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THE
homceopathic  treatment
CONSTIPATION
BY
H. BERNARD, M.D.,

      Mons, Belgium.
Translated and Revised from the second Belgian edition, with

  Additions and Clinical Cases from American sources,
      T. M. STRONG, M.D.






W. A. chatterton,  a. l. chattertokpub. co. TVt^iy
    CHICAGO.             NEW YORK.  ^^-~------—-"
                1882. 
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Preface. -
  The greater portion of the subject  matter in the
preFViit  edition  has been taken  from  the work of
Dr. Bernard, but has  been  placed in a form corres-
ponding to the well-known work on diarrhoea by Dr.
Bell.  No reason for using  this form need be given
to American physicians, so  long acquainted with the
work above mentioned.
  The matter contained within brackets and the
Repertory entire, has been added.
  It is desirable that the members of the profession,
promptly point out important omissions and errors,
and also furnis'.i addition:*1  verifications.
T. M. s.,
    Allegheny, Pa„
           September, 1882. 
I 
Introductory.
  The therapeutic  question which  we are about to
examine does not  deserve, possibly, to be placed in
the first rank of clinical importance.   None of the
disciples of  Hahnemann, however, will, we  think,
deny the practical  difficulties which are  often pre-
sented in the treatment of constipation.
  It is not always easy  for the  conscientious, but
busy practitioner, to discriminate in the selection of
the true homoeopathic remedy ; and it is only too easy
for the patient,  on the  contrary, to procure a pur-
gative at the nearest pharmacy.
  The majority of persons, who are suffering from
constipation, do  not possess the patience to await
the dynamic effects, which  are  sometimes  a little
slow,  of our remedies.   A slave to a prejudice which
we will be able only to eradicate by time, the public
attaches to constipation an exaggerated importance
and desires to effect its removal  at any price.  We
know that there is more of error than truth in the im-
portance which is assigned to constipation ; but if we
with truth may say, that the success of the humoral
doctrines is  a remnant of the  aatiquated traditions
traceable  to Galen,  and  also that the  treatment,
resembling the sweeping by a broom, or the  exten- 
10               INTRODUCTORY.
Eive cleaning of the Augean stables, is more popular
than scientific, nevertheless let  us  be just.  Let us
acknowledge that  everything  is not false,  in  the
entreaties of our patients who, invoking the cele-
brated precept  of  Boerhaave,  demand  an  "open
belly;" for constipation  of  itself  can become, an
abstraction born of the causes which give rise to it,
a source of physical and mental troubles.
  We  are reminded of a patient who we had the
happiness to cure  successively of a variola  and a
typhoid fever.   He was an intelligent, highly edu-
cated ecclesiastic, full of activity, but of a weak and
timorous  disposition.   After  convalescing  from
typhoid fever, he was profuse in acknowledgements
of the  services which we had rendered him, and was
never  tired sounding the praise  of homoeopathic
treatment, to  which he owed, a  second  time, the
preservation of  his life.  Unfortunately a  consti-
pation, habitual, but generally transitory,  in  con-
valescents, assumed in  him a very obstinate form.
So  that  after the  failure  of  several  homoeopathic
remedies  which  I  had  prescribed,  our  patient
consulted a practitioner of the old-school. Farewell
all  the transports of gratitude, all  the  panegyrics
upon homoeopathy, all the enthusiasm  of  propa-
gandism.   "I confess that Homoeopathy is a good
thing," said our former  patient  to us  at a later
encounter, "but it is wanting in purgatives."  We 
INTRODUCTORY.
11
have  no  doubt  that  all  our  colleagues  have
experienced analogous facts and  circumstances.
  It is undoubtedly more noble to correct the infirm-
ities of the human intelligence than to pass them
by ; but amid the difficulties of a daily clientele, how
many necessary  concessions have to be  made to that
enquiry for the cause, to that mania for explanations,
which derives its source from a curiosity perfectly
legitimate in the main!  For have not the patients
who consult a physician  a right  to interfere in a
process which concerns their  health ?
   We would not proscribe absolutely the administra-
tion of laxatives, but at the same time we would draw
the line between those of hygienic, and those of a
pharmaceutical  order; we do not  wish, at least, to
condemn or excommunicate those of our colleagues
who think it  is their  duty to  use them, either in
cases of emergency, or when the indication for the
homoeopathic remedy is but illy-defined.  But  we
think that we do better when we strive, at the price
of frequent and conscientious investigation, to facil-
itate this enquiry for an appropriate remedy for each
particular case.   The aim which we have in view in
this work is to enable those who desire to read it, to
renounce the palliatives more or less  crude  of the
old-school, and  to rest upon the genuine  traditions
of  our admirable law: similia timilibus curantnr.
   It seems  to us, that examined from this point of 
12
INTRODUCTORY.
view, the question of the homoeopathic treatment of
constipation merits  a place among those conditions
which claim the serious attention of physicians and
the intelligent public.
  Constipation,  writes  M.  Jousset,  is a  morbid
affection characterized by the infrequency and  the
hardness of the stools.
  Grisolle agrees with Chomel in defining constipa-
tion as a condition in which the alvine evacuations
of an individual are rare, and  the material voided,
hard and discharged  with difficulty.   Thus  the
word constipation carries with it the idea of  a reten-
tion of fsecal matter; we should not then apply the
term to the absence of stools due to an empty bowel,
such as we find after a profuse diarrhoea, a prolonged
fasting, or in pyloric contractions.  Constipation in
a great many persons constitutes a physiological con-
dition ; so that we have instances where the person
may enjoy the best of health,  and yet the stool only
occur  every four,  five,  eight  or ten days.   But we
need not occupy our mind with these particular cases.
   Constipation, according to M. Jousset, is symptom-
atic of a great number of  diseases   and  lesions.
Independent of mechanical obstructions,  such as
tumors in the pelvis, displacements of the uterus
and narrowing of the  intestine, constipation  may
also arise in consequence of paralysis due to lesions
of the spinal cord, dyspepsia, haemorrhoids and lead 
INTRODUCTORY.
13
poisoning.   It has not been demonstrated that con-
stipation arises outside of these conditions to consti-
tute, even in the aged, an essential malady.
  We believe that the latter assertion of M. Jousset
will meet with decided contradictions, since clinical
observation, in our country at least, brings to notice
numerous cases of constipation which do not depend
upon any of the conditions above mentioned and
which fully justify  the acceptation into the patho-
logical schema of idiopathic constipation.
  According to M. Jousset the conditions which, in
the morbid conditions previously enumerated, favor
the development of constipation are:   The female
sex,  old age, sedentary occupation,  too much  or
insufficient animal food, drinks taken in  too  small
quantity, and the habit of delay in attending to the
desire for stool.  The affection, he adds,  does not
need a  long description:   The stools  occur every
three, four, eight  and even fifteen days; they are
dry, dark, often separated into little balls, like sheep
dung; they are expelled with difficulty.   The first
portion is often of an enormous size, and necessitates
almost the pain of a true accouchement; on the other
hand, the last part may be of a liquid or semi-liquid
character.   An alternation of diarrhoea and  consti-
pation is often observed.
  Ruddock briefly  summarizes the symptoms which
accompany the constipated habit:    Cephalalgia, 
14
INTRODUCTORY.
febrile malaise; pressure or feeling of  distention of
the stomach  and intestines; frequent, forced,  but
useless efforts to discharge the contents of the bowel,
or, on the other hand, there may be a complete torpor
without any desire for stool; abdominal  pulsations
or pains, haemorrhoids and varicosis; sighing  respi-
ration ; restless sleep; depression of spirits.
  According to M.  Jousset, constipation is due to
the diminution of the  intestinal secretions, to a
spasm of the sphincter, and in a certain measure, in
aged persons, to a diminution of the contractility of
the intestinal fibres.
   [Eaue writes* :  Retarded action of the bowels is
frequently accompanied  with  dizziness, headache,
palpitation of the heart, hypochondriacal symptoms,
haemorrhoids and flatulency.   If long continued it
may lead to dilatation and hypertrophy of the intes-
tines  and in some rare cases, where actual impaction
of hardened  and dried  faeces ensues, to  inflamma-
tion, ulceration, and even perforation  of the gut.
   Constipation may be brought about by a diet  con-
taining  too  large an amount  of indigested matter
(beans, corn, and the like coarse food), which forms
dry faeces difficult to evacuate ;  by diseased conditions
of the mucosa in consequence of chronic catarrh,
which diminishes the peristaltic action of the bowels ;
by muscular weakness of the intestines in  conse-
   •Special Pathology and Therapeutic Hints, second edition. 
INTRODUCTORY.
15
quence of anaemia, chlorosis, long continued diarrhoea,
the use of purgative medicines ; by abnormal losses
of fluids in diabetes, profuse lactation or sweats ; or
by the pressure of foreign bodies within the intestines,
such  as biliary-stones, fruit-stones, etc.]
   Without stopping to consider here the genesis and
etiology of constipation, let us consider directly the
principal question  which  forms the  object of this
work: the treatment of constipation.
   We will divide the subject into three  parts:
   I.  The hygienic and  accessory preventive  treat-
ment ;
   II. The  homoeopathic  treatment  properly so-
called ;
   III.  Finally, we shall  say a few words upon the
palliative or surgical treatment. 
PART I.
THE   HYGIENIC  AND  ACCESSORY
     PREVENTIVE  TREATMENT.
  According to M. Jousset the regimen should be
especially directed to combatting the special eti-
ological circumstances.   Besides  the  use of cold
injections or the introduction of a roll of charpie
into the rectum, the diet should consist of bran
bread and a soup  made of maize, lentils or beans.
The use of unground flaxseed  or mustard  grains
have also a favorable action.   Certain  natural sul-
phur waters, principally those which contain chloride
of soda (St. Gervais  and  Uriage), the waters con-
taining free sodic chlorides (Niederbrunn, Friedrich-
shall) give the happiest results in the treatment of
constipation.
  We are surprised that M. Jousset does not mention
the  Sedlitz, Pullna,  and Hunyadi-Janos  waters,
whose favorable action experience has daily demon-
strated.   The Pullna water  especially, constitutes
according to Constantine  James, "one of the most
pleasant and sure  medications which  therapeutics
possesses." 
PREVENTIVE TREATMENT.
17
  Ruddock insists upon  regularity in  the time of
eating (three times a day), the predominance of a
vegetable  (greens  and fruits)  over  an animal diet,
oatmeal gruel  with  molasses at breakfast, brown
bread in preference to the white, the careful masti-
cation of those articles of food which contain starch,
curdled milk aud  whey, the  internal and external
use of water  (one or two glasses  of water drank
while dressing in the morning are sometimes useful
adjuvants), and the avoidance of spirituous liquors,
spices, and late suppers.   He also recommends  a
morning walk, but it  should not  be carried to the
point of fatigue.   Dry frictions  or  wet compresses
over the abdomen  may prove efficient.  The organ-
ism should be accustomed to a regular and  fixed
period for stool, just as for any other physiological
act; by fixing the attention upon this point for some
moments each day it can be finally attained and with
great advantage to the health.
  These directions seem to us to be wise, imprinted
as they are with that eminently practical spirit which
we often admire in the English, our powerful neigh-
bors and best friends.
  Another English  physician, Dr. Tuthill Massy,
recommends salt-water injections and frictions with
olive-oil over the abdomen.
  Other practitioners recommend  olive-oil taken
internally, a spoonful at a dose, night and morning. 
18          PREVENTIVE TREATMENT.
Besides the means  already  mentioned, let us  cite
rapidly, the juice of prunes, preserved fruits, honey,
brown  sugar,  syrup, manna, the use of chicory in
place of the morning coffee, a cigarette while fast-
ing.   We have been told by one of our eminent
colleagues, and have since verified  it for ourselves,
of the  efficacy of  the pastilles of tamarinds, taken
from time to time, lengthening the intervals between
each one.  Has this substance only the tamarin as
an active principle ?  We are inclined to believe this,
notwithstanding  the   contrary  opinion  of  many
physicians  who think  that senna enters into  the
composition. 
PART  11.
THE  HOMCEOPATHIC  TREATMENT
                 PROPER.
  Two different methods may be admissible for the
exposition of this treatment.  The one consisting in
the multiple forms of constipation and the designa-
tion of the medicines adapted to each of these forms
according  to their  symptomatic  shadings;  this
method may, perhaps,  be  more scientific in the
practical and ordinary sense of the word, but we do
not propose to adopt it here.
  We prefer the method of the individual study of
the principal medicines adapted to the cure of  con-
stipation.  With each of these remedies we shall,
nevertheless, endeavor to determine  as  accurately
as possible their characteristic sphere of action by
references to clinical observations in support of their
efficacy.  We shall by this means lessen the diffi-
culties which may  be attributed to our method,
which conforms with the spirit of the homoeopathic
doctrine,  and especially to the teachings of our illus-
trious founder.   We shall endeavor, however, to 
20         HOMCEOPATHIC  TREATMENT.
satisfy, by a practical resume, the objections more
or less well founded of the partisans of the first
method.
     JESCULUS  HIPPOCASTANUM.
  Stools:  Large, dry, hard, difficult, dark; In the
form of balls;  First part hard, black,  the last of
about natural consistency, but white as milk ; Hard,
knotty, dry,  and white. (See Nux v.)
  Before Stool:  Constant desire;  Sensation as if a
foreign body was in the rectum, or as if the rectum
was full of small sticks, with fruitless efforts at evacu-
ation, and violent pains through the hips and sacrum ;
Heat  and contraction of  the rectum,  with a sensa-
tion as if it was prolapsed; dryness and  itching of
the anus, with tension of the  mucous membranes
and the neighboring integuments;  Pain, constric-
tion, weight,  prickings and itching, with tenesmus
of the rectum and anus, the pains  irradiate to the
posterior surface of the body.
  During Stool:  Continuation  of many  of the
symptoms enumerated above.   Sensation as if the
intestine  was obstructed by folds of mucous mem-
brane, which were threatening  to rupture under the
efforts at defecation;  Haemorrhoids with a slight
bloody discharge but with intense pain  ; Inability to 
HOMCEOPATHIC TREATMENT.
21
expel the stool from weakness of the rectum; Shiv-
ering while at stool.
  After Stool:   Colic at the  umbilicus, with severe
pains and tearing at the anus; Reddish, painful, and
burning haemorrhoidal tumors ;  Bleeding piles; Pro-
lapsus  recti et ani: Burning aud contraction in the
rectum, itching at the  anus  and a  sensation of
excoriation;  Backache.
  Concomitants:   Depression of  spirits.   Vertigo.
Nausea, vomiting or violent retching.  Throbbing
in the  abdominal and pelvic cavities;  passing fetid
flatus.   Urine dark, muddy,  passed with much pain.
Pain and  a sensation of  paralysis in the  kidneys
extending to the hips, with aggravation from rising.
This pain  is not  intense, but  rather a sensation of
painful weakness  which is aggravated by  exercise
and relieved by repose; when the patient attempts to
walk or to attend  to his  usual occupations, the pain
at the lower portion of  the back appears and he is
compelled  to rest.
   Generalities:  Chronic constipation associated with
haemorrhoids.  Dr. Hughes says:  When the haemor-
rhoids are  only secondary, that is to say, dependent
upon a congestion of the portal system or  of some
other  intra-abdominal part, ^Esculus is  probably
inferior to Nux vom. and Sulphur.  When they are
associated  with  varicosis elsewhere and bleed freely,
Hamamelis is a better remedy.   But when the only 
22         HOMCEOPATHIC  TREATMENT.
concomitant symptom and the only appreciable cause
of their development is constipation, and when there
are severe pains and but little loss of blood, iEsculus
will in  all probability effect a  cure.   I  have also
cured with this medicine a case  of intense pain  at
the anus after stool, resembling  that  caused  by fis-
sures.
   [Hempel and Arndt* write:   Chronic constipa-
tion begets haemorrhoids,  and usually a radical cure
of piles is out of the question unless you correct this
predisposing  cause.  The curative effect of iEsculus
upon  cases of chronic constipation furnishes  us the
rationale of brilliant cures of piles performed  with
it, often in a comparatively short time, after other
efforts of skilled prescribers had utterly failed.]
   Meyhoffer  has employed this drug  with great ad-
vantage in  a  case  in  which  pharyngo-laryngitis
coexisted with haemorrhoids and constipation.
   We  have   confirmed  the  recommendation  of
^Esculus in  chronic constipation connected with a
haemorrhoidal diathesis, in the case of a man thirty-
five years of  age, who had suffered from chronic and
hereditary haemorrhoids,  and who, independent of
an inveterate constipation, carried upon  his face a
mask of acne rosacea;  the relief was  marked and
permanent.
Materia Medica and Therapeutics. 
HOMOEOPATHIC  TREATMENT.          23
  Case i.—C. E., a young man of active habits, complained of
a haemorrhage from the anus after stool.   The bowels were con-
stipated, and were only moved every two or three  days, and
accompanied by great effort and pain.  The  blood was dark
colored.  Seminal emissions with erections, towards morning,
followed by a desire to urinate,  ^isculus*, four pills every two
hours, removed 'he trouble within a week.— T.  M. S.


                     ALOES.
   Jahr gives:   Whitish-gray excrements.   Consti-
pation from atony.   Collection of faecal material on
account  of the  constipation.   Insufficient bilious
secretions.   Stool firm, insufficient,  soon  after  a
meal,  aggravated from standing.   Hunger during
stool.
   Espanet:  This medicine is  suitable for melan-
cholic venous temperaments, with a constitution used
up from table  excesses.  It corresponds principally
to the female sex, or to men in middle life or old age.
   [Lilienthal:   Constipation of  aged people, with
abdominal plethora;  suitable  to hypochondriasis,
and to persons leading a sedentary  life,  with  a
pituitous  state of the  stomach and bowels;  heat,
soreness and heaviness of the rectum ;  urgency as
with diarrhoea; only hot flatus passes with sensation
as if a plug was wedged between the symphysis pubis
and coccyx,]
♦ 
24         HOMOEOPATHIC TREATMENT.

         ALUMINA  (ARGILLA).
  Stools:  Dry, hard, light colored or pale ;  Broken
masses  or  in  balls;  Scanty, hard  and difficult;
Hard, covered with mucus or mixed with a glairy
matter; Difficult.
  Before Stool:  Frequent and ineffectual desire for
stool.  No desire for, and no ability to pass  stool,
until there is a large accumulation.
  During Stool:   Pressure and cutting pains at the
anus and a haemorrhagic discharge;  Great straining
even with a soft stool;  Pain or itching at the anus ;
Voiding of urine while straining at stool; Discharge
of prostatic fluid.
  After Stool:  Long-lasting pains in rectum after
each stool; Pain in the stomaeh.
  Concomitants:   Dry  mouth and irritated-looking
tongue.   Pain, malaise, and weight in the abdomen.
Frequent  nausea,  and acid eructations.   Slight
burnings, smartings, and  shootings in the anus, with
itching and tingling. Dryness of the rectum. Atonic
haemorrhoidal tumors.
  Generalities:  Constipation due to a diminution
of the peristaltic movement and  to the inactivity of
the rectum.   Dr.  Charge,  relative  to Alumina in
dyspepsia says:  In a materia medica happily sim-
plified and reduced  to the form of the Greek roots
of our  boyhood days,  dryness would express in a 
HOMCEOPATHIC TREATMENT.         25
Bingle word the whole of  this medicine.   We meet
with stomachs which give rise to trouble on account
of the want of gastric juice,  those, for instance,
which have made the fortune of pepsine; Alumina
is  especially adapted  to these conditions.
   For the constipation of pregnant and  lying-in
women ; from carriage riding, and  lead poison; in
nursing infants and children raised artificially.

   Kafka says :  For  children nourished on a thick
oatmeal gruel and milk or upon a concentrated prep-
aration of vermicelli,  which develops oftentimes an
intestinal  catarrh with a  constipation so obstinate,.
that the dry balls remain  in some  manner arrested
at the  anus, and can only be evacuated by manual
aid.
   Espanet notes the inertia of the  intestines which
ordinarily occasions the constipation, although the
excreted  material  may not be always formed and
scanty.  In this regard Alumina is the direct op-
posite of Nux vomica, and it is by a contrary action
in this latter medicine that the stools are  difficult,.
the  intestine  feeble,  and the rectum inert; the
defecation is accomplished through the efforts of the
abdominal muscles.
   The opinions of Ruckert is confirmed by Kafka:
Alumina*  is suitable for the chronic form  of  intes-
tinal catarrh which is characterized  by excessive 
26           HOMCEOPATHIC TREATMENT.
flatulency, with pricking  and drawing pains in the

bowels, pressure in the stomach  and  abdomen, fre-

quent  and  ineffectual desire for stool, scanty  evac-

uation  of  hard  broken  materials,  with  pressive

and  cutting  pains at the anus and a haemorrhagic

discharge.

   Alumina is to Sepia, says M.  Teste, what Silicea

is to Pulsatilla; we might, perhaps, call it the Sepia

of chronic diseases.    The remedy is not suitable for

active persons of sanguineous temperaments.

  Case 2.—On the 20th of Sept., 1878, a constipation, which had
been habitual since birth, in a  lymphatic and weakened infant,
seven weeks old and nourished on the bottle, became extremely
obstinate, and was accompanied with such severe pains that the
child cried or rather howled day and night.  Besides the bloat-
ing of the abdomen and its sensitiveness to pressure,  there was
a dilatation of the pupils, and at times a slight spasmodic move-
ment of the muscles  of the face; paleness of the skin; pulse
small and frequent.  Injections, several times repeated, brought
with difficulty a few small, grayish, dry ,balls to the  anal opening
from which they had to be extracted by the finger.   Belladonna
and Chamomilla (alternately) gave some slight relief; Nux vom.
and Coffea alternated gave very little result by the 21st.  On the
22d I alternated Nux vom. and Alumina, in the 12th dilution,
and the result was prompt and decisive.—Dr. H. Bernard.

  Case 3.—D. B.,  aged  12 years, mild  disposition.  Bowels
moved once or twice a week; has shooting stitches through the
temples from right to  left, in the afternoon, especially on going
down stairs; has no desire for stool or ability to pass stool, until
there is a large  accumulation of faeces.  Takes a  carriage ride
every day; with this exception  gets out of doors but very  little ;
perfectly healthy looking in every respect. Alumina30, one dose.
In three days the stools  took  place daily and he has had no
return of the  constipation since.—Dr. B. F. Belts  in Roue's
Record.  1871, p. 120..

  Case 4.—A nursing child of four months had been constipated 
           HOMCEOPATHIC TREATMENT.         27
from birth.  A number of remedies were used without avail.
Alumina400,  one dose, cured it.—Dr. W. B.  Chamberlain in
Trans. N. Y. State Horn. Med. Society, vol. viii.,p. i"J2.


               BELLADONNA.
  Espanet refers  Belladonna to the  inflammatory
constipation.
  Teste writes that it is serviceable in hernia and lead
colic, affections in which constipation is one of  the
chief symptoms.
  Although these forms of constipation do not come
properly within the  plan which we have laid out, yet
we will give a few extracts, from  a monograph  by
Dr.  Davasse,  bearing on our  subject:   Delayed
alvine evacuations (Purkinge).  Frequent desire for
stool without result (Hermann). Constipation (sev-
eral).  Absence of stools and urine  (Kock).
  Teste writes:   In  nervous children with large
heads, dilated  pupils,  subject to convulsive move-
ments,  startings  in sleep and  disturbing  dreams,
Belladonna" is the only  medicine with which I have
been able to overcome the accompanying  constipa-
tion. I generally  give it in globules upon the tongue,
once or  twice  a day,  ordinarily for several days in
succession.
  Jahr describes  the symptom, suppressed stool and
constipation, sometimes with bloating of the bowels,
heat of the head and profuse sweat. 
28
HOMCEOPATHIC TREATMENT.
  Noack  recommends  Belladonna  for  chronic
haemorrhoidal constipation when there are at  the
same time violent pains in the kidneys and  a sensa-
tion of constriction in the breast.
  Bruckner and Schadler note the following  con-
comitant phenomena:  Congestion to the head, face
and eyes red, heat in the head, pulsation of  the
arteries of the neck, sensitiveness to light and noise.
Dr. Guernsey claims to have cured with Belladonna
high, a constipation which resisted the most violent
purgatives.
  Tuthill Massey differs from Dr. Guernsey, at least
in regard to  the suitable  dose  of the  medicine:
"The extract of Belladonna, in the dose of a quarter
of a grain in the evening on lying down, merits, in
some cases, the highest consideration."
  We  give here  a note from two  celebrated  phy-
sicians of  the  old-school.   MM.  Trousseau   and
Pidoux recall the fact that Bretonneau recommends
Belladonna in gastralgia and enteralgia with consti-
pation.   Bretonneau also  prescribes Belladonna in
the constipation of hypochrondriacs and  nervous
women.  "It is remarkable," add our authors, "that
certain persons who resist the  most powerful purga-
tives,  are enabled to go to stool each day by  the most
minute dose of Belladonna.   One, two or four pills
containing each a centigramme  of the extract and
as much of the powder are ordinarily sufficient." 
           HOMCEOPATHIC TREATMENT.        29

                 BRYONIA.
  Stools: Hard, dry, large, burnt-looking.
  Before Stool: No  desire or urging.
  During Stool:  Passed only after much straining;
Painful.
  Concomitants:  Inclined  to be  irritable;  easily
angered.   Headache with heat of forehead and face;
congestions and pains in head; pulsative headache;
pressive weight in the head, with flashes of heat in
the face.  Faintness  or  nausea on  rising from  a
recumbent position.   Feeling of fullness or pressure
in the stomach and epigastric region after eating,
which lasts for several hours ; appetite is wanting or
there may be canine hunger followed by nausea;
acidity of the stomach.   With the gastric symptoms
there are oftentimes congestions to the head and
chest, with short respiration, and chilliness.   Pain
in the region of  the liver.
  Generalities: Suitable  for acute attacks of consti-
pation occurring during the summer or in  hot
weather, or in those who are suffering from, or liable
to attacks of, rheumatism.  For constipation arising
from disordered  stomach.   Obstinate constipation
often accompanied with other affections of the abdo-
men.  For the  constipation  of pregnancy,  but of
more importance when  it occurs in  the lying-in
woman (frequently  depending on  an inflammatory 
30          HOMOEOPATHIC TREATMENT.
irritation of  the abdominal organs).   Also serv-
iceable in the constipation of infants, where the faecal
masses are so large and hard as to give rise to pain-
ful evacuations.   Where the condition is the result
of  sedentary habits,  and  associated with bilious
derangements and intestinal  torpor.   When Nux
vom. and Opium have failed  to act; or it may be
advantageous to alternate  it  with Nux vomica, es-
pecially  in the  constipation  due  to  irritation  or
congestion of the intestine.   The  intestinal torpor
must be distinguished from the ineffectual efforts of
Nux vomica  [and  from the  paralytic condition of
Opium, Plumbum, etc.]
   Rueckert quotes from Vehsem in relation to a case
of  constipation  aggravated  by purgatives in which
Bryonia8 succeeded after Nux  vom.8 had failed.
   We give below two clinical  cases which will show
at  the same  time the  analogies  and differences
between this  drug and Nux vomica.
   Case j.—Mme. A., age 60 years, had suffered for several years
with a chronic constipation.  She had a stool only every eight
days, and the excrement was as hard  as stone.  A torpor seemed
to have seized the intestinal canal, for motion was rarely felt in
the lower part  of the abdomen.  As she was addicted to the
excessive use of coffee, and led a partly sedentary life, I placed
her for eight days under a preparatory regimen, and prescribed
chocolate instead  of coffee.  I finally administered a dose of
Nux vom., tinct.   This remedy produced a stool, almost soft,
every three days.  The organs of the lower abdomen seemed to
be reanimated and rendered active. There was an increased flat-
ulency, a more tranquil state of mind, and a gayer disposition.
The patient neglected to  attempt a movement of the bowels 
HOMCEOPATHIC  TREATMENT.           31
every day, as I had recommended, the effects of the Nux ceased,
and the constipation returned.  Two doses of Bryonia10 at long
intervals, again removed the condition.  She now has a stool
every  other day,  soft  in consistency and without  pain.—Dr.
Schuler.
  Case 6.—A woman of delicate constitution, who was also a
subject of somnambulism  and for the latter trouble had been
bled every five or  six weeks for the  last two  years, had, at the
most, a stool only  every two  weeks, except under the influence
of a laxative or an injection.  She was given ten drops  of Nux
vomica10.  For six days she had not had a stool, and at the end
of four days more  she had a hard stool, which was accompanied
with such severe pains that she was completely prostrated. Two
days later she had  three stools without any pain.   For five
months from this  time the stools were regular.   But pregnancy
occurring she  was taken  with frequent vomiting to which was
again added a constipation, and which was cured by means of a
single globule  of Bryonia1*.—Dr.  Wiedman.
             CANNABIS  SATIVA.

   fn Hahnemann's Materia Medica we find :  "For
the first five days stool as usual, but on the two fol-
lowing, complete  constipation  (Gross).   We find
also this striking symptom :  Sensation at the anus
as if something cold was falling drop by drop upon
the skin (Franz).
   Jahr who places Cannabis sat.  in the second rank
in the treatment of constipation in  general, recom-
mends it among others as serviceable for  accidental
coustipation.
  Case  7.—In a case of obstinate retention of urine,  I gave
Cannabis which not only restored the normal urinary secretion,
but cured at the same time an obstinate constipation which had
lasted for a long time.—Dr. Fleischmann. 
32         HOMCEOPATHIC TREATMENT.

        CALCAREA  CARBONICA.
  Stools:  Hard, then  mushy,  and  finally  fluid;
Hard, large, partially digested stools;  Involuntary,
fermented, sour-smelling diarrhoea, alternating with
constipation ;  Stools looking like lumps of chalk in
children, during dentition ;  Offensive,  like rotten
eggs.  Hard, small,  tardy, difficult; hard, dry and
gummy; Very hard, enveloped in mucus, and alter-
nating with a fetid diarrhoea; Clay-like, gray, faecal.
  Before Stool:  Ineffectual  desire,  sometimes with
pain ;  Feeling of heaviness in lower part of rectum.
  During Stool:   Severe urgings, without voiding
anything but fetid flatulency; Oozing of fluid from
the rectum, smelling like herring brine ; bloody dis-
charge ; pain through the protruding haemorrhoids.
  After Stool:  Feeling of faintness ;  Burning and
smarting in the rectum and anus.
  Concomitants:   [Distention of the abdomen, with
pain  and pressure,  nausea, and sour eructations;
restless sleep; also symptoms referable to a consti-
tutional dyscrasia.]
  Generalities:  For habitual constipation, especially
after the preceding use of Sulphur or Nux vom., or
when occurring in enfeebled subjects.   For chronic
haemorrhoidal constipation, given in alternation with
Sulphur.   Also for the obstinate constipation in the
new-born. 
HOMCEOPATHIC  TREATMENT.         33
  Willmar  Schwabe  recommends  Calcarea  in
chronic catarrh of the intestines with constipation
and increase of the peristaltic movements.  He also
places in the same  category with Calcarea the fol-
lowing remedies: Carbo veg., Magnesia mur., Colo-
cynth.   Phosphoric acid and Sulphur.
         CARBO   VEGETABILIS.
  Stools:  Insufficient;   [Hard stool, enveloped in
mucus and  blood  at the extremity  of  the  faecal
mass] ; Difficult, although they may  not be hard;
[In fragments, which are tough and scanty.]
  Before Stool:   [Sensation as if the  bowels would
be moved, but flatus only passes] ;  Emission of great
quantities of gas.
  During Stool:  Violent tenesmus; Burning at the
anus  and pains in the abdomen like labor-pains;
[Urging to stool, with discharge of soft  faeces and
relief from the pains] ; Itching at the anus.
  After Stool:  [Sensation of complete emptiness
in the abdomen, remaining a long time.]
  Concomitants:  Tongue coated in the centre and
red on the edges.   Ventral colic, sensitiveness and
swelling of the  epigastrium.   Respiration impeded
after a meal.   Excessive  flatulency which is nearly
always fetid.  Acrid  moisture about the  anus  with 
34          HOMCEOPATHIC TREATMENT.
tormenting sensations, crawling, itching, etc., in one
rectum.
  Generalities: Chronic haemorrhoidal constipation.

