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    ISoiantiflo mil M.'Jical
    Bo..k«. ui all ,,1,,,.,-ts
    nf N'xjf* History
    A. ETfOOTE. M D
    1--3  Belmont Ave.,
K *~ Philadelphia. Pa.
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Sarjeon  General's Office
AMYHX

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i                             .......................~)
\            DISEASES            I
j                                           |
\                     OP
i
I  FEMALES  AND  CHILDEEN:
             AND THEIR

HOMEOPATHIC  TREATMENT.
5                CONTAINING ALSO,
\

;  A FULL DESCRIPTION OF THE DOSE OF EACH MEDICINE.
BY WALTER \£^LIAMSON, M.D.,
PROFESSOR OF MATERIA MEDICA AND THERAPEUTICS IN THE HOMOEO-
       PATHIC MEDICAL COLLEGE OF PENNSYLVANIA.
             PHILADELPHIA : *-
    PUBLISHED BY RADEMACHER & SHEER, 239 ARCH ST.
NEW YORK: WM. RADDE—BOSTON: OTIS CLAPP.—ST. LOUIS: J. G.
 WESSELHCEFT.—PITTSBURGH: J. G. BACKOFEN.—CHICAGO: D. S.
     SMITH, M.D.—NEW ORLEANS: D. R. LUYTIES, M.D.
          MANCHESTER, EXG.: II. TURNER.
                 1854.
 
vvP
  IS53
   Entered according to Act of Congress, in the year 1853, by
             RADEMACHER & SHEER,
In the Clerk's Office of the District Court for the Eastern Distric
                   of Pennsylvania.
Stereotypod by G. Charles.         Printed by Ring & Baird,
'.W-WX-VA**
 
PEEFACE.
   A  few years since, several  of my personal friends,
 having expressed a wish to have some instructions con-
 cerning the diseases of females, and the conduct to be
 observed  during pregnancy, labour, and confinement;
 and also  directions for the  management of new-born
 infants, in accordance with the principles of our school;
 I was induced to prepare for the press, a short treatise
 on the Homoeopathic treatment of the diseases of females
 and children.   Several subjects and diseases were in-
 troduced which were not contained in works published
 before that time.
  The first edition is now exhausted, and the call for a
 second, is accompanied with a  request to include  the
 general diseases incident to childhood and youth.
  Those additions have been made in the present edi-
 tion, and the dose, repetition, and mode of administra-
 tion, affixed to the indications for each remedy.
  The book is not written for criticism, but in the hope
that it may be  useful in the  treatment of the  various
diseases mentioned, it is offered to the public.
                                     AUTHOR.
  Philadelphia, January 2d, 1854.
                                         (3) 
 
DIET.
                        ALLOWED.

      Pure water,  toast water, gum' arabic water, weak black
    tea, cocoa and plain chocolate.
      Panada, gruel, arrow-root, tapioca, sago, and farina; fresh  j
    milk, sweet cream, good butter, and soft boiled eggs ; water  s
    crackers, light bread and plain biscuit, at least one day old;  '
    puddings  made of wheat, rye, corn, rice, or stale bread.       \
      Potatoes,  tomatoes,  beets,  peas, beans, squashes, cauli-  \
    flower and asparagus.                                      >
      Beef, mutton,  good  ham, farm-yard fowls, small game,  \
    and oysters ; fresh perch, rock fish, and small creek fish ;  >
    salted shad and salmon.                                   I
      Soup of beef, mutton, and farm-yard fowls ;  thickened  '
    with rice,  barley, or wheat flour ; and seasoned with a little  \
    salt.                                                      $
      Sugar, salt, and molasses in small quantities ;  ripe fruit,  >
   possessing little or no acidity, in its season, and plain pre-  t
   serves made of the same.                                   <
     If any of the above articles should disagree, on account of
   constitutional peculiarity or the nature of  the disease, they  i
   ought to be avoided.                                       '

                      FORBIDDEN.                      j

     Coffee, green tea, spiced chocolate, vinegar, lemonade, all  >
\   vinous,  fermented  and  distilled liquors,  mineral waters,  ;
                                                  (5)         i 
 6                        DIET.

 acids, spices,  aromatics,  perfumery,  tobacco,  Bnuff and
 segars.
   All kinds of pastry, cheese, buckwheat cakes, short cakes,
 doughnuts,  egg plant, cabbage, turnips, parsnips, carrots,
 onions,  radishes,  horse-radish,  salads,  celery,  parsley,
 greens, cucumbers, pickles, highly-seasoned  sauces, soups,
 and broths,  all kinds of nuts, acid and unripe fruits.
   Fresh pork, scrapple, sausages,  mince pies, fried oysters,
 smoked meat and  fish, salt  mackerel, veal, turkeys, geese,
 ducks, lobsters, crabs, catfish, eels, &c.
   All  domestic medicines, herb  teas, &c.;  as well  as the
 external  use of camphor, hartshorn,  cologne water, bay
 rum, vinegar, turpentine,  &c.
   Hot bread and warm cakes, as  well as bread  and  cakes
 raised with  soda,  salceratus,  pearl-ash, fermenting pow-
 ders, &c.
   Fruit,  boiled vegetables, fresh fish,  oysters,  eggs and
chicken soup, should not be eaten  in cases of colic, cholera
morbus, diarrhoea or dysentery. 
                  CONTENTS.



                        PART  I.

               DISEASES OF  FEMALES.
                                                            PAGE
 Menstruation,....................................................................  13
 Too tardy appearance of the Menses,....................................  15
 Chlorosis;  or, Green Sickness,.............................................  20
 Suppression of the Menses,..................................................  24
 Painful Menstruation,.........................................................  31
 Menstruation too soon,.......................................................  35
       "      "  late,........................................................  36
       "      "  scant,......................................................  37
       "      "  copious,...................................................  38
       "      "  short,......................................................  40
       "      "  long,.......................................................  41
 Cessation of the Menses,.....................................................  43
 Leucorrhosa,.....................................................................  47
 Prolapsus Uteri; or, Falling of the Womb,............................  51
 Inflammation of the Labia and Vagina,.................................  55
 Regimen during Pregnancy,................................................  56
 Disorders of Pregnancy,.....................................................  58
 Vertigo and Headache,...................................TT?..-...............  60
 Morning Sickness, Ac,......................................................  64
 Pruritus,..........................................................................  66
 Heartburn and Waterbrash,.................................................  68
 Constipation,.....................................................................  71
 Diarrhoea,..........................................................."•............  72
 Toothache during Pregnancy,............77.........T......................  74
 Pendulous  Abdomen,.........................................................  76
Varicose Veins,.................................................................  77
Haemorrhoids, or Piles,.......................................................  80 
\  8                       CONTENTS.
'.                                                             PAOR
5  Pain in the Right Side,.......................................................   83
\  Cramps,...........................................................................   84
<  Incontinence of Urine,........................................................   84
<  Painful Urination,..............................................................   86
<  Sleeplessness,...................................................................   87
i  Melancholy,......................................................................   88
J  Fainting and Hysteric Fits,......................r..........................   90
5  Miscarriage and Flooding,...................................................   91
5   Breasts,...........................................................................   96
;   Remedies immediately before Labour,....................................   98
\   Labour,............................................................................   99
f   Ineffectual Pains,............................................................... 101
\   After Delivery,.................................................................. 102
I   Weakness after Delivery,.................................................... 103
   Flooding after     "     ..................................................... 105
<   Puerperal Convulsions,....................................................... 106
   After-Pains,...................................................................... 108
i   Of the  Lochia,.................................................................. 110
t   Inflammation of the Womb or Metritis,................................. 112
i         "       "    Ovaries or Ovaritis,................................ lit
|   Coming of the Milk,........................................................... 116
;   Sore Nipples,..................................................................... 119
,   Gathered Breasts,............................................................... 120
!   State of the Bowels,..................................................  ...... 121
}   Retention of Urine after  Delivery,........................................ 122
5   Duration of Confinement,.................................................... 123
                       PART   II.
            TREATMENT  OF  CHILDREN.
Reception at Birth,............................................................ 127
Asphyxia; or, Apparent Death of New Born Infants,............... 129
Washing the Child,............................................................ 130
Dressing the Navel,............................................................ 130 
                         CONTENTS.                        9

                                                           PAC1E
Of the Meconium,.............................................................. 131
Lock  Jaw of Infants,......................................................... 132
Putting the Child to the Breast,........................................... 133
Regurgitation of Milk,........................................................ 134
Elongation of the Head,...................................................... 135
Hiccough or Singultus,........................................................ 135
Inflammation of the  Eyes,................................................... 135
Sniffles,............................................................................ 138
Sore Mouth,...................................................................... 139
Jaundice,......................................................................... 140
Of the Gum,..................................................................... 141
Retention of Urine in Children,........................................... 142
Profuse  Urination,............................................................. 142
Constipation,..................................................................... 143
Diarrhoea,........................................................................ 144
Colic,.............................................................................. 145
Crying of Infants,.............................................................. 147
Restlessness  and Wakefulness,....,........................................ 148
Swelling of the Breasts,....................................................:.  149
Excoriations,..................................................................... 151
Scurf on the Head,............................................................ 152
Crusta Lactea, or Milk Crust,...............................................  153
Scald Head,  or Tinea Capitis, or White Ring Worm 6T the Scalp. 155
Infantile Erysipelas,...........................................................  157
Dentition,.........................................................................  159
Spasms or Convulsions,.......................................................  164
Summer Complaint,............................................................  170
Atrophy,..........................................................................  175
Rupture or Hernia,.............................................................  177
Soreness behind the Ears,...................................................  178
Running from the Ears,...................................................>••  179
Hordeolum or Stye,............................................................ 180
Nocturnal Urination,.......................................................... 181
Prolapsus Ani,.............................................................••••• 182
Weaning,......................................................................... 183
Leucorrhoea  of Children,.................................................... 187 
r
   10                     CONTENTS.                            \
\                                                                  \
                                                                   i
                        PART   III.                        \

\                   GENERAL  DISEASES.                   \
J                                                             PAOB   \
\   Catarrh, or Cold in tho Head,............................................... 191   \
\   Simple Fever, Inflammatory or Synochal Fever,..................... 193   i
\   Brain Fever,..................................................................... 195   \
i   Infantile Remittent Fever,.................................................. 197   >
'i   Rachitis, or Rickets,........................................................... 200   5
>   Bold Hives, Nettle Rash, or Urticaria,................................... 202   '/
't   Ringworm, or Herpes Circinnatus,........................................ 205   J
\   Prickly Heat,  or Heat Spots,................................................ 206   J
\   Scarlet Rash,.................................................................... 208   \
5   Scarlatina, or  Scarlet Fever,................................................ 210   \
i  Measles, or Rubeola,.......................................................... 215   ',
',  Chicken Pox,  or Varicella,................................................... 217   \
<  Varioloid,........................................................................ 218   ;
   Small Pox, or Variola,....................................................... 220   {
)  Cynancho Trachealis, or Croup,............................................ 225   j
\  Asthma of Millar,.............................................................. 229   /
't  Pertussis, or Hooping Cough,............................................... 230   »
|  Hydrocephalus, or Dropsy of the Head,................................. 234   '<
   Scrofula,.......................................................................... 236   \
   Worms, or Worm Fever,;..................................................... 239   >
   Mumps, or Parotitis,.......................................................... 242   '
   Sore Throat, or Quinsy,...................................................... 244   I
   Dysentery,....................................................................... 247   )
   Vaccination,..................................................................... 250   >, 
PART I.
DISEASES OF FEMALES.
- ">
 
 
DISEASES   OE  FEMALES.
  The  female  constitution, especially after pu-
berty, possesses distinctive peculiarities, independ-
ent of the influence of habits and of education.
And these peculiarities extend to the moral as
well as the physical being.  The particular organ-
ization of the female subjects her to many dis-
eases, as well as  physiological  changes not of a
morbid character,  from which the male is exempt.
The object of the present chapter is to treat of
some of the most common of those- diseases, de-
rangements, and changes.

                MENSTRUATION.
  When this function is performed in a healthy
manner, no change of consequence is perceptible
in the general feelings; although increased suscep-
tibility of the nervous  system sometimes  attends
it.  The first approach of this change is generally
marked by a  reserve in the manners; a more erect
                      2               (13) 
/  14           DISEASES  OF FEMALES.
\  carriage; a change in the voice;  expansion of the  \
\  chest; enlargement of the breasts, &c.             \
I    The quantity differs very much in different indi-  '>
I  viduals—the  average quantity is  perhaps  from  <
i  four  to six ounces.  When perfectly healthy  it
:  does not coagulate, and  the stain is very difficult  \
\  to wash  out.   In quite young females, or those  \
I  who menstruate too soon, the quantity is generally  \
:   smaller and*more mixed with  mucus; sometimes  ',
\   nearly white, and merely streaked with red.   The  '',
'   duration of a  menstrual period varies in different  ;
5   persons from  two to seven days; the average  is  \
\   about five days.  It usually returns with great re-  \
|  gularity in a state  of health  every twenty-eight  \
i   days, except in girls who menstruate precociously;  ;
\   and again when approaching the period of its final  \
'   cessation, or the change of life,  as  this stage  is  I
\   called.                                           I
\     The above account may be considered  a brief  >
I   outline of healthy menstruation, and any consi-  I
I   derable deviation therefrom, especially if it affect  :
i   the general health, should  be corrected by appro-  ',
\   priate medical treatment.   Derangements of men-  \
\   struation  are  generally referable to  insufficient  {
•i   clothing, fault  in regimen, or  improper action of  i
■   the mind.                                        i 
               DISEASES OF FEMALES.           15
\
         TOO TARDY APPEARANCE OF THE MENSES.
\     The absence of this discharge alone, so long as the
<  general health does not suffer, is not sufficient reason
\ ' for the administration  of medicine.  It is some-
:  times delayed in our latitude until  the eighteenth
\  year, without any evil consequences resulting.  It
\  generally, however,  occurs at the age of fourteen
;  or fifteen years.  Carefully avoid taking all nos-
\  trums, herb teas, essential oils, or other  forcing
;  medicines, for the purpose of bringing it on.  But
;  when all  the visible signs of womanhood have ap-
:  peared, with the mental and  moral changes that
<  usually take place  at the period of puberty, and
<  the menses do not yet show themselves, especially
\  if periodical pains in the hips, loins and back oc-
\  cur, attended with a sensation of weight and ful-
|  ness in the lower part of the abdomen, with bearing
  down,  the aid of medicine may with propriety  be
  called  in to relieve the sufferer.  A  long catalogue
!  of additional symptoms occasionally occurring at
i  this period  might  be enumerated  as  calling for
\  treatment: such as fulness about the head, giddi-
\  ness, flushed face or sallowness, bleeding  at the
\  nose, buzzing in the ears, palpitation of the heart,
<  constriction  of the  chest, shortness of breath  on
<  going  up stairs, hardness and  soreness  in the
J  breasts drawing and numbness in the lower limbs, 
  16           DISEASES OF FEMALES.
  lassitude,  feeble  pulse,  fainting fits, hysterical
  symptoms, coldness of the limbs, swelling  of the
  ankles,  swelling of the  abdomen,  nausea,  colic,
  constipation, leucorrhoea, &c.
    The causes which impede menstruation may be
  very remote and obscure, or they may be imme-
  diate and  apparent.   As the notices of disease in
  the present treatise are necessarily short and con-
  fined  to the most prominent  points, the  cases
  treated of under this  head will be  selected from
  those  of the most frequent occurrence, and of the
  simpler forms.  Recommending  those arising from
  occult causes, or depending on some organic de-
  rangement, to the management  of a judicious ho-
:  mceopathic physician.
    When the general health is but slightly affected
;  by  the apparent delay of this important function,
  a well ordered regimen is frequently all that is
  necessary to bring about the " change."  Let the
  diet be simple but nutritious; consisting of easily
  digestible articles in due proportion from the ani-
  mal  and vegetable  kingdoms; avoiding  com-
\  pounded cookeries, high seasoning  and spices, as
>  well as the use of tea and coffee, and all stimulat-
\  ing drinks, such as cider, porter, beer, wine, spirits,
\  &c.  Let her pursue a regular course of exercise:
\  such  as  walking  in the open air in suitable
I  weather, riding on horseback or in an open car- 
             DISEASES  OF FEMALES.           17
riage;  taking a share in the duties of housekeep-  >
ing, &c.; being careful to avoid fatigue or excessive  \
exercise, and  exposure to a  draft of air when in  \
a state of perspiration.   Sedentary habits and too  \
close application to study are very injurious.  Cul-  '>
tivate cheerfulness of disposition, and endeavor to  '>
promote it  by choosing such pastimes  as will at  ;
once amuse and divert  the mind.   Pay  proper at-  \
tention to dress—let the clothing be seasonable  \
and changed to suit the variations of the weather;  ;
protect the feet and lower limbs against cold, and  ;
carefully avoid exposure to wet and dampness.
   The  medicines chiefly  employed in  the cases  \
alluded to above, are—Arsenicum, Belladonna, Bry-  \
onia, Cocculus, Cuprum, Lachesis, Lycopodinm, Phos-  \
plwrus, Pulsatilla, Sepia, Sulphur and Veratrum.    \
   Arsenicum, if the face is pale and swelled in the  :
morning on rising, with swelling of the feet in the  \
evening, and a sensation  of  heat  in the  circula-  \
tion with prostration of strength.                  \

  Dose.—Three globules  night and morning for a week, or until  ;
improvement takes place.                                >t
  Belladonna, if bleeding of the nose, redness  of  \
the face, injected eyes with dread of light attend,  \
or if there  be a full  pulse, dark redness of the  \
face, and giddiness after stooping.   Aconite may  \
be given alternately with Belladonna.             \
                       2*        _........._____j 
 18          DISEASES OF FEMALES.
  Dose.—Four globules three times a day until relief is afforded,
 or the two remedies may be given in alternation.
   Bryonia, if,  in  place of menstruation, bleed-
 ing  of the nose occurs.  Lachesis and Lycopo-
 dium may also  be given in similar cases.
  Dose.—Six globules every morning,  for several mornings  in
 succession.
   Cocculus, if there should be  a complication of
 nervous affections, contracting  pinching pains in
 the  lower part of the abdomen,  with  oppressed
 respiration and groaning.
  Dose.—Six globules every night until better.
   Cuprum, is indicated when the patient is threat-
 ened with  spasms, or has cramps in  the lower
 limbs, with screaming, nausea, and vomiting.
  Dose.—Four globules three times a day until relief is afforded.
   Lachesis, is applicable  when symptoms of suffo-
 cation attend, and all the sufferings are aggravated
 after sleep; also, if there be fainting fits and con-
avulsions.
  Dose.—Three globules night and morning.
   Phosphorus, in females of a delicate form,  with
 light  complexion  and  lively  disposition,  weak
 chest and a predisposition to disease of  the lungs,
 expectoration of blood in small quantities, or dys-
 peptic symptoms alternating with rheumatic pains.
  Dose.—Six globules evory other night. 
\     Pulsatilla, if there be pain in the abdomen and  \
''   across the back, giddiness, fulness about the head  \
\   and eyes, paleness of  the face, with occasional  \
<   flashes of heat; roaring  in the ears, or partial  i
   deafness;  coldness of the hands  and feet, with  \
   predisposition  to  general coldness; hysterical  \
   symptoms, alternate laughing and crying; nau-  <
   sea and vomiting; sour taste  in the mouth after  >
   eating; discouragement and sadness; palpitation  j
I   of the heart; soreness of the breast; loss of appe-  \
i   tite, with desire for acids, and  aversion  to exer-  \
\   cise.  The unpleasant sensations frequently change  \
   from one place to another, or are felt  on  but one  \
\   side of the body at a time.  She feels better dur-  \
I   ing exercise, and in the open air; generally worse  \
\   in the evening and before midnight, and is fatigued  \
\   in the morning.                                  \
j                °             ■                      >
\     Dose.—Six globules every afternoon until  improvement is ovi-  ;
',   dent, or until the menses make their appearance.               '/
\     Sepia,  if,  in  addition  to many  of the above  j
\   symptoms, there should be a yellow streak across  ;
\   the nose and on the cheeks in the form of a sad-  \
   die.  It should be  given at night: twice in sue-  \
\   cession.
s    Dose.—Four globules at night for several nights in succession.   >
I     Sulphur, if neither of the above remedies should  j
i   answer the purpose, and there  be  a sensation of  \
{......vvw_.......... _  „  _„   _               _ . i 
  20            DISEASES OF WOMEN.
  heat in the interior of the brain ;  great religious
  depression; emaciation; want of appetite,  with
i  sickness after eating; vertigo; palpitation of the
|  heart, and shortness of breath on going up stairs,
l  worse when standing;  to  be given at night, as
  above directed for the other remedies.
5    Dose.—Four globules at night as directed for Sepia.

    Veratrum, if there be cold hands and feet, with
  a tendency to diarrhoea.
\    Dose.—Six globules night and morning until relieved.

           CHLOROSIS,  OR GREEN SICKNESS.
    On account  of the very common occurrence of
|  this  disease about the period of puberty in fe-
  males, and the uniform attendance of suppressed
|  or vitiated menstruation  consequent  upon  it, the
|  affection itself is frequently looked upon as the
<t  result of such derangement.   This state of the
\  system, however, has been witnessed in females of
\  mature age, and even sometimes in males, having
j  a lymphatic temperament and  delicate constitu-
\  tion.
|    Any of the  causes which so frequently produce
\  derangement of the  female  economy may give
\  rise to this disease.  The  most common exciting
\  causes are cold and exposure to dampness; seden-
'  tary habits, want of  exercise and fresh air;  pow- 
              DISEASES OF WOMEN.            21

erful  emotions of the mind, disappointment and
chagrin; errors in diet, food not sufficiently nour-
ishing, and the too  free use of acids  and stimu-
lating drinks.
   As the  disease under  consideration  is a com-
plicated one,  and one  of  very  serious import,
involving  the all of health, none but a qualified
physician  should  attempt  its treatment, if  the
services of one can be obtained.
   The  medicines that are generally sufficient in
this  affection, are:  Bryonia, China,  Conium, Fer-
rum, Kali carb., Lycopodium, Natrum mur., Pulsa-
tilla,  Sepia, and Sulphur.
   Bryonia, if there  is congestion to  the  head,
bleeding of the  nose or oppression  of  the  chest,
chilliness  in  alternation  with dry burning heat,
tongue coated, with pressure and  fullness  in the
region of  the  stomach.
   Dose.—Throe globules, dissolved in a teaspoonful of water, every
six hours until better, and then not so often.

   China, where there is much debility, with feel-
ing of soreness and hard swelling of  the thighs
with pressure toward  the  genital  organs, con-
gestion to the head, and bloated  face  with pro-
trusion of the eyes, heartburn, or vomiting of sour
mucus.
   Dose.—Six globules in a spoonful of water  night  and morning.
C
J 
r".........
I  22           DISEASES  OF WOMEN.
I     Coninm.  Abdominal spasms, with discharge of
\  a white acrid mucus from the  vagina, causing  a
j  burning sensation;  nausea  and  vomiting, with
\  coldness of the feet, and pain as if from  soreness
|  in the lower part of the back.
<    Dose.—Six globules three times a day until relief is  afforded.

     Ferrum  metallicum.  Giddiness  during motion,
I  aching pain in the stomach, countenance pale, lips
5  pale and bluish, menses  scanty and  flesh colored,
  emaciation and debility, swelling of the hands and
;  feet, urine clear, with much chilliness.
i    Dose.—Three globules night and morning for a woek, or until a
I  favorablo change takes place.

|     Kali  Carhonicum, if the menses have been sup-
  pressed, and there is  pain in the  abdomen with
  soreness of the  pudendum, or the menstrual dis-
  charge has an acrid pungent  smell, pale greenish
  urine, aching in the head, with ill humor,  face
  pale, with faint, lifeless eyes.
    Dose.—Three globules twice a day for several days, and if im-
  provement takes place, then discontinue it for a few days, and re-
  sume again if necessary.

     Lycopodium, bloatedness of the abdomen; cold-
  ness of the feet, with heaviness of the limbs; urine
  dark and  burning, with sandy sediment;   sleep
  restless and full of fancies;  heaviness in the head; 
f
i                 DISEASES OF  WOMEN.            23

}  face  pale,  with blueness around the  eyes; and
i  swelling of the limbs.
$    Dose.—Six globules every morning for a week, dissolved in a
I  tablespoonfulof water, and if no change takes place, another remedy
$  must be selected according to the symptoms.

\     Natrum Muriaticum, in  obstinate  cases, when
|  there is  retention of the menstrual discharges*, or
\  profuse leucorrhoea, with discharge of a transparent
\  white, thick  mucus, or greenish  leucorrhoea, with
<  yellowness of the face,  headache, and  congestion
\  of blood to the head.
5    Dose.—Six gjobules night and morning; in other respects the
\  same as Lycopodium.

     Pulsatilla is one of our most prominent remedies
<  in this disease, especially if it is attended with de-
  rangement of the digestive  organs;  often shifting
  from one  place  to  another; complexion  sallow;
  difficult breathing;  coldness of the hands and feet;
  nausea, with inclination to vomit; acrid leucorrhoea,
  with discharge of thick, white mucus; cough, with
  expectoration of thick mucus; periodical expecto-
  ration of dark clotted blood;  hunger,  with aver-
  sion to  food.   It  is  best adapted to  females of a
  mild disposition.
    Dose.—Four globules in a dessertspoonful of water  night and
  morning for a week, then pause eight days, after which  the  course
\  may, if necessary, be repeated as before.
\
j 
;  24            DISEASES OF WOMEN.
\    Sepia, discharge of  yellowish leucorrhoea  with
<  itching in the vagina;  soreness and redness of the
\  labia ;  oppression of breathing, with rush of blood
\  to the head;  violent headache, as if the head would
i  burst;  urine turbid, with brick-dust sediment; pain
!  in the  small of the back, with pain in the thighs as
i  if bruised.
<    Dose.—The same as directod for Pulsatilla.

I    Sulphur is one of  the most valuable remedial
I  agents that can  be employed in this  disease,  espe-
\  cially if the  patient is afflicted with  any constitu-
\  tional  taint;  it  is especially indicated if  there
\  should  be pressive pain in the back of the head,
\  extending to the nape  of the neck, with determina-
\  tion of blood and humming in the  head;  distension
i  of the  stomach  and  abdomen; irregular bowels;
\  breathing difficult; great fatigue,  especially of the
I  limbs;  great tendency to take  cold; sadness and
\  melancholy,  with frequent weeping.
i    Dose.—Six globules night and morning,  until amelioration or
',  chango takes place.

             SUPPRESSION OF THE MENSES.
     By suppression of the menses, is understood the
<  suspension or temporary cessation of this discharge,
'<  after it has been well established,  by  some inciden-
:  tal cause.  Cold is the most common cause of this 
              DISEASES OF WOMEN.            25
obstruction, as it is  the one to which females are
the most liable,  on account of the little care they
take of themselves at the menstrual period.   Sud-
den and  powerful emotions of  the  mind, particu-
larly grief and despondency, may also produce it,
but next after the first mentioned cause is the ma-
licious practice of eating pickles, drinking vinegar,
and putting the feet in cold water during the flow,
for the purpose of aresting it.  Disease of the chest
and of the liver, rheumatism, and inflammation of
the organs concerned, may also give  rise to sup-
pression.   Any  of these  causes may act so as to
produce the result during the flow, when the men-
ses are about to  appear, or during the interval.  If
the menses are  suddenly suppressed during the
flow or just as they are about to appear, especially
if cold be the cause, the symptoms  are  apt  to  be
much more violent than as if the obstructing cause
were applied in  the  interval.  In the worst cases
are seen frightful attacks of spasmodic pains in the
stomach and bowels, often  attended with retching
to vomit, headache,  flushed  face, wild delirium,
convulsions, hysteria, palpitation of the  heart, dif-
ficulty of breathing, &c.   This state of things is
sometimes  followed  by fever and local  inflamma-
tions.   When suppression of the menses is the
effect of causes operating in the interval, the evil
consequences do  not arise so suddenly, nor are they
                      3 
'<  26            DISEASES OF  WOMEN.
|  so alarming; yet, after the  lapse of two or three
\  months, the enfeebled state of health evinces the
\  no less certain result.   The subject becomes pale,
;  languid,  and  debilitated; loses her appetite and
{  ambition; looks sickly and dejected ; is affected
<  with  swelling of  the feet  and ankles;  nervous
:  symptoms set in;  palpitation of the heart,  short-
\  ness  of  breath, flatulency, &c, and  leucorrhoea
  winds up the unhappy train.  In  persons predis-
  posed to consumption and some other serious dis-
  eases, suppression  is particularly prejudicial and
\  demands the earliest attention.
\    The medicines generally required in the  treat-
\  ment of this affection are Aconite, Bryonia, Pulsa-
<  tilla, Sepia and Sulphur.  But Belladonna, Chamo-
\  nrilla,  Q-raphites, Kali carb., Lycopodium,  Plalina
\  and  Veratum are sometimes necessary.
i    Aconite, if the suppression be the result of the
<  direct application of cold, and be attended by con-
:  gestion to the head or chest; redness of the cheeks;
:  sickness, faintness  or giddiness on rising from a
;  recumbent position; shooting and beating pains
\  in the head, with delirium or stupefaction; fulness
;  of the pulse; impatience—worse from  motion;
\  cold  gives  relief,  but heat aggravates the suf-
;  ferings.
I
  Dose.—Six globules evory six hours in a tablespoonful of water
until relieved. 
                DISEASES  OF WOMEN.            27
    Bryonia, if there be swimming in the head, with
  heaviness and pressure towards the forehead, worse
  after stooping, and aggravated by motion ; bleed-  \
  ing of the  nose ; dry cough;  shivering during the  j
  pains; heat on the head; pain  in the pit of the  \
  stomach after eating; bitter and sour eructations ;  n
  regurgitation of food after eating with a good ap-  \
  petite; constipation;  drawing pains in the lower  ^
  part of the abdomen; pain in the back; the suffer-  i
  ings  are increased by  motion  and by touching;  ;
  this remedy is particularly adapted  to unmarried  ^
  females.                                           \
    Dose.—Three globules in a spoonful of water at intervals of twelve  ',
  hours, until decided amelioration or change for the better.         J
    . Pulsatilla is the principal remedy in this disease,  |
  especially  when it has been caused by exposure to  j
  dampness  or cold air, and  the subject have an  j
  amiable disposition with a tendency  to sadness and  j
  tears ; the headache is generally on one side only,  j
  with shooting pains extending to the face, ears, and  j
  teeth; palpitation of the heart;  suffocation;  cold-  I
|  ness of the hands and feet; flashes of heat; nausea
!  and vomiting; tendency to diarrhoea;  pressure in
\  the  lower part of the abdomen; frequent urina-
\  tion, and leucorrhoea.
<    Dose.—Three globules in a spoonful of water night and morning
  for a week, (unless  change should sooner occur,) then wait eight
;  days, after which it may, if necessary, be  repeated as before, until
'>  roliof is obtained. 
 ';  28            DISEASES OF WOMEN.
 \    Stpia,  is  also a very important  remedy,  es-
 \  pecially in females of a delicate  constitution and
 \  sallow complexion;  the symptoms  are often re-
 \  lieved by exercise, and aggravated by rest;  great
 :  liability to  take cold; disposed to  melancholy;
 \  morning headache; throbbing in the head; ver-
 \  tigo ;  bearing down in the lower part  of the ab-
 \  domen, with heat and sensitiveness ;  leucorrhoea ;
 ;  colic; pains in  the  limbs, as  if  they had been
 <  beaten; pain in the loins.
 \   Dose-—Six globules in a tablespoonful of  water every other day,
 ;  continuing the same for some time, until amelioration takes place.
     Sulphur, if the person has been subject to erup-
 :  tions; disposition to stiffness in  all  parts of the
 •  body; want of  strength;  faintness;  exhaustion
 ;  from conversation ;  sensitiveness  to the open air;
 :  disposition to sleep;  the heat of the bed  aggra-
 ;  vates the pains at night;  confusion  of the  head;
 ;  vertigo on rising up;   headache on  one side or
 <  over the eyes,  or in the back  part of the head, ex-
 )  tending to the back of the neck; heat in the head;
 \  heaviness  of the head; dimness of  sight;  sour-
 |  ness of the stomach; waterbrash; pressure in the
 ]  stomach; voracious appetite;  constipation,  with
'■  ineffectual efforts at stool; abdominal pains; leu-
i  corrhcea, with itching; pain in the loins; weariness
   and fatigue in the limbs.
i   Dose.—The same as dirocted for Sepia. 
                DISEASES  OF WOMEN.            29
     Belladonna, if it should occur  without any  }
   particular exciting  cause, and be attended with  ',
   fulness of  blood,  and  violent  throbbing  of  the  I
   arteries of the head and neck.                      I
    Dose.—Three globules every twelve hours, until amelioration
   or change takes place.

     Chamomilla,  great sensitiveness of the abdomen,
i  pain in the small of the back, extending down the
i  thigh, diarrhoea, with greenish or white stool, de-
|  sire  to vomit,  yellow  coated tongue, and bitter
<  taste in the mouth.
'   Dose.—Six globules night and mOrning.

\    Graphites, in cases where  there is either total
;  suppression, or  where the discharge is very scanty,
\  the  blood black, or watery  and  pale,  headache,
\  nausea, pain in the chest, swelling of the feet and
\  legs-
5   Dose.—Six globules night and morning.

     Kali Carhonicum, when the oppression has  oc-
   curred in an apparently healthy  female,  and  the
l   arrest of discharge can be traced to  no special
   cause.
I    Dose.—The same  as of Graphites.

I     Lycopodium,  where  suppression  is  caused by
\   fright, attended with dryness of the vagina, bloat-
\                          3* 
;   80            diseases of women.
I   edness of the abdomen,  heaviness of the  limbs,
;   chilliness, nausea and swelling of the feet.
I    Dose.—Six globules night and morning.
     Platina, painful  pressure towards  the genitals
I   with drawing headache, drawing in the  abdomen
\   before the menses make  their appearance, with
   cutting pain and cramps,  great sensitiveness of  \
j   the parts.                                         £
;    Dose.—Six globules dissolved in a tumbler half full of water, and  i
;   take a teaspoonful of the solution every four or six hours, according  J
t   to circumstances.                                      ;
     Veratrum, if menstruation is preceded by ver-  ^
:   tigo ;  bleeding at the nose; great thirst;  buzzing
I   in the ears;  pain in all the limbs ; colic  affecting
I   the whole abdomen; redness and heat of the face;
   palpitation of  the heart; pain  in the small of the
<   back; heaviness of the limbs.
<■
/    Dose.—Four globules three times a day until relief is obtained,
;   or the symptoms require another remedy.
\     11  menstruation has been checked by fright,
<   vexation,  or other emotions of the mind, give
\   Aconite, Coffea, or Lycopoolium.
\     If  the  suppression have  connection with rheu-
|   matic pains about the shoulders and chest, and the
   subject be predisposed to consumption, send for a
   physician without delay. 
              diseases  of women.           31

             painful menstruation.
   Women are liable to this disease during every
 part of their life, between the commencement and
 the cessation of menstruation.  Cold, and the im-
 proper treatment of other diseases, are the  most
 prolific sources of this derangement.  The pain
 sometimes begins several hours or even days before
 the flow commences, at other times the evacuation
 comes on regularly and continues for  a few hours,
 then  diminishes, or ceases entirely, with  a  great
 deal of suffering.   The pains  may continne  for a
 longer or  shorter period ;  frequently under appro-
 priate treatment the flow returns, and continues to
 the end of the period without interruption; some-
 times the  pains continue to the end of the period
 without shortening the  time or lessening the
 quantity.   At other times the pains continue until
 a membranous substance is expelled, and a healthy
 discharge  continues, or the evacuation ceases with
 the expulsion of the membranous body.  In  some
 cases  through sympathy, the breasts  become sen-
 sitive, tumid, and occasionally extremely  painful.
 The  pains of difficult  menstruation  are  of two
 kinds, viz.: the intermitting expulsive pains re-
 sembling those of labor, and the constant aching
 pains in the loins, hips and limbs, like those which
often  precede regular menstruation. 
   32            DISEASES OF  WOMEN.
     The remedies are: Awnite, Belladonna, Calcarea,
   Chamomilla,  Cocculus,  Coffea, Nux vomica, Pulsa-
   tilla, and Veratrum.
     Aconite, if febrile symptoms are present, such as
   accelerated  pulse ;  thirst; quick, hurried breath-
   ing ;  headache; restlessness;  congestion  to the
   head or  chest;  faintness and giddiness—worse on
   motion.
    Dose.—Dissolvo twelve pellets in six teaspoonsful of water, and
   take a teaspoonful every hour until the sufferings are relieved.

     Belladonna, if the pains precede the  flow, with
   violent congestion  to the head, and confusion of
   sight; frightful visions;  screaming; disposition to
   bite and tear  everything;  redness and bloated-
<   ness of the face; pain in the back;  strong bearing
   down in the lower part of the abdomen, as if the
\   parts would fall out.
/    Dose.—Six globules dissolved in a teaspoonful of water, and ro-
j   peated every four or six hours until better.
     Calcarea carh., if there be boring headache, which
j   is aggravated by every moral emotion;  coldness on  \
\   the head; toothache; breagts swollen and painful;  \
\   colic, with shiverings ;  cuttings in the abdomen ;  \
\   leucorrhoea; spasmodic pains in the loins.  After  \
   the period  is past, if the membranous  substance  \
i   spoken of above should have been discharged, give  \
'■   a dose of Calc. on  two  successive  evenings,  and  \
i 
                                                "1
              DISEASES OF WOMEN.            33  j
again, four or five  days before the return of tKe
next menstrual period, give two doses more in the
same way.
   Chamomilla may be given, if the pains resemble
labor pains, with pressure from the small of the
back towards the front of the abdomen and down-
wards;  colic,  with tenderness of  the  abdomen
when  touched;  discharge of a  dark  color  and
coagulated.
  Dose.—Four globules every two hours, until the pain is relievod.
   Cocculus, if there be abdominal spasms;  flatu-
lency ;  nausea and  faintness; pressive  colic,  and
cramps in the chest.
  Dose.—Six globules every four hours, until the pains are alle-
viated or the symptoms require another remedy.
   Coffea, if there be great nervous excitement, and
anguish with the sufferings; exceedingly painful
colic, with  fullness  and  pressure  in  the bowels,
with spasms which extend to the chest; delirium;
wringing of the hands;  grinding of the teeth;
screaming;  coldness over the whole body; numb-
ness and stiffness;  groaning and difficulty  of
breathing.
  Dose.—Put twenty globules in six teaspoonsful of water, and
take a teaspoonful every four hours.
  Nux vomica relieves the writhing pains in the
abdomen, when  accompanied with nausea:  pain
t~ 
\
 34            DISEASES OF  WOMEN.
 as if bruised in the bones in front; spasms in the
 womb with pressure downwards, and heat;  nausea
 and fainting; restlessness; stitches in the right
 side; frequent desire to urinate.   Nux vom.  is
 indicated when the menses are preceded by draw-
 ing pains in the muscles of  the back of the neck,
 and in excitable or passionate persons.
  Dose.—Six globules three times a day, until improvement takes
 place.
  Pulsatilla will remove a  heaviness  resembling
 a stone in the abdomen, with violent pressure in
 the lower part, and in the small of the  back, at-
 tended  with  drawing and  numbness  down  tho
 thighs; vomiting of sour mucus; shiverings, with
 paleness of the face ;  pressure to stool, with inef-
 fectual  efforts; frequent desire to pass water, and
 leucorrhoea.
  Dose.—Four globules dissolved in a tablespoonful  of water every
 six hours during tho discharge, until improvement takes place.
   Veratrum, when  the  menses are  preceded by
 headache and attended  with diarrhoea; excessive
 weakness; humming in the ears; constrictive sen-
 sation in the throat;  icy coldness  of the nose
hands, and feet.
  Dose.—Six globules every four or six hours, until decided im-
provement or another remedy is required. 
                DISEASES OF WOMEN.            35


|              MENSTRUATION TOO SOON.
     Belladonna., when the evacuation comes on be-
\   fore the time, is too copious, and is of a bright
i   red color; discharge of fetid  coagulEe; nocturnal
<   sweat on the chest; thirst; confusion of the sight;
<   beating headache ; puffmess of the face; colic, and  \
•<   violent bearing down pains.
^    Dose.—Six globules two or three times a day, according to circum-  ;
',   stances.                                            \
:                                                    i
\     Calcarea carh.  is appropriate, when the evacua-  \
\   tion is preceded  by swelling and  sensitiveness of
\   the  breasts, headache,  colic,  shiverings and  leu-  j
\   corrhoea;  during the flow there are cuttings in the  \
\   abdomen,  toothache, bearing  down, leucorrhoea,  \
'<   and enlargement of the veins.
;    Dose.—Four globules night and morning.
\     Ignatia,  is very effectual where  the menses re-
i   turn  every two  weeks,  and  are  attended  with
\   hysterical  symptoms;  nausea  and fainting; gene-
\   ral chilliness; paleness of the face; failing of the
\   sight; the patient cannot bear the light or noise;
\   the abdomen is distended and  hard;  the pains are
\   of the cramp-like compressing kind.
I    Dose.—Six globules twice a day.
\     Ipecacuanha is  suitable,  where the  patient is ex-
i______...... 
;  36            DISEASES OF  WOMEN.
<  cessively weak, uneasy, and has  a dislike to all   ;
'<  food;  the discharge copious,  bright red, and  co-   ;
  agulated.                                           \
i    Dose.—Four globules three times a day, dissolved in a teaspoon-   j
'  ful of water.                                           '
\     Natrum mur. should be given, when the monthly   \
\  period is preceded by moroseness and irritability ;   \
\  the evacuation is  too  profuse, and continues  too   \
\  long;  is attended  with sadness, headache, and an   ;
\  inclination to lie down.                             \
'/    Dose.—Dissolve about twenty globules in a tumbler half full of   i
;  water, and take a teaspoonful every four hours.                  \

\               MENSTRUATION TOO LATE.               \
\                                                      i
\     Kali carh. may be given, when there is constant   :
\  bearing down, and still the menses do not appear,   \
\  in young girls.
'/    Dose.—Four globules three times a day until relief is obtained.    \
\     Lachesis, when the commencement of the flow is   i
I  attended  with  violent pains  in  the small of  the   i
\  back,  and subsequent spasms  in the abdomen, and   ;
'<  beatings in the head.                               ;
<    Dose.—Three globules, repeated at intervals of from four to six   ;
'  hours.                                               J
\                 ^                                     ;
\     Phosphorus, if the patient has a delicate form;   i
:  is predisposed to disease of the chest, and  is trou-   j
\  bled wath dyspeptic symptoms ;  during menstrua-   ; 
               DISEASES OF WOMEN.            37
tion,  lancinating  headache,  spitting  of  small
portions of blood, shiverings, lassitude and  fever.
  Dose.—Four globules night and morning.
   Pulsatilla, where the menses are very irregular,
sometimes coming too  soon,  at  other times  too
late, and  frequently too  feebly;  sometimes  the
discharge is too dark or mixed with mucus, again
it is pale  and watery; the sufferings also are va-
rious : nausea and vomitings, shiverings and pale-
ness of the face, shooting  pains, bearing down,
constipation, &c, are frequently met  with before,
during, and after the period.
  Dose.—Six globules twice a day, commencing several days before
the expected arrival of the monthly period, and continuing  it until
the discharge has been fully established.
   Sulphur is frequently necessary when other rem-
edies fail, and where sick-headache precedes, at-
tends, or  follows menstruation.   The  reader  is
referred to the preceding sections  on " tardy ap-
pearance " and  " suppression" for  many of the
symptoms of this important medicine.
  Dose.—Dissolve twelve globules in six teaspoonsful of water, and
take a teaspoonful every throe hours until relief is obtained.

