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THE

AMERICAN JOURNAL
OF

HOMIEOPATHIC MATERII MEDICI


AND

Record Of Medical Science.

CONDUCTED BY THE FACULTY OF THE HAHNEMANN MEDICAL COLLEGE OF


PHILADELPHIA.

A..R. THOMAS, M.D., GENERAL EDITOR.

VOL. VIL—NEW SERIES, VOL. III.

PHILADELPHIA:
J. M. Sronmurr & Co., Punusuuns, 720 Susan STREET.

1673

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INDEX TO VOL. III.
.NE IV SERIES.
YAG! \ no:
Abdominal Neuralgia, 183 Bigler, W. H., M.D., Ranula. Thnja, 54
A Case of Bronchitis Cronposa, Bigler,W. H., M.D., Sartor Resartus,24l
(acute) Dr. Krctschy, . . 31 Bleeding from Internal Parts., H.
A Case of Placenta Prazvia, b N. Guernsey, M.D., 201
Emil Tietze, M. D., . . 214 Blindness in the Two Foxes, 408
A Call upon all Homoeopathic Phy Boenninghnuson 's Intermittent and
sicians, . . . . 285 other Fevers, . . . 197
A Correction, by C. Haring, M.D., 262 Boynton, Dr. G. M., Hot water in
Aeknowledgr-ment, by J. C. Mor Uterine Haamorrhages, 372
gan, M.D., . . . 278 Bragdon, Dr. M. 0., Obstetrics in
A Foreign Body on the Right the Vienna Hospital, . 2-1-9
Bronchus, Dr. Hamburger, . 112 Bright’s Disease of the Kidneys,
A German Scientist, . 443 by T. D. Johnson, M.D.,
A Human Skull, . . . . 444 Bromide of Potassium, Ricinus
Albuminuria and Diabetes, by Jas. communis, . . . 144
Kitchen, M.D., . . 86 Bromine in Hypertrophy of the
Alcohol as a reducer of Tempera Heart, . 229
ture in Fevers, . . 477 Bullard’s, Dr. J. A.,.Rcsignation, 444
Alkaline vs. Acid Children, by Dr. Burtrs Characteristic Materia Med
T. C. Duncan, ica, . . . . . 114
American Institute of Homoeo-Ballard, Dr. J. Arthur, Police Sur
__
pathy, . 266, 278, 394' geon, . . . . 240
American Institute of Homoeo
pathy, Special Notice of, 344 Book Noncns.
American Institute of Homoeo Cleaves’ Biographical Cyclo
pathy—27th An. Report, 381 psedia, A. R. T., . . 71
A Manual of Toxicology, . . 316 Gilchrist’s 11 omoepathic Treat
Anal and Rectal Fissure, 141 ment of Surgical Diseases,
Anaesthetics, . . 159 J. C. M., . . . 72
Ann Arbor.—-Thc Homoeopathic The Medical and Surgical His
Question in the University, 76 tory of the War, A. B. T., 113
A New Homoeopathic Hospital, 275 The I'hvsician’s Visiting List
A New Homoeopathic School, 75 for 1874, A. R. T., . 114
A New Illustration of the Power of Burt's Characteristic Materia
Infinitesimals, . . 198 Medica, A. R. T., . 114
ANewPath in Electro-Therapeutics, 313 Clinical Electro-Thernpeotics
An Eccentric Physician, . 403 by A. McLane Hamilton,
Annual Address of the President of M.D., J. C. M., . . 115
the N. Y. State Homoeopathic The Phrenological Journal. A.
Medical Society, . . 348 . T., 153, 116
Annual Commencement of the Hah Crowded Out, . . . 106
nemnnn Medical College, . 275 Guernsey’s Obstetrics, O. B. G., 147
Annual Meeting of Miss. Valley Taking Cold., John W. Hay
Horn. Med. Society, . . 347 wood, A. R. T., . 152
Annual Record of Hom. Literature Faulkner and Blakeley’s Vis
for 1873, . . . . 197 iting List, . 153
Anpointmcnt.-—-Dr. J. J. Youlin, 359 Deferred Notices, A. R. T., 153
Apocynum Canabinuni 3-10, by Dr. A System of Surgery, by Wm.
Hoopes, . . . 169 Todd Helmnth, M.D., J.C.M. 233
Appointment—Dr. B. F. Bronson, 444 Sixth Annual Report of Hem.
A Remarkable Case, 442 Mutual Life Insurance Co.,
Arsenieum, Characteristics for, 53 of New York, A. R. T., 236
Asthma, ' . . 342 Dr. T. S. Verdi’s Report as
Approaching Lecture Season, 35 Special Sanitary Commissioner
American Institute of IIom., Sec_ to European Cities A. R. T., 193
tion Plan, by S. A.Jones, M.D., 32 Complete Repertory to Hom.
Barker, Dr. Fordyce., Treatment Mat. Medica for Diseases of
of Sore Nipples, . . 219 the Eyes, J. C. M., . 193
Berridge‘s Repertory t0 the Eyes. 399 Theory and Practice of Medi
Berridge, L. W., M.D., Cases treated cine, F. T. Roberts, M.D.,
with high Potencies. . 454 E. A. R, . . 196
480
Index. 481
PAGE PAGE
Boenninghausen’s Intermittent Cholera, by J. P. Dake, . . 66
and other Fevers, A. R. T., 197 “ in St. Louis, . . 67
Annual Record of Homoeo- “ in Cincinnati, . . 38
pathic Literature, A. R. T., 197 “ of 1873, by Wm. Hol
Eighth Annual Report of combe, . . . . 90
the Atlantic Mutual Life In- Cholera, by B. F. Betts, M.D.. 299
surance Company, A.R.T., 273 Chronic Osteo-Arthritis, by F. E.
Twentyfleconrl Annual Re Harpel, M.D., . . . 245
port of the N.Y. Ophthalmic Clinical Electro-Therapeutics, 115, 313
Hospital, A. R. T. 274 Clinical Examination of Children,
New B- oks Received, 274 by Dr. A. C. Cowperthwait, 161
No Sex in Education, A. ClinicalCases,by R. S. Perkins,M.D. 169
R. T., . . . 312 Cleveland’s, Dr. B. L., Oflicial ap
A Hand Book of Medical pointmrnt . . . 239
Electricity, J. C. M., 313 Colic, Infantile. . . . 25
Lectures on the Clinical uses Colorado for Consumptives, 278
of Electricity, J. C. M., 313 Cowperthwait, Dr. A. C., The
Clinical Electro-Therapeutics, Study of Mat. Med., 435
J. C. M., . 3l3 Constipation, Hypochondriasisand
Grahame-Therapeutics, J.C.M., 313 Hysteria, .1 . . . 406
A New Path in Electra-Ther Complete Repertory to the Rom.
apeutics, J. C. M., 313 Mat. Mcd., . . . 193
A Manual of Toxicology, A. Congenital Hydrocephalus, Bell.,
R. T., . . . 316 900, .\ . . . . 300
Ligation of Arteries., Dr. Constipation, Hypochondriasis and
L. H. Farabeuf. (Translated Hysteria, Richard Epps, M.D.,
by J. D. Jackson, M.D ),A. A. R. T., . . . 406
R. T., . . . 352 Cornea, Ulcers of, by Thos. A.
On the Universality of the Ho Capen, M. D., . . . 26
moeopathic Law of Cure, A. Corrigendum, . . . 80
R. T., . . . 353 Cripp’s, W. 11., M.D.I, Modification
Correspondence, 309, 3&7
Catalogue of the Library of
the Surgeon-General’s. of Esmarch’s Elastic Bandage, 289
Ofiice, A. R. T., . . 353 Cremation, . . . : 355
The Physician’s Dose an Crowded Out, . . . . 116
Symptom Book, A. R. T., 354 Duke, Dr. .1. P.—Cholera, . 66
A Treatise on Therapeutics, Dayfoot, H. M., Veratruni Viride, 6f)
by H. C. Wood, Jr., M.D., Defective Drainage, . 278
J. C. M., . 401 Deferred Notices, . . 153
Catalogue of the Library of the Dipthheria, Chloride of Limein, by ,
U. S. Surgeon-General’s oflice, 353 Dr. C. Neidhard, M.D. . 452
Gale. 0. in Metrorrhagia, By Dr. Diseases of the Ears, by Dr. F. R.
L. Hoopes, . . . 169 Moore, . . . . 292
Calcic. Fluorid, . . . . 467 Dislocated Neck, 159
California State Homoeopathic Med Diarrhoea, . . . . . 52
ical Society, . . . Dry Earth Method of Treating Ex
Carbolic Acid in burns, Dr. T. G. creta, . . . . 239
Oehme, Drowning Man, To bring to Life a 38
Carbolic Acid, Dr. E. C. Price, . 65 Duncan, Dr. T. 0., Alkaline vs.
Cases in Practice, by L. D. Morse, Acid Children, . . . 29
M. D., . . . . 24 Dyspepsia, Ruta in, by E. A. Far
Cases of Sudden Death, by J. C. rington, M.D., . . . 25
Morgan, M. D., . . 48 Dysentery and its Treatment, by
Case of Neuralgia of the Testes, Dr. Coates Preston, . . 28
cured by Electricity, . . 239 Eczema Scroti, Pudendi and Ani, 141
Castration without loss of Virile Enemata, The efliciency of, 239
Power, . . . . 28 Eighth Annual Report of the Atlan<
Cerehro—Spinal Meningitis, by Dr. tic Mutual Insurance Co., 273
A. C. Cowperthwait,‘ . 127 Epistaxis, . . . . 342
'Chapped Hands, . . . 160 Erectile Tumors.-—Croton Oil, 477
Characteristics of the Mercurics, 476 Esmarch’s Bandage in Amputa
Chloral, 302 tion, by J. W. Metcalf, 288
Chloride of Lime in Diphtheria, Experience with Potencies and
by C. Neidhard, M.D. . Doses, . . 303