  Noack says:  Carbo veg. is indicated in the cases
complicated  with constipation  from  irritation or
congestion of the intestines,  especially in hypochon-
driacs.
  Willmar  Schwabe indicates Carbo  veg.  in the
chronic intestinal catarrh with constipation allied to
an exaggeration of the peristaltic movement.  It is
suitable for very nearly the same condition as Cal-
carea carb.,  only the stool is sometimes bloody, or
it may happen  that during stool a  marked haemor-
rhoidal haemorrhage may occur.
  In relation  to the flatulency of Carbo veg. we
would remark that if Hahnemann says expressly that
the expelled gas is inodorous or nearly so, the greater
number  of homoeopathic physicians  consider the
fetidity of the excreta a  positive indication for
Carbo veg.   I  think it most appropriate in the cases
in which the gas distends the stomach  rather than
the  intestines,  and in  which  there  is a  greater
tendency  to  diarrhoea  than  to constipation.  The
majority of authors consider Carbo veg. to be  more
suitable for diarrhoea than in constipation.
  Case 8.—A physician, whose earlier life had been spent in the
country where he was accustomed  to riding on horseback and
an active life, removed to the city about twenty years ago, and 
HOMCEOPATHIC  TREATMENT.
35
soon afterwards began to complain  of derangement  of  the
digestive organs; nausea, vertigo,' weight and pain in the head,
anorexia, distention of the stomach after eating, with acid eructa-
tions, coated tongue, pain in the liver, general  wasting, cardiac
palpitations so severe that when lying in bed the clothing was
often raised.   This condition  continued for many years, and
was followed  by an obstinate constipation  which  constantly
demanded purgatives, tonics, alkalies  and  alteratives.   The
patient could not remain a week without medicine, rarely a day
without a soda or a purgative.  All these means were laid aside
and under the use of Calcarea carb. and then Carbo veg., the
symptoms of dyspepsia vanished and the constipation was con-
quered. Three years later there had not been any return of the
trouble.


                  CAUSTICUM.

   Stools:  Light or  white colored;  Olive-shaped,

mixed with mucus and blood, difficult.  [Tough and

shining as if greased;  at first  hard  and in  pieces,

the last soft;  knotty, like  sheep's dung;  hard and

firm].

   Before Stool:   Frequent but  ineffectual  desire,

with  great pain, anxiety and redness of the face.

   During  Stool:   Vertigo;  Cutting pains  in the

rectum;  Desire for stool rendered  useless by spas-

modic painful contractions of the anus; Protruding

haemorrhoids  and  bleeding;   [Stool passes  better

while standing; Burning in the  anus with prostra-

tion.]
   After  Stool:  Palpitations; heat of the face; and

sweats (also Aconite).
   Concomitants:   [Bitter,  greasy, foul taste  in the 
36         HOMCEOPATHIC TREATMENT.
mouth: fitful appetite, thirst;  diminished taste;
aversion  to sweet things;  white coating on  the
tongue.   Pressure in the rectum the whole day;  a
pressing pain frequently and suddenly darts through
the rectum; a feeling as if faeces were lodged in it,
which should come  away;  spasms in the rectum
which make walking impossible;  stitches  in  the
lower part of the rectum; excessive itching of  the
rectum, anus and pudendum ; soreness of and oozing
of humor from  the  rectum.  Fissures and fistules
of the anus.
   Generalities:   [Constipation  of   children with
enuresis nocturna;  pains in the rectum  so severe
that the children try to keep back the evacuations].

   Charge recommends this remedy for the dyspepsia
occurring in gouty,  rheumatic  and haemorrhoidal
constitutions.
   Espanet  writes:   Causticum is  indicated   like
Ignatia and Nux vom. in the affections of the ab-
domen with nervous  accidents, having  their origin
in the solar plexus; only there is more of asthenia
and paleness of the tissue in cases calling for Caus-
ticum.  Obstinate constipation  from nervous  and
nutritive atony, with pale face, pains and anxiety,
belong to it in the same degree as in chronic diarrhoea.
Both  are accompanied by pruritus ani, palpitations,
and anguish; furthermore, the constipation changes 
HOMCEOPATHIC TREATMENT.           37
into diarrhoea and  the latter is aggravated by the

application of cold to the abdomen.



                 CHAMOMILLA.

   The following  clinical fact we think contains in a

characteristic manner the  circumstances in  which

we would be apt to think  of this medicine in the

treatment of the constipation of infants.

   Case g.—An infant eight months old, a strong vigorous boy of
wealthy parents,  nourished by a healthy wet-nurse, has been
constipated since  birth;  he goes to stool only every five to  six
days, and sometimes longer intervals.   The stools are  yellow,
large, formed, and without any pathological mark unless it be
the size; injections  have  to be freely used.  When there is a
repletion of the rectum, there is a slight bloating of the abdomen
with flatulency, and some restlessness at night, but this  malaise
disappears after  an  evacuation.   I sent four medicines, to be
taken in order, beginning with a vial of Chamomilla30.  This
remedy seemed less indicated than the others (Nux vom., Lyco-
podium, Hydrastis), but thinking that there might be a latent
cause, due to dentition,  and that Chamomilla acts upon the
ganglionic nervous system,  and  has  among  its  symptoms:
" Constipation as from inertia of  the rectum, flatulent colic with
bloated abdomen  and  collection of gas  in the  hypochondria,"
I ordered this remedy to be taken first; two  globules in the
evening  and two next morning.  On the same day towards
evening, there was an  enormous  stool but not so thick;  on the
next day a normal stool for an infant, that is to say very soft;
since then the stools occur daily, and are natural; sometimes
there are several stools a day.  [In a letter from Dr. Casal upon
this subject he states that a midwife who was a witness  to this
cure, often employs Chamomilla  in the treatment of accidental
constipation in infants. This medicine has never failed her.]—
Dr. Casal, of Menlon. 
38         HOMCEOPATHIC TREATMENT.
 CINCHONINE  AND  SULPHATE   OF
               CINCHONINE.
  The Cinchonine, as we know, is an alkaloid which
is found in many species of Cinchona, especially the
gray.
  The use of this substance in the treatment of con-
stipation is mentioned by Dr. R. Noack, of Lyon.
In his Homoeopathic Guide he divides habitual con-
stipation into five classes:
  1. Constipation from inertia of the intestine;
  2. Constipation from alteration of the intestinal
mucus;
  3. Constipation from contraction of the muscu-
lar fibres;
  4. Constipation from irritation or congestion  of
the intestine;
  5.  Haemorrhoidal constipation.
  The most frequent  of all, according to him, con-
sists in a sort  of inertia or inactivity of the muscu-
lar fibres of the intestines, which  become distended
and  necessitate painful efforts in order to produce
the expulsion  of  the  faecal  matters.   These  some-
times present an enormous mass, indicative of dila-
tation of the large intestine; hence, the application
of  a special  remedy, the  Cinchonine,  five  centi-
grammes of the 3d dec. trit., to be taken every other
day.
   Dr. A. Noack, physician to  the  Homoeopathic 
HOMCEOPATHIC TREATMENT.         39
Dispensary of Leipzig, after speaking of the employ-
ment of Sulphate of Cinchonine in the treatment of
intermittent fever, adds: "Ina case of dorsal mus-
cular rheumatism, where there was stiffness  of the
back so that the patient was constantly bent over,
terrible pains on turning the  body, and when res-
piring deeply, sneezing or coughing, and also obsti-
nate constipation, I gave for four days, one-fourth
of a  grain  of  Sulphate of Quinine,  twice  a day.
There was an amelioration on the second day and a
cure on  the fifth.   This remedy has  rendered me
excellent service in constipation, among others in a
young woman who suffered from an irritation of the
uterus and  left ovary  with painful digestion, con-
tinual eructations, fullness in the stomach  after a
meal, frequent cutting pains and obstinate constipa-
tion ;  this patient had often to render manual assist-
ance  to the escape of the  small, hard, excrements,
which were often  bloody.   I had no less reason to
be pleased in a case of acute jaundice with desire to
vomit, distended abdomen, colic in  the umbilical
region and persistent constipation.  I can also rec-
ommend  it from  experience for the torpor  of the
intestinal canal, in consequence of dysentery."
   Following the recommendations  given  here, we
have made several trials with this drug in the treat-
ment  of  constipation  presenting the  above men-
tioned characters.   If we  have at times succeeded, 
40         HOMCEOPATHIC TREATMENT.
we ought also to  say that in the  majority of cases
we have failed.  Was it our own fault or that of
the medicine ?  The indications for this drug appear,
at least, to demand a more  complete symptomatic
development.


                 COCCULUS.
  In his pathogenetic resume  of Cocculus, Jahr
notes:  Constipation  with  tenesmus;  stool  hard,
difficult.  In his  Repertory, he  classes  Cocculus
among the first of the remedies indicated for consti-
pation  in  general, imitating in  this  respect the
example of Bcenninghausen, who, besides, italicizes
the following symptom :  Ineffectual urging at stool
from insufficiency of the peristaltic movement of
the upper intestines.
  We give also some of  the phenomena noted by
Hahnemann: Tingling and itching in the rectum
similar to that produced by ascarides.   Constrictive
pain in the  anus, worse  in  the  afternoon, which
prevents sitting.   Burning itching in the anus.


     COLLINSONIA  CANADENSIS.
  Stools : Large and pale ; Lumpy and light colored.
  Before Stool: Cutting pains in the hypogastrium
with desire. 
HOMCEOPATHIC TREATMENT.         41
  During Stool: Absence of marked desire; Strain-
ing ; Violent effort and dull pain.
  After Stool: Dull pains  in the anus.
  Concomitants :  Pulsative or painful  cephalalgia.
Congestion towards the heart and head alternating
with haemorrhoidal symptoms.   Indigestion arising
from a want of tone in the stomach with flatulency;
colic and spasms  of the intestines.   Loss of appe-
tite.  Distention of the abdomen.   Heat and itch-
ing of the anus, sensation of sand and gravel in the
rectum.  Venous  congestions,  such  as  varicocele,
haemorrhoids, blind or bleeding, and  all their metas-
tases ;  varices, pruritus vulvae, amenorrhcea, metror-
rhagia, prolapsus uteri.
  Generalities : Collinsonia is a remedy essentially
allied  to  the rectum.  Constipation and  haemor-
rhoids in consequence of the congestive  inertia of
the extremity of the large  intestine ; this condition
is often met in the middle and later months of preg-
nancy, and is also  associated with the diseased con-
ditions already mentioned.

  Willmar Schwabe  prefers this drug when the
evacuation of the  stools is not  accompanied by a
cont nuous pressure and when the stools (contrary
to those calling for Nux vom., for which medicine
Collinsonia has a great affinity) are  pale and large.
  This drug is considered as a specific, by the Amer. 
42          HOMCEOPATHIC TREATMENT.
ican homoeopaths,for the constipation of pregnancy,
although in this case, Bryon.*, Natrum m.8, or Sepia1
often render good service.
   The attention of  physicians ought to be called to
this remedy, in our opinion, if  there  exists a  car-
diac hyperaesthesia;  at least this is  the conclusion
we have drawn from an article by Dr.  Hale.  What
Sepia is  to  the  chronic  diseases,  says  the same
author, Collinsonia  is to acute diseases.
   Dr. Burt  says  : The grand sphere  for Collinso-
nia is in neurosis of the bowels, where pain is one
of the most prominent symptoms, and  especially in
diseases of the rectum.
  Case 10.—Mrs. B., aged twenty-nine years, was in the sixth
month of pregnancy and suffered very much from obstinate con-
stipation, as she had  previously done under the same circum-
stances.  Her bowels had not moved for six or seven days.  She
had some  nausea, a dull pain in  the head, a very light, whitish
coating of the tongue, loss  of appetite, inability to sleep and a
feeling of constant pressure in the rectum, with a heavy, drag-
ging ache in the pelvis.  Collinsonia1 relieved promptly, and
enabled her to avoid what, on previous occasions, had been a
source of constant suffering to her.—Hempel and Arndt.


          CONIUM   MACULATUM.
   This medicine  presents but few symptoms of con-
stipation, but they are very characteristic.  In the
Chronic Diseases we find:  Constipation with ineffect-
ual desire for stool; hard  stool  which  occurs  only
every two days.   After stool, palpitation of the heart. 
HOMCEOPATHIC TREATMENT.
43
   [In  Raue,  we  find:  Frequent urging  without

Btool, or there is only a small quantity expelled at a

time ;  chilliness during stool; the flow of urine sud-

denly stops and  continues after a short intermission ;

dizziness when turning in bed.]

   The hemlock, says  Espanet,  is very  useful  for

hypochondriacs and  scrofulous persons with  gastric

and abdominal  complaints, with  slowness  of diges-

tion, irritative  constipation  or diarrhoea,  asthenia

and  flatulency.

   [Hempel and Arndt: In constipation, when aris-

ing from spasmodic rigidity of the fibre.]

  Case n.—X—, age 40 years, consulted me in March, 1873.
He was then sufiering from an extreme state of nervous excita-
tion and depression.   He was  unable to prevent a continual
desire for suicide;  he  no longer dared to ride on the  railroad
nor approach  an open window.   Some ten years before he had
had a similar  affection, but in a milder form, which  was cured
by traveling and diverting the mind.  All this extreme anxiety
turned to his business affairs which he thought was  threatened
with immediate ruin.  He could not give any reason for this
unfortunate idea, for his business was in a most prosperous con-
dition.  He told me later that his natural disposition was lively
and  that his  family relations left nothing to be  desired.  An
exanthematous eruption had been suppressed upon him  a few
months before and for which purgative had been liberally used.
He had noticed that since  then  there has always been some
obstruction although the evacuations were regular.  It  was neces-
sary for him to make violent efforts for ten to twelve  minutes
before going to stool.  He felt tired and exhausted several hours
after  stool.  A  microscopic examination of the  urine  made
immediately after stool explained fully this condition.  I learned
also  that the  intestines had been affected during the former
attack, but that their normal activity had been restored  along
with the improvement in the general health.
  The remedy was plain.  I cauterized at first the prostatic por- 
44
HOMCEOPATHIC TREATMENT.
tion of the urethra.  This had an excellent effect, in that the
patient urinated only at intervals of several hours ; a condition
which I have always found to be favorable. I prescribed finally,
Conium mac. and Nux vomica in the tinctures.  At the end of
a month, the  patient was completely cured and came to express
his gratitude.—Dr. Epps.
   [We translate  this case  because it is quoted  by
Dr. Bernard ; but we believe that the credit of the
cure belongs entirely to the Nux vomica.]

                    CROCUS.
   Dr.  Schmidt says: I have often succeeded  with
Crocus in  obstinate constipation,  notably when it
occurs in the new-born, and is based on disturbances
in the vena-porta.   In  these cases, in the dose of a
drop  of the  tincture, once a day, I have obtained
natural stools without any inconvenient result.
   We  find in the Manual of  Jahr, the following
symptoms  only  (given  in  very  nearly  the same
terms  as Bcenninghausen):  Itching  and crawling
sensations in the anus.   Dull shootings  in the  side
of and above the anus.

                 EUPHRASIA.
   The only  symptom  which  we find  in  Hahne-
mann's Materia  Medica bearing upon this subject is
the following:  Daily stool, but it is hard and scanty.
   We would not have  referred  to this  drug, if we
had not read the following  curious observation. 
HOMCEOPATHIC TREATMENT.          45
  Case 12.—A child, one year of age (Calc. carb. constitution),
suffered for six months, with an obstinate constipation, for which
I had prescribed a number of remedies, with little or no benefit.
A short time since he was attacked with a fluent, profuse coryza,
with slight flow of tears  and a bright red eruption upon the
cheek; aggravation in the afternoon and after crying; persist-
ent  constipation; stools in  large balls,  which are  dry,  hard,
voided with great difficulty and almost tearing the anal passage.
Euphrasia**, four doses, thirty-six hours apart, promptly relieved
this entire array of symptoms.—Dr. Hoopes.

                  GRAPHITES.
  Stools: Hard, knotty, with discharge of mucus
and blood ; In lumps united by threads of mucus;
Large and ball-shaped; Long and slender in shape.
  Before Stool: Great desire.
  During Stool: Hard stool, with  much urging and
sticking  in  the anus ; Great straining  even  when
the stool is not hard;  Shooting pains in the anus;
Discharge of white mucus.
  After Stool:  Prolapsus recti and haemorrhoids, as
if the rectum was paralyzed ;  stitching, tearing, and
soreness in the rectum.
  Concomitants:  Burning heat in the  stomach after
eating and  from the  least  aggravation  of  the gen-
eral conditions, or distress after a meal (a result due
to the abdominal venous plethora).
  The  abdomen  is very much distended from the
accumulation  of gases.  Hardness in the region of
the liver.  Pains in the haemorrhoidal protrusions.
Fissures of the anus with sharp cutting pains during 
46          HOMCEOPATHIC TREATMENT.

stool, followed by constriction  and  aching  for sev-
eral hours, worse at night.  Skin  dry and  rough;
or with herpetic eruptions, secreting an  aqueous  or
viscous liquid.
  Generalities: Constipation in subjects of the her-
petic diathesis  or  with a  scrofulous cachexia.   In
hypochondriacal subjects  with marked  abdominal
symptoms.

  Hahnemann says, that when there is chronic con-
stipation and when a delay of  several days in the
appearance of the menses gives rise to complications,
we  can seldom  succeed in the treatment without
having recourse to this remedy.
  Willmar Schwabe says, that diarrhoea  never alter-
nates  with the  constipation which corresponds  to
Graphites.
   [Constipation in women who are inclined to ery-
sipelatous  inflammation and ulcerative processes of
the lower extremities on a rheumatic basis, and who
are of a timid, morose and dejected disposition.—H.
Goullon, Jr.]
  Case ij.— Gastrointestinal affection accompanied  with ery-
thema of the face.  Mile. M—, twenty-eight years of age, bru-
nette, has been subject to  constipation since early childhood;
congenital without doubt, this tendency, which,  in her case is
not hereditary, has been aggravated  by a  vicious alimentation
composed especially of pastry, sweetmeats  of all kinds,  etc.
Later, obedient to a false idea of modesty,  Mile.  M—, delayed
as much as possible the act of defecation;  ten days would often
pass without stool, to her great satisfaction. The  menstrual 
HOMCEOPATHIC TREATMENT.           47
epoch was marked by the appearance of violent pains in the for*
head, followed each day, almost at the  same hour (3 p. M.) *»ith
redness of the nose,  cheeks and eyes.  The disposition became
at the same time more irritable; extreme  sullenness, desire  for
solitude, dread,  fear of coming spectres,  interrupted  by rare
intervals of  sleep, appetite  whimsical.   M.  Cruveilhier  was
consulted without success  for  eighteen months.   M. Lheritier
advised the use of the  waters of Plombieres.  The amelioration
of the digestive tract which was manifest during the use of  the
waters  did  not  last, notwithstanding the  Nux  vomica  pills,
various purgatives, the  tea of St. Germain and many other reme-
dies prescribed by the sub-inspector at these Springs.  M. Caze-
nave saw only the erythema of the face and was  no more suc-
cessful with his cosmetics.  After failure in the  treatment by
several  other physicians, I was called  and found the following
symptoms:
  Sadness, weeping, sullenness, desire for solitude, fear of spec-
tres, horrid fancier ;  aversion to occupations formerly loved,  the
piano and needlework; no sleep or else one disturbed by dreams,
constant headache with sensation of fullness or dilatation of  the
cranium.  Congestion  of the face, redness of the face, especially
 across  the  nose, which was  increased in size.   This redness
comes on about 3 P. M., and  is  produced by  the most insig-
nificant incident, a draught of air. a sojourn in a room occupied
by several persons, during digestion, by study, and is accompa-
nied by a stupefying headache.  The  eyes are heavy, and  the
patient complains of a feeling as if a  leaden weight was pres-
sing on the forehead.  The skin of the congested  portions of
the face is rough and  shining; the pores are sensibly opened.
This disfiguring appearance is very annoying to the patient, who
being rich and able  to enjoy every luxury, cannot appear with-
out this disgusting mask.  Obstinate constipation,  which is pro-
longed from eight to twenty-one days.   Stools like sheep-dung,
covered with grayish matter, and sometimes streaked with blood.
Menses  profuse and debilitating.   Leucorrhcea succeeding  the
menses (during four days), with ringing in the ears.  Capricious
appetite, sometimes  ravenous  hunger  and then  again prompt
satiety.  Swelling in the region of the stomach,  aggravated by
pressure of the  clothing.  Cold feet and knees.   I began  the
treatment with Sulphur which seemed to be called for by  the
moral symptoms,  and especially  the  constipation,  with stools
enveloped in mucous matter, and the development of the haemor-
rhoidal  vessels  giving rise to the blood  in the  stools.   This 
48          HOMCEOPATHIC TREATMENT.
remedy in the 6th produced a stool sufficiently abundant on the
first and second days, but without  any relief to the other symp-
toms.   Twelve  days later, I gave Graph.80, a teaspoonful night
and morning.  This remedy, repeated every twelve  days, pro-
duced a real amelioration. The stools took place every four days
and then every other day.  The bloody streaks disappeared; the
appetite became regular; the  swelling and the  tenderness from
the pressure  of the clothing gradually passed away.  The con-
gested conditions of the face did not appear every day. Continued
for three months, in alternation every twelve days with Plumb.80,
Graphites re-established the intestinal functions.   But the red-
ness did not  disappear entirely except under the influence of
Alumina80, two  doses given at intervals of two months.  The
patient is now in perfect health.  Graphites and Alumina in
alternation, always prevents the tendency to constipation  which
appears in consequence of the  balls,  soirees, and too prolonged
vigils.


                   GRATIOLA.

   Stools:  Hard, scanty, tenacious,  expelled  with

difficulty.

   Before Stool:  Pressing  and  ineffectual desire;

Repeated tenesmus and  rumblings as if diarrhoea

would come on.

   During Stool: Burning pain in rectum ; Straining.

   After Stool: Burning  pains in  the  rectum ; Te-

nesmus; A wrenching  pain in the coccyx;  Creep-
ing chills.

   Generalities: This medicine, says Jahr, is still but

little  known  and  has only  been  employed against

hypochondriacal affections,  a few cases  of gastralgia,

and certain forms of  constipation.

   Teste  considers  it as being  in some respects the

Chamomilla of chronic diseases. 
HOMCEOPATHIC TREATMENT.
49
            HEPAR  SULPHUR.
  Bcenninghausen in  his Manual, mentions Hepar
in connection with Alumina,  Kali  carb., Natrum
mur. and  Nux vomica for  constipation due to in-
activity of the intestines.   He  also gives the follow-
ing:  Difficult expulsion of a small quantity of soft
excrement with great efforts and tenesmus.   Stool
hard and dry.
  In the Chronic  Diseases we have:  Inaction of the
rectum; stools hard, insufficient; swelling of the
anus.   After great efforts,  there is a  hard  stool,
mingled with a yellow liquid.   Emission, at times,
of prostatic fluid while at stool.
  Ruddock: Obstinate constipation from congestion
of the rectum.
  In his article upon the treatment of dyspepsia,
M. Charge gives in connection  with Hepar: Stools
hard, difficult, slightly colored, or whitish diarrhoea.
It is especially in smokers or after the  abuse  of
mercury that we  would  have  the  most need for
Hepar.
  [Raue gives: Sluggishness and inactivity of the
bowels,  in consequence of  which   the  abdominal
muscles must bear down in order to  effect an evacu-
ation, which is hard or not, but insufficient.] 
50
HOMCEOPATHIC TREATMENT.
      HYDRASTIS   CANADENSIS.
  Stools:  Hard,  knotty;  Lumpy,  covered  with
mucus.
  Before Stool:  Torpidity and want  of desire; No
stool except under the influence of a purgative.
  After Stool: Long lasting  pain in the rectum;
haemorrhoids and fainting.
  Concomitants:  Depression  of  spirits.   General
debility.   Headache.   Coated  tongue.  Impaired
digestion ;  sour eructations;  dull aching  pain  in
the pit of the stomach, which produces a "gone" or
faint feeling; feeling of weight in the stomach and
epigastrium.  Pain in the large intestines and rectum.
Colic accompanied with  fainting and  heat in  the
intestines.   Fetid flatus.   Haemorrhoids.
  Generalities:  In debilitated and  enfeebled  sub-
jects, especially in those who have frequent recourse
to purgatives.   Also when constipation  occurs  in
those  who, after  an  active life,   are confined  to a
sedentary one, or when the condition depends more
upon a sluggish state of the bowels than  upon any
diseased condition of the system.

  Dr. Hughes  says:  I do  not know of a remedy
which is  of  greater service in simple  constipation
than Hydrastis.   In  very chronic cases it might be
better  to commence the treatment with  Sulphur,
and continue it for a short time.   Hydrastis having 
HOMCEOPATHIC  TREATMENT.
51
a well-known  action  upon  the  liver  and having

cured jaundice, it may be possible that a great part

of its power over constipation  is due to its action

upon this organ.  It is in those cases in which con-

stipation exists alone or is the cause of other suffer-

ings that I find Hydrastis so useful.

   Ruddock considers the action of Hydrastis in con-

stipation to be that  of a general and local tonic.

   The tincture and lower dilutions are recommended.

   The accompanying  observations  show  that the

field  of  action of Hydrastis is extensive, and com-

prehends not  only idiopathic constipation,  but also

haemorrhoidal  constipation  and  that of  pregnant

women and of infants.  The observation of Dr. Roger-

son proves  also that certain  gastro-hepatic disorders

do not  contra-iudicate this  valuable remedy,  the

knowledge  of which we owe  to  Dr. Hale.

   Case 14. —M. S.,  38  years of age, came to the dispensary in
the following condition : For the last eight months, she has beer
suffering with constipation, and during this time she has not hao
more than one or two stools a week, and then only with the aid
of medicine;  she has taken, generally the oil  and pills of  the
Ricinus communis, and  in consequence complains of continual
pain in the head, more  especially in the morning; bad taste in
the mouth with coated tongue; pain in the back and shoulders;
sensation  of constriction in the hypogastric region, which was
only relieved  by means of a purgative ; yellow or rather bilious
teint, skin smooth and dry,  severe  pain after each stool, which
were hard and knotty, and of a brown  or gray color.  I gave
Hydras, can., morning and evening, and forbade the use of laxa-
tives;  at the end of four days, the  headache was better, as also
the pains in the back and shoulders, she had had one  stool; four
days later the  headache  and pains had entirely  disappeared; the 
52
HOMCEOPATHIC TREATMENT.
stools were easy and "normal, the face was no longer yellow, the
appetite was better, and at the end of four weeks she was entirely
well.—Dr. kogerson.
  Case ij.—Mme. B—, 32 years of age, blue eyes, light-colored
hair, delicate skin, mother of two children, the youngest of whom
was six years old, has had for three years painful haemorrhoids,
with paroxysms of headache and  constipation ;  she complained
of severe  burning,  smarting  pains  in  the  rectum,  before and
after each stool; colic pains, with attacks of faintness and heat in
the intestines often follow the evacuations, after a constipation
of several days.   Two physicians of the old-school  and one of
the new-school have attempted the cure.   As I  had overcome
similar  symptoms in another  patient,  six  months before,  I
resolved to give this one Hydrastis can.  Ten days  after taking
it she had an evacuation without pain, and  111 three weeks she
was cured;  the trouble has not  reappeared, now one year after
recovery.   For fifteen years she had used tea and coffee.—Dr.
E. B. Brown.
  Case 16.—A young married woman, brunette, black eyes, deli-
cate  features, but strong and  energetic, consulted  me in May,
1865, for constipation and haemorrhoids.  She was in the second
month of her  third  pregnancy, and under the treatment of the
old-school, she had  suffered  severely from these same troubles
in her former pregnancies.   She was only able at that time
to have an evacuation by the aid of injections.  She complained
at the present time  of severe pain during stool, but  no haemor-
rhage.   I gave  without success, for four weeks, Nux. vom., at
first in the 3d and then in the 1st;  Hydrastis can., two drops of
the ioth,  at night, relieved her promptly, and after using this
medicine for two or three months, the intestines resumed their
natural  functions, which continued  until confinement.—Dr. H.
B. Clark.
  Case 77.—Mme. H—, 26 years of age, blond, pale complexion
delicate constitution, a  tea-drinker  since infancy; for 10 to 12
years, she has  suffered with attacks  of constipation with haemor-
rhoides.   Three weeks after the birth of her first and only child,
she was seized, while at stool, with severe pains in the rectum
and anus.   These severe, burning,  stinging pains, lasted often
for 6-8 hours after each evacuation, and were accompanied with
a sensation of heat  in  the  intestines, colic pains and fainting.
She had every week one or two very hard, but natural-colored,
stools.   There was no prolapse of the rectum and  no  pain in this 
HOMCEOPATHLC TREATMENT.
53
region, except during an evacuation and for several hours after.
These  symptoms  persisted without any  modification for two
months, notwithstanding the use of Ignatia, Nux vom., Pulsat.,
Sulph., Nitr.  acid , warm water injections, and warm sitz-baths.
In seeking for some  help among the new remedies, I  chose
Hydrastis as  the most appropriate, and gave it  in the tincture,
not having any other preparation at hand; three drops in  a half
glass of water, a teaspoonful every six hours.   At the end of two
weeks, the rectal pains had  entirely disappeared and the stools
were regular; the colic, faintings  and  abdominal heat soon dis-
appeared, and the patient  was well.   There has been no return
of the trouble for eighteen months.—Dr. E. B. Brown.
   Case 18.—A child of one year  of age, of a constipated habit
since birth, was radically cured by the  tincture of Hydrastis, one
drop twice a  day, after cathartics and injections had shown them-
selves ineffectual.—Dr.  G. C. Hibbard.
   Case  ig.—S.  H.,  aged 29 years, complaining of sore neck
and  throat,  the latter much relaxed  and inflamed; headache,
cough  and spit; pain in the side  while stooping  and  rising
from a recumbent position ;  bad breath; tongue foul and coated
with a thick,  white fur; appetite bad, and bowels for  some six or
eight weeks very much confined; had been obliged to rescrt to
purgatives  every Saturday; the bowels  were generally moved
three or four  times every Sunday, and not again until the medi-
cine was repeated on  the  following Saturday.   Hydrastis (dose
not given) was given every morning and evening.  At the end
of two weeks the cure was complete.—Dr. Robertson in Hempel
and Arndt's Mat. Med.
   Case  20.—A stout, large-frame man, upward of  60 years of
age, an inmate of The Little Sisters  of the  Poor,  had been a
few years ago unable to  walk in consequence of severe spas-
modic, drawing, contracting pains through the thighs and  calves
of the  legs, but which Nux vom., tincture, seemed to relieve,
(at least he began to walk and still continues to walk about the
house),  soon  after taking this drug.   But constipation has been
persistent in  his  case, accompanied by "severe pains" (unde-
scribed) in the region of the liver and extending around the body.
Nux, tincture, Podophyllum, tincture,  Dioscorea1, Gelsemium1,
etc., failed to  relieve.  He could only obtain a scanty movement
by the use of  small pieces  of rheubarb.  When the bowels were
free, the general conditions were better.  Hydraystis*, five drops
night and morning and continued  for several weeks, has caused 
54          HOMCEOPATHIC TREATMENT.
a movement of the bowels to take place every day, while the
pain in the side is markedly improved.  The pain in the legs is
unchanged and walking is difficult.— T. M. S.