            MENSTRUATION TOO SCANT.
   The remedies  recommended for this particular
irregularity, are:  Kali carhonicum,  Lachesis, Nux
vomica, Pulsatilla, and Sulphur.
                         4 
38           DISEASES OF  WOMEN.
  Inasmuch  as  the characteristic symptoms  of  \
these remedies are to be  found in the preceding  ;
sections of this chapter, it  is not necessary to re-  ;
peat them here.  The reader is respectfully referred
to them  there.  The remedy which corresponds  \
most acurately with the whole group of symptoms,  ;
is always the most appropriate one.               \
  Administration, the same as in the preceding
article.                                          \

           MENSTRUATION TOO COPIOUS.            \
  Belladonna, when the catamenia are too copious,  \
and return too soon, with violent pressure  down-  \
wards, as if something would escape,  accompanied  j
with pain in the small of the back ; where the im-  j
moderate  flow has been caused  by exertion, or  j
lifting something during the period.  Arm, also,  (
may be given when that  is  the cause.  For other  '.
symptoms of Bell., see what is said under it when  >
the menses return too soon.                      \
  Dose.—Six globules two or three times a  day, according to cir-  \
cumstances.                                        I
   Calcarea carb.,  after  other remedies apparently  \
well adapted to the case have been given without
effect, give Calc.  carb. for two mornings in succes-  \
sion at the next period.  See some of the  symp-  \
toms  of  this  remedy under "Menstruation too  ;
soon."                                          \ 
                DISEASES  OF WOMEN.            39
    Dose.—Twelve globules dissolved in half a tumbler of water, and
  a teaspoonful given every two or three hours, as the circumstances
  require.
     Chamomilla will prove beneficial if the discharge
  is dark and  clotted; flowing  at intervals, accom
\  panied  by pain and dull griping, which passes from
|  the  small  of the back  towards the abdomen; to
\  which  symptoms may  be  added, thirst, coldness
i  of the extremities and fainting.
'z    Dose.—Six globules three times  a  day until amelioration  or
j  change.
     C7Mna,.sallowness;  general weakness, with great
\  tendency to  perspire;  dulness; swelling  of the
\  lower extremities;  confusion of the head, with
I  buzzing in the ears ; faintness;  the discharge may
;  be either watery, or coagulated, gushing out at in
i  tervals, accompanied with cramplike pains  in the
\  lower part of the abdomen.
I    Dose.—The same as directed for Chamomilla.
     Ipecacuanha, where the discharge is profuse and
\  continued; attended with paleness, thirst, and con-
l  stant desire to lie down, with great prostration.
\    Dose.—Three globules every four hours until improvement mani-
;  fests itself.
\     Nux vomica, when menstruation is too copious,
:  and returns before  the  twenty-eighth day; when
•  it lasts  longer than  four days, stops  and returns. 
:   40            DISEASES OF WOMEN.
:   In such cases  allow no coffee,  wine,  cider or  :
:   brandy;  no mince pies, or any thing stimulating,  \
I   for several  months.                                i
<    Dose.—Six globules night and morning until decided amelior-  ;
;   ation.                                               )
',                                                     >
5                                                     \
\               MENSTRUATION TOO SHORT.              \
\     Most of the remedies mentioned under  menstru-  \
\   ation "too  soon" and "too scant" may be  given  >
<   with advantage in this aberration, when the attend-  \
I   ing symptoms correspond.  AVhen the period of  \
)   menstruation is rendered too short by accidental  \
\   causes, look under " suppression " for the remedy,  't
     Bryonia,  Lachesis, Phosphorus, Platina and Pul-  ',
\   satilla are the principal remedies in this irregularity.  \
\     Bryonia,  pain and uneasiness in the abdomen,  \
\   as if the menses would appear;  suppression of the  \
I   menses, or violent pain in the back and limbs, and  \
\   headache during menstruation;  constipation, with  \
i   hard, dry stool.                                   I
'<    Dose.—Four globules three times a day until improvement takes  I
'   place, or the symptoms require another remedy.                 >.
     Lachesis,  menstruation scanty and delayed ; be-  \
'-   fore menstruation vertigo and headache; violent  j
:   pain  in the abdomen during  menstruation, with  \
;   beating in the head; costiveness, with burnjng in  \
',   the abdomen.                                     \
I    Dose.—Six globules three times a day until amelioration or change.  '> 
DISEASES OF WOMEN.            41  5
   Phosphorus, menses too early and scanty, or too
late, with  pain in the  back and abdomen, as if
bruised; stitches  from  the vagina to the uterus;
frequent desire to urinate previous to, and after
the menses;  coldness of the hands and feet.
  Dose.—Six globules two or three times a day according to cir-
cumstances.

   Platina, cramps upon the  appearance of  the
menses ; great  sensitiveness of the parts, or  the
menses appear too early ; anxiety in the abdomen,
with pain in the small of the back, as if broken.
  Dose.—Six globules night and morning, dissolved in a teaspoon-
ful of water.

   Pulsatilla, before  the menses,  chilliness  and
yawning; during  the menses, pain in the stomach,
chilliness and paleness of the face, with  urging to
stool;  pain  in  the small of the back, extending
down  the  thighs, with  discharge of thick, dark,
clotted, or  else pale and watery blood, flowing by
fits and starts.
  Dose.—Four globules three or four times a day until relief is ob-
tained.

             MENSTRUATION TOO LONG.
   Aconite, when there are congestions to different
parts of the  body with  shooting pains,  especially
about  the heart and  in  the head; full  and hard
\
) 
i   42            DISEASES OF WOMEN.
|   pulse; desire to be in the cool air; the patient is  \
   worse  in  a warm  room;  the discharge  is  bright  \
\   red,  and  for  the most part fluid, but  coagulates  }
   readily.                                             \
    Dose.—Six globules twice a day, for several days in succession  j
   during the period, and to be repeated several days provious to the  ?
   next menstrual period.                                    \

      China, paleness of the face; dark-colored under  '>
   the  eyes; obscuration of sight, or  black  spots  \
   before the eyes; roaring in the ears; pulsation in  >
   the head and neck; nocturnal headache; sleepless-  '»
   ness or disturbed sleep; nervous excitability; fre •  j
   quent  desire  to  pass  water;  pains like  labor;  \
   weakness and heaviness in the limbs; swelling of  ',
   the feet.                                            j
     Dose.—Six globules night and morning, dissolved in a table-  ;
   spoonful of clear water.                                   \

      Ignatia  is serviceable if the dischage continues  ;
   too  long; and the next  period is attended with  •
   hysterics, yawning, and choking.                   \
     Dose.—The medicine should be given on the fourth day of mens-  '
   truation, and repeated in a day or two, and repeated  again on the
   fourth day of the next menstrual period.                      j

     Nux vomica, when the menses return too soon, and  :
   continue too long;  giddiness, constipation,  nausea  :
   and faintness; the symptoms are generally worse
   in the morning; dragging about the loins, with
\ 
                 DISEASES OF  WOMEN.           43

s   bearing down in the  pelvis; cramp-like  pains in
\   the abdomen, extending downwards to the thighs.
\    Dose.—Dissolve twelve globules in half a tumblerful of water,
i   and take a teaspoonful every three hours until relief is" obtained.

i     Platina,  discharge  thick  and  black, or slimy;
\   pressure on the lower parts, with increased  sensi-
\   bility; menses too early, with diarrhoea, or pro-
\   fuse  flow  with drawing  pains in the abdomen.
\    Dose.—Four globules dissolved in a teaspoonful of  water,  three
;   times a day.

;     Sulphur will frequently change this state  of the
:   system, by giving  a few doses of it after menstrua-
<   tion is over, and repeating it again a few days be-
\   fore the next period.
s
I
I              CESSATION OF THE MENSES.
\     The " change of life," or  the " critical stage," as
|   the period of the  decline of the  menses  is called,
\   generally  occurs at or about the age of forty-five
\   years.  With ladies who  have  indulged  them-
\   selves  at  the  table and been  fond of their ease,
   generally  this change is apt to take place a little
   earlier; while with those who have led more  indus-
l   trious and even laborious lives,  it may not come
\   quite so soon.  It sometimes occurs as  early as
I   thirty-six, and even earlier; and, on the other hand, 
{  44            DISEASES  OF WOMEN.
\  it has been postponed in some instances until the
\  woman has passed fifty,  and even much later.
|    When this  period of life  is approaching,  the
\  menses become more or  less irregular, both as to
\  the time of their recurrence and the quantity  dis-  I
  charged—they may  either return too soon, or the  j
I  interval be more protracted than usual.  The quan-  \
i  tity discharged may likewise vary from the regular  ;
  amount—be very small by itself, or largely mixed  '>
  with mucus, or be very profuse, amounting to a  ;
  true hemorrhage.  The flow frequently appears  \
i  suddenly, at an unexpected moment, continues for  \
  an hour or two, and  then stops, without  any of the  >
\  ordinary symptoms of suppression following.
|    Sometimes the progressive course of this change
\  in  the female economy is so gradual, and free  ;
  from constitutional  disturbance, that the woman  \
  passes  through it before she is aware  of her al-  \
!  tered condition; until she realizes that her menses  \
\  have ceased, and with them many of the frailties  ',
I  incidental to menstruation have disappeared.  Her  \
<  health  is confirmed, and frequently she becomes
5  more fleshy than she ever was before.
5    Others, -less fortunate,  are afflicted with vertigo,  \
\  headache, flashes of heat, nervousness, paleness and  \
]  debility; frequent passage of limpid urine in large  I
  quanties, or high colored in small quantities; pain
  in the lower part of the abdomen, back and hips,  i 
                DISEASES OF WOMEN.           45

s  running down the thighs with a kind of creeping
:  sensation; heat in the lower part of the stomach and
;  back;  piles are apt to be troublesome, and some-
\  times  take on a vicarious office; swelling of the
<  lower  limbs; tumidity  of the abdomen, which
<  subsides from time  to time without the ordinary
\  symptoms of flatulency.  Pruritus (violent itching
  of the private parts) is not uncommon at this period.
\     Not every case of slight  irregularity at  this
\  period of life should be interfered with by medi-
j  cine, especially if the discharge be  diminishing in
\' quantity.  A well ordered regimen, however, is
',  important in every case—the diet should be simple
  and digestible, consisting chiefly of vegetable arti-
  cles ; total abstinence from everything stimulating
i  should be strictly observed; exercise in the open
\  air in suitable weather; bathing,, and the use of
  the  flesh  brush, should   be duly attended  to.
  Sleeping in  heated rooms  should generally be
  avoided, and a  matrass  is better than a feather
'  bed.   In many instances  it would be proper to
|  wear flannel or silk next  the  skin.  In all cases
\  avoid  unnecessary exposure,  and  guard  against
\  the injurious effects of the  common vicissitudes of
\  the weather,  by suitable  attention to dress.
     Tonics, and the so-called strengthening medi-
:  cines,  are  always  injurious  at this period,  and
\  therefore should be assiduously avoided.
L 

    Pulsatilla,  suppression  of  the  menses,  with
  nausea and  vomiting, chilliness, coldness of the
  feet, heaviness in the abdomen  as if from a stone,
  fullness of the face, pressure in  the bladder and
  rectum, burning pain in the abdomen.
    Dose.—The same as directed for Lachesis.

    Bryonia,  pinching  in the  abdomen  as if the
  menses would appear; suppression of the menses
  with bleeding at the nose, lacerating pain  in the
  limbs  and small of the  back,  with discharge  of
  dark red blood.
)    Dose.—Six globules every night, dissolved in a teaspoonful of
i  clear water.

i    Cocculus,   suppression  of  the  menses,   with
\  spasms in the abdomen, anguish, oppression  of
\  breathing,  menstruation  painful, with  discharge
I  of coagulated blood.
'z    Dose.—Four globules  every other night until amelioration or  \
',  change.                                       v      't
\ 
               DISEASES OF WOMEN.           47
   Ignatia, menstruation scanty, with discharge of
black coagulated blood, which has  a putrid odor,
abdominal spasms, heaviness and heat in the head,
languor and faintness.
  Dose.—Twelve globules dissolved in three  tablespoonfuls  of
water, and a teaspoonful every six hours.

   Sepia,  before the  appearance of the menses,
violent colic with faintness;  the  discharges are
scanty, shuddering  over the whole  body, pain  in
the  limbs as if bruised, abdominal spasms, with
pressing downwards.
  Dose.—The same as directed for Ignatia.

   Sidphur,  burning  as if in  the  uterus, menses
too late, with pain in the abdomen  and small of
the back, thirst and dry tongue during the menses,
discharge of bloody mucus from the vagina.
  Dose.—Four globules dissolved in a teaspoonful of water twice a
day, until improvement takes place.

                  LEUC0RRH03A.
   This disease (frequently called "Whites") con-
sists of a discharge of  unhealthy mucus from the
private parts, and is most liable to  affect females
between the  age of puberty and the final cessation
of the menses.  Occasionally we observe it in little
children, and sometimes  also in women who have
passed the change of life. 
■  48            DISEASES  OF WOMEN.               ;
\    Women of a nervous temperament, with  a re-  ;
\  laxed habit of body, weak chest, and  hereditary  ;
\  predisposition to it, are the most frequent subjects  \
\  of this disease.  The exciting causes of this com-  <
  plaint generally, are difficult labors; irregularity  \
|  of the menses; the employment of purgative me-  j
  dicines; tight lacing; late hours; the immoderate  \
  use of tea, coffee, and spices; limited exercise; and  ;
;  sometimes the negl.ect of necessary ablutions.  In  ;
\  children, the most common exciting causes are ne-  ;
\  gleet of cleanliness, seat worms, and  the local ap-  ;
\  plication of some irritating  matter.  Those who  :
  are subject to it at all,  are liable to have the dis-  '•
|  charge most  abundant  before and after menstrua-  ;
<  tion, and during pregnancy.  The secretion  may  ;
|  be small or very abundant, and  may vary just as  \
\  much in quality as it does in quantity; in the be-  ;
\  ginning, it  frequently seems  to be nothing  more  \
\  than an increase  of healthy transparent  mucus,  i
\  but after a while it assumes a more  dense con-  :
\  sistency, and gelatinous appearance, or becomes  ;
I  thin,  milky and  acrid;  after  longer continu-  i    t
5  ance it  may become   purulent, and  acquire a  :
I  yellow color; it is often greenish, and  sometimes  I
I  has a brownish hue.  The discharge does not al-  ;
i                                                  '■
j  ways pass away continuously, but often irregularly,  \
{  by emissions.                                    I
    After this discharge has continued for a longer  \ 
?               DISEASES OF WOMEN.           49

\ or shorter time, the concomitant symptoms make
< their appearance: such  as constant pain in the
\ back and loins; bearing down in the abdomen;
; aching  in the hips; coldness of the extremities;
\ paleness  of the face; dejection of spirits;  loss
\ of appetite; eructations; nervous symptoms; neu-
l ralgies, &c.
     Leucorrhoea is so often complicated with serious
  diseases of the womb and adjacent parts, that the
 , best interests of the  sufferer require the  earliest
 | attention to its  treatment, and the most diligent
 < use of the means calculated to  remove it.   Many
\ now mourn with fruitless grief over their unfortu-
\ nate neglect of this  disease in  its  incipient  and
; more manageable state.  On the first intimation
; of the  approach of the complaint, the  subject of
\ it  should endeavor to correct  the predisposing
:  causes, and, as  far as in her power lies, avoid all
:  the exciting causes.
\    The  remedies recommended in this place are:
\  Aconite,  Calcarea carb., Cocculus, Pulsatilla, Sepia,
i  and Sulphur.
I    Aconite, if the discharge be excessive, viscous, or
I  yellowish; heat, and a sense of fullness in the parts
<  internally: the  application of anything cold gives
<  relief, especially if the patient have been  subject
:  to acute attacks of rheumatism. 
r
I  50            DISEASES OF WOMEN.
{
\    Dose.—Six globules night and morning, until  iinprovomont 01
\  change is manifested.                                    j
\
      Calcarea carb., with itching  and burning, com-
\  ing on before the menses; the  discharge is milky,
i  and  often passes  when  making water; attended
i  Avith shooting through  the parts, and falling of the
i  womb; leucorrhoea after lifting; whitish corrosive
}  leucorrhoea of young children ;  especially applicable
<  to females of a lymphatic constitution, light  com-
<  plexion, and inclined to be fat, and who are sub-
>  ject to copious menstruation, which  returns too
   soon.
i    Dose.—Four globules every morning, dissolved in a teaspoonful
'/  of water, until decided amelioration or change.
\     Cocculus, leucorrhoea before and after menstrua-
''  tion;  discharge  of  sanguineous mucus during
'  pregnancy; leucorrhoea like the washings of meat,
\  with colic and flatulency.
\    Dose.—Three globules once a day  until relief  is obtained,  or
r  change should occur requiring another remedy.
\    Pulsatilla, when the discharge  is thick, like cream;
\  sometimes corrosive; attended  with pruritus near
\  the change of life;  before, during, and after  men-
\  struation;  when  occasioned  by fright;  and, in
\  young  girls, before menstruation  is  well estab-
|  lished.
<    Dose.—Dissolve six globules in a teaspoonful  of water, night
   and morning, and continue it for several  days, then discontinue its  j 
i
               DISEASES OF WOMEN.           51
uee for several days, after which it may be again repeated as before,
if necessary.

  Sepia, leucorrhoea with excoriation of the parts;
bearing  down;  frequent urination;  yellow, or
greenish,  fetid discharge; inflation of the abdo-
men ; yellowness of the  face—this remedy is not
always admissible during pregnancy.
  Dose.—Four globules every night, until improvement or change
manifests itself.

  Sulphur in obstinate cases of leucorrhoea, with
scalding urine; whitish,  or  yellowish and  corro-
sive; after repelled eruptions, or imperfectly cured
rheumatism.
  Dose.—Six globules two or three times a week, and continued for
some length of time.
              PROLAPSUS  UTERI.
                (Falling of the Womb.)                  j
   The chief predisposing cause  of this displace-
ment is a relaxed condition of the system, which  \
may be natural, or  induced  by habits of indul-  '/
gence in idleness and high living.  The immediate  I
causes of the mischief may be various;  as, getting  \
up too soon after confinement; leucorrhoea; falls;  \
injuries  from  lifting heavy  weights;  long  con-  \
tinued coughs; severe pukings : tight lacing, &c.  \
An eminent physician remarked in 1831:  " I will  \ 
52           DISEASES OF  WOMEN.               >
venture to  say, that, of late years, since the pre- ;
posterous custom  of pressing the  waist into as :
narrow a space as cords and steel springs  can ;
bring it, has been so general, there are more in- •
stances of prolapsus and leucorrhoea among young \
females than at any  former  period,  when the ab- <
domen  was a  little better accommodated  with \
room."   (Eberle.)   But as  fashion has changed \
the mode of dress considerably for  the better, in \
this particular,  since the doctor wrote the above, >
we  may expect to see fewer cases of the diseases \
mentioned, arising from that cause, in the future.  ^
  The symptoms may be mild for a long time in j
the commencement of the disease, and be consid- j
ered rather as an annoyance, than the occasion of '.
much suffering.  There is generally more or less
bearing down, dragging about the groins, pain in '
the back and loins, pressure low down in the pel- \
vis, a  benumbing sensation shooting down the ]
limbs, nervous feelings, with a sense of faintness, j
and many  other  exceedingly distressing symp- ;
toms.  Every  case  does  not  present  this long \
catalogue of ailments, but many cases do present ''•
them in great numbers, and in an aggravated form. \
In some severe  cases, the woman  has  great dim- i
culty in rising to her feet, and if she attempts to j
walk, has to lean forwards and support herself by j
placing her hands on her thighs.   A very obscure ; 
                DISEASES OF WOMEN.           53  I
\  and troublesome symptom of pain in the left side,
\  close under  the  ribs, sometimes  attends this  dis-  i
\  ease.  The sufferings are aggravated by the erect  \
\  position, and nearly all of them  subside after  ly-
\  ing down.                                       I
    To the above  enumeration of  difficulties, must  J
I  be added the constant  discharge of mucus, more  \
\  or less unhealthy, and  very  generally  a more  $
|  abundant and frequent discharge of the menses.  ',
  These two drains upon her system in conjunction  \
  with the general weakness, consequent upon unin-  I
  terrupted suffering, reduces the woman's strength  \
]  very ir*uch, and  unless relieved, will destroy her  \
  health entirely.                                  i
    For the cure of this  disease, we have very fre-
  quently to employ mechanical means; namely, the  \
  " supporter," or  the " pessary."   But in many  j
  cases we can succeed with medicine, and a well  \
  regulated regimen.  The  affection itself is some-
  times  symptomatic of other curable diseases.   Let  \
  the patient avoid the provoking  causes as far as ^
  she can, adhere to the homoeopathic  diet, and take  I
  one of the following remedies  every night for a
  week;  namely, Belladonna,  Calcarea carb., Nux
  vomica, Sepia, and Podophyllum.
    Belladonna,  intense pain in the  small  of  the
  back,  great pressure in the lower part of the  ab-
  domem, as if its contents  would issue through the
                        5*                        i 
54            DISEASES OF  WOMEN".                j
genital organs, suppression of  stool and urine  5
and heaviness of the limbs.
  Dose.—Six globules every night for a week, and if no improve  (
ment, the next remedy which is most applicable to the symptoms of  I
the case, must be used in the same manner.                    I

   Calcarea  carhinica,  heaviness and painful wea
riness of the limbs, oppressive pains with stitches  >
in the abdomen, contracting pain in the abdomen,  \
drawing pain, in the  abdomen,  extending down-  >
wards towards the genital organs.                 j
  Dose.—Four globules every night, until amelioration or change.  J

  Nux vomica,  prolapsus  caused  by  lifting or  \
straining,  with  hardness  and  swelling of  the  \
mouth of  the womb,  or burning  pain, desire to  ;
urinate,  constipation, with ineffectual  urging to  ;
stool, attended with bearing down or forcing pains,  i
  Dose.—Three globules in a tablespoonful  of water, repeated  '>
every six hours until amelioration or change,                  '/

  Sepia, painful stiffness  in  the  region of  the  •
uterus, oppression of  breathing,  induration of  the  )
neck of the uterus,  contractive pain in the vagina,  I
violent pain in the  abdomen, extending as far as  '
the umbilicus.                                     \
  Dose.—Four globules every night until amelioration or change.   ]
  Podophyllum pelt,  pain  in  the region of  the  t
ovaries of a numb-aching character, fullness and  j 
                DISEASES OF WOMEN.            55
                                                   f
  soreness in the abdomen, the pain extending down  \
  the thighs.                                       i
    Dose.—The same as directed for Nux vomica.               \
     After taking one remedy and then  suspending  {
  all medicine for a week or more, still adhering to  \
  the diet, if  the  symptoms have not  abated, take  ;
  one of the other remedies named in the same way,  I
  and wait  as before.  But if the symptoms do im-  '>
  prove,  take nothing so long  as they are better,  ;
  and if  they return, take the last medicine once or  \
  twice more.   In order to discriminate between the  \
  remedies  recommended as well  as  you can, com-  \
  pare the symptoms of each remedy.               \

      INFLAMMATION OF THE LABIA AND VAGINA.      \
     This disease often occurs in newly-married fe-  >
;  males, and developes itself in painful, red, hard, dry,  |
\  burning and sensitive swelling of the labia.   Diffi-  |
\  cult and tedious labors are also frequently the cause  \
\  of this  inflammation; if it arises from this cause, it  >
|  will readily yield to the external application of a  \
I  lotion of Arnica, in the proportion  of  one part of
  Arnica tincture, to  eight parts of water,—a few  ;
\  globules of Arnica may also be given internally,  i
\  Should fever and  inflammatory symptons present  J
  themselves, Aconite should be given  until relief  \
I  is obtained.
?    Dose.—Four globules every three hours. 
   56           DISEASES OF WOMEN.
     Mercurius may be used, should the inflammation
   assume a lymphatic character, with much indura-
   tion of the parts.
    Dose.—Six globules three times a day.

     Belladonna, if  the disease assumes  an erysipe-
   latous appearance, with an internal feeling of full-
   ness, tension, and burning pain.
    Dose.—The same as directed for Aconite.

             REGIMEN  DURING PREGNANCY.
     During the period of gestation a woman should
   consider, that her most trifling actions may exert
   a great influence on the  future  physical, and, we
   may  add, moral and intellectual  condition of a
   being bound'to her  by the most  endearing ties—
   a being that has  a right to expect from her,  as its
\   parent, so far as  it lies in her power to  give,  a
|   sound constitution.  Therefore, to  realize such an
\   object, it becomes the duty of a mother  to pay
\   every possible attention  to  her diet, dress, and
|   exercise.
|     Diet.  With regard to diet, she should observe
   the greatest simplicity, and abstain from all stimu-
|   lating food and drinks, as well as everything else
i   that has a tendency  to increase the irritability of
i   the system—such as the immoderate use of coffee,
\   tea, &c.  She should also  avoid taking  too  large 
           ^  DISEASES OF  WOMEN.            57

an amount of nourishment of any kind; for na-
ture seems to have instituted nausea and vomiting
for the purpose, in part,  of preventing excessive
fullness.   The occasion of pregnancy  ought not
to be made the apology for the free indulgence of
a wayward, or a voracious appetite; as indigestion
colic, and even  convulsions, in  some instances,
have  been .the sad  consequences of such  indul-
gence.   The unnatural  use  of chalk, magnesia,
charcoal, roasted  coffee, &c, is to be deprecated.
  Dress.  The dress should be  strictly suited to
the season, and so arranged as not to produce un-
necessary pressure on any part of the body  ; even
the garters should be worn loosely.   Tight  lacing
is very hurtful: it must be evident to the plainest
understanding, that  serious injury to the  health
of both mother and child must often result from
a continual and  forcible compression  of the ab-
domen, while nature is at work  in gradually en-
larging it for the accommodation and development
of the foetus; and, no doubt, there are many who
owe their  deformities to  the vanity or  fastidious-
ness of their mothers.
  Exercise.  With regard to  exercise, here let us
say, that  it is indispensibly necessary to  health
during the term of pregnancy.   The most  useful
kind of exercise is walking in the open air; for
this calls into action  more  of the muscles  of the 
    '<  58           DISEASES OF  WOMEN.
    ;  body than any other exercise suited to the state
    \  of pregnancy.   Such exercise must not, however,
    \  interfere with the process of digestion;  and, there-
    \  fore, the most suitable time for it is  two or three
    \  hours  after a  moderate  dinner, or,  during warm
t-   \  weather, towards evening—care being taken to
^r  <  avoid the dampness of the night air  by returning
    <  home early.  The passive exercise of riding in a
    <  carriage falls short of the object in view, and  the
    l  violent exercise of riding on horse-back exceeds
    i  it,  besides the liability  to fright and  accident
    I  which besets this mode, and renders  it objection-
    i  able.   Too long walks,  going  out' in  slippery
    I  weather, dancing, hastily running up stairs, lifting
    j  heavy weights, &c, should be  carefully avoided.
    |  Abortion and  premature delivery are  frequently
    j  the  consequences  of  imprudence.  The  air  she
      breathes should be pure; and, therefore, if possi-
      ble, she ought to select a large and well ventilated
      bedroom.  Intense anxiety about anything, severe
      study, and night  watchings, are decidedly  in-
    ;  jurious.

                DISORDERS OF PREGNANCY.
        Although the  state of pregnancy is perfectly
    <  natural and perfectly healthy, yet in  consequence
    \  of the existence  of latent diseases in  some con-
    \  stitutions naturally, the  artificial  disorders pro- 
             DISEASES OF  WOMEN.           59
duced in others  by improper  medical treatment,
and  sometimes from  accidental causes,  it  often
happens that this condition is  attended by many
deviations from health; which it may be well to
notice, together with the best  means of removing
them.
  Notwithstanding the universally admitted tend-
ency to plethora,  and general  fullness of the
system during gestation, the preposterous idea of
depletion being necessary to get rid of that full-
ness, must not be entertained.
  Hear what Dr. Dewees says on  the subject of
bleeding in certain cases: " To women  who are
in the habit of  miscarrying, this proscription of
indiscriminate bleeding is particularly important,
especially as it is the remedy almost universally
resorted to for its relief; than which, in very many
instances, nothing  can  be more  preposterous or
improper.   We know ourselves to be justified in
saying, it has very often produced the evil it was
intended to  prevent." (Dewees on children, p. 28.)
  The state  of nervous excitation incident to preg-
nancy  is susceptible of successful treatment; and,
  Under judicious management, the storm, which
sometimes seems to threaten the safety of the pa-
tient, can be so directed as to  give a new impetus
to the current of life, and render the woman more
healthy than before. 
r~---~~........"^............................             ;
;  60            DISEASES OF WOMEN.
    We shall now proceed to notice some of the  :
S  disturbances which take place  during pregnancy,  j
>  and point out  the treatment of such of them as call
\  for medicine.

              VERTIGO AND HEADACHE.
    Sometimes  as early  as  the  second week,  but  •
,  generally in  the third week after conception, a  ;
\  strange sensation of fullness or heaviness is felt in  \
\  the head, attended with dullness, and  a disinclina-  '■
:  tion to active  employment.  If these  feelings in-  ;
'<  crease,  the  sensation  of lightness of the  head  j
\  follows, with  vertigo,  especially in the morning   ;
\  giddiness, with blindness after stooping;  scintilla   \
\  tions  before the eyes ;  sleepiness, or its opposite   \
  headache, with weight on the head or in the back  ;
  of the neck;  disposition to fall  forwards when  i
  stooping; palpitation of the heart; general ner   :
\  vousness, &c.  With the above symptoms in many  j
\  cases  at this early period may be noticed a fastid   ;
  ious  state of  the stomach; variable, and, on the  j
  whole, diminished  appetite;  the  smell  of  food  \
  while it is cooking becomes disgusting; provi   \
  sions  as they are exhibited in market excite  nau-  >
\  sea; articles of diet in common use, of which the  '•
i  patient may  have been fond, becomes offensive;  j
I  and articles that she could not eat before are now  >
;  taken with avidity.  It is  remarkable that these  \ 
              DISEASES OF WOMEN.           61

likes and dislikes are not the result of actual ex-
periment, but arise from a capriciousness of taste,
which  decides the matter before  the article  has
been tasted  at  all.   The  tongue  is occasionally
coated  yellow, with  slightly increased  redness
along the middle towards  the point, or the whole
tongue  is whitish, and enlarged.   The mouth fills
with tasteless saliva.
   Perhaps no single case of pregnancy is attended
with  all  the unpleasant  symptoms above men-
tioned,  a few only being present in each case, and
even those may be so mild as to attract but little
notice, and  in some instances the woman enjoys
uninterrupted health  throughout  the  period of
gestation.
   Aconite, vertigo  on  rising from a seat, often, as
if intoxicated, causing one to fall;  faintness on
rising from  a recumbent posture, with dimness of
vision;  congestion  of  blood to  the head, with
throbbing and pressure  in the forehead; stupefy-
ing pains  in  the  head ; eyes  red  and sparkling,
with intolerance of light; black spots  before  the
eyes.   This remedy is chiefly applicable to pleth-
oric persons, with a florid complexion and nervous
temperament.
  Dose.—Three globules dissolved in a teaspoonful of water every
two or three hours, until relief is  obtained.
   Belladonna, vertigo, with staggering and  trem-
                        G 
|   62            DISEASES OF  WOMEN.
i   bling;  stupor, with loss of consciousness ; fullness  |
|   of the head, with whizzing in the ears and danger
   of falling;  intolerance of  noise;  heaviness, and  \
',   pressure on the head, or in the forehead, above the  \
   eyes; expansive  pains in the head, with violent  \
   beating of the carotid arteries;  injected eyes—  \
   quivering of  the lids, and  redness of the face;  \
   sparks before the eyes;   objects appear double.  \
">   The symptoms requiring  the use of Belladonna are  ;
'   generally worse  in the morning, and  the patient  ',
\   dislikes to move.                                  \
t    Dose.—Dissolve twelve globules in half a tumbler of water, and  ;
\   take a teaspoonful every one or two hours according to circumstances,  j
\     Nux vomica, vertigo, and bewildered feeling in
\   the head; giddiness, with cloudiness  of the eyes  {
<   and  buzzing in the ears;  tearing, drawing, and
   jerking pains in the head; periodical  pains; suf-
<   ferings about  the head, of almost every descrip-
\ ■  tion, during pregnancy; accompanied with consti-  ;
|   pation, disgust of food, with insipidity,  or acid,  \
',   bitter,  and  putrid taste  in  the  mouth.    Well  <
\   suited to persons of a quick, hasty disposition, and  1
<<   especially to such as lead sedentary lives and are  \
   addicted to the use of  coffee.   The  sufferings are  \
   generally worse in the morning, after exercise, and  i
\   on coming in from the open air.                  . \
<    Dose.—Six globules every night before going to bed, and if no  '
/   improvement, repeat it again in the morning.
 
i                DISEASES OF WOMEN.            63  \
\                ...                           j
i     Opium, vertigo on rising up;  vertigo with  stu-  $
\  pidity, as after  a debauch;  imperfect, sleep, with
;  lethargy and puffed  face;  illusions of the imagi-  \
\  nation.                                             \
\    Dose.—Four globules, dry, upon the tongue, or dissolved in a tea-  i
i  spoonful of clear water, every three hours, until amelioration or  <
>  change.                                             i
\     Platina, headache that  increases gradually and  \
\  then diminishes in the same way; headache caused  X
\  by vexation or a fit of passion; spitting of taste-  \
\  less or sweetish saliva ; sufferings of  nervous and  \
|  hysterical females, which  are aggravated  during  I
  repose and relieved by motion.                    j
<    Dose.—Four globules morning and night.
}     Pxdsatilla,  vertigo,  worse  after stooping, with
;  momentary blindness, staggering  and danger of
\  falling;  one-sided headache ; pulsating and shoot-
',  ing pains  in the  head;  sympathetic headache,
  arising from the stomach; headache every other
  day: the sufferings are frequently attended with
  numbness  of the limbs—are generally worse in
  the evening and before  midnight.   Pulsatilla is
  particularly adapted  to the sufferings of good-
  natured people, of a gentle disposision.
  Dose.—Dissolve twelve globules in half a tumbler of pure water,
and take a teaspoonful every two or three hours, until relief is ob-
tained. 
   -
;  64            DISEASES OF WOMEN.
i               MORNING SICKNESS, <fco.
    This  common, but often times very distressing
\  concomitant  of  pregnancy,  usually  begins  about
\  six weeks  after  conception,  and  continues  with
  more or less violence until the sixteenth  week.
  After this  time it generally abates, but in some
  instances it  returns from  slight provocations to
  the end of  gestation.  Nausea and vomiting com-
  monly take place as soon as the patient rises from
  her bed, and very often  continue to harrass  her
  for two or three hours through the morning.  After
  considerable  straining and  gagging, a mouthful
  of tough mucus is thrown up, which  at times is
\  so sour  as to set the teeth on  edge.   There is
'<  rarely  any food ejected, but occasionally bile is
\  discharged in considerable quantities.
\    In this connexion may also be noticed the spit-
\  ting of frothy saliva, and the more profuse saliva-
\  tion, which  sometimes attend  pregnancy.   The
;  frothy  saliva, which causes the spitting, is very
I  white and tenacious; when it falls upon the floor
I  it assumes a circular shape, and hence the woman
;  is  said  to  be spitting " fippennybits."   In  some
I  cases the salivation is very profuse, and attended
'■  by heartburn and waterbrash.
5    Remedies.  Arsenicum, Ipecacuanha, Natrum mu-
\  riaticum, Nux vomica, and Pulsatilla. 
                 diseases  of WOMEN.            65
j     Arsenicum  is useful,  Avhen  there is  excessive
  vomiting after eating or drinking, with attacks of
\  fainting, great weakness, and emaciation.           \
    Dose.__Four globules in a teaspoonful of water after each spell,  Z
  or repeated at intervals of six hours, until  four doses have  been  >
',  given, and afterwards once a day until amelioration or change.     >

\     Ipecacuanha, violent vomiting with pains in the  \
\  pit  of the stomach; coated tongue;  vomiting of
]  bile; vomiting, with thirst; loss  of appetite,  and  f
:  looseness of  the bowels.                            \
';     Dose.—Six globules twice a day, until amelioration or change.   5
i                                                       ?
\     Natrum muriaticum,, in obstinate cases, with water-  \
\  brash; clawing in the pit of the stomach, which is  \
I  painful to  the touch; acidity of the stomach; sali-
\  vation; loss  of taste and appetite.                  j
\     Dose.—Four globules morning and night until improvement takes  5
;  place.                                                (
\     Nux vomica, vomiting, with vertigo, restlessness,
;  and  ill humor; vomiting  of sour mucus; bitter
\  taste in the mouth ;  continual nausea;  heartburn;  \
\  waterbrash;   hiccup;   painful   sensibility,  with  \
\  pressure in the pit of the stomach as if caused by
!  a stone.
\     Dose.—Three globules in a tablespoonful of water, every night  >
',  at bed-time, until improvement manifests itself; but if no improve-  >t
\  ment shows itself in forty-eight hours, consider the next remedy.   i

     Pulsatilla,  tongue coated white; insupportable   '>
 
   66           diseases  of women.
   nausea,  with desire  to  vomit; vomiting of sour
\   mucus and food; nausea rising into the throat and
\   mouth;  eructations,  acid, bitter, or with the taste
   of food; bitter  or sour taste in the mouth  after
   eating;  nausea  after eating;  salivation; water-
   brash ;  hiccups;  pulsations in  the pit of the
   stomach; frequent inclination to pass water. &c.
    Dose.—Six globules twice a day.