190577"
482 Index.
PAGI PA“!
Fxperiments with Glucose, . 3S Gilchrist's Surgical Diseases, 318
Glucose, Experiments with, . 3S
EDIT 1R1‘L. Glaucoma, by Alfred K. Hills, M.D., 3'2
The Approaching Lecture Sea Guernsey‘s Obstetrics, 119, 147.
son, . . . . Gunshot Wounds, by F. Hiller, M.D., 41
The Secrets of Success, . . 36
Volume Seventh, . . 37 Hahnemann Medical College, of
Improvements, . . Missouri, . . . . 359
A New Homoeopathic School, . 75 Hale, E. M., M.D., Phytolacca—
Ann Al‘llOl‘.—Th0 Hommo Aching of the Heels, .
pathic Question in the Uni Hale, E. M., M.D., Influence of
versity, . . . Mind over the Heart, . .
The Preliminary Course, . 77 Haywood, John W.,Taking Cold, 152
The Physician as a Student, 117
Preliminary Course of Lcctures,118 Heavy Child, A, . . . 342
Harpel, Dr. F. E..Chronic-Arthritis, 4.52
1Vantcd, . . . . 119 Headache in Syphilis, . 154
Prof. Guernscy’s Obstetrics, . 119 Hering. C., M.D., A Correction, 262
Medical Colleges and the N. Y. High potencies, Cases treated by,
Medical Union, 154 Hiller, Dr. F. Gunshot Wounds, . 41
The Michigan University, 158 Hills, Dr. A. K., Glaucoma, . 32
Webster’s Dictionary, 159 Holcombe, Wm., The Cholera of
A New Illustration of the 90
Power of Infinitesimals, 198
1873, . . . .
Homoeopathic Literature Abstract
Southern
pensary,Homoeopathic
. . .Dis v199 of, 27, 63, 110, 139, 180, 229, 299
The Michigan University, 237 342, 465,
Homoeopathy, The Pathological
Police Surgeons, . . 238 movement in connection with,
A New Homoeopathic Hospital, 27.3 by C. Ncidhard, M.D., . 121
Annual Commencement of The Homoeopathic State Lunatic Asy
Hahnemann Med. College, 275 2
lum, . . . .
Our Annual Recruits. . . 317 Hoopes, Dr. L, Euphrasia in Con~
Gilchrist’s Surgical Diseases, 318
stipation, . . . 168
The Great Pyramid, . . 318 Apocynum Cannabinum, 3-10, . 169
Cremation, . . . 355 Cole. 0. in Motrnrrhagia, 169
The Hahnemann Med. College, Hydrophobin in Dysentery, . 169
of Miss., . . 359 Howard, Dr. Elmira 5., Chronic
~ The University of Michigan, 360
Metritis. . . .
The American Institute, 360 Hot Water for Uterine Hoemor
Notice, “ Who was it?" . 360 rhages, Dr. G. M. Boynton, 372
“ “ Physician Wanted,” 360 Hot Water for Uterine Hmmor
Institute Proceedings, 407 rhages. Dr. T. H. Mann, 130
Resignation, . l. 407
Specialties in Medicine and Improvements, . . . . 37
Ixn ortance of Light, . 357
Surgery, . 441 In iana Institute of Homoeopathy, 185
A Correction, . 442
P rof. Farrington’s Mat..Medica, 442 Indiana Institute ofHomoeopathy,
by 0. S. Runnels, M. D., . 267
Which Medical Practice? 475 Indigo in Epilepsy, by L. M. Ken
Born. Medical Soc. of Penn., 475
0 . ., . . . . 210
Pay your return Postage, 476
Induction of Premature Labor b
Facial Expression of Remedies, by Electricity, . . . 319
Dr. H. B. Fellows. . Inflammation of the Bowels, 183
Farrington, Dr. E. A., Ruta in Dys Insane Asylum, N. Y. State 1.10m
pepsia, . . . . 25 mopathic, . . . . 38
Farrington’s, Profi, Mat. Medica, 442 Intermittent Fever, . . 144
Feathered Centenarians, . . 358 Institute Proceedings, 407
Fisher, A. L., Elkhart, Indiana, . 146
Invalid Climates, . . . 160
Fracture of the base of the Skull-- Involuntary Proving with Gels.,
Death, by Charles W. Karsner, by Dr. J. C. Morgan. . 170
. . . 331
'1 Johnson, T. D., M. 1)., Bright’s
Freckles, . . . . 476 Disease of the Kidneys, . 28
Fungus Haematodes; Lach., 300
Jones, Dr. S. A., Section Plan for
the Institute of Homoeopathy, 32
Galvano-Thernpcutics, . . 313
Gelseminum Scmp. in Puerperal Kac'tzkowski, Dr., Prevention
Convulsions, by Homer 1. Os and Cure of Small-Pox, by
Variol. and Vacc. . 110
tron, M.D., . . . 434
Index. 483
PAGE use:
Laryngitis, Syphilitic, by Dr. E. Nn-sal Catarrh, Chronic, . . 140
J. Whitney, . . . 111 Nebraska State Homoeopathic
Lactation late in life, . . '476 Medical Association, . 109
Larynx, Irritation of, for exciting Neidhard, C., M.D., The Patholo
inspiration in Asphyxia, . 467 gical Movement in connection
Lectures on Clinical uses of Elec with Homoeopathy, . . 121
tricity, . . . . 313 “ Remarks on the Use of Chlo
Lilienthal, Dr. S., Treatise on Skin ride of Lime in Diphtheria, 452
Diseases, . . . 28 New Method of Operating in Cer~
Lippe, Dr. Ad., Saccarum 06"., . 30 tain Cases of Strangulated
Lister's, Prof., Antiseptic Treat Hernia, by Thomas Annan
ment, . . . . . 442 dale, M.D., . . . 290
Livingstone, Dr., . . 238, 358 New York State Horn. Med. Society, 304
MARRIED. New Midwifery Forceps, . . 319
Bradley—Blanchard, . . 80 New Work on Surgery, . . 159
Custle—Maull, . . . 408 New Dispensary, . . . 159
Crater—King, . . 279 Notes on the Ear, . . 139
Springer—Harry, . . 279 Notes, Queries and Answers, . 37
Thatcher—Blakeley, .' 280 No Sex in Education, . . . 312
Wareheim—Faust, . . 160 Notices.—“Who was it ?" “ Phy
Waugh—Reynolds, . . 40 sician Wanted,” . . . 360
Mann, T. H., Hot water in Uterine Northeastern Homoeopathic Dis
Hasmorrhage, . . . 130 pensary, . . . 238
Malarial Poison, by Dr. Wood, 358 Nux as an Antidote to Opinm, 184
Materia Medica, Prof. Farrington's, 442 N. Y. State Homoeopathic Insane
“ “ The Study of, by Asylum, . . . 38
A. C. Cowperthwait, M.D., 435 N. Y. State Homoeopathic Medical
Materia Medica of Hahnemann, by Society, . . . . 104
T. F. Pomeroy, M.D., .
Man’s most Active Period, . 442 Oatmeal, Bone and Muscle, . 443
McGeorge, Wallace, M.D., Puer Observations of Solar and Lunar
peral Fever, . . . Influence, and its relation to
10