                  IGNATIA.
  Stools:  Large and soft, but passed with difficulty;
Sometimes whitish;  Involuntary.
  Before Stool:  Pressing and ineffectual desire for
stool.
  During Stool:  Violent urging, more in the upper
intestines  and  epigastrium  than in the anus;  the
desire is  actively felt, and yet  only a  little matter
escapes, although it  may be soft.   The least effort
causes prolapse of the rectum.  Haemorrhoids pro-
trude and bleed.
   After Stool:   Painful  constriction  of  the  anus,
 worse while standing;  Stinging in the anus extend-
 ing into the rectum ; Dull pain in  the rectum as if
 it was distended with gas ;  Long-lasting  desire for
 stool; Haemorrhoids.
   Concomitants:  [Feeling of emptiness or goneness
 in  the stomach, not relieved by eating, with flat taste
 and languor in the limbs; excessive flatulence;  gas-
 tralgia with stinging pains;  sensation of itching and
 crawling in the rectum as from  pin-worms. Nervous
 and  hysterical symptoms in females  of  mild,  but
 easily excited nature.]  Aggravation from cold or
 from carriage-riding. 
HOMCEOPATHIC TREATMENT.
55
  Generalities:   Constipation of a paralytic origin.

  Dr. Dunham writes:  The evacuation of faeces is
difficult,  because of  a seeming  inactivity of the
rectum ;  cannot make a violent effort to expel  them
without danger of eversion and  prolapsus of the
rectum.
  Bertholdi writes:  The constipation, often very
painful,  to which pregnant women  are subject, is
cured,  when it does not proceed from a too sedentary
habit of  life, by means of Nux  vom. and Ignatia,
remedies which we alternate with success.
  This remedy is also recommended for the consti-
pation accompanying  fissure of the  anus, and  in
nervous troubles with spasms.

            IRIS   VERSICOLOR.
  Dr.  Claude, of Paris, says that Iris vers, possesses
a  very marked  alterative effect  which  not only
appears in connection  with a certain dilution, inde-
pendent  of the constitution of the patient, but the
other pathogenetic symptoms due to the lower dilu-
tions persist under this dilution  as well as in  others
still more elevated.  In Hale's New Remedies diar-
rhoea is constantly indicated with signs which relate
to  an  action  at  once pathogenetic  and curative.
Constipation  is  noted  without  any  additional
symptoms, and only once;  like Hale, Ruddock and 
56
HOMCEOPATHIC TREATMENT.
Hughes, who  give  among the  clinical indications

"diarrhoea, dysentery,  cholcra-infantum, migraine,

sea-sickness, salivation," do not  mention the consti-

pation in which Iris has rendered me great  service,

but in dilutions above the 6th.

   It is very remarkable that, if the  intestinal phe-

nomena of  this medicine  changes with the dilutions,

they do not alter its action upon the salivary glands,

facial neuralgia aud migraine.

   The  following observation is very characteristic:

   Case 21.—Mrs. E—, 43 years of age by birth Irish, small in
stature, black hair, blue eyes, active disposition,  slight icteric
taint.  This patient lived almost exclusively on tea and coffee
which  she  took very strong.   She suffers from haemorrhoids
and ohstinate constipation.    Her  periods  are  irregular  and
accompanied by colic and sick headache; the latter affecting the
forehead and eyes  and aggravated by noise and light.  I visited /
this lady one day when her son-in-law, an old-school physician,
told me she was not able to see me, on  account of her condition.
He added, that for many years, he had tried  different modes of
treatment but all in vain, and he would be glad to see  homoe-
opathy make an attempt.  I gave Iris vers.80, and in a short time
there was a copious and semi-liquid  stool  of yellow substance.
She slept for an hour and was then able to raise herself.   The
son-in-law made a note of the  remedy  and promised to try it on
the first opportunity.  At the  following period she was again
attacked and she  was given some of the Tincture of Iris.  No
result.   The doctor came to my office and reproached me for
deceiving him.  I gave him a vial  of the 30th dilution.  He
reported in the evening and begged pardon for  his accusation;
the remedy had acted.  The  patient still  continues to  use the
30th dilution  of Iris with great benefit.  (We ought however to
say that, according to Dr. Willmar  Schwabe, Iris vers., in the
2d dilution, is urged by the  American  physicians as a very cer-
tain means against constipation.)—Dr. Claude.

    The constipation  which  is  the province  of  Iris 
           HOMCEOPATHIC TREATMENT.         57
vers, according to Dr. Claude, does not demand a
special temperament like Nux vom., a constitutional
alteration  like Sulphur; it does not present any
marked preference for a season like Bryonia, or for
-ex like Pulsatilla or Sepia.   It has rather something
of the inertia of Opium, and when it yields it  does
so after  a  resistance which is not  very prolonged.
Very often, but not always, it  is accompanied  by a
migraine not aggravated by light, noise and motion
(motion may even ameliorate) and is often ushered
in  by  the  following  premonitory  phenomenon:
"spots before the eyes, veil before the eyes."
   [We  may briefly summarize this remedy as fol-
lows:  Constant nausea and bitter vomiting; bitter
eructations ; intense burning distress throughout the
whole  epigastrium;  constant colic  with cutting
pains;  migraine ;  nervousness ;  constipation  suc-
ceeded by thin, watery diarrhoea.]


          KALI  BICHROMICUM.
   Stools:  Hard, dry, knotty, difficult.  In one mass,
of excessive hardness ; Pale, clay-colored.
   During Stool:  Difficult expulsion with painful
retraction of the anus.
   After  Stool:  Burning  in the anus  (knotty and
dry stools);   Falling of the rectum.
   Concomitants : Headache; Coated tongue, loss of 
58
HOMCEOPATHIC TREATMENT.
appetite; Cutting pains in the lower intestines,  aud

rumbling of gas in the upper.  Colic pains.   Sensa-

tion of a plug in the rectum with soreness.   Pains

across the loins  with  coldness  of the extremities.

Debility.   During an  emission of wind per anum,

sweat all over the body, but especially on  the face,

from which  it runs in streams.   During the menses

very hard stools,  and when they delay there is pain-

ful retraction of  the anus.   Tough  secretions from

all of the mucous membranes.
   Generalities:   Tendency  to   constipation,   and

especially when there exists  an aggravation of gen-

eral symptoms in consequence of its presence.

   Constipation which  returns every three  months.

  Case 22.—N. A.,  aged  30 years, consulted me for the fol-
lowing symptoms : Want of appetite ; fullness at the chest; a
great deal of flatulence; taste of rotten eggs, with constant nau-
sea ; great dislike of fat meat; tongue reddish and rough; head-
ache; sharp, shooting, stabbing pains extending all over the
head, pains worse in the afternoon and  evening; bowels obsti-
nately constipated.  The patient  was getting very  weak, since
she could take  but little nourishment. She complained of great
heat of the body on walking about.  Her  eyes felt  weak and
there was a great deal of pain in  the eyeballs.  Great drowsi-
ness and languor in the daytime, with sleeplessness at night.
Sharp, shooting, aching pain, frequently existed in the sides and
back.  Kali bichrom 3, taken four times a day, soon  cured the
patient.—Dr. A. E.  Hawkes in Hempel and Arndt.


            KALI  CARBONICUM.

   Stools:  Dry and large ;  Retarded  and  difficult

because excrements are so large. 
HOMCEOPATHIC  TREATMENT.
59
   Before Stool:   Feeling of anguish and distress for
an hour or two  before stool;  Rectum inactive;  Un-
successful desire ;  AVhite mucous discharge.
   During Stool:  Rectum feels too weak to expel the
faeces:  [Protrusion and distension of the haemor-
rhoids with pricking and burning.]
   After Stool:   Itching  about the  anus:  [Severe
lancinating,  tearing and cutting pains in the anus;
Violent pain in  the small of the back  as if broken.]
   Generalities:   Kafka recommends Kali carb.  foi
women whose  abdomiual  organs are very weak, in
consequence of frequent miscarriages or multiple and
difficult labors; when,  on account  of the inactivity
due  to abdominal pressure,  the evacuations only
occur with great difficulty.

   Willmar  Schwabe gives  this remedy  when   the
patient suffers from nightsweats  (Natrum mur., on
the contrary, has diurnal sweats).
  Case 23.—P. K., a married  man, age 36 years, consulted me
Sept. 23, 1850. He complained of cardiac palpitations, of a
feeling of distension in the breast, constipation and night sweats.
I gave  Kali  c, for  a  week.  On Sept. 30th there was an im-
provement in the palpitations and  constipation,  but the night
sweats still persisted ;  the remedy was given at longer intervals
and by Oct. 14th the cure was complete.—Dr. John Epps.
   [Dr.  Stens: Stools only every eight to ten days of
very large lumps. Kali carb.80.] 
60         HOMCEOPATHIC TREATMENT.
                 LACHESIS.
  Stools'.  Scanty, grayish like potters' clay;  Hard
like sheep-dung;  Hard and difficult; Frequent and
hard ; Hard, scanty, insufficient;  Offensive.
  Before Stool: Ineffectual urging;  Constant and
very painful pressure in the  rectum, without  stool;
Constriction in the rectum or sensation of a plug in
the anus.
  During Stool: Great effort; Pain as if the sphincter
was torn with the effort;  Tearing pains in the rectum
from below upward and backward,  to the point of
producing eructations;  Faeces remain at the anus;
Aggravation of pains, so that it is necessary to cease
all efforts.
  After  Stool: Haemorrhoids protrude,  with con-
striction of the sphincter ;   Beating in  the anus as
from hammers; Rectum prolapsed  and tumefied.
  Concomitants:  Lassitude, anxiety and symptoms
of mental alienation.   Cephalalgia.  Tearing pains
and burning in the eyes, especially in the upper lids;
pains in  the eyes from reading by artificial light.
Coryza. Appetite good. Violent pains in the stomach.
Weight  and  pressure in the stomach  and distress
from flatulency.  Ineffectual efforts at eructations.
Incarcerated  flatulency  and  oppression  of  the
stomach. Abdomen hard and bloated.  Insensibility
of the rectum.  Pains in the back in the lumbar 
HOMCEOPATHIC TREATMENT.
61
region, above the left  hip, and  a  dull pain in the
vesical region.  Burning urination.  Cold feet; icy
coldness of the soles of the feet or on the outer side
of the left leg.   Scanty menses.
   Generalities: Obstinate constipation. Alternation
of  constipation and diarrhoea.    Constipation  in
healthy persons without  any other symptom.  Ab-
sence of stool in persons suffering from hydrothorax.
For sedentary persons, a id for women at  the climac-
teric.  Constipation with black  tongue and lips in
scarlatina.

   M. Teste says that the pathogenesis of  Lachesis
presents many symptoms similar to Belladonna, but
with some  difference in  the chronological order of
their manifestations, and with a persistent character,
which might lead to the  supposition that  Lachesis
corresponds to the chronic diseases of which Bella-
donna offers us, in  a certain degree, the acute form.


               LYCOPODIUM.
   Stools:  Very hard ;  Small and incomplete evac-
uations ;  Broken  masses, mixed with, or  followed
by, a liquid discharge.
   Before Stool:  Strong desire, or the desire may be
wanting;  Flatulent colic; Pain  at the anus; Strain-
ing efforts, often followed by tenesmus. 
62
HOMCEOPATHIC TREATMENT.
  During Stool: Pain in the rectum, with ringing in
the ears;  Difficult stools, evacuated only after very
great efforts.
  After Stool:   Pains similar to those during stool,
with syncope;   Sensation  as  though all the faecal
mass had  not passed, followed by excessive and pain-
ful  accumulation of  flatus, contractive  pain in the
perineum  after a scanty, hard stool.
  Concomitants:  Hypochondriacal.   Painful  tym-
panitis of the abdomen, with  flatulency (also Carbo
veg.).  Indigestion resulting  from a too free use of
a farinaceous, heavy and fermentable diet.  Acidity
and heartburn, together with  an irresistible drowsi-
ness  after  dinner,  followed  by great  exhaustion.
Disagreeable weight in the hypogastrium ; sensation
of gurgling in the abdomen ; borborygmus, especially
in the left side under  the  ribs.  Distention of the
abdomen  without the escape  of gas or without any
relief following its passage ; the flatulency is odorless
(fetid, Carbo veg.).  Itching and tension in the anus
in the evening  in bed; itching eruption at the  anus
painful to the  touch.  Violent dorsal  pains before
the emission of urine; difficult urination; cutting or
burning pains  in the urethral canal;  urine with a
reddish  sediment.
  In connection with chronic intestinal catarrh, we
have: "Weakened nutrition,  dirty-gray  or copper
coloration of the face, moroseness, dejection. 
HOMCEOPATHIC TREATMENT.
63
   Haemorrhoids with pain and itching at the anus,
aud frequent, profuse discharge of blood.
   Generalities:  In obstinate cases, with an almost
complete state of atony of the intestines (see Natrum
mur.).  Also in the constipation of infants and the
haemorrhoidal  diathesis.    It  is  employed  by  Dr.
Hughes, following Teste, in the dangerous  form of
enteritis developed in children by a diet  consisting
only of milk and farinaceous substances, and which
they are unable to digest;  here also, when Lycopo-
dium fails, Nux succeeds.
   Hartmann says that Lycopodium30 is one of the
most useful remedies in  (he constipation of  infants
for restoring the contractility of the intestines which
have been lost.
   Jahr gives this drug when neither Sulphur  nor
Calcarea have been sufficient to overcome the pre-
disposition to constipation, with ineffectual desire,
or hard stools and difficult evacuation.
   Kafka says that Lycopodium should be  carefully
studied in relation to chronic intestinal catarrh with
sluggishness of the peristaltic movements; it is also
of service in the constipation of those  who  are tor-
mented with night pollutions or addicted to mastur-
bation ; after repeated affections of the peritoneum
with urinary complications.  This remedy has been
of service to him in  a case of  fatty degeneration  of
^be liver with concomitant venous hyperaemia. 
<H
HOMCEOPATHIC
TREATMENT.
   The flatulent colics,  bloating, and constipation

following the disappearance of eruptions upon  the

skin, are valuable indications for Lycopodium.

   [Dr. Lilienthal adds to the general outline of this

drug:  Abdominal  plethora,  with  constipation  in

elderly people of the higher classes, with no  desire

for stool.]

   Carbo veg. alternated at intervals of  every eight

days, very often facilitates the action of Lycopodium.

   Dr. Hughes says: Lycopodium holds a high rank

as a remedy  for constipation, very much resembling

Bryonia.

   The remedy should  be given in the  medium and

higher attenuations, and continued  for a long time.

   Case 24.—A man, 38  years  of age,  of ordinary constitu-
tion, was in unusual good  health  with the  exception of a
constipation which he could only remove with purgatives.  For
the last three years this constipation had  increased to such a
degree as to almost resist the action of purgatives.   Each evacu-
ation produced  the most terrible pains in the rectum, and some-
times left the patient in a state of syncope for  a quarter of an hour.
Even when the paroxysms were lighter, the  patient remained for
several hours unable to make the least movement on account of
the persistence of the pains.  The  mucous membrane of the
rectum was very much injected, excoriated in some places, with
slight varicosity of the veins.  The most careful touch gave rise
to acute pains, and cramp-like  constriction of  the sphincter.
Loss of  appetite and bad humor.  General  condition  good.
Bell.,  and for a month Nux. vom., gave slight relief.   Lycopo-1
dium* (five drops morning  and evening) brought amelioration
within a few days, and a complete cure within three months.—
Dr. Hilberger. 
HOMCEOPATHIC TREATMENT.         65
       MAGNESIA   MURIATICUM.
  Stools:  Hard, nodular, insufficient and delayed;
Crumbling at the verge of the anus and seem as if
burnt; Large, hard  lumps or knotty, like sheep's
dung; Faeces covered with  mucus and blood.
  Before Stool:  Painful urgings.
  During Stool:  Painful urgings  with  occasional
discharge of mucus; Pressure, with scanty passage
or only flatus.
  After Stool:  Burning at the anus;  Shuddering
for a short time.
  Concomitants:  Earthy complexion.  Good appe-
tite.   Nausea  in the  morning.  Swelling of the
abdomen, with cuttings and pinchings.   Pain and
distress every  few days in  the  hypogastric region.
Cramps in hysterical women who waste freely and
have a tendency to constipation. Weakness and chill,
increasing during the continuance of the  hysterical
accident;  globus hystericus and oppression of the
breath.
  Generalities: Constipation of infants during den-
tition.
  Bcenninghausen places Magnesia mur. in the first
rank for constipation on account of the hardness of
the excrements.
  Schwabe places the drug in the same class as Cal-
carea carb. and Carbo veg. 
>;6
HOMCEOPATHIC TREATMENT.
  Case 25.—Child, aged 2 years.  Diarrhoea and cough for sev-
eral months;  all at once the child became  constipated, but the
cough continued.  Nux. vom. and Bryonia were given, but the
stools only became harder, and would crumble when escaping
from the anus.  Magnesia mur.8, five doses, and  the next day
the  stools were natural and the cough gone.—Dr. Lehman in
Raue's Record, 1871, p. 120.
  Case 26.—A lady, age 26, was confined two years ago, and
since that time has  been troubled with constipation.  Stools,
large and in hard lumps; bowels move  about every eight days.
Every few days las pain and distress in  the hypogastric region;
pale and weak, otherwise well. Is in the habit of taking a cathar-
tic every  three days.  Magnesia mur.200, acted in twenty-four
hours like a cathartic, but without pain, and in two weeks she
reported herself as  having a natural stool daily.—Dr. W. H.
Burt in Raue's Record, 1872, p. 150.



                  MERCURIUS.

  Stools:  Hard;  Tenacious or crumbling;  Small,

knotty masses; Small, like sheep dung; Pale, white

stools;   Small pieces, pale, with  mucus or streaked

with blood; In the form of a narrow ribbon.

  Before Stool:  Frequent  desire, worse at  night;

Ineffectual straining;  Protrusion  of haemorrhoids

with the straining, which causes  a pain as  of ulcer-

ation.

  During Stool:   Great straining with scanty stool,

with pinchings  in  the  belly;   Severe pains at the

anus; Evacuation after a great length of time.

  After Stool:  Continued tenesmus  and  prolapsus

ani;  Bleeding haemorrhoids.

  Concomitants:  Catarrhal fever and debility.   Mi- 
HOMCEOPATHIC TREATMENT.
67
graine.   Bad taste in the mouth; pain in the gums;
loss of, or irregular, appetite, or the appetite may not
be impaired to a great extent;  disgust for all  sub-
stances,  except for beer;  salivation.  Fullness and
hardness of the abdomen ; colic.   Various manifes-
tations of bilious symptoms.   Yellow color of the
skin and conjunctiva.
   Generalities:  Hirschell calls attention to  Mercu-
rius for the constipation which follows diarrhoea in
acute cases, after a chill, and when there are gastric
or inflammatory symptoms.

   Espanet says,  that the Corrosive sublimate is very
useful in the constipation from pseudo-membranous
inflammation of some portion of the large intestine
and in haemorrhoidal colic with  congestion of the
liver and abdominal venous stasis.
   Calomel, writes Dr. Gerson, of Dresden, seems to
be more  efficacious  than Mercurius solubilis in the
so-called haemorrhoidal  colic,  when it calls in general
for Mercurius, in  the  subjects  who  have  a  well-
marked condition of venous stasis in  the lower ab-
domen,  with a full and  hard  pulse, an  obstinate
constipation, and where the inguinal glands, as  well
as the left lobe of the liver, are slightly inflamed and
tumefied.  According to my experience Calomel ap-
pears to be almost a specific for obstinate constipa-
tion, where  the signs of a violent hyperaemia of the 
68         HOMCEOPATHIC  TREATMENT.
mesocolon  or  a circumscribed  exudative inflam-
mation  of the  mucous membrane are  present  as
objective causes of the constipation.
   [Hempel and Arndt in speaking of Mercurius
sol. in its relation to  constipation write:  Mercury
will be found useless, unless this condition is depend-
ing on, or connected with, torpor of the liver  or  of
the pancreatic gland.   Constipation may be a sequel
of previous bilious or pancreatic diarrhoea.  In such
a  case, Mercury is in  homoeopathic rapport with it.
The bowels may not be moved more than once  or
twice a week; the faeces have a dark-brown or green
color; they are discharged in lumpy masses or balls
loosely hanging together and covered with intestinal
mucus.   The cul-de-sac,  or  pouch of the rectum,
sometimes becomes  a  receptacle  for these  lumpy
masses, where they agglomerate in one compact ball,
the passage of which  through the rectum sometimes
causes a great deal of acute pain, and may even  be
attended  with  slight  haemorrhage.  Sometimes the
constipation  is interrupted by an occasional attack
of bilious diarrhoea.]
   Jahr calls  attention  to  Staphysagria  for  consti-
pation with bad taste in the mouth, irregular appetite
and pain in the gums, in those cases where Mercurius
does not suffice.
   Case 27.—Chronic constipation, in a patient who presented a
jaundiced  teint, and suffered with  pain  in the liver and ri^ht 
             HOMCEOPATHIC TREATMENT.          69
shoulder with frequent nausea and obstinate ethnic constipation,
Mercurius cor., soon removed the whole trouble.—Dr. Usscher.

                  MEZEREUM.
   Stools :   Hard, brown, ball-shaped ; Dark-brown,
in knots, very hard balls.
   Before Stool:   Creeping chills, languor and  great
sensibility to cold  air;  Copious  discharge of  fetid
flatulence.
   During Stool:  Painless straining; Prolapsus recti;
Anus  becomes  painful and  constricted  about the
fallen rectum;   Difficult  alvine evacuations, of the
consistency of a thick broth, with pressing desire.
   After Stool:  Sensation of constriction,  with tenes-
mus;   Chill over the whole  body;  Fissure of the
anus.
   Case 28.—A woman who was approaching the years  of the
climaxis, suffered continually from  extraordinary  congestions to
the head, with burning redness of the face, obstinate constipa-
tion.  Menses always very copious  and too soon.   Calcarea,
Carbo veg., and Bryonia, relieved only for a time.   Last autumn,
she was attacked with fearful pains in four hollow teeth,  which
left her no repose either day or night.   The carious condition of
the teeth and the general chilliness during the pains led  me  to
give  Mezereum8.  The pains  in the teeth were cured and the
constipation removed.—Dr. Veith.

         NATRUM  MURIATTCUM.
   Stools:  Hard,difficult, crumbling;  Large masses;
Indolent, irregular, or alternating with diarrhoea. 
70
HOMCEOPATHIC TREATMENT.
  Before Stool: Frequent desire but without result;
Inactivity of the rectum and no desire; Burning in
the rectum.
  During Stool:  Pulsation, contraction, and a lanci-
nating pain at the anus as from ulceration ; Tenes-
mus; Haemorrhage from the rectum.
  After Stool: Burning  and smarting in  the anus
and rectum;  Ripping  up sensation in  the anus;
Tenesmus;  Fissures  with  bleeding and smarting,
burning, pains;  Haemorrhoids with stinging pains
and soreness  at the anus; Prolapsus ani.
  Concomitants:  Depression of spirits.  Disturbed
mental condition.  Dryness of the mouth ; superficial
ulcerations of the tongue.  Irritability and persistent
dryness of the mucous membranes, with tendency
to catarrhal affections.  A greater or less number of
gastric pains, with loss of appetite, heartburn, eruc-
tations, rarely sour,  more often burning, as when
after eating  some article of food fried in  rancid
butter.   Pressive pain ruuning from the  navel to
the  pelvis.   A  sensation as of  a weight hanging
across the pelvis and bladder, aggravated during
motion, and compelling the patient to bend forward
when seated.   Moisture and herpetic eruptions about
the  anus.  Pressive  pain  in  the left side of  the
hypogastrium.   Swelling of the abdomen.  Cutting
pains through the bowels during the day. Gurglino-
of wind through the bowels.   Excessive sensitiveness 
HOMCEOPATHIC TREATMENT.
71
to cold.  Perspiration on slight motion.  Irritability
of the  skin; dirty-colored skin; eczema, acne  and
pustules.
   Generalities: Haemorrhoidal constipation.  A con-
stipation accompanied  with  a state  of weakness or
inaction of the intestines, seems to be more charac-
teristic  of  this remedy, than the frequent urging.
In cases of great atony of the intestines, so that they
do not assist in the evacuations of the faeces. Chronic
constipation ameliorated or aggravated according to
the activity or inertia of the intestines. In obstinate
constipation when the  intestine presents a state of
torpor almost equivalent to  paralysis, but without
pain, and when for days and weeks there is no desire
to go to stool; when, finally, the hardness, dryness,
and size of the faecal mass produces,  mechanically,
fissures and consequent  tearing and  burning pains
in the  anus.   In cases accompanied by tumefaction
of the liver or spleen, fatty degeneration of the heart
or  valvular lesions.  The indications for Natrum
mur. are analogous to those of Lycopodium, and the
two remedies may often be alternated with success.
Espanet ranges Natrum mur. by the side of Cuprum
and Plumbum for consiipation followed by colic and
diarrhoea.   In cases  where a chronic constipation
has  resisted Sulphur and Nux vom.   If the  patient
uses salt in excess, it  will  be necessary to  correct
this habit, and  give at first Spir. dulc, nitr. or 
72           HOMCEOPATHIC TREATMENT.

 Arsenic as  antidotes.   [Phosphorus  (abuse  of  salt

in food); Arsenic  (bad effects of sea-bathing).]

   Case 2g.—Xavier Spiss, aged II years, born of scrofulous
parents;  his oldest brother is a mute  and almost an idiot; he
himself is a mute and  idiotic, with puny appearance of body and
limbs; the  abdomen  is large and hangs  upon the thighs, it is
tympanitic, hard, and  on deep pressure nodulated tumors can be
felt; he cannot walk or even stand upright; he remains seated
in his cradle and swings back and forth day and night; he sleeps
very little and with the exception o  water, milk, potatoes and
brown bread he refuses all  nourishment.  This poor creature
has suffered  since his birth,  with constipation.  Injections of
all kinds, aperients, resolvents,  laxatives, and  purgatives  have
been administered, from the prune  juice and castor oil, to gam-
boge and croton oil.   At 8 years of age,  he would go  three or
four weeks  without stool; during the first two weeks  of this
period, the child did  not appear to suffer,  but toward the third
week the appetite diminished, the  child cried,  held the bowels
with the hands, rolled over, pulled at the hair and sometimes
vomited  sour  mucus  or  food.  All  injections and purgatives
seemed to  lose their power.   Between the  twentieth  and
thirtieth  day there would occur a massive, black, hard  stool,
which was  accompanied by a bloody discharge and prolapse of
the rectum, which  was  fissured;  during the  stool the child
uttered piercing cries, and afterward was pale, prostrate, and
tranquil.  On Nov. 19th, when the constipation had been  pres-
ent for three weeks, I gave  the patient a dose of Natrum m.ls.
On the morrow he had a stool without pain.  I then ordered the
mother to give him a  dose twice a  week;  but the effect  did not
respond to my expectation, although I had varied the 12th with
the  3d and  30th dilutions.   In  February I  prescribed  one
globule of the 30th, dry, upon the  tongue, in the morning while
fasting, twelve or fourteen days after the stool.   The action was
prompt and persistent; each time that the medicine was given,
the child had, on the  following night and succeeding  morning
a copious and free evacuation, and for the last  three months the
stools are regular, at the same intervals, even without medicine,
for they  often forget to give it.   It was not necessary, perhaps,
to give the medicine every fifteen days, for if we can believe our
experimenters, the action of Natrum m.80 continues for  forty or
fifty days.—Dr. Gross. 
HOMCEOPATHIC TREATMENT.         73
               NITRIC   ACID.
   Stools: Dry, difficult, irregular ; Like sheep-dung,
accompanied by a mucous secretion; Alternately firm
and liquid.
   Before Stool:  Continual but fruitless  desire for
stool;  Ineffectual urging;  Colic pains.
   During Stool: Prolonged straining (even with soft
stool);  Sensation as if part of the faeces remained in
the rectum and could not be expelled ; Sharp, splinter-
like, cutting pains in rectum during stool (with inef-
fectual  urging);  Burning in  rectum toward the
perineum;   Tearing,  spasmodic pains (fissures  in
anus);   Pressure upon the rectum with desire for
stool,  but only a little pas-es.
   After Stool:  Burning in rectum with  shooting
pains  ;  Painful prolapsus of the rectum, and sensa-
tion of constriction of anus ;  Colic pains  and  great
prostration : Painful haemorrhoids with haemorrhages.
   Generalities:  Haemorrhoidal  constipation.
   Hahnemann says :   This medicine is better suited
to brunettes  who have a rigid fibre, than to the
blondes whose  fibres  are dry.   The MM.  Simon in
translating  the  works  of  Hahnemann render this
passage somewhat  different:   "This medicine.suits
better those subjects who have brown hair and  rigid
fibre, than those with  soft fibre and  blonde hair."
They  add  in parenthesis  that  Nitric acid will  be 
74          HOMCEOPATHIC TREATMENT.
rarely chosen for lymphatic temperaments and scrof-
ulous constitutions.
  Dr. Charge says :  It is especially in intestinal dys-
pepsia, when the  characteristic feature of the case is
constipation, that  Nitric acid has shown its superi-
ority.  This constipation lasts for several days but
does not give rise to pain.  The pains in the rectum
after stool may be prolonged for some time, and not
depend on  the difficulty of  the defecation, for  they
often happen even after a liquid stool occurring ac-
cidentally.
  The MM. Simon write:  Suitable for  certain  dys-
peptic conditions  characterized by disgust for  fatty
food, nausea, swelling of the stomach and bowels in
consequence  of an enormous collection  of gas, great
sensibility of the abdomen to the influence of  cold,
soft or hard stools which are difficult to expel.
  [Hempel and Arndt write: Constipation may find
its remedy in Nitric acid, if the patient is of a bilious
habit, laboring under tedious hepatic derangements,
syphilitic affections, or suffering from  the effects of
Mercury.   Dry, difficult stools, preceded and followed
by colicky pains,  and followed  by great  prostration.
Such a state of  affairs is frequently found dunnc
convalescence from  a  protracted  and severe fit of
sickness. ]
  Dr. I. Guerm-Menneville says: In later years Nitric
acid has taken a front place  among the remedies for 
            HOMCEOPATHIC TREATMENT.          75
cough.  Sir Duncan Gobb has written a book  upon
whooping cough for the purpose of exalting its virtues.
Dr. Bayes says:  "Another  affection in which Nitric
acid has  rendered  service is  the  chronic  laryngeal
cough without  expectoration, and which is charac-
terized by a sensation of pricking  or  excoriation, as
if there existed there a  small  ulcer, and  which  is
generally felt upon one side."   Dr. Dyce Brown has
recommended it in several forms of disease of which
laryngeal cough is one of the dominant traits, and
especially  in those  cases where there is a general
physical depression.   Dr. Brown also mentions the
peculiar constipation of  Nitric  acid in the cases of
cough, and he adds that he  had seen it disappear so
often under the use of this  drug, that he conceived
the idea of employing it for  this affection itself  and
with so great a success that  he places this remedy in
the  front  rank among  the efficient means for its
treatment.