                     PRURITUS.
     During the early  months, but sometimes not
   until  a  later period of  pregnancy, women are i
   subject  to a very troublesome  and distressing \
   itching of the vulva, or private parts.   In almost ;
   every case of pregnancy there is an increase  of j
   the  secretion of mucus of those  parts, and  in j
   some instances, there  is an acridity of the secretion, \
   which gives rise to this complaint.   An aphthous j
   efflorescence, similar  to the thrush of infants, occa- j
   sionally incrusts  the inner surfaces of the  labia ',
   and adjacent parts in this disease;  sometimes the »
   affection penetrates to considerable depth in the \
   direction of  the  womb.  In other instances the \
   aphthous condition is not present; but, in  place
   of it, there is a great  deal of irritation of the same
   parts, which assume a copper color, and present a
   number  of slight abrasions.  From the whole of
   the parts laboring under this peculiar irritation a 
               DISEASES OF WOMEN.            67

 vitiated watery discharge seems to be almost con-
 stantly oozing: the accumulation of which  is at-
 tended with the most indomitable  itching.   This
 disease is not confined to the state of pregnancy,
 but may attack a female at any time; she is most  j
 liable to it, however, during gestation, and at the  I
 decline of the menses.                            t
   Frequent ablutions with water are very import-
 ant for the comfort of the patient, and, at the same
 time, conducive to her recovery.
   The principal remedies are: Bryonia, Carho vege-
 tabilis, Lycopodium, Pulsatilla, Sepia,  Silicea,  and
 Magnesia muriaticum.
   Carbo vegeiabilis, itching or burning; soreness of
 the pudendum; pain  as from excoriation of the
' pudendum,   with  leucorrhoea—it  is  peculiarly
 adapted to the aphthous variety of eruptions.
   Dose.—Six globules twice a day until relief is obtained.

   Silicia, great irritability and sensitiveness of the
 skin, itching of the pudendum, with  discharge of
 painful smarting leucorrhoea, or discharge of milky
 fluid, from the womb, which causes violent itch-
 ing of the parts.
   Dose.—Six globules twice a day, until four doses are taken, and
 then wait a week.

   Bryonia and Lycopodium  are applicable in  case
 of dryness and heat in the parts.
* 
n
68            DISEASES OF  WOMEN.
  Lycopodium is  also applicable when there is a
milky ichorous discharge, with or without the ex-
pulsion of wind from the parts.
  Pulsatilla is suited to every variety of the  dis-
ease, especially if it occur at the period of the de-
cline of the menses.
  Sepia, violent  itching, with  inflammation  and
swelling of the labia; corrosive  leucorrhoea, with
bearing down, and excoriation about the parts.
  Dose.—The above remedies should be given the same as directod
for Silicea, always selecting the remedy in accordance with the
symptoms.
     Magnesia muriaticum, when the irritation is  at-
;  tended with a thick  leucorrhceal discharge, occa-
s  sionally streaked with blood.
    Dose.—Six globules night and morning.
     A wash made of a solution of borax in water,
  applied locally two or three times a day, will tern-
)  porarily  remove  the troublesome symptom  of
<  itching in a short time.

j            HEARTBURN AND WATERBRASH.
{     These affections generally go together, and may
'<  attack a woman during any part of the period of
  gestation.    They may come  on  in the  early
\  months, and accompany the morning sickness, &c.;
j  but generally they come on later in the term, and
  are most troublesome after  quickening. 
r
DISEASES OF WOMEN.            69
    The patient complains of heat in the stomach,
  extending upwards; it is frequently attended with
  very acid eructations.   There  is usually a cramp-
  like sensation in the pit of the stomach ;  rising of
  a tasteless or bitter fluid, which is sometimes hot,
  and so acrid as to excoriate the throat and mouth.
  The symptoms are worse after eating, and water
  frequently turns sour, and  is  regurgitated imme-
  diately after drinking.
    Remedies.   Nux vomica, Phosphoric acid, Pulsa-
  tilla, Sulphur, Calcarea carb., and Alumina.
    Nux vomica,  acid,  bitter,  or sour eructations,
  with  nausea and vomiting ; feeling of weight in
  the pit of the stomach;  desire for chalk or earth ;
  constipation;  also when it  is  brought  on by the
|  too frequent use of spiritous liquors;  bitter or
  putrid taste in  the mouth, with vomiting of food
  in the evening.
    Dose.—Dissolve twelve globules in a tumbler half full of water,
  and  take a teaspoonful every two, three, or four hours, according to
  circumstances.

    Phosphoric acid, sour eructations; constant nau-
  sea ; dryness and soreness of the throat; eructation
  caused by the use of acids; vomiting of food; loss
  of  appetite; accumulation of viscid mucus in the
  mouth, after taste of food, and nausea after eating.
    Dose.—Four globules three  times a day, until amelioration or
  change. 
I
I—"....................................
<   70            DISEASES  OF WOMEN.
|     Pulsatilla, sour, bitter, bilious  eructations  after
   a  meal;  frequent gulping up of  a bitter fluid;  \
   vomiting; eructations tasting of the  food;  nausea
i   while  eating, with aversion.
1    Dose.—Dissolve twelve globules in a tumbler half full of wator,
\   and take a teaspoonful every four hours until better.
I        *
i     Sulphur, sour risings, with much acidity of the
   stomach ;  nausea, with desire to vomit;  sour vom-
•   iting,  or vomiting  of the  food  taken; flat,  or
\   putrid taste in the  morning on rising, with com-
\   plete loss of appetite, and continual thirst.
\    Dose.—Four globules three or four times a day, according to the
<   violence of the case.

     Calcarea  carhonicum,  waterbrash  from  taking
   milk;  burning in  the throat; bad  taste  in  the
   mouth, which is metalic or sour; loss of appetite,
<   with acidity of the  stomach; aversion  to food;
   frequent eructations after  eating.
    Dose.—The same as directed for Pulsatilla.

     Alumina,  gulping up of sour mucus, with burn-
   ing in the throat; frequent eructations—bitter, ran-
   cid,  burning, acrid  or sour;  qualmishness  in  the
   stomach;  nausea, with inclination to yomit.
    Dose.—Six globules every four or six hours, according to cir-
   cumstances.
i______
..-J 
                 DISEASES OF WOMEN.           71

                    CONSTIPATION.
     Constipation is a very frequent attendant upon
<  pregnancy.  Exercise, a diet composed chiefly of
\  vegetables, and drinking freely of cold water, will
\  generally relieve it. But if these are not sufficient,
\  give Bryonia, Lycopodium,  Nux vomica, Pulsatilla,
I   Opium, or Sulphur.
     Bryonia is useful where constipation occurs in
I  warm weather, or where it arises  from disordered
\  stomach; hard, tough stool, or dry, as if burnt,
\  with protusion of the rectum, and burning after
j  stool, and  is accompanied  with determination of
\  blood to the head.
I    Dose.—Six globules night and morning until relief is obtained.
     Lycopodium, when there is difficulty in  passing
  stool, with ineffectual urging and distension of
  the abdomen; inactivity of the rectum; small stool,
  followed by painful accumulation of flatulence.
    Dose.—Six globules every night until decided amelioration or
  change.
     Nux  vomica, when  constipation is caused  by
  taking heavy,  indigestible  food;  inactivity of  the
  bowels, from sedentary habits; ineffectual urging
  to stool; difficult  stool, with burning in the anus;
  constipation, with rush of blood to the head.
    Dose.—Six globules night  and morning until decided improve-
  ment or change. 
   72            DISEASES OF  WOMEN.
     Pulsatilla, when constipation is brought on by
   the too great  use  of rich  or fat  food,  as pork,
   pastry, &c;  or there is an  alternation of costive
   ness  and diarrhoea, with  painful pressing in the
   back.
    Dose.—The samo as directed for Nux vomica.
      Opium, where  there is constipation caused by
   torpor of the intestines, brought on by the abuse
   of cathartics;  hard stool,  with discharge of small,  j
   hard balls; loss of  appetite; suitable  for  persons  \
   of a  strong plethoric habit.                        \
    Dose.—Four globules night and morning until decided ameliora-  ',
   tion or change.                                       j
     Sulphur is best adapted to cases of chronic con-  ;
   stipation;  especially if  accompanied  with  piles,  \
\  and  the stools are  hard  and  difficult; or lumpy,  i
I  with  burning pains in the anus and rectum.       \
i   Dose.—Six globules evory night until relief is obtained.        ;
\                                                   i
\                     DIARRHG3A.                     \
\    Diarrhoea  is not  so common as  constipation  I
\  during pregnancy,  but  is much more injurious.  I
:   It  should not  be suffered to  continue long, lest  J
'■   it lead to something more serious.   It frequently  \
\   depends on some  accidental  cause, on the removal  \
<   of which, the diarrhoea ceases spontaneously.
\     The best remedies are: Antimonium crudum, Did-  ',
\   camara, Lycopodium, Sulphur, and Phosphorus. 
 \                DISEASES OF  WOMEN.            73  ' \
 i                                                    >
 ;    Antimonium crudum, where there is a disposi-  ;
 :  tion to diarrhoea, or diarrhoea  from  taking cold;  i
 {  diarrhoea at night, with discharge of mucus from  ;
 <  the rectum, which is protruded during  stool; or  :
 <  when the diarrhoea is  alternate with constipation,  •
 \  or if the discharges are watery and very  offensive.  •
 \   Dose.—Four globules every three hours until relief  is obtained.   \
 '/                                                    >
 \    Dulcamara  will  promptly  afford relief  if the  ;
 I  attack has been brought on by sudden suppression  i
 \  of perspiration or chill,  and  the discharges are  ;
 |  slimy, or sour smelling,  with colic, especially in  \
 :  the summer season.                                '■
 i   Dose.—Six  globules every two hours until amelioration  or  ;
 j  change.                                              '

 |    Lycopodium, diarrhoea  with colic;  pale, fetid  \
 I  stools, with burning;  stools followed by spasms  j
 \  of the  abdomen;  haemorrhage from the rectum,  •
 :  with soft stools; cutting in the rectum.
 -   Dose.—Six  globules  every four hours until amelioration  or
 '  change.                                              j

 \    Sulphur,  diarrhoea after a cold, with chilliness,  \
 \ colic, and distension of the abdomen; discharges  \
 \  brown,  green, or watery; fetid or  sour smelling  ;
: stools;  burning  during stool; discharge of undi-  I
; gested food with stool.                             :
'   Dose.—Six globules three  times  a day until relief is obtained,
; or the symptoms indicate another remedy. 
r
74            DISEASES OF WOMEN.
I
    Phosphorus is suitable in obstinate  cases, where
\  the discharges are painless, involuntary, and wa-
\  tery, soft and pupescent, or green, black, and un-
•  digested.
i    Dose.—Four globules overy four hours until relief is obtained.
'i
\
'}                     TOOTHACHE.
\    Toothache is most common in the early months
;  of  pregnancy, and  is sometimes  one of its  first
;  symptoms.   It is liable to occur at  any time during
  the term, and usually comes on  in  paroxysms after
  longer or shorter  intervals.   It may attack one or
\  more decayed teeth, or a perfectly sound tooth;
\  or shoot along the jaw without locating in  any
^  particular tooth.  The pain partakes of the nature
\  of neuralgia.  Consult a physician before having
\  teeth extracted under such circumstances.
\    The most successful remedies are: Aconite,  Bel-
  ladonna, Calcarea carb.,  Chammomilla, Nux vomica,
  Pulsatilla,  and Staphysagria.
    Aconite, in congestive toothache, if there is in-
  tense redness of the cheek; congestion of the head;
  great restlessness, and throbbing pain in the  face,
  with burning heat;  and is aggravated by all kinds
I  of stimulants.
Dose.—Six globules every hour until amelioration or change.

 Belladonna, tearing or  cutting pain in the gums 
\                 DISEASES OF  WOMEN.            75  {
j  and teeth, as if ulcerated;  worse  at night, espe-  I
\  cially after lying down;  face hot and red ; worse  \
\  from the contact of food, or in the open air; cheeks  \
{  swollen;  dryness of the  mouth and  throat, with
|  great thirst;  burning and redness of the eyes.      j
\    Dose.—Six globules every two or  three hours according to cir-
  cumstances.

     Calcarea carbonica, toothache, with congestion of
  blood to the head;  worse at night, with beating
  pain or soreness; aggravated by anything warm  \
  or cold,  and by the least noise.                     \
    Dose.—Six globules dissolved in three tablespoonfuls of water,  >.
  and a teaspoonful every hour until relief is obtained.             \

     Chammomilla, violent drawing or beating pains,  \
;  which appear  intolerable, especially  at night;
  irritable  mood, with hot swelling of the cheeks;  \
  painful swelling of  the  gums, aggravated by the  \
  use of coffee; pains, with heat  and redness, espe-  [
  cially of  one side of the  face; restlessness and  \
  great weakness.
    Dose.—Four  globules every one or two hours until relief is ob-  \
  tained.                                              I
    Nux vomica,  applicable to those who  lead a se-  j
  dentary  life, or of a  lively, choleric temperament;
  the  pains extend to the head and ears; aggravated
  by  the use of  spiritous drinks;  better in the air;
  swelling  of  the  glands of the neck; renewal of 
:   76           DISEASES OF WOMEN.
\   the  pains at night; swelling and sensitiveness of  :
;   the gums.                                         j
'<•    Dose.—The same as directed for Chammomilla.              '

     Pulsatilla, applicable to persons of a mild, quiet,  :
•   and timid disposition; where the pains extend to  ;
<   the  ears, and wander from  one side to the other,  \
\   with jerking pains, as if the nerves were put upon  ;
\   the  stretch and suddenly loosed again;  face pale;  ;
|   heat in the head, with chilliness of the body, ag-  \
\   gravated by any thing warm; relieved by the use  \
I   of cold water and  fresh air.
',    Dose.—Four globules every one, two, or three hours, as circum-  \
!   stances may require.                                   \
I                                                    i
I     Staphysagria, gums painful, pale, ulcerated, and  \
:   swollen, bleeding  easily; pain  in  all  the teeth;  '
;   pains  worse when chewing, or after drinking any-  j
;   thing cold.
',    Dose.—The same as of Pulsatilla.                        >

                PENDULOUS ABDOMEN.                /
     Females who have borne many children  are  j
:   liable to this deformity of the abdomen, especially  i
\   where  there is a  disposition to corpulency, and  \
\   where proper attention has not  been paid  to the  !
\   bandage in previous confinements.
\     Remedies.  Rhus toxicodendron and Sepia.        ;
\     Rhus toxicodendron, where  there is considerable  i 
                DISEASES OF WOMEN.            77

|  relaxation of the abdominal muscles during preg-
\  naney, and also after confinement.
\    Dose.—Six globules every night
i
I    Sepia will be found useful, especially where there
i  is a tendency to this affection, with  a sense  of  £
i  weight in the abdomen.                           \
\    Dose.—Six globules every night.                        £

                   VARICOSE VEINS.
\    This disease consists of a dilatation  and disten-
i  sion of the  veins.  It is not confined to a state of
}  pregnancy,  but   may  exist at  any time  in  the
  female, and  occasionally is met with in the male
<  sex.  Still  the disease is so frequently met with
j  in women during pregnancy, that it may be.con-
  sidered as a disease almost peculiar to this state.
\  It rarely occurs in a first  pregnancy; and when it
;  appears for  the first time, it does not  commonly
J  occur until  after the period of quickening; but in
I  subsequent  pregnancies it is apt to  take place in
s  the early months.
    Varicose  veins generally appear first about the
\  ankle,  and are frequently confined to the leg  be-
<  low the knee; but occasionally the veins of the
]  entire  lower extremity are  involved.   The affec
]  tion may be confined to one limb, or both may be
\  included.  Oedema, or general swelling of the feet
 
;   78           DISEASES OF WOMEN.              I
i   or lower limbs, may attend this complaint or exist ;
   without it.                                      \
     The  enlarged  veins are generally superficial, \
   and at first assume a reddish hue, but afterwards a ;
   bluish or leaden color, and the larger ones become ;
   very much knotted; they get larger when the pa-
\   tient stands on her feet,  or  suffers  the limb to
   hang down, and the swelling decreases when she <
   lies down.                                      (
|     When  moderate it is not painful, but if it con- \
   tinues  to  increase  it may become so,  and ulti- i
I   inately the  veins  may burst, and the  blood be j
;   effused beneath the skin, or poured out externally. \
\   As the disease is produced by a mechanical cause, ;
;   after delivery, the  pressure  being removed, the :
I   veins very soon regain their  natural size and the ;
\   swelling disappears.                             ;
I     If the distension is great, and the disease be very j
f   painful, rest in the recumbent posture will  be ne- ■
\   cessary.  If the woman is obliged to be on her ■
\   feet much, she will find great relief from having >
   the limb bandaged, or wearing the laced stocking. \
   If the bandage or laced stocking  is used, it should \
l   be applied in the morning, when the veins are least \
\   distended, beginning at the toes  and progressing i
}   upwards.                                        ;
     In addition to the above mechanical means the ;
i   following medicines may be given with advantage, ; 
              DISEASES OF WOMEN.            79  \

namely: Aconite, Lycopodium, Nux vomica, and Pul-  i
satilla.                                             }
  Aconite, heaviness  in the limbs, writh lameness  \
of the joints, as  if they were bruised; lacerating  ^
pain in the muscles of the legs; standing becomes  \
painful; all the pains increase by standing  or  \
moving about.                                     \
  Dose.—Twelve globules dissolved in a tumbler half full of water,  >
and take a teasponful  every four hours.                      t
   Lycopodium,  drawing pain in the  limbs, as if J
bruised, with tension  and  stiffness;  large,  red,  \
hot patches, painful and burning, extending from  \
the knees to the ancles; worse at night, with heat  \
and dryness of  the skin.                           \
  Dose.—Six globules dissolved in a teaspoonful of water,  night  >
and morning.                                          >

   Nwx vomica,  weariness and  unsteadines of the
limbs;  coldness, with frequent dartings from the
feet to the thighs; painful tension in  the muscles,
as if too  short;  blue  spots  in the  legs, as if
ecchymosed, with tensive pain; or if there is con-
stipation or hemorrhoids.
  Dose.—Six globules in a teaspoonful of water, morning, noon,
and night.

   Pulsatilla, if  the swelling  is red and hot, with
excessive pain   and  inflammation;  unsteadiness
and weakness in the knees, with blueness of the 
  80            DISEASES OF  WOMEN.
  entire veins of the legs, extending from the knees
  to the ankles.                                     \
    Dose.—Four globules three times a day, either dry on the tongue,  i
\  or dissolved in a little water.
f
\               HEMORRHOIDS OR PILES.
I     Although this disease  is not by any means pe-
  culiar to pregnancy alone, yet it often arises in
  persons while in this  state who are not subject to
  it at any other time, from the pressure of the gravid
  uterus  and a torpid  condition of the abdominal
  viscera.
     Piles consist  of one or more small  vascular tu-
  mors about the anus. When severe, they enlarge to
  the size of marbles, and form a cluster like a com-
  pact bunch of grapes, of a purplish hue, and are very
  painful and sensitive to the touch. When they oc-
  cupy the lower part of the rectum within the anus,
  they are called inward piles; and when  they pro-
  trude, they are called external piles.   If there  is
  no discharge from them, they are called blind piles;
  and when there is a discharge from them, they are
  called bleeding piles.
     A  patient, who  is liable to piles, or somewhat
  afflicted with them, should neither sit too much,
  nor stand on her feet long  at  a time, but take
  plenty  of exercise,  drink freely of cold water, and
  abstain from all rich food and stimulating  drinks.
L 
                                                 "1
                DISEASES OF  WOMEN.           81  i
     During a paroxysm of suffering from them, it  I
<  will be expedient for her to lie down, and choose
'<  for herself the easiest  position.   As a local appli-  \
  cation, place a folded napkin wet in cold water next
I  to them, and lay a dry one  folded in like manner
{  over it, and repeat the  process as occasion may
\  require.  Any animal oil, or a mucilage made by  \
;  soaking quince-seeds  in  water, and applied, will  \
\  frequently give temporary relief;  but for more  \
\  permanent benefit, we must resort to one or more  \
\  of the following medicines, according to the symp-  \
I  toms,  namely:  Aconite, Belladonna, Ignatia, Nux  }
\  vomica, and Sulphur.                             '/
\     Aconite is applicable  when there is bleeding,  j
\  with cutting or pricking pains, and pressure at the  \
\  anus;  fullness in the abdomen, with tightness and  j
;  colic;  and pain in the small of the back,  as if it   \
\  was broken.                                      \
i    Dose.—Six globules dissolved in a wineglassful of water, and  j
',  a teaspoonful three times a day until relief is obtained, or the symp-  /
;  toms indicate another remedy.

     Belladonna,  when the  bleeding continues for
\  several days, with itching of the anus, and soreness
;  when walking; tumors large, with bearing down;
;  pain in the back, as if it would  break. Belladonna
'<  is  especially indicated if the patient have taken
|  sulphur in large doses, under old school treatment
  in previous attacks. 
              DISEASES  OF WOMEN.
 Dose.—The same as directed for Aconite.

  Ignatia, constipation,  with ineffectual efforts at
stool; body comes down; protrusion of the  piles
during  a laxative evacuation, with discharge  of
bloody  mucus;  painful pressure after stool; con-
tractive feeling in the anus; itching and  crawling
in the anus.
  Dose.—Six globules night and morning, until amelioration or
change manifests itself, or another remedy should be required.

   Nux  vomica  is  applicable  for both blind and
bleeding piles, attended by constipation, and fre-  \
quent ineffectual efforts at stool, with a sensation  \
as if  the anus were contracted or closed; burning  j
and pricking pain in the  tumors; itching in the  '
anus ; colicky pains  in the abdomen;  determina-
tion  to the  head;  frequent  painful urination;
worse after mental labor and after a meal.   Parti-  \
cularly adapted to  persons of  sedentary  habits,  \
and who use  much coffee.
  Dose.—Four globules dissolved in a teaspoonful of water, night
and morning.

   Sulphur, when there is  alternate constipation
and diarrhoea; sensation of excoriation, with itch-
ing and burning  at the anus;  frequent protru-
sion  of the  tumors;  fullness  of the head; sour  '>,
stomach ; dyspepsia; painful urination ;  morning  \
diarrhoea, with bearing down and  protrusion of  \ 
\                DISEASES  OF WOMEN.           83
|  the rectum.  In obstinate cases, give Nux vomica
\  and Sulphur alternately, night and morning.
;   Dose.—Six globules night and morning.

|              PAIN IN THE RIGHT SIDE.
     After the fifth month of pregnancy, some women
<  are attacked with a deep-seated pain in the right
5  side under the ribs.   The sensation  is that of con-
\  stant  aching,  attended  with heat.   The  patient
[  cannot sit long at a  time.   The  pain gets  easier
I  after being in bed for an hour or two at night.  It
\  generally leaves at the  beginning  of the  eighth
\  month.  Short women, particularly in their first
\  pregnancies, are most likely to suffer from this
\  complaint.                                        \
i    Remedies.  Aconite, Chamomilla, and Pulsatilla.
     Aconite, drawing pain  in the side, extending to
;   the navel, aggravated by stooping;  pressure  in
;   the region of the liver, which is very sensitive to  \
?   the touch, with oppression and arrest of breathing.  \
\    Dose.—Three globules every four hours, until relief is manifest.  \

j.    Chamomilla, aching pain under the ribs, causing
\   oppressed breathing, especially after  taking coffee;  \
i   abdomen hard and distended.
I;    Dose.—Disssolve twelve globules in three tablespoonfuls of water,  \
i   and take a teaspoonful every  two  hours.                     \
Pulsatilla,  sticking pain in  the region of the
J 
:  84            diseases  of women.
\  liver, especially when walking; spasms and  lace-
<  rating pain in the abdomen of pregnant females;
\  increase of pain* in the side during pregnancy.
\    Dose.—The same as directed for Chamomilla.

|                       CRAMPS.
    This very annoying affection  is mostly worse
'(  about the fourth and fifth months, and again to-
<  wards the end of pregnancy.
    Cramps may attack the muscles of the abdo-
|  men, the back, the  hips, and the lower extremities.
    For cramps in the muscles of the abdomen, take
\  Belladonna, Hyoscyamus, Nux vomica, or Pulsatilla.
\    When they attack the back, take Ignatia, Opium,
'  or Rhus toxicodendron.
>    Hips, Colocynth,  Graphites,  or Stramonium.
\    Thighs, Hyoscyamus.
\    Legs, Calcarea carbonica,  Chamomilla, Nux vomica,
\  if after midnight, or Sulphur, if in the evening.
\    Feet,  Calcarea carbonica.
;    Dose.—Dissolve twelve globules in a wine-glass of water, and
j  take of the solution a teaspoonful every half, one, two, or throo
I  hours, according to circumstances.

I               INCONTINENCE OF URINE.
|    This very distressing complaint may occur at
:  any time during pregnancy,  but perhaps  is most
;  common  during the early  months.  If the inclina- 
                 DISEASES OF WOMEN.            85
\  tion is  not attended to immediately, the urine is
|  discharged involuntarily.  The urine is frequently
|  very acrid, and possessed of a strong odor.
;     Remedies.  Belladonna, Cina,  Pulsatilla, Silicea,
I  and Stramonium.
i     Belladonna, frequent and copious emission  of
[  urine,  especially at night; inability to retain the
\  urine from relaxation of the neck of the bladder,
i  without desire to urinate; urine pale and watery,
:  or yellow and turbid.
\    Dose.—Four globules every six hours, until relief is obtained.

\     Cina, frequent desire to urinate, with  copious
■  emission; also, involuntary emission  of urine at
\  night.
'<    Dose.—The same as directed for Belladonna.

I     Pulsatilla, frequent desire to urinate, with draw-
\  ing in the abdomen;  spasmodic pain in the neck
I  of the bladder; urine  watery and colorless.
<    Dose.—Six globules three times a day.

I     Silicea, desire  to urinate, with smarting in the
;  urethra, and copious emission.
'/    Dose.—Six globules every night, until four doses are taken.

     Stramonium, urine  profuse,  with involuntary
\  emission.
;    Dose.—Six globules three times a day.
 
   86            DISEASES OF WOMEN.

                  PAINFUL URINATION.
     This  concomitant of pregnancy is relieved by
   Cocculus, Phosphoric  acid, Pulsatilla, Nux vomica,
   or Sulphur.
     Cocculus, desire to urinate, with scanty emission,
   and pains in the urethra.
>    Dose.—Four globules three times a day.

\     Phosphoric acid, desire to urinate,  with  burning
'.   pain and scanty emission;  anguish and uneasiness
\   before micturition.
',    Dose.—The same  as Cocculus.
i
£     Pulsatilla, ineffectual urging to  urinate,  with
't   difficult emission, and drawing  in  the abdomen;
\   after urinating,  pain in the neck of the bladder.
i    Dose.—Twelve globules dissolved in half a tumblerful of water,
i   and a teaspoonful every two or three hours.
  Nux vomica, painful ineffectual desire to urinate,
with  discharge drop by drop;  burniug  and  lace-
rating pain in the neck of the bladder.
  Dose.—The same as directed for Pulsatilla.

  Sulphur, violent  desire to  urinate, with  dis-
charge  by drops;  requiring great  efforts to pass
urine.
  Dose.—The same as directed for Pulsatilla. 
                 DISEASES OF WOMEN.            87

                    SLEEPLESSNESS.
     Towards the  latter end of  pregnancy,  many
j  women, to  use their  own expression, become so
|  fidgety at  night,  that  they cannot sleep.   This
|  condition  is  often  attended  with sleepiness; but
|  just  as  sleep is approaching, the limbs jerk, or
\  restlessness suddenly comes over the patient, and
\  she is obliged to move, which dissipates for a little
I  time the disposition to sleep.  Some can sleep well
\  enough in the daytime.
     Air and  exercise, not carried to-the extent of
\  producing fatigue, are the best preventatives.
|     Belladonna,  Coffea,  Hyoscyamus,  Lycopodium,
J  Nux vomica, and  Opium, are the best remedies.
\     Belladonna,  sleeplessness  at night, with drowsi-
\  ness, restlessness, and tossing about; starting as in
\  a  fright, especially when on the  point of  falling
  asleep; frequent waking, with difficulty of going
  to sleep again.
\    Dose.—Six globules dissolved in a tablespoonful of water, before
5  going to bed.

     Coffea, restless sleep the whole night; weariness; .
>,  nervousness;  waking, with starting, owing to agi-
  tation of body and mind.
\    Dose.—Dissolve twelve  globules in a tumbler half full of
',  wator, and take a teaspoonful every two, three, or four hours, ac-
;  cording to circumstances.
$
 
\  88            DISEASES OF  WOMEN.
     Hyoscyamus, sleeplessness from  nervous  irrita-
   tion; or,  as if caused by fright,  starting  from
   sleep.
    Dose.—The same as directed for Coffea.
     Lycopodium, drowsiness;  restless sleep;   light
\  sleep, full  of fancies; starting in the  sleep, with
I  jerking of the limbs.
'<   Dose.—Six globules dissolved in a tablespoonful of water, to bo
i  taken before going to bed.
     Nux vomica, constant disposition to sleep; drow-
'<  siness after meal;  light sleep  at night, with fre-
;  quent waking; violent starting on going to  sleep.
5   Dose.—The same as directed for Coffea.

j    Opium, drowsiness,  with  great  inclination  to
j  sleep; starting in the sleep, with jerking in the
\  limbs;  restless sleep, with moaning and groaning;
;   or sleep full of dreams.
<    Dose.—Six globules dissolved in a tablespoonful of water, night
j   and morning.
\
j                     MELANCHOLY.
I     Under this head may  also be  included, Despon-
I   dency, Hypocondriasis, Lowness of Spirits,  &c.   It is
\   not  my  intention here to enter upon a long detail
\   of symptoms, but I would make a lump job  of it
•   by saying, that the unfortunate subject  of this un-
;   happy state of mind always looks on  the  dark 
                DISEASES OF WOMEN.           89
i  side of the picture, and  sees  everything through
j  an unfavorable medium.  She seems to realize in  \
|  her own feelings every unpropitious symptom she  I
  ever  heard of, and is even afraid  that something  I
  still worse awaits her.  Gossips and injudicious
>  friends frequently unwittingly contribute to this  I
I  morbid state of feeling, by relating an account of  I
  accidents and unhappy issues which perhaps never  \
\  occurred.                                          I
     Aconite, if the fear  of death  be predominant,  \
\  and if the unhappy state of mind have been caused  \
\  by fright.                                         }
\    Dose.-—Three globules dissolved in a teaspoonful of water, three  '
\  times a day until relief is obtained.                         \

\     Aurum, melancholy, with desire for death; irre-  \
\  sistible*desire to weep;  anguish of mind which  \
\  prompts  one to  commit suicide;  despondency;  ?
\  weakness of the memory and intellectual faculties.
j    Dose.—Six globules dissolved iu half a tumbler of water, and a  ?
\, tablespoonful to be taken every three or four hours.              >

j     Belladonna, great agitation and  inquietude at  5
\  night;  fearfulness, with  inclination to run  away,
<  or hide;  fear of ghosts; involuntary  laughter;  j
\  disposition to laugh and sing, or to become furious  \
\  with rage; dread  of exertion;  illusions of the  \
\  senses; frightful visions, &c.                       I
1    Dose.—Tho same as prescribed for Aconite.                 \
 
   90           DISEASES  OF WOMEN.
     Pulsatilla, sadness and  tears; oppressed with a
\   multitude of  cares;  distress  in  the pit  of the
\   stomach; sleeplessness,  headache, and heartburn;
   she sits in a taciturn mood, folds her hands upon
   her lap,  and says foolish things; moroseness, with
   repugnancy to conversation.
   Dose.—Four globules three times a day.

     Sulphur, depression of  spirits, with great con-
   cern on  the subject of religion; despair of salva-
   tion ; forgetfulness of proper names, and especially
   of words when about to speak them; disposition
   to get angry.
     Dose.—Six globules dissolved in a tablespoonful of water, night
   and morning.

             FAINTING AND HYSTERIC FITS.
     These affections may  take  place at  any time
   during the period of gestation, but they are most
   apt to occur about the  time of quickening.  Ro-
   bust women may have them, but such attacks are
   generally confined  to the nervous  and  delicate.
   The patient first feels a sensation of languor, with
   inclination to  yawn;  everything appears to turn
   round; her sight  becomes obscure;  buzzing and
   ringing  in the ears;  her face turns pale;  she
   sighs and  becomes insensible.   There are no con-
   vulsive  motions,  no  choking  with  noise  in the
I 
               DISEASES OF WOMEN.  .           91
throat,  and no biting of the tongue as in epileptic
fits.
  They may be  caused by fright, anger, and alarm
of any kind,  and sometimes they occur without
any  external exciting cause.
  Aconite, Chamomilla, or Ignatia, if they are caused
by a fit of passion or fright.
  Dose.—Dip solve six globules in a wineglassful of water, and give
a teaspoonful every  ten or fifteen minutes, according to circum-
stances.
  Belladonna, when  there is determination of blood
to the  head, with flushed  face; heat of the head,
with coldness of the extremities.
  Dose.—The same as above directed for Aconite.

  Ignatia, when there is severe headache; nausea
and  fainting;  chilliness, with paleness of the face;
the patient can bear neither  light nor noise; dis-
tension of the abdomen.
  Dose.—If the spells are protracted, or recur repeatedly, dissolve
twelve globules  in three tablespoonfuls of water, and give a tea-
spoonful every five, ten, or fifteen minutes until relief is obtained.

  Pulsatilla, when there is a disposition to shed
tears, and in persons of great nervous susceptibility.
  Dose.—The same as directed for Belladonna.

           MISCARRIAGE AND FLOODING.
  On account of  the very intimate association of 
92            DISEASES OF WOMEN.                \
                                                  i
these two diseases of pregnancy, I have concluded  :
to give their treatment conjointly.   If they were  !
treated of separately, there would be frequent  re-  j
petition of the same symptoms.
  Abortion  may frequently be  prevented  even  ;
after  flooding  and labor pains have commenced;
and, in cases where this cannot be done, the suffer-
ings of the patient may be very much mitigated,
and  the evil consequences partially avoided.  It
may occur at any period  of gestation,  but is most
frequent at  the  third  month.   If  it occurs after
the sixth month, it is called premature labor.  It
may result from accidental causes, constitutional
predisposition, or some latent disease.
  Arnica, if it  is caused by a blow;  lifting heavy
weights; overreaching; a  fall; or any other violent
concussion; when pains, which bear down heavily,
or real labor pains make their appearance, with a
mixed discharge from the vagina.
  Dose.—Twelve globules dissolved in half a glass of water, and
a teaspoonful to be given every half, one, or two hours; or, if the
case is very urgent, it may be repeated every ten or fifteen minutes
until amelioration or change.

  Belladonna,  when  there  afe  violent pressing
pains, with tension  in  the whole abdomen, parti-
cularly low down, with the feeling as if the private
parts would  fall out, which is  characteristic  for
Belladonna;  pain in the  small of the  back, as if 
              DISEASES OF WOMEN.            93
it would break; the patient is pale and restless, or
her face is flushed,  and she is stupid;  heat about
the head; thirst;  palpitation;  the  discharge  is
neither very dark,  nor very bright red.
 Dose.—The same as directed for Arnica.
|     Bryonia, the discharge is of a  dark color, in
'  large  quantities,  with pain  in the small of  the
\  back; headache, particularly in the temples, as if
]  the  head would  burst; especially  if constipation
]  attend.
  Dose.—Three globules dissolved in a teaspoonful of water every
one, two, or three hours, according to circumstances.

   Chamomilla, when there are violent pains going
from the back  around the stomach, resembling an
inclination to evacuate the bowels, or pass water;
the. pains are periodical, like  labor pains, and each
one is  followed  by a dark  and coagulated  dis-
charge; much  thirst; and coldness of the  extre-
mities.
  Dose.—The same as directed for Bryonia.

   China is very important in the most dangerous
cases of flooding; when heaviness of the head, gid-
diness,  loss of consciousness, and drowsiness ap-
pear;  sudden weakness;  coldness of the extremi-
ties ; fainting; paleness of the face; convulsions of
the mouth; contortions of the eyes; the face and 
|  94            DISEASES  OF WOMEN.
\  hands  turn blue;  single jerks pass through the
  whole  body;  the discharge passes by starts, and
  may be either thin and bright red, or dark and
  coagulated; the cramp-like contraction is attended
  with a painful sensation of bearing down towards
  the anus, and  the discharge is increased at every
  pain.   During the administration of this remedy,
  cloths  dipped in vinegar and water may be ap-
  plied to the lower part of the  stomach.  After-
  wards  a little wine and water may be given. China
  always answers well for the debility, and  other
  troublesome symptoms  which sometimes remain
  after the flooding Jias  ceased.   Should  there be
  colicky pains, with frequent inclination to pass
  water,  and  sore tension of the abdomen afterwards,
  give Aconite.
    Dose.—The same as directed for Arnica.

    Hyoscyamus, when there are spasmodic  affec-
  tions  of the  whole  body, or jerking  of  single
  limbs,  sometimes caused  by stiffness of the joints
  and loss of consciousness, attended with a light
  red discharge, which  is worse during the spasms
  and at night.  The  pains resemble labor pains,
  with drawing in the thighs, and  small of the back;
  heat over the whole body, with quick, full pulse,
  with  fullness  of the veins on  the back  of the
  hands  and  in the face; great uneasiness;  excessive 
                 DISEASES OF WOMEN.            95
  liveliness; trembling over the whole body; numb-
j  ness of the limbs;  darknese before  the eyes; de-
}  lirium, and twitching of the sinews of the wrists.
^    Dose.—Dissolve twelve globules in a wineglassful of water, and
i  give a teaspoonful every one, two, or three hours, according to the
i  severity of the symptoms.
\     Ipecacuanha, when the threatened miscarriage is
\  attended  with spasmodic affections, without loss
i  of consciousness; copious flooding;  the discharge
  flows without  interruption,  but is worse  during
  motion, with cutting pains around the navel, and
  great pressure downwards; chills, and coldness of
  the body; internal  heat  rising towards the head;
  great weakness, and inclination to lie down.
    Dose.—The same as directed for Bryonia.
     Nux vomica, threatened abortion, particularly
  about  the third month;  spasmodic  pains, accom-
  panied  with ineffectual urging to stool; the pains
  are accompanied with nausea, and sometimes faint-
  ness ; strong bearing down, with frequent inclina-
  tion to pass water, and heat in the private parts;
  discharge of mucus.
    Dose.—The same as directed for Hyoscyamus.
     Platina, wrhen the discharge is dark, thick, and
  sometimes coagulated;  the pain in the back draws
  towards the groins, with pressing down internally
  to the  private parts, which are excessively sensi- 
   96            DISEASES OF WOMEN.
   tive.  Particularly applicable where mental emo-
   tions are the cause.                              j
     Dose.—The same as directed for Bryonia.                 j
     Administration. On the first  appearance of the  I
   premonitory symptoms of miscarriage, the patient  \
   should keep quiet or go to bed, release her mind  j
 \  from care, avoid exciting conversation, and live on  j
   a light diet.   Select the remedy according to the
 \  symptoms, and if better in a few hours, or the
 \  next day, repeat it as often as it becomes necessary
 J  But if  no improvement follow in a  short time,
 \  select another remedy.   If better, take  nothing
 |  more so long as the improvement continues; if
   the symptoms return, repeat the last remedy once
 i  more before selecting another.  If the symptoms
 |  are urgent, or the flooding severe, dissolve about
 |  ten pellets in a wineglassful of water, and take a
 \  teaspoonful  every half hour, or not so often, ac-
 \  cording to the  necessity of the case, increasing
m  the interval as the symptoms improve, and discon-
 \  tinue the  medicine when the flooding ceases.