Medical and Surgical, The, History Matv Med., . . . 232
of the War, . . . Obstetrics in the Vienna Hospital, 249
113
Medical Colleges and the N. Y. Oehme, Dr. F. G., Carbolic Acid in
Medical Union, . . 154 Burns, . . . . 67
Medical Directory of the U. S., 358 Ostron, Homer L, M. D.. Gels,
Metcalt', J. W., Esmaroh's Ban Semp., in Puerperal Convul
dage in Amputation, . 2S8 sions, . . . . . 434
Mental Symptoms, of Drugs, by Operation for Cleft Palate, . 47
J. Heber Smith, M.D., . 263 On the Universality of the Hon].
Memhranous Cronp, . . 183 Law of Cure, . . . 353
Metritis, Chronic, by Dr. E. S, Otitis, . . . . . . 24
Howard, . . 110 Our Annual Recruits, . . 319
Michigan University, The, 360, 237, 158 Ovariotomy by Enucleation, . 237
Miller, H. V., M.D., Ulcerated OBITUARIES.
Teeth, . . . . Dr. Alfred Zantzinger, Phila., 40
Mitchell, J. N., M.D., Value of Oh Myra N., wife of Dr. W. C.
jective Symptoms, . . 466 Dake, Nashville, Tennessee, 40
Miss. Vullcy' Hom. Med. As Dr. Auguste Nelaton, (French
sociation, . . . 142 Surgeon). . 80
Modification of Esmarch’s Elastic Isnac James. M. D., . . 240
Bandage, . . . . 289 Dr. Miles W. Wallens, . 280
Mortality of Philadelphia, . 200 Dr. Louis G. Ha'ch, . . 280
Morgan',.lol1n C., M.D., Cause of Dr. Walter M. Williamson, 359
Sudden Death, . . 48 Paralysis, . . . . . 53
Morse, L. D., M.D., Case in Peculiarities of Headaches, by D.
Practice. . . . 24 S. Kimball, M. D., . . 292
Monre, F. R., M.D., Disease of Perforation of Abdominal Walls in
the Ear,. . . . 292 Typhoid Fever, . . . 144
Mycloil Tumor of the Jaw, M. Personals, . . . .
Mact'arlan. M.D., . . 46 Persistence of the hymen, ‘. 319
Muller, Dr. Clotar. on Cutaneous Phytolacca in Aching of the Heels,
Diseases. . ‘ . . 341, 261 by Dr. E. M. Hale, . . 272
Medical Union, . . . 238 Pharmaceutio‘Processes, . . 181
484 Index.
FAQ!
Physicians’ Visiting List f0r1874, 114 Some Remarks upon the Treatment
Phrenological Journal, . 1l6 of Skin Diseases, by Dr. Clotar
Physician as a Student, 117 Muller, . 321, 361
Physicians’ Dose and Symptom Southern Homoeopathic Dispen
Book, . . . . 354 sary, . . . . 199
Plants in Sleeping Rooms, 159 Speir’s Artery Constrictor, . 184
Pomeroy, T. F., M. D., The Materin. Specialties in Medicine and Surgery,441
Medica ot' Hahnemann, 81 Spontaneous Combustion, 38
Police Surgeons, . . . 238 Sphygmograph, The, . . 2735
Post-Mortom Examination of Son Statistics of Russian Empire, 38
ator Sumner, . 279 Student, The Physician as a, 117
Post»Partum llznmorrhnge. 319 Success, the Secrets of 36
Price, Dr. E. (1., Carbolic Acid, . 65 Substitute for Quinine, 159
Protosnlphide of Mercury in Small Pox, Prevention and Cure of
Typhoid Fever, . 301 by Variolinum and Vaccinum
Preliminary Course of Lectures, 77, 118 by Dr. Kactzkowslti, 110
Preston, Dr. Coates, Dyscntery and Saccharnm 091, by Ad. Lippe. M.D., 39
its Treatment, . . . 28 Smith, J. Ilcber, M. D., Mental
Puerperal Fever, by Dr. Wallace Symptoms of Drugs, 63
McGeorge, . . 10 Taking Cold,by J. W. llazlewood, 1.52
Pulmonary Phthisis, C. C. Smith, Tietzc, Emil, M D., Case of Plac
M.D., . . . . 27 enta Przevin, . . . 214
Pustular Exanthcma of Face, R. Tietze, Emil, M.D., Tolle Cansam,
C. Smerllcy, M. D., 89 .‘ltil, 409
Pulmonic Candles, 278 Theory and Practice of Medicine, 196
Pyramid, The Great, 318 Treatment of Sprains, . . 180
Trouble in Harrisburg, . . 33
RanulmThuja, by. W. H. Bigler, Treatment of Dyspepsia with Medi
M.D., . . . . cine, . . . . . 38
Rat Bane, 408 Typhoid Fever from Watered Milk, 38
Resignation. . . . . 407 Treatment of Sore Nipples, 219
Repertory t0 the Eyes, Berritlge’s, 399 Ulcers of the Cornea, by Dr. Geo.
Removals, etc., 40, 80, 160. 200, 239, S. Norton, . . . 302
279, 320 Ulcerated Tooth, by H. V. Miller,
Rheumatism, . . . . 24 M. ., . . . .
Rhus in [ntcrmittent Fevers, 37 Uterine Disoharges, Therapeutics
Rutherford, Dr. Wm., on Sot't Tis of, by Henry Minton. M.D., 17,
‘ sues for Microscopic Purposes, 358 55, 95, 134, 172, 222, 254, 294, 333,
Ruta. in Dyspepsia, by E. A. Far 373, 425, 46".
rington, M. D., . . . 25 Uterine Displacement, ( . . 52
Uterine Haemorrhagt-s, Hot Water
Sartor Resartus, by Wm. H. Bigler, for, by T. 11. Ma in, M.D., 130
M. D., . . . . 241 Uterine Haemorrhages following
Sarc "11810118 and carcinomatons Abortion, by Dr. E. E. Harpcl, 330
Tumors, a New Method of re Veratum Viride, by 11. M. Dayloot, 65
moval, by Prof. G. Simon, Verdi's, Dr. T. S., Report as
Schnsslcr's Twelve Remedies, by special Sanitary Commissioner
E. A. Farrington, M.D., 233 to European Cities, 193
Secretion of Bile, . . 440 Verified Characteristics, by G. R.
Secondary Electric Battery, 358 Knight, M. D., In Neuralgia,
Siamese Twins, The, 238, 27s Bell. and Sepia: llaemorrhoids,
Singular Will, _ _ 358 Ignatia and Nux Vom.. . 129
Sixth Annual Report of the Horn. Visiting List, Faulkner it Blake
Mutual Life Insurance Co., of ley's, . 153
New York, 236 Vocal Phenomenon, . 358
Sleep as a Medicine, _ 200 Volume Seventh, . . . 37
Skin Diseases, the Treatment of“, S. Vomiting During Pregnancy, b
Lilienthal, M.D., 28 Dr. S. Lilienthal, . 32
Skin Grafting, . . . 301 Wanted, . . 119
Smith, C. C., M.D., Pulmonary \Vcbster’s Dictionary, 1529
Phthisis, . . 27 Weight of Brains. . . . 2558 -
Smedley, R. (1., M.D., Pustular Wood Dr., on Malaria] Poison, 35S
Exanthema of Face, 89 Whitney, E. J., M.D., Sypliilitic
Soft Tissues for Microscopic Pur Laryngitis, . , . 111
poses, . . . 358 Youlin, Dr. J. J., 359
The American Journal