               NUX  VOMICA.
  Stools:  Inefficient,  black, hard,  often  streaked
with blood;  Large, hard stools;  Black,  dark, or
brown in color, and hard  and  knotty in  appearance
(see ^Esculus h.).
  Before Stool:  Ineffectual  urging,  painful, almost
constant, desire for  stool;  Pressure in the rectum, 
76          HOMCEOPATHIC TREATMENT.
with lumbar pains;  Sensation as though  the anus
was firmly closed and narrowed,   (see Opium).
  After Stool: Belief.
  Concomitants:  Oppression of spirits;  dislike for
work and thought.  Insomnia, anxiety and chilliness.
Passive frontal headache, with or without congestion
to the  head,  worse  in  the  mornings.  A marked
degree of nervous erethism with a tendency to hypo-
chondriacism or anger.   Qualmishness in the epigas-
trium and abdomen.  Dyspnoea from pressure upward
of the diaphragm in consequence of the accumulation
of gas.  Distention  of  the abdomen, weight and
pressure in the region of the stomach or spleen ; at
times cutting pains in the lower bowels with  occa-
sional eructation or flatulency  (emissions which give
slight relief).   Heat, and stitching pains in the side;
weight in the hypogastrium.   Loss of appetite, bitter
taste in the mouth,  mucous coating  of the tongue.
Catarrh of the  stomach with  excessive acidity and
flatulency  (aggravated  still  further  by  the  use of
starchy foods).  Alternation of diarrhoea and consti-
pation.   Haemorrhoids,  painful and  protruding, or
attended with haemorrhage.
  Generalities:  Suitable for constipation arising from
haemorrhoidal  and dyspeptic troubles.
  Where there is an irritability of the intestinal tube
(there is often in such cases  some haemorrhagic irri-
tation, in which the alternation of Bryonia with the 
            HOMCEOPATHIC TREATMENT.          77

Nux vom.  renders  good service).  Nux here, as in
other troubles, is especially serviceable for those per-
sons who lead a sedentary hfe, or are suffering  from
the effects due to prolonged night-watching, nursing,
or  mental overwork, or  those  who  use in excess
spirituous liquors, or overload the digestive tract with
highly-seasoned  food, or from abuse of purgatives or
sexual excitement due to onanism, or when the  con-
stipation has been  preceded by a diarrhoea or is the
consequence of its sudden checking.   It is also recom-
mended  for the constipation  of pregnant women.
Also for active, irritable infants, and for those  who
have been prematurely fed  on meat, or when  the
trouble arises from the  excessive use of coffee by the
mother or nurse.  It is suitable in the beginning of
infantile constipation,  as well  as later,  when  the
condition has   given  rise  to  various  concomitant
abdominal  symptoms.    According  to  Hartmann,
benefit is often derived, in such cases, from the inter-
current  use of Bryonia18,  while  Knorr  considers
Sulphur as one of the best alternating remedies.
   Rueckert considers Nux vom. to be generally indi-
cated :   1.  In pregnant women who do not complain
of  any other  symptom, and also in  children under
the same circumstances.  2. When the  constipation
is idiopathic, especially when the abuse of coffee seems
to be the cause.
   The absence of all desire for defecation or a  want 
78          HOMCEOPATHIC TREATMENT.
of agreement of the muscles which act in this func-
tion  are  positive contra-indications  for  the use of
Nux vom.
   Dr. Hughes recalls the words of Schrceder von der
Kolk:  A  long experience and numerous autopsies
have proven to me that chronic constipation is almost
always dependent upon contraction of the descending
colon.   To this Dr. Hughes  adds, that in  regard to
the constipation of Nux  vom. Dr. Carroll Dunham
is right  when  he says:   " This  medicine does not
diminish the action   of  the  intestines, it  rather
augments it,  but at the same time renders it irregular
and spasmodic, preventing in consequence, instead of
aiding in, the evacuations.  It  is for this reason that
the constipation characteristic of Nux is accompanied
with frequent desire but ineffectual efforts for stool,
the action  of the intestine being irregular and  spas-
modic ;  the  constipation  being  the result  of the
irregularity in the action, and not of the inaction."
   On the other hand,  we would call the  attention of
our readers to the fact, that  the  physiological inter-
pretation given by the authors mentioned above, upon
the action of  Nux vom.  in  constipation, is not
accepted by all writers, especially in Germany.  Thus
Kafka writes in connection with the treatment of
chronic intestinal catarrh : ««Nux vom. administered
in small doses, and not  repeated too often, exercises
a marked action upon the muscular tissue of the intes- 
HOMCEOPATHIC  TREATMENT.          79
tine.   I insist upon the inactivity of the  intestine in
consequence of a diminution of the peristaltic move-
ment as  characteristic of Nux vomica."   Willmar
Schwabe also considers Nux vom. as  suitable  for
chronic  intestinal  catarrh  with  constipation from
diminution of the  peristaltic movement.
   In  that  which  concerns  the dose, we  find  the
divergences  of opinions which  separates the homoe-
opathic school mto numerous camps, on the question
of therapeutics.  This is a clinical problem not yet
elucidated, and which we  shall only discuss incident-
ally.   We would only say that if M. Jons-et  prefers
the V-itU dilution  of  Nux vom. in the treatment of
constipation,  others  administer  the 30th,  others,
a^ain,  the  dilution  of  Jenichen,  or even those of
Fincke.  On the  other  hand we read in Rueckert:
"In constipation I give  Nux vom.1, while at the same
time the question  might be  asked if we would not
obtain better results with the tincture than with the
dilutions."
   Case jo.—No stool for six days, vertigo and giddiness, weight
in the head similar to that caused by drunkenness, especially in
the morning, burning  heat and redness of the i;ice, dryness of
the mouth, bitter  acid taste,  heartburn, malaise in the morning,
pressure in the stomach, tension in the abdomen after eating but
a small quantity, tearing pains in the hypochondrium, tenesmus,
pains in the anus and  kidneys, pressure and constriction in the
breast, restless sleep at night, depression of spirits, sleepiness in
the morning before rising, lassitude,  relaxation  of the  whole
body.  One drop of Nux vom., tinct., caused a cessation of all
the pains.—Dr. Knorre. 
80
HOMCEOPATHIC TREATMENT.
  Case 31.—A young woman who led a sedentary life, suffered
for many months from a constipated habit and for the  relief of
which she was compelled to resort  frequently to injections ;  she
suffered from constant pain in the direction of the colon.   Nux
vom.80 removed the abnormal condition and since that  time the
stools have been regular.—Dr. Malaise.
  Case 32.—A young woman of strong constitution, a chamber-
maid, has been sick for three days.  She suffers from the follow-
ing symptoms: Great  heat  of  the face, thirst, white-coated
tongue, absence of stools for three days, languor, easily fatigued,
the limbs are as stiff as boards  and resist all  movements, it is
only with the greatest difficulty that she can ascend to the second
story.  I prescribed one drop of Nux vom.80.   On the morrow
all the morbid symptoms had disappeared, and the stools were
regular.—Idem.
  Case 33.—A woman, 29 years  of age, confined six weeks
before, experiences the following symptoms: Acute pains at the
pit of the stomach ;  palpitation  of the heart with bluish lips;
obstinate constipation,  two stools in ten days;  pulsative and
hammering pains  in the forehead, aggravated  whenever the
pains in the stomach  are more intense; dry cough for several
days; cramp-like pains in the lower limbs;  swelling of the feet
in the evening.   The infant which was nursed by the breast
vomited frequently.   The patient was given  three globules of
Nux vom.80.  Ten days later the symptoms enumerated had dis-
appeared and the mother and child enjoyed good health.—Idem.

   Three points deserve our attention  in  these three

observations by Dr. Malaise:  1.  Nux vomica alone

was sufficient for the cure;  2. It acted very rapidly;

3.  It was employed in  the  30th  dilution.   In  the

observation of Knorre given above, we find the same

efficacy from the use of Nux vomica alone, and the

same prompt action; but the remedy has been given

in the mother tincture.

   We will return, for the  present,  to  the  clinical

 collections  of  Rueckert and translate from  them a 
HOMCEOPATHIC TREATMENT.
81
noteworthy  case  of  hypochondriacal  constipation

which was cured in a short time by Nux vom. alone,

but this time in the 3d dilution.
  Case 34.—A teacher, age 40 years, having a tendency to con-
stipation, suffered for six years from this infirmity until it became
necessary to resort constantly to purgatives.  The appetite was
weak, tongue lightly coated, hunger soon appeased, eructations
soon after eating, sensation of fullness and painful weight in the
epigastrium.  Regularly  one hour after eating he suffered with
flying chills followed by flashes of heat  of equally  short dura-
tion.  Despondency which  always  increased  after  mid-day,
accompanied with light vertigo and heat of the head, inability
for  intellectual work,  constant preoccupation occasioned by a
sensation of swelling of the abdomen.   A stool every five or six
days; after a purgative or injection there occurred a large,  dry,
stool, ordinarily in black balls, accompanied by severe pains and
strong expulsive efforts of the  rectum;  the feet are habitually
cold; the sleep does not refresh.  The lungs, heart, liver  and
spleen are healthy.  He bends  forward, speech is embarrassed,
the movements  slow, gloomy expression of countenance with a
dirty yellow complexion.  Hypochondriacism bordering on  mel-
ancholy.   Old-school treatment  and  Carlsbad waters gave no
relief. Nux vom.8, two drops every evening, was given.  At the
end of eight days there was amelioration and under the contin-
uance of the remedy, a cure fifteen days after.—Dr. Linder.

   We have in the Horn ceo. Rundschau for June, 1878,

the following observaiion by Dr.  Goullon on  chronic

infantile constipation ;  the interest attached  to  the

case  itself,  the  dose employed,  and  the familiar

language  of the recital, have led us to make a resume

translation of the article which is  entitled, A Homoe-

opathic Remedy Against Chronic Constipation:
  Case35.—Here is the demand which was addressed  to me:
" Have the kindness to send me a purgative for Eugenie, who is
always constipated ;  she only has an evacuation every other day,
notwithstanding the prunes, apples, brown bread, etc., which  I
give her.  I have even resorted many  times to injections, so 
82
HOMCEOPATHIC TREATMENT.
severe has been  her sufferings."   What reply ought  a  homoe-
opathic physician to make to such a question ?  The child here
spoken of, was otherwise in good health and of an almost athle-
tic constitution, but the mother was a sufferer from haemorrhoids.
I took a small glass containing ioo drops of rectified alcohol.
In this I placed two drops of the tincture of Nux vom., shook
the glass one  huudred times, and prescribed two  drops of the
dilution, to be given night and morning, in a  teaspoonful of
water.  Under this treatment the  evacuations became regular in
a short space of  time; at first, they were still slightly painful,
although* daily, but at present the act is easily accomplished.—Dr.
 Goullon.

   Nux vom.,  adds Dr. Goullon, is, in a certain  sense,

a  remedy for  the  rectum, as  well as a remedy for

spasmodic action;  from this arises its value, together

with Belladonna, in cases of strangulate i hernia.

   We will give  here  a personal observation, in which

Nux vom.12 acted very successfully.

   Case 36—M. X., aged  35 years, consulted me on  Dec. '12,
 1877, for a constipation of seven years standing.  This trouble,
attributed  by the local physician as  due to a state of general
debility, had been treated with repeated purgatives, together with
a tonic regimen.  Nothing had been accomplished.   My  patient
is a man of nervous temperament, lean, blonde,  somewhat pas-
sionate.  Besides the  constipation, which I suspect, notwith-
standing  the absence of personal or hereditary  antecedents, to
be in correlation with the  existence  of internal haemorrhoids,
there is dyspepsia, flatulence, tenesmus, and cardiac palpitations.
 I  advised  a  lighter regimen and prescribed Nux vom.12, in
water, a  spoonful  to  be  taken  night and  morning  for  three
 days.  After  an  interval of eight days, Sulphur80 was employed
in the same manner.  On  Dec. 26th  he returned, pleased with
 the marked amelioration which  was manifested as soon as he
began to take the Nux; the same  prescription was  repeated,
 except that the intervals between the two remedies was to lie ten
 days instead  of  eight.   On Feb. 8, 1878, M. X., came  back to
 say that he thought himself cured.   I however gave him Lyco-
 podium800, on account oi the slight persistence of intestinal flat-
 ulency.   To-day the cure is complete.—Dr. Bernard. 
HOMCEOPATHIC  TREATMENT.
83
  [Case 3j.—A gentleman had a diarrhoea, which he checked
with brandy; constipation followed, with heaviness in the abdo-
men and occasional cramping pains.  Nux vom.800, two doses,
cured.—Dr. Guernsey in Raue's Record, 1870, p. 215.]


                    OPIUM.
  Stools:  Small,  hard, blackish or discolored balls ;
Large  masses ;  Hard,  and full of small  masses;
Hard,  alternated with  liquid, frothy stools.
  Before Stool:  No desire, or with the  desire to go
to stool, there is a sensation  as though  the anus  was
closed.
  Concomitants:  Nervous and irritable; head feels
heavy  and  the thoughts are stupid.  Congestion of
blood  to the head.   Headache, vertigo, red face,
sleepiness.   Dryness of the  mouth, thirst aud want
of appetite.  Beating and sensation of heaviness in
the  abdomen   with  pressure   over the stomach.
Anxious sensation in the epigastrium [colic, with
great pressure downward upon  the  rectum and blad-
der, without any passing off of gas, faeces or urine].
Retention of urine.   Constipation  alternating with
a diarrhoea  so  painful that an  attack  of cholera
morbus might be expected.
  Generalities:  The majority of authors recommend
Opium for constipation or intestinal  obstruction,
when it is of a paralytic nature or associated with
incarcerated hernia.   It is one of the principal rem- 
84
PCMCE0PATH1C TREATMENT.
edies in lead colic; also when the constipation is the
result of pressure upon the rectum in consequence of
u gravid uterus or abdominal tumors;  and for nurs-
ing infants, aged persons, and those of a torpid or
plethoric habit.   In all these conditions there is the
absence of expulsive efforts, showing the  complete
 nactivity of the rectum.
   Espanet says that we will meet with many stub-
 lorn cases where  its employment is necessary and
where we will have to aid its action by intercurrent
doses of Nux vom., Lead, and Cantharis.
   Prost-Lacuzon recommends it for the constipation
of pregnant women, in cases where  Sepia has failed.
   Hirschell writes: Opium is indicated after a debil-
itating disease, or  where there is  a  paralysis of  the
intestines in consequence of a protracted attack of
diarrhoea, in subjects leading a  sedentary life,  and
also in robust and healthy men.
   Jahr, after describing the  indications  for Nux
vom., adds:   Ojvum is of service for this same
sensation of occlus.on  of the anus, but without the
frequent desire of  the former.
   Hartmann  recommends Opium  for the consti-
pation of children, when all the  symptoms  of Nux
vom. exist, except the fruitless efforts at stool, and,
 also, when the latter remedy has failed.
   It is  sometimes necessary to give an intercurrent
 remedy and again return to Opium. 
             HOMCEOPVTHIC  TREATMENT.          85

   [Lilienthal gives: Constipation from inactivity of

 the  rectum, but there is a want of sensibility in  the

 abdominal condition and hardly any inconvenience

 is felt from the accumulation of faeces; constipation

 of good-humored, corpulent women and children].

   Dr. Gross begins the treatment of persons suffering

 from  chronic  constipation,  and  accustomed  for a

 long time  to the  use of purgatives, by substituting

 clysters of  cold water and  at the most, a  drop

 of the tincture of Opium.   When I have succeeded,

 he  adds, in thus  breaking off the  habits of these

 patients, I administer the remedies to them  with
 perfect success.

  Case 38.—A bright little girl, 6% years of  age had been a
 sufferer from urticaria, which was aggravated whenever she ate
 a strawberry or even a strawberry pastil, but which I had cured
 with Cancer fluviatilis18.  She was now seriously affected with a
 constipation characterized by  the evacuation  of  large faecal
 masses.  On account of the distress and pain she delayed going
 to stool for as long, a time as possible, but when  it became abso-
 lutely necessary, it produced the most severe pains and caused
 her 10 cry aloud.  Opium8 removed  the entire trouble.—Dr.
 Rafmesque.

   [In Hempel and Arndt's Materia Medica we find

 three  clinical  cases  in  which  Opium  gave  relief.

 These we have condensed as follows:

  Cases 3g, 40, 41.—A young girl, 12 years of age, subject to
obstinate constipation, had every two or three days a hard, gray-
ish stool, in small balls, like  sheep-dung.  There  was  also
present, pressure over the eyes, anxiety about the heart, stitching
pains in the chest and abdomen;  she looked pale and sickly.
Repeated small  doses of Opium80 cured her.  Sulphur, Nux
vom. and Silicea had failed. 
80
HOMCEOPATHIC  TREATMENT.
  The other patients,  respectively a man of 60 years, and a
woman of 56 years of age, suffered from obstinate and long con-
tinued constipation, which purgatives and injections hardly suc-
ceeded in relieving.  The intervals between the stools would
extend from several  days to one or two weeks.  In the former
case Opium, 1st decimal trituration, and in the  latter Opium800
gave relief.

  A very interesting case, too long for insertion here,

of intestinal obstruction and faecal teusion, accom-

panied by the most severe symptoms, is given in the

Hahnemannian Monthly, vol.  x.,  p. 393,  in which

Opium30 was successful.

  For the constipation of infants with complete in-

activity and large stools, Opium200 has so far proven

an efficient remedy in our hands.

  Case 42.—While the present work was in course of preparation,
a young man, a theological student, came to me  complaining of
a constipation of five days standing.   The constipation was the
only condition complained of, and was without desire for stool.
During the first two days of  the suppression of the stool there
had been a sweetish taste in the mouth and some feeling of
malaise.  Opium4, three pills  every two hours, produced a stool
on the following day, and every day regularly from  that time.]



                PHOSPHORUS.

  Stools:   Slender, long,  dry, tough and hard, like

a dog's; Voided with  difficulty.

  During Stool: Great efforts, although the stool is

not hard ; Cutting pains in the anus, with the hard

stool.

  After Stool:  [Exceedingly painful cramps in the
rectum.] 
HOMCEOPATHIC TREATMENT.
87
   Concomitants:  Pressure at the pit of the stomach
after eating, with excessive flatulence  ;  Swelling of
the abdomen and rumbling of gas, with sensation of
weakness and emptiness in the abdomen.
   Generalities:  Intestinal inertia, says Espanet, can
in  certain cases, produce  a constipated condition,
especially when the voluntary muscles do not aid in
the act of defecation.  This constipation need not
always be a contraindication for Phosphorus;  it is
not so at least if, at the same time, there is atony of
the sexual organs.   We would mention that Espanet
includes in his article upon Phosphorus, not only the
metalloid of this name, but also the Phosphoric acid.
   [For the constipation  due to a gastric neurosis,
and when occurring in fevers and  chronic diseases
of the circulatory aud intestinal tract, with prostra-
tion of the vital forces.]

               PHYTOLACCA.
   Continued inclination  to go to stool, but passes
fetid flatus.
   Pains shooting from the anus and  lower  part  of
the rectum along the perineum to the middle of the
penis (in the middle of the night).
   Ulceration of the rectum ; fissures and prolapse of
the anus.
   Bloody discharge, with heat in the rectum, tenes-
mus and haemorrhoids. 
88         HOMCEOPATHIC TREATMENT.
  For the constipation of aged persons, or those of
very weak constitutional powers, with weak  heart's
action, intermittent  pulse,  and generally relaxed
muscular frame.


PODOPHYLLUM AND PODOPHYLLIN.
  Stools: Hard, dry, pale or clayey, and voided with
difficulty; Hard, crumble when evacuated, of a clay
color, often streaked with green; Hard stool, coated
with yellow,  tenacious mucus; Thick, transparent
mucus or mixed with blood.
  Before Stool; Tenesmus.
  During Stool: Tenesmus; Prolapse of the rectum
in consequence of efforts  at defecation, together with
a mucous discharge.
  After Stool:  Prolapsus ani; Haemorrhoids.
  Concomitants:  Fullness in the  head ; headache.
Loss of appetite ; impaired digestion.  Various gas-
tric and intestinal  manifestations.   Fetid  flatus.
Frequent urination.   Pain and weakness  in  the
back.   Exhaustion from the natural, but too fre-
quent stool.
General aggravation in the morning.
  Generalities: Infantile constipation.
   In old intermittent cases, or those due to a resi-
dence  in or return from India (in these latter cases
Cedron is, also, at times, useful). 
HOMCEOPATHIC TREATMENT.          89
  Ruddock gives:  Diarrhoea with generalized *cterus
or alternating with constipation. Constipation which
often succeeds to an attack of diarrhoea in infants
who are artificially nourished, when the stools are
hard, crumbly, clayey.
  Podophyllum is also serviceable in the constipation
with irritation,  and  when occurring in persons of
sedentary habit.
  Rego writes:  The primary effects of Podophyllum
upon the intestine   show  a  functional  exaltation
characterized by a diarrhoea variable in form, almost
always accompanied with pain in the abdomen ; and
the secondary effects  show a certain  state of atony
represented by constipation alternating nearly always
with liquid dejections or again by hard, dry stools,
expelled with difficulty.
  "By its action  on the liver," says Dr.  Hughes,
"Podophyllum  merits  the name of the vegetable
Mercury."  I do  not believe  this  generalization  is
well founded.   The bilious condition in which I have
found it useful differs very much from that calling
for  Mercury. The attempt to force by the vis a tergo,
in the case of jaundice due to obstruction,  is some-
times justifiable.  In these cases, of which an ex-
ample  is  given  by Dr. Hale,  Podophyllum, in the
dose of 3 to 10 grains of the 1st decimal trituration,
is best adapted  to produce this effect.   On  the same
principle we can give it as advised by Dr. Ringer, in 
90
HOMCEOPATHIC TREATMENT.
doses of £ to  ^ of a  grain in the constipation of
infants.
   [Hempel and  Arndt write:   The attenuations
should be used.  The practice of giving  the crude
resiuoid, in light doses, for the sake of getting an
immediate action of the bowels, is reprehensible.]
   Podophyllum30 has recently given me a most suc-
cessful result  in a case of infantile constipation with
prolapsus of the rectum.
  [Case 43— An adult patient suffering with inactivity of the
liver, complained of great  mental depression, chilliness,  cold
perspiration, restless sleep, furred tongue (showing the imprints
of the teeth), nausea, clayey, delayed stools;  fullness, tender-
ness, and stitch-like pain in region of the liver, irregular action
of heart and general prostration.  A cure was wrought with a
few doses of Podophyllum.—Dr. A. K. Hills, in N. Y. Med.
Times, vol. ix.,p. 308.]

                   PLATINA.
   Stools:  Scanty, hard, as  though burned ; In small
fragments;  Viscous;   In  a single mass; Difficult,
(clinging to the anus like clay).
   Before Stool:  Frequent  and  ineffectual  desire;
Prolonged efforts (stool in small fragments or is not
hard);   Violent pressure  in  the  rectum;  Violent
shootings  in   the  rectum  compelling  an  outcry;
Slight tenesmus.
   During Stool:  Cutting pains, burning and protru-
sion of the haemorrhoids;   Burning in the  rectum.
   After Stool:  Sensation  of  great  weakness in the 
HOMCEOPATHIC TREATMENT.
91
abdomen and chilliness; Slight tenesmus and ting-
ling in the anus;   Shooting pains in the anus with
spasmodic contractions in the thighs; Violent itch-
ing in the aims;  Chilliness about the head, breast
and arms.
   Concomitants:  Catarrhal obstruction of the nose.
Want of appetite.  Eructations  after eating.  Sensa-
tion  of cold and weakness in the  abdomen, con-
strictions, pressure from above downward, oppression
of the stomach, forcible efforts  for the emission of
gas.  [Colic in the umbilical region, running into the
back ;  pressing and bearing down in the abdomen;
the pain is excessive, causing the  patient  to turn in
all directions].  Flatulency.  Tingling tenesmus and
itching  at the  anus.  Feeling of lassitude  in the
limbs; cold feet.   Seminal emissions.  Induration
of the womb.
   Generalities:  For chronic constipation depending
upon a neurosis with spasmodic constriction  of the
intestine.   When  due  to lead  poisoning  or after
travelling; in women as a class, or when the condi-
tion is severe enough to produce  a displacement of
the uterus, also  in lying-in women ; in  sedentary
subjects, aud when there  are co-existing menstrual
troubles.
   Hartmann says:  It has often happened to me, in
rebellious cases of  constipation in which Nux vom.
did not  bring any relief,  to give Platina6 with ad- 
92
HOMCEOPATHIC TREATMENT.
vantage, especially when the evacuations took place
only after violent efforts, often necessitated manual
assistance, and were composed of small, black, hard
masses.

                 PLUMBUM.
   Stools:  Ball-shaped, hard as stone;  Small, hard
balls covered with a greasy pellicle, or they resemble
sheep-dung;  Large and  hard, and covered with a
glairy mucus;  Dark colored.
   Before Stool:  Ineffectual urging, either with or
without tenesmus;   Complete atony of the rectum;
Severe  colic-like pains with constriction or spasm of
the anus.
   During Stool:  Great effort;  Violent colic pains.
   After Stool:  Colic,  and at times diarrhceic dis-
charges.
   Concomitants:  Great depression of spirits.   Pale,
emaciated.   Anxiety and  restlessness.  Abdominal
colics ; Violent,  cutting pains;  abdomen hard and
retracted, with drawing sensation from the abdomen
to the  back; anus feels as if contracted : prolapse of
the anus.   Nausea and vomiting.  Loss of appetite,
sweet taste  in the mouth, violent  thirst.
   Generalities: Obstiuate constipation. In pregnant
women, persons of a paralytic diathesis, or when the
constipation is due to  paralysis of the  intestines.
Especially  valuable when there  is present dryness 
HOMCEOPATHIC  TREATMENT.
93
of the excretion and a muscular atony.   In many of

the cases calling for the use of this drug there is  an

absence of the intestinal mucus and bile.

   Often suitable in cases where Platina seems to  be

indicated but fails.

   It is recommended, in alternation with Opium, for

obstinate constipation in those who are otherwise in

good health;  the stools are very painful and  hard.

Also where there is general or partial paralysis with

wasting away of the tissues.

   The  acetate,  carbonate,  and  metallic  lead seem

equally effective in practice.

   Case 44.—Plumbum aceticum is the best aperient that I have
found; although a slow acting remedy, it cures promptly enough
when administered in a very small  dose.  A woman who had
suffered for  a long time with cramps in the hypogastrium, and
who had not had any stool for nineteen days (when she did have
a stool it was as hard as stone and required the greatest efforts)
took  Plumbum18 one-fourth of a grain.  Eight hours later  she
had a copious evacuation, which was hard, it is true, but without
effort.   She  had three more in twenty-four  hours, the last two
being natural; from this time the stools  remained normal.   I
had given her before, a grain ot the 6th;  four days later,  she
had had an  extremly copious stool, which was partially soft in
consistency.—Dr. Hartlaub.

    [In Hempel  and Arndt's Materia Medica we find :

   Case 43.—Constipation of several years standing.   The stools
consist of hard balls;  there is little or no pain present.  Plumb-
um, five powders, one night and morning, was given; several
months later the cure was still permanent.
   Case 46.—Even with a purgative, motions are hard and dark;
numb extremities; knife frequently  drops from his hand.  Urine
difficult,  dribbling; high-colored and fetid.  Sexual functions
weak.   Pulse quick, weak.  Plumbum carb.1—Raue's Record,
1872,-p. 151. 
94
HOMCEOPATHIC  TREATMENT.
  Case 4j.—Mrs. R., age 50.  Pale, emaciated; constipation in
spite of cathartics.  Fasces in small lumps;  abdomen large;
convolutions of intestines could be seen and felt through  the
 abdominal parites.  After eating, violent retching and vomiting
of food or mucus. Violent, spasmodic, cutting, contractive pains,
with great restlessness, anxiety, and cold sweat, would bring
lumps as large as a fist on the left of the abdomen. Plumb.5.
  Case 48.—Mrs. E., 40 years  of age. has suffered for a year
from severe card.ialgia.  Constipation, once a week a hard,
knobby stool.  Severe  colicky paroxysms with nausea and vom-
iting.  Patient atrophic and anaemic.  Taste sweet;  abdomen
compressed like a board.  Paralytic weakness of extremities;
hands and feet cold ;  lack of perspiration.  Plumbum aceticum
30,  6, 3, produced a cure in a few days.—Raue's Record, 1870,
p. 215.]


                   PSORINUM.

  If Psorinum was formerly in great vogue  among

the partisan physicians both of the  Hahnemarmian

psora and isopathy, it  is  to-day almost entirely re-

jected.   Behold in what terms Griesselicht condemns

it,  even thirty years ago:   "With the exception of

Psorinum, not a single isopathic substance has been

examined in its pure effects.   Even the attempt with

it is without any affinity and without any  utility foi

practice;  Trinks, Noack  and Muller were right not

to  insert it in their Materia Medica."

   This is not the place to discuss the  questions of

psora and isopathy.  We will not deny that, person-

ally, we have very  little confidence in Psorinum, the

  f Manuel pour servir a 1'etude critique de la med.  hom. Dr.
 Gnesseiich, trad par Schlesinger.—Rahier, Paris, 1849, pp. IO)
 et 102. 
HOMCEOPATHIC TREATMENT.          95
uniformity of which even, as a substance, does not
appear  to us to present any points for discussion.
There has  been, and  there is  still, in  our school,
physicians, well informed and of whose honesty there
is not a shadow  of a doubt, who are ready to  pre-
scribe Psorinum conscientiously.
   The clinical collections of Rueckert mentions the
employment of  this substance  in the treatment of
hernia, chancres, hydrocele, urticaria, itch, eczema,
and various affections  of the hair.  In his brief in-
dications for the treatment of constipation, Rueckert
writes  among  others the  following  lines:   "In
chronic  constipation,  especially  Lachesis,  Lycopo-
dium, Natrum mur., Veratrum ; for intestinal torpor,
Opium and Plumbum; if  it is especially due to the
rectum, Opium  and  Psorinum."
   Beauvais notes the employment of Psorinum (or
 Psoricum) in a large number of clinical observations.
 They are constipation,  chronic  exanthemata  and
 troubles  with  the intestinal tract, chronic  hepatitis,
 haemorrhoids and constitutional diseases of various
 degrees and forms.
   Ceas 49-—^ young child, 3  years of age, had already suf
 fered since birth with attacks of constipation which would last
 three or four days and were due to inactivity of the rectum; the
 stool on the third or fourth  would be very painful, and accompa-
 nied with  severe pains,  which induced  the patient to withhold
 the  effort  as much as possible.   In Oct., 1833,1 gave Sulphui *>;
 the stool was for a single time without pain and then the constipa-
 tion returned.  I gave Alumina10 which had an  effect for some
 time.  March 8,  1834,  the constipation returned in the same 
96          HCMCEOPATHIC TREATMENT.
degree; this time the Alumina gave good effects, but only till
the first part of April, when the complaints were renewed.  The
remedies given  had no effect.  I  then gave Psorinum" and
there were fourteen days of quiet; finally Opinnr* two drops in
water, a teaspoonful every two hours; but I was compelled to
return to Psorinum.  It removed the trouble, for a year has
elapsed since then and the stool is constantly in good order.—
Dr. Allher.