 \                      BREASTS.
 i    A great deal of suffering from sore breasts after
 \  delivery, may be saved  by paying a little atten-
 '<  tion to them, for a  few months previous  to  con-
 \  finement.  Women are most liable to suffer in this
 \  way with  first children.   During the progress of 
              DISEASES OF WOMEN.            97
 gestation, especially with first children, and in quite
 young  women,  the breasts  increase very much
 in size, the areolae assume a darker color, and the
 nipples become enlarged, and project more than
 they had done  previously.   This change  in the
 size and condition of the nipples is often attended
 with some pain, and a great deal of tenderness.
 Excoriation,  inflammation, cracks, branny exfolia-
 tions, and very minute abscesses around them, are
 the most common diseases to which the nipples
 are liable during pregnancy.
   For two or three months  in the latter part of
 pregnancy, the  whole  breasts   should  be  well
 bathed with  cold water every morning, and ren-
 dered perfectly dry afterwards, with crass towels.
 For simple excoriation, or tenderness of the nipples,
 they may be washed two or three times a day with
 water, containing a few drops of  the tincture of
 Arnica, or with brandy. In some instances a little
 tincture of the myrrh may be  added to the brandy
 with advantage.  For  the other  diseases  of the
 nipples above mentioned, the following medicines
 should be  a/lministered internally,  according to
 the indications.
  Remedies.  Chamomilla, Sulphur,  Silicea,  Gra-
 phites, Belladonna, and Mercurius vivus.
 '  Chamomilla, if the nipples  be highly inflamed,
and ache like toothache.
                       9 
98            DISEASES  OF WOMEN.                 \
                                                     i
  Dose.—Four globules dissolved in a teaspoonful of water, three  >
or four times a day.                                      I
   Sulphur, for burning, itching, swelling, cracks,  I
branny  eruption, and  the minute  abscesses or  ;
pimples around the nipples.                         I
  Dose.—Twelve globules dissolved in a wineglassful of water, and  >
a teaspoonful of the solution three times a day.                  >

   Silicea, if ulceration has taken place, and there
are symptoms of hectic fever  present.
  Dose.—The same as directed for Sulphur.

   Belladonna,  if the breasts are hard and  swollen, i
with shooting  or tearing pains, and of an  erysipe-
latous redness, which diverges  from a central point j
like rays.                                           j
  Dose.—The same as directed for Chamomilla.                j
  Mercurius vivus, after Belladonna, if the erysi-
pelatous inflammation should not be checked, and
the breasts remain hard and painful.
  Dose.—The same as of Belladonna.
     REMEDIES IMMEDIATELY BEFORE LABOR.
                                    mu
     Aconite may be given if there is  much vascular  '
|   excitement or fever, with hot and dry skin.
>    Dose.—Four globules every two hours until amelioration takes  \
i   place.                                                'i
\                                                       '
\     Belladonna, where there is a redness of the face,
1 
DISEASES OF WOMEN.            99
pulsation of the  arteries of the head, and a  con-
gestive state of the brain.
*/    Dose.—The same as given for Aconite
i
  Remedies most valuable in tedious and compli-
cated labors:  Coffea,  Aconite,  Chamomilla, Bella-
donna, Nux vomica, Pulsatilla,  and Sepia.
   Coffea will be found of great service where there
is great restlessness, or where the pains are very
violent, and occur in rapid succession.
  Dose.—Six globules every ten, fifteen, or twenty minutes, as the   J
case may require.                                       {f
  Aconite may be used if the patient has been ad-   ',
dieted to the use of coffee, or  it may be used in   \
alternation with  Chamomilla.                       \
  Dose.—Four globules every hour until relieved.               j.
  Belladonna will be useful where labor is pro-
tracted beyond the usual time,  owing to rigidity
of the parts, or where there is  no disposition in   .
the parts to relax, and when the pains are insuffi-   }
cient.
  Dose.—The sune as prescribed for Coffea.                   I
                        LABOR.
     The process of giving birth to a child is called
  labor.  The average duration of gestation is thirty-
  nine  weeks.   There   are  three cardinal  points,
't  from which, if they occur  at  the usual time and
1_______________ 
100          DISEASES OF WOMEN.
in regular succession, a correct "reckoning" may j
be kept, and the time of labor fixed with con- j
siderable certainty.                              j
  1.  The time of the last  period of menstruation.  |
  2.  The  commencement of morning sickness— \
six weeks after  conception.                       \
  3.  Quickening at half way—one hundred  and \
thirty-five days from quickening to labor.   More- \
over,  the  stomach  gets  lower after  the  eighth \
month, and the woman is  smaller around the waist j
the  last month of her pregnancy, than she  had \
been for six weeks previously.                   \
  Labor is ushered in by a few premonitory signs. \
One very common and very good one  is looseness \
of the bowels, sometimes for a day or two before.
Various nervous symptoms, such as agitation with-
out cause, disposition to shed  tears without  dis- ;
tress,  in other  instances  lowness of spirits, occa-
sionally precede labor.   Flying pains through the j
stomach, with frequent inclination to pass water, \
and finally, a discharge of mucus tinged with red, <
technically called " a  show," t&kes place.  Then \
come  pains at intervals of longer ojslorter dura- \
tion,  and  frequently rigors or trembling without <
coldness.                                       \
  Were it not for the  acquired  habits of civilized \
life, the process  of child-bearing would be divested \
of much of the suffering and  danger which now \ 
              DISEASES OF WOMEN.

so commonly  attend it, as almost to lead  us to
consider them natural concomitants.  It  is al-
most  unattended with pain  among savages.  It
would not be wise, neither is it necessary to re-
turn to  savage life in order to get rid of the ills
of child-bearing; but let  the women  in  civilized
life pay more attention to  the natural  means, both
moral and physical, of developing their whole be-
ing—live more usefully and  less artificially, than
they now do, in deforming themselves in order to
make what they call a "fine  figure," and in a few
generations, many of  the difficulties which now
exist will have disappeared.
  It is not  intended here  to go into a  minute de-
scription of the  process of labor, nor  to  give any
specific  directions for its management, as I cannot
suppose that any sensible person, who is not  quali-
fied, would have the temerity to undertake the
care of  a case, unless  placed under very peculiar
circumstances.   Some of  the deviations  from the
natural course, however, may  be noticed, with their
appropriate kraitment.
; U^a
               NEFFECTUAL PAINS.

   Chamomilla, when there is over-excitement, and
excessive  sensibility to  pain;  and anguish, and
discouragement, with tossing about.
  Dose.—Twelve globules dissolved in half a tumblerful of water, 
\  102           DISEASES OF WOMEN.
        TREATMENT  AFTER DELIVERY.
A patient should not be disturbed immediately
and a teaspoonful of the solution every fifteen, twenty, or thirty  j
minutes, according to the circumstances of the case.              J
   Coffea, if the pains are excessively violent, with
great mental and general nervous excitement, and  \
over sensitiveness.                                   }
  Dose.—Three globules every half, one, or two hours, to allay the  \
nervous excitement.                                      \
   Nux vomica, when the pains are irregular, and  }
the labor does not  seem to progress; drawing in  \
the back and thighs, with pressure downward, and  \
constant inclination  to evacuate the  bowels and  ;
to pass water.                                       \
  Dose.—The same as prescribed of Chamomilla.               ',

   Opium is especially  suitable in women of a full  >,
habit, if the pains suddenly cease, and determina-  \
tion to the head, with  redness and  fullness of the  ;
face, with a state of  stupor, take place.             \
  Dose.—Threo globules dissolved in a teaspoonful of water every  ;
half, or every hour, as the case may require.                    ;
   Pulsatilla, if the  pains  are too  weak, and too  ;
far apart, or, if they  become weaker, as from inac-  \
tivity of the womb.                ^^
  Dose.—Six .globules dissolved  in a wineglafsful of water, and  >
give a teaspoonful every half, or one hour, according to the ciccum-  '
stances of the case.                                      $
j 
                DISEASES OF WOMEN.          103
  after delivery, except so far as is absolutely neces-
  sary in the application of the bandage, and to ren-
  der her situation  as comfortable, otherwise,  as
  circumstances will admit of. She should be allowed
  to rest for an hour or two, and then if no unfavorable
  symptoms  be present to forbid it, she may be "put
  to bed." If she complain of general soreness, from
  violent, or long continued exertion, give her two
  doses of Arnica,  internally, three or four hours
  apart, or,  if that should  not be  sufficient,  give
  Rhus in the same way.  If she  complain of much
  soreness or pain,  locally,  Arnica may be applied
  externally, in the form of lotion, prepared by mix-
  ing twenty drops of the tincture in a tumblerful
\  of water.
     Coffea, if she cannot sleep from nervous excite-
i  ment, with restlessness and tossing about.
\    Dose.—Three globules dissolved in a teaspoonful of water every
'(  hour, until sleep is obtained.
           WEAKNESS AFTER DELIVERY.
  Weakness after delivery may be caused by the
loss of fluids, prostration of the  nervous system,
or exhat^Mi from protracted labors.
  Remedies. China, Aconite, Coffea, and Veratrum.
   China is particularly indicated when the weak-
ness arises from loss of blood, and is attended with
sensitiveness of the nervous system, sallow coun-
tenance, and predisposition  to dropsy. 
  104           DISEASES  OF WOMEN.
   D08e.—Six globules every four hours.

    Aconite, where there is  nervous weakness, with
  restlessness and want of sleep;  it  may be fol-
  lowed by Coffea, if necessary.
   Dose.—Four globules every two or three hours.

     Veratrum, where the restlessness is accompanied
  with great prostration of strength, faintness from
  motion, &c.
   Dose.—The same as given for China.
    Remedies which may be required soon after de-
  livery:  Nux vomica,  Chamomilla, Dulcamara, Bry-
  onia, Sulphur, and Sambucus.
    Nux  vomica, prostration followed by a dry heat
  or chilliness, then again sweat.
   Dose.—Six globules every two hours.

    Dulcamara, where there is sudden suppression
  of  perspiration brought on  by exposure to a
  draught of air,  or a  sudden chill.
   Dose.—Six globules every two hours.

     Chamomilla may be used, if there shotffc be colic,
  with  a relaxed state  of  the bowels, wr^^great ex-
  citability and restlessness.
   Dose.—Twelve globules  dissolved in half a tumbler of water, and
J  and a teaspoonful given every hour.

     Bryonia, profuse perspiration, with red face; or 
              DISEASES OF WOMEN.           105
 moist  and  clammy skin, with severe  headache;
 sleeplessness, with tossing about;  flashes of heat,
 and suppression of the lochia.
  Dose.—Six globules every hour.
   Sulphur may be used in similar cases, or where
 Bryonia has not afforded entire relief.
  Dose.—The same as Bryonia.
   Sambucus, excessive perspiration, brought on by
 keeping the room too warm,  or from the use of  \
 stimulating drinks.                                {
  Dose.—Six globules every hour.                         ?
            FLOODING AFTER DELIVERY.   i          j
                                                  t
   Belladonna, when the flooding is attended with
 violent pressure downwards in the internal organs,
as if they would be foroJrl out, and  pain  in the  j
small of the back.                                 <
  Dose.—Four, globules dissolved in a teaspoonful of water every  \
half hour, until relief is obtained.                          t
     Chamomilla, if the discharge take place at inter-
{  vals, with pains running round the abdomen; con-
\  stant thirs^paleness of the face, and coldness of
;  the extrenrnres.
'    Dose.—The same as directed for Belladonna.
     China, when the same  symptoms exist as are
|  enumerated  under Chamomilla,  and, in addition
  thereto,  vertigo,  dullness  of  the  senses,  desire 
              DISEASES  OF WOMEN.

for fresh air, and  fainting.   This remedy is also
suitable for the debility and want of energy, after
the flooding has ceased.
  Dose.—Dissolve twelve globules in a tumbler half full of water,
and give a teaspoonful every half, one, two, or three hours, as the
circumstances of the case may require.

   Ipecacuanha, when the discharge is bright red,
and constant, with cutting pains in the middle of
the abdomen;  bearing down; nausea, with great
prostration of strength, and a desire to be fanned.
  Dose.—The same as directed for Belladonna.
i
            PUERPERAL CONVULSIONS.
  Diagnosis, this disease generally comes on sud-
denly, about five days after delivery, with violent
pain in the abdomen, great  distension and sensi-
tiveness, so that the patient cannot bear the slight-
est touch, not even the weight of the bedclothes;
pulse much accelerated;  great  thirst;  lowness of
spirits,  with vomiting;  urgent desire for stool,
and suppression of the secretions, &c.
  Treatment. Cuprum,  Chamomilla, Belladonna,  \
Hyoscyamus, Stramonium, Ignatia, IpeQuanha, and  \
Cicuta.                                            <t
  Cuprum, convulsive movements  and distortions  >
of the limbs, with  rigidity and bending  back-  '>.
wards; vomiting, with pains in  the abdomen; loss  \
of consciousness; blueness  of  the  countenance;  \ 
               DISEASES OF WOMEN.           107
frothing at the  mouth; biting of the tongue, or  >t
clenching of the jaws, with jerking and twitching
of  the extremities.   The paroxysms frequently  \
come on during sleep.                              \
  Dose.—Dissolve twelve globules in six teaspoonfuls of water, and  i
give a teaspoonful every ten minutes.                        (
   Chamomilla, for spasms  characterized  by con-  \
vulsions of the extremites; acute pain of a cutting
character  in the lumbar  region;  distended abdo-
men ,  red,  bloated  face; great sensibility of the
nervous system.                                   i
  Dose.—Eight globules may be dissolved in a few teaspoonfuls of  j
water, and a teasponful given  at intervals of ten, fifteen, or twenty  ?
minutes, according to the urgency of the symptoms.             >
  Belladonna,  convulsive  movement of the facial  <
muscles;  congestion of blood  to  the head, with
restless tossing about; dark red, hot, and bloated  \
face;  or pale, cold face, with shuddering  between --j
the paroxysms;  ineffectual bearing down;  or the  i
spasms excited by the least touch, or contradiction.  \
  Dose.—Four globules every fifteen or thirty minutes, according  5
to circumstances.                                       s

  Hyoscyamus, when the spasms are more severe;  \
bluish color and bloatedness of the face;  loss of  \
consciousness; oppression of the chest;  involun-
tary emission of urine, with stertorous breathing,  \
or clenching of the thumbs.
  Dose.—The same as given of Belladonna. 
   108          DISEASES OF WOMEN.                '/
     Stramonium, convulsions of a similar  character,
   with  frightful visions;  laughter;  lamentations;  j
   convulsive  movements of the  extremities; pale,  \
   worn-out appearance.
     Dose.—Six globules every ten, twenty, or thirty minutes, according  ;
   to circumstances.                                       ;
     Ignatia, loss of consciousness, with involuntary  \
   screams  of laughter; and jerking  of the limbs,  '■
 \  with frequent yawning and sopor.
     Dose.—The same as Belladonna.                         i
     Ipecacuanha, spasmodic convulsions, with  con-  \
   stant  desire  to  vomit;  and  thirst,  with pale,  •
   bloated face.                                       i
     Dose.—Six globules every half hour.                       ',

     Cocculus, spasms brought  on  by some  external  \
i  inJur7-                                             \
1   Dose.—Same as for Ipecacuanha.                         >
\    Cicuta, convulsions, with distortions of the  ex-  \
:  tremities, with pale, or yellowish complexion.
\   Dose.—Six globules every fifteen or thirty minutes, according to  j
'  circumstances.                                         )
\                                     fc               '
\                    AFTER PAINS
     After pains rarely occur with first children, and  j
:   generally, they are but slight  until the  third or  \
\   fourth.   Some women never have them of any ac-  '>
\   count,  and  others  have  them  severely  in every  ; 
r——..................................—...........
                DISEASES OF WOMEN.          109
i  confinement.  Something may  be done towards
\  preventing them, by patience  and a little judicious
\  management on the part of the practitioner during
\  labor.   But frequently they occur  after the most
|  skillful management.
    Arnica, if a sensation  of soreness accompanies
  the pains, with pressure on  the bladder, and re-
  tention of urine.
    Dose.—Six globules every hour, or two hours.

    Belladonna, for the  kind  of  bearing down  so
  characteristic  for  Belladonna, and  so  often men-
  tioned, with  fullness about the head, and  strong
  inclination without the ability to sleep; also, ten-
  derness and fullness of the abdomen.
    Dose.—Twelve globules dissolved in a little water, and a tea-
  spoonful of the solution may bo given every one or two hours, as
  the case may require.

    Chamomilla or Coffea,  if  nervous  excitement,
  with restlessness and tossing about, prevail.
    Dose.—The same as directed for Belladonna.

    Nux vomica, when the pains  are  aching, and
  more  of the colicky kind, with violent contrac-
  tions of the womb,  and  sometimes  followed by
  nausea.   This remedy is always suitable for ex-
  oitable and hasty persons.
   Dose.—Three globules dissolved in a teaspoonful of water, every
  one or two hours.
                         10 
110          DISEASES  OF WOMEN.
   Pulsatilla, in persons of a. mild  temperament;
severe, colicky pains, extending to the back; desire
to vomit; sour taste; bearing down; nervousness,
with disposition to  shed tears.  In severe cases,
Nux vomica and  Pulsatilla may be given alter-
nately in water, with very good effect.
  Dose.—The same as directed for Nux vomica.              i
   Pulsatilla is very important, when the placenta \
is retained too long.                              1
           FALLING OFF OF THE HAIR.             \
   Falling off of the hair  of the head is  another ;
disease to which females of a delicate constitution
are liable  after confinement, and throughout the
period of nursing.                                i
   Remedies.  Lycopodium, Sulphur, Natrum muri- '<
aticum,  Carho vegetabilis, and  Calcarea carbonica, '
have been employed with much success.
  Dose.—Six globules of the appropriate remedy, every two or
three days.
                 OF THE LOCHIA.
   The discharges which take place after delivery
are called lochia.  If the quantity be excessive, it
is similar to hemorrhage or flooding, and  in that
case see the remedies for flooding  after delivery.
Jfter the first day or two, until about the tenth j
day, these discharges in appearance and quantity
are something like the discharge of menstruation. 
<   In a majority of cases, the red color leaves  about  \
   the tenth day, and a yellowish discharge follows
\   for a few days, which is often succeeded in its turn  \
\   by a whitish or mucous discharge.  After the wo-  j
|   man begins  to move about the house, the lochial  j
\   discharge is  apt to be renewed for a few days, and  >
\   then takes its final leave.                          i
/     If the lochia  continue  too long, or should  be  }
\   too profuse  and full  red, give Aconite, in water  i
\   night  and morning for  two days.  But, if that  i
|   should not be  sufficient,  give Calcarea  carbonica  j
   twice,  dry.   If it still continue, consult the  reme-
   dies for flooding after delivery.
     Bryonia, for  suppression  of  the lochia  with
;   headache; fullness and heaviness of the head, with
\   pressure in the forehead  and temples; throbbing
;   pains in the head, increased by motion; backache,
>   with scanty emission of hot urine.
\    Dose.—Six globules dissolved in a teaspoonful of water, night
'<   and morning.
I     Platina, if the suppression be the result of some  \
\   mental emotion, with dryness and over-sensitive-
l   ness of the sexual organs.
'z    Dose.—Four globules three times a day.

\     Pulsatilla,  if the  suppression  be sudden,  from  ;
\  any accidental  cause, with  feverish excitement,  \
'<   with or without thirst; one-sided headache; op-  ? 
 ;  112           DISEASES OF  WOMEN.
 \  pression of the chest;  partial heat of the upper  :
 \  part of the body, with coldness of feet; frequent  \
   inclination to pass  water;   the symptoms being  j
   worse in the evening, and better in the morning.  \
 [  This remedy is also suitable for a diminution, if  \
 \  there be  not an  entire  suppression of the dis-  \
   charge.                                            \
     Dose.—Dissolve twelve globules in a tumbler half full of wator,  '.
   and give a teaspoonful three or four times a day.                ',
     Rhus toxicodendron,  for a variety of unhealthy  i
   lochioe,  if the discharge  be offensive,  black and  \
   watery, with  shootings up the rectum; sharp pains  \
   shooting through' the head, which feels as  if it  '>
   were too large;  the head  is  worse when lying, and  \
   better after rising.                                 \
     Dose.—The same as diroctod for Bryonia.                  'i

       INFLAMMATION OF THE WOMB, OR METRITIS.      i
-^   Diagnosis,  external   tension,  with continuous  \
 \  pricking, burning, tumefaction, and acute  shoot-  '
 :  ing  pain in  the hypogastric region, with a sense  \
 \  of weight; the pain being  increased by pressure  \
 \  upon  the part.   On examination  there will be  \
 I  found heat and pain in the vagina; acute sensi-  j
 \  bility of the mouth of the  womb, with  suppres-  \
 :  sion  of  the utero-vaginal secretions, and pain on
 ;  passing urine, with constipation of the bowels.      j
 \    Causes. Difficult labors, retention of the placenta,  ', 
              DISEASES OF WOMEN.           113
version of the uterus,  maltreatment, the use of
stimulants;  or it may  be brought  on by taking
cold.
  Remedies.  Aconite,  Belladonna,  Arnica, Nux
vomica, Mercurius,  Chamomilla, Coffea, and China.
  Aconite will be found useful in the commence-
ment of this disease, where there is violent fever;
or if the attack was caused by fright after confine-
ment, or the abuse of  chamomile tea.
  Dose.—Dissolve twelve globules in a tumbler half full of water,
and of this solution give a teaspoonful every two hours.
  Belladonna, if the inflammation take place soon
after confinement, with adherence of the  placenta,
or suppression of the discharges; burning pain in
the hypogastrium, heaviness and drawing towards
the genital organs,  with aggravation from contact
and motion.
  Dose.—The same as for Aconite.
  Arnica, if the inflammation should be the result
of an injury, it may be given  in alternation with
Aconite.
  Dose.—The same as for Aconite.

  Nux  vomica, aching  pain  in the  region of the
womb, increased  by pressure or touch, with con-
stipation, or hardened faeces in the rectum; swell-
ing of the mouth of the womb, with sore pain, as
if bruised internally.
                       10*
f 
  114           DISEASES OF WOMEN.
    Dose-—Six globules every two hours.

    Mercurius, where there is frequent perspiration,
  or shuddering, with chills creeping up  the  back,
  and the pains are of a shooting or boring character.
    Dose.—Six globules every two hours.

    Chamomilla., if the inflammation is brought on
  by a  fit of passion, or  disappointment  after con-
  finement,  with  copious secretion  of lochia, and
  discharge of dark,  clotted blood.
    Dose.—The same as directod for Aconite.

    Coffea, when the  attack arises from excessive or
  sudden joy during confinement, accompanied with
  fever and great restlessness.
    Dose.—The same as for Mercurius.
    China will be found useful in debilitated persons,
  or persons who have lost  much blood, with spas-
  modic pains in the  womb.
    Dose.—The same as given for Belladonna.

     INFLAMMATION OF THE  OVARIES, OR OVARITIS.
    Inflammation  of  the ovaries is characterized by   I
I  shooting  or pulsating  pain  in the iliac regions;   i
\  also felt  upon  pressure;  and may occur at any   't
\  time, but more particularly soon after delivery; or   \
\  it may arise  in  unmarried  females, from undue   ;
I  excitement or excesses;   upon examination, per   ;
!                                                    I 
                 DISEASES OF WOMEN.           115
   vaginam or rectum, should there be much inflam-
   mation, a circumscribed swelling will be clearly per-
   ceived.  In the acute form, the disease is attended
   with  fever,  headache, and  gastric  disturbance,
   hot feeling or itching in the vagina, and at times
i   pain in the thighs, and difficulty  in passing urine.
i     Remedies.  Aconite, Bryonia, Lachesis,  Cantharis,
I   Belladonna, Rhus toxicodendron, China, and Arseni-
<   cum album.
     Aconite may be given where there is a high de-
;   gree of fever and inflammation.
'/
<    Dose.—Five or six globules every three hours until the inflamma-
   tory symptoms have  subsided, after which, select  another  remedy
i   according to the remaining symptoms.

j     Bryonia, if the pain should be worse  on move-
i   ment, with pain in the limbs.
f      Dose.—The same as directed for Aconite.

|     Lachesis, in induration and suppuration of the
   ovaries.—(Hering.)
     Cantharis, where there is difficulty in urinating,
   with burning pain, and pressing towards the genital
   organs.
!    Dose.—Six globules every six or  eight hours until relief is
s   afforded.          ,
     Belladonna, where there is a  feeling upon pres-
i   sure, as if bruised or beaten, with oppression of
i   the chest, and palpitation of the heart.
\' 
  116           DISEASES of women.
5    Dose.—The same as directed for Aconite.
    Rhus toxicodendron may be given with great be-  j
|  nefit, where rest produces aggravation of all the  <
\  symptoms.                                       £
\    Dose.—The same as directed for Aconite.

     China, should there be indurations, or a dropsi-
\  cal tendency, with distension of the abdomen, or  j
\  a feeling of fullness and pressing towards the ge-  \
l  nital organs.                                     \
    Dose.—Four globules every six hours.                    £
     Arsenicum may be used if the pains become so  \
  violent as  to cause the patient to  toss about in  ;
  agony,  with writhing  pain, alleviated by  moving  \
\  about.                                           i
    Dose.—The same as of Belladonna.                      t

                 COMING OF THE MILK.
                                                   >
     Except  in very few instances, the mother has  \
  no milk at the  time  of the birth of the  child  I
  Milk generally makes its appearance on the third  \
  day, sometimes earlier and sometimes later.   Pre-  \
  vious to the formation of milk, the breasts enlarge  '<
  more or less, and sometimes to such an extent  as  \
  to give rise to a great deal of suffering, especially  \
  with first  children.  Care should be taken not  to  \
  bruise the breasts at this time by rudely  rubbing  ''
  them, or officiousness  in drawing  them, in  order  |
 
DISEASES  OF WOMEN.           117
\  to get  out the " caked" milk. - The state of tur-
\  gescence, which precedes  the secretion of milk,  I
  is widely different, and must be distinguished from
  the state of distension of the breasts, which follows  I
  the secretion.                                      \
     Aconite, if the breasts be hard and knotted; dry  j
  and hot skin;  redness of the face; the  patient  is  \
  restless and discouraged.
    Dose.—Dissolve  twelve  globules in a  tumbler half full  of  /
  water, and give a teaspoonful every three or four hours.          >

     Bryonia should be given after Aconite, if that  \
  remedy mitigates  the symptoms but does not re-  >
  move them,  or, if some of them disappear and  \
  others remain.                                     ?
    Dose.—The same as directed for Aconite.                   \

     Belladonna may be given after Bryonia, or alter-
  nately with it, if a portion of the same  group of
  symptoms still  continue.
    Dose.—The same as directed for Aconite.

     Calcarea carbonica is especially  suitable if  there
  be a deficiency in the secretion of milk in the
  out-set, or fullness or enlargement of the breasts,
  with tardiness in the formation of milk.   This re-
  medy is also most important when the milk runs
  out too easy.
    Dose.—Six globules dissolved in a teaspoonful of water, three
  times a day. 
r.......................................................~.......—
<  118          DISEASES  OF WOMEN.
i
|     Chamomilla is suitable  if  there  be excessive
\  sensibility of the nervous system, with  restless-
5  ness;   tenderness of the breasts;  and inflamma-
'   .            .                     .
  tion of the  nipples, so that  the milk  cannot run
  out.
   Dose.—The same as directed for Aconite.

    Pulsatilla, when the secretion of milk is inter-
  rupted, or entirely suppressed;  threatening symp-
  toms of child-bed fever.  This medicine exercises a
  healthful influence over the female constitution, in
  almost  every deviation from the natural  course,
  during  the  entire period  of nursing.   It  is  also
  very effectual in  re-establishing the  equilibrium
  of the  organism at the time of weaning.
   Dose.—Six globules four times a day, dissolved in a teaspoonful
  of water.

    Rhus toxicodendron, in  painful distension of the
  breasts, with rheumatic pains throughout the sys-
  tem ; swelling, heat, and hardness  of  the  breasts,
  causing headache, stiffness of the joints, and other
  constitutional disturbance.  Rhus toxicodendron is
  very serviceable  in  warding off  the  ill  conse-
  quences of a suppression of milk, and  also at the
  time of weaning.
   Dose.—The same as Calcarea carbonica.
L_
As local applications, I frequently direct the 
:n
              DISEASES OF WOMEN.           119

breasts  to be  bathed with hot  lard, and then en-
veloped in raw cotton.

                  SORE NIPPLES.
  Arnica, in the form of  lotion, made  by dissolv-
ing five drops of the tincture in a wineglassful of
water, and bathing the nipples several times a day,
is very  effectual in removing the tenderness and
excoriation consequent upon the  first few applica-
tions of the child's mouth.  Be careful to moisten
the nipple with saliva or  mucilage, before giving
it to the child.
   Chamomilla, for inflammation,  swelling,  and ul-
ceration of the  nipples.
 Dose.—Four globules dissolved in a teaspoonful of water, three
times a day.
   Graphites,  for burning, aching, cracking, and
tenderness of  the nipples.
 Dose.—Four globules night and morning in a little water.
  Sulphur, when the nipples are  sore&nd  deeply
chapped;  the chaps  bleed,  and  burn like  fire;
deep fissure around the base of the nipples.
 Dose.—The same  as directed for Chamomilla.

  In difficult  cases one of the following medicines
may be  given alternately, with Sulphur, night and
morning, viz : Calcarea carbonica, Lycopodium, Mer-
curius vivus, or  Silicea. 
120           DISEASES  OF WOMEN.

              GATHERED BREASTS.
  During the entire period of lactation, the breasts
are more or less liable  to inflammation  and sup-
puration.   Abscesses  sometimes  form, from  me-
chanical injuries  and needless  exposure, in tho
breasts of unmarried women.
  Belladonna is indicated if the breasts be swollen
and  hard, with  shooting and tearing pains,  and
redness which radiates from a central point.
  Dose.—Four globules dissolved in a teaspoonful of water, four
timos  a day.

  Bryonia, when the breasts  are  too full of milk,
hard, and feel heavy, like the weight of a stone,
with shooting pains;  dry skin and other feverish
symptoms. Bryonia and Belladonna can frequently
be given alternately, with very great advantage.
  Dose.—Tho same as directed  for Belladonna.
\    Ilepar sulphur, after the administration of Bella-
<  donna and Bryonia, if the swelling continue, and
\  especially if throbbings make their appearance.
i    Dose.—Dissolve eight globules in  a wineglassful of water, and
'•  give a teaspoonful every throe or four  hours.

\    Phosphorus, when the foregoing remedies have
;  not been  sufficient to arrest the  progress  of the
;  inflammation, but suppuration having established 
                DISEASES  OF WOMEN.           121  \
 |                                                   i
 I itself, the abscess is discharged through fistulous  \
  openings which are not disposed to heal.           \
    Dose.—The same as of Belladonna.                       >
     Sulphur, if the discharge of matter be profuse,  (
  with chilliness through the forenoon, and feverish
  heat with flushed cheeks in the afternoon.
    Dose.—Six globules three times a day.

                STATE OF THE BOAVELS.
     It is perfectly natural for the bowels  to remain
 ; without  being  moved, for a  few days  after de-
 : livery.  In  a majority of  cases, the bowels move
 ; about the fifth day.  In  no case should  purgative
 ; medicine be given during confinement. If headache,
 ; pain in the bowels,  or other symptoms of costive-
 j ness appear, give one dose of Bryonia in the evening
 < and another in the  morning.   Should there be no
 \ change  by the following evening, give a dose of
 j Nux vomica in water, and  a dose of Sulphur next
 \ morning.  Should these  remedies not procure an
 \ evacuation, and the unpleasant symptoms remain,
{ give an  injection of luke-warm water.
|   If diarrhoea should  occur  during confinement,
| Dulcamara,  Phosphoric acid, Rheum or  Veratrum,
  will be found to control it  without difficulty.
I    Dose.—Dissolve twenty globules of the appropriate remedy in
  eight teaspoonsful of water, andtake a teaspoonful after each evacu-
  ation until the diarrhoea ceases.
                        11 
 122           DISEASES OF WOMEN.

       RETENTION OF URINE AFTER DELIVERY.
   Frequently after  delivery, especially with first
 children, and in protracted or tedious labors, thero
 is retention or painful emissions of urine.  One of j
 the following remedies will generally  suffice  to \
 procure a free emission, or sitting  over a chamber \
 which  contains warm water is  sometimes useful: :
 Arnica, Belladonna, Nux vomica, and Pulsatilla.
   Arnica, where retention  has been caused by dif- ;
 ficult  labor, and there is  much soreness  of the :
 parts; tenesmus of the neck of the  bladder; desire :
 to urinate, with burning pain; stitches in the ure-  j
 thra; urine brown, with brick-red  sediment.
  Dose.—Four globules three times a day will generally remove all  j
 unpleasant symptoms.                                   \

   Belladonna, frequent desire  to urinate, which is  ;
 passed  with difficulty; urine yellow and turbid;  j
 painful constriction of the  neck of the bladder.
  Dose.—Four globules every four or six hours, until relief is ob-  ;
 tained.                                              t

   Nux vomica, painful ineffectual desire to urinate,  \
with burning and lacerating pain in  the neck of  j
the bladder; nightly urging  to  urinate, with vio-  \
lent burning.                                     *'"
  Dose.—The same as directed for Bolladonna.

  Pulsatilla will  be of great use where there is  \ 
              DISEASES  OF WOMEN.           123
catarrh of the bladder, with frequent, almost inef-
fectual urging to urinate, with pressure as from a
stone;  spasmodic pain in the neck of the bladder,
extending to the thighs.
  Dose.—Six globules dissolved iu half a tumbler of water, and a
teaspoonful to be taken every three hours.
  In case the above treatment should not  succeed
in 18 or 24 hours, and the retention become pain-
ful,  the urine must be drawn off by means of the
catheter.
           DURATION OF CONFINEMENT.
  For the first four or five days after delivery,  a
woman should remain quiet in bed, keep her mind
free from  excitement, and  live on  gruel, panada,
toast and black tea, or other similar articles, and '
drink  cold  water.  Afterwards, should no  un-
toward symptoms  be present, she  may rise  daily
to have her bed made, and gradually return to her
ordinary diet.  The  first two  weeks  should  be
chiefly spent in bed, or at least in the recumbent
posture, during which time visiters  ought not to
be admitted.   A woman  ought not to  leave her
room before three weeks,  and never  go up or
down stairs  before  four  weeks after  her   con-
finement. 
 
        PART II.



TREATMENT OF CHILDREN.
W^w»-.v»-»» »•»♦•« 
# 
         TREATMENT  OF CHILDREN.

                                                 \
               RECEPTION AT BIRTH.               \
    In case a child is born before the  arrival of the \
  accoucheur, some person should place it in a pro- I
  per position to breathe; and if the cord be coiled I
\  round  the neck,  body, or limbs of the  child,  it
\  should be disengaged, in  order that the circula- j
j  tion between the mother and child may not be
\  interrupted before respiration  is  fully established
\  in the latter.  Remove the child a little out of the
|  discharges, so that the face at least may be free,
\  and  if the mouth or nostrils  are obstructed by \
I  mucus, cleanse  them with a napkin, or piece  of
j  fine linen, wrapped round the little finger. When
j  these things are attended to, if the child be healthy >
  and  robust, it will  cry lustily; and  its skin will
\  change from  a  light or leaden hue, to a pink or, \
'  rose color.  There  is  now no further cause for I
<  alarm,  as both  mother and child may remain in \
|  this situation for an hour or two without danger, j
  If, however, the child should  be feeble^ or have \
\  been delayed  long in the birth, or  either of the \
I  causes above mentioned have operated to prevent \
\  it from breathing, and after the  above directions
 
128        TREATMENT OF  CHILDREN.
shall have been followed respiration do  not yet
take place, wrap the child's body and limbs in
warm flannel or napkins, and apply cold water, or
cold spirits, to its breast,  with the palm of the
hand;  should thjs not succeed,  place your mouth
over the child's mouth, and gently blow so as to
inflate the lungs, closing the child's nostrils at the
same time between your thumb and finger, to keep
the air from passing out through its nose.   If pul-
sation be felt in the cord, and the beating of the
child's heart be perceptible, have a little patience
and all will be well.
   After respiration is fully established with the
child, and  pulsation have ceased in the cord,. and
not before, the child may be removed.  In order   j
to do this, take a string made of sewing thread   \
doubled and  twisted, which is best; or, in place of   \
that, a piece of narrow tape, or round bobbin of   \
sufficient strength, will answer.  Wrap the string   \
once round the cord, about an inch and a half from   j
the child's stomach, and tie it securely in  a  hard   \
knot;  cut off the loose ends of the string, and tie   \
one of them  round the cord three-quarters of an   \
inch farther up, and then cut the cord with a pair   \
of scissors between the two ligatures.              \
   The child may be received in a blanket or sheet,   \
which should be  warmed for the purpose.          \ 
TREAMENT OF CHILDREN.         129 j
     ASPHYXIA, OR APPARENT DEATH OF NEW-BORN
                      INFANTS.
\    This condition of new-born children is generally
i  caused by the winding  of the cord  around  the  \
  neck;  by long detention of the head in the pel-
\  vis; by tedious labors; the accumulation of mu-
  cus in the mouth and  throat;  sudden change  of
5  temperature  before respiration  is  fully estab-
  lished, &c.
    Remedies.  Tartar emetic,  Aconite,  China, and
  Opium.
    Tartar  emetic may be given where there are  no
  signs  of life, slight pulsations of the cord, or if
  the face is purple and swollen.
    Dose.—Dissolve six globules in four tablespoonsful of water, and
  of this solution give six drops every few minutes, until there are
  signs of  life.
    Aconite, when life is restored, and when the face
  has previously been of a  bluish color.
    Dose.—Two globules every  ten  or fifteen minutes, until complete
  restoration has taken place.
     China,  for  similar symptoms,  as  for  Aconite,
  except where the face has been pale.
    Dose.—The same as of Aconite.

     Opium may be  used if Tartar emetic fails to
  produce any beneficial effect in fifteen or twenty 
 I  130        TREATMENT OF CHILDREN.
 5  minutes, especially if the face has a  bluish  ap-  \
 \  pearance.                                        \
    Dose.—The same as of Aconite.                        \
 j
 \                WASHING THE CHILD.
 |    The body of  almost  every  new-born babe is
 <  more or less covered with a white unctuous matter,
   which adheres  to it with great tenacity.  The best
 \  method of removing it is by rubbing*the covered
 j  parts of the child freely with hogs' lard, until  the
 \  two substances become  completely incorporated,
 \  when they are  easily removed by a piece of flan-
 j  nel, which should  always be used  as a wash-rag.
 I  When the skin is freed from the unctuous matter,
   a little fine soap may be  used, to  get  rid of the
 j  grease.  After the child has been carefully washed,
 \  which should be well done the first time, its skin
 |  should be rendered perfectly dry with a fine nap-
 i  kin.  The reprehensible practice of bathing chil-
   dren in spirits, should always be prohibited.

 \             DRESSING OF  THE NAVEL.
i   This is to be done, by folding a  piece of linen
i  or muslin,  until it is about six inches  long, and
|  three wide, consisting of four or six  thicknesses,
|  in which a hole is to be cut, and the cord  passed
   through.   The  cord is then to have another  strip
j  of linen or muslin wrapped round it, as you would 
 |            TREATMENT OF CHILDREN.        131  \
 I  wrap up a sore finger.  The first piece of linen 01  j
 j  muslin  lying lengthwise of the child's body, the
   end  of  the cord  now wrapped is  to be laid up  I
   towards the child's breast, and  the lower end of  j
 j  the first piece is to be folded over it, and the whole  I
 \  secured by the belly-band, which  should  always
 i  be made of a strip of flannel, without either hem-  j
 \  ing or lining.  The navel usually comes off from  j
 |  the fifth to the eighth day.                       \

 I               OF THE MECONIUM.                 \
 \    In most  cases the  child's bowels are moved a  \
 \  few hours after birth.  The substance discharged  \
 \  is of  a dark bottle-green color, and is called me-
 ;  conium. To aid  the discharge of the meconium,
 ;  and to clear the throat  of mucus,  it is  allowable
 :  to give the  child two  or three teaspoonsful of
 :  warm water,  sweetened with brown sugar.   The
 ;  first milk has a tendency to .promote the object.
 :  The color of  the stools generally changes to yel-
|  low about the fifth day.
     If the bowels should  not be moved as freely,  \
|  or as  frequently in the few first days as they ought  ;
:  to be, and the child be restless,  give four globules  >
j  of Nux vomica at night, and if  necessary, the  \
\  same  of Chamomilla  the next day.                \
 
:  132         TREATMENT OF CHILDREN.
                LOCK-JAAV OF  INFANTS.
     This serious disease is almost exclusively con-
  fined to tropical climates, and happens only in the
  first days of infantile life.   The child cries, and
  in vain attempts  to  nurse, the milk  chokes it,
  and  is  ejected.   On  examination, the masseter
  muscles are found to  be so rigid,  that  the lower
  jaw cannot be depressed; the jaws gradually close,
  the  abdomen swells,  the stiffness  extends to  the
  whole frame,  and in two or three  days the little
  sufferer is relieved by  death.   It  is  generally
  caused  by foul atmosphere,  taking  cold, improper
  food, and local irritation from mechanical causes.
     Remedies.  Arnica, Belladonna, Chamomilla, Mer-
  curius  vivus, and  Lachesis.
     Arnica, if it has been caused  by  mechanical in-
  juries, irritation  about the umbilicus,  &c.
    Dose.—Three globules eVery four  hours, at  the  samo time, linen
'/  cloths wet with a solution, made of ten drops of the tincture of Ar-
'<  nica to a wineglassfull of water, may be applied locally.