egummnpaflgit Wanna Waite

RECORD OF MEDICAL SCIENCE.

J::7..‘;:~1:Fr ; SEPTEMBER, 18 7 3
(CALIFORNIA STATE HOMCEOPATHIC MEDICAL
SOCIETY.
THE Annual Meeting of the California State Medical
Society of Homoeopathic Practitioners, was opened Wed
nesday evening, April 9th, 1873, at 8 o’clock, in the Parlor
of the Young Men’s Christian Association Building, 232
Sutter street, the Vice-President, Dr. J. K. Clark, of Sacra
mento, in the chair.
The roll being called, a majority of members were found
present. Minutes of the last Annual Meeting were read
and approved. The following physicians were reported
by the Board of Censors, as candidates, properly qualified
for admission to the Society: C. W. Breyfogle, of San
Jose, M. T. Wilson, G. E. Davis and F. Hiller, Jr., of San
Francisco. On motion, the Secretary was directed to cast
the unanimous ballot of the Society for their election.
The remainder of the session was spent in informal dis
cussion as to the interests of the Society and the profes
sion on the Pacific Coast.
On motion, the election of officers was postponed until
the closing session of the meeting, to be held April 10th,
P. M. Adjourned
SECOND DAY, Thursday April 10th, 1873, the Society
met, pursuant to adjournment. The President, Dr. I. 5.
Shepherd, of Petaluma, occupied the chair.
VQL. VII.--No. 1.
2 Calzfarnia Stale Homeopathic Med. Sorielfy. [Sept,,
Roll called, and the following members found present:
J. K. Clark, Sacramento, C. W. Breyfogle, San Jose, S.
Porter, Napa, T. C. Coxhead, Oakland, J. P. Dinsmore,
John Esten, G. E. Davis, E. J. Fraser, G. Goepp, W. N.
Griswold, F. Hiller, F. Hiller, Jr., A. A. Thiese, M. T.
\Vilson and M. J. Werder, of San Francisco. On motion,
Dr. Chamberlin, of Worcester, Massachusetts, was invited
to take part in the exercises of the Society. Dr. W. N.
Griswold, presented and read a lengthy paper on “ Putre—
faction and Fermentation, their Nature and Treatment"
when found as conditions of disease in the animal system.
On motion, Dr. Griswold was requested to prepare the
paper for publication in the Eastern Journals.
Dr. E. J. Fraser, Chairman of the Standing Committee
on Surgery, presented the following report : involving the
constitutional and local symptoms of the bite of a veno
mous spider, together with its medical and surgical treat
ment.
BITE OF A VENOMOUS SPIDER.
“ On the 215': of September last, a gentleman of this
city, while sojourning in the San, Joaquin Valley, was
bitten at night while in bed, by a large black spider, on
the dorsum of the left foot, about an inch above the junc
tion of the fourth and fifth'toes.
“ The pain from the bite aroused him from sleep. The
foot felt as though it had been rudely lacerated by some
dull instrument. He found, however, upon examination,
only a small red spot, resembling a flea-bite] Upon search
ing for the cause, a large black spider was found, re
sembling in appearance, the katipo or venemous spider of
New Zealand, of which species, considerable numbers are
found in the San Joaquin Valley.
“ Although no swelling followed, severe shooting, burn
ing pains ran from the bite on the foot, up the limb, to
the back, accompanied by a nervous twitching all over his
body. A cold clammy perspiration covered the left lower
extremity.
“ The symptoms seemed to increase until morning,
when the perspiration covered both lower limbs, accom
panied by the additional symptoms of a very severe draw
1373_] Calzfornia State Hamwopat/zic Med. Society. 3
ing or crampy sensation in the abdomen. Being in a
locality where competent, medical and surgical aid could not
be had ; his wife, who was with him, took the precaution
to give him whiskey, which he drank freely and in large
quantities. The stimulant seemed to produce but little
impression upon him, except a feeling, as he described it,
as though the affcéted side was drunk. Before evening of
Sunday, September 22d, the pain was felt almost equally
in both limbs, and seemed to centre about the heels. He
hastened down to this city, on Monday. I saw him soon
after noon of the same day. The cold sticky perspiration
on the limbs and body, the pain in the limbs and heels,
the pains in the back and the drawing sensation in the
abdomen, together, with an anxious expression of counte
nance, delirium half smothered by imperfect intoxication,
combined to present a pitiable and distressing object,
indeed. There was however, no swelling of the foot, where
it was bitten. I, at once, administered Bel/., in aqueous
solution, which controlled the darting pains and nervous
symptoms admirably. The alcoholic simulant was con
tinued.
“On Wednesday the 25th, a. bright scarlet papular ir
ruption appeared upon both lower extremities, which stung
and burned like fire. Ara, R/zus., Amm. card. and Ledum
were administered, but nothing seemed to be of much ser
vice, except Bell. The pains and nervous symptoms how
ever, gradually diminished, and, as there was no swelling
of the foot or limb that was bitten, a. safe and rapid re
covery was anticipated.
“On the morning of October [St, the tenth day after
the accident, the joint that was bitten, which had up to
this time remained a. small purple point, began to swell,
turning white, like the swelling which follows the sting of
the wasp or bee. The swelling was painful and so rapid
that within three hours, the white spot was nearly as large
as a. twenty-five cent silver coin.
“ The whole dorsum of the foot and 'ankle became very
much swollen, and a red streak was observed running up
the leg. Seeing that there was serious trouble ahead, and
that there was no time to be lost, I immediately applied
strong nitric acid, over the ClEVEtiZCd white spot, to destroy the
cuticle. This being thoroughly done, sulphate of zinc was
applied, in substance, in order to produce an eschar. As
soon as the escharotic began to adt with energy, the ten
4 Calgfirnia State Hamwopat/zir filed. Society. [56,»,
dency of the swelling to extend up the limb ceased. In
about three days, the eschar sloughcd, but in removing it,
being covered by adhesive plaster, fully a teaspoonful of
straw-colored fluid escaped. In less than five minutes
after the removal of the eschar, the cavity filled again with
the same kind of fluid. This discharge continuing, the
wound was dressed with bread and milk poultice, which
readily absorbed it. The swelling diminished rapidly, and
all his symptoms improved, so that in about ten days, he
was able to go to his office. The wound, however, did
not fully heal, but was covered over, by a dark red film.
On the 22d of November, two months after he was
bitten, I opened it, when several drops of reddish fluid
escaped. I then gave Lac/zesz's, and there has been no
trouble since. The gentleman seems to be as well now, as
he was before the acccident. This gentlemen, is a plain
history of the case. In reporting it,I have ignored my
general rule, to “ never report a case.” A belief, however,
that its features are new and peculiar, and that some
valuable information may be drawn from it, is my only
apology for presenting it. The peculiar features are:
[fir/sf. The constitutional symptoms produced by the
aetion of the poison upon the nerve centres. And, second,
the severe local symptoms which only began to make
their appearance nine days after the bite.
“ I would say in conclusion, that, if I had another case
of the kind to treat, I would produce an eschar at' once,
and allow all the poisonous matter that might be secreted
there, to escape, and then, with the constitutional treat
ment, I would expect a quicker successful issue.”
Dr. F Hz'ller.—This case is full of practical interest. Fz'mt.
The patient suffered from the bite of the inseét. Second.
From fear of its consequences. And, t/n'rd, from the
amount of whiskey administered.
\Vhen Dr. Fraser saw the patient, he found him deliri
ous; inflammation had ensued, and many other symp
toms, demanded the administration of Bell. and other
remedies, which govern such conditions.
It is my opinion that a dose of Lac/zm's instead of the
whiskey would have arrested the effeéts of the poison, in
a very short time, perhaps preventing all the morbid con
ditions, as they appeared on the tenth day.
18731 California State Homeopathic Med. Society. 5
Dr. Yalm Estcrz.—\Vould Dr. Hiller, in such cases adopt
a local treatment 1’
Dr. F. Hi/lcr.—I have in a great measure abolished local
applications. Ammonia is generally considered an effective
anti'dote, and has been used with some success, but it does
not prevent blood poisoning.
Dr. Fraser—The view that I take of the case is, that the
poison was dormant beneath the cuticle, and it was from that
that the aggravated local symptoms developed after so
long a period. Vaccination is somewhat similar in its
course. The pustule does not appear when it works
properly, until the ninth or tenth day, but when it does
appear, it is at the point where the virus was inserted, and
nowhere else. This is uniformly the case, notwithstand
ing the usual intervening constitutional symptoms. The
wound made for the introduction of the virus is always
healed thoroughly, before the pustule appears, so that the
wound at that particular point could not favor the location
of the pustule there. If then, animal virus does really lie
under the cuticle for a period of nine days before it pro
duces local symptoms, I see no obstacle in the way of its
removal by surgical means. This is why I would in the
future, apply the escharotic as early as possible. In the
medical treatment, in future, I would profit by the expe
perience of the past, administer Lac/zesz's, earlier than I did
in that case.
Dr. Erma—I would like to ask Dr. Fraser, whether an
escharotic would destroy vaccination P
Dr. Fmsrr—It is an experiment that I have never tried_
I see no reasons why it should not do so, especially if
applied early.
Dr. Hillard—Gentlemen, we are here entering upon a
topic, upon which we are not prepared, and which I fear,
diverts our attention from our business. If the topic of
vaccination is to be brought before this Association, I
hope the members will be prepared for it ; because it is a
very perplexing subject, one which requires much study.
6 Calzfornia State Homeopathic Med. Society. [Sept,,