                PULSATILLA.
  Stools:  Large and hard ; Difficult stool although
soft; Alternation of hard and soft stools.
  Before  Stool:  Ineffectual  desire  (during  the
menses); Inactivity of the intestines.
  During Stool: Difficult  expulsion with  painful
urging and backache.
   Concomitants:  Blonde persons with lymphatic
temperament and a mild and peaceful  disposition;
or mild, cold, and phlegmatic; or taciturn or morose
with aversion to talking.  Bilious and bitter taste in
the mouth ; excess of mucus in the mouth ;  burning
in  the pharynx.   Nausea  and sour  eructations.
Drawing  tension in the abdomen; pinching in the
abdomen;  collection of gas.   During  the menses,
pressive pain  from above downward into the pelvis
and  sacrum, with  tendency  of  the  lower  limbs  to
 become numb, while  seated.  Livid  countenance,
debility and chilliness  with great fatigue.   Disposi-
tion to catarrhs of the mucous membranes.  Aggra
 '/ations from the use of fatty aliments, rancid butter 
           HOMCEOPATHIC  TREATMENT.         97

cakes,  or  after  intermittent fever suppressed by
Quinine.
  Generalities: Espanet says: Pulsatilla occupies a
secondary but excellent  rank in irritations  of  the
digestive tract with qpnstipation, the result of excess
in drinking, and  the abuse of the pleasures  of  the
senses.
   Suitable to the same conditions as Nux vom.,  but
 n those who are of a mild disposition; in women,
when they complain of chilliness.
   In chronic  constipation,  Pulsatilla  acts in  a
certain,   sense  analogous  to Sepia,  especially in
rheumatic subjects.
   Paul Landry advises Pulsatilla  for  those  women
whose  menstrual functions become  irregular  on
account of constipation (Sepia in analogous circum-
stances).
   Kallenbach has only obtained permanent effects
from this drug in the lower dilutions.

                    SEPIA.
   Stools:   Hard,  knotty,  insufficient, scanty,  like
sheep-dung;  Difficult,  covered  with mucus;  Re-
tarded, with discharge of blood.
   Before Stool: Frequent desire, but without ejecting
anything, or there is only  an emission of wind  ana
mucus. 
98
HOMCEOPATHIC TREATMENT.
  During Stool:  Pain  in  the rectum extending to
the perineum and vagina;  Shooting and tearing in
the rectum and at the anus;  Prolapse of the anus;
Sense of weight at the anus;  Terrible straining  to
pass stool covered with mucus;   Bloody discharge.
  After Stool:  Sensation  of weight at  the anus;
Burning in the rectum and anus; Haemorrhoids.
  Concomitants: Headache. Sensation of cold in the
stomach.  Pyrosis.  Nausea, often coming in parox-
ysms.  Tingling in  the rectum, with itching at the
anus; oozing of moisture from the anus.   Haemor-
rhoids.   External chilliness.  Emaciation.  Uterine
affections and leucorrhcea.  Herpetic eruptions.
  Generalities: In pregnant women, and in children
ivhere manual assistance has to be rendered, in con-
sequence of the  excessive  straining.   When  the
constipation is associated with dyspepsia and chronic
affections of the stomach.
  Jahr says that Sepia is suitable for cases of chronic
or obstinate constipation, especially after the unsuc-
cessful use of Sulphur and Nux vom., especially in
females or persons subject to rheumatism.
   [Hempel and Arndt write:  Persons of light com-
plexion, soft muscular tissue;  of a depressed, sad,
anxious state of mind, easily excited and  worried;
the  symptoms  are  aggravated in the middle of  the
forenoon, and when sitting quiet, and are  relieved
upon moving about.] 
HOMCEOPATHIC TREATMENT.
99
  Case jo.—A middle-aged woman suffered from haemorrhoids,
herpes, cramps and constipation.  No stool took place except
under the influence of a purgative.  She had been without a
faecal movement for several days, and the obstruction had caused
the abdomen to swell, and had produced still more dangerous
symptoms, such as congestion of the head, etc.  The only thing
to do was to free the bowels, and for this purpose homoeopathy
alone  furnished  the means.  But the difficulty was to avoid a
commingling of the remedies and the purgatives which she was
unable to pass.  In similar  cases I  have  always  substituted
enemata of cold  water in the place of the purgatives, and at the   |
most a drop of the tincture of Opium.  When I have thus broken
up the habit, I am able to administer the remedies with  greater
success.  But here all my efforts, directed against the  torpidity
of the intestinal canal, were failures.   The best indicated rem-
edies  such aS Nux,  Petroleum,  Alumina, Sepia, and even
Plumbum did not produce any result.  The constipation remained
unchecked, and the symptoms became so threatening that I was
about  to  counsel the  administration  of purgatives  during the
intervals.  The  enemata of soap likewise gave no relief, and I
determined to administer at the same time Sepia in  repeated
doses.  For a month the patient took every eight days a dose
(30th), then  every fifteen days, in all six doses.  A stool from
time to time gave great relief.—Dr. Gross.



                     SILICEA.

   Stools: Large,  hard  masses, light colored ;  Diffi-

cult expulsion, even of the soft stool.

   Before Stool:  [Fasces remain a long time in the

rectum  as  if it had lost the power of expulsion with

sensation of  soreness] ;  Obstruction of the bowels

from  inactivity of the  rectum, with pain and  in-

effectual desire for stool.

   During Stool: Prolonged efforts which render the

muscles of the  abdomen sore,  but when partly ex- 
100         HOMCEOPATHIC TREATMENT.
pelled the faecal matter  returns into the  rectum;
[Protruding haemorrhoids  which  become  incarcer-
ated.]
   Concomitants: Gastralgia accompanied sometimes
with  pyrosis, sometimes  with hiccough, or nausea
and glairy vomiting;  there  is heat, weight,  sensi-
tiveness, and a feeling of constriction;  flatulency,
eructations,  somnolency,  languor,  coldness  Of the
extremities,  loss of appetite, slow  and painful  di-
gestion, often  a canine  hunger  which cannot be
satisfied  [Stitches and shooting pains in the  anus;
Constipation before and after the menses.]
   Generalities:  [In  sanguine lymphatic  tempera-
ments, and when associated with chronic, scrofulous,
suppurative  diseases.  For the constipation of  badly-
nourished children, with pale, earthy face; copious
perspiration  about  the  head;  large and  hard  ab-
domen ; aversion to warm food.   Loss  of  expulsive
force with a  large but soft stool is a characteristic
condition  calling for this remedy].
   Case 31.—Mrs. J., the mother of four children, and apparently
healthy, has suffered for several months with constipation. Close
attention to a proper diet had  not relieved her.  There was
frequent urging to stool, without ability to effect  an evacuation;
the stools were large and hard, and after  having partially ex-
pelled, would recede back into the rectum.  Prescribed Silicea*.
Two hours later she had a free evacuation and has remained free
from the difficulty since then.—Dr. I. D. Johnson  in  Hempel
and Arndt's Mat. Med.
   Case32.—Mrs. H., aged 26 years and mother of three children,
states, that she has suffered from constipation since the birth of 
HOMCEOPATHIC TREATMENT.         101
her youngest child, three months ago.  She had taken the usual
cathartic medicines.   The stools  were  hard  and  dry, were
partially expelled with much straining and then receded back
into the rectum.  Silicea80, one dose each night and morning.
Cured with four doses.—Ibid.


                  STANNUM.
   Stools:  Chestnut-shaped  stools;   [Hard,  dry
knotty or insufficient;  In some  cases they may be
scanty and of a greenish  color, in other cases they
may be accompanied by vermiform shreds of mucus,
or followed  by expulsion of mucus;]  fetid  faecal
stools.
   Before Stool:  Rectum inactive.
   During Stool:  Urging even with soft stool.
   [First part of the discharge being of a natural con-
sistency, afterward it became  papescent, and lastly
thin ;  it is accompanied by a shuddering sensation
through the body from above downward,  and by a
drawing from the small  of the  back through  the
thighs. Symptom experienced by a person habitually
costive.]
   After Stool: Desire still persists.
   Concomitants :   Heat in the head.  Sickly face.
Malaise.   Colic;  fullness and  swelling  of the  ab-
domen.
  Case33.—A  young ecclesiastic was subject to a constipation
which appeared on every Monday or on the days after a fete, but
only in winter,  while for the rest of the week the stools were 
102         HOMCEOPATHIC TREATMENT.
regular.  This constipation gave rise to a sensation of fullness in
the lower part of the abdomen with swelling, malaise, great
heat in the head, ameliorated in the open air, but returning when
in the house, with ill-humor and sadness.   At  noon he felt
hungry, but no appetite in the evening.  I gave Stannum80 on
Sunday evening before going to bed.  Two doses were sufficient
for a cure.

              STAPHISAGRIA.
  M. Teste gives us the following  under this drug:
Stools frequent enough, but dry  and insufficient;
frequent desire  for stool, with constipation as from
inertia of the rectum ; slight diarrhoea alternating
with constipation ;  excoriating pain in the anus.
  Boenninghausen and Jahr place this drug among
the chief remedies for constipation.
  Hering recommends it when Mercurius has  been
insufficient for constipation accompanied with bad
taste  in the mouth, pain in the gums, irregular
appetite.

                  SULPHUR.
  Stools:  Hard, knotty, dark and dry; Insufficient;
Chestnut or olive-shaped;  Alternation of constipa-
tion and diarrhoea.
  Before  Stool:   Frequent  desire  with  ineffectual
urging; The effort  at  stool is so painful that the
patient dreads  to attempt it;   Prolapse  of the
rectum.
  During Stool: Straining and bloody discharge. 
HOMCEOPATHIC TREATMENT.        103
  After Stool: Prolapse of the rectum ; Lancinating
pains from the anus upward; Stinging, sore, burn-
ing, itching, pulsating pains in the anus.
  Concomitants:  Inability to think ;  Frequent hot
flashes and burning on the top of the head and the
soles of the feet;  Craving for food, or anorexia, with
aversion to meat and desire for sweets and alcoholic
liquors, with  the  well-known 11 a. m. aggravation.
Bloated abdomen, general malaise, nausea and eruc-
tations, incarcerated flatulence ;  pains throughout
the  abdomen, with sensitiveness to the  touch;
various dyspeptic phenomena.  Many forms of skin
disease.
  Generalities:  Serviceable  in the  beginning  of
many cases of chronic constipation, especially when
accompanied  with haemorrhoids.   Frequently indi-
cated after Nux  vom.  or to complete  a cure,  in
hypochondriacal  or haemorrhoidal subjects.  Ac-
cording to Hirschell Sulphur acts like Nux vom., in
the constipations which are even more obstinate,
when, for example,  the  constipation  depends upon
the obstruction or swelling of some organ, especially
the liver, together  with the engorgement  of  the
portal circulation.
  It is also of service in the constipation of pregnant
women and the new-born.
  Noack  recommends  Calcarea  and  Sulphur  in
alternation for chronic haemorrhoidal constipation. 
104         HOMCEOPATHIC  TREATMENT.
   As  an intercurrent remedy  Sulphur acts  some-

what similar to Opium, but it has  a much greater

value on account of the extent of its sphere of action

and the numerous morbid  forms  to which  it is

adapted.

   The following observation  is the authority for the

"accompanying vulvar pain" of Rueckert.

  Case 34.—A woman 24 years of age, confined with her first
child, now five weeks old, suffered from constipation even before
her marriage.  Four days before  her confinement she had a
stool, and a second one fourteen days after confinement;  since
then she has a stool about every five days.   Since her delivery
she has had a pain  in the rima pudenda which continues to
increase, especially when at stool; after each evacuation she has
to rest in bed an entire day on account of the pains around the
anus. The perineum was torn nearly through  to the anus, but
is at present almost completely cicatrized.  Her general condi-
tion is good.   Sulphur' was given twice  a day. At the end of
fqur days, the evacuations were less painful,  while a few days
later the cure was complete.—Dr. Kasemann.
  Case 33.—An hysterical woman  was attacked with a disease
of the liver, and after the cessation of the acute stage, the stools
were very irregular.  Having failed in the employment of several
remedies, among others Sulphur in different potencies, and even
in the tincture given several times a day, I gave Sulphur*. After
two doses, and on the second day,  a movement of the bowels
took place, which was repeated daily from that time on, while
the trouble in the hypogastric region improved in  a marked
manner.—Dr. Schmid.

   This  observation is  interesting to us, not only on

account of the choice  of the  remedy,  but especially

for the choice of  the dilution.  We are led to believe,

both from this observation  and  many others, that

we are wrong in  changing  too  easily  our remedies.

When  a remedy is  truly indicated,  that  is to say 
            HOMCEOPATHIC  TREATMENT.         105

completely  homoeopathic,  if the  first preparation
administered  does not succeed,  it would often be
better to try a lower or a higher attenuation, accord-
ing to the  nature of  the remedy, the idiosyncracy
of the patient, or a thousand circumstances, which
unfortunately in the actual state of our science can
not  always be  exposed  in a  precise and definite
manner.
  [Case 36.—The  first  part of  the stool was in  small, round
lumps, of a very dark green, almost black, color, the remaining
part of the stool softer and larger. The stool sometimes slips
back when about to escape (also Silicea).  With the stool a
bloody discharge, which is sometimes bright, at other times like
jelly, Sulphur cm.—Raue's Record, 1872, p. 151.]


                  TABACUM.
   We have already spoken of tobacco in relation
to the preventive, hygienic or accessory treatment of
constipation.   The use  of a pipe or a  cigar  very
often constitutes  in many  persons a means for pre-
venting constipation.
   Dr. De Moor has published a pathogenesis of this
medicine in which we find the following:  Desire for
stool without any evacuation.  After frequent but
ineffectual  attempts at stool, there occurs an evacu-
ation of hard matter  several hours after the regular
time.
   Dr. Ozanam in  a later work gives:  Habitual 
106         HOMCEOPATHIC TREATMENT.

constipation; paralysis of the rectum; spasm of the
anal sphincter.
  We translate, in a condensed form, several inter-
esting passages from the supplement to Rueckert:
Dr. Minnichreiter recommends tobacco and especially
nicotine, for constipation.  In a case of chronic con-
stipation with marked and painful tympanitis, after
a failure by heroic treatment,  the  patient had  re-
course to the following expedient: he smoked a large
pipe of  tobacco, and then  placed the  remaining
secretion in a cup of black coffee which he finally
drank; the patient was cured immediately and for a
long time.   Another patient, non-smoker, who suf-
fered from  chronic  constipation, having smoked a
mild cigar, was taken with diarrhoea, but was cured
by Ipecac and Nux vomica.
   [Tympanitic bloating of the abdomen; dyspnoea].


                   THUJA.
  Stools:   Hard balls;  Large, hard, coated with
blood; Hard,  thick and knotty; Hard, followed by
soft stool;  Retarded and insufficient.
   Before Stool:  Frequent urging, without colic;
Pressing and  ineffectual desire,  with  erections.
(Ignatia?)
  During Stool:  Only a small quantity of hard stool
being passed each  time, with pain in the anus as if 
           HOMCEOPATHIC TREATMENT.         107

it would fly to pieces.  Great trouble in passing the
stool, as if  the rectum had  been constricted (hard
stool followed by a soft one);  Violent pains in the
rectum  compel  a cessation of the effort at stool,
especially when haemorrhoids are present.
  After Stool: Repeated urging, without accomplish-
ing anything.
  Concomitants:  Fever.  Smarting of  the anus,
between the intervals of the  stools.  [Offensive  per-
spiration at the anus and in the perineum. Haemor-
rhoids and  fissures of the anus.  General aggravation
of the pains in the anus on motion.
  Generalities:  Obstinate constipation, from inac-
tivity or intussusception.  Constipation which seems
to be the result of organic reaction. ]

           VERATRUM   ALBUM.
  Stools: Large and hard, or first part large, latter
part smaller;  Round, black  balls.
  Before Stool:  No desire;  Desire for stool in the
epigastrium ;  Pressure toward  the anus with blind
haemorrhoids; Tenesmus.
  During Stool:  Great straining; Heat in the anus ;
Painless discharge of masses of blood in  clots, with
sinking feeling.
  After Stool: Weakness or prostration.
  Concomitants:  Heat and pains in   the  head. 
108        HOMOEOPATHIC TREATMENT.
Vomiting of food (in dyspeptics).  Colic pains.  Ab-
dominal  engorgement.   [General  depression  of
vitality, predominant coldness of  the  body;  pallor
and cold sweat on the  forehead, or  over  the whole
body, on slight emotion  or  exertion.]   Increased
flow of urine.
  Generalities:   Constipation  on account of the
inaction  of the rectum and want of peristaltic move-
ment in the other intestines.   [Digestion appears to
be well performed, and still defecation is  nearly im-
possible,  on  account  of  inertia  of  the  rectum].
Obstruction of the bowels on account of the  hard-
ness and volume of the faecal matter.  In obstinate
constipation alone, in subjects who are always hungry
but easily satiated, in hypochondriacs and maniacs,
  Ruddock recommends it for a  paralytic state of
the rectum with dryness of the intestines.
  Hartmann says:   In the constipation of infants,
when Lycopodium has ameliorated, but some traces
of the disease  still  remains,  Veratrum  alb." may
succeed.   It  is  also of  service,  like  Platina and
Lycopodium, when the peristaltic movements of the
intestines are re-established,  but the rectum still
remains  in a state  of inactivity bordering  upon
paralysis.
  Jahr  recommends  the drug  when Nux  vom.,
Opium, and Bryonia have not been able  to remove
an accidental but obstinate constipation. 
HOMCEOPATHIC  TREATMENT.          109
   Dr. Bryce (Edinburgh) does not know of a remedy

whose action  is  as prompt in  causing  stool;  no

matter how obstinate the constipation»may be, if we

give the remedy-in the evening, it is rare  that we do

not  have  a free movement of the bowels in  the

morning.

   We give herewith an observation from the Clinique

Romceop. of Beauvais, which is interesting  for various

reasons;  independent of the efficacy  of Veratrum

alb., we find in it a remarkable example of medicinal

aggravation or rather, positive effects from  infinites-

imal doses.

   Case 37.—I had  treated for some length of time a nursing
infant who was suffering from  a very obstinate  constipation,
which had  been, however, somewhat relieved by  the use of
Alumina and Sulphur.  Lately the child had been without amy
medication, and I thought it a suitable time to  give him in the
evening five drops of Veratrum.   The infant was attacked with
vomiting in the night, and from that time  the stool was more
regular for several days.   At this time I again repeated the dose
when the result was the same.  Later I again gave, for the third
time, the same dose of Veratrum in the evening.   He was again
seized in the night with a severe diarrhoea, which  ceased, how-
ever, on the next morning, but after this the  stools  were regular
for a long time.   It seems clear to me that the remedy cured
him, by producing its primitive effects.—Dr. Elwert.
   Case 38.—A gentleman suffered for a long time in consequence
of the presence  of  an eruptive  disease which covered a great
part  of the  surface of the body.  He  complained at the same
time of symptoms of dyspepsia, such as, eructations which were
bitter and sour, fullness of the stomach and bowels after eating,
with pain in the region of the liver and marked constipation.  I
prescribed Veratrum for  the cutaneous trouble, and it was re-
moved ;  at the same time the gastric symptoms improved and the
constipation disappeared; two months later, without taking  a
purgative (which he had formerly taken at least once a week ), 
110         HOMCEOPATHIC TREATMENT.
he assured me that he was in the enjoyment of a state of health
which he had not known for many years.—Dr. Broaches.

                   ZINCUM.
  Stools:  Dry,  hard, insufficient,  difficult;  Dry,
brittle, granulous ; Large, formed  stool.
  Before Stool:  Frequent and ineffectual desire for
stool.
  During Stool:   Prolonged desire,  which  is only
satisfied after great efforts, although the materials
are soft;  Emission of prostatic  liquid ;  Slight dis-
charge  of blood  (with hard  stool);  Pressure and
clawing in the anus ;  Painful evacuation (dry, sandy
stools).
  After Stool:  Continued desire;   Violent bearing
down in the abdomen, relieved by  passage  of  flatus
up or down.
  Concomitants:   Coated tongue or sometimes red,
with projecting papillae.  Dry mouth; sweetish taste
in the  mouth;  degeneration of  the gums, with
aphthae.  Red face during the act of digestion.  Sour
eructations ;  burning in the stomach ;  vomiting of
mucus and bile;  chronic vomiting of food with  but
little effort;  flatulent colic, with  emissions of hot,
fetid  flatulence.   Intercurrent  fever;  accelerated
pulse ; skin dry.   Difficult respiration.   Rheumatic
pains in the back and extremities.
  Generalities:  Hirschell calls attention to Zincuni 
HOMCEOPATHIC TREATMENT.        11 1
when thfi constipation is the effect of a spasmodic
au;jion of the intestines.
  Zincuni has been recommended for hypochondriasis
and  chronic  gastritis, and in the beginning and for
the results of constipation.
  Hartmann recommends it for the constipation of
the new-born, while Jahr places it in the second rank
for constipation in general.
  Espanet says:  Zincum is serviceable  for certain
venous  congestions of the abdomen, with varices,
constipation,  and symptoms of gastritis or chronic
enteritis,  hypochondria,  nervousness and  extreme
mental susceptibility.
  Bcenninghausen writes:  Wine, Nux  vom.  (and
Chamomilla) increase the pains produced by^incum,
especially the night restlessness  and constipation,
and provoke their appearance.


           OTHER   REMEDIES.
  We do not  claim  to  have studied here all the
homoeopathic remedies suitable for constipation. We
know that in each one of the  remedies of which we
have  sketched  the  special  indications, many omis-
sions, more or less important, will be found. Forced
to sail between the two rocks which  rise up fatally
before a work like ours—barren dryness  or tiresome
prolixity—we have nevertheless pursued one  aim. 
112         HOMCEOPATHIC TREATMENT.
that of making a useful and practical work.   Thus
we have given our principal attention to those rem-
edies which are in every day use.
  AVe will, however, mention a few  more medica-
ments or therapeutic agents.
  Paraffine.—This substance,  according to  Littre
and Robin, is a carburet of hydrogen (C"HB0), white,
crystalline, hard, of a  fatty nature, and is obtaine 1
from the products  of distillation of the vegetable tar.
  Wahle  places Paraffine above  Nux vom.  in the
treatment of constipation.
  Aconite.—This medicine, according to the views
of all the authors, corresponds to  the constipation
which is accompanied with fever.   The constipation
which is associated with enteritis, says Hahnemann,
does not  contraindicate the  use of Aconite,  nor on
the  other hand is it  an indication for it, since the
constipation itself  disappears with the inflammatory
symptoms, without the necessity of using injections.
   [Hempel and Arndt:  Among the  symptoms  of
Aconite we find " hard stool passed with hard press-
ing" and  as a curative effect "retention of stool in
acute affections."
  Aconite is of especial  value, when  constipation
occurs as  a symptom of some catarrhal or rheumatic
fever, or upon some liver difficulty to which this drug
i» homoeopathic.
  Lase jg.—We were once called to a case, where a 
HOMCEOPATHIC  TREATMENT.         113
had a  common rheumatic  fever, had  taken a  whole lot of
cathartics and drastics for the purpose of procuring stool. These
drugs  had  remained inoperative.   We  found the  bowels
enormously distended and utterly torpid; not the remotest dis-
position to have a discharge.  A single dose of Aconite excited
peristaltic motion and procured complete relief, besides inducing
copious perspiration and effecting a perfect cure of the fever.
  Case 60.—Under the old-school treatment of acute rheumatic
fever, the bowels are very apt to remain torpid.   We once cured
a constipation of this kind, where the patient, a lady of seventy-
five years, had not  had a passage from the bowels for twenty-one
days.   A single drop of Aconite, 15th potency, was sufficient to
move them; she discharged  a hard, dry substance, which looked
like burnt peat.  The bowels  remained regular  after this one
evacuation.   The character  of such  a black looking discharge
corresponds with the following Aconite symptom: "Discharge
of black, fetid, faecal matter, which may be either soft, diarrhceic,
or hard and burnt like coal."
   In some forms of  spinal irritation, when that por-

tion of the column which supplies nerves to the liver,

is the seat  of the trouble, the  bowels are  very torpid,

and what  passes the bowels  looks dark and burnt

like coal.  Aconite  is  the  remedy for this sort of

torpor.]

   Leptandra Virginica.—This remedy, although cor-

responding rather  to  diarrhoea than constipation,

exercises a specific action upon the liver, and  may

be  useful in  certain  forms of  constipation, still  ill-

defiied, which  depend  upon hepatic disorders.

   China.—Prominently  indicated  by Jahr  in  his

Repertory for the constipation resulting  from inac-

tivity  of the  intestines.

   [In  Hempel  and  Arndt we find :  The secondary

effect   (organic  reaction) of  small  doses  of China 
114        HOMCEOPATHIC TREATMENT.
seems to be to bind the bowels;  this costiveness 7?
accompanied with vascular erethism, flushed face,
fullness in the head, headache, palpitation  of the
heart.   The Chininum sulphuricum gives the same
effects.
  Raue gives : Large accumulation of faeces  in the
intestines, with dizziness  and  heat in the  head;
difficult stool even when soft.]
  Cantharis, According to Bcenninghausen and Jahr,
this remedy merits consideration among those indi-
cated in general for constipation.
  Kreosotum.—This is placed, by Jahr, in the same
line as Cantharis, that is to say in the second rank.
[Stool hard, dark and dry (much like that of Bry-
onia),  and  expelled  only after   much   pressing;
stitches in the rectum, extending  toward the left
groin.   Children  struggle  and scream during the
act of defecation and seem as if they would go into
fits.]
  Secale.—Recommended  by Hirschell in  the para-
lytic form of constipation  (after Opium, and in the
same rank as Phosphorous and Rhus).
  Jatropha curcas.—Apis and  Cepa occupy together
the third rank in Jahr's Repertory.  Roth (Gazette
Hoiiueo]).) emphasizes the condition of constipation
in the pathogenesis  of Jatropha.
  [Apis:  Large,  hard, difficult  stools;  stinging
pains and sensation in abdomen as from  something 
HOMCEOPATHIC  TREATMENT.
115
tight, which would break if much effort is used.]
  Arnica.—Suitable for constipation in consequence
of contusions or from  cerebral origin.
  [Dr. Charge has seen an accidental  constipation,
due to a violent blow  upon the abdomen, disappear
promptly under  the  use of Arnica.—Le  Trauma-
tisme, par Bernard, p. 9.
  Case 61.—A woman subject to very obstinate attacks of con-
stipation, often felt a  peculiar benumbing sensation in the in-
testines, which she attributed to the presence of hardened faecal
matter.  She was relieved by Arnica.—Ibid, p. 10.]
  Gelsemium sempervirens.—A paralyzing remedy,
according to Imbert-Gourheyre, and hence of assist-
ance in paralysis,  and  may merit one day, when it
will  be better  known, an important place in the
treatment of constipation.
  We call attention for the present  to the following
symptom  by  Hale:  Tardy stools, leaving a sensa-
tion  as if there  still  remained  something behind,
with a feeling of  abdominal fullness.
  Menyanthes trifoliata.—Rucco says:  Constipation
yields most often to the  action  of the globules of
Menyanthes, Bryonia, Nux vom., Veratrum alb., and
Staphysagria;  remedies which we  administer suc-
cessively,  the  one  after  the  previous   one has
terminated its course of action.
  Aurum muriaticum,  according to Dr. Kallenbach,
of Berlin, is the most suitable  remedy  for habitual 
116        HOMCEOPATHIC TREATMENT.
constipation due to atony  of the intestinal canal.
He gives it also for haemorrhoidal constipation.
   [Lilienthal:  Hard, knotty and large stools ; cos^
tiveness worse during the menses; piles with rectal
catarrh.]
   Prunus  padus, according to the same  author, is
analogous to Aurum muriaticum.
   Arsenicum.—We must not forget to mention this
remedy, since, as Kallenbach says, it is the principal
remedy against enteritis and typhus abdominalis,
and exerts its influence upon the mucous membrane
of the intestinal canal where there is a tendency to
destruction of tissue due to local irritation, and can
cure  even in  the  beginning of the  destruction.
Arsenic is indicated when the symptoms of irritation
of the mucous membrane of the stomach and small
intestines  are very  marked  and announces the tran-
sition to chronic inflammation.
   [When  there is torpor of the liver;  the faeces have
a  dark, brown, greenish or  blackish  appearance.
The  abdomen  may feel hard and distendel, with a
feeling of warmth, aching and sore  pain in  the
bowels, exceedingly dry skin, with entire absence of
all cutaneous exhalation, scanty, deep-colored and
offensively smelling urine, dullness about the head,
sallow complexion, feeling of languor and  hypo-
chondriac depression of mind.]
   Ammonium carb. and muriat.—These may be use- 
HOMCEOPATHIC TREATMENT.        117
ful under certain circumstances;  the latter in cas:s
of induration of the  mucous  membrane leading to
intestinal narrowing (Kallenbach).
   [Ammonium  mur.:  Hard stools,  crumbling to
pieces  when evacuated,  requiring  great efforts to
expel them, followed  by  soft  stools;  the faeces
covered with a tough, glairy mucus, and are accom-
panied by a discharge of a quantity of mucus.]
   We would also mention Colocynth, Rhus,  Stra-
monium, Helleborus (in  the  forms associated with
the rheumatic  diathesis),  Hyoscyamus, Digitalis;
Verbascum  especially mentioned in the Manual of
Bcenninghausen, for constipation on account of the
hardness of the excrements.
   Calcarea  acetica.—Dr. Willmar Schwabe recalls
the fact that Hahnemann recommends this remedy
as a specific in constipation;  it is especially adapted
for constipation with concomitant intestinal catarrh,
when the abdomen is bloated and painful, the pains
being relieved by the emission of gas and faeces, also
when diarrhoea  succeeds the constipation.
   Cod-Liver Oil.—According to Dr. Osberghaus this
often cures obstinate constipation  in  young people
and in the aged.
   Hale  gives:  Constipation with  burning of the
hands and feet, sometimes cold feet.
   Raphanus sativus,  according  to Dr. Nusser, has
the characteristic symptom:  "No omission of gas 
118        HOMCEOPATHIC  TREATMENT.
upward or downward," and this author recommends
rather strong doses in the case of constipation, when
the other symptoms indicate it, such as bloating  of
the abdomen, absence of gases, prompt satiety when
eating, and when the result of a sedentary life.
   Aesculus glabra.—External haemorrhoidal tumors
of a dark purple color, with constipation and vertigo;
weakness of the sacrum and the lower limbs.  Hard,
knotty stools.
   Asclepias Syriaca.—Constipation is  cured  by its
use in doses of  ten to thirty drops  of  the tincture,
three times a day.  Constipation, pain in right side,
lower extremities, and loss of appetite.
   Carbon bisulphide.—This is said to cure constipa-
tion with discharges of gas of an acid odor.
   Roth already notes in the  Gazette  Homceop.,  of
Paris, the following symptom in connection with this
remedy: Difficult stool, soft and not very abundant
as if from inactivity of the rectum.
   Jousset, in VArt Medical  (vol. iv., p. 89), mentions
the hard stools, rounded or nut-shaped, black, pre-
senting sometimes the odor of the drug.
   Bromide of Potash.—Obstinate  constipation has
been  often  cured, without expecting  it, whilst the
remedy was given in a continuous  manner for other
disordys.   I am  not able, adds Hale,  to point out
the mode of curative action in similar cases, but the
fact is none the less worthy of mention. 
HOMCEOPATHIC TREATMENT.        119
   Calabar.—This drug, according to an old-school
physician, has cured an obstinate constipation.
   Gallic acid.—This remedy ought to be consulted
in constipation with persistent pyrosis.
   Guarsea.—Mentioned by Hale for chronic consti-
pation,  [and  for  constipation  occurring  during
dentition].
   Ptelea trifoliata.—Hale mentions the following
symptom as verified by clinical experience: " Chronic
gastritis;  continued  feeling  of  erosion, heat  and
burning in the stomach with vomiting of the ingesta,
constipation and fever in the afternoon."
   [Agaricus mus.—When occurring in drunkards or
those suffering from enlargement of the liver, due
to abuse of alcoholic  stimulants.   Alternation of
constipation and diarrhoea.   Faeces are hard  and
dry,  their passage through the rectum causes a pain-
ful soreness of the lining membrane  and invites a
spasmodic retraction of the anus.
   Anacardium.—Frequent tenesmus for many days,
without being able to pass anything; great, urgent
desire for stool,  but on  sitting  down, the desire
immediately passes  off without an evacuation ; the
rectum  seems to be powerless, with a sensation as if
plugged up; frequent,  profuse bleeding at the  anus
when at stool.   Painful twisting and turning in the
intestines across the abdomen.
  Asafoetida.—Obstinate constipation, with abdomi- 
120        HOMCEOPATHIC  TREATMENT.
nal and haemorrhoidal cramps; constant, ineffectual
urging  to  stool, with violent pressing  toward the
rectum, and discharge of offensive flatus ; only slime
passes, no faeces.
   Ferrum  acet.—Chronic constipation,  with  inef-
fectual urging, with anaemic symptoms ;  flushed head
and face with  cold hands and feet;  straining for
stool  all day;  sick at the stomach;  disagreeable
taste, worse drinking cold water.
   Geranium  mac.—Dr. E. C. Beckwith has  found
this remedy  useful for such  cases  particularly, as
occur  in weak, debilitated  patients  during  the
attack of other diseases; and  to all that  class of
cases  that are  suffering from  habitual constipation
arising  from weakness of  the parts, rather  than
organic disease.
   Magnesia  carb.—Frequent, ineffectual urging to
stool, with small stool, or only discharge  of flatu-
lence ; stitches  in the  anus and rectum, with fruitless
desire for stool.
   Natrum  carb.—Insufficient stool, with tenesmus,
followed by burning  in the eyes  and urethra, with
great sexual  excitement.
   Natrum sulph.—Hard,  knotty stools screaked with
blood, preceded and accompanied by smarting at the
anus;  difficult expulsion of soft stool;  emission of
fetid flatus in large quantities."
   Prunus spin—Hard stool, intermittent stool, look- 
HOMCEOPATHIC  TREATMENT.        121
ing like the excrement of dogs, in small lumps, with
stitches in the rectum, extorting cries.
   Ratanhia—Urging sensation in the small of the
back, as if there would  be stool; hard stool with
straining; sudden stitches in the anus; fissures of
the anus.
   Ruta.—Scanty,  bard  stool;  frequent urging to
stool, with  protrusion of the rectum, also during
stool; the rectum protrudes when stooping ever so
little, and especially when squatting;  a considerable
quantity of flatulence is emitted whenever the urging
takes place.
   Sabadilla.—Violent urging to stool,  with noise
like the croaking of frogs'; necessity of sitting a long
wrhile, then passes an immense quantity of flatulence,
which is followed by an enormous evacuation,  and
after  that, a burning pain in the abdomen.
   Sarsaparilla.—Obstinate constipation, with violent
urging to urinate ;  urging to stool, with contractions
of the intestines, and excessive pressure from  above
downward, as if the  bowels would be pressed out;
during  stool violent tearing  and cutting in  the
rectum;  afterward a repetition of the  same symp-
toms.
   Selenium.—Stools so  hard  and impacted that  it
must be  removed  by mechanical aid; the  faeces
contain threads  of fecal matter, like hair.
   Sulphuric acid.—Hard stool, consisting of small, 
122         HOMCEOPATHIC  TREATMENT.
black lumps mixed with blood, and with such violent
pricking in the anus that she has to rise on account
of the pain;  climacteric age;  constant flushes  of
heat; tremulous sensation in the whole body with-
out trembling.]