\     Belladonna, where it cannot be assigned to any
\  particular cause,  and the child cannot  swallow.
<    Dose.—Three globules every hour.
't
\     Chamomilla, if it has been brought on by a sud-
\  den  chill  or fright.
\    Dose.—Four globules every two hours. 
I             TREATMENT OF CHILDREN.        133  j
i                                                   ,
;    Mercurius may be given, if Belladonna has failed  ■
;  to give relief.                                     \
\    Dose.—The same as Belladonna.                         \
\    Lachesis, if it is caused by a bad state of the  :
:  mother's milk.                                    ',
>    Dose.—Four globules every three hours.                   \
i                                                   >
\        PUTTING  THE  CHILD  TO  THE  BREAST.
!    After the lapse of ten or twelve hours, or sooner  \
I  if the mother have milk, the child may be put  to  \
\  the breast, after carefully moistening the nipple as  ;
\  before directed.  In a majority of cases, it is best  '•
|  to comply with the above direction for the reasons,  \
  that it learns the child to suck, softens the nipple,  >
\  and invites an early flow of milk.   The mother's  :
  milk is the most  natural  food for the child, but  ;
;  when this  cannot be  procured, • and a substitute  :
•  becomes necessary, we ought to imitate it  as near  :
\  as we can. For this purpose, take fresh milk from  :
\  one cow,  add one-third warm water, and sweeten  i
;  it with a little  loaf sugar.   Of this, a child may  :
\  take a few teaspoonsful at a time,  as often  as may  i
;  be  necessary.    Never give  a new-born infant  ;
:  cracker  victuals, gruel, pap,  panada,  or  other  •
:  cooked  food.   Every infant should have a tea-  j
:  spoonful or two  of cold water given to it every  \
;  day, or  several  times  a day,  if the water agrees  •
;  with it.                                          \ 
134         TREATMENT OF CHILDREN.             ]
                                                 i
                                                 i
            REGURGITATION OF  MILK.             j
  Children', during the  period of  nursing,  fre- j
quently  overload their stomach, and  regurgitate ;
some of  the milk; thus far, mothers-»eed feel no \
uneasiness, nor is medical aid required, but should \
the  nutriment be ejected from the stomach by \
vomiting, or if it should oecur in  children  who i
have been weaned, it must be treated according to \
its symptoms.                                    ;
  Remedies. Ipecacuanha, Pulsatilla, Bryonia,  Nux :
vomica, and Chamomilla.                          ;
  Ipecacuanha  will  mostly  give relief, especially \
in children  who have been overfed, and where the i
food taken  is of  such a nature as to disagree with i
the  stomach or if diarrhoea or  flatulency be  pre- \
sent.                                            ;
  Dose.—Four globules every hour  or two, until the child  is re-  ;
lieved.                                             !
  Pulsatilla, when there  is diarrhoea, with a fit of  :
crying, and the food is not easily digested.          ;
  Dose.—Four globules every four hours.                     ;
  Bryonia  and Nux vomica, where there is a  ten-  \
dency to constipation, with irritable  disposition  j
and uneasiness.                                   \
  Dose.—The  same as for Pulsatilla.                        \
   Chamomilla, should the disease be accompanied  \
 
\             TREATMENT OF CHILDREN.        135

  with diarrhoea or convulsions, and where the at-
  tack is  attended at  the onset by fever or colic,
  with great restlessness.                            i
   Dose.—Four globules every fifteen, twenty, or thirty minutes, ac-  \
  cording to the circumstances of the case.                     £
                                                   \
             ELONGATION OF THE HEAD.             \
    In first children,  and  after other  tedious  and
  protracted labors, it is common to find a tumor on  \
  the back of the  child's head, giving it the appear  \
  ance of being elongated.  The repeated application  \
  of  cold water, with a few drops of the tincture of  I
  Arnica dissolved in it, will remove the trouble in  ',
  a few days.                                       £

             HICCOUGH, OR SINGULTUS.
    This is a common  and mostly unimportant af-  >
  fection,  and may generally be left altogether to  \
  nature.  But if it should become troublesome, so
  as to prevent sleep, two or three globules of Ig-  \
  natia or Pulsatilla put on the tongue will relieve it.  <
                                                   I
           INFLAMMATION OF  THE EYES.            |
    Very young infants are subject to inflammation  \
  of  the eyes; sometimes the lids only are  affected,
  at other times the.lids and eye-balls are both in-  \
  volved.   The eyes should not be exposed to too  ;
  strong a light, and the child  should be kept out  \
  of every draft of air;  as light and cold are the most  ;
i 
136        TREATMENT OF  CHILDREN.
common,  although  not the  only  causes of  tho
disease.
   Remedies. Aconite, Belladonna, Chamomilla, Eu-
phrasia, and Rhus toxicodendron.
   Aconite, when cold or exposure  to the light is
the  cause; when the whole eye is  very red, and
runs a great deal.
  Dose.—Six globules dissolved in a tumbler half full of water, and
a teaspoonful of the solution to be taken every two or three hours,
according to the violence of the inflammation.
   Belladonna,  when the whites of  the eyes  are
very red, and present a blood-shot appearance; or
there is bleeding from  the eye-lids, and the child
cannot bear the light.
  Dose.—The same as directed for Aconite.
   Chamomilla, if the eyes  bleed, are swollen, and
are closed in the morning.
  Dose.—Four globules three times a day, dissolved in a teaspoon-
ful of water.

   Euphrasia, when the eyes are very much gummed
*p,  and  run acrid  yellow water;  and the child
cannot bear the light.
  Dose.—The same as directed for Aconite.

   Rhus toxicodendron is very important in scrofu-
lous children, and where the lids are  principally
affected.
  Dose.—Four globules night and morning. 
              TREATMENT  OF CHILDREN.        137
    In addition to the above treatment the follow-
  ing remedies will also,  at times,  be  found very
  useful:  Hepar sulphur,  Mercurius vivus,  Sulphur,
  Nux vomica, and Arsenicum.
    Hepar sulphur may be used in obstinate cases,
  especially where large quantities of Mercury have
  been used, and the symptoms should  indicate  a
  complication of mercurial and natural disease.
    Dose.—Six globules dissolved in a tumbler half full of water, and
i  a teaspoonful of th\e solution to be taken, morning, noon, and night.

\    Mercurius vivus will be found useful in a purely
  syphilitic form of this  affection, and will in  the
|  majority of cases effect a speedy cure, after which
\  a few doses of Sulphur may be requisite to control
;  the excessive secretion of mucus.
    Dose.—Six globules in a teaspoonful of water three times a day.
I    Surphur,  this  is  an  important  remedy  in all
;  kinds of inflammation  of the eyes, when of an
'  obstinate or inveterate character, especially where
{  there is an  excessive secretion of mucus; al
'<  where  there  is  pressure; burning  or smarti
  pain, as if from sand; itching in the eyes or eye-
  lids.
    Dose.—Six globules in a teaspoonful of water night and morning.
    Nux  vomica, if there are  burning, pressive or
  aching  pains, with stiffness,  smarting or itching;
  slight fever morning and evening;  the eyes blood-
                           12* 
138         TREATMENT OF  CHILDREN.
shot and swollen, with adhesion of the  eyelids;  \
sensibility to the  light;  affection worse towards
morning.
  Dose.—Four globules in a teaspoonful of water every six hours.
  Arsenicum, if there is violent burning pain, with
swelling of the lids; dark redness and congestion
of the vessels, especially if  the inflammation is of
a scrofulous character.
  Dose.—The same as directed for Sulphur.
                    SNIFFLES.
   Infants  are  often attacked with  a kind of ca-  \
 tarrh, or obstruction of the  nose, which prevents  >,
 them from breathing whilst they are sucking.      \
   Remedies. Nux  vomica,  Sambucus,  and  Cha-  5
 momilla.                                           \
   Nux vomica, where there is oppressive  dullness  ;
 of the head,  continual heat  and dryness of  the  ;
 nose, or  fluent coryza in  the day-time,  and dry  ;
 jco^yza at night.                                   \
lJ|p)ose.—Four globules dissolved  in a wineglass of water, and a  '
 teaspoonful to be given three times a day, and if no relief is ob-
 tained in twenty-four hours, give the next mentioned remedy.

   Sambucus, if there is stoppage of the nose, with
 accumulation of thick, tenacious mucus.
   Dose.—The same as directed for Nux vomica.
Chamomilla will  be found very useful, if there 
              TREATMENT OF CHILDREN.

  is a watery discharge from the nose, or if the nos-  j
  trils are sore and ulcerated.                        I
    Dose.—Three globules every four hours until better.          s

                    SORE  MOUTH.                    \
    Baby's sore mouth, is also called Thrush  and  \
  Aphthae.   It runs in families, and is apt to make  \
  its appearance towards the latter end of the second  \
\  week.  Much may be done to prevent this trouble-  i
\  some complaint, by proper attention to cleanliness.
\  A child should be thoroughly washed every day,
I  in slightly tepid  water, and the mouth cleansed
\  With cold water on a piece of fine linen rag, and  \
|  afterwards the child should be allowed to suck the  \
\  rag wet with the cold water.
    Remedies.  Mercurius vivus,  Sulphur, Bryonia,  \
\  and  Nux vomica.                      '           \
\    Mercurius vivus, where there is inflammation of  \
\  the whole bucal cavity;  ptyalism, with apthous ul-
  cers in the  mouth, which  readily become gangre-
  nous ; gums swollen and ulcerated.           A
    Dose.—Give six globules night and morning, for two  or three
  days, and if no improvement takes place, or the ulcers do' not dis-
  appear, give the following remedy.

    Sulphur,  apthous  vesicles in the mouth, with
  burning pain; heat in the mouth, with much thirst
  at night; burning pain on the surface of the tongue.
    Dose.—The same as directed for Mercurius vivus. 
 140        TREATMENT OF CHILDREN
   Bryonia, where there is dryness of the mouth  i
 with great thirst; burning vescicles on the edge of  j
 the tongue; the gums are painful, sore, and spongy
  Dose.—Four globules dissolved in a teaspoonful of water, night  \
 and morning until better.                               \

   Nux vomica,  fetid ulcers in  the  mouth,  and  >
 faeces; painful vescicles on the  tongue, which is
 coated with white or yellow mucus.
  Dose.—The same as directed for Bryonia.                  !

   The common  domestic  remedy is equal parts  \
 of Borax and loaf-sugar  finely pulverized, and a  j
 pinch  of it put  into the child's mouth three or  I
 four times a day.  In many cases it  answers very J
 well, but it should not be pushed too far.

                   jaundice.                     I
   The skin of children for some time after birth  i
 being very delicate and vascular, is consequently  I
 n^ch redder than it is when they are more ad-  \
 vanced.  During the  transition from the red  to a  ''
 paler color, the skin  often assumes a yellowness,
 somewhat resembling jaundice; but this does not  j
 constitute the disease. This yellow tint may con-  \
tinue for a few days, without being attended  by  \
any other symptoms,  and  then  disappear sponta-  j
neously.   Although   the  skin  be yellow, if  the  I 
             TREATMENT OF CHILDREN.        141

  child is not sick, and the  secretions be  natural,
  there is no need of medicine.
    But, if in addition to the yellowness of the skin,
  the whites of the eyes, the secretion of tears and
  urine  be yellow, and the  evacuation  from  the
  bowels be paler than natural, or of a clay color;
  if the  abdomen swell; if the  child be fretful and
  moan  frequently, there need be no further delay:
  the child is sick, and requires treatment.
     Remedies.  Chamomilla and Mercurius vivus.
\     Chamomilla, where there is sleeplessness; cries
  and starting in the  sleep; dryness of the mouth,
  and heat of the face, and there are  discharges of
  whtie mucus from the bowels.
    Dose.—Three globules three times a day until better.

     Mercurius vivus may be used in alternation with,
  or  follow Chamomilla, provided  Chamomilla has
  failed  to produce relief.
    Dose.—The samo as of Chamomilla.

     If no relief has been obtained from  the use of
  the above remedies, send for a homoeopathic phy-
  sician.

                    of the gum.
     This for the most part is  an  artificial disease.
  It  consists of a crop of red pimples, more or less
  extensive and  numerous;  it generally  occupies
 
142         TREATMENT OF  CHILDREN.             j
the face, neck,  and arms;   other  parts  also  are  j
visited by it.  • Bathe the child properly; do not  \
keep it too warm, and give  it no saffron, sweet ma-  j
jorum or cat-nep  tea, and  it will not be much
troubled with the gum.
  Remedies. Rhus toxicodendron and  Sulphur.
  Rhus toxicodendron will be found  useful, if the
eruption, consisting of small, red pimples, appears
on the neck, arms, or  loins, or  if the vesicles are
confluent, and contain a watery secretion.
  Dose.—Four globules in a teaspoonful of water, night and morn-  >
ing*                                   •          \
  Sulphur, where there is a fiery, scarlet eruption,  \
which occasions violent itching and burning.       \
  Dose.—Four globules night and morning.                  \
              RETENTION OF URINE.               \
  Young infants are frequently the subjects of this  \
complaint.  Dissolve six pellets  of Aconite  in  a  \
wineglassful of water, and give the child a portion  \
of it every two  or three hours  until relief is ob-  \
tained.   Should this fail, give Nux vomica or Pul-  /
satilla in the same way.                           I

              PROFUSE URINATION.                \
                                                 i
  Occasionally young children have frequent and  '
profuse emissions of colorless and inodorous urine.  \
They are apt to  be pale and fretful during its con-  \
tinuance.                                        \ 
|               TREATMENT  OF CHILDREN.        143

|     Remedies. Phophoric acid or Silicea.             \
i     Phosphoric acid, irresistible desire  to urinate  >
\   enuresis, with cutting and burning;  frequent mic- \
\   turition; urine fetid.
'(    Dose.—Three globules, morning, noon, and night.
\     Silicea, desire to urinate, with copious emission,
: *  especially at night, with  smarting in the urethra..
s    Dose.—Three globules at night for two successive nights.
\                    CONSTIPATION.
i
     If the evacuations  have the natural  color and
|   consistency, although they should  not occur  so
   frequently as would be desirable, it  is not always
   the part of wisdom to interfere, by giving medi-
   cine.  If left to themselves, they will often return
   to the  natural state; but if collateral symptoms
   arise we must give medicine. .
     It  often happens that  the constipation or diar-
   rhoea of a child depends  upon the "mother or  the
   nurse, and in that case  the  medicine  should be
   given to them, so as to  operate  on  the  child
   through the medium of the milk.
     Remedies.  Bryonia,,  Calcarea carbonica, Nux vo-
   mica, and Opium..
     Bryonia,  constipation,  with hard, tough stool;
   or dry, as if burnt; or  the faeces are large and
   passed with  difficulty, writh  burning pain in  the
   rectum  after stool; or stool followed with diarrhoea. 
144         TREATMENT OF  CHILDREN.
  Dose.—Six globules three times a day.

   Calcarea carbonica,  if there  is  hard, undigested
stool; or constant  urging without stool; or stool
scanty and mixed with blood.
  Dose.—The same as directed for Bryonia.

   Nux  vomica, constipation,  as if from  inactivity
of the bowels;  anxious  and  frequent  ineffectual
urging  to  stool; fa)ces large  and hard.
  Dose.—Throe globules dissolved in a teaspoonful of water, night
aud morning.

   Opium,  hard stool;  costiveness;  nothing but
small, hard balls being passed.
  Dose.—The same as of Nux vomica.

                    DIARRHOEA.
   The diarrhoea of infants will  not always yield
to the  medicines  which are  successful at  other
periods.
  Remedies.  Belladonna, Chamomilla, and Rheum.
  Belladonna, if the child sleeps a great deal, but
is uneasy; paleness of the  face;  every time the
child is changed, the  napkin is found to be  soiled
by a small greenish discharge.
  Dose.—Six globules dissolved in a  wineglassful of water, and a
easpoonful to be given every four hours.

   Chamomilla,  when  the evacuations are  watery 
;              TREATMENT  OF CHILDREN.        145

;  and greenish, or like beaten-up eggs, and worse at
<  night; the stools are attended with straining, and
I  redness of the  child's face;  frequent small green
\  stools with restlessness.
    Dose.—Six globules dissolved in a teaspoonful of water, morn-
  ing, noon, and night.
     Rheum, in diarrhoea arising from acidity, at-
  tended  with cries,  colic  and  straining; bearing
  down without  stool; the  evacuations are  frothy,
  sometimes slimy, and smell sour; the child smells
  sour,  notwithstanding  the  greatest  attention  to
  cleanliness.
    Doss.—The same as directed for Chamomilla.

                       COLIC.
     Infants, and  especially those of feeble constitu-
  tions, are troubled with  colic  in the  month.   It
  may arise from constitutional peculiarity, or from
  improper feeding  of the child, and from  impro-
  prieties on the  part of the mother—either errors
  of diet, exposure to cold, or suffering of any kind,
  that will  interfere with  the  healthy secretion of
  milk.  If the child's food disagrees with  it, it  is
  apt to exhibit signs of pain soon after feeding.
  The attacks may be so severe and frequent, as al-
  most to wear out  both mother and child.  Diar-
  rhoea frequently attends it.
    There is another species of colic, to which some
                         13 
•
146        TREATMENT  OF CHILDREN.
of the most robust, and  otherwise healthy chil
dren, are subject.  It is periodical in its attacks,
which usually occur at five or  six o'clock  in  the
afternoon.    This species is  often attended with
costiveness, but frequently the  state  of the bow
els  is unchanged.  The  complaint does not inter
fere with  the  growth or general health of  the
child, and  usually stops when  the child  is about
three months old.
  Whatever may be the cause of colic in children,
it should be sought out, and  if possible removed.
  Remedies. Chamomilla, China, Ipecacuanlva, and
Pulsatilla.
  Chamomilla, if the pain be attended with loose-
ness of the bowels; yellowish  green  and watery
discharges; distension of the abdomen; writhing
pain; constant crying and drawing up of the legs,
with coldness of the feet.
 Dose.—Dissolve six globules in three tablespoonsful of water, and
give a teaspoonful every fifteen or thirty minutes, according to the
severity of the symptoms, until the child is relieved.

  China, when the pains come on late in the after-
noon, with  hardness of the  abdomen; the child
screams, and laughs immediately  afterwards;  the
bowels may be in a  healthy state, or  the stools
may be whitish and curdled.
 Dose.—Tho same as directed  for Chamomilla.
j 
           TREATMENT OF CHILDREN.         147 \
                                                \
  Ipecacuanha, when  the cries  of the child are :
sharp, as if the pains were  of the cutting  kind; ;
fermented stools of a putrid odor.   This medicine :
is well  adapted to the  various  ailments of the :
stomach and bowels of young children.           \
 Dose.—Three globules dissolved in a teaspoonful of water, every ;
two or three hours.                                   $

  Pulsatilla,  is very useful in flatulent colic, es- \
pecially if it occur in the evening, or every other ;
day, accompanied with  shiverings and paleness ;
of the face; rumbling of wind through the bow- \
els, with tenderness of the abdomen.              ;
 Dose.—The same as directed for Ipecacuanha.              \

              CRYING OF INFANTS.               \
  An infant is not always in pain when  it  cries, i
This is  the language by which it makes known its :
wants.   It  may be  hungry or  need changing. \
Young  infants should never  be obliged to  lie in j
one position longer than an hour or two at a time. \
They should be placed  on the  side to sleep, and ;
turned over occasionally.                        I
  Although the above be true, we are not to think
that children never have pain when they cry. An j
experienced  ear  can generally perceive  a  differ- \
ence  in the  tone,  and  in  that  way determine ;
whether the child have  pain or not.  If a child ;
continue to cry and will not be  pacified, the cause ; 
•
•   148         TREATMENT OF CHILDREN.
\   should be diligently sought  for—a pin may b<
:   pricking it, or its clothes may be  too  tight, or i<
\   may have pain somewhere.
}     Remedies.  Belladonna, Aconite, Coffea,  and Cha
|   momilla.
\     Belladonna, if  the child  continues to  cry for a
\   long time without  any apparent cause,  or starts
   out of its sleep and cries.
f    Dose.—Dissolve six globules in half a tumblorful of water, and
;   give a teaspoonful every one, two, or three hours, according to cir-
;   cumstances.

\     Aconite,  if  there  be  much  uneasiness,  accom-
•   panied with dry  heat.
<    Dose.—The same as directed for  Belladonna.

      Coffea, if the child appears to  be nervous and
   very restless,  with heat, and tossing about.
s    Dose.—Three globules every hour until it is bettor.

\      Chamomilla, when the child  cries, and is rest-
:   less, with frequent startings, or there is reason to
:   believe it has earache or headache, and cries when
;   it is moved.
J    Dose.—The same as directed for Belladonna.
\
\          RESTLESSNESS AND  WAKEFULNESS.
\     Restlessness and inability to sleep are generally
i   produced  by  injurious  food  being given to the
 
TREATMENT  OF CHILDREN.        149
 |  child, or by the  mother  drinking green tea and
   coffee, or using other improper articles of diet.    \
     Remedies.  Belladonna, Chamomilla, Coffea, and  \
   Opium.                                           i
 |    Belladonna, if  the child seems inclined to sleep,' \
 \  and cannot sleep, but starts up and cries.          \
    Dose.—Dissolve eight globules in a wineglassful of water, and  I
 ]  give a teaspoonful every half hour.                         i
     Chamomilla,  if the  sleeplessness  be  attended  \
 <  with flatulency, with starts  and jerkings  of the  \
 \  limbs; or feverish  heat,  with  redness of  one  ;
 \  cheek.                                           \
 |   Dose.—The same as directed for Belladonna.                \
     Coffea, if there be  increased heat  of the body,
 5  with great nervous excitability.
 '   Dose.—Three globules overy half hour until hotter.
     Ojnum, if  no relief is  obtained after several
   doses of the preceding remedy, and the face is red.
    Dose.—The same as of Coffea.

             SWELLING OF  THE BREASTS.            |
     At birth, or very soon  afterwards, the breasts  \
j  of infants are sometimes found to be swollen.  A  \
\  common opinion prevails among nurses and others,
\  that this swelling and  inflammation is  owing to  \
\  the presence of milk, which must be squeezed out
\  before they can get well.   This opinion is not true  \
                         13*                         \ 
;  150         TREATMENT  OF CHILDREN.
|  —there is  no milk there, neither do the breasts
<  require squeezing.  By rude handling, the inflam-
i  mation is sometimes urged  on  to  suppuration—
|  matter  is  formed, and in  some  instances  tho
  breasts have been destroyed, and females deprived
;  of their usefulness for ever.
;    In most cases, there is nothing more necessary
j  than to apply a piece of linen wet with sweet oil
;  to them.   In a few severe cases  it may be neces-
;  sary to apply a bread and milk  poultice, and re-
\  new it as occasion may  require.
I    Remedies. Chamomilla, Belladonna, Hepar  sul-
\  phur, and Calcarea curbonica.
     Chamomilla, if there  is extensive swelling of
J  the  breasts, attended  with  redness  and inflam-
|  mation.
\    Dose.—Four globules dissolved in a teaspoonful of water, three
'/  times a day.
\    Belladonna, if the breasts are  swollen, hard,  and
:  painful.
'    Dose.—The same as directed for Chamomilla.
    Hepar sulphur will be indicated, should  forma-
{  tion of matter have taken place.
I    Dose.—Dissolve six globules in eight teaspoonsfnl of water, and
\  give a teaspoonful every four hours.
\     Silicea, should Hepar sulphur be insufficient to
'<  stop the formation of matter.
\    Dose.—The same as directed for Hepar sulphur. 
{
             TREATMENT  OF CHILDREN.        151

|                   EXCORIATIONS.
I    Unless there be strong predisposition to exco-
\  nations, proper attention to  cleanliness, and care
j  being taken to dry all the creases in fat children
|  after washing,  they will very  generally be pre-
;  vented.  A child that is kept so warm as to make
|  it perspire a great deal, is very liable to excoria-
\  tions.
\     When  they take place,  the  child  should be
j  washed in luke-warm water (without soap),  and
|  made  dry by the repeated  application of a  fine
\  linen handkerchief without rubbing.   Afterwards  \
{  it should  be  powdered  with  finely pulverized  ';
I  wheaten starch.  Although excoriations are some-  >
\  times bad to look at, they are not dangerous, and  \
\  a little patience and close attention will overcome  j
\  them.                                            \
\     While the above directions  are being followed  >
\  externally, one or more  of the following medi-
|  cines  may  be administered internally, namely:
\   Carho  vegetahilis, Chamomilla, Lycopodium, Mercu-  \
  rius vivus, or Sulphur.                            \
\     Carho vegetahilis, if there is much rawness of the  j
\  parts affected, or where there is a general  disposi-  j
\  tion in the parts to become excoriated.
\    Dose.—Six globules night and morning.                   5
     Chamomilla, if  the  skin  become easily exco   '■ 
152         TREATMENT OF CHILDREN.
riated, with burning, smarting, and great sensitive-
ness of the touch.
  Dose.—Four globules three times a day.

  Lycopodium, if the skin of the whole body is
dry and hot, and cracks  easily,  with violent itch-
ing when heated.
  Dose.—Four globules night and morning.
  Mrcurius vivus, violent itching of the skin—
worse at night—aggravated  by the heat of  the
bed,
  Dose.—The same as directed for Chamomilla.
  Sulphur, itching of the skin of the  whole body;
scurfy eruption;  soreness of the skin of infants.
  Dose.—Dissolve six globules in a wineglassful of water, and give
  toa.-poonful night and morning.

              SCURF ON THE HEAD.
  Children that are kept too warm, or that are a
little  neglected,  are  liable to have  an unsightly,
dirty-looking incrustation formed on the top of
the head.   On  removing any part of the crust,
the skin beneath will be  found red and  inflamed.
It annoys the child  by its itching, and others by
its offensiveness.  The forcible  removal of it by
the fine-tooth  comb will not  effect a cure, for so
long as the diseased  state of the scalp remains, it
will be speedily  reproduced. 
          •  TREATMENT OF CHILDREN.        153

  It can be  prevented by washing the child's head
regularly every morning, and after drying it  pro-
perly, using a suitable hair brush.
  If a tendency to this formation be noticed,  give
the child Staphysagria two nights in succession.
  Dose.—Six globules dissolved in a teaspoonful of water.
  After the crust has formed, it can be removed
by  anointing it well with lard at night, and wash-
ing it  off next morning with a solution of Borax  i
in  water.   The  application may have  to  be re-  i
peated three or four times.                        I
           CRUSTA LACTEA, OR MILK CRUST.
     This eruption, to which infants are liable, con-
  sists of small, whitish vesicles, or blisters, that ap-
  pear in clusters upon a red ground.  The vesicles
  burst and form yellow scabs, from beneath which a
  straw-colored, watery fluid issues.  The  eruption
  commences generally upon one cheek, from whence
  it extends to  the  adjacent portions  of  the face
  and  scalp.  The swelling  of the scalp  is some-
  times considerable, and  the itching is frequently
|  intense, causing great  restlessness  of the  child.
|  Scratching aggravates the  disease and causes the
;  eruption to bleed.
I     Remedies. Aconite, Rhus  toxicodendron,  Sulphur,
(  Arsenicum,  Graphites, Sepia,  Lycopodium, and Viola  \
<  tricolor.                                          \ 
\   154         TREATMENT  OF CHILDREN. •

I     Aconite, in the very commencement of the dis-
\   ease, where there  is  dry,  hot skin, fever,  great
\   restlessness and excitability, and  the skin is in-
>   flamed, with itching.
'<    Dose.—Three globules every four hours.

\     Rhus toxicodendron, itching,  burning  vesicles,
\   with red, inflamed  base; or pustules filled with a
\   watery fluid, attended  with violent itching and  \
\   swelling of the lower parts.                       \
I    Dose.—Four globules three times a day.               t    J

\     Sulpthur,  scabby, tettery eruption, with violent  ;
   itching, or  where  there  is  no disposition in tho  j
   eruption to dry up; it may be given in alternation  ;
   with Rhus  toxicodendron.                         '/
I    Dose.—Four globules twice a day.                       J
I
     Arsenicum, in complicated cases,  or where the  \
\  eruption  bursts and  ulcerates, attended with the  \
  sensation of burning.                              j
\    Dose.—Six globules three times a day.                     >

     Graphites, in  tettery eruptions, generally small  |
  pimples like flea-bites, with dryness of  the  skin  >
  and  itching of the hairy scalp, with falling off  I
  of the hair.                                        ;
    Dose.—Six globules night and morning.
Sepia,  excoriation, with  brown, red, or tettery 
               treatment of children.        155  \
 \  eruptions, or  running sores, with  itching  and  \
 j  burning.                                         j
 J   Dose.—Six globules twice a day.                         5
     Lycopodium, in tedious cases, where there is itch-  \
 \  ing and much matter discharged, with swelling of  \
 '.  the glands of the neck.                           I
 ;   Dose.—Four globules night and morning.                  £
      Viola tricolor, scabs on the face and head, with  \
 •  thick incrustations, with burning itching at night,  i
 •  and discharge of thick, yellow matter.             \
 '.   Dose.—Six globules night and morning.                   j
 \   SCALD HEAD, OR TINEA CAPITIS; OR WHITE RING-
 {                WORM OF THE  SCALP.
 J    This is a disease of the hairy portion of the  \
 i  scalp, which mostly appears from  the first to the  \
 ;  twelfth year of age, and  is  characterized by the  >
 ;  following  symptoms: The  child complains of an
 ;  itching, burning pain on parts of the head, where  \
 \  small,  round, pointed  efflorescences  on  an in-  \
 \  flamed rose-colored ground  make their appearance,  :
 i  which are hard at their base,  but soft and yellow-
 i  ish at their points.   They gradually become more  ',
;  elevated, burst, and give rise to  a viscous, acrid,  \
 \  offensive  discharge—thus  extending the  disease  \
 \  to the parts with which it comes in contact.  The  \
\  hair becomes matted and scaley;  hard crusts are  \
\  formed,  from  beneath  which the  secretion of   \ 
:  156        TREATMENT OF CHILDREN.
i  matter continues.  The disease is usually attended
|  with swelling of the glands of the head and neck.
I     REMEDIES.  Rhus toxicodendron, Dulcamara, Bry-
\  onia, Staphysagria,  IIpar sulphur, Arsenicum, Anli-
\  monium  crudum, Calcarea carbonica,  Sulphur, (7 m-
|  phites, and Lyco]>odium,
|     Rhus toxicodendron is recommended where there
;  is much  itching, burning, and where  the patches
;  are inflamed and irritable.
'<.    Dose.—Six globules twice a day.

\     Dulcamara, if it is attended with  hard swelling
:  of the glands of the throat and neck, with pale face,
:  and loose, flabby muscles.
'    Dose.—Six globules twice a day
>
<,     Bryonia, when the glands are painful, red, hard,
\  and swollen.
\    Dose.—The same as Dulcamara.
     Staph ysagria, if the eruption is moist, with itch-
:  ing and offensive discharge.
',    Dose.—Four globules three times daily.
     Hepar sulphur, if the eruption extends  from  the
:  head to other parts, as  the face, neck; or the eyes
:  become inflamed and swollen,  and ulceration  be-
:  hind the ears take  place.
',    Dose.—Four globules three times a day.
:     Arsenicum, if other remedies afford no relief, and 
r            TREATMENT OF CHILDREN.        157
  the discharge becomes  acrid  and offensive, with a
  disposition to ulceration.
    Dose.—Four globules twice a day.
    Antimonium crudum, if the eruption extends
  over the whole face, and thick scabs form on the
  head, with violent itching.
    Dose.—Six globules three times a day.
     Calcarea  carbonica, in  those of scrofulous taint,
  especially fat children  with light complexion, and
  with swelling of the glands of the neck, and with
  falling out of the hair.
    Dose.—Six globules twice a day.
    Sulphur,  when the eruption commences  to dry
  and the scabs begin to scale off.
    Dose.—Six globules night and morning.
     Graphites, scabs with itching of the hairy scalp;
  humid eruption on  the head, which is painful to
  the touch, with the feeling as if ulcerated.
    Dose.—Six globules every night.
    Lycopodium,  eruption on  the  head, with fetid,
  profuse  suppuration, and violent itching of the
  hairy scalp.
    Dose.—Six globules every night
             INFANTILE ERYSIPELAS.
  Infants within the first  two months  of their
lives  are sometimes attacked with a kind of erv-
                       14                      J 
  158        TREATMENT  OF CHILDREN.
  sipelas of the surface, attended with hardness and  j
  swelling underneath.  It is mostly located on the  j
  nates  or  genital  organs, but  may attack other
  parts,  and go on to suppuration.  When it attacks
  the maxillary muscles, the child cannot cry.  It
{  appears first in the  form  of red  spots, attended
^  with general fever, hot  skin,  and  thirst.  In the
|  latter  stage of  the disease, there is a characteristic
!  dryness  and harshness  of the  skin, almost  like
',  parchment.
•>     Remedies. Aconite,  Belladonna,  Rhus toxicoden-
\  dron, Arsenicum and Sulphur.
\     Aconite, in the  beginning, when  there is fever,
j  thirst, and dry sk^n.
s    Dose.—Four globules every four hours.

j     Belladonna, if there is fever, and  the eruption is
\  a bright-red, and  of an  erysipelatous appearance.
'    Dose.—Four globules three times a day.

\     Rhus  toxicodendron, if the inflamed  surface is
I  covered  with  blisters.   It may be  given alter-
\  nately with  Belladonna, and  in obstinate cases
  with Mercurius vivus.
    Dose.—Four globules three times a day.

     Arsenicum, if the skin is dry and parchment-
  like, and the eruption presents a dark appearance,
  with a tendency to become gangrenous.   Vomit-
                                                 J 
             TREATMENT OF CHILDREN.         159
  ing of food, or acrid bilious matter, with offensive
  green discharges from the bowels ; also where the
  scrotum is affected.
   Dose.—Six globules twice a day.
i    Sulphur, where there is some constitutional pre-
|  disposition to the disease, and for inactivity of the
<  alimentary canal after the acute  symptoms are
<  passed.
\   Dose.—Six globules once a day.

i                     DENTITION.
    The  two middle  lower front teeth  make their
j  appearance generally when the child is about six
|  months old.   In three or four weeks afterwards,
\  the middle incisors of the upper jaw come through
;  the gums, then comes the two lateral incisors be-
;  low, which are  soon followed by the two  lateral
■  incisors above.   In  about two months after these,
\  the first four jaw teeth are cut, two below and two
<  above; and after another  little respite, the two
stomach teeth and the two eye-teeth show them-  \
\  selves; and finally, at the age of from two years to
j  two and a half, the four back jaw-teeth, two above
|  and two below, make their appearance, which com-
\  pletes the  first  dentition,  consisting  of  twenty
\  teeth.
•  ,  Every child does not cut its teeth with so much
:  regularity as is indicated above, for some  deviate
\__, 
;   160        TREATMENT OF CHILDREN.             j
I   variously from the  rule  which governs  the ma   ;
I   Jorit7-                                          |
|     The process of teething gives rise to a variety  •
\   of sympathetic  affections in children, many of  >
\   which cause great suffering, and some of  them  >
\   are attended with considerable danger.             \
\     In order to save the child  as much suffering as  >
\   possible, if  it still  nurse, the mother should ab   j
\   stain from all stimulating and indigestible articles,  \
j   as well as everything else which she knows from  ;
j   experience will  cause her milk to  disagree with  \
\   the child.  And if the child be weaned, let its diet  \
'   be of the most mild and  unirritating kind—allow  J
j   no coffee,  tea,  or  malt  liquors—no candies or  \
$   other confectionaries.   On account of the known /,
\   tendency to heat in the head, sore ears, &c, during
\   dentition, it is better for the  child to sleep with-
{   out a night-cap.  Some children pass through the  i
I   whole process without the least sickness.
i     Before the teeth come  through, the gums usu-  |
I   ally become broader, more angular, and frequently  I
\   show  the shape  of the coming teeth; the  veins  \
\   running parallel with the teeth become enlarged,  \
•.   and look like little red strings.  The mouth be-  ;
*   comes hot, and  the child seems  uneasy, parties-  \
"1   larly at night; its face  is alternately flushed and  \
\   pale;  puts its  fingers in its mouth;  frequently  ;
;   seizes the nipple, bites, and  then jerks  its head  ;
 
             TREATMENT OF CHILDREN.        161
|  away;  the gums  swell and become painful; the
  child drivels at the mouth, and the bowels become
  loose.  When there is  much constitutional dis-
  turbance, the child leans its head on the nurse's
j' shoulder, becomes feverish; the skin is hot, with
\  burning in the palms of the hands; the  head is
'<  hot, and the feet cold; nausea and vomiting, with
i  rubbing of the nose  and frequent cough at night,
<  during sleep.
    When the gums are swollen and inflamed, and
I  if the above enumerated sympathetic and consti-
:  tutional  symptoms be present,  and especially if
\  watery vesicles form over  the  teeth,  giving the
\  gums a rounded  and bluish appearance, there is
\  no valid objection to  lancing.  To  perform this
\  very simple, but useful operation properly, a gum
\  lancet should be used; place the instrument over
\  the tooth, and cut through the gum, until the tooth
|  is felt.
\    The operation of lancing the gums  is but sel-
<  dom called for, as,  in  a majority of instances, a
\  little timely interference with one  or more of the
<  following  medicines will  remove  all  the un-
\  pleasant symptoms.
|    Remedies.  Aconite,  Belladonna,   Calcarea car-
',  honica, Chamomilla, Cina,  Coffea, Ignatia,  Ipecacu-
\  anha, Mercurius vivus, and Sulphur.
\    Aconite, when there is fever with much restless-
I                        14* 
<   162        TREATMENT  OF CHILDREN.

   ness, sleeplessness and suffering of pain, as evinced i
   by the child's crying and starting.                 \
\    Dose.—Dissolve eight globules in a wineglassful of water, and \
(   give a teaspoonful every two or three hours, until the child is bettor. ;

     Belladonna, when  convulsions  are caused  by \
\   teething;  the convulsion  is followed by sound '
i   sleep, which  continues  for a long time, or until >
   another paroxysm comes on.   The  child  starts ;
\   suddenly from its sleep,  as if frightened, and looks \
\   around as if terrified, with an altered expression \
\   of  countenance;  the pupils  of the  eyes are  en- \
\   larged, and the child stares  at a particular spot; \
\   the whole body becomes stiff; with  burning heat \
\   in the palms  of the hands and on the temples.
\    Dose.—Six globules dissolved in  three tablespoonsful  of water, ;
£   and a teaspoonful to be given every twenty or thirty minutes, ac- ;
'/   cording to the severity  of the case, until relief is afforded.