Dr. E’flSCK—I simply introduced the subjeét of vacci


nation for the purpose of illustration.
Dr. Brien—I asked Dr. Fraser a question, because there
is a principle involved.
Dr. W. N Griswold—I understood Dr. Fraser to say
that the first symptoms immediately following the bite, were
constitutional symptoms. Now, if that is the case, why
would Dr. Fraser or any other physician, use an escharotic
at that time ? My opinion is, the case did not get well from
the use of the escharotic. Of course, if the poison was
retained jnsz‘ in the point where it was first received, then
escharotics might come into play, but in a case like this,
where a rapidly aéting agent is taken into the blood and
produces immediate constitutional poisoning,I can not see
its utility, I would much sooner expeét to see vaccination
arrested by an escharotic.
Dr. Hz'l/cr.—The case came under Dr. Fraser’s treat
ment, the second day after the bite. We know that vaccine
or any other animal poison is immediately taken up into
the circulation, and efi'eéts the whole system at once. If
the specific Homoeopathic remedy could have been ad
ministered soon after the introduftion of the poison; if
Lae/z. had been given instead of the whiskey, it would
have arrested the eff'eéts of the poison at once. There is
no other remedy to compare with it. Traumatic gangrene,
phlebitis, and even pyaamia, are controlled by Lac/zrrz's. Inv
a recent case, Lac/2252's 2 c. checked gangrene. The lines of
demarcation were disti‘nét within twenty-four hours, and
the eschar sloughed off within two weeks, leaving a
healthy granulation.
Dr. Gm'swo/d.-—It has passed into a familiar rule, when
the poison of an inseEt or reptile has been received, that
the wound should be sucked or burnt, or cut away, as
soon as possible, and it seems a recognized faét among the
profession and the populace, that in many cases, constitu
tional symptoms have been prevented thereby. But, after
the poison has aétually passed from the wound into the
13”] California State Homeopathic Med. Society. 7
mass of the blood, thereby producing constitutional
symptoms, how an eschar could cut short the symptoms,
does not appear. On only one hypothesis, can the claim
that the eschar was of great advantage be sustained, viz: That
the cause producing its constitutional symptoms, remained
where first deposited; and acted not through the mass of
the blood, but by the impression made upon the nervous
system, through its contact 1027/1, and impression upon the
nerves around the wound. Indeed, a further reference to
the symptoms rehearsed, renders this hypothesis possible,
and even probable. If it is true, that the poison acted by
impressing the extremities of the nerves, it is an agent
well worthy of further investigation, and the use of eschar—
otics in such cases is not to be overlooked, even by those
who have remedies as potent as Lac/zesz's.
Dr. G. E. Dania—Dr. Hering recommends the applica
tion of radiating heat near the wound or bite, to be re
tained there until the patient begins to shiver: For in—
ternal medication, give Bufo, when there are red streaks
shooting up the extremities, and culminating. at or in the
axillary, or inguinal glands.
Dr. Griswold—The efficiency of the external application
of heat, shows how whiskey produces its well-known
benefits in many cases of animal poisoning. The alcohol
in the whiskey furnishes fuel to the internal combustion,
which, at the important moment, quickly supplies the heat,
requisite for the emergency. _
Dr. Fraser.—Gentlemen, I can only say to you, that
none of you can realize the rapidity and magnitude of the
swelling. Inever saw such rapid swelling. Within the
space of three hours after the swelling commenced, the
foot was puffed up like a puff ball, and the white elevated
spot around the bite, was as large as a twenty-five cent silver
coin. It certainly looked like a very. dangerous case, and I
saw no hope for my patient’s life, except in prompt surgi
cal interference, I can assure you that I was delighted to
' see the beneficial effects, produced by the eschar.
8 Califurnia State Homeopatfiie Med. Society. [56pt_,
After this discussion, Dr. F. Hiller presented and read
the following report of Surgical Cases, which on motion,
was refered to the Publishing Committee, together, with
the report of Dr. E. J. Fraser.

REPORT ON SURGERY.
U

Mr. President and Gentlemen :—\Vhen we compare the


present with the past, we find that surgery has made
wonderful advancements, the results of which demand the
attention, not only of members of our school, but of every
well-meaning surgeon.
Every year adds to surgical experience, more curative
agents, and gives us more knowledge of the healing
powers of Homoeopathic remedies, in cases requiring
surgical interference.
The great desideratum in the praftice of surgery to-day,
is improved methods of after treatment. However skill
fully an operation may be performed, it often proves fatal
from want of experience in the nurses, to whom the after \
treatment is too much intrusted.
Conservative surgery is the order of theiday. The sooner
the people are educated to a knowledge of the faft, that he
who saves the injured limb is a better surgeon, than he,
who, for wanting skill, resorts at once to the knife, the
better will it be for suffering humanity.
In many cases of contused and lacerated wounds, ac
companied by destruétion and loss of tissue, so frequently
caused by accidents on railroads and by machinery, it is
surprising to witness how perfeétly the parts are restored
by the use of Amz'ea, Cale/zdula, Kali c., Caust, Agni,
Nit, and many other remedies judiciously applied. I have
frequently seen large portions of destroyed tissue com
pletely regenerated without leaving ugly cicatrices.
The motion of hands, fingers and joints, even where
bones have been fraétured, and the joints were open and
exposed, can be saved and restored to perfect usefulness.
1873] California Stqte Homeopathic Med. Society. 9
In presenting to this bureau the following surgical cases,
as they occurred in my praCtice, I omit such details as are
familiar to all surgeons. I adduce these cases to show
the superiority of our remedies over those of the old
school, and to prove that injuries of joints are often curable
by our mode of treatment, when pronounced incurable by
allopathic praétice. (From the crowded state of our pages
we are obliged to hold over these interesting cases until
our next issue—ED.)
_ After reading the foregoing papers, on motion, the
Society proceeded to the eleCtion of officers for the en
suing year. The election resulted in the choice of John
Esten, of San Francisco, as President; M. J. Werder, of
San Francisco, First Vice-President; P. C. Coxhead, of
Oakland, Second Vice-President ; W. N. Griswold, of San
Francisco, Recording Secretary; G. E. Davis, of San
Francisco, Corresponding Secretary; M. T. Wilson, of San
Francisco, Treasurer; and F. Hiller and E. Fraser, of
San Francisco, and K. Clark, of Sacramento, Board of
Censors.
The President ele6t, appointed the following Standing
Committees to report at the next annual meeting.
PRACTICAL MEDICINE AND HYGIENE—Dr. J. K. Clark, of
Sacramento; Dr. C. W. Breyfogle, of San Jose; Dr. M.
J. Werder, of San Francisco, Dr. M. T. Wilson, of San
Francisco.
ANATOMY AND SURGERY.—Dr. F. Hiller, of San Francisco;
Dr. E. J. Fraser, of San Francisco; Dr. G. E. Davis, of
San Francisco.
OBSTERICS AND DISEASES OF WOMEN.—Dl'. E. J. Fraser,
of San Francisco; Dr. T. C. Coxhead, of Oakland; Dr. F.
Hiller, Jr., of San Francisco.
MEDICAL TOPOGRAPHY, ENDEMICS AND EPIDEMICS.-—-Dr.
J. 5. Shepherd, of Petaluma; Dr. S. Porter, of Napa; Dr.
J. K. Clark, of Sacramento.
BOTANY AND CHEMIST_I<\'.—Dr. A. A. Thiese, of San
10 Care uf Puerperal Fever. [germ
Francisco; Dr. G. Geopp, of San Francisco; Dr. I. H.
Floto, of San Francisco.
MATERIA MEDICA.-——Dr. C. W. Breyfogle, of San Jose ;
Dr. G. E. Davis, of San Francisco; Dr. J. P. Dinsmore, of
Santa Barbara; Dr. M. T. Wilson, of San Francisco.
PHYSIOLOGY AND PATHOLOGY.—-—Dr. \V. N. Griswold, of
San Francisco; Dr. S. Porter, of Napa; Dr. F. Hiller, Jr.,
of San Francisco.
On motion, the California State Medical Society ad
journed.
.
Reported by order W.
of the Society.
N. GRISWOLD, Ree. See. I

ZOI

OBSTETRICS AND GYNPECOLOGY.

CASE OF PUERPERAL FEVER.


BY WALLACE MCGEORGE, M.D., 0f Waadéury, 1V. _‘7.