                ELECTRICITY.
   This is also a valuable agent, and can be utilized
with benefit in the treatment of constipation.
   Electro-magnetism,  says Dr.  Marcy, ought not
only to second the action of remedies, but  may take
their place in the  treatment  of  habitual and obsti-
nate constipation.
  Case 62.—A  man 30 years of age, small, nervous tempera-
ment, corpulent, hypochondriac, suffered with a chronic constipa-
tion, vertigo, cerebral congestion,  cephalalgia,  and an exan-
thematous eruption upon the skin.  Old-school treatment and
Carlsbad waters had proven unavailing.  There was a stool only
every eight days.   Electricity applied to the abdomen by means
of the Leyden cell, a quarter ot an hour  or more, every day,
produced a complete cure in a few weeks.—Dr.  Altschul.
   We have thought it best to translate  this observa-
tion  both on account of the simplicity of the method
of application and the evident result obtained.
   We  know that electro-therapie  has made  great
progress since that time, principally in the direction
of the apparatus  and the modus faciendi.   Among
our homoeopathic confreres who have contributed to
the perfection of the  application,  Drs. Perry and
Pitet, of Paris, deserve special mention.  We would 
HOMCEOPATHIC  TREATMENT.         123
also mention Dr. Frestier, of Lyon, who has expressed
some  ingenious ideas, but which  are  open to dis-
cussion.
  In America, Drs. Tooker, of Chicago, Murphy, of
New Orleans,  and especially  John Butler, of New
York, conclude that electricity enters into the great
homoeopathic law, through the affinity of  indicated
physiological effects.  Experience has taught at the
same time that in order to obtain a curative  effect,
it is necessary  to weaken,  dilute in  a certain  sense,
the dose of the agent employed.
  We have a natural transition—from electricity to
mineral waters of which we shall speak later—in the
work  published by  M. L'Herbier, under the  title
"Medical Static Electricity and Its Special Applica-
tion to the  Mineral Waters  of Vals and Neyrac,
According to the Method of Prof. C. Bockensteiner."
Among the  affections happily  combatted by this
electro-mineral medication, the author ranges in the
first rank faecal stasis or chronic musculo-intestinal
paralysis, preceding immediately the inflammatory or
nervous irritation of  the transverse colon  and  pro-
ducing  an obstinate constipation.   Many examples
are given in  point,  but we will select the shortest
  Case 63.—C. J., a silk-handkerchief printer, aged 51 years,
bilious-sanguine temperament, but with a  constitution  already
undermined by the abuse of both work and pleasures, had a
constipation  of nine years duration; it disappeared after the
third electric bath.—Dr. L'Herbier. 
124        HOMCEOPATHIC TREATMENT.

           MINERAL   WATERS.
  Among  the  mineral  waters  which  have  been
studied  and administered homoeopathic ally accord-
ing to the  comparison of the known physiological
effects with tried similar therapeutic effects, we will
mention three, those of Teplitz,  Lippspringe  and
Carlsbad.
  The following pathogenetic symptoms  are  attrib-
uted to the Teplitz waters by Dr. Perutz:  Constipa-
tion with pain in the kidneys aud a sensation  of
weight in the extremities.   Frequent desire for stool,
but without result.   Constipation  for several days,
accompanied with  nausea.   Hard  stool with  an
escape of bright, red blood.
  Dr. Bolle notes the following physiological effects
as belonging to the mineral  waters of Lippspringe:
Constipation.   Burning at  the  anus.  No stre gtli
to force an evacuation.   Vain desire for stool with
pains as though diarrhoea  was present.   The water
is recommended by  Dr.  Bolle for old and stubborn
cases of constipation, especially in hypochondriac  or
plethoric subjects.
  Carlsbad has been the subject of a very interesting
monograph by Dr. Porges.    We give a few  of  the
reliable  symptoms obtained:  Tension and shootings
in the anus, extending toward the back and the loins
with the sensation of a plug in the rectum.  Sweat 
HOMCEOPATHIC  TREATMENT.        125
about the perineum with severe itching and sensation
of weight at the anus.  Frequent itching at the anus,
the patients scratch  and  tear  the parts.   Many
patients experience a pain like  an electric shock in
the rectum and anus ;  sometimes extends even to the
penis; it is  also accompanied by  a  desire to go to
stool,  but without result.   Tendency  to haemorrhoids.
The stools frequently passed only with great  efforts,
in fragments and under the form of  indurated balls.
Constipation for several days, notwithstanding great
disturbances in the intestines and a violent tenesmus ;
continued effort for a stool brings finally some hard
and dry fragments, but in return  the emission of
urine  is very free.   We often see the constipation of
one day, followed by a semi-liquid evacuation on the
next.
   Dr. Porges also says in  relation to constipation:
   "We would  call  attention especially to the  fact
that venous predominance in the abdomen, diseases
of  the liver and vena-porta, the  vitiated  quality or
insufficiency of the bile, atony  and relaxation of the
intestinal canal, the  various  irritations  of  the in-
testines from gouty or other products, may occasion
constipation as well as a diarrhoea.
   "Let us speak first of the condition in  which the
residue of  the  digestion  remains two, three,  and
sometimes eight days in the intestinal canal,  without
being retained by any mechanical  obstruction, and 
126         HOMOEOPATHIC TREATMENT.
which  occasions headache, heat of the face, loss of
appetite, sensation of oppression, and also of fulness
and weight in the hypogastrium, aud more often still
in the  lumbar  region, bad  humor and  restlessness
(hysterics).   The pathological conditions of  this
affection reside, either in the weakened intestinal
mucous  membrane,  torpidity  (in  consequence of
intestinal catarrhs, abuse of medicines or from the
prolonged detention of fecal matter) ; or the cause
lies in the torpor and want of energy of the muscular
tunics, which appears in the cas.s of the diminution
of the  vena-portal circulation (haemorrhoids) or in
the blood dyscrasia  (icterus) and in lead poisoning;
it may also be observed in consequence  of the too
abundant development of gas or of fatty materials,
and in cases of derangement  or suppression of the
cerebral circulation as in apoplexy.  A sedentary or
inactive  life, an  indigested  nourishment, with too
little  liquid, are the near  causes.   In ameliorating
or removing these principal  conditions, our waters
relieve the constipation; but it is  very often neces-
sary under these circumstances to  renew the treat-
ment two or three times."
   Rational hydrotherapy and massage either singly
or together with some of the means indicated in this
work,  have  rendered services  which it would be
unjust to pass  in  silence.   They  are  especially ser-
viceable in the torpid forms.   Ruddock recommends 
HOMCEOPATHIC TREATMENT.         127
compresses of cold water applied to the abdomen,
when the general health of the subject permits. Dry
or moist  friction  along the  vertebral  column  are
considered by many practitioners  as  not unworthy
of the claim of an auxiliary.


     CONCLUSIONS   AND   RESUME.
   Various classifications have been made by different
authors on the subject of  constipation.   We find in
the Compendium the following:
   1.  Constipation resulting  from the presence of
foreign bodies obstructing the intestinal canal.
   2.  Constipation from structural lesions of the in-
testine, which  may either diminish  the  calibre or
furnish a cavity for the collection of the fecal matters.
   3.  Constipation from  compression, strangulation
or invagination  of the intestine.
   4.  Constipation from absence of a faecal  residue.
   5.  Constipation resulting from excessive contrac-
tility of certain  portions of the intestinal tube.
   6.  Constipation  from inertia  of the intestinal
membranes.
   7.  Constipation from alteration of the products of
exhalation aud secretion which are thrown upon the
surface of the intestinal tube.
   M. Villemin divides this condition into five divi-
sions. 
128         HOMCEOPATHIC TREATMENT.
  1.  Constipation  from  anaesthesia of the  rectal
mucous membrane;
  2. From muscular paralysis;
  3. From muscular spasm ;
  4. From induration of the stools;
  5. From mechanical obstruction.
  According to M. Martineau, constipation may be
the consequence:
  1. Of a trouble arising in the contractile tissue of
the intestine or in the abdominal mucles ;
  2. Of an alteration iu the secretions of  the intes-
tines themselves or of the glands connected with the
intestinal tract;
  3. Finally of a mechanical obstruction to the free
course of the faecal matter.
  Kallenbach  indicates as immediate causes of the
constipation, the following pathological states:
  1. Atony of the intestinal canal, especially of the
lower portion;
  2. An irritative state of the intestinal canal, due
to nervous troubles, or rheumatic  and inflammatory
irritation;
  3. Haemorrhoids;
  4. Organic diseases of the liver ;
  5. Stenosis and disorganization in the  intestinal
canal.
  Noack gives:
  1. Inertia of the intestines ; 
HOMCEOPATHIC TREATMENT.         129
  2.  Alteration of the intestinal mucous  secretion;
  3.  Contraction of the muscular fibres;
  4.  Irritation or congestion of the intestine;
  5.  Haemorrhoids.
  We will not discuss here the merits or  defects of
these various classifications.   It is a question of very
complex pathogenesis and  we do not believe  it is
possible to establish  a classification  so exact as to
defy  all criticism.
  We have provisionally adopted the following class-
ification :
   1. Idiopathic;
   2. Irritative or sub-inflammatory;
   3. Spasmodic or constrictive ;
   4. Paralytical;
   5. From diminution of  the intestinal mucus;
   6. Mechanical obstruction;
   7. Haemorrhoidal;
   8. Hepatic;
   9. Uterine;
   10. Infantile.
   We know that this classification is  no more ex-
empt from omissions and imperfections than many
of the  others;  but it  seems to us  to include the
greater  number of the facts of ordinary practice, and
it also  allows of  the grouping, in  a  more certain
method, of  the  characteristic indications  of the
principal remedies of our school. 
130        HOMCEOPATHIC  TREATMENT.
                  1. Idiopathic.
  Many authors absolutely deny theexisteuce of this
form  of  constipation.    Although  admitting  the
difficulty  of  establishing ex cathedra the  clinical
reality of this division, yet we believe it can be  ad-
mitted by analogy.   However that may be, we range
in this category the cases, numerous enough, of con-
stipation, the pathogenetic origin of which is either
not appreciable, or is obscure, and which cannot be
better classified in the other sections.
  Two  important  remedies dispute  here the  pre-
eminence :  Nux vomica aud Hydrastis canadensis.
It is difficult to draw the differential  indications of
these two  substances.   We  believe,  however, that
Nux vomica ought to be employed in those subjects
who are still vigorous, while that Hydrastis suits
rather those persons who are  debilitated and  en-
feebled, with a sickly appearance, or when there are
active, persistent pains  in the  whole extent of  the
intestinal tract and at the same time  fainting after
each evacuation.   It seems to us, moreover, that we
can   imitate here  the  method  recommended  by
Hahnemann for all chronic diseases  and especially
advised  for chronic constipation  by Dr. Hughes:
that is to say, to commence the treatment by one or
more doses of Sulphur.
  In case of failure by these medicines, recourse may
be had to Plumbum or Opium, either singly or in 
            HOMCEOPATHIC TREATMENT.        131
alternation.  We prefer Opium if there is an entire
absence of desire for stool;  when the evacuations
are of an enormous size, black and rounded ; when
constipation alternates with a very painful, choleraic
form of diarrhoea;  if there is a feeling of occlusion
of the  anus;  if anorexia, weight in the stomach and
retention of urine are present; principally in cases
of lpad poisoning or in aged persons, and those  of
lymphatic or even plethoric constitutions.
   Plumbum is rather to be chosen  if the obstinate
constipation, with  or  without  tenesmus, is accom-
panied with  intense colic, nausea and vomiting, if
the abdomen  is hard and  retracted,  if the  stools
instead of being large, are composed of small, dark
balls, sometimes enveloped in a light, greasy pellicle.
   Other  medicines may have to be consulted and
notably:   Bryonia, Lachesis, Lycopodium, Iris vers.,
etc.

        2. Irritative or Sub-Inflammatory.
   This form of constipation is often the consequence
of sub-acute or chronic inflammatory diseases  of the
intestines.   It  sometimes  follows typhoid  fever,
catarrhal and rheumatic fevers.   The abuse of pur-
gatives, too much animal  food, the abuse of alcohol
and spices seem  to singularly favor its evolution.
   The best treatment for  this form is  Bryonia and
Nux vomica alternated, together with an intercurrent 
132        FCMCEOPATHIC TREATMENT.
dose of  Sulphur.  Bryonia  is especially useful in
summer, in acute cases, during an attack of rheu-
matism or disease of  the  liver, when gastric  symp-
toms are present, congestion of blood  to the head
and chest with dyspnoea  and chilliness, principally
in choleraic subjects or those of sedentary habits.
   Belladonna,  Opium and  Plumbum  may  be  of
service in acute cases.   Mercurius and Podophyllum
are sometimes called  for in special cases.

           3.  Spasmodic or Constrictive.
   The  spasmodic  action of the  sphincters  which
opposes itself to the evacuation of the effete materials
and perhaps also the spasm of the expulsive muscles,
says Villcmin, promotes the retention of stercorace-
ous matters and causes constipation from muscular
spasm.   It is besides  impossible to call in question
the existence of this form of constipation when we
have  read,  in  Boyer, for example,  the history of
fissures of the  anus.   This  variety of  constipation
occurs especially  in hysteria, hypochondria, chorea
and as a general  thing in all neuropathic subjects.
   In  the great majority  of  cases it will be well to
begin the treatment with  Nux vom.  and Sulphur,
either in succession or alternately.
   If there  are  involuntary  and  at  times  periodic
contractions of the anus  with  shooting pains deep
in the anus, tenesmus either before or after an evac- 
           HOMCEOPATHIC  TREATMENT.        133

u at ion, and also prolapse of the rectum or fissure of
the anus (Sedum acre), Ignatia is  to  be preferred.
A  sensation of crawling and itching in the rectum,
as of worms,  a dull pain in the rectum as if distended
by gas, the etiological influences of a cold or carriage
riding, and the complication of neuroses with  or
without  spasms, characterize  the  indications  for
Ignatia.
   If there exists every evening before  going to bed
a formicant tenesmus, and a violent pressure in the
rectum without any evacuation, Platina is of service.
   For pain and a paralytic sensation in the lumbar
region spreading to the hips with aggravation  on
motion; if after the stool there arise marked sensa-
tions  of constriction,  prolapsus, fullness, dryness,
itching  and  tenesmus, Aesculus.   Hale compares
Aesculus  and Nux  vom.:  they have  in common,
hard, knotty and dry stools,  and differentially,  a
whLe color for Aesculus, and a blackish-brown for
Nux vom.
   For urging  desire and fruitless efforts  at  stool
accompanied with erections, or when there is severe
pain in  the anus during  an evacuation, Thuja.
   The tenesmus and also prolapse of the rectum
are within the sphere of action of Mercurius  and
Podophyllum.
   Calcarea  carb., Carbo veg., Magnesia mur.  and
Zincum, may at times be consulted with benefit. 
134         HOMCEOPATHIC TREATMENT.
                   4.  Paralytic.
  If the motility of the muscles of the intestine and
the walls of the abdomen is weakened or exhausted
in its excito-motory source, the stasis of the faecal
matters is the necessary consequence of the power-
lessness of the expulsive forces, and we  have then
constipation from muscular paralysis.  This  is un-
doubtedly one of the most frequent forms met with
in practice.   It  appears especially in subjects of an
advanced  age, women, infants, persons who lead a
sedentary  life, or who live on an insufficient or innu-
tritious diet, in the period of convalescence  of those
diseases accompanied by great debility, in chlorotic
women and large eaters;  it also forms a complication
in the greater number of the affections of the nerve
centers, and is present in paraplegia and  many cases
of metallic poisoning.  Opium and lead, of which we
have already spoken in  connection with  idiopathic
constipation occupy here an important place.  They
will  have  to be employed often, either separately or
alternately and according to the indications already
given.
  Nux vom.  and Sulphur will be often useful on
indications already  given, and which will be  found
more fully given under haemorrhoidal constipation.
  Lycopodium should be thought of when the stools
are  semi-solid, semi-liquid, when  there  is  a  large
collection  of  flatulency,  acidity or  irresistible som- 
HOMCEOPATHIC TREATMENT.         135
nolency after eating, red sediment in the urine with
severe dorsal pains preceding its emission, or accom-
panied with cutting, burning pains  in  the urethra;
also if there is  paleness  of  the tissues, moroseness,
depression of spirits, syncope; ringing of the ears
during  stool;  in onanists;  if  fatty degeneration of
the liver is present.
  Natrum mur. will be indicated if there are fissures,
throbbings, tearing and burning pains in the rectum ;
if there is a pressing down pain from the umbilicus
to the  pelvis,  or  a  sensation  of  weight across the
pelvis and bladder,  aggravated when  walking, and
compelling the patient to sit bent forward; if there
coexists gastralgia, pyrosis, acrid risings, a feeling of
painful  dryness in the mouth,  and  superficial  ulcer-
ations of the tongue; irritability and chronic dryness
of the mucous  membranes or a tendency to catarrhal
affections ; a disposition to cutaneous eruptions from
a chill (eczema, acne, etc.);  when there are diurnal
sweatings; if the mental despondency is in ratio with
the degree of severity of the constipation  ;  sensitive-
ness to  cold  and emaciation;  engorgements  of the
liver and  spleen, as  well as fatty degeneration and
valvular lesions of the heart, will be additional reasons
for calling attention to this remedy.
  Kali  carb. when, beside the special inactivity of
the rectum, there is inertia of the abdominal muscles,
as for  example,  in  females who  have had several 
136         HOMCEOPATHIC TREATMENT.
abortions or numerous and painful labors; contrary
to that which happens under Natrum mur. the sweats
are  nocturnal.  The coexistence of cardiac palpita-
tions or a predisposition to pulmonary tuberculosis
will strengthen the indications.
  If, contrary to Nux vom., the stools are pale and
large;  if the evacuation is effected only after violent
efforts; if there is heavy  pain, heat and  itching at
the anus, sensation of sand and gravel in the rectum;
frequent venous engorgements and cardiac or cerebral
congestions, alternating  with haemorrhoidal  symp-
toms, Collinsonia can. will be indicated.
  We use Veratrum alb. if there is dryness of the in-
testines, gastralgia, dyspepsia, bulimia with prompt
satiety, hypochondria or mania, increased urinary se-
cretion, abdominal engorgements, hepatic antecedents.
  When the constipation is  accompanied with atony
of the sexual organs, Phosphorus or Phosphoric acid
are  to be studied.
  Silicea when the stools are composed of large, hard,
masses which are partially expelled by violent efforts
but then return into the rectum.
  Causticum in gouty, rheumatic and haemorrhoidal
subjects; when there is obstmate  constipation from
nerve and  nutritive atony,  with pallor of the face,
pains and anxiety;  and especially if the evacuations
are pale, greasy, accompanied with vertigo or followed
by  palpitations, heat of face and sweats. 
HOMCEOPATHIC TREATMENT.        137
  Hepar sulph. in smokers or when there has been
the abuse of Mercury.
  Alumina when  there is inertia and at the same
time dryness of the rectum, itching at the anus, pain
in the stomach after stool.
  Among the  medicines which may be  consulted  in
addition to the  above mentioned, we  would  name
Cocculus, Staphisagria, Cinchonine,  China, Aurum
mur., and Prunus pad.   We will have  occasion also
to mention some others especially Sepia.

  5.  From Diminution of the Intestinal  Secretion.
   This  form characterized by extreme dryness of the
excreta, is almost always associated with  a chronic
intestinal catarrh.   When under the influence of a
vicious  alimentation, or special atmospheric condi-
tions, a person is thrown into that morbid condition
which  some   authors, and notably Chomel, have
described under the name of mucous state, the con-
stipation which seems due to a kind of cutisation of
the intestinal mucous membrane, of which the scanty,
thick, tenacious and dry mucosities are  expelled only
at long  intervals and after very painful efforts.
  Alumina occupies the first rank in this  condition.
We have already given some indications for this drug
and  we  will give more in connection with infantile
constipation.
  Podophyllum is a rival of Alumina. 
138        HOMCEOPATHIC TREATMENT.

  Bryonia is characterized by dark, dry, hard stools,
as though burned.
  Zincuni has very dry, crumbled stools.
  Veratrum alb., Magnesia mur., Opium, and Plum-
bum should be studied also.

         6.  From Mechanical Obstruction.
  We include  in this class those cases in which  the
constipation is due to a narrowing of the intestinal
canal, either dependent upon some condition attack-
ing one of the tunics  of  the intestine itself, or in
consequence of extraintestinal tumors.
  The medicines  will vary according to the nature
and seat of the obstruction.   There is no doubt that
the resources of the homoeopathic therapeutics  are
very limited in this  class.   Nevertheless  Platina,
Colocynth, Nux  vom., Opium and  Sulphur, have
been of some service.

                7. Haemorrhoidal.
  Haemorrhoids play an important  and sometimes
even the chief role in the production  of constipation.
We should not forget,  however, that  constipation, by
the very fact  of  its existence, sometimes develops
secondary haemorrhoids.   In the present division we
have especially in  view primary  haemorrhoids, or
better, the hamiorrhoidal disease.   This disease  has
been described in a masterly manner by Dr. Fredault, 
HOMCEOPATHIC TREATMENT.        139
Often symptomatic of gout, haemorrhoids constitute
one of the features  of  abdominal  venous  plethora
known among the Germans under the name of ab-
dominal congestion.   Among the  well-known signs
necessary to diagnose this form of constipation, we
will  briefly  cite :  Alternation  of  constipation and
diarrhoea, tenesmus,  haemorrhagic, serous or mucous
secretions of the rectum, more or less intense  pains
in the  rectum,  coming on  even  without  stool,
gastralgia,  dyspepsia, vertigo,  migraine,  deafness,
epistaxis,  bronchial  catarrh, palpitations, eczema,
dysuria, dental caries, abnormal development of the
veins of the extremities.
  The principal remedies here are Nux vom. and
Sulphur administered alone or in alternation. Their
special symptoms  are known to all our readers, but
we will try and give  their particular indications.
  Nux vom. is of service in nearly all the forms of
constipation,  especially  the haemorrhoidal,  when
there is contraction or inactivity of the intestine in
consequence of the   diminution of the peristaltic
movements, simple haemorrhoidal diathesis or haemor-
rhoidal flow.  Tenesmus, alternation  of  diarrhoea
and  constipation,  pressure  in  the  region  of the
stomach and liver, distention of the epigastrium and
abdomen with gas,  producing  dyspnoea;   weight,
heat, pains hi the  side,  sharp cutting pains in the
hypogastrium; dyspepsia  with predominance of 
140        HOMCEOPATHIC TREATMENT.

acidity and flatulency, especially when there is at the
same time monorrhagia united with a  congestion of
the vena-portal system, or if there exists hypochon-
dria, anxiety with attacks of congestion of the thorax
or  brain,  night restlessness  with day somnolency,
chills.  Also in persons of sedentary habits, students,
men of  letters, drinkers of alcohol, coffee or tea, in
smokers of tobacco  or opium, onanists, from pro-
longed night vigils, aud abuse of purgatives.
  As already remarked  many practitioners advise
that the treatment of chronic constipation should
begin with Sulphur, especially in the haemorrhoidal
form.   If the symptoms given in connection  with
Nux vomica have a marked chronicity; if  the fre-
quent and ineffectual desire for stool is so painful as
to lead to  the postponing of the act, and is  accom-
panied by prolapse of the rectum; if the stools when
passed liave a chestnut- or olive-shape ; if there is a
concomitant  pain in the vulva; if there is a disten-
tion of the  belly from incarceration of gas, numerous
dyspeptic  phenomena, general malaise, inability to
think, Sulphur is to be employed.  You will have a
still greater  chance  of  success  if there  exists  an
excessive irritability of fibre and when the lymphatic,
hypochondriac or haemorrhoidal subject has psoric
or herpetic antecedents, either personal or hereditary.
  Aesculus is adapted to this form when it presents
the character described under the spasmodic form. 
HOMCEOPATHIC TREATMENT.        141
  Collinsonia can.  has been  studied  under  the
paralytic form.
  Lycopodium is likewise  worthy of attention in
many cases of haemorrhoidal constipation, when the
symptoms previously given are present.
  Carbo veg. when the stools are preceded by a great
quantity of gas (inodorous or fetid), but are  them-
selves scanty and very hard; if the  haemorrhoidal
constipation is accompanied with pruritus,  violent
tenesmus or  burning  in the anus and pains in the
hypogastrium like labor pains; if there is a mucous
discharge in connection with the haemorrhoids,  and
at the same time the tongue is coated in the  centre
and red at the edges, with  acidity and cardialgia.
  If  there is an alternation of constipation  and
diarrhoea, with indigested  matter and fetid flatu-
osities,  Calcarea  carb. is indicated.   This  remedy
in alternation with Sulphur is adapted to many cases
of chronic haemorrhoidal constipation.
  If, on the contrary, diarrhoea never alternates with
the constipation, and  we have  a delayed  menstru-
ation, with pain in the haemorrhoidal protrusions,
long-standing  constipation  with hardness  in  the
region of the liver, and the  stools are composed  of
large balls connected together by mucous filaments,
or small like ascarides ; also in herpetic or scrofulous
subjects, Graphites will be well indicated.
  Nitric acid when there is  an  intestinal  dyspepsia 
142         HOMCEOPATHIC TREATMENT.
and  painless  constipation,  or if the  evacuations,
preceded by a great pressure, are followed  by a mu-
cous discharge and shooting pains in the rectum;  if
painful haemorrhoidal  tumors  appear  after each
stool, together with a bloody discharge ;  if there has
been an excessive use of salt, or  a  laryngeal  cough
more or less analogous to whooping cough is present.
  Belladonna will  be useful  for distention of the
abdomen, prominent projections of knots  of intes-
tines,  together  with heat of the  head, abundant
sweats, a sensation of constriction in the breast and
plrMent pains in the kidneys.
  Lachesis should be studied when you find, in those
of the haemorrhoidal diathesis, women at the cli-
macteric  age or persons  of  sedentary habits,  an
obstinate  constipation,  with pressure  or  constant
constriction and great pain in the rectum and anus
without stool, or if the constipation is accompanied
with a feeling of weight or pressure on the stomach,
with ineffectual efforts  at eructation,  stools hard,
scanty and insufficient; prolapse of  the rectum  is
also a  special indication for this remedy.
  Many other remedies may be indicated in this form
of constipation, notably Hydrastis, Nat. mur., Sepia.

                   8. Hepatic.
  The anatomical and physiological relations of the
liver and intestine are too intimate  not to  influence 
HOMCEOPATHIC TREATMENT.
143
each other in their pathological affections.  So we
have thought it well to devote a paragraph to those
cases,  which  frequently occur,  in which hepatic
troubles interpose in a marked manner.  A subicteric
teint, a sensitiveness,  more or less blunted,  of the
right hypochondrium, and modifications in the col-
oration of the faeces lead us to the diagnosis.
   Nux vomica is here of great importance.
   Podophyllum  and  Podophyllin should be con-
sulted when icterus is present.
   Mercurius cor. is serviceable not only in constipa-
tion from pseudo-membranous inflammation of some
portion of the large  intestine, but also in haemor-
rhoidal colic  with tumefaction  of  the  liver  and
abdominal venous stasis.
   Among the other remedies from which a choice
may sometimes be necessary,  we  would mention
Aconitum,  Aloes, Bryonia,   China,  Chelidonium,
Crocus, Curare, Lachesis, Viperatorva, Lycopodium,
Phosphorus, Carlsbad waters.