     Calcarea carbonica, when the process of dentition ;
   is retarded in children  of light  complexion, and \
\   inclined to be fat.                                 \
>    Dose.—Six globules dissolved in a teaspoonful  of water twice a >
I   week, for several weeks in succession.                        i

     Chamomilla is  particularly adapted to the vari- |
   ous diseases  of  children  generally,  during  the \
   period of dentition, and especially when a child \
$   is very uneasy at night;  tosses about; wants drink ;
I   often;  has spasmodic jerks and  twitches of  the ;
t„™________________i 
            TREATMENT OF  CHILDREN.        163
limbs during sleep; starts from the slightest noise;
general heat; redness of the one cheek, and of the
eyes; moaning;  groaning; agitation; short, quick,
noisy respiration, and  oppression of the chest;
hacking cough;  mouth  dry and hot; diarrhoea,
with  watery,  slimy,  and  greenish  evacuations,
worse at night.
  Dose.—Four globules in a teaspoonful of water, three times a day.
   Cina may be given to children who wet the bed
at night, and grit their  teeth during sleep and at
other times;  have hardness and distension of the
abdomen; rub their nose, and have a dry cough,
resembling hooping-cough.
  Dose.—Dissolve eight globules in a wineglassful of water, and
give a teaspoonful three times a day.
   Coffea, when the child is very  excitable; does
not sleep; is  sometimes fretful, and  at other times
too lively, with some fever.
  Dose.—Three globules dissolved in a teaspoonful of water, night
and morning.
   Ignatia, when  there  is convulsive jerkings of
single limbs; frequent  flushes  of heat, sometimes
followed by perspiration; the child rouses from a
light sleep with piercing cries, and trembles all
over.
  Dose.—Six globules dissolved in a wineglassful of water, and a
teaspoonful to be given every one, two, or three hours, according to
the urgency of the case. 
164   #    TREATMENT OF CHILDREN.
   Ipecacuanha is very useful in nausea, and vom-
iting with diarrhoea;  the  stools are  mixed, and
of different colors.
  Dose.—Three globules every two or three hours, until relief is
afforded.
   Mercurius  vivus, is applicable in cases of copious
driveling, redness of the gums, and green evacua-
tions from the bowels, with straining.
  Dose.—Four globules dissolved in a teaspoonful of water three
times a day.
   Sulphur may  be given when the stools  are
whitish, or hot and sour, and excoriate the nates.
  Dose.—The same as directed for Ipecacuanha.

             SPASMS,  OR CONVULSIONS.
   Children from the  period  of their  birth, until
they attain their fourth year, are exceedingly lia-
ble to suffer  from this disease.  Between the ages
specified, the nervous system of  a  child is more
susceptible to the action of morbific agents, as well
as influences of every kind, than it  is in after
life ; hence judicious surgeons do not perform ope-
rations  on very young children, when  it can  be
postponed  to a later period.  A knowledge of this
fact  should  deter physicians  from bleeding and
blistering  at such- an  early age; and  experience
teaches all who witness such things  and wish to
learn, that the constitution of a young child can- 
             TREATMENT OF CHILDREN.        165  \
  not bear such treatment, without being injured by
*  it.  The circulation of the blood, and every vital-
i  izing process is  carried  forward with greater  ra-
  pidity than at  any subsequent time; and hence  I
\  accidental and  mechanical injuries, such as cuts,  t
|  fractures, and the like, are repaired in shorter time  I
\  than they can be in after life.                     \
\    So long  as this susceptible and excitable state
<  continues,  just  so long will the liability to con-
<  vulsions remain, and the danger of an attack will
<  be  proportionate  to  the  degree of excitability.
\  Another predisposing  cause, is the tendency to
'<  such diseases inherited  from parents.   The chil-
  dren in large and crowded cities are also more dis-
\  posed to have such diseases  than children in  the
\  country, who are favored with a purer atmosphere,
I  and enjoy  greater opportunities of exercise.
j    Among  the exciting causes may be enumerated,
',  dentition,  the  fever  attending eruptive diseases,
\  repelled eruptions, worms, errors in diet, falls upon
|  the head, and mental emotions.
    When a child is attacked with convulsions, let
  those having charge of it endeavor to be calm, and
  first of all, try to ascertain the exciting cause, and
  then become acquainted with the mode  of attack,
  as  upon these,  in many instances, mainly depend
  the certainty and success of the treatment.  In  a
  majority of cases, the convulsions of young chil- 
5  166        TREATMENT OF CHILDREN.
I  dren are not dangerous, unless they occur during  \
i  the  advanced  stage  of the diseases incidental to  \
'  childhood.                                         \
\     For the purpose of giving temporary relief, the  \
I  child's feet and legs may be placed in warm water,  \
  and after being kept there for five or ten minutes,  >
.  wiped dry and wrapped in  flannel—the child's
\  head should be sponged  with cold water, or have  I
\  the cold water poured on it through  the spout of
\  a  tea-pot, from a height of three feet.  If  the  \
I  child be costive, or it be suspected that there are  j
I  some irritating matters in the bowels, give an in-  \
  jection of warm water, or molasses and water.  If  I
  the child have eaten something that has disagreed
  with its stomach, and there be retching  and vom-  \
  iting,  put a large  mustard poultice  over  the  \
;  stomach.   If the child be cutting teeth, and the  |
  gums over the teeth next due  be swollen, lance  \
\  them.   If the convulsions are  caused by a fall,
\  after the spasms are relieved, give Arnica.
5    Dose.—Dissolve twelve globules in a wineglassful of water, and  '
s  give half a teaspoonful every ten or fifteen minutes; at the same  \
<  time, if any of the parts are bruised, they may be bathed with a so-  t
<  lution of Arnica tincture in water, in the proportion of thirty drops  /
<  of the tincture to half a pint of water.                        '
\                                                     ''
<     Remedies.  Belladonna, Chamomilla, Cina, Coffea,  \
\  Hyoscyamus, Ignatia, Ipecacuanha, Mercurius  vivus,  >
'  Opium, and Stramonium.                           \
     But for the purpose of curing the spasms, and  ;
.~
L 
}             TREATMENT  OF CHILDREN.        167

\  preventing their return, we must  administer one
\  or more of the above  named medicines succes-
  sively, according to the symptoms.    The most
|  favorable time for giving the medicines, is just as
\  the fit is going off;  but when the paroxysm lasts a
i  long time,  or one succeeds another with rapidity,
i  the medicine must be given immediately, without
'<  waiting for the fit to terminate.  If the first dose
:  produces no change, repeat it in ten minutes,  but
;  if the  child  improve  after the first  dose, give
',  nothing more  so long  as the improvement con-
;  tinues; when the symptoms get worse,  or another
;  paroxysm  comes on, repeat  the same medicine.
;  If the remedy first given does not remove the dis-
\  ease,  select another according to the symptoms.
\     Belladonna, if the paroxysm terminate in a state
i  of stupor,  or the child wakes suddenly, as if from
\  fright, with staring eyes, fixed look, and dilated
;  pupils; bending backwards; rigidity and cold-
;  ness  of the whole body, with burning in   the
\  hands and  forehead ; involuntary passages of faeces
I  and urine.
'<    Dose.—Dissolve twelve globules in a wineglassful of water, and
\  give a teaspoonful of the solution every ten or fifteen minutes, un-
',  til relief is afforded.
     Chamomilla, if there  be convulsive jerkings of
\  the arms and legs; twitchings of the eye-lids  and
|  muscles of the face, with involuntary movements 
r"
  168        TREATMENT  OF CHILDREN.
;  of the head from  side to  side, followed by drow-
;  siness, with the eyes half open, and loss  of con-
\  sciousness ; redness of one cheek, and paleness of
|  the other; moaning, and frequent desire for drink;
  great restlessness  and excitability.   If the Chamo-
\  milla be not sufficient alone, it may be given al-
\  ternately with Belladonna.
\    Dose.—The same as  directed for Belladonna.

\     Cina, in children who are subject to worms, and
l  are in the habit of  wetting the bed, with spasms
J  in the chest, convulsive  movements  of  the limbs;
  distension and hardness of the abdomen; itching
  in the nose and of the  anus, with loose cough at
!  night.
1    Dose.—Dissolve six globules in a "wineglassful of water, and give
5  of the solution a teaspoonful every one, two, or three hours.
   Coffea,  in weakly,  nervous children, who  are
frequently attacked by convulsions without any
apparent cause.
  Dose.—The same as directed for Cina.

  Hyoscyamus, when twitchings of the muscles of
the face and frothing of the mouth are the promi-
nent symptoms.
  Dose.—Four globules dissolved in a teaspoonful of water, every
twenty or thirty minutes.

  Ignatia may be considered the principal remedy 
             TREATMENT OF CHILDREN.        169

',  in the  treatment of convulsions of children, inas-
  much as it is more generally applicable than any
  other medicine, especially in the onset of the dis-
  ease, when the  cause is  unknown.  It is appli-
',  cable, when particular parts or limbs are convulsed,
;  or when the flesh here and  there is affected by
i  spasms, with frequent heat; light slumber with
i  violent starts, screams and trembling of the whole
'<  body; perspiration;  in children that are subject
;  to fits, when the fits return every day, or every
;  second day, at about the  same  hour, and  are fol-
l  lowed by heat and  perspiration.   Chamomilla is
;  often suitable after Ignatia.
'<    Dose.—The same as directed for Cina.
}     Ipecacuanha, when  the child is asthmatic, sick at
\  the stomach, with retching and vomiting, and has
•  diarrhoea,  and stretches itself out before, during,
i  or after the paroxysm.
j    Dose.—Dissolve six globules in a wineglassful of water, and give
'<  a teaspoonful of the solution every hour.
5     Mercurius  vivus if worms be the cause; saliva
\  runs out of the mouth; green, watery stools; hard
:  and distended abdomen; eructations;  the child's
;  skin is hot  and moist;  great  weakness and  ex-
;  haustion after the fits.
;    Dose.—The same as directed for Ipecacuanha.
     Opium, when there is much trembling over the 
I  170        TREATMENT  OF CHILDREN.              \
\                                                    '<
\  whole body, tossing of the arms and  legs, loud  ;
'',  screaming during the paroxysm;  the  child lies  i
\  unconscious as if stunned; the abdomen is swollen;  |
\  suppression of urine and  faeces.  This  remedy is  i
i  particularly  applicable if the fit have been caused
  by nursing, after the mother had been frightened  \
<  or fallen into a passion.                            \
•>                                                    \
i    Dose.—Dissolve six globules in three tablespoonsful of water, and  I
'  a teaspoonful every fifteen or thirty minutes.                  \
I     Stramonium,  if the convulsions arise from re-
l  pelled eruptions, or occur during  the fever of
>  eruptive diseases, or in consequence of eruptions
  not coming out; attended with involuntary evacu-
i  ations of faeces and  urine; much groping  about
\  with the hands, and opening and shutting of the
\  fingers.
',    Dose*—The same as directed for Hyoscyamus.

i                 SUMMER COMPLAINT.
\ •    Cholera infantum, as this disease  is technically
f  called, is generally owing to improper diet,  either
< " on the part of the mother or child, atmospheric
•  changes, improper clothing, teething, and want of
;  fresh air.
     In  some instances the  disease begins like  a
\  simple diarrhoea, and is then  frequently ascribed
\  to the teeth alone, and very improperly neglected. 
             TREATMENT  OF CHILDREN.        171  ',

:  In its more aggravated forms, it commences with  \
;  vomiting; first of  the  food, and afterwards  of  \
\  mucus, or mere  gagging  with efforts  to  vomit.  \
\  The child's flesh becomes soft; it loses its appetite;  \
\  has fever with evening exacerbations;  the eyes  \
\  look languid, and when the child sleeps, are but  \
\  half closed.   The thirst for cold water becomes  \
I  very urgent, and all drink is immediately rejected  ',
i  by the stomach.   The head and abdomen are hot,  \
I  while the extremities are cold.  The evacuations  \
:  from the bowels are very frequent, and  assume  ^
I  various appearances.   Sometimes consisting of a  \
\  mere looseness, at other times  they are greenish,  \
:  or yellow and watery,  or  they may be slimy and  \
\  tinged with blood. The most common color, how-  \
:  ever, is white;  the  odor  is very  peculiar, and \
\  sometimes  exceedingly offensive.   The food  fre-  \
\  quently passes off without being digested.        {
|    In bad cases, the  skin on the forehead  is tight \
\  and shiny;  tlie eyes are sunken; the cheeks fall \
i  in;  the nose is sharp;  the lips are shriveled;  and \
\  the  emaciation is extreme, so much so  that the I
:  skin on the extremities hang in folds.           * <,
\     During the season in which children are most  |
!  liable to the disease, they should be kept cool and  j
•  frequently  taken into  the fresh  air.   Small chil-  ;
>  dren in cities are very much benefited by riding  \
\  them out two or three miles into the country late  ;
 
172        TREATMENT  OF CHILDREN.

in the afternoon to get ice cream, and then return  \
before dark.   A ride on  the water by steamboat  ■
late  in the afternoon, in very warm weather,  is  :
also  very serviceable.  Never  take them  out  in  i
the morning for the sake of health, so as to  be  i
obliged to return in the middle of the day, when  \
it is warmer than when you went out.             \
   Give the child no tea, coffee, and nothing sour  \
or highly seasoned, no unripe fruit, or pies made  \
of it; neither ought the mother to indulge in any  \
article which  she knows from  experience  will  '>
cause her milk to disagree with the child.  The
diet  should be of  the simplest  kind; if the child  \
be still at the  breast, it should take but little else,
and  the mother should live on beef, mutton, and
ham, of animal food, and milk or cocoa, bread and  \
butter, potatoes and other vegetables of the most  i
unirritating kind.  If the child be weaned,  pay  \
strict attention to its diet  as above directed.  Give  \
it a portion of smoked herring two or three times  :
a week, in the morning for breakfast.
  Remedies. Antimonium crudum, Arsenicum, Bry-  \
onia, Carho vegetahilis, Dulcamara, Ipecacuanha, Mer-  \
curius vivus, Nux vomica, and Veratrum.            \
  Antimonium crudum, when the tongue is coated  ;
white or  yellow;  dryness  of the mouth, with  !
thirst; nausea with  vomiting, or gagging  and  j
cough; distension of  the abdomen, with flatu   < 
              TTEATMENT OF CHILDREN.         173
  lency; offensive,  slimy stools, and frequent pas-
  sages of water.
t    Dose.—Three globules in a teaspoonful of water after every dis-
  charge from the bowels.
    Arsenicum, if the  child be  very  weak,  pale,
  and emaciated;  inflation of the  abdomen;  cold
  extremities; loss of appetite;  nausea and vomit-
  ing ; intense thirst; yellow and watery, white or
  brownish, offensive diarrhoea, which is worse after
  midnight,  towards morning,  and  after eating or
  drinking
    Dose.—Dissolve twelve globules in a wineglassful of water, and
  give a teaspoonful every four hours until better.

    Bryonia, when the  diarrhoea comes on in hot
  weather,  and  is accompanied  by much  thirst;
  vomiting of food;  nausea and vomiting  after eat-
  ing ; diarrhoea, with colic; the stools have  a pu-
  trid smell, are white, or brownish and lumpy.
    Dose.—Four globules  in a teaspoonful of water every six hours  I
  until relief is obtained.                                  ,
     Carho vegetahilis, if Bryonia afford but temporary  |
  relief,  especially if the evacuations  be  very thin  '?
  and offensive and  are attended with  burning and
  much pain.                                        \
    Dose.—The same as directed for Bryonia.                   I

    Dulcamara, if the complaint  return every time  ?
  the weather gets cold, or takes place after drink-
                         15*                         \ 
174        TREATMENT OF CHILDREN.             j

ing cold water while in a heat;  burning thirst for ;
cold water; diarrhoea  of a greenish or brownish j
mucus—worse at night.
  Dose.—Three globules in a teaspoonful of water, every four hours. \
  Ipecacuanha, if given in the commencement of !
the disease, will generally arrest its progress  at ;
once.  The symptoms which indicate Ipecacuanha
are chiefly nausea and  vomiting of ingesta, or mu-
cus and bile, attended with diarrhoea of fermented \
stools  of  white  flocks or  tinged  with blood; \
coated  tongue;  dislike  to all food, and raging j
thirst.
  Dose.—The same as directed for Antimonium crudum.         \
  Mercurius vivus, when the diarrhoea is worse be- i
fore midnight, and is attended with colic, straining i
at stool, and perspiration; evacuations are scanty, I
greenish, sour, and attended with nausea and eruc- :
tation.
  Dose.—Six globules dissolved in four teaspoonfuls of water, and ']
a teaspoonful to be given every three hours until better.           I
  Nux vomica, if Ipecacuanha should not be effi-
cacious in arresting the disease at the outset, give \
six  globules of Nux vomica at night and another j
dose next morning.                               j
  Veratrum, when the  weakness from the nausea ;
and vomiting is so great as almost to cause faint-
ing; great exhaustion, vomiting, and  diarrhoea; \ 
           TREATMENT OF CHILDREN.        175
vomiting  after swallowing the least  liquid; the
slightest movement excites  vomiting; thirst for
cold water;  sensitiveness over the pit of the stom-
ach ; colic, with burning and cutting pains in the
abdomen; loose, brownish,  and blackish stools;
and small unnoticed evacuations of liquid faeces.
  Dose.—Three globules in a teaspoonful of water every four or six
hours.

                    ATROPHY.
   This affection  is caused by the system not re-
ceiving a sufficient supply  of nourishment from
the food  taken, for the subsistence and  develop-
ment of the organism.  In other words,  defective
nutrition.
   Remedies.  Calcarea  carbonica, Arsenicum, Bella-
donna,  China, Nux vomica, Rhus toxicodendron, and
Sulphur.
   Calcarea  carbonica, where there is emaciation;
voracious appetite; enlargement  of the glands of
the mesentery;  general weakness;  clay-colored
discharges from  the bowels ; softness of the flesh;
and excitability  of the nervous system.
   Dose.—Six globules twice a day.
   Arsenicum, dry and parchment-like skin; vomit-
ing of food; frequent desire  to  drink, but  little
at a time; restlessness; sleep interrupted by start-
 in ©• and  jerking; greenish  or  brown  diarrhoea 
176         TREATMENT OF CHILDREN.
stools; passage of undigested food; night-sweats,
&c.
  Dose.—Six globules three times a day.
  Belladonna, cough, with rattling of mucus in the
throat; swelling of the glands of the neck ;  colic,
with  involuntary stools; suited to children with
precocity of intellect.
  Dose.—Six globules three times a day
   China, emaciation; enlarged and tympanitic ab-
domen ; night sweats; diarrhoea, with  discharges
of undigested food; pale face; disturbed sleep, &e.
  Dose.—Six globules every four hours.
   Nux vomica,  yellow, bloated face;  constipation
of the bowels; large and distended abdomen, with  \
much flatulency;  and desire to eat, with vomiting  \
of food.                                           \
  Dose.—Six globules twice a day.                         >
   Rhus toxicodendron, great debility, with constant  \
desire to lie down;  hard and distended abdomen;  ;
slimy or bloody diarrhoea.
  Dose.—Four globules three times a day.
   Sulphur, in the majority of cases, where there is
swelling of  the inquinal glands;  hard and dis-
tended abdomen;  rattling of mucus in the throat;
diarrhoea or constipation;  complexion pale, with
sunken eyes.
  Dose.—Six globules twice a day. 
TREATMENT OF CHILDREN.        177
              RUPTURE, OR HERNIA.
  Delicate children, with feeble constitutions, are
most  liable  to  this  disease.  If the child cries
much, and appears to suffer  a great deal of pain;
if the skin becomes clammy, and  yet  the child
screams without apparent cause, examine its groins,
and if swellings are discovered in one or both of
them, which were not  there  before, send for a
homoeopathic physician, and in the meantime ad-
minister one of the following remedies:
  Remedies. Nux  vomica,  Chamomilla, Aconite,
 Opium, and Sulphur.
  Nux vomica, where the tumor  is not very ten-
der or painful to the touch; the vomiting not
violent; but where respiration is difficult and ob-
structed.
  Dose.—Six globules every one or two hours, as the circumstances
of the case may require.

   Chamomilla will be serviceable, when the fore-
going remedy has failed to relieve, and the child
appears to be very fretful, and there is  a relaxed
state of the bowels;  the discharges having an un-
healthy appearance.
  Dose.—Twelve globules dissolved in three tablespoonsful of water,
 and a teaspoonful to be given every two hours.                 \

   Aconite, where there is much fever, and there is
 
178        TREATMENT  OF CHILDREN.
much inflammation of the part affected, with great
sensibility to the least touch.
  Dose.—Three globules every two hours until the violence of the
symptoms abate.
   Opium, when there is redness of the face; hard
and distended abdomen.
  Dose.—Three globules every hour until relief is obtained.
   Sulphur, in many  instances, will be found very
useful,  especially if the foregoing remedies have  j
failed to produce much relief.
  Dose.—Three globules night and morning.                  \
   Rupture of the navel  is more common, but less  \
painful, than the variety above mentioned.  It can  \
be successfully treated by placing an additional  \
compress under  the  belly-band, containing  in its  \
folds  some  hard substance like a piece  of  sheet-  \
lead or .thick pasteboard.                          \
           SORENESS BEHIND THE EARS.
  This  affection is  a  species  of excoriation, and
should  be treated in  a similar manner.   Apply
water to  the  sores  as seldom as  possible; only
washing them in warm water, without soap, for
purposes of cleanliness, and mop them dry with a
fine  linen  handkerchief,  and  powder  them with
wheaten starch finely pulverized,  when there is
too much moisture to be absorbed.
L. 
            TREATMENT OF CHILDREN.        179
   Remedies.  Calcarea carbonica, Graphites, and. Sul-
phur.
   Calcarea  carbonica,  moist  eruption behind  the
ears; painful to the touch; skin hot and dry, with
violent itching.
  Dose.—Six globules at night, for several nights in succession, and
if no improvement take place, consult the following remedy

   Graphites, where the eruption behind the ears
scales off, causing  violent itching;  or where there
is much moisture and soreness behind the ears.
  Dose.—The same as directed for Calcarea carbonica.
   Sulphur, scurfy eruption,  consisting of  small
vesicles, accompanied with violent  itching; lace-
rating pain in the  ears, extending to the head.
  Dose.—The same as directed for Calcarea carbonica.

             RUNNING FROM THE EARS.
   Young children are subject  to  abscesses, and
running from the internal ears.  These gatherings
are generally preceded by a great deal of pain; the
child screams and rolls its head about;  starts out
of its sleep; sometimes there  is considerable fever;
it involuntarily puts its hands to the ears, and will
not lie down.
   Remedies.  Chamomilla, Pulsatilla, and Sulphur.
   Chamomilla,  lancinating  pain in  the ears, ex-
tending to the  head; humming  in the  ears, as 
''<  180        TREATMENT of  CHILDREN.              \
i
  from the rushing of water; starting in sleep, with  !
  moaning and sudden cries.                         }
    Dose.—Four globules three times a day.
     Pulsatilla, lancinating or darting pains through  \
<  the  ears, with heat, redness and swelling of the  <
  ears, or discharge of pus from the ears.            '.
    Dose.'—Dissolve twelve globules in four tablespoonsful of water,  '/
  and give a teaspoonful every two or three hours.                ',
     Sulphur, lancinating pain in the ears, extending  '■
<  to the head, or where the discharge of matter has  \
I  already taken place.                               )
I    Dose.—Six globules night and morning until better.           5
\     Pulsatilla is also applicable, after the  running  ;
\  is established.                                     ;
                                                     i
                 HORDEOLUM;  OR STYE.               ;
     This is an inflammatory action o£ one of the  i
;  glands in the margin of the eye-lid, of the nature  i
]  of a boil, and mostly makes  its  appearance near  ;
'<  the inner angle of the eye.                         \
\     Remedies.  Pulsatilla, Aurum metalicum, Staphy-  \
\  sagria,  Arsenicum, and Sulphur.                    \
\     Pulsatilla is considered almost specific in  this  \
',  disease, as it mostly disappears after taking a few  ;
I  doses of  it.                                        j
<    Dose.—Six globules three times a day.

'/     Aurum metalicum, if  the eyelids are  red  and  : 
              TREATMENT OF CHILDREN.        181  \
)                                                    't
{  swollen,  with obstruction  and ulceration of the  \
  nostrils.                                           \
'i    Dose.—Six globules night and morning.                    ?
\    Staphysagria, if they are of frequent recurrence,  j
\  and leave a tendency to fresh inflammation, or if  \
\  indurations and hardness of the eyelid remain.     j
i    Dose.—Six globules night and morning.                   \
<                       •                             )
l     Arsenicum, scrofulous inflammation  of the eyes,  J
\  with  odematous swelling  of the lids; dryness of  j
;  the margin of the lids.
/   Dose*—Six globules night and morning.
\    Sulphur, itching and inflammation  of the eye-  \
[ lids; swelling of the lids, with pimples  on  them,  j
\ and dryness.                                     j
\   Dose.—Six globules night and morning.                   >
''<               NOCTURNAL  URINATION.              t,
\                                                   X
\     Constant "wetting  the bed," in a  majority of  \
\  instances, is  the  result of disease, although in a  ;
;  few cases  it  may be owing to the  indulgence in  j
 |  filthy habits.  Whipping is a remedy that is  fre-  j
 \  quently applied,  but  I never knew it  to cure a  \
 <  single case.                                       \
 |     Remedies. Sepia, Silicea, and Cina.
 \     Sepia, continual desire  to urinate;  pressure on  |
   the  bladder, with frequent discharges of  urine;  j
   spasm of the neck of  the bladder.
                          16 
\  182        TREATMENT OF  CHILDREN.
•>
  Dose.—Three globules for several nights in succession, and if no
improvement take place consult the next remedy.
   Silicea, micturition  every night; desire to uri-
nate, with pressure upon the bladder; yellow sedi-
ment like sand in  the urine.
  Dose.—Six globules for several nights in succession, to be given
previous to going to bed.
   Cina, if there is suspicion that worms are the
cause, and there is involuntary emission of urine,
which becomes turbid immediately  after being
passed.
  Dose.—The same as directed for Silicea.

                 PROLAPSUS  ANI.
   The descent of the rectum, or the  "body coming
down," as it is termed in domestic  language, is
generally consequent  upon  some other  disease.
It is apt to  follow  upon long  continued   diar-
rhoea, or an acute attack of dysentery; protracted
costiveness  also may give rise to it, or  it  may
depend on  a  state of relaxation of the system
merely.
   When the bowel is protruded, it  can easily be
reduced, by laying the child across  the lap, and
making  pressure  on  the protruded  part   with
a piece of  fine linen  cloth,  anointed with  fresh
lard.
   When it is but an  attendant upon another dis
j 
i              TREATMENT OF CHILDREN.        183  \
\                                                    \
I  ease, of course that disease must be removed be-  1
I  fore the prolapsus can be cured.   But when it  >
\  stands out as a disease by itself, the following re-  I
\  medies will frequently cure it:                     £
    Remedies.  Ignatia, Nux vomica, Bryonia, Podo-  >
\  phyllum pelt.                                     j
I    Ignatia,  desire for  stool, with protrusion of the  j
  rectum;  sharp  pain in  the rectum after stool;  \
  violent itching of the anus.                        i
    Dose.—Three globules three times a day until better.          i
    Nux vomica, constipation, as if from contraction
  and constriction of  the bowels of  infants, espe-
  cially from the use of coffee; frequent and  inef-
  fectual urging to stool.
    Dose.—Four globules night and morning until better.
    Bryonia, constipation;  stool hard and dry, or,
  as  if burnt, with protrusion of the rectum; long,
  lasting burning at the rectum after stool.
    Dose.—The same as given for Nux vomica.
  Podophyllum pelt, for  the  same symptoms, and
to be given in the same way as directed for  Ig-
natia.
*                      WEANING.
i    As a general rule, children should be weaned
'•  when they are about eighteen months old.
\    If the mother is weakly, the  supply of milk
1________
i 
184        TREATMENT OF CHILDREN.

  begins to diminish  in quantity, and deteriorate in \
  quality, or the menses reappear, the child may be >
  weaned at an earlier period.                      \
     The progressive development of  a child's teeth \
  may be  taken as a sign, that the  mother's milk \
  may be dispensed with, and that its digestive or-
  gans  are capable of managing more  substantial ',
  food.                                           ^
     But a child ought not to be weaned while it is j
  suffering very much from the irritation of teething  ;
  or other infantile  diseases, unless  there are con- \
  siderations on the part of the mother which ren-
  der it necessary.
     As soon  as the teeth begin to make their  ap-
  pearance, a child ought to be gradually accustomed
  to taking other kinds of nourishment;  so that, by
  the time its  jaw teeth come through, it  may be
  able to eat  a  portion  of animal  as well as vege-
  table food.   Let it have what is going at table
  besides its bread and milk, which  should be  the
  stand-by.
     There is nothing  gained  to a healthy child by |
\  nursing  through the second summer, the say-so I
j  of our grandmothers to the contrary notwithstand-
•  ing.   The  most suitable  seasons of the year for i
\  weaning are, March or April, in the spring, and \
'<  October or November, in the fall.
\     After the process of weaning is  decided upon,
                                                . j 
             TREATMENT OF CHILDREN.        185  j

  be not deceived by the plausibility of the theory of
  doing it gradually, nor of keeping the breast from
  the child through the day,  and of giving it to it
  through the night; as such a course not only pro-  ^
  longs the sufferings of the child, but also renders
  the milk unfit for the stomach. Nothing ought to
\  induce a mother, except in case of sickness, to  \
\  give her infant into the hands of another person,  j
\  however competent she may be to perform  the  i
\  office for  a child of her own, for the  purpose of  }
\  weaning. Neither ought a mother to absent herself  \
i  from home, during the trying period; if she really
I  love her offspring, let her extend  her sympathy
  while she maintains sufficient firmness to do what  i
I  is best for the child.  It is grieved at her absence,  ;
\  besides losing its favorite nourishment;  and then  \
  is doomed  to disappointment on her return, which  \
  is almost as painful as the first privation.         j
    The best and easiest method of weaning a child,  <
  is to take it  to bed as usual, and in nothing de-  \
  part from  the common routine  of management,  :
  except to withhold the breast.  Once denied, let
  not  the child have it again; and in forty-eight
  hours the whole  process, so far as the child is con-
  cerned, will  be  completed.   Give the  child the
  food it is  accustomed  to,  and do not pamper its
  stomach with candies and other sweetmeats.
    After weaning, the child's diet should be simple,
                        16* 
  186        TREATMENT  OF CHILDREN.
  but sufficiently nourishing;  as intimated above,
  bread and milk should be the staple food, but the
  the  farinaceous articles; such as arrow-root,  ta-
  pioca, &c, or mashed  potatoes, bread and butter,
  and occasionally a little beef, mutton, chicken, or
  good ham, may be allowed.                        \
     After the child is taken from the breast, let the  \
  mother abstain from salted articles,  to prevent  ;
\  thirst;  and as far as  she can from  fluid  nourish-  j
  ment of every sort, in order to diminish the secre-  j
  tion of milk;  eat only the driest  kind  of food,  \
\  drink nothing but water and that in small quanti-  \
\  ties.  If the breasts, be painfully distended with  \
<  milk, rub  them with hot lard, and wrap them in  !
  raw cotton.  In order to get rid of the distension,  j
\  it is generally necessary to have the breasts drawn;  ;
\  but let  this be done only so far as it  is necessary  \
',  to give present relief, and as seldom as possible;  in-  \
\  creasing the interval between each time of drawing,  \
\  so as not to encourage the secretion of more milk.  \
I     Remedies. Pulsatilla,  Rhus toxicodendron,  Bry-  \
\  onia, and Belladonna.                               \
\     Pulsatilla will be found one of the most efficient  \
>  remedies  to  stop the secretion of the milk, espe-  \
\  cially where there is pressure and swelling of the  I
\  breasts.                                           \
5                                                    /
I    Dose.—Twelve globules dissolved in a wineglassful of water, and  ;
;  a teaspoonful taken three times day.                         ' 
            TREATMENT OF CHILDREN.
  Rhus toxicodendron may be used with much be
nefit,  where there is soreness and swelling of the
breasts brought on by cold.
  Dose.—The same as directed for Pulsatilla.

  Bryonia, if the breasts  are hard, and too full of
milk, with tensive and shooting pain, or burning
heat.
  Dose.—Four globules three times a day.

  Belladonna, erysipelatous inflammation of the
breasts, particularly from weaning;  swelling  and
induration of the breasts, or where there is too
great a secretion of milk.
  Dose.—The same as directed for Pulsatilla.

           LEUC0RRHO3A  OF CHILDREN.
  Little girls, from  a little neglect and some other
incidental causes, are liable to  a  discharge of
whitish mucus  from the vagina, somewhat  simi-
lar to the leucorrhoea of adults.   Frequent ablu-
tions with luke-warm water will generally remove
it in  a short time;  but if it  should not, give six
globules of Calcarea carbonica, two nights in suc-
cession, and continue the washings.
I 
 
    PART III.



GENERAL DISEASES.
 
 
GENERAL DISEASES.
       CATARRH; OR COLD  IN THE  HEAD.
  This disease consists of a mild degree of inflam-
mation of the mucous membrane lining the larynx
and nostrils, and sometimes extends as far as the
bronchial ramifications, and  is mostly caused by
sudden exposure, from heat to cold.  The most pro-
minent symptoms of this disease are the following:
slight febrile excitement; want of appetite; sneez-
ing; obstruction of the nose; pain in the head, back,
and extremities, followed by discharge of mucus
from the nose, which soon becomes watery; and it
is always attended, more or less, with slight wheez-
ing and difficult respiration.
  Remedies.  Aconite, Mercurius vivus,  Nux vomica,
Chamomilla,  Dulcamara, Pulsatilla, Rhus toxico-
dendron, and Arsenicum.
  Aconite will be found useful in the  commence-
ment  of the disease, if  there is any fever; violent
sneezing; scraping sensation in the throat; violent
thirst; short dry  cough, with short and hurried
respiration.
 Dose.—Three globules every one or two hours, until the inflam-
matory symptoms are subdued, after which another  remedy may be
required.
                                     (191) 
  192            GENERAL DISEASES
1    Mercurius vivus will be of great service, if there  >
}  is  continual  sneezing and  swelling  of the  whole  \
  nose, and discharge of profuse fluent coryza; pro-  jj
  fuse perspiration at night; especially if the attack
  was brought about  by exposure to  a raw  atmo-
  sphere.
   Dose.—Six globules three times a day until bettor, or the symp-
  toms require another remedy.
    Nux vomica, if there  is  dryness of the mouth
  and throat; heat of the face; stoppage of the nose
  at night, and discharge during the day; continual
  heat in the nose; dullness of the head; aversion to
\  food and drinks; oppression of the chest, and con-
  stipation.
   Dose.—The same as directed for Aconite.
    Chamomilla, if the attack has  been  caused by
  sudden  changes from heat  to cold, or check  of
  perspiration;  obstruction  of  the nose, with dis-
  charge of mucus; throbbing headache; pain in the
  throat, as from a plug, when swallowing.
   Dose.—Three globules every four hours.
    Dulcamara, if there is oppression  of the  chest,
  with short hacking cough; dry coryza, with dull-
  ness of  the head; and sneezing, and the least ex-
  posure renews the attack.
   Dose.—Three globules three times a day.
    Pulsatilla, if there is loss of smell,  or  green
  fetid discharge from the nose; scraping and dry- 
                  GENERAL DISEASES.           193
 <  ness in the throat; cough, with expectoration of
 ;  yellow mucus.
 \    Dose.—The same as directed for Chamomilla.

 \     Rhus toxicodendron, stoppage of the nose ; com-
 \  plete loss of appetite; especially if the attack has
 I  been caused by getting wet.
 <    Dose.—The same as directed for Chamomilla.
 i
      Arsenicum, if  the  discharge from the nose  is
   very acrid and corrosive;  soreness of the nostrils
   and burning of the nose.
     Dose.—Four globules three times a day.

           SIMPLE FEVER, INFLAMMATORY FEVER.
      This variety of fever is characterized by violent
   heat; burning; hot and dry skin; full pulse, which
   is mostly hard and tight;  tongue dry and  bright-
   red,  and  frequently  white-coated; great  thirst;
   urine  bright-red  and burning; great restlessness;
   violent headache  and sleeplessness.
      Remedies.  Aconite, Belladonna, Chamomilla, Mer-
   curius vivus, and Bryonia.
      Aconite is especially indicated, where there is
W hot, dry skin; great thirst; congestion to the head
   or  chest;  redness of the cheeks; headache, and
   nightly delirium; shortness of breath, with dry
   hacking cough; urine scanty,  and highly colored.
     Dose__Eight globules dissolved in  a tumbler half-full of water
                           17 
194
GENERAL DISEASES.
1
j   and a teaspoonful to be given every half, one, two, or three hours  '.
I   according to the violence of the symptoms.                    i
\     Belladonna, where there are symptoms of con  -
\   gestion toward the brain; face red and puffed, with ;
|   burning heat; pulse full and quick;  violent thirst \
'<   and delirium; eyes prominent and congested;  or :
\   where  there is delirium.                            \
\    Dose.—The same as directed for Aconite.
\     Chamomilla, especially  if the attack  has been \
\   brought on by anger, and  there is throbbing head- ;
   ache; excessive heat, with violent thirst; redness \
   of the  cheeks, with  delirium; palpitation of the <
   heart, and great irritability of temper.
\    Dose.—Three globules every hour until better, or the symptoms >
j   indicate another remedy.                                 '
\     Mercurius  vivus, if there is violent thirst; con- \
\   tinual  coldness of the hands and feet; pulse accele- j
i   rated and irregular; disposition to profuse sweat; j
\   constant  desire for cold water.                     )
\    Dose.—Six globules  every three or four hours until better.
\     Bryonia, dry, burning  heat,  alternating with ;
;   chills;  violent thirst; great excitement of the vas- :
I   cular system, or if there is congestion of the chest; A.
'<   headache, as  if the contents would  issue through
I   the  forehead; also, if it is accompanied with gas- \
\   trie disturbance.
i                                                      ',
i    Dose.—Three  globules in  a teaspoonful  of water every  three
;   hours.                                               ■; 
               GENERAL DISEASES.           195  \

                  BRAIN FEVER.                  \
  Brain fever is distinguished from  simple fever  \
by constant drowsiness or delirium; fullness and  \
redness of the face and eyes; congestion of blood  j
to the brain;  violent beating of the  carotid and  \
temporal arteries; dullness of vision; the eyes con-  j
gested ; pupils either dilated or contracted; head-  \
ache, with  constant giddiness;  restlessness, with \
constant tossing about; cannot bear the least light, \
which causes  the patient  to scream  and become ^
discontented;  eyes convulsed  and fixed; pupils \
immoveable.                                     \
   Remedies.  Aconite, Belladonna,  Bryonia, Hyoscy- \
amus, Opium,  Stramonium, and Cuprum aceticum.  |
   Aconite,  in  the commencement of the disease, \
where there is hot  and dry skin; pulse full and  I
quick; sleeplessness, with continual tossing about; j
fullness and heaviness in  the brain, as if it would  j
press through the forehead,  with throbbing in the
temples.   '                                       |
  Dose.—Six globules dissolved in  a wineglassful of water, and a  5
teaspoonful of the solution every hour until better.              j

   Belladonna, if there is much heat  and dullness  :
 in the head; face red and bloated;  strong, quick,  {
 and full pulse; eyes congested and sparkling, with  •
 great sensibility and  aversion to light;  wild look  \ 
;  196           GENERAL DISEASES.
]
<  from the eyes;  throbbing  of the arteries of  the
\  head and neck.
\    Dose.—The same as directed for Aconite.

f     Bryonia,  if there  is great weight in the head;
\  delirious talk at night during sleep;  bloatedness
\  of the face; congestion of blood to the head; con-
  tinual inclination to sleep; sleep, with twitchings
{  of the muscles of the face.
    Dose.—Six  globules in a teaspoonful of water, every two or three
  hours, as the circumstances of the case may require.

     Hyoscyamus,  if there  is  loss  of consciousness;
  eyes staring  and distorted; face red and bloated;
  burning and dryness of the tongue; foam at  the
  mouth;  grasping at flocks; small, weak, irregular
  pulse;  picking of the bed-clothes with the fingers.
    Dose.—Four globules every two hours until better.

     Opium, where there is a  constant disposition to
  sleep; starts in  sleep;  sleep restless and  full  of
  moaning; delirium; hot skin ;  congestion of blood
  to the head; eyes staring and glistening ;  the  pu-
  pils insensible to light;  face pale and  sunken.
    Dose.—Six  globules in a teaspoonful of water every hour  until
  better.

     Stramonium,, delirium; stupefaction of the senses;
\  starting and jerking in  the limbs; swelling  and
\  redness of  the eyes  and face; eyes sparkling  and 
I                 GENERAL DISEASES.

|  staring; redness of the whites of the eyes; strong
\  full pulse, with moisture of the skin.
'    Dose.—The same as directed for Belladonna.
j     Cuprum aceticum, starting  during sleep; con-
',  vulsive movements  of the limbs;  feverish heat;
\  pulse hard  and contracted;  painful throbbing of
  the temporal arteries; the eyes are sunken  and
  staring.
    Dose.—Give three globules every two or three hours until better.