On Friday, March 28th 1873, was called to attend Mrs.‘


C. R., in labor, at 6 A. M. Upon arrival at 6.30 A. M.,
found her in the first stage of labor with good regular pains,
recurring every five to ten minutes. The patient was a
tall, portly lady, aged about twenty-five, had been married
three years, and was now in labor with her first child. She
was apparently well built, and I anticipated an easy time.
Upon examination, however, I found a narrow contraéted
pelvis, the transverse diameter being less than three inches.
The uterus was high up, and itwas with considerable difficulty
I found the 05, and then it was directly backward, pressing
against the sacrum. The patient was cheerful and in good
spirits, and made no complaints.
Having heard so much about Cz'mz'cz'fiega in confinement
cases, I gave it in this case without any symptoms, on
the general ground that it was good in labor, and facilitated
delivery. Gave it every 15 minutes, for two hours, without
1873.] Case of Puerperal Fe'ver. 11
any improvement or change in her condition. Afterwards
gave her Pulsatz'lla 52m., which increased her pains to an
uncomfortable degree.
At 9 A. M., the uterus was found to be dilating, but
very slowly; at II A. M., could insert finger in 05; at
I P. M., the 0s seemed entirely dilated; at 2 P. M., the
membranes began to bulge considerably, and shortly after
bearing down pains set in in earnest. After three and one
halfhours labor the head became disengaged from the uterus,
and then became impacted between the ischii. After
2 hours more severe pains, the bones were forced one over
the other, and the head gradually escaped after four or five
pains, the body coming away in the next pain; the child
being born at 8 P. M. The placenta being adherent, had
to be removed with the hand.
One hour before delivery she complained of being chilly
and next moment would be too hot and throw offthe
clothing. Chills ran up and down her back, and when her
labor was over she was wet with perspiration. The nurse
was directed to rub her till dry, taking care not to let her
get cold, and as she complained considerably of soreness,
Arm'm 200 was administered through the night, her pulse
being about 85 when I left her.
. Next morning, March 29th, Mrs. R., complained of head
ache, sore throat, soreness in her breast, and very little sore
ness at vulva. A bad cough with hoarseness troubled her
the most, and Plzos. 2c. was given her every hour, in water.
Pulse 90, skin hot but moist.
Sunday, March 20th, throat better, but she was restless
and more feverish; still complained of headache and full
ness in head and breast, gave Aconz'te 6, every hour in
water. In the evening she seemed irritable and quite as
feverish, but not as restless; face very red, impatient in
manner ; gave 801/. 200, every hour.
March 3Ist, more fever, pulse 110; head troubles her
terribly, but no pains in abdomen nor vulva; face very red;
throbbing of carotids. Continued the Bell. 200. In the
12 Care of Puerperal Fe'ver. . [Sept_,
evening no improvement, except that head felt better. Con
tinued Belladonna as before, every hour.
April Ist, gagged terribly at times, which made her head
ache worse. One dose of [pecan 200 removed this en
tirely. \Vas very restless; pulse 115 and ascending; still
makes no mention of pain in abdomen, even when asked;
lochia and urine normal in color and quantity. Bowels
moved; bedding was changed, also her under-clothing
before I arrived ; felt a little milk at breast; the child took
two or three swallows; but it worried the mother so, the child
was removed; considerable rumbling in bowels. Gave Ac
onz'z‘e 6. in morning, Lyr. 200, in evening.
April 2d, 9 A. M., pulse 130; very hot skin, with slight
perspiration; feet burn terribly; anxious look, wonders
why her fever lasts so long. Gave Sulphur 200, several
hours. In the evening no improvement, if anything, worse.
Complains the bed is so hard she cannot lie on it, even the
pillows feel hard to her; face red; rather stupid at times;
no pain nor tenderness in abdomen; slight delirium; has
slept very little for two or three days and nights. Gave
Cufifea 2:, every 15 minutes for two hours, after that if she
did not sleep, Arm'ra 200, every hour.
April 3d, 8 A. M., hard feeling of bed nearly gone, but
she is worse; pulse I40; passed a restless night, continually
turning over or moving in bed; can only keep still a little
while after turning, worse after midnight; tongue red and
dry on tip, and some delirium; offensive odor of lochia for
first time; some rumbling in abdomen; slight tympanitis,
but no tenderness to the touch. Gave R/zus. 200, in water,
every hour.
At 4 P. M. found her more tympanitic, and very ex'cita
ble and nervous; pulse 150. Asked for consultation, and
sent for Dr. H. N. Guernsey, of Philadelphia. Continued
R/zus, 200, every half hour.
At 8 P. M., saw her again, with Dr. Guernsey. Pulse
156; skin moist, profuse sweat having broken out half an
hour previously ; abdomen tympanitic but not tender, feels
1873_] Case of Puerperal Fewer. 13
happy; seems composed on our first appearing, but ex
plains afterwards that she had been in prayer and felt that
her prayers were answered, that God had granted her re
quest, and that she was going to get well ; after this talk
she seemed slightly wandering; very wakeful, could not
sleep and yet wanted to sleep. R/zus was considered the
right remedy after com-paring all the symptoms, but as she
had taken it every half hour for four hours, it was with
held till after midnight, when she was to have it again
every hour, ifawake; in the meanwhile gave her Cofihz,
200, every half hour, in water, to induce sleep. Diagnosis,
puerperal fever; prognosis, unfavorable. ,
April 4th, 6 A. M., found her a little better, pulse 140;
skin covered with profuse sweat; had slept a little, but not
long at a time ; some delirium ; abdomen quite bloated; on
account of this last symptom, gave her Ka/z'earaonz'ezzm,
200, every hour. At I P. M., her pulse was I32, but
otherwise no change; complained again of bed being too
hard ; rather stupid in manner. Again gave Arm'ca, 200.
At 9 P. M., pulse 120; skin covered with moisture; had