              9. Uterine Constipation.
   Under this title we include the numerous cases of
constipation  in which the  generative  system is
evidently involved.  From the time of puberty, the
date of  activity of this organic  system  until  the
 menopause,   which  marks   progressive  torpor,
 menstruation, pregnancy, labor, lactation, the path- 
HOMCEOPATHIC TREATMENT.
ological affections of the womb, either with or with-
out  displacement,  with  or   without  change  of
structure, diseases of  the  ovaries,  and the  other
accessory organs to the uterus, may impress  upon
the constipation a mark quite characteristic.
  Most of the remedies which we shall mention have
already been the object of special mention.
  Pulsatilla will be indicated in females who are of
mild  disposition,  easily  chilled,  sad,   lymphatic,
chlorotic constitution,  subject to dysmenorrhcea or
flying rheumatic pains, when the difficult evacuation
of the  stool is accompanied by a painful pressure and
backache;  or  when, during the menses, there is a
pressive pain from above downward  into the  hypo-
gastrium and sacrum,  with tendency of the  inferior
members to become numb when remaining seated,
with vain  efforts at  stool.   The  alternation of
diarrhoea and  constipation, excessive hunger,  and
the  repugnance  to  fatty  substances,  add to  the
characteristic indications of this drug.
  Kreosote for constipation during the  menses.
  Graphites includes the most of the characteristics
assigned to Pulsatilla but they are of a more chronic
form under this drug.
  Sepia is very frequently indicated in the constipa-
tion of  uterine origin, and especially  in nregnant
women.  Frequent but ineffectual efforts at stool or
followed only by an emission of wind and mucosities; 
           HOMCEOPATHIC TREATMENT.        145
prolapse of the  rectum at stool, or a constrictive
pain in the rectum spreading to the perineum and
vagina;  displacement of the  uterus, lencorrhoea,
rheumatic, haemorrhoidal  or  herpetic diathesis;
emaciation; pyrosis, dyspepsia with sensation of cold
in the stomach alternating with headache, migraine,
are all indications for the use of Sepia.
   Lilium tig.  resembles many of the  symptoms  of
Sepia.
   Nux  vom.  and Ignatia alternately  are  often  of
great service in the constipation of pregnant women.
For the same  condition we have  also,  Bryonia, Sul-
phur, Lycopodium, and Alumina.
   Collinsonia for constipation and haemorrhoids in
consequence of  the  congestive inertia of the large
intestine, a state which  often occurs during  the
middle  and later months of pregnancy.  This drug
also includes in its sphere of action, dysmenorrhoea,
pruritus vulvae and even prolapsus uteri.
   Platina is useful in many cases of  chronic con-
stipation  in hyst-erical  women, subject to  monor-
rhagia, when there is displacement of the uterus, and
also in  lying-in women.   Nymphomania will be an
additional indication.  This latter complication may
require Gratiola.
   Bryonia is  in a certain  sense to  be considered
almost  as a  specific in the constipation of lying-in
women.   Dr.  Leadam, however,  prefers in  place of 
146        HOMCEOPATHIC TREATMENT,
it—except in some subject of bilious temperament—
Nux  vomica; but whichever of these two  remedies
he may choose, he always administers Hepar sulph.
in alternation with  it; he  also gives, if necessary,
Plumbum in the morning, and Opium in the even
ing, still reserving for obstinate cases Zincum. Beside
Platina already mentioned, we  would cite Antimo-
nium.
  According to Dr.  Ludlam, when there  exists at
the same time paralysis of the  rectum  and uterine
displacements, the best remedies are:  Alumina, Nux
vom., Natrum mur., Plumbum, Opium, Belladonna,
Sulphur, Zincum, and Lycopodium.

                  10.  Infantile.
  Childhood, that is to say the period between birth
and puberty, is characterized by a gradual increase
in the growth  of all the tissues and a corresponding
activity of the nutritive organs.  To  this is added a
very  marked impressibility  of the  whole  nervous
system.   It  is not unreasonable then  to  devote a
paragraph to the constipation of children.
  "In some cases the constipation may be due to
functional derangement of the liver as  in  jaundice,
where the stools may be hard,  dry and clay-colored,
showing a deficiency in the secretion of bile.   De-
ficient or too tenacious intestinal mucus is another
cause: the constipation of most febrile affections is 
HOMCEOPATHIC TREATMENT.        147
mainly due to this condition, or to augmented per-
spiratory, or  urinary  secretions.   Nervous,  acid
children  are  predisposed  to  constipation.   The
nutriment, especially the  amylaceous class, boiled
milk, soups containing meal,  rice, sago, etc., is
another cause.   Too slight peristaltic movement of
the intestinal tube  as  a secondary effect in other
diseases  as  hydrocephalus or atrophy  is  another
causative influence.  Mechanical obstructions, incar-
cerated  hernia, intussusception, occlusions, etc., may
also produce it.
   " The diet  of  either mother or child is at fault
usually.   Liquid food five or six  times  a day will
usually  correct  this  abnormal  condition,  oatmeal
gruel between meals with plenty of milk and water,
or chocolate or cocoa-shell tea at meal is an excellent
diet  for mother and child."—T. C. Duncan, M.D.,
Diseases of Children.
   We take  the following from  the  Homoeopathic
Times, vol. viii., p. 191: At a clinical  lecture, Pro-
fessor Jacobi,  of  New York,  called attention  to a
form of infantile constipation not mentioned in the
books.  In this affection  the color  of the  faeces is
about normal, but  they are deficient in moisture.
They are dry and somewhat friable.  The passages
of young babhs are never normally like this. There
is evidently here a lack  of  moisture  which may pos-
sibly arise from an insufficient secretion on  the part 
148        HOMCEOPATHIC TREATMENT.
of the intestinal glands.  It may arise from other
causes, one of which is a peculiar anatomical condition
occasionally occurring in the bowels of the new-born
or young infants.  A few anatomists have recognized
that the  intestinal tract is different in the young
from what it is in the old.  The colon is very much
larger and longer in proportion in the child than in
the adult, and this peculiar condition often remains
up  to the age of five or six years.   The child may
have two or even three sigmoid flexures, or the real
sigmoid flexure may not be found on  the  left side,
but on the right.  In the passages of  the  young,
where the peristaltic action of the bowel is normal,
and  the  colon  of  the usual proportion, the faeces
will not be dried out; but where the flexure is long,
or there  are two of them, the faeces  will dry out.
In the foetus and the new-born the secretions of the
intestines are very copious.  There is a great deal
of mucus and epithelium, which may become very
dry and compressed—to  such an amount, indeed, as
to constitute actual obstruction.   Dr.  Jacobi stated
that he has met with a number of  cases in children
that could not be explained in any other way than
by  the supposition that there were two  or three
sigmoid  flexures, one on the  top of the other, and
impeding the free passage of the faeces.  In  the
treatment of a case where such a state of things is
Buspected, the diet must be regulated  so  that there 
HOMCEOPATHIC TREATMENT.       149
may be an abundance of water in the food.   In the
choice of food, oatmeal is to be given in preference
to tapioca, rice, or even barley.   Purgatives ought
not to be given except in urgent cases.  Injections
are  very useful and   cannot be  dispensed  with.
Another  cause of constipation like this may be that
there is an  insufficient physiological action  of the
muscular layer of  the  intestines.  This may occur
in feeble children.  In another class of children this
constipation does not appear until from six  months
to one year after birth, and  then, from being per-
fectly regular they  become obstinately constipated.
In this class the muscles of voluntary motion as well
as  those  of  the intestine, become  diminished in
power; they are rachitic children.]
   Nux vomica is of service  for  infants where the
nurse indulges to excess in the use of  coffee, tea or
spiced meats, and in those children  who have been
fed too prematurely or too freely upon animal food,
it will be additionally indicated if there is at the same
time anorexia, vomitings, distention of the abdomen,
insomnia,  oppression of breath, continual  restless-
ness; violent and  ineffectual efforts at defecation.
The absence of this latter symptom, all the  others
being present, will be an indication for Opium. Bry-
onia is a remedy analogous to Nux vom and may be
alternated with it with benefit.  A brownish coating
on the tongue is a  further indication for Bryonia. 
150        HOMCEOPATHIC TREATMENT.

  In the occasional constipation of nervous children
and especially during dentition, Chamomilla will be
of  service.   But  in nervous  children  with  large
heads, dilated pupils, subject  to convulsive move-
ments and  startings during sleep, with disturbed
dreams, Belladonna will be often indicated.
  Calcarea will sometimes be called for in analogous
circumstances.   Kreosote is adapted to  emaciated
children during dentition.
  Many physicians recommend Lycopodium as the
principal remedy  in the  obstinate constipation of
young children, when there are present the. follow-
ing :  ineffectual efforts;  alteration of features; the
abuse of farinaceous, heavy, indigestible  articles of
diet.
  [Prof. J.  P. Mills, of Chicago,  in  a paper  read
before the Thirty-fifth session of the American In-
stitute of Homoeopathy, considers Lycopodium as
the  remedy for infantile constipation and colic.  He
bases  his opinion upon the well-known physiological
function of  the  liver and the corresponding de-
pendence of the kidneys  in excreting  nitrogenous
substances eliminated from the blood by the liver,
and the consequent renal  complications which so
often  appear in constipation due to the absence of
the proper  biliary  secretion.   Lycopodium having
these  organs as fields for its action becomes a  well-
indicated drug for the conditions under discussion.] 
           HOMCEOPATHIC TREATMENT.        151
  Platina is useful when the evacuations take place
only  after violent efforts,  necessitating  at  times
manual extraction, and are composed of small, black
and hard pieces.
  When, with the inertia corresponding to Platina,
the evacuations  are  dryer  and paler, and  the etio-
logical conditions of a farinaceous diet mentioned
under Lycopodium are present, in infants artificially
nourished, Alumina will be of service.
  If,  in infants brought up by hand,  an obstinate
constipation with hard stools, which   crumble on
passage, of a clay color streaked with green follows
a diarrhoea; if there is prolapse of the  rectum, and
a coexisting paleness  of the  skin and insomnia,
Podophyllum should be consulted.
  If  with  the  same  pallor of the skin,  there is a
yellowish  coloration  of  the  conjunctivae  and an
accompanying  salivation, together with  pale and
whitish  evacuations,  Mercurius  will be   better
indicated.
  When,  after   the  employment of  Platina and
Lycopodium, the rectum  alone  still remains in an
inactive state  almost approaching a  paralysis, Ve-
ratrum alb.  will be  serviceable.   Sulphur and
Alumina may also be required in some cases.
  Crocus sativa has often benefited the constipation
of mf ants associated with troubles of the vena-portal
system. 
152         HOMCEOPATHIC TREATMENT.
  Plumbum, Opium, Hydrastis, Zincum, Phytolacca
Graphites, Silicea, Nitric acid,  etc.,  should also be
consulted for infantile constipation.

   The  most frequent form of constipation is  the
paralytic.  Then we have in the order of frequency,
the haemorrhoidal, infantile, irritative, uterine, and
hepatic.  The  other forms are more rarely met
with in practice.
   We  would add that habitual, hereditary or con-
stitutional constipation is not a serious condition and
the physician should not be unnecessarily concerned
in regard to it.   The constipation itself of the lying-
in woman is rarely serious.  The same is true of the
constipation which accompanies the mild form of
acute diseases or which  occurs in convalescents or
those under a forced diet.   It is different,  however,
if the  constipation is accidental, obstinate, and ac-
ocmpanied  with repeated vomitings, and extreme
distention of the stomach, or if the accumulation of
the faeces is so great as to produce symptoms of
strangulation.   If the patient has an old hernia, the
constipation should be carefully watched. We should
not forget also  that  in children constipation some-
times predisposes to meningitis, and constitutes at
times its first  symptom;  do  not neglect then the
constipation occurring in children, no matter what
may be its organic  form.   The solicitude of the 
           HOMCEOPATHIC TREATMENT.         153

physician should be equally great when constipation
attacks plethoric persons who are subject to  con-
gestive  headaches, with a marked  tendency to hy-
peraemia of the nervous centres or who already suffer
from severe lesions of the same centres; also when
the concomitant symptoms give rise to  the  fear  of
organic alteration of the abdominal viscera, or the
initial signs of a cachexia appear in a more or less
obscure form. 
154         PALLIATIVE TREATMENT.
PART  III.
     PALLIATIVE  OR  SURGICAL

              TREATMENT.


  In connection with the preventive, nygienic and
accessory treatment  we have  already mentioned
several medico-surgical  means, especially the injec-
tions and tampons  of charpie introduced into the
rectum.
  Suppositories,  says   Trousseau,  are,  for men
especially, more easily employed than anal injections.
Suppositories  of  cacao-butter are sufficient in the
greater number of  cases; suppositories of soap  or
honey are also efficacious.
  Merat and Delens, in their Dictionnaire Universel
de Matiere Medicale, mention the singular expedient
of Dr. King, of Glasgow, who removed a constipa-
tion of six days  standing,  which had resisted  all
attempts  at a cure,  by distending the  rectum with
air from a pair of bellows; an evacuation followed
this procedure and all danger ceased.
  Under  the head of compression, in the same work,
we read:   " One  of the most prompt means  for 
PALLIATIVE TREATMENT.          155
removing a constipation  due to a spasmodic  con-
striction of the anal  sphincter, is to make  strong
lateral pressure  (on the left  by preference) upon
one of the sides of the cone which the  faeces form
for the purpose of expulsion during the  first  efforts
at defecation; a mechanical pressure which  forces
the spasm and which does not  possess the  nnclean-
ness of the digital traction nor the pain attendant
upon the use of an instrument, means to which we
are sometimes compelled to resort."
   When the rectum, says Grisolle, is distended by a
tampon of indurated faecal matter,  and when the
efforts at contraction  are  not suffient  for its ex-
pulsion, when  the injections or ascending  douches
are insufficient either  to  remove or soften, it  is
necessary to extract them with a curette or with a
handle of a spoon or better still, with the  index.
finger.  When the mass is broken, a cold  injection
or the ascending douche is often sufficient  to expel
the faecal mass entire. 
 
PART   IV.
Repertory.
         FORMS AND  CONDITIONS.
Accidental: Arn. Cann. sat. Cham. Op.
Acute: Bry. Nux vom.
Chronic:  Aes. h. Calc. c. Caus. Ferr. acet. Graph.
  Guaraea. Hydras. Lach. Lippspringe waters. Lycop.
  Natrum m. Nux v.  Op. Phyt. Plat. Plumb. Puis.
  Sepia. Sulph.  Tabac. Ver. alb.
Climacteric: Lach. Sulph. ac.
Diminution of intestinal  secretion  (from):  Alum.
  Bry. Mag. m.  Op. Plumb. Pod.  Ver. alb. Zinc.
Haemorrhoidal:  Aes.  h. Aur. m. Bell. Caus. Collin.
  Calc. c. Carbo v. Graph.  Hydras.  Lach.  Lycop.
  Natrum m. Nitric ac. Nux. Sepia. Sulph.
Hepatic:  Aeon.  Aloe. Bry.  Carlsbad waters. Chel.
  China.  Crocus. Curare. Lach. Lye. Merc. cor. Nux.
  Phos. Pod. Vipera torva.
Idiopathic: Bry. Hydras. Iris. Lach. Lye. Nux. Op.
  Plumb.
Infantile: Alum. Bell. Bry. Calc.  c. Caus. Cham.
  Crocus sat. Graph. Guaraea. Hydras. Kreos. Lycop. 
158
REPERTORY.
   Merc.  Nitric ac.  Nux.  Op.  Phyt. Plat.  Plumb.
   Pod. Puis. Sepia. Silicea. Sulph. Ver. alb. Zinc.
Inflammatory:  Bell.
Irritative  or subinflammatory:  Bell. Bry.  Merc.
   Nux. Op.  Plumb. Pod. Sulph.
Mechanical  obstruction (from):  Colocynth.  Nux..
   Op. Plat.  Sulph.
Obstinate: Asaf. Calabar. Lach. Plumb. Potassium
   brom. Sarsap. Teplitz waters.
Paralytic: Aloe.  Alum.  Auruin m.  Caus.  China.
   Cinchon. Cocc.  Cod-liver oil. Collin. Gels.  Graph.
   Hep. s. Kalic. Lycop. Natrum m. Nux. Op. Phosp.
   Phosp. ac. Phyt. Plumb. Prun. pad. Secale. Sepia.
   Silic. Staph. Sulph. Ver. alb.
Spasmodic or Constrictive : Aes. h. Calc. c. Carbo v.
   Ign. Mag.  m. Merc. Nux. Plat. Pod. Sedum acre.
   Sulph.  Thuja. Zinc.
Uterine:  Alum. Antimou. Bell. Bry. Collin. Graph.
   Grat. Hepar s. Hydras. Ign. Kreos. Lil. tig. Lycop.
   Natrum m. Nux.  Op. Plat. Plumb. Sepia. Sulph.
   Zinc.
   CONSTITUTIONS  OR  TEMPERAMENTS.
Bilious: Nitric ac.
Blondes: Puis. Sepia.
Brunettes, with rigid fibre :  Nitric ac.
Choleric:  Bry.
Gouty:  Caus.
Herpetic:  Graphites, 
REPERTORY.
159
Hypochondriacal: Bell. Carbo v. Con. Graph. Grat.
  Lippspringe waters. Sulph. Ver. alb.
Hysterical: Mag. mur.
Lymphatic:  Alum. Puis. Sil. Sulph.
Melancholic: Aloe. Puis. Sepia.
Mild : Igu. Puis. Sepia.
Nervous:  Ign.
Plethoric: Lippspringe. Op.
Rheumatic:  Caus. Colocynth. Helleb. Puis.  Rhus
  Stram.
Robust: Alum.  Op. Plumb.
Sanguine: Sil.
Scrofulous': Con. Graph.
Torpid:  Op.
Venous: Aloe.
Weak and debilitated :  Alum. Calc. c. Hydras. Phyt.
       CHARACTER  OF  THE  STOOLS.
Balls, in the form of: Aes. h. Aloe. Alum.  Carls-
  bad.  Mez. Plumb.  Sep. Stan. Sulph. Ver. alb.
----, dry: Alum. Plat.
----, hard:  Carbon bisulph. Thuja.
Blood:  Cinch. Nux. Sep. Sulph. ac. Teplitz  water,
  Thuja.
----and mucus:  Caus. Graph. Mag. m. Merc. Pod.
----, clotted:  Ver.  alb.
Brittle: Zinc. 
160
REPERTORY.
Color, bilious: Aloe.
----, black (see Dark).
----, burnt (see Dark).
----, dark:  Aeon. Aes. h. Arsen. Bry. Carbon bi-
       sulph. Kreos. Mag. ni. Merc. Mez. Nux. Op.
       Plat. Plumb. Sulph. Ver. alb.
----, grayish (see Light).
----, greenish :  Arsen. Merc. Pod. Stan.
----, light:  Aes.  h. Aloe. Alhm. Calc. c.  Caus.
  Collin. Hepar  s. Hydras. Ign. Kali bi. Lach. Merc.
  Pod. Sil.
----, white (see Light).
----, yellow: Cham.
Crumbling : Mag. m. Plat. Prun. s. Sulph. ac.
Diarrhoea, alternating or succeeded by: Agar. mus.
  Amnion, m. Calc. c. Carlsbad  waters. Lach. Na-
  trum  m.  Nitric ac. Nux.  Op. Pod. Puis.  Stan.
  Staph. Sulph.
----,---------fermented :  Calc. c.
----,---------involuntary: Calc. c.
----,---:------liquid yellow :  Hepar s.
----,---------painful: Op.
----,---------sour-smelling:  Calc. c.
—•—,---------thin or watery : Iris vers.
Difficult: Aes. h. Agar. m. Alum. Amnion, m. Apis.
  Calc.  c.  Carbo v. Carbon  bisulph.  Caus.  Cocc.
  Euphras. Grat. Hepar  s. Kali c. Lach. Nat. m.
  Nitric ac. Phos. Plat. Pod. Zinc.
----but soft: China. Ign. Puis. -Silic. 
RERERTORY.
161
Dry:  Aes. h. Agar. Alum. Bry. Calc. c. Carlsbad.
  Euphras. Hepar s. Kali bi. Kali c. Krcos. Nitric
  ac. Phos. Pod. Silic. Stan. Staph. Sulph. Zinc.
Fluid: Calc. c.
Frequent: Lach.
Grauulous: Zinc.
Greasy appearance:  Caus. Plumb.
Gummy: Calc. c.
Hard: Aeon. Aes. g. Aes. h. Agar. m. Alum. Amnion.
  m. Apis. Aurum. m. Bry. Calc. c. Carbo v.  Car-
  bon bisulph. Carlsbad. Caus.  Cinch. Cocc. Con.
  Euphras. Graph.  Grat, Hepar s. Hydras. Iris v.
  Kreos. Kali bi. Lach. Mag. m. Merc. Mez. Nat. m.
  Nat. s. Nux. Op. Plat. Pod. Prim. s. Puis. Ratanhia.
  Ruta. Sel. Sep. Sil. Stan. Sulph. Sulph. ac. Tabac.
  Teplitz waters. Thuja. Zinc.
----and then soft:  Caus.  Hepar s. Lycopod.
----as stone : Bry.  Kali bi. Lye. Plumb.
Indigested: Calc. c.
Insufficient: Aloe. Alum. Calc.  c. Carboy. Carbon
  bisulph. Cinch. Con.  Euphras. Grat.  Hepar s.
  Lach. Lye. Mag. c. Mag. m. Merc. Nat.  c. Nux.
  Plat. Plumb.  Ruta.  Sep. Stan. Staph.  Sulph.
  Thuja. Zinc.
Irregular: Nitric ac.
Knotty:  Aes.  g. Aes.  h.  Aur. m.  Caus.  Graph.  -
  Hydras. Kali bi. Mag. m. Merc. Mez. Nat. s. Nitric
  ac. Nux. Op. Sep. Stan. Sulph. Thuja.
Large: Aes. h. Apis. Bry. Calc.  c.  Cham.  Euphras.
  Graph. Ign. Kali bi. Kali. c. Mag. m. Nat. m. Nux.
  Op. Puis. Sabad. Sil.  Thuja. Ver. alb. Zinc. 
162
REPERTORY.
Large, first stool, afterwards small:  Ver. alb.
____} requiring manual aid:  Plumb. Selen. Sepia.
Long: Phos.
----and slender: Graph. Merc.
Lumpy: Mag. m. Plat. Prun. s. Sulph. ac.
----and of a chalk color: Calc.  c.
Masses, broken :  Alum. Carlsbad. Collin. Lye. Merc.
----, lumpy with mucous threads:  Graph.
----, tough and scanty: Carbo veg.
Mucus, covered  with:  Alum. Amnion,  m. Calc. c.
  Carbo v. Hydras. Merc. Plumb. Puis.
----, mixed  with blood:  Caus. Graph.  Mag. m.
  Merc. Pod.
----, thick, transparent: Pod.
----, tough, glairy: Amnion, m.
----, white:  Amnion, m. Graph. Kali c.
----, yellow: Pod.
Mushy: Calc. c.  Carbon  bisulph. Ign.
Odor, fetid: Calc. c. Lach. Stan.
----of drug: Carbon bisulph.
Olive-shaped: Caus.
Scanty (see Insufficient).
Tenacious : Grat. Merc.  Plat.
Tough: Caus.
               AGGRAVATIONS.
Anus, pains at, on motion :  Thuja.
Carriage-rid ing:  Alum. Ign. 
REPERTORY.                163
Chill, after a : Ign. Merc.
Coffee, use of: Nux.
Constipation, from the :  Hydras.
Diarrhoea, after acute : Merc. Nux.
---------long-lasting: Op.
Disease, weakening, after:  Op.
Eating, excess in:  Aloe. Nux. Puis. Stan.
Eruptions, suppressed, from : Lye.
Heat, excess of:  Bry.
Lead-poisoning, from : Alum. Op. Plat. Sulph.
Liquors, use of: Agar. m. Calc. Lach. Nux. Op. Puis.
   Sulph.
Menses, during the :  Aur. m. Puis.
Night, at: Merc.
Onanism, from:  L}tc. Nux.
Sedentary life: Aloe. Bry. Hydras. Iris. Lach. Lye.
   Nux. Op. Plat. Pod. Raphan. s. Sulph.
Stool, from  hardness of: Am. Mag. m. Ver. alb.
   Verbasc.
Summer, in: Bry.
Teething, from : Guaraea. Mag. m.
Tobacco, from :  Hep. s. Nux v.
Traveling: Alum. Ign.  Op. Plat.
Winter, in: Stan.
Women, hi:  Aloe. Plat. Puis.
____,  good humored, corpulent: Op.
____,  nervous :  Bell. Mag. m.
Youths, in :  Cod-liver oil. 
164
REPERTORY.
ACCOMPANIMENTS  OF  THE  EVACUATIONS.
                a. BEFORE STOOL.
Abdomen, colic pains : Nitric ac. Plumb.
----,----with flatulency :  Lye.
Air, sensibility to cold: Mez.
Anus  (see Rectum).
Anxiety: Caus. Kali c.
Back, pains in: Nux.
Chills: Mez.
Desire (see Urging).
Face,  redness of: Caus.
Faeces, large,  accumulation  of : Alum.
----, remain in rectum without expulsive power: Sil
Gas, emission of: Carbo v. Phyt. Ruta. Sabad. Sep.
----, ----fetid: Asaf. Mez.
----, rumbling of :  Grat.
----,----like croaking of frogs:  Sabadilla.
Haemorrhoids:  Merc. Ver. alb.
----, painful as if ulcerated: Merc.
Hips,  violent pains through the :  Aes. h.
Hypogastrinm, cutting pains in :  Collin.
Languor:  Mez.
Rectum, dryness of: Aes. h.
----, inactive:  Hydras. Kali c. Puis. Sil. Stan.
----, pain in :  Aes. h. Lycopod.
----,----shooting: Carlsbad. Mag. carb. Plat.
----, prolapse of : Ruta. Sulph. 
REPERTORY.
165
Rectum, sensation as if closed: Anacard. Op.
----,----prolapsed:  Aes. h. Sarsap.
-----,----of burning  and smarting in: Hydras.
  Nat. m. Nat. s. Sil.
----,----foreign body in:  Aes. h. Carlsbad. Lach.
----,----heat: Aes.  h. Hydras.
----,----itching: Aes. h.
----,----pricking: Aes. h.
----, ----small sticks: Aes. h.
----,----tenseness: Aes. h.
----,----weight:  Aes. h. Asaf. Calc. c. Nux. Lach.
  Lycopod. Plat. Plumb. Pod. Sarsap. Ver. alb.
Sacrum, violent pains in: Aes. h.
Tenesmus:  Aes. h. Cocc. Grat. Mag. m. Nux. Lach.
  Lycopod. Plat. Plumb. Pod. Sarsap. Ver. alb.
Urging, absence of :  Alum. Bry. Hydras. Lycopod.
  Nat. m. Op. Plumb. Puis. Ver. alb.
----, frequent (see Ineffectual).
----, ineffectual: Aes. h.  Alum.  Anacard.  Asaf.
  Bell. Calc. c. Caus. Cocc.  Con. Ferr. acet. Graph.
  Grat. Ign.  Kali  c.  Lach.   Lippspringe  waters.
  Lycopod. Mag. c. Mag. m. Nat. m. Nitric ac. Nux.
  Plat, Plumb.  Ruta.  Sabad.  Sarsap.  Sep. Sil.
  Staph. Sulph. Tabac. Teplitz waters. Thuja.
----,----agg. during the menses: Puis.
----  ----with erections:  Thuja.
-, sudden: Aloe.
- to urinate :  Sarsap. 
166
REPERTORY.
               b. DURING STOOL.
Abdomen, diarrhoeic-like pains in: Carbo v. Plumb.
  Lippspringe waters.
----, sensation  as if  something would break  on
  pressure:  Apis.
----, soreness of muscles from straining: Sil.
----, Stinging pains in : Apis.
----, turning and twisting in : Anacard.
Anus (see Rectum).
Backache: Puis.
Blood, slight discharge of: Zinc.
Desire, absence of: Collin.
Ears, ringing in : Lycopod.
Evacuation, delayed :  Calc. c.  Gels. Mag. m. Nat. m.
  Merc.  Sabad. Sep. Thuja.
----, easier when standing; Caus.
----, painful: Agar.  Bry. Carlsbad. Kreos. Lach.
  Lye. Mag. m. Mez.  Op. Plumb. Psor. Puis.  Sulph.
  Thuja.
----, ----(dry, sandy stools: Zinc).
----,----(soft stools) :  Graph. Hepar s. Mez.
  Nat. s. Nitric ac.
----prevented on account of severe pains:  Caus.
  Kreos. Op. Sulph.
Faeces, discharge of soft, with relief:  Carbo v.
----remain at anus: Lach.
----slip back when partially expelled: Silic.
Flatus, fetid: Asaf. Calc. c. Nat. s.
----, excessive :  Sabad. 
REPERTORY.
167
Flatus, hot:  Aloe.
Fluid, oozing of, with herring-brine odor:  Calc. c.
Haemorrhage:  Alum. Anacard.  Calc.  c. Nat.  m.
   Sepia. Sulph. Zinc.
Haemorrhoids:  Aes. h. Caus. Plat. Sil. Thuja.
----, bleeding : Aes. h. Caus. Ign.
----, incarcerated : Silic.
----, pains severe:  Aes. h. Calc.  c.
----, pricking and burning in :  Kali c.
Mucus, occasional discharge of:  Mag. m. Pod.
----, slimy: Asaf.
----, vermiform shreds of:  Stan.
Pains aggravated by efforts at stool: Lach. Thuja.
Plug, sensation of, between pubes and coccyx : Aloe.
Rectum, loss of expulsive  force of: Aes. h. Kali c.
   Lippspringe.
----,----with large but soft stool: Sil.
----, pains  in  (including  cutting, etc.):  Alum.
   Caus. Graph. Lye Nat.  m. Nitric ac.  Phos. Plat.
   Prun.  s. Ratanhia. Sepia. Sarsap. Zinc.
----, prolapsus of: Ign. Mez. Pod. Ruta.
----, sensation as if obstructed :  Aes. h.
----,----of burning:  Carbo. v. Caus. Grat. Nat. s.
   Nitric ac. Plat. Ver. alb.
----,----with prostration : Caus.
----,----itching: Alum. Carbo v.
----,----goneness (bloody stools) : Ver. alb.
----,----stitches  in, extending to   left groin:
   Kreos. 
168               REPERTORY.