            INFANTILE REMITTENT  FEVER.
     The form of remittent fever which occurs in in-
  fants and children, is generally attended by morbid
  irritability or inflammation, and may terminate in
  ulceration of the lining  membrane  of the whole
  alimentary canal.  It is commonly caused by un-
  due exposure  to  cold; the irritation of teething;
  the use of improper and indigestible  articles of
  diet; rich cake, nuts, sweet-meats,  &c.
     This disease ismostly preceded by languor; irri-  j
  table mood;  nausea and qualmishness;  want  of  \
  appetite; thirst;  dry skin;  difficult and hurried
  breathing;  accelerated pulse; inflated abdomen;
  vomiting of food;  tongue moist and  coated, the  \
  margin presenting a very red  appearance;  consti-  \
  pation or diarrhoea, with foetid discharges, mixed  \
  with mucus or blood: there is  generally great rest-  \
                        17* 
  Nux  vomica, if there is constipation, with fre-
quent  urging  to stool;  abdomen  painful;  foul
tongue; nausea and disgust for food;  gulping up
198           GENERAL DISEASES.
lessness and thirst.   There is often coolness of the
hands and feet, whilst the head and body are pre-
ternaturally hot, with drowsiness through the day;
followed by general  development of heat in the
evening,  with  increase  of fever and delirium
through the night.
  Remedies. Ipecacuanha,  Pulsatilla,  China, Nux
vomica, Belladonna, Mercurius, Bryonia, Chamomilla,
and Sulphur.                                     \
  Ipecacuanha, if the attack was brought  on by  \
overfeeding, or indigestible food; dry heat of skin;  \
thirst; restlessness; impeded breathing; foul coated  ;
tongue ; nausea and vomiting.                    \
  Dose.—Three globules every two or three hourB.             \

  Pulsatilla, relaxation of the bowels;  white or  ;
bilious  stools,  with fullness and griping in the  ;
bowels; or if the attack was  brought on by rich  \
food, fat pork, &c.                                \
  Dose.—Six globules three times a day.                    t
                                                 f
   China, if the abdomen remain tense or tympa-  \
nitic, and the vomiting has subsided, and there  is  \
much weakness.                                 \
  Dose.—Six globules three times a day.                   ', 
               GENERAL DISEASES.           199
of bitter or sour fluid; stomach sensitive to pres-
sure ; cutting in the abdomen.
  Dose.—The same as directed for Pulsatilla
  Belladonna, if there are inflammatory symptoms;
great heat of the head; fullness of the pulse ; heat
of the abdomen, with tenderness upon pressure;
tongue coated in the centre, white or yellow, with
red edges.
  Dose.—Four globules every four hours.
  Mercurius vivus, after Belladonna, when the fol-
lowing symptoms present  themselves:  abdomen
tender  upon pressure, or tenesmus with diarrhoea;
coated tongue;  quick pulse, and aversion to drinks.
  Dose.—Four globules three times a day.
  Bryonia,  if there is heaviness of the head, with
a dull  feeling; excited pulse; coated  tongue, or
other signs of  gastric disturbance; constipation;
hurried respiration;  tenderness  of the abdomen,
and drowsiness.
  Dose.—The same as directed for Pulsatilla.
   Chamomilla,  if there are bilious vomitings or
diarrhoea; burning heat of the skin; yellow coated
tongue; agitation; quick pulse, and jerking in the
limbs.
  Dose.—The same as Pulsatilla:
   Sulphur, flushes  of heat, with  alternate  pale- 
200           GENERAL DISEASES.                 \
ness of the face; dry skin; hurried breathing; op-  \
pression of the chest, with palpitation of the heart;  \
hard or loose stools.                              '>
  Dose.—Six globules night and morning.                   >

             RACHITIS j OR RICKETS.
  This disease usually shows itself in children as
early as one  or  two  years  of age, and  is distin-  '
guished by the slow and  imperfect acquisition of
the power of standing and walking; abnormal de-  >
velopment of the head; prominence of the fore-  \
head;  enlargement of the bones about the joints;
projection of the sternum; flattening of the ribs;  !
curvature of the spine; tumefaction of the abdo-
men, with waddling gait; predisposition to  diar-  j
rhcea,  accompanied with  slow fever,  difficulty of  \
breathing, and general emaciation.  Children of a  \
scrofulous diathesis  are  more liable  to  this dis-  j
ease than others.  With the growth and development  ;
of the body, this disease  sometimes disappears of  >
itself.                                            I
  Remedies. Belladonna,  Mercurius, Sulphur, Cal-  \
carea carbonica, Silicea, Phosphoric acid, Nitric acid,  \
and Pulsatilla.                                   \
  Belladonna, where there is hardness  and dis-  i
tension of the abdomen, as is always  the case in  j
curvature of the  bones,  especially of the spine,  ; 
               GENERAL DISEASES.            201
with unsteady staggering gait;  looseness  of the
muscles, and fullness of the countenance.
 Dose.—Six globules night and morning.

  Mercurius, where there is heaviness of the limbs;
great weakness  of the knees;  cracking  of the
joints;  pain in all of the bones of the head;  clay-
colored  face ; enlargement of the abdomen; and
especially in those disposed to glandular  enlarge-
ments.                                            I
  Dose.—Six globules night and morning.                   i
  Sulphur is one of the most appropriate remedies  *
in all stages of this disease; especially where  there  \
is curvature of the spine; enlargement of the bones  j
Qf the  head, or bones  of the wrist;  muscles  thin  I
and flaccid; stools irregular;  paleness of  the face,  ',
with violent pressure in the head.                 \
  Dose.—Six globules twice a day.                        ;

   Calcarea  carbonica, if  the fontanelles  are  open  I
too long; softness of the ends of the long bones;
and where the spine appears too weak to carry the
weight of  the body,  owing to a deficiency of cal-
careous deposit in the  bones.
  Dose.—Dissolve twelve globules in half a tumbler of water, and
of the solution give a teaspoonful three times a day.
     Silicea, in diseases of the bones  in  general, es-
-  pecially in  children,  with  enlarged  head  and
L_____________________j 
                                               ~1
202            GENERAL DISEASES.
slowly closing fontanelles; or where there is mus-
cular weakness, with difficulty of learning to walk
hot distended abdomen; aching pain in the sternum;
violent pain in the small of the back, with  swell-
ing and curvature of the spine.
  Dose.—The same as directed for Calcarea.
\    Phosphoric acid, swelling of the joints, evil con-  \
]  sequences  of too rapid growth, inflammation of
<  the bones, and languor of the whole body.         \
\   Dose.—Four globules twice a day.                       <
\    Nitric acid, lancinating pains in the limbs; burn-  I
j  ing in the  joints, with weakness as if paralyzed;  x
\  emaciation; heaviness; pain in the  small of the  \
s  back, as if from stiffness.                         \
   Dose.—Three globules three times a day.                  ff
j                                                   /
\    Pulsatilla, curvature of the lower portion of the  \
-  spine; the heads of the bones large and prominent;  \
'(  fontanelles  widely open; but little  hair  on the  \
i  head; staring looks; muscles thin and flabby; ab-  I
\  domen large and flaccid.                          j
i   Dose.—Six globules twice a day.                        \

\      BOLD HIVES, NETTLE RASH; OR URTICARIA.      ;
                                                   i
    This  is a  very  common eruptive disease of chil-  \
  dren, and is known  by large,  red,  and diffused  \
  patches, or wheals of various sizes and irregular
  shapes,  resembling the  stings  of  nettles;  or in  X 
\                 GENERAL DISEASES.           203
<  streaks. The elevations generally are of a pale, but  \
\  occasionally of a  bright  red color, white in the  \
\  centre.  Sometimes the eruption is paler than the  \
\  surrounding skin.  It is accompanied with burn-
\  ing and troublesome itching, especially when the
\  patient gets warm in bed, causing continual scratch-
i  ing, and is mostly preceded by gastric disturbance:
I  such as nausea and vomiting, restlessness, languor,  <
<  thirst, want  of appetite, and coated  tongue, with
'•  more or  less febrile excitement.
\     After the eruption has made its appearance, the
\  gastric disturbance and febrile  excitement  gra-
<  dually disappear,  and nothing is left but the itch-  >
'<  ing caused by the eruption.
|     This disease is frequently brought on by errors  j
1  in diet, indigestion, or a  faulty state of the skin  j
;  and its secretion.  In those who have a constitu-  j
;  tional predisposition to the disease, it may be ex-  \
\  cited by a particular article of food, as shell-fish,  \
\  almonds, honey, mushrooms, cucumbers, and acid
\  fruits.                                           X
\     Remedies. Aconite, Dulcamara, Pulsatilla, Rhus  \
'•  toxicodendron, Bryonia, Belladonna, Hepar sulphur,  \
\  Arsenicum,   Calcarea  carbonica, Nux  vomica,  Sul-  \
X   phur, and  TJrtica  urens.                           \
\     Aconite, if with the eruption there is much fever;  \
\  hard, accelerated  pulse; dry and hot skin; much
:  thirst; coated tongue, with restlessness and anxiety  x 
  204 .          GENERAL DISEASES.
/    Dose.—Four globules every two or three hours, according to tho
;  state of the case.
     Dulcamara,  if the patient has been exposed to
|  damp and wet weather ; has fever;  bitter taste in
\  the  mouth; diarrhoea,  and  coated tongue, with
)  itching and burning after scratching.
    Dose.—Four globules every four hours.
     Pulsatilla, if the  attack  has been brought on
  by fat  or indigestible  food;  or is accompanied
\  with looseness of the bowels.  Pulsatilla is parti-
\  cularly adapted to  persons of an  even tempera-
;  ment and quiet disposition, and especially females
\  and children.
'z    Dose.—Four globules three times a day.
     Rhus toxicodendron is adapted to many cases of
X  this disorder,  especially where it arises  from a pe-
;  culiarity of the constitution; or if  the eruption is
j  caused   by some  particular  kind  of  food,  and
<  scratching increases the irritation.
'    Dose.—Six globules twice a day.
     Bryonia, if the eruption has been suddenly sup-
:  pressed, and is attended with difficulty  of breath-
;  ing and oppression of the chest.
<    Dose.—Four globules three times a day.
     Belladonna, if with the eruption there  is  con-
  gestion to the head, with red face, giddiness and
:  headache. 
                 GENERAL DISEASES.            205  \
'.    Dose.—Three globules four times a day.                    i
    Ilepar  sulphur will be useful if the eruption  is  I
;  attended  with catarrhal symptoms, as cold in the  ;
\  head, with coryza, affecting only one side.
\    Dose.—Six globules night and morning.
     Nux vomica, if the  eruption is excited by the
i  use  of stimulants; or where there is much gastric
:  derangement, constipation, indigestion, &c.
;    Dose.—Six globules night and morning.
     Sulphur, if the disease has been suppressed, will
:  be found very serviceable in  restoring the erup-
I  tion to the surface.
;    Dose.—Four  globules  three times a day until the  eruption is
;  brought out again.                                     \

     Urtica urens is found very useful in many cases,  >
'  if the eruption  has a  pale and hard  appearance,  >
;  and causes a great deal of scratching.
;    Dose.—Six globules every two or three hours.

         RINGWORM; OR  HERPES CIRCINNATUS.
     This is a  common affection, especially in chil-  >
\  dren, and consists of an eruption of small circu-  \
|  lar vesicles of a red appearance (the skin in the  \
\  internal portion of the ring retaining  the natural  \
i  color) at first, but  soon becomes rough,  and of a  >
\  brownish hue, and finally scales off as the erup-  \
\  tion dies away. 
  206           GENERAL  DISEASES.
     This disease mostly appears on  the  face, neck,
  arms, and shoulders, and may continue for  two or
  three weeks, and even a greater length of time.
     Remedies.   Sepia; Rhus toxicodendron,  Sulphur,
  Hepar sulphur, and  Calcarea carbonica.
     Sepia will,  in most cases, remove this disease,
  and will  generally prevent  the formation  of new
X  rings.
\    Dose.—Six globules twice a day.

\     Rhus toxicodendron, burning in the face as if ul-
;  cerated;  skin hot, with the feeling as if there was
  an eruption there;  crusty eruption in the face.
\    Dose.—Four globules three times a day.

     Sulphur will be useful where there is  a general
<  predisposition to this affection.
^    Dose.—Six globules evory night.
\     Hepar  sulphur may be used if matter is formed.
\    Dose.—Six globules twice a day.

X     Calcarea  carbonica, in obstinate cases, and in per-
•  sons of a scrofulous diathesis.
i    Dose.—Six globules every night.

            PRICKLY HEAT; OR HEAT SPOTS.
     Infants and children are often attacked in warm
\  weather with  an eruption of  small vesicles, about
<  the size of  a  pin's head, which sometimes fill with 
                  GENERAL DISEASES.           207 '
 !  a thin, watery fluid; at other times  they are red >
 \  and inflamed, and attended with more or less fever, \
 j  which  makes the child very irritable, and causes i
 |  it continually to scratch the parts affected.  The \
 |  duration of this disease is very  uncertain, and apt x
 \  to  disappear  in  cool  weather,  and return again
 '  when it becomes warm.
     If it does  not interfere  too  much  with the \
 *  child's comfort, better  let it alone.  In aggravated \
 i  cases we may resort to one of the following       i
     Remedies.  Aconite,  Chamomilla, Bryonia, Rhus
 '  toxicodendron,  and Sulphur.
     Aconite,  if  the eruption  is  accompanied with \
   much fever, dry, hot skin, and restlessness.
    Dose.—Four globules three  times a day.

     Chamomilla, if Aconite  is not  sufficient,  and
 s  there is still great restlessness.
 s   Dose.—The same as given of Aconite.

 |    Bryonia, if the eruption  is suppressed, accom-
 ;  panied  with much restlessness, and the patient  is
 1  excited and cannot bear to be moved.
 £   Dose.—Four globules every three hours.

i   Sulphur will mostly relieve a tendency to this
: affectiorf* or if the eruption manifests a disposition
\ to spread.
/   Dose.—Six globules every night. 
 :  208           GENERAL DISEASES.

                   SCARLET  RASH.
 \    This disease which appears to be  so  similar to  :
 I  scarlet  fever, presents  some striking differences.
 <  It attacks persons of all ages, and the efflorescence  :
 |  consists of red  spots or patches, which  at times  i
 |  have a purplish or dark red  tinge,  and leaves no  ;
 |  white mark from slight pressure with the finger.  ;
 j  The patches  are dotted, and  thickly covered with  •
 :  red pimples or granules, which are a little raised  \
 \  above the surface, and may be distinctly seen and  \
 \  felt.  The eruption is not confined  to any particu-  \
 I  lar part, but prefers  those  portions which are  >
 >  covered, especially about the joints.
 \    Neither the eruption nor the  fever are so well  {
 \  defined in their course, nor regular in the time of  \
 \  their disappearance, as are  most  other  eruptive  ;
 j  fevers.  When the external manifestations of the  \
 \  disease disappear prematurely, disease of the brain,  \
 \  throat, &c, may follow, and involve the patient in  i
 I  great danger.  The  eruption may be very ex-  t
 i  tensive, and still the attack not dangerous; or the  \
 <  eruption may be but trifling, and yet the disease  \
I  be very dangerous.   One attack does not exonerate  \
 '■  a person from future liability.   The  premonitory
 i  symptoms of this  disease are:  chilliness  followed  \
 •  by fever, dull feeling in the head, usually  attended  j
•-.  with catarrhal symptoms, and some derangement  V 
                  GENERAL  DISEASES.           209
;  of stomach.  The eruptions first appear in the face,
|  then on the  neck, back and chest, and afterward
(  on  the extremities.  The  bowels  are generally
s  costive, urine dark-colored  and scanty, mouth dry
  and hot, throat sore, with thirst and restlessness.
     Remedies. Aconite, Belladonna, Ipecacuanha,  Cof-
:  fea, Pulsatilla, Bryonia, Dulcamara,  Calcarea  car-
'  bonica, and Stramonium.
\     Aconite  is generally considered specific for  this \
X  disease, where it is not complicated with any other \
<  disease; especially if there is much fever,  with full \
\  pulse, pale face, slight  chills, drowsiness, oppres-  \
<  sion of the chest,  &c.
\    Dose.—Six globules every two hours until the fever abates.

\     Belladonna, where there is cerebral disturbance,
\  as  congestion  to  the brain;  or if the disease  is
:  complicated with scarlatina, sore throat, &c.
'    Dose.—Six globules every two hours.

     Ipecacuanha  may be  useful if there  is  little ;
:  fever, and the eruption is slow in  making its ap- \
;  pearance;  or if there is nausea, vomiting, diarrhoea \
\  and restlessness.
'<    Dose.—Six globules every two hours.

     Coffea, where there  are  excessive  pains,  with
|  great restlessness  and anxiety.
I    Dose.—Six globules every hour. 
210            GENERAL DISEASES.
   Pulsatilla may be used if the disease  is accom-
panied  with  acidity of  the  stomach,  nausea,
vomiting, or diarrhoea.
  Dose.—Four globules every two hours.
   Bryonia, if there are symptoms of internal con-
gestion, with oppression and  hurried or difficult
breathing.
                                                  \
  Dose.—Six globules every two hours.
   Dulcamara,  if  accompanied  with  rheumatic  \
pains in the limbs, or where the  glands  are swol-  :
len, and the throat but slightly affected.            \
  Dose.—Four globules every three hours.                   j

   Calcarea  carbonica,  will  be serviceable,  where  ;
there is swelling of the  glands, with inability to  ;
swallow, and ill humor.                           j
  Dose.—Six globules every three or four hours.               \

   Stramonium, where there is  stupor, with invo-   \
luntary discharges of faeces and urine, &c.         '.
  Dose.—Six globules every hour.                         \

        SCARLATINA;  OR SCARLET FEVER.
   The  simplest  form of scarlet  fever;  is charac-
terized  by fever  with an accelerated pulse, pain in
the  throat, with swelling, and after one or  two
days, a  breaking out of scarlet  spots, similar in
color to the shell of a boiled lobster, diminishing 
                GENERAL DISEASES.           211
 in color as they approach the neighboring skin, j
 At times it extends over the whole  body, with a j
 uniform redness.   The eruption is smooth, and if
 pressed upon by the finger a white imprint  re- \
 mains, which disappears almost immediately after j
 the pressure is discontinued.  The eruptive stage 5
 terminates in from five to seven days, when the \
 epidermis begins to peel off about the fingers, and \
 in patches on other parts.   The eruptive fever of
: simple scarlatina varies both in intensity and du-
;  ration—at times it  is very slight, at others  more
■  violent;  the premonitory symptoms are generally
:  a sense  of  weakness,  indisposition,  nausea and
i  vomiting; then  chilliness  followed  by heat, with
:  pain in the throat, and headache.  On the second  \
:  day the  eruption makes its  appearance; first on  j
:  the face and neck, then the  chest, and gradually
1  extends  itself over  the whole body.  The parts  j
I  on which the eruption  first makes its appearance  j
I  are generally those from which it first begins to  >
:  disappear.                                      \
\    Scarlet fever is distinguished from  measles, by  i
;  not having the catarrhal  symptoms which usually  j
i  attends the latter disease:  such as redness of the  j
\  eyes, coryza, coughing, sneezing, &c, which gene-.
j  rally decline as the eruption advances; while in
\  scarlet fever,  the appearance of the  eruption af-
i  fords no mitigation of the fever, sore throat, &c
|             ___..................______________________! 
  212            GENERAL DISEASES.
     The disease is divided  into  three  stages.  The
  first stage is characterized by fever, sore  throat,
  greatly accelerated pulse, and frequently delirium.
     The second stage begins with the eruption, con-
  tinues four or five days, and ends with the  decline
\  of fever and the  disappearanee  of the eruption.
;  It is during this stage that  the brain, throat, &c,
<  are most  liable to become dangerously involved
■  in the disease.
     It is in the third stage  of the disease, extending
:  from the seventh or eighth day to the third week
  —the  stage of diequamation—that the sequalae are
i  most likely to make their appearance.  The  most
!  common  of  which are abscesses, disease  of the
! ■ heart,  and dropsical effusions.
     Remedies. Aconite,  Belladonna, Rhus toxicoden-
\  dron,   Opium,  Ipecacuanha, Pulsatilla, Mercurius
<  vivus,  Arsenicum,  Calcarea  carbonica, Phosphorus,
\  Cuprum aceticum, Tartar emetic, and  Nitric acid.
'i     Aconite will be useful  in the  very commence-
{  ment  of  tfee  disease, especially if there is much
«  febrile excitement.
c
I    Dose.—Six globules every three hours until the fever is ame-
;  liorated.
|     If the  eruption is  slow  about making  its ap-
«  pearance, Bryonia or Sulphur may be given with
I  advantage, alternately with Aconite, every two or
i  three hours. 
               GENERAL DISEASES.            213
  Belladonna, in the treatment  of true  scarlatina,
either during the forming stage of the  disease, or
when it is more fully developed, may be  consid-
ered one of our most important remedies.   It is in-
dicated by delirium, headache, sore throat, fever, &c.
  Dose.—The same as Aconite.

  Rhus  toxicodendron is also important in the sore
throat, aching pains, and itching of the skin.
  Dose.—The same as Belladonna.

   Opium may be used with  benefit,  if there  is
burning heat, stupefaction, tossing  about,  with
vomiting, constipation, or convulsions.
  Dose.—Four globules every one, two, or three hours, according to
the symptoms.

  Ipecacuanha, if  there is  an increase of  fever
toward evening,  with  sleeplessness, loss of appe-
tite, nausea, vomiting, irritable mood, and moan-
ing; should this remedy not  relieve,  it may be
followed by Pulsatilla.
  Dose.—Four globules every two hours.

  Mercurius  vivus, when  Belladonna  and Rhus
have been insufficient, and there is the appearance
of ulceration about  the mouth  and throat, with
increased secretion of mucus,  accompanied With
swelling of the throat and tonsils.
  Dose.—Six globules every three hours. 
214            GENERAL  DISEASES.
   Arsenicum, should ulceration have already taken
place, and the ulcers assume a livid appearance at
the  edges,  with  offensive odor,  great  loss  of
strength, thirst, restlessness, and  diarrhoea.
  Dose.—Six globules every three hours.
   Calcarea  carbonica, when the  glands  are much
swollen, great dryness  of the  mouth  and  throat,
swelling  of the tonsils,  and  constriction  of the
throat.
  Dose.—Six globules every three or four hours.
   Phosphorus, when there  is  repercussion of the
eruption, it will aid in  restoring  it;  also where
there is swelling of  the tonsils, rawness, burning,
and soreness in the  posterior part of the throat.
  Dose.—Six globules every two or  three hours.
   Cuprum  aceticum, if upon repercussion  of the
eruption there should be  symptoms of metastasis
to the brain,  paleness of the face, gagging, con-
vulsions, jerking of  the limbs, pains in the abdo-
men, &c.
  Dose.—Dissolve twelve globules in half a tumbler of water, and
of this solution give a teaspoonful every fifteen or twenty minutes,
according to circumstances, until relief is obtained.
   Tartar  emetic may be given  in the first stage, if
the eruption  is preceded  by Convulsions,  cold
sweat, and  difficulty of breathing;  or if it is at-
tended with vomiting.
  Dose.—The same as directed for Cuprum aceticum. 
                 GENERAL DISEASES.           215
    Nitric acid, if the disease should assume a ma-
  lignant form, with ulceration of the throat.
\    Dose.—Six globules every four hours.

               MEASLES; OR RUBEOLA.
\    This well  known disease generally prevails as
\  an  epidemic once  in  six or  seven years.   It is
|  communicated by contagion, and always makes its
j  appearance with symptoms of catarrh, with dry
\  cough, hoarseness, oppression of the chest, pain
\  in the throat, sneezing, and acrid discharges from
\  the nose, watery discharge from the eyes, head-
\  ache, and sometimes nausea and vomiting.
     The above symptoms, accompanied with  more
\  or  less fever, usually precede the eruption from
i  three to five days.
;     The eruption appears first on the face and neck,
I   and then extends itself gradually over the rest of
I  the body and limbs. It consists of small, red  spots,
\  resembling flea-bites, frequently arranged in semi-
\  lunar lines, or small irregular arcs.  In about four
\  days after its  appearance the eruption begins to
1   turn pale,  and  disappears about  the sixth day,
\  with a bran-like exfoliation of the external skin.
      Remedies.  Aconite, Belladonna, Bryonia, Mercu-
\  rius, Arsenicum, Pulsatilla, IpecacuanJia,  Sulphur,
\  Phosphorus, and Dulcamara.
      Aconite is one of the most reliable remedies in 
\  216           GENERAL DISEASES.
  this disease, and will frequently shorten its course
j  where there is fever; dry, hot skin;  heat in the
I  head;  giddiness;  redness of the eyes, and dread
|  of light.
X    Dose.—Six globules every four hours.
I     Belladonna, if the throat becomes sore, with fe-
\  ver, headache, and delirium; difficult deglutition;
;  spasmodic cough, with  rattling in the throat; or
;  if there is congestion toward the brain.
<    Dose.—Four globules every two or three hours.

\     Bryonia,  if the eruption is not fully developed;
|  difficulty of breathing,  with stiches  in the  chest
  and dry cough.
    Dose.—Six globules every two hours.
     Mercurius, when the  glands of the throat are
  much  swollen, or violent  sore throat, with  diffi-
  culty of swallowing.
    Dose.—Four globules every three hours.
     Arsenicum, if there is  dry, burning heat of the
  skin, accompanied  with much thirst,  and great
  prostration of  strength.
    Dose.—Four globules every two hours.
     Pulsatilla, if given at the beginning of the dis-
  ease, will be found almost specific for the catarrhal
  symptoms,  and where  the  eruption  is  slow in
  making its appearance. 
GENERAL DISEASES.           217
X    Dose.—Six globules every four hours.
    Ipecacuanha, when there is much oppression of
\  the chest;  short, hurried breathing, or nausea and
s  vomiting.
<    Dose.—Three globules every hour.              ••
i    Sulphur, if the eruption does not appear, and
;  the catarrhal symptoms get worse;  or if there are
;  symptoms of  inflammation of the lungs.
\    Dose.—Four globules every two hours.
t
\    Phosphorus,  if  the patient  is attacked  in  the
;  fall  or  winter, and there is violent cough,  with  a
|  tendency  to  disease of the lnngs, which  if  not
I  attended to may end in pneumonia.
I    Dose.—Four globules every two hours.
    Dulcamara, if the patient has been exposed to
  dampness  and wet, or to a draft of air,  and there
  is retrocession of the eruption.
    Dose.—Four globules every hour.
             CHICKEN POX; OR  VARICELLA.
    This  disease bears some resemblance to small-
  pox. In small-pox the eruption does not  appear
  until the  third day after the  fever commences;
  whereas, in varicella it mostly appears in the space
  of twenty-four hours.
    This disease is mostly preceded  by slight fever,
  nausea,  and  occasionally  vomiting, and  mostly
                         19 
    218            GENERAL DISEASES.
 \   disappears in five  or six  days; being generally
 \   mild in  character,  it  seldom requires  medical
 \   treatment.
    '  REMEDIES. Aconite, Belladonna, Coffea, Mercurius
 f   vivus, Tartar emetic, and Antimonium crudum.
 \     Aconite, during the febrile" stage, will  be found
 \   very serviceable.
 \    Dose.—Four globules every three hours.
 \     Belladonna, if with the fever there is flushing of
 |   the face, or a great deal of headache.
 <    Dose.—Three globules every two hours.
 i
 i     Coffea,  where there  is much anxiety and rest-
 \   lessness, with tossing about.
 ;    DtoSBt—The same as Belladonna.
 i     Mercurius vivus, if there is sore throat  and con-
 l   siderable eruption, with the matter in  the pustules
 |   turning yellow.
 I    Dose.—Six globules every four hours.
 \     Tartar  emetic  will be useful if  the  eruption is
 \   slow in making its appearance, or  if  convulsions
 I   are present.
A    Dose.—Six globules every two hours.
•3?
 \                      VARIOLOID.
 I     This  disease  is  a modified  form of small-pox,
 ;   and attacks  those who are partially protected  by 
                 GENERAL DISEASES.            219^
  vaccination, or inocculation.  The fever is less se-
  vere,  and  shorter  in duration, and the eruption
  comes out  earlier than in genuine small-pox;  be-
  gins to dry away in five or six days, finally leaves
  without  any secondary fever, and seldom leaves
'.  any pits on the skin.
\     The diet should  consist of light, nutritious food,
;  and the  room be kept of a regular temperature,
;  but not  too warm.
\     Remedies.  Aconite, Bryonia, Sulphur, Rhus toxi-  X
\  codendron,  and Antimonium crudum.               X
     Aconite,  in the commencement, will serve to allay  \
\  the febrile irritation and headache.                \
\    Dose.—Four globules every two hours; or it may be given in alter-  Xf
{  nation with Bryonia or Rhus toxicodendron, for the pain in the back.  I

I     Sulphur will be useful to promote  the matura-  \
i  tion of the pustules.
!    Dose.—Six globules three times a day.                    j
     Rhus toxicodendron, if the eruption is filled with  j
;  a watery fluid, and transparent.                    I
\    Dose.—The same as Aconite.                           X
     Antimonium crudum, if there is much itching of
:  the surface.   In severe cases the treatment is simi-   j
  lar to that of small-pox.                           i
;    Dose.—Six globules every four hours.                      i 
                 GENERAL DISEASES.

               SMALL-POX; OR  VARIOLA.
j    This eruptive disease is propagated by contagion,
<  and seldom attacks a person more than once.   It
  is divided into  two varieties, namely : the distinct
X  and the confluent.  The distinct is characterized
\  by the pustules being well defined, and not run-
>  ning into each other.  The confluent is where the
f  pustules  run together, and form one continuous
\  mass.  It is one of the most malignant and loath-
I  some diseases to which a human being is liable.
I     The disease  mostly commences with chilliness
:  and shuddering, after which fever follows, then
:  headache, pain  in  the back and loins, weariness,
;  with oppression of the chest, and pain in the pit
:  of the stomach, especially upon pressure.
     The period of incubation, or the length of time
:  that elapses from exposure to the contagion until
;'  the commencement of the fever, is generally about
<  twelve days.  The fever  and other premonitory
:  symptoms  continue two  or  three days, when
:  the eruption, in the form of small,  red spots,  be-
:  gins to make its appearance.
\     Previous  to  the eruption the skin is  dry and
\  hot, with much thirst; pain in the back; headache,
;  sometimes  even to delirium.  The eyes are very
\  sensitive  to light, and there is great prostration of
<  strength.  During the  next three days the erup-
r
220 
J.
              GENERAL  DISEASES..           221
tion grows larger and forms  pustules, which sup-
purate for three or four days more, and  in the
seventh or eighth day of the eruption (i. e., the
eleventh day of the  disease)  form scales, and be-
gins to dry up; but as new pustules are continually
making  their appearance  during the first three
days of the eruption, and each pustule has to run
through a definite course; the stage of matura-
tion may be said to last three days longer,  so that
desiccation is fully established on the fourteenth
day of the disease.
   The eruption commences with small, red  pim-
ples—first on the face and forehead, then  on the
breast, body, limbs, and  lastly, on the feet—some-
what  similar to measles.   They soon become more
elevated, and upon examination are found  to con-
tain small granules, like millet-seed, distinguish-
ing this, in  the early stages, from measles and
other eruptive diseases.  As  soon as the eruption
has made  its appearance, the fever abates in the
distinct variety, and the  patient feels better.
   On the third  or fourth day, when the pustules
begin to fill, the tops become  flattened, and  as they
pass on to maturity, a depression is observed in
the centre.  At first they contain  a whitish  lymph,
which afterward turns yellow, and many of them
burst.
   Finally the pustules dry up, scabs form and be-
                      19* 
222            GENERAL DISEASES.
\   gin to fall off in the order in which the eruption
I   made  its appearance—first from the face, breast,
|   &c.—leaving the skin spotted over with pits of a
j   reddish brown color.
     During  the treatment care should  be taken to
s   have the room well ventilated, and not  kept too
|   warm,  nor too  light.  The  sheets and clothing
j   should be  changed  frequently,  and  the  patient
;   kept from scratching, in order to prevent  pitting
|   as  far as possible.  Some  have recommended the
\   pustules to be opened  to  prevent ulceration and j
|   pitting.                                         j
\     If there  is truth in  the old adage, "an ounce \
;   of  prevention is  better than  a  pound of cure," I
!   every  infant should be vaccinated, and every adult 1
I   re-vaccinated.                                    \
s     Remedies.  Aconite, Belladonna,  Coffea, Chamo- ;
<   milla,  Bryonia, Ipecacuanha,  Tartar emetic,  Mercu- \
\   rius vivus,  Rhus  toxicodendron, Pulsatilla, Stramo- \
;   nium,  and  Sulphur.                              ■<
I     Aconite is always called  for. in the febrile stage \
\   of  this disease,  if there is headache, sleepiness, '>
<   eyes injected, bleeding of  the nose, and  if there is ;
\   congestion  to the internal viscera, aching in the \
\   limbs, &c                                        X
\                                                   *
',    Dose.—Six globules every two "hours.                     \
\                                      '            \
<     Belladonna, if there is delirium during the first \ 
                  GENERAL DISEASES.            223
  stage, with flushed face, eyes very sensitive to the
  light, noise  intolerable, great  thirst,  nausea, and
  vomiting; or if the pustules are too red during the
  eruptive stage.
    Dose.^—Three globules every hour.
>     Coffea, if  during the febrile stage there is much
;  excitability and restlessness.
/    Dose.—Four globules every three hours.
     Chamomilla will  be  found  useful  in children
>  where there is diarrhoea or vomiting; or if there
;  are convulsions previous to the appearance of the
:  eruption.
\    Dose.—Four globules every two hours.
     Bryonia will assist in bringing out the eruption;
•  or if there is much backache, headache, or gastric
:  disturbance, or cough,  with soreness of the chest.
X    Dose.—Six globules every three hours.
     Ipecacuanha, where there is vomiting and nausea,
  with oppression of the chest, before the eruption
\  makes its appearance.
\    Dose.—Three globules every hour.
     Tartar emetic, if the disease is preceded  by con-
:  vulsions, and  there is  drowsiness, clamminess of
1  the skin, or sickness of the stomach.
    Dose.—Dissolve a grain of the first trituration  in twelve tea-
'  spoonsful of water, and give a teaspoonful every hour. 
  224           GENERAL DISEASES.                  \
     Mercurius vivus, if there is soreness of the throat;   \
  difficulty of  swallowing;  eyes  and  nose  sore;   I
  breath fetid; salivation;  tenderness of the stomach,   i
  with sweat and diarrhoea.                          I
    Dose.—Six globules every three hours.                      \

     Rhus toxicodendron is important during the erup-
  tive stage, when there are acute pains in the back
  and loins—worse  during rest—somewhat relieved   \
I  by motion.
i
<    Dose.—Six globules  every four hours.                      i
f     Pulsatilla, if there is  a  disposition in the pus-   ;
i  tules  to  become  confluent,  accompanied with   i
?  nausea and vomiting—worse toward night.
!    Dose.—Threo globules every  two hours.
<
|     Stramonium, if there is delirium before the erup-
l  tion appears, and if the pustules do not fill pro-
\  perly.
;    Dose.—Four globules every two hours.
  Sulphur, when the  eruption is  slow in coming
out, and the pustules slow about filling;  and also
to alleviate the intense itching which  sometimes
attends the disease, especially during the drying
stage.
  Dose.—Four globules every three hours. 
                 GENERAL DISEASES.           225

           CYNANCIIE TRACHEALIS; OR CROUP.         \
     This disease is chiefly confined to early child- \
   hood, although  occasionally it  attacks persons \
\   more advanced in years.  In sudden attacks and >
\   in severe cases it requires prompt  treatment, in >
\   order to avert  the  danger.  It  may  terminate \
\   fatally in twenty-four hours, but  death does not j
\   generally take place before the fourth or fifth day. \
\     Croup generally comes  on with- the  symptoms \
j   of common cold: such as chilliness, cough, sneez- \
\   ing and hoarseness, which  is soon followed  by I
\   more or less fever ;  the respiration becomes hur- \
\   ried, with a rattling or whistling sound, and there
<   is soreness of the windpipe.   The cough, which is \
I   at first hoarse, assumes a croaking, barking tone, \
;   resembling the crowing of a young cock, or the x
\   barking of a dog.                               X
     As the danger  increases, inhalation  becomes  \
I   more difficult, the face becomes livid, the  head is  \
''<   thrown back, the voice sinks to a whisper, the pulse  \
i   is very frequent, the pupils dilate, clammy perspi-
j   ration covers the head and face, with coldness of
   the extremities, and death closes the scene.        \
\     We often  see whole  families of children,  in
•   whom there is a constitutional  predisposition  to
;   this disease.  When  this  is the case,  a  small
'   amount of exposure to cold or dampness, change  ; 
< 226          GENERAL  DISEASES.
|
: in dress, or in some instances derangement  of the
; digestive organs from  improper articles of food,
< will be sufficient to provoke  an attack.  A com-
\ mon provoking cause of croup, is the habit of
? sending children out to take the air about half-  \
X clothed,  to show  off their bare necks  and fine  >f
!  limbs.
\   There are two principal varieties of croup, viz:  !
i the spasmodic, and the membranous; the latter is  J
I by far the most dangerous.  It consists of a pecu-  i
! liar inflammation  of the  larynx  and windpipe,  \
| causing the mucous membrane lining those parts  \
\ to throw out  a viscid substance, which closely ad-  \
:  heres to the internal surface, and forms an adven-  \
j titious  membrane,  which in fatal cases blocks up  \
  the air passages, and produces a comatose state of  \
<  the brain, with symptoms of  strangulation and
$  death.   In some cases, the false membrane  is dis-  X
<  charged, and  the patient recovers.                 \
    Remedies.  Aconite, Tartar emetic, Spongia,  Ilepar  x
\  sulphur, Ipecacuanha, Bryonia, Chamomilla,  Phos-  \
',  phorus,  Arsenicum, Sambucus;  Kali  hichromicum,  \
'.  Bromine, Iodine, and Mercurius iodatus.             \
j    Aconite will be of benefit in  the first stage of  i
{  this disease,  where the  inflammatory symptoms  \
\  run high, with much fever, thirst, dry skin, short  \
\  dry cough, laborious breathing, &c.  It  is almost  \
I  specific  in common catarrhal croup.               \
 
                GENERAL DISEASES.            227
  Dose.—Dissolve thirty globules in half a tumbler of water, and
give a teaspoonful every twenty or thirty minutes, according  to  the
violence of the symptoms, until the patient is better.

   Tartar emetic may  be used, where the  attack
comes on suddenly at night;  with a choking cough
or an accumulation of mucus  in  the throat,  with
hurried breathing, hoarse hollow cough,  &c.
  Dose.—Dissolve a grain of the first trituration in a  tumbler half
full of water, and give a teaspoonful every fifteen or twenty minutes,
until the symptoms are relieved, and then not so often.

   Spongia, if  the  skin has  become moist,  the
breathing somewhat  easier, and the paroxysms  of
cough a  little  lighter,  but still the grating and
wheezing sound of respiration remaining.
  Dose.—Six globules every one or two hours.

   Hepar  sulphur,  when  perspiration has taken
place, the breathing easier, but still the  cough  is
dry and hollow, and there  is mucus rattling in the
throat, with hoarseness.
  Dose.—The same as of Tartar emetic, only at longer intervals—
from two to four hours.

   Ipecacuanha may be given  in  alternation  with
Aconite, where there is a  constant disposition  to
vomit; cough, especially at night,  with stiffness  of
the body, and bluish  face,  or  loss of breath  with
the least motion.
Dose.—Three globules every hour. 
228            GENERAL  DISEASES.
  Bryonia, spasmodic and suffocating cough, witli
oppression and rattling in the chest, difficult swal-
lowing, with great dryness in the throat, increased
by the least motion.
  Dose.—Four globules every two hours.
  Chamomilla, dry cough,  worse at night, with
accumulation of mucus  in  the  throat;  continual
tickling in the throat, with wheezing in the chest
during sleep.
  Dose.—Four globules every two hours.
  Phosphorus, dry tickling cough, with  hoarseness
and pain in the chest, as  if  excoriated; or expec-
toration of mucus, with hollow cough.
  Dose.—Six globules every three hours.
  Arsenicum,  dry cough, worse on lying down,
with difficult  breathing and accumulation of te-
nacious mucus in the larynx, or expectoration of
bloody  mucus.
  Dose.—Six globules every four hours.
  Sambucus, suffocating cough at night, with puffed
bluish face; starting in the  sleep, with  profuse
perspiration at night.
  Dose.—Four globules every two hours.
  Kali bichromicun, Bromine,  and  Iodine.   These
remedies have of late been highly  recommended
in croup, especially in cases where there is a  pre- 
■~>
                 GENERAL  DISEASES.            229  \
  disposition  to  the formation  of the false mem-  \
  brane, and where there is a copious secretion of  \
  mucus, and ineffectual efforts to expectorate.
\    Dose.—Six globules of either, every one, two, or three hours, as  \
\  the case may require.                                   \
\                                             '
X    Mercurius iodatus, where there is salivation, and  \
',  a constant tendency to inflammation of the throat,
5  with ulceration, and enlargement of the tonsils.
X    Dose.—A grain of the third trituration every two or three hours.

\                 ASTHMA OF MILLAR.
    This affection is generally known by the name  \
  of " spasmodic croup."   The attack is apt to come  >
  on suddenly, and in the  night.  The child wakes
  up with difficulty in getting its breath; causing a  >
  cooing kind of noise, with a dry, harsh, half-sup-  \
  pressed cough.  In severe cases, the face becomes
  somewhat livid and swollen, the countenance ex-  \
  presses the  greatest anxiety, and the child is evi-  j
  dently afraid of suffocation.  The disease is chiefly  I
  confined to young children  of delicate  consti-  \
  tution, and  is generally brought on by exposure.   j
\    Remedies. Aconite, Ipecacuanha, Arsenicum, Sam-
s  hucus, and Pulsatilla.                              \
j    Aconite, if it comes  on suddenly at night, with  ;
  a suffocating  cough;  hoarse  voice;  respiration  \
  short and anxious, with fever; is specific.
*
Dose.—Six globules every half hour, or hour.
                     20 
230            GENERAL DISEASES.
  Ipecacuanha,  if there is oppression of the chest,  ;
with accumulation of mucus;  .rattling in the wind-
pipe ; short anxious breathing; pale  face, with
coldness of the extremities.                       ;
  Dose*—Six globules every hour.                         ';
  Arsenicum, in violent attacks of asthma, from  j
catarrhal  oppression;  prostration  of strength;  \
great anguish,  with cold perspiration;  and the  \
symptoms aggravated between midnight and day-  I
light.                                            |
  Dose.—Six globules ever^r hour.                         i
  Sambucus, if  the attack comes on suddenly, with
dry, hollow cough and fear of suffocation; anxious  I
tossing  about, and inability to sleep.
  Dose.—Three globules every hour.                       I
  Pulsatilla,  cough, with  constriction   of  the
larynx; worse  at night; increased by lying down,
with a desire to vomit, and difficult expectoration
of mucus.
  Dose.—Six globules every hour.

         PURTUSSIS; OR HOOPING-COUGH.
  Hooping-cough generally begins with the symp-
toms of common  cold.   In about  a week the
catarrhal symptoms  disappear, except the cough,
which increases in severity, and returns in parox-
ysms every two  or  three  hours.   The quantity
 
               GENERAL DISEASES.           231  ;
of mucus in  the  throat  and chest increases, and,  \
in a few days more, the characteristic noise, called  \
hooping,  makes  its appearance.   If a  spell of  i
coughing occurs soon after a meal, vomiting is apt  ',
to follow  the paroxysm.  Bleeding of the nose is  X
also a frequent attendant upon hooping-cough.    \
   Remedies.  Aconite, Drosera,  Cuprum metallicum,  \
Dulcamara, Pulsatilla,  Nux vomica,  Ipecacuanha,  \
Belladonna, Cina,  Conium  maculatum,  Mercurius
vivus, Phosphorus, and Bryonia alba.
   Aconite, in the very commencement of the dis-
ease, if there is febrile excitement, with dry whist-
ling cough, causing a burning pain in the larynx,
worse on  coughing.
  Dose.—Six globules four times a day.
   Drosera, if the patient is worse during rest;
warm perspiration at night;  chills, without thirst;
also when the cough is loud and hoarse, and the
paroxysms violent.
  Dcse.—Six globules night and morning.
   Cuprum metallicum  in violent cases, especially
where the breathing is suspended during the at-  \
tack of coughing; rigidity  of the patient; vom-  \
iting on the return of respiration, and slow breath-  |
ing afterward.                                    X
  Dose.—Four globules after each paroxysm.                 \
   Dulcamara may be used, if the attack is brought  >, 
232           GENERAL  DISEASES.
on by exposure to cold and dampness, with hoarse-
ness,  loose cough, and  copious expectoration.
  Dose.—Six globules every four hours.                     I

   Pulsatilla, for a disposition to vomit  after each  j
paroxysm, with loose cough; sneezing ;  weakness  ;
of the eyes; increased watery discharge from the  \
eyes,  and hoarseness.                             \
  Dose.—Four globules three times a day.                    \
                                                  \
   Nux vomica, if there is great anguish, with dry  j
cough ; blueness of - the  face, with dread of suffo-  \
cation—worse  after  midnight; with bleeding of
the nose, and vomiting.                           \
  Dose.—Six globules twice a day.                        X
                                                  >
   Ipecacuanha,  if there  is vomiting, and the cough  \
is dry and spasmodic, without  wheezing;  appa-  \
rent danger of suffocation,  with blueness of the  X
face.                                              'i
  Dose.—Six globules every four hours.                     >

   Belladonna, if in the commencement there is a  >
dry, barking,  hollow cough, which is  worse at  \
night, accompanied with  congestion  to  the  head;  \
sneezing; bleeding at the nose;  blood-shot eyes;  \
soreness of the  throat, with difficulty  in swallowing
liquids.                                           j
  Dose.—Six globules every six  or eight hours, according to cir-  >.
cumstances. 
                 GENERAL  DISEASES.           233
     Cina, if on coughing,  there  is rigidity  of the
  body; bleeding from the mouth and nose; or  if
  there are symptoms of worms present—as picking
  of the nose, griping pain in the bowels, or itching
  of the anus.
    Dose.—Six globules twice a day.

     Conium  maculatum, if the  paroxysms  are very
  severe, and are apt to occur at night, accompanied
  or followed by vomiting.
    Dose.—Six globules three times a day.

     Mercurius vivus, if  there is a succession  of pa-
  roxysms of coughing, especially at night, after
  which there is a considerable interval of rest;  or
  dry cough, with watery coryza, which excoriates
  the nose.
    Dose.—Six globules twice a day.

     Phosphorus, if the  cough is severe, hoarse, and
  dry; croupy,  or there is loss  of the  voice; the
  cough causing headache ; and if there is difficulty
  and  pain  on breathing,  with other  symptoms,
  threatening disease of the lungs.
    Dose.—Six globules three times a day.

     Bryonia, if there is oppression of the chest, with
\  hoarseness;  dry spasmodic cough, worse  in the
•  evening, and after eating and drinking, with vom-
;                        20*
i 
234           GENERAL  DISEASES.

iting  of food; dryness of the  throat, with  diffi
culty  of swallowing.
  Dose.—Six globules night and morning.
    HYDROCEPHALUS;  OR DROPSY OF THE HEAD.
  This disease is mostly confined to children be-  \
tween the  ages  of six  months  and seven  years,  >
Those with large heads, slowly closing fontanelles,  ;
and those of a scrofulous taint, are most liable to  \
be attacked. In the commencement, the diagnosis is
sometimes obscure ;  as  it may be taken for worm  \
fever, disordered stomach, or from teething, &c.  I
  Among  the most prominent  symptoms are:
headache;  stupor; nausea and vomiting; consti-  j
pation of the bowels; convulsions;  rolling  of the  j
head; staring look;  dilatation of the pupils; pulse  >
varying—at times frequent, and again very slow.   j
  Remedies.  Aconite, Belladonna, Bryonia, Helle-  \
horus, Mercurius, Cuprum aceticum, Sulphur, Opium,  i
and Zincum, metalicum.
  Aconite in  the  commencement, when  there is
much fever;  dry and hot skin, and quick pulse.
  Dose.—Four globules every two hours.
  Belladonna, if there is congestion, with heat  of
the head and delirium; red, bloated face;  throb-
bing of the arteries  of the neck; dilated pupils,
and dread of light.
  Dose.—Four globules every two hours.                    i
                                                 \ 
               GENERAL DISEASES.           235  \
  Bryonia, confusion of the head; giddiness, espe-  X
cially on raising the head;  throbbing in the head;  X
face red and swollen;  great  thirst;  eyes  con-  j
vulsed and fixed;  constipation, with  distended  \
abdomen;  urine suppressed, and difficult respira-  \
tion.
  Dose.—Four globules every two hours.                    \

  Hellehorus in the acute and chronic stages, where
there is confusion, dullness, and heaviness in the
head, with burning heat—the head thrown  back-
ward, with convulsive movements of the limbs.  It
is especially recommended where the disease fol-
lows measles or scarlatina.                        X
  Dose.—Six globules every hour until better, and then  not so
often.                                              \

   Mercurius, if there is looseness of the bowels;
dull and stupid feeling, with weakness of memory;  \
or  feeling  of intoxication,  with redness and  swell-  j
ing of the face.  Suitable after Belladonna.
  Dose.—Six globules every two hours.                     \

    Cuprum aceticum, if it arise  from  suppressed  \
eruptions, with convulsions and congestion to the  >
head; throbbing in the temples; headache, with  j
great  weakness; disturbed  sleep;  flushed  face;  >
nausea and vomiting; quick, full pulse, and worse  $
toward night.
 
r"
  236            GENERAL DISEASES.
    Dose.—Four globules every hour.
    Sulphur is useful where there is more excitement
  than torpidity of the brain;  also in the inflamma-
  tory stage after Aconite or Belladonna,
    Dose.—Three globules every four hours.
     Opium, if there are  convulsions, with loss  of
  consciousness; coma; delirium;  startling visions;
  frightful  dreams,  with  fixed eyes and stertorous
  breathing.
    Dose.—Four globules every hour.

    Zincum metallicum, if there is threatened para-
  lysis  of the brain, with involuntary discharge of
  faeces; coldness of the skin; quick pulse, &c.
    Dose.—Six globules every one or two hours.

                     SCROFULA.
    This very common disease is found in all classes
  and in all ages/but more frequently in young per-
  sons than in those of maturer years.
    The peculiar diathesis  is generally transmitted
  from  parent to child by hereditary influence, and
  is manifested by  the fairness  of  the skin, large
  size of the head,  prominence of the abdomen, en-
  largement of the joints, smallness and laxity of the
  muscles, with a prevailing tendency to looseness
  of the bowels.  It is more common among colored
  children than with white. 
                GENERAL DISEASES.           237  5

    The symptoms which indicate  the presence of  |
  scrofula  are: thickening of the eye-lids, slight in-
  flammation of  the nostrils,  enlargement of the
  lymphatic  glands on the  sides  of the neck, or
  similar  enlargement of the like glands  under the
  arms and in the groins.  At first they are hard,
  and moveable under the skin, withvery little sensi-
  bility.   They may continue in this state for  years,
  and finally disappear; but such  is not generally
  the case, for they mostly become larger, more pain-
  ful, the  skin reddens, suppuration is established,
  and scrofulous ulcers are formed.  The matter dis-
X  charged is thin, and mixed with portions of  a
|  curdled substance resembling cheese.
    Remedies.  Mercurius vivus, Dulcamara,  Bella-
\  donna, Calcarea  carbonica,  Sulphur, Graphites, He-
\  par sulphur, Silicea, Mercurius iodatus, and Arseni-
X  cum.
    Mercurius  vivus, in inflammation and  swelling
  of  the  glands of  the  throat, with difficulty of
  swallowing; enlargement and suppuration of in-
  guinal glands, with discharge of a yellow, curdy
  matter.
    Dose.—Six globules night and morning.
     Dulcamara  is suited to  persons  of,  a  leuco-
  phlegmatic temperament, with  irritable disposi-
  tion,  and  where the glands  harden and  inflame
  with the least attack of cold. 
I
238           GENERAL DISEASES.
  Dose.—Six globules twice a day.

   Belladonna,  inflammation and suppuration of
the glands, with dryness of the mouth;  frequent
soreness of the  throat; swelling of  the tonsils,
and difficulty of swallowing.
  Dose.—Six globules three times a day.

   Calcarea carbonica, hardness and suppuration of
the glands;  swelling  of  the mesenteric glands;
large head  and  open  fontanelles;  prominent ab-
domen;  pale  and bloated face, with constipation
or diarrhoea.
  Dose.—Six globules night and morning.

   Sulphur, swelling, suppuration, or ulceration of
the  glands; loose, spongy, and flabby flesh; dis-
position  to  take cold;  profuse  perspiration, with
pale and bloated face.
  Dose.—Six globules night and morning.

   Graphites, swelling, suppuration, and induration
of the glands;  obstinate scrofulous ulcers; inflam-
mation and ulceration of the eye-lids;  paleness of
the face,  with  swelling of the tonsils and difficult
deglutition.
  Dose.—Six globules twice a day.
  Hepar sulphur, pale and bloated face, with indu-
ration and suppuration of the  glands; also  where
~*
X
i 
               GENERAL  DISEASES.            239

there is a disposition to ulceration, soreness  and
swelling of the throat.
  Dose.—Six globules three times a day.
  Silicea will be useful  in  all glandular  enlarge-
ments ; suppuration, with ichorous discharge  of a
yellowish color and fetid odor;  also in agglutina-
tion of the eye-lids.
  Dose*—Six globules every night.
  Mercurius iodatus, in swelling  and inflammation
of the  glands of the throat, with difficult deglu-
tition.
  Dose.—One grain of the first trituration daily.
  Arsenicum,  emaciation; swelling of the glands
of the  neck; bloated  face;  hard  and distended
abdomen, with diarrhoea and debility, especially
if the child eat meat greedily.
  Dose.—Four globules three times a day.

            WORMS;  OR WORM FEVER.
  The presence of worms in the alimentary canal  )
mostly  arises  from  a diseased  state of the mucous  )
membrane  lining the canal, constitutional pecu-  i
liarity,  or hereditary predisposition.
  The most prominent symptoms indicating their
presence  are: pains in the abdomen,  especially  i
in the umbilical region, being mostly a sensation  j
of pressure, at times so violent  as  to resemble  \
                                                  j 
|  240           GENERAL  DISEASES.
  colic;  itching of the nose and  anus, especially at
  night; paleness of the countenance; livid circles
  around the eyes ;  fetid breath;  irregular appetite
  frequent starts, and fright during sleep ; bleeding
  of the nose, &c.
    Remedies.  Cina,  China,  Belladonna,  Spigelia,
  Santonin, Mercurius vivus, Ipecacuanha,  Pulsatilla,
  and Nux vomica.
     Cina, if there is chilliness; hard and frequent
  pulse; disturbed sleep; ill humor;  itching of  the
  nose and anus;  vomiting; hot  and distended  ab-
  domen, with colicky  pains.
    Dose.—Six globules night and morning.
     China, where there is fullness of  the  abdomen;
  heartburn;  spasmodic  action   of  the  muscles;
  retching; sensitiveness of the nervous system, and
  aggravation of the symptoms at night.
    Dose.—Six globules  every night before going to bed, in a tea-
  spoonful of water.
    Belladonna, if there is starting  in the sleep;
  great  thirst;   spasms;  congestion  toward   the
  brain,  and  involuntary  discharge  of  faxes  and
  urine.
    Dose.—Four globules three times a day.
     Spigelia, where there  is pinching  pain in  the
  abdomen;  diarrhoea; paleness of  countenance;
\ itching of the nose, and  palpitation of  the heart.
L. 
                GENERAL  DISEASES.            241
  Dose.—Six globules in a teaspoonful of water night and morning.
   Santonin,  where there  is  much itching of the
nose and anus; restlessness ; irritable mood; pain
in the abdomen, with colic.
  Dose.—One grain of the third trituration, night and morning
until better.
   Mercurius vivus, where there is diarrhoeic stools;
distension of  the abdomen;  increased  secretion
of saliva in  the mouth;  itching and soreness of
the  anus, with discharge of worms.
  Dose.—Six globules in a teaspoonful of water night and morning.
   Ipecacuanha,  if there are  griping pains in the
abdomen ; vomiting of large quantities of mucus;
aversion  to  food; emaciation, with creeping  and
itching of the anus.
  Dose.—Six globules night and morning until better.
   Pulsatilla, if the face is pale; bad  smell from
the  mouth;  nausea, with disposition to vomit;
sour or bitter eructations; distension of the ab-
domen ; stools loose and  mixed with mucus,  and
soreness of the anus.
  Dose.—Tho same as of Ipecacuanha.
  Nux vomica, if there is  continual itching of the
nose ;  dullness of the head; irritable mood; aver-
sion to food and drinks;  cutting pain in the ab-
domen ; constipation;  creeping in the anus and
rectum, and discharge  of  worms from the anus.
                       21 
242           GENERAL DISEASES.
  Dose.—Six globules every night on going to bed, in a teaspoon-
ful of water until better.

             MUMPS; OR  PAROTITIS.
   This  disease  is  chiefly incident to  childhood,
and occurs  but  once.   It  is most prone  to take
place in cold, damp, and changeable weather, and
consists of an inflammatory swelling of the paro-
tid glands (one or both) which  are situated near
the angle of the lower jaw, just below the ear.
The inflammation sometimes attains a very high
degree,  and extends to  the throat and  tonsils,
causing  great difficulty in  swallowing, and even
threatens suffocation.  It is usually ushered in by
chilliness, nausea, and  other symptoms of cold;
but the  swelling soon after makes its appearance,
and reveals the true nature of the disease.
  When the disease occurs  in adults, metastasis is
liable to take place in the breasts of females, and
in the testicles of males, from exposure  to cold or
dampness, and  from repelling applications made
to the swollen glands.
  The patient should be kept warm, and protected
from the liability of taking cold.
  Remedies. Mercurius vivus,  Belladonna, Carho
vegetahilis, Hyoscyamus,  Cocculus, Nux vomica, and
Pulsatilla.
  Mercurius  vivus,  if it  is  atttended  with much 
GENERAL DISEASES.
243
pain;  the  glands  much  swollen  and  inflamed,  :
with  stinging  and throbbing,  or  with  intense  \
redness; beating and  stinging pain on swallow-  \
ing;  worse when  taking  dry food,  than  when  ;
taking liquids.                                      \
  Dose.—Six globules every three or four hours until better, then  ;
administer six globules night  and morning, until all the symptoms  /
disappear.                                             /

   Belladonna will be useful, if the swelling is red,  ■
or assumes an erysipelatous appearance, with diffi-  \
culty in swallowing;  or if there  is  a sudden dis-  X
appearance of the redness and swelling, threatening  ;
metastasis  to the brain—which  is  attended with  :
unconsciousness and delirium.
  Dose.—Dissolve eight globules in a  tumbler half full of water,
and give a teaspoonful of the solution  every one or two hours, ac-  >
cording to the severity of the symptoms.                      J

   Carho  vegetahilis, if the  tumor is  hard, accom-  \
panied with  slow fever;  voice very hoarse ;  or if  ;
there has  been cold taken, from want of care.      \
   Dose.—Six globules every four hours.             .       ',

   Hyoscyamus, if there is constriction of the throat,  ;
with  difficulty  in  swallowing; loss  of speech;  \
staring and distorted  eyes.  It is especially useful  j
after Belladonna, when that remedy has failed to  \
afford relief.                                       ;
   Dose.—The same as directod for Belladonna.                j 
244           GENERAL  DISEASES.                 \
  Cocculus, if there is  digging pain in  the lower  ;
jaw;  spasms .in  the stomach;  dryness  of the  :
throat  and  mouth, with lacerating pain  in the  ;
swollen gland.                                    \
  Dose.—The same as directed for Carbo vegetahilis.            J.

  If there is metastasis to the breasts or testicles,  \
give Nux vomica or Pulsatilla, and apply flannels,  :
wrung out of hot water, to the original seat of the  ;
disease.
  Dose.—Six globules every four hours.                     '>
                                                 i
              SORE-THROAT OR QUINSY.              \
  This disease consists of an inflammatory swell-  j
ing of the  throat  and tonsils, which become en-  j
larged and assume a florid hu#, accompanied with  ;
fever,  painful deglutition,  hoarseness,  heat,  and  \
darting pains in the throat.  It is often  caused by  j
getting the feet wet, exposure to a draft of air,  >
sitting in damp clothes, or sudden  changes of  \
temperature, producing a check of perspiration.    \
  Remedies Aconite, Belladonna, Mercurius vivus,  \
Chamomilla, Dulcamara,  Bryonia, Nux vomica, He-  :
par sulphur, Arsenicum, and Pulsatilla.
  Aconite in the commencement,  where  there is  :
much fever; inflammation, and dark red  appear-  i
ance of the  tonsils;  scraping  in  the  throat, with  :
almost inability to swallow. 
\                 GENERAL DISEASES.            245   \
\    Dose.—Dissolve twelve globules in a wineglassful of water, and   >
<  take a teaspoonful every two hours until better.  ,                \
\     Belladonna, violent burning in the throat, with   j
x  fever;  soreness  of the throat when  swallowing;   \
\  inability to swallow liquids; bright redness of the   <
\  throat and tonsils, with swelling; violent headache,   \
X  and determination of blood to the head.
X     Dose.—Six globules every four hours, either dry upon the tongue  ;
>  or in a spoonful of water.                                 /

\    Mercurius  vivus, if  the inflammation is bright  :
«  red, and very  painful;  excoriating pain in the  :
\  throat, especially in swallowing, with constant de-  i
\  sire to swallow, and  almost inability to do  so—  ;
\  especially drinks, which are returned through the  ;
<  nose—and profuse accumulation of  saliva in the  :
\  mouth.                                            \
     Dose.—Six globules every four hours until better.            ;
      Chamomilla  is  especially  suited to  children,  \
 \  where the attack was brought on  by a sudden  ;
 |  check of perspiration; the glands of the neck are  \
 \  painful  and swollen; difficulty of swallowing, as  j
 i  if something was  lodged  in the throat;  hoarse-  :
 |  ness;  fever in  the evening, with heat alternating  ;
 <  with chilliness.                                    \
 \    Dose.—Four globules in a teaspoonful of water every two or three  j
 
246           GENERAL  DISEASES.
ting  wet;  or comes  on  in  damp,  changeable  \
weather.                                          ;
  Dose.—The same as directed for Aconite.

  Bryonia, sore throat, with hoarseness, and dim-  \
culty of  swallowing;  dry cough with difficult  \
respiration;  dryness of the throat, with  shootings  j
in it on being  touched;  constipation,  especially  \
if the attack was brought on  by sudden suppres-  ;
sion of perspiration, or from drinking ice-water.    :
  Dose.—Four globules in a teaspoonful of water every two or three
hours.                                              ;
  Nux vomica, soreness and rawness of the throat,  :
as if swollen, especially on swallowing, as if there .:
was a plug in the throat;  swelling of the tonsils;  :
small, fetid ulcers in the mouth;  constipation.      \
  Dose.—Six globules every four hours.                     <,

  Hepar sulphur, if  the disease  has  made rapid  :
progress, and suppuration  has commenced.  It will  I
be valuable  in bringing  about the  discharge  of
matter, so as to relieve the patient as quickly as  ■
possible.                                          ;
  Dose.—Six globules every two hours in a teaspoonful of water.    ;

  Arsenicum, if  there are  ulcers with hard, raised  ;
edges, and shining, red areola; breath putrid and  '-
offensive; tongue foul; loss of strength; burning. \
heat, and great restlessness.                        \
                                                  \ 
j                 GENERAL DISEASES.           247
X    Dose.—Three globules in a spoonful of water every two or three
  hours.
;     Pulsatilla, scraping and raw feeling in the throat,
:  as if swollen, without thirst; difficulty of swallow-
;  ing, as if the  throat were  narrower than  usual,—
:  the swollen glands are painful to the touch.
\    Doss.—The samo as directed for Nux vomica.
f
j                     DYSENTERY.
I     The seasons of the year in which this disease is
:  most prevalent, are spring and fall. The most com-
•  mon symptoms  are: frequent  desire to evacuate
i  the bowels; constant tenesmus; violent straining,
:  with discharge of  frothy mucus, or mucus mixed
i  with blood ;  and  frequently pure blood, or blood
j  and matter, sometimes resembling shreds, like  the
I  scraping  of  the  intestines.  It  generally  com-
\  mences with  chilliness, afterward  heat;  thirst;
\  disposition to vomit;  pulse  accelerated; and is
\  sometimes preceded by  diarrhoea—it is mostly
\   caused  by taking  cold,  errors in diet,  sudden
I   check of perspiration, unripe fruit, noxious vapors
'■>  from marshy districts,  &c.
\    Remedies.  Mercurius corrosivus, Mercurius vivus,
\  Aconite,  Ipecacuanha, Chamomilla, Rhus toxicoden-
\  dron, Bryonia, Nux  vomica,  Colocynthis, Arsenicum,
';  and Sulphur.
\    Mercurius corrosivus  violent pain in  the  bowels; 
|  248           GENERAL DISEASES.
X  abdomen painful to the touch ; griping or cutting
X  in  the  abdomen; discharge  of bloody mucus  or
  pure blood,  with  violent  colic;  or  ineffectual
  urging and tenesmus; cutting pain  in  the rec-
x  turn.
X    Dose.—Six globules every two or three hours, according to the
|  violence of the case.
I     Mercurius vivus, constant desire for stool, with
|  slight discharge; bloody stools, with painful smart-
  ing sensation of the anus; black, tenacious, pitch-
  like stools; or dark green, bilious, and frothy stools.
X    Dose.—The same as dirocted for Mercurius corrosive.
|     Aconite, if there  is  much  fever; dry, parched
|  skin; violent thirst;  pain in  the  limbs;  frequent
  watery and  loose stools, with tenesmus;  involun-
i  tary stools, with pain  in the  rectum.   It is espe-
l  cially adapted to dysenteries occurring in the fall
I  of  the year, when  the  weather is very ehange-
;  able.
X    Dose.—Six globules every two or throe hours until better.
}     Ipecacuanha, bloody stools, with cutting pain in
f  the anus; nausea;  tenesmus  and  colic;  burning
X  and stinging in the rectum, with  desire  for  stool
\  and discharge of green mucus.
s    Dose.—The same as directed for Aconite.
>     Chamomilla, if the  attack was brought on  by a
x  sudden' change from heat to cold,  causing a check 
               GENERAL  DISEASES.            249  \
                                                  i
of perspiration;  feverish heat, and  redness of  the  j
cheeks;  restlessness;  discharges corrosive,  and  \
like mixed eggs.                                  \
  Dose.—The same as directed for Aconite.                  X
   Rhus toxicodendron, if there are nightly evacua-  >,
tions, which  occur involuntary, or, at an advanced  ;
stage of  the disease, should typhoid symptoms  \
set  in;  scarlet  redness of the  abdomen; stools  \
mixed with  blood; headache, and pain in all  the  ;
limbs.                                            \
  Dose.—Six globules in a teaspoonful of water every two or three  ;
hours.                                             j
                                                  >
   Bryonia, if the attack has been  brought about  ;
by using  cold drinks, iced fruit, &c; stools  thin  x
and bloody,  with a sharp burning pain in the rec-  \
turn; colic,  with cutting pain in the abdomen.
  Dose.—The same as directed for Rhus toxicodendron.
                                                  t
   Nux vomica, small stools, consisting principally  x
of blood and mucus, accompanied with urging and  x
tenesmus of the rectum; pitch-like stools; sensa-  j
tion as if the rectum was contracted; burning and  x
pricking of the hsemorrhoidal tumors at the anus.  \
  Dose.—Six globules every two or three hours according to the  X
urgency of the symptoms.                               ,
   Colocynthis, frequent stools, with tenesmus and  \
griping pain in the intestines, causing the patient  x
to  bend double; bloody stools; faeces consisting  X 
250            GENERAL DISEASES.
?  of undigested food;  contraction of  the rectum
:  during stools, &c.
;    Dose.—Twelve globules dissolved in a tumbler half full of water,
'  and a teaspoonful of the solution every fifteon  or thirty minutes;
  or at longer intervals, according to tho violence of the symptoms
  present
<     Arsenicum, pain in the abdomen, with ineffectual
:  urging and tenesmus ; discharges acrid and  burn-
  ing, or very fetid; great prostration of  strength,
  and trembling; bloody evacuations, with vomiting
  and excessive colic.
;    Dose.—Six globules in a teaspoonful of wator every  two  or threo
  hours.
;     Sulphur,  discharge  of blood-streaked mucus,
  with colic; fever, and want of appetite ; tenesmus ;
  frequent desire to  stool, mostly at night;  pro-
  lapsus of the rectum during stool.
\    Dose.—Six globules in a teaspoonful of water every three hours.
)
                     VACCINATION.
i'  This is a purely homoeopathic  means of pre-
:  venting one of the most loathsome diseases to which
;  the human system is liable—the small-pox. Vacci-
:  nation alone, has probably, within  the  last fifty
  years—since its general introduction—saved more
:  human life than all other remedial  means put  to-
;  gether, -have done, in twice that length of time.
X     It will answer well to vaccinate  a  child  at al- 
                GENERAL  DISEASES.           251  I

  most any age, but probably about the sixth month  ,
  is the best time, as the child is as easy nursed at  i
  that age as any other, and is less liable to get the  *
  pustule broken, from accidental causes or its own  \
  scratching, than when older.
    It is a matter of great importance to obtain the  \
'  virus from a healthy child of healthy parents, as  \
;  few removes from the matter  obtained  from the  \
;  cow as possible.   The child selected  should  be  ■
:  free from scrofulous taint and all other hereditary  !
■  diseases, especially cutaneous diseases.
«    The proper  place to insert the  matter is on  \
\  the outer portion of the left arm, about half-way  \
\  between the elbow and the shoulder.              ;
\    To prepare the matter, take a portion  of the j
\  scab and rub it up with a drop of clean water with i
|  the point of a lancet on a piece of glass or other :
\  hard and  smooth substance, until it attains the X
i  consistency of cream.  Then take a portion of the j
|  matter thus prepared on the  point of  the lancet, \
\  and insert it beneath the cuticle, by making three  i
\  or four slight punctures close together; then ap-  j
;  ply more matter, and allow it to become dry with-  j
X  out being wiped  off.                              ;
     If the operation is successful, on  the fourth or  •
;  fifth day a small red pimple is observable, which .;
\  the next day becomes a little vesicle, and increases  \
:  in size until it reaches about the quarter  of an  ; 
:  252           GENERAL DISEASES.
1
 j  inch in diameter.  On the seventh day the areola
 I  is formed, which goes on increasing until the ninth
'x  or tenth day, when it is about an inch and a half
 <  in diameter.   The lymph contained in the vesicle
   is at first clear, then milky, afterward yellow, and
 \  finally  dries into  a mahogany  brown scab, in-
 \  dented  near the middle, with a hardened point  in
 l  the centre.  The constitutional symptoms usually
 x  appear  about the seventh day, and consist of a
 ■  little fever and restlessness, with some  soreness in
 ;  the axilla  of the vaccinated  arm—they last  from
 \  twelve  to eighteen hours.   The scab falls off about
 r  the  seventeenth day,  leaving a cicatrix,  with a
 \  number of small pointed pits in its inclosure.
 X,    The  vaccine disease is so mild in its course, that
 X  medical treatment is seldom necessary.   If the
 '  fever should  be  considerable, a dose or two  of
 <  Aconite or Belladonna will be sufficient to remove
 <  all the  unpleasant symptoms.
 j    The  best means of preventing the development
 ;  of eruptions which sometimes follow vaccination,
 X  is to administer a dose of homoeopathic sulphur
 ]  on the  evening of the eighth day.
 
INDEX.
                A.            PAGE
Abdomen, pendulous  .    .    .76
After-pains,  ..... 103
Aphthae, see Sore Mouth,   .    . 139
Apparent death of new-born in-
    fants,   .    .   . .   .    .129
Asphyxia of new-born infants,  . 129
Asthma of Millar,    .    .    . 229
Atrophia infantum,   .    .    . 175

                B.
Birth, reception at              127
Bold hives, Nettlerash or Urticaria 202
Bowels, looseness of the, see Diarr-
    hoea,    .....72
Bowels, state of the   .    .    .121
Brain-fever,.....195
Breasts,.....96
Breasts, gathered,    .    .    . 120
Breasts, swelling of  the, of chil-
    dren,   .     .   •    .    .149
Catarrh, or cold in the head,    . 191
Cessation of the menses,    .    .  43
Chicken-pox or varicella,    .    . 217
Chlorosis or green sickness,     .  20
Cold in the head, see Catarrh,   . 191
Colic of infants,  .    .    .    .145
Coming of the milk,  .    .    . 116
Confinement, duration of   .    . 123
Constipation,     .    •    •    -71
Constipation of children,   .    . 143
Convulsions or spasms of children 164
Convulsions, puerperal,    .    . 106
Costiveness, see Constipation,   .  71
                              PAGE
Cramps,.....84
Cramps of children, see Spasms of
children,	. 164
	. 225
Crusta lactea,	. 153
Crying of infants,	. 147
Cynanche trachealis, .	. 225
D.	
Delivery, flooding after	. 105
Delivery, retention of urine	after 122
Delivery, treatment after	. 102
Delivery, weakness after	. 103
	
	. 72
Diarrhoea of children,	. 144
Disorders of pregnancy,	. 58
Dressing the navel,	. 130
Dropsy of the head,	. 234
Duration of confinement,	. 123
	
E.	
Ears, running from the, of	chil-
	. 179
Ears, soreness behind the	. 178
Elongation of the head,	. 135
Erysipelas, infantile,	. 157
Excoriations of infants,	. 151
Eyes, inflammation of the	. 135
                P.
Fainting and Hysteric Fits,     .  91
Falling of the Womb,      .    .  55
Fever, brain     .... 190
                     (253) 
254
INDEX.
                              PAG I
 Fever, infantile remittent,      . 197
 Fever, milk, see Coming of the
    Milk,.....116
 Fever, simple,  inflammatory  or
    synochal,     .... 193
 Fits, hysteric     .    .    .    .90
 Flooding,.....91
 Flooding after delivery,     .    . 105

                G.
 Gathered breasts,     .     .    .120
 Green sickness or chlorosis      .  20
 Gum, eruptions on the     .    . 141

                H.
 Haemorrhoids or Piles,     .    .  80
 Headache and Vertigo,     .    .  60
 Head, dropsy of the   .     .    . 234
 Head, elongation of the     .    . 135
 Head, scurf on the    .     .    . 152
 Heartburn and Waterbrash,    .  68
 Heat-spots, see Prickly-hcat,    . 206
 Hernia, see Rupture,  .     .    . 177
 Herpes circinnatus, see Ringworm 205
 Hiccough,.....135
 Hives, bold......202
 Hooping-cough,   .... 230
 Hordeolum or Stye,   .     .    . 180
 Hydrocephalus,   .... 234
 Hysteric fits,     .    .         .90

                I.
Jaundice......140
Incontinence of urine,   ,.    .84
Ineffectual pains,     .    .    . 101
Inflammation of the eyes,  .    . 135
 Infantile erysipelas,   .     .    . 157
 Infantile remittent fever,   .    . 197
 Inflammation of the brain,  see
    Brain Fever,     .    . ••  . 195
 Inflammation of the labia and
    vagina,                    .  55
                               PAOB
Inflammation of the ovaries,     . 114
Inflammation of the womb,     . 112
Inflammatory or simple fever,   . 193
Itching of the vulva, see Pruritus,  66

                L..
Labia and  Vagina, inflammation
    of the.....65
Labour,.....99
Labour, remedies immediately be-
    fore,    .....98
Leucorrhoea,     .    .    .    .47
Leucorrhoea of children,   .    . 187
Lochia,.....110
Lock-jaw of infants,  .    .    . 132
Looseness of the bowels, see Diar-
    rhoea,   .....72

               M.
Measles, or Rubeola,  .    .    . 215
Meconium,.....131
Melancholy,      .    .    .    .88
Menses, cessation of the    .
Menses, suppression of the
Menses, too tardy appearance
    the.....
Menstruation,    .    .    . -
Menstruation, painful
Menstruation too copious,  .
Menstruation too late,
Menstruation too long,
Menstruation too scant,
Menstruation too short,
Menstruation too soon,
Metritis, see Inflammation of the
    Womb,  .     .   -.
Milk, coming of the
Milk crust,  ....
Milk-fever,  see Coming of  the
    Milk,
Milk, regurgitation  of
Miscarriage and Flooding,
 43
 24

 15
 13
 31
 38
 36
 41
 37
 40
 35

112
116
153

116
134
 91 
INDEX.
255
                               PAGE
 Morning-sickness,     .    .    .64
 Mouth, sore      .    .    .    .139
 Mucous discharge after delivery,
     Bee Lochia,    .... 110
 Mumps,.....242

                 N.
 Navel, dressing the              130
 Nettlerash, see Bold Hives,     . 202
 Nipples, sore      .    .     .    .119
 Nocturnal urination,  .     .    . 181

                 O.
 Ovaries, inflammation of   .    . 114
 Ovaritis, see Inflammation of the
     Ovaries,.....114

                 P.
-Pain in the right side,     .    .  83
 Painful menstruation,      .    .  31
 Painful urination,     *    .    .86
 Pains, ineffectual     .     .    . 101
 Parotitis,    .    .    --   .    .242
 Pendulous Abdomen,  .     .    .76
 Pertussis,.....230
 Piles or Haemorrhoids,      .    .  80
 Pregnancy, disorders of     .    .58
 Pregnancy, regimen during,     .  66
 Pregnancy, toothache during,   .  74
 Prickly-heat, or heat-spots, .    . 206
 Profuse urination of children,   - 142
 Prolapsus ani,    .... 182
 Prolapsus uteri, or Falling of the
    womb,.....51
 Pruritus,    .    .     .    .    .66
 Puerperal convulsions,    .    . 106
 Putting the child to the breast,  . 133
R.
PAGE
 200
 127
.  56
. 134
Quinsy,
244
Rachitis or rickets,    .
Reception at birth,
Regimen during pregnancy,
Regurgitation of milk,
Remedies immediately before la-
    bour,    .....98
Retention of urine in children,  . 142
Retention of urine after delivery, 122
Restlessness  and wakefulness of
    children,     .     .    .     .148
Rickets, see Rachitis,  .    .     .200
Right Side, pain in the     .     .  83
Ringworm, or Herpes circinnatus, 205
Ringworm, white, of the scalp,  . 155
Rubeola,.....215
Running from the ears of children^ 179
Rupture or hernia,    .    .     . 177

                 S.
Scald head,.....155
Scalp, white ringworm of the    . 155
Scarlatina, or scarlet fever,  .     . 210
Scarlet fever, see scarlatina,     . 210
Scarlet rash,     .    .    .     .208
Scrofula.....236
Scurf ou the head,     .    .     . 152
Simple fever,     .... 193
Singultus......loo
Sleeplessness,    .    .    .     .87
Small-pox or variola,  .    .     . 220
Sniffles,.....138
Sore mouth,.....139
Sore nipples,.....119
Sore throat,.....244
Soreness behind the ears,   .    . 178
Spasms or convulsions of children, 164
State of the bowels,   .    .    . 121
Stye.......180
Summer complaint,    .     .    . 170
Suppression of the menses,  .    . 24 
256
INDEX.
Swelling of the broasts of chil-
    dren,    .....149
Synochal, inflammatory or simple
    fever,.....193

                T.
Teething, see Dentition,    •    . 159
Tinea capitis,     .... 155
Too  tardy  appearance  of  the
    Menses,      .    .    .    .15
Toothache during pregnancy,   .   74
Treatment after delivery,   .    . 102
Thrush, see Sore Mouth     .    . 139

                U.
Urination, nocturnal       .    . 181
Urination, gainful    .    .    .86
Urination, profuse, of children,  . 142
Urine, incontinence of          .   84
Urine, retention of, after delivery 122
Urine, retention of, in children  . 142
Urticaria, sue Bold Hives,   .    . 202
                               PAGE
Vagina and Labia, inflammation
    of tho.....55
Varicella......21.
Varicose Veins,   .   •    .     .77
Variola,.....220
Varioloid,.....218
Veins, swelling of the, see Vari-
    cose Veins,   .   .    .     .77
Veins, varicose   .   .    .     .77
Vertigo and Headache,     .     .  60

               W.
V.
Wakefulness and restlcssnpss of	
children, . . . .	148
Washing the child,	130
Waterbrash and heartburn,	68
Weakness after delivery,	103
Weaning, .	183
White ringworm of the scalp,	155
Whites, see Leucorrhoea,	47
Womb, falling of the .	51
Womb, inflammation of tho	112
Worm-fever, . . . ,	239
Worms, or worm-fever,	239
Vaccination,
 
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