slept some through the day, more than for several days.
Continued the Arrzz'ea, 200.
April 5th, 6.30 A. M., pulse 132; skin alternating
between hot and dry; and hot, and covered with perspira
tion ; restless; less headathe and delirium ; gagging
occasionally; sore throat. Gave Api: mel/z'fica, 200, in
water every hour. At I P. M., pulse 120; skin natural
moisture; distention of abdomen about the same; has
passed no water; mind wanders considerably; very rest
less, wants to keep moving about in bed, cannot sleep; does
not seem thirsty; talks strangely; “ leg and arm you may
have water-ice, but baby you don’t want any.” She says
her leg and arm are so stiff they don't belong to her. Con
tinued Apia, 200. At 9 P. M., pulse I 15 ; continued Apz‘s.
through the night. I
April 6th, 7 A. M., pulse 120; head clear; complained
of a continual urging to stool, Without relief from strain
14 Care of Puerperal Fever. [Sept.,
ing. Gave NM: 200, every hour in water. At 8 P. M.,
seemed more restless, and wanted to turn continually.
Gave Rims 200, in water, every.hour.
April 7th, 8 A. M., seems much better; headache better ;
ate-alittle breakfast; delirium gone; is quite cheerful;
pulse 108; everything progressing nicely. For a slight
, gastric disturbance, ga've Pulsatz'lla, 200.
At 4 P. M., was sent for in a hurry, “she has got so
much fever.” Found patient terribly excited, and pulse
150. Upon inquiry, learned that, contrary to my orders,
the nurse had changed her bedding and underclothing to
the skin, one hour after I left in the morning, and then let
her sit up an hour in an uncomfortable chair. Again, at I
P. M., she was allowed to sit up on commade, at which she
strained considerable, immediately after, was taken with
chills, which ran up and down her back for an hour,
followed by high fever, with pulse as given above; patient
thinks she is very nervous, don't think she has much
fever; is frightened, but don’t know why she is so. Gave
Aeom'z‘e 6, every half hour, had her kept covered up, and
ordered hot clothes applied to her head continuously until
she perspired, then discontinued. I complained of the
disobedience of orders, and threw the responsibility of the
relapse on the attendant.
At 9 P. M., saw her again.“ Pulse 140; skin hot and
dry; no moisture. Continued the hot water cloths to
head, and had her feet soaked in hot water, as she lay in
bed, she being covered all over excepting face. As her
face was very red, head much affeéted, and some subsultus
tendinum present, gave her Belladanna 200, every hour.
April 8th, 6A. M., pulse 120; skin moist; had per
spired freely for five hours; had slept three hours during the
night; delirium nearly gone, but feels very uncomfortable.
Continued Belladonna 200.
AtI P. M., pulse 125; skin alternately hot and dry;
throat sore, gagging at times ; passage of only a few drops
1873.] Care of Puerperal Fe'ver. 15
of urine; restless and uneasy. Gave Apis. 200, every
hour. .
At 9 P. M., pulse 130; skin moist; wants to keep very
still; coughs when she moves; some soreness in breast; I
appetite for cold food and cold drink. Thought of Pizar
p/wrus, but gave her B1j/onia 200, every hour when awake.
Had feet soaked and hot Cloths applied to head. _
April 9th, 8 A. M., pulse 115. Passed a good night;
felt much better after feet were soaked last night, went
right to sleep; complained of feeling full in abdomen;
some rumbling was heard. Gave Lycopodium 200, every
hour. At I P. M.,pulse 118; very restless, feels badly,
and wants to turn continually. Gave R/zus.,_ 200, every
houn '
April 10th and 11th, patient improved under Rhus.;
pulse came down to 110; April 12th, pulse 112; April
13th, pulse 108; April 14, pulse 105, and better every
way.
April 15th, pulse 110; April 16th, pulse 115, does not.
feel so well; headache and sweating; April 17th, pulse
118; April 18th, pulse 120; cough very troublesome;
April 19th, pulse 122; cold, clammy feeling in limbs and
hands. During the week, the weather was wet and stormy.
Gave her during the week, Apia, Bryom'a, Rims, Sulphur,
Bromium and Phosphorus. '
April 20th, pulse 118; dull, cloudy day; very weak and
very hoarse. Gave Caréo. veg, 200, in day time, and
Bryrmz'a, 200 at night.
April zlst, pulse 112; some headache; when her head
hurts her, She has no trouble with her throat and vice
versa. Gave Carbo. veg, 200, until 4 P. M., then Big/anz'a
200, at night.
From this time she gradually gained, till on April 24th,
her. pulse sunk to 100. But some gastric disturbance
troubled her then, and made her feel worse for a while.
From April 24th to May 4th, gave her Lac/mix 200.
16 Case of Puerperal Fe'ver. [Sept,’
At this time she was taken with chills, which occasioned
sickness at stomach, with terrible gagging, Tartar Ellielz'e
200, controlled this, and C/ziuoldlrz broke her chills for
twenty’eight days, when they returned again. This medi
cine she took on her own responsibility, as she said it
always broke them. During this four weeks she was not
entirely free from fever, as her pulse has never been down
lower than 95 and once only at that figure.
So far as the puerperal fever is concerned I believe she
has entirely recovered, but it is a question whether a
hereditary tendency to phthisis has not complicated the
case, and made it more tedious, if it did not in the first
place cause or lay at the bottom of her critical state, after
parturition. Her antecedents are not favorable. All but
one of her brothers and sisters have been carried off with
pulmonary complaints, (so Ihave been informed outside
of the family.) She had a slight hacking cough, more
a tendency to clear her throat than anything else, but this
has disappeared for several days. From the first she has
had 'no milk and her child is brought up on the bottle
and is thriving and doing well, gaining each week in
weight. (When it was born, it was small and emaciated.)
From her continual fevers, (pulse ranging from 98 to 110,)
indications are not favorable for a perfect convalescence,
although she has improved under Lae/zesz's, Phosphorus and
Caltarea, more under the first one named than either of the
others, or any other remedy.

AMONG the various sciences and literary pursuits of life,


there is no one more pre-eminently important, than that
which is emphatically styled the healing art; that which
restores health, and brings comfort and joy to suffering hu
manity. It is an inestimable blessing, bestowed in mercy,
to counterpoise the frail condition of our nature, and to
meliorate or remedy the miseries which result from the in
dulgence of our vicious propensities. It assuages the an
guish of corporeal disease,‘and soothes that keen mental
distress which overwhelms the faculties of the soul.-—Dr.
Thatcher.
THE

THERAPEUTICS OF UTERINE DISCHARGES.*

BY HENRY Mm'rou, M. D.

ACONITUM NAPELLUS. -
Monk’s Hood.

Menstruation—Too profuse and too protracted, espe


cially in plethoric women; frenzy on the approach of the
menses; suppressed menstruation, from fright, or from
other causes,‘especially in subjects of full habit.
Amenonhma—In young girls of sanguine tempera
ments, who lead sedentary lives.
Menorrhagia.-In plethoric females.
Metronhagia—Aétive haemorrhage; much excitability
and fear of death.
Dysmenorrhrea.—Of a congestive type, with violent
backache, and labor like pressing pains in the uterus, com
pelling her to bend double, but finding no relief in any po
sition.

*A. R. THOMAS, M.D.—DEAR DOCTOR.—The following pages


have been written during the past five or six years, without any idea
of publication, but simply ‘as an aid to myself in practice. Their
principal merit will, perhaps, be found in their dearth of originality.
In their compilation, the Symptom Codex has been my basis; to this
I have added numerous extracts from the Various Homoeopathic
journals, and have drawn without reserve, from all authors upon the
subjec‘t within my reach. I have deemed myself fortunate in secur
ing full notes of the lectures on Materia Medica, delivered before the
classes of the Homoeopathic Medical College of New York and Phil
adelphia, during several successive years, and these I have also em
bodied. In fact I have drawn from every available source, such
symptoms as seemed to me well attested. ‘
The idea of the arrangement, was taken from “Bell's Dz'arrlzwa
and Dysenterz‘a."
Fully aware of the numerous faults that unavoidably creep into a
work of this charac'ter, it is with hesitancy that I consent to its pub
lication; but hoping for a healthy criticism, I trust it may grow to
usefulness. Yours, Truly, ‘
HENRY MINTQN.
18 Therapeutic: of Uterine Discharges. [Sewn
LGuOOHhwa.—Copious, tenacious, yellowish leucorrhoea,
bloody leucorrhoea.
Lochia..-——Offensive, too scanