small in quantity, and ejected with painful effort — the thirst, insatiable, but the desire to drink easily satisfied, and the symptoms prone to be exacerbated by its indulgence — and the anxiety, restlessness, and fear of dissolution extreme. VeratrutH may be advantageously alternated with Arsenieum, when the latter relieves the symptoms we have marked in italics, but not the others mentioned above and also under M Vemtrutn." * Sec the explanation of this term, page °, loot-note. no improvement takea iilue within a Quarter of an hour, Veratrum or Cuprum or tome other rcmcilv must lie reported to according to the symptom/). 16 SECONDLY, (Slight Cases.) [pbcacuanha. Either at tin' commencement of the disease, in mild eaten — oral a f'urt Ikm- advanced period — when vomiting is the predominating symptom. Nix v. When tin" vomiting lias yielded (particularly after the employment of Ipecac.*)^ and when weight or pain in the region of the stomach and bowels, with small stools, or frequent and ineffectual efforts to evacuate, are the remaining symptoms. Tartaris EMSTICDS. When the evacuations are of a very bilious description at the commencement — or when, at a more advanced stage, the stools still contain feculent matter. THIRIM.y, {Advanced or Neglected Ciiscs, and Sequels of Cholera.) CICTTTA VIKOSA. Spasms, chiefly confined to the muscles of the chest — continued vomiting bui little diarrhoea — eyes turned upwards, and the patient in a drowsy, torpid state. Sbcals cormtim. 'When the vomiting has ceased, but _ excessive 01 involuntary, unnoticed, colourless diaCfhoea, and pains in the limbs remain : or when the cramps and convulsions predominate, and do not yield to 1 eratrnm and Cuprum. It is, more especially, in the case of old people, or in weak, debilitated persons that this medicine (Weenie cornutum) is required. Carbo v. may be employed with success when the patient is in the third stage of the disease (that of asphyxia)— the face being deep red, or livid and Moated, and covered with a clammy sweat, the breathing much oppressed, and the patient in a drowsy, inanimate state (from congestion to the chest and head) — the skin icy cold, and the pulse scarcely, if at all, perceptible. Acid, hi/drocyanicum is sometimes useful in alternation with Carho i\, ami Veratrnm, or any of the other remedies, indicated by the symptoms, when reaction sets in. Mercurius is indicated when looseness of the bowels in the form ot dysentery— with small evacuations consisting of frothy mucus, or mucus mixed with blood, and attended with severe griping and straining— forma the remaining symptoms. Phospii. and StJLPH. if diarrhoea persist. — Chiha, debility, &c. . ..... Lastly, Aconite is useful against local inflammatory action, with quickness and hardness of pulse and heat of skin. Belladonna when there is determination to the head, with violent throbbing of the vessels of the neck and temples — Cantharides when there are signs of irritability, &c, of the bladder— and Itnus and Bryonia when symptoms of low typhoid fever supervene. Brief indications for Hyoscyaitms, Opium, Lachesis, and Acid, phosp., have already been given at p. 11. CHOLERINE. Acidum niosPHOßicuM or Secale cornutitm in general ease.- Ipecac, and Veratrum when more of the symptoms of cholera attend or intervene. Mereurim when there is severe griping and straining.— Arsenicum when there is violent griping, with distressing burning heat in the stomach, bowels, and orifice of the last intestine, before O] after each stool, and much thirst, anxiety, restlessness, and prostration. — China, painless diarrhoea, frequently with particles of undigested food in the motions, and considerable debility. ChamomiUa, when there are bilious stooh.—l'ulsatil/a, slim;/ or bilious .stools— end soon. (See ' Homoeopathic Domestic Medicine,' Art. Diarrhoea.) C. AND J. AIII.ABn. I'IIIKTF.RS, JIARTIIfi J.OM r\V CLOtB.