Semen, discharge of:  Alum. Hep. s. Zinc.
Shivering:  Aes. h. Conium.
Straining (see Urging).
Tenesmus:  Agar. Carlsbad.  Caus.  Kali  b.  Mez.
  Nat. c. Nat. m. Thuja.
Urging, severe:  Aeon. Alum. Bry. Calc. c. Carbo v.
  Carlsbad. Collin. Graph.  Grat. Hydras. Ign. Kali
  b. Kreos. Lach. Merc. Nitric  ac. Phos. Plumb.
  Pod. Puis. Ratanhia. Sepia.  Silic. Sulph. Ver. alb.
  Zinc.
----, painless:  Mez.
----, with soft stool:  Stan. Zinc.
Urine, voiding of: Alum. Carlsbad.
Vertigo: Caus.
                 C. AFTER  STOOL.
Abdomen,  colic pains and diarrhoeic  discharges:
  Plumb.
----,----heat and fain tings : jHydras.
----,----prostration :  Nitric ac.
----, sensation  oflbearing down, relieved by passing
  flatus: Zincum.
----,----emptiness: Carbo v. Plat.
----,----fullness:  Gels.
Anus, fissure of: Mez. Nat. m.
----, itching:  Aes. h. Kali c. Sulph.
----, pains (sharp,  etc.):  Aes.  h. Graph. Kali  c.
  Nat. m.  Plat. Sulph.
----,----dull: Collin. 
REPERTORY.
169
Anus, prolapsus :  Aes. h. Graph. Kali b. Lacii. Merc.
  Nat. m. Nitric  ac. Pod.  Sulph.
----, smarting, burning:  Aes. h. Calc.  c.  Graph.
  Grat. Hydras.  Ign. Kali  bi. Nat. m.  Nitric ac.
  Staph. Sulph.
----, throbbing, beating:  Lach. Sulph.
Back, pains in : Aes. h.  Kali c.
Coccyx, wrenching pain:  Grat.
Exhaustion:  Pod.
Eyes, burning in : Natrum c.
Face, heat of:  Caus.
Faintness : Calc. c. Hydras. Lycopod.
Flatus, painful accumulation of:  Lycopod.
Haemorrhage: Aes. h.
Haemorrhoids : Hydras. Graph. Pod. Sepia.
___-Jvbleeding:   Aes. h. Merc. Nitric ac.
—^ toning:  Aes. h.
___^painful: Aes. h.  Lach. Nat. m. Nitric ac.
---Reddish: Aes. h.
Palpii^ons:  Caus. Con.
Perineum, contractive pain in : Lycopod.
Prostration:  Ver. alb.
Rectum, burning: Aes. h. Calc. c. Hydras. Mag. m.
   Nitric ac. Sep. Sulph.
____, pains  lasting  a  long  time:  Alum. Graph.
   Hydras. Nitric ac.  Phos. Sulph.
____,----tearing, cutting:  Sarsap.
____t sensation  as  if  faeces  still remained:  Gels.
   Lycopod. Nitric ac. 
170
REPERTORY.
Relief: Calc, acet. Nux.
Sexual excitement: Natrum c.
Shivering:  Grat. Mag. m. Mez.  Plat.
Stomach, burning: Sabad.
----, pains :  Alum.
Sweating:  Aeon. Caus.
Syncope: Calc. c. Hydras. Lycopod.
Tenesmus:  Aes. h.  Grat. Ign. Lach. Merc.  Mez.
  Nat. m. Nitric ac. Plat, Stan. Thuja. Zinc.
Thighs, spasmodic contraction of:  Plat.
Umbilicus, colic at:  Aes. h.
Urethra, burning in:  Natrum c.
       GENERAL  ACCOMPANIMENTS.
                                         r
              I. MIND AND MOOD.
Anxiety:  Caus. Lach. Nux v. Plumb.
Aversion to talking:  Puis.
----thinking:  Nux. Sulph.
----work :  Nux.
----ordinary occupations:  Graph.
Changeable: Lycopod.
Complaining:  Nux.
Depressed:  Aes. h.  Graph. Hydras. Merc. Nat. m.
  Nux. Plumb.
Hypochondriacal:  Arsen.  Lycopod.  Nux.  Sulph.
  Zinc.
Ill-humor:  Nux. Puis. Stan. 
REPERTORY.
171
Irresolute: Nux.
Irritable: Bry. Lycopod. Op.
Lassitude :  Arsen. Ign. Lach. Nux.
Mania: Lach. Nitric ac.
Melancholic: Nux.
Morose : Graph. Lycopod. Puis.
Nervous: Op. Zinc.
Sadness:  Lye. Nat. m. Nux. Stan.
                   II.  HEAD.
Forehead, heat in : Bry.
----,----ameliorated in open air:  Stan.
----,  pains:  Iris :
----,----aggravated in the morning : Nux.
----,  ----hammering: Nux.
----,----pulsative;  Bry. Nux.
----,  weight:  Graph.
Head, burning on vertex :  Sulph.
____,  congestion: Bell. Bry.  China. Collin. Ferr.
   acet. Nux. Op. Pod. Sulph.
----,  ----agg. mornings: Hydras. Nux v.
____,  heat in: Bell. Bry. Nux. Stan. Ver. alb.
 ____,  pains  (not defined): Bry. Carbo v. China.
   Hydras. Kali bi. Lach. Merc. Nux. Op. Pod. Sep.
   Ver. alb.
 ____,____dull:  Arsen. Collin. Op. Pod.
 ____,----pulsative : Collin.
 ____5____sharp,  shooting,  agg.   afternoon  and
   evening: Kali bi. 
172
REPERTORY.
Head, ringing: Graph.
----, weight: Bry. Carbo v. Nux v.
Migraine:  Iris. Merc.
Noise, sensitive to :  Bell.
Perspiration, copious:  Sil.
Syncope: Lye.
Vertigo: Aes. h.  Carbo v. China. Nux v. Op.
----when turning m bed :  Conium.
                    III. EYES.
Eyes, burning in : Lach.
----, congested : Bell.
----, heavy: Graph.
----, painful: Bell. Lach.
----,----and weak : Kali bi.
----, sensitive to light: Bell. Iris v.
----, spots or veil before:  Iris v.
----, yellow : Merc.
Pupils dilated: Bell.
                    IV.  NOSE.
Catarrhal  obstruction: Plat.
Coryza: Lach. Merc.
Snuffles:  Plat.
                     V.  FACE.
Face, acne on:  Aes. h. Nat. m.
----, copper color: Lye.
----, earthy:  Mag. m. Sil.
 ----, erythema: Alum. 
REPERTORY.
173
Face, flushed: Bell. Bry. China. Graph.  Mez. Nux.
  Op. Zinc.
----,----agg. during digestion: China. Zinc.
----, heat in :  Bry. Mez. Nux. Op.
----, grayish :  Lycopod.
----, pale:  Caus.
----, pustules on: Nat. m.
----, sallow: Arsen. Hydras. Nat. m.
----, sombre :  Nux.
----, sweating  of: Kali bi.
    -, yellowish : Hydras. Nux.
Lips bluish (with palpitations) : Nux.
                  VI. MOUTH.
Aphthae: Zinc.
Gums, pain in:  Merc. Staph.
Mouth, dryness  of: Alum. Nat. m. Nux. Op. Zinc.
----, soreness of:  Nat. m.
Mucus, excess of: Puis.
Salivation:  Merc.
Taste, acid:  Nux v.
----, bad:  Caus. Hydras. Merc.  Staph.
----,----agg. drinking water:  Ferr. acet.
----, bitter : Caus. Nux.  Puis.
----, flat: Ign.
----, foul:  Kali bi.
----, greasy: Caus.
----, sweet: Plumb. Zinc.
Teeth, pain in carious :  Mez. 
174                REPERTORY.
Tongue and lips black:  Lach.
----, coated:  Hydras. Kali bi. Zinc.
----,----in centre, red edges :  Carbo v.
----,----light:  Collin. Nux.
----,----with mucus : Nux.
----,----white :  Caus. Collin. Nux.
----, reddish : Kali bi. Zinc.
----, irritated :  Alum.
-----, papillae prominent:  Zinc.
----, superficial ulceration : Nat, m.
                 VII. APPETITE.
Appetite, canine: Bry. Sil. Sulph. Ver. alb.
----,----followed by nausea:  Bry.
----, capricious: Alum. Caus. Ign. Merc. Staph.
----, diminished or lost: Asc. s. Bry. Caus. Carbo v.
   Collin.  Kali bi. Lycop. Nat. m. Nux.  Op.  Plat.
   Plumb. Pod. Sil.  Sulph.
----, good :  Lach.
----,----at noon but wanting in the evening:
   Stan.
----, irregular: Staph.
----, soon appeased: Nux.  Raphan. s. Ver. alb.
Desire for liquors :  Sulph.
----, sweets :  Sulph.
----, beer: Merc.
Disgust for fatty foods :  Nitric ac.
----, meats :  Sulph.
----, sweets :  Caus. 
REPERTORY.
175
Thirst: Caus. Nux. Op. Plumb.
               VIII. ERUCTATIONS.
Eructations :  Cinch. Kali bi. Sil. Sulph.
----, acid: Bry.  Calc. c.  Carbo  v.  Hydras. Lye.
  Nat. m. Puis. Ver. alb. Zinc.
----, aggravated after eating:  Nux.  Plat.
----, bitter:  Iris. Nux. Sep. Ver. alb.
----, burning :  Nat. m.
----, ineffectual efforts at:   Lach. Plat.
Hiccough:  Sil.
Pyrosis:  Carbo v. Gallic ac.  Lye. Mag.  m. Sep. Sil.
            IX.  NAUSEA AND VOMITING.
Nausea:  Aes. h. Calc. c.  Carbo v.  Cinch.  Collin.
   Ferr. acet. Nitric ac. Nux. Plumb. Puis. Sil. Sulph.
   Teplitz waters.
 ----, aggravated from eating:  Bry. Plumb.
 ----,----in the morning:  Mag. m.
 ----,----when sitting up:  Bry.
 ----, frequent: Alum. Iris. Puis.
 ----, paroxysms of:  Sepia.
 Vomiting and retching :  Aes. h. Plumb.
 ----, bitter: Iris.
 ----, glairy:  Sil.
 ____, of  food :  Plumb. Ptelea. Ver.  alb.
 ----,----chronic :  Zinc.
 ----, mucus and bile :  Zinc.
                    x. STOMACH.
 Cardialgia :  Carbo v. Ign. Lye. Plumb. Sil. Zinc. 
176
REPERTORY.
Digestion slow and labored :  Sil.
Epigastrium, anxious feeling in: Op.
.----, burning distress in :  Iris v.
Flatulent distention:  Carbo v. Nitric ac.
Gastralgia (see Cardialgia).
Pyrosis:  Carbo v. Gallic ac. Lye. Mag. m. Sep. Sil.
Stomach, acidity  of:  Bry. Lye. Nat. m. Zinc.
----, coldness in: Sepia.
----, constriction of:  Sil.
----, fullness: Bry. Cinch. Nux. Ver. alb.
----,----agg. after eating: Bry. Nux. Ver. alb.
----, goneness in :  Hydras. Nux.
----,----not relieved by eating:  Ign.
----, heat in: Arsen. Ptelea. Zinc.
----,----agg. by eating:  Graph.
----, irritation of:  Arsen.
----, pains in: Carbo v. Cinch. Lach. Nux. Sep. Sil.
----, pressure or weight in:  Bry.  Hydras.  Lach.
   Nux. Op. Phos. Sil.
----, swollen: Carbo v. Graph. Nitric ac.
----,----and sensitive:  Arsen. Carbo v.
                  XI.  ABDOMEN.
Abdomen, bloated:  Alum.  Arsen. Calc. acet. Calc.
   c. Carbo v. Cinch. Collin. Graph. Lach. Lye. Mag.
   m.  Merc. Nat.  m. Nux.  Plumb. Puis. Sil. Stan.
   Sulph. Ver. alb.
——, coldness: Plat.
----, colic pains: Calc. c. Cham. Collin.  Hydras.
   Lye. Merc. Sil. Ver. alb. 
REPERTORY.
177
Abdomen, cramps (hysterical):  Mag. m.
----, cutting:  Alum.  Cinch. Hydras. Iris v. Kali.
  bi. Mag. m. Nat. m. Nux. Plumb.  Ver. alb.
----, engorgement of organs of:  Ver. alb.
----, hard: Kali c. Lach. Merc. Plumb. Sil.
----, heat in:  Arsen. Hydras.
----, inflammatory irritation:  Arsen. Bry.
----, numbness of: Am.
----, oppression of:  Nux.
----, pains (undefined) : Alum. Asaf. Stan. Sulph.
----,----from above downwards:  Nat. m. Plat.
  Puis.
----, pinchings in: Mag. m. Puis.
----, retracted : Plumb.
----, sensitive to cold : Nitric ac.
----,----touch: Arsen. Calc. acet. Carbo v. Sulph.
----, soreness of:  Arsen.
----, tympanitic:  Calc. c.  Cham. Lye  Nitric ac.
  Nux. Sulph.
----, weakness of:  Plat.
----, weight in:  Alum. Lye. Nux. Op.
Bladder, dull pains over:  Lach.
Flatus:  Carbo v. Collin. Con. Ign. Phos.  Plat. Puis.
  Sil. Zinc.
----, acid :  Carbon bisulph.
____, colic with: Cham. Collin.  Lach.  Lye. Zinc.
-____, emission of:  Alum. Graph. Lye. Nux. Pod.
____,----with relief:  Calc. acet. 
178                REPERTORY.

Flatus, emission of, without relief: Lycop.
____, fetid :  Aes. h.* Carbo v. Hydras. Pod. Zinc.
____, gurgling of:  Carbo v.  Caus. Lye. Nat. m.
----, hot:  Zinc.
----, incarcerated : Lach. Lye. Sulph.
Hip, pain over left: Lach.
Hypochondrium, constriction in:  Hydras. Mag. m.
  Nux.
----, gas in:  Cham. Kali bi.
----,----left: Lye.
----, hardness in right:  Graph.
----,----left: Nat. m.
____, pains in right: Bry. Carbo v. Kali bi. Merc.
   Pod. Ver. alb.
Intestines, large, pains in: Hydras.
Pelvis, dragging weight in:  Collin.
____, pressure across, and bladder, agg. when walk-
   ing: Nat.  m.
----,----, without stool:  Op.
Umbilicus, colic pains:  Cinch. Plat.
              XII. ANUS AND RECTUM.
Anus, congestion of: Bry. Sep.
----, crawling: Carbo  v. Carlsbad. Cocc. Crocus.
----, electric-like shots  in,  extending to penis:
   Carlsbad.
 ----,---------, agg.  at night:  Phyt.
 ----, eruptions:  Lye.  Nat.  m.
 ----, fissures:  Caus. Graph.  Ign. Nat. m. Phyt. Rat. 
REPERTORY.
179
Anus, fistule:  Caus.
----, heat:  Sil.
----, irritable:  Bry. Nux.   ,
----, itching, smarting: Aes.  h.  Alum.  Calc.  c.
  Carbo v.  Carlsbad. Caus. Cocc. Collin.  Kali  a
  Lippspringe waters. Lye. Sep. Thuja.
----, moisture:  Nat. m. Sep.
----,----acrid:  Carbo v.  Caus.
----,----offensive: Thuja.
----, mucous membrane excoriated:  Lye.
----,----injected: Lye.
----, pains, cutting:  Alum. Lye. Nux. Plumb.
----, prolapsus (see Rectum).
----, sensation as  if contracted or closed:  Aes. h.
  Nat. m. Nux.  Op. Plumb.
----,----of cold drops falling:  Cann. sat.
----,----sand in:  Collin.
----,----small sticks:  Aes. h.
----, sensitive to touch:  Lye.
----, swelling:  Hep. s.
----, tenesmus: Ign. Lach. Lye. Nat. m. Nux. Plat.
  Plumb. Tabac. Ver. alb.
----, tingling: Alum. Cocc.  Lye. Sep.
Haemorrhoids: Alum. Aur. m. Bell. Calc. c. Carbo v.
  Carlsbad. Caus. Collin. Graph. Hydras. Lach.
  Lye.  Nat.  m. Nitric ac. Phyt.  Plat.  Pod.  Sep.
  Sulph. Thuja.
----, atonic: Alum.
____, bleeding: Aes. h. Collin. Lye. Nux. Phyt. 
180
REPERTORY.
Haemorrhoids, burning and red: Aes. h.
----, dark purple: Aes. g.
----, painful: Aes. h. Asaf. Lye. Nux.
Rectum, catarrhal secretion from: Aur. m.
----, contractions of (see Anus, Tenesmus): Aes. h.
  Caus. Cocc. Plumb.
----, dryness: Aes. h. Alum. Ver. alb.
----, foreign body in: Aes. h. Kali bi.
----, heat and fullness: Aes. h. Phyt.
----, inaction:  Alum. Ver. alb.
----, insensibility:  Lach.
----, pains:  Alum.  Carlsbad. Caus. Hydras. Nux.
  Sepia.
----,----dull: Ign.
----,----severe: Caus. Kreos. Op. Plat. Sulph.
----,----as of ulceration: Phyt.
----, paralysis; Tabac.
----, prolapsus: Aes. h. Phyt. Plumb. Pod. Sulph.
----, ----agg. when squatting: Ruta.
----, rigidity: Aes. h.
----, spasms m, preventing walking: Caus.
----, swelling: Aes. h.
----, throbbing: Nat. m.
----, torpor: Op.
----, weight, pressure : Aes. h. Alum. Caus. Colli 1.
   Lach. Nux. Plat. Sepia. Ver. alb.
                  XIII.  URINE.
Urination, burning during: Lach. Lye. 
REPERTORY.
181
Urination, cutting pains : Lye.
----, difficult: Aes. h. Lye. Plumb.
----, frequent:  Pod.
----, intermittent:  Conium.
----, retention:  Bell. Cann. sat. Op.
----, at night (children): Caus.
Urine, dark :  Aes. h.
----, dribbling:  Plumb.
----, fetid :  Arsen.  Plumb.
----, high-colored :  Arsen. Plumb.
----, increased :  Ver. alb.
----, muddy:  Aes. h.
----, reddish sediment:  Lycop.
----, scanty: Arsen.
           XIV. GENERATIVE ORGANS.
Dysme n orrh ce a:  C ollin.
Leucorrhcea: Graph.  Sepia.
Menses, copious: Collin. Lach. Mag. m. Mez. Op.
----r, delayed:  Collin. Graph.
----, early:  Mez.
----, irregularities of:  Plat. Puis.
----, numbness in lower limbs durhig:  Puis.
----, regular but debilitating:  Graph.
----, scanty: Lach.
----, weight in pelvis aud across sacrum:  Puis.
Organs, atony of: Phos.
----, sexual  functions of, weak: Plumb. 
182
' REPERTORY.
Ovary, irritation of left:  Cinch.
Seminal emissions: Lycop. Plat.
Uterus, displacement:  Plat.
----, induration:  Plat.
----, irritation:  Cinch.
----, prolapsus:  Collin.
Varicocele:  Collin.
Vulva, pains around :  Sulph.
----, pruritus:  Collin.
                   XV. CHEST.
Chest, compression:  Bell.
----, congestion :  Bry. Nux.
----, constriction  : Bell.
----, oppression :  Nux vom.
----, tension :  Kali c.
Cough, chronic laryngeal:  Nitric ac.
----, dry:  Nux.
Heart, congestion: Collin.
----, hyperaesthesia:   Collin.
----, palpitation: Carbo v.  Caus. China.  Kali c.
  Nux.
——, pulsations of, intermittent:  Phyt.
----,----, lessened :  Phyt.
Respiration, difficult:   Nux.  Sulph.
----, impeded:  Carbo v. Cans.
----, painful:  Zinc.
----, short: Bry. 
REPERTORY.
183
                   XVI. BACK.
Back, dorsal pains:  Hydras. Kali bi. Merc. Plat. Pod.
----, lumbar pains:  Aes.  h.  Bell.  Bry.  Kali  bi.
  Lach.  Lye. Nux. Stan. Teplitz waters. Zinc.
          -, agg. before urination :  Lye.
----, sacral pains:  Aes. g. Aes. h. Pod.
Shoulder, pains :  Hydras. Merc.
----,----, right:  Merc.
               XVII.  EXTREMITIES.
Extremities, coldness:  Ferr. acet. Kali bi. Sil.
----, numbness :  Puis.
----, pains on motion: Nux.
----, pains in:  Asc.  syr. Zinc.
----, stiffness: Nux.
----, weakness:  Plat.
----, weight:  Plat. Teplitz waters.
----, lower, coldness: Graph.
----,----, cramps:  Nux.
----,----, weakness:  Aes. g.
Feet,  coldness: Cod-liver oil. Graph. Kali bi. Lach.
  Nux. Plat. Sepia.
----, swelling:  Nux.
----,  soles, burning:  Cod-liver oil. Sulph.
----,----, cold:  Lach.
Hands, burning:  Cod-liver oil.
Leg, coldness of outer side of left: Lach.
Toe, pains in right great (midnight):  Phyt. 
184                REPERTORY.

                  XVIII. SLEEP.
Sleep, restless :  Bell. Nux.
----, star tings in:   Bell.
Sleepiness:  Op. Sil.
----after dinner with weakness :  Lye.
----in morning:  Nux.
----in day-time :  Kali bi.
----with terrible dreams: Bell. Graph.
Sleeplessness:  Graph. Nux.
                   XIX. FEVER.
                     a. CHILL.
Chill and faintness:  Mag. m.
----and tired feeling:  Puis.
Chilliness:  Bry.  Nux.
Chills, fugitive:  Nux.
Cold :  Bry. Puis. Sepia.
                     b.  HEAT.
Heat, flushes:  Sulph. ac.
----, fugitive:  Nux. vom.
----, general:  Nux. v.
----, intermittent: Zinc.
----,----(afternoon) :  Ptelea.
Pulse,  quickened: Zinc.
                     C.  SWEAT.
Sweat, absence of :  Arsen.
----, free : Kali bi. Nat.  m.
----, profuse :  Bell. 
REPERTORY.
185
Sweat, night:  Kali c.
----on slight motion : Nat. mur.
                   XX. SKIN.
Acne rosacea of face :  Aes. h.
Eczema:  Nat. m.
Eruptions secreting a viscous or aqueous fluid: Graph.
Herpetic eruptions: Graph, Sep.
Skin, affections of: Nat. m. Sep. Sulph.
----, ----from cold:  Nat. m.
----, dirty coloration :  Nat. m.
----, dry: Arsen. Zinc.
----,----and  rough : Graph.
----,----and  smooth: Hydras.
----, irritability of:  Nat. m.
----, pale : Alum. Plumb.
----, yellow coloration : Merc.
      XXI. CONCOMITANTS  OR GENERALITIES.
 Abdomen, affections of,  with nervous accidents:
   Caus.
 ____f____, from multiple or difficult labors: Kalic.
 ----, symptoms of, marked :  Graph.
 ____, want of power  in organs of:  Kali c.
 Anaemic : Ferr. acet.
 Asthenia: Con.
 ____and paleness of tissues : Caus.
 Atony of the intestines :  Aloe. Alum. Aur. m. Lye.
 ____nervous and  nutritive :  Caus. 
186
REPERTORY.
Bile, absence of :  Plumb.
----, decreased :  Aloe.
Bilious derangements :  Bry. Merc.
Catarrh, chronic intestinal: Alum. Calc. c. Lye. Nux.
Catarrhal  affections, tendency  to:  Merc. Nat. in.
   Puis.
Cerebral origin :  Arnica.   a
Children, acute enteritis in : Lye.
----, convulsive movements:  Bell.
----, badly nourished :  Sil.
----, nervous :  Bell.
----, nursing :  Alum.
Chronic diseases of circulatory and intestmal tracts:
   Phos.
----------stomach:  Sepia.
----, scrofulous, suppurative diseases :  Sil.
Cold, sensitiveness to :  Nat. m.
Congestions of venous system :  Collin. Croc. Merc.
   Zinc.
Contusions, in consequence of:   Arnica.
Debility, general:  Gerau. Hydras. Merc.
----with chilliness :  Puis.
Digestion, slowness of:  Conium.
Dyscrasia,  constitutional:  Calc. c.
Dyspepsia in gouty subjects:  Caus.
Emaciation : Carbo v. Plumb. Sepia.
Engorgement of vena-portal system:  Sulph.
Enteritis:  Arsen. 
REPERTORY.               187
Enteritis, chronic : Ptel. trif. Zinc.
Exhaustion:  Pod.
Fever, catarrhal or rheumatic:  Aeon.
Fevers:  Phos.
Gastric conditions, marked : Aes. h. Bry. Con. Merc.
  Nat. m. Op. Puis.  Sepia. Sulph.
Gastric neurosis: Phos. Plumb.
Heart, fatty degeneration : Nat. m.
----, valvular lesions :  Nat. m.
Hernia,  strangulated :  Op.
Icterus :  Cinch. Pod.
Inertia, over-distention  of intestines :  Cinchon.
Inflammatory states  : Bell. Merc.
Inflammation of abdominal organs :  Arsen. Bry.
Intestines, dryness of :  Ver.  alb.
----, inactive : Alum.  Carbo v. China.  Cinchon.
   Hep. s. Nat. m. Phos. Puis. Sil. Thuja. Ver. alb.
----, induration  of membrane  with narrowing:
   Amnion, m.
----, paralytic state :  Bry.  Hepar s.  Ign. Nat. m.
   Op. Plumb. Ver.  alb.
----, spasmodic contraction :  Op. Plat. Zinc.
 ----, want of sensibility : Op.
 ----, weakness :  Geran. m. Nat. m.
 Languor : Kali bi.  Nux.
 Leanness :  Nat. m. Sepia.
 Liver, diseases of : Bry. Lept.  virg. Op.
 ----, fatty degeneration : Lye. 
188
REPERTORY.
Liver, torpor : Arsen. Merc.
----, tumefaction and venous stasis : Merc. Nat. m.
Malaise : Alum. Merc. Stan. Sulph.
Menstrual irregularities :  Plat.
Mercury, abuse of :  Hepar s. Nitric ac.
Mucous membranes, chronic irritability and dryness:
  Nat. m.
Mucus, absence  of intestinal :  Plumb.
Muscular system, relaxed :  Phyt. Plumb.
Neurosis with spasms : Ign. Plat.
Nutrition, weakened : Lye.
Organic, reaction : Thuja.
Organs internal, swelling of :  Sulph.
Pancreas, torpor of  :  Merc.
Paralysis, systemic :  Plumb.
Peristalsis, increase  of : Calc. c.
----, want of : Cocc. Lye.  Ver. alb.
Peritoneum, repeated  affections of : Lye.
Pharyngo-laryngitis :  Aes. h.
Prostration of vital  forces : Phos.
Purgatives, abuse of : Bry. Hydras. Lach. Nux. Op.
Rectum, congestion :  Hep.  s.
----, inactive : Aloe. Carbon bisulph. Cham. Hep. s.
  Ign. Kali c. Op. Psor.  Staph. Ver. alb.
----, pressure on, from  pregnancy or tumors : Op.
Rheumatism : Bry.  Caus. Puis. Sep.
Saturnine colic : Op.
Scarlatina, in  : Lach. 
REPERTORY.               189
Spleen, tumefaction of :  Nat. m.
Tissue, wasting of :  Plumb.
Tremulous sensation without trembling :  Sulph. ac.
Uterine complications : Collin.
Uterus, displacement of : Plat. 
 
Index.
Introductory................................................................................   9

Conclusions (Resume).................................................................... 127

Constipation, causes...........................................................12, 125, 146
----, definition..................................................................................  12
----, diminution of secretion (from)................................................... 137
----, divisions............................................................................. 38, 127
----, hemorrhoidal.......................................................................... 138
----, hepatic..................................................................................... 143
----, idiopathic............................................................................... 130
----, infantile.................................................................................... 146
----, irritative or sub-inflammatory.................................................... 131
----, mechanical obstruction (from)................................................... 138
----, paralytic................................................................................... »34
----, spasmodic or constrictive......................................................... 132
----, symptoms.................................................................................  13
----, treatment, homoeopathic..........................................................  19
----,----, hygienic and accessory................................................ 16, 126
----,----, surgical orpalliative......................................................... 154
----, uterine..................................................................................... '44

Remedies and Indications:
Aconite.................................. 112
Aesculus glabra....................... 118
Aesculus hippoc......................  20
Agaricus mus.......................... 119
Aloe socotrina........................  23
Alumina.................................  24
Ammonium carb..................... 116
Ammonium mur....................... 116
Anacardium............................ 119
Apis...................................... 114
Arnica.................................... 115
Arsenicum............................... '16
Asafoetida.............................. 119
Asclepias syr.......................... 118
Aurum mur............................. "5
Belladonna..............................  27
Bryonia..................................  28
Calabar.................................. "9
Calcarea acet.......................... "7
Calcarea carb...........................  32
Cannabis sat...........................  31
Cantharis............................... "4
Carbo veg..............................  33
Carbon bisulph........................ "8
Kali carbonicum.....................  58
Kreosotum............................. 114'
Lachesis.................................  60
Leptandra virg....................... 113
Lippspringe waters.................. 124
Lycopodium...........................  61
Magnesia carb........................ 120
Magnesia mur.........................  65
Massage................................. 126
Menyanthes trifol.................... 115
Mercurius..............................  66
Mezereum..............................  69
Mineral waters........................ 124
Natrum carb........................... 120
Natrum mur...........................  69
Natrum sulph.......................... 120
Nitric acid..............................  73
Nux vomica............................  7S
Opium....................................  83
Paraffine................................. "2
Phosphorus............................  86
Phytolacca..............................  87
Platina...................................  88
Plumbum...............................  90 
192
INDEX.
Carlsbad waters......................  124
Causticum..............................  35
Chamomilla............................  37
China....................................  113
Cinchonine..............................  38
Cocculus...............................  40
Cod-liver oil...........................  117
Collinsonia can.......................  40
Colocynthis............................  117
Conium mac...........................  42
Crocus ...................................  44
Digitalis.................................  117
Electricity..............................  122
Euphrasia..............................  44
Gallic acid..............................  119
Gelsemium semp.....................  115
Geranium mac........................  120
Graphites...............................  45
Gratiola.................................  48
Guaraea..................................  119
Helleborus..............................  117
Hepar sulphur........................  49
Hydrastis can.........................  50
Hydrotherapy........................  126
Hyoscyamus...........................  117
Ignatia...................................  54
Iris vers.................................  55
Jatropha................................  114
Kali bichrom..........................  57
Podophyllum..........................  92
Potassium bromide..................  118
Prunus padus..........................  116
Prunus spinosa........................  120
Psorinum................................  94
Ptelea trif...............................  119
Pulsatilla................................  96
Raphanus...............................  117
Ratanhia................................  121
Rhus......................................  117
Ruta.......................................  121
Sabadilla................................  121
Sarsaparilla............................  121
Secale cornutum......................  114
Selenium.................................  121
Sepia......................................  97
Silicea....................................  99
Stannum.................................  101
Staphisagria...........................  102
Stramonium............................  117
Sulphur..................................  102
Sulphuric acid........................  121
Tabacum...............................  105
Teplitz waters........................  124
Thuja....................................  106
Veratrum album.....................  107
Verbascum.............................  117
Zincum...................................  no
                         REPERTORY.

Accompaniments of the Evacuations.......................................... 164

Accompaniments, General............................................................ 170
    Abdomen..........................  176
    Anus................................  178
    Appetite...........................  174
    Back...............................  183
    Chest...............................  182
    Concomitants....................  185
    Eructations.......................  175
    Extremities.......................  183
    Eyes................................  172
    Face.................................  172
    Fever...............................  184
        a. chill.......................  184
        b. Heat......................  184
        c. Sweat.....................  184
                                       Generalities......................  185
                                       Generative organs.............  181
                                       Head................................  171
                                       Mind___.»........................  170
                                       Mopd.,.'...-...Q£.................  170
                                       Mouth..........-....'................  173
                                       Kausea.............................  175
                                       N$«e................................  172
                                       Rectum...........................  178
                                       Skin................................  185
                                       Sleep................................  184
                                       Stomach...........................  175
                                       Urine,..............................  18a
                                       Vomiting..........................  175

Aggravations..............................-...................................................  162

Constitutions or Temperaments.................................................  158

Forms and Conditions.................................................................. 157

Stool, Character.........................................................................  159 
 
 
 
NATIONAL LIBRARY OF MEDICINE
NLM  D013fl0b3 S
NLM001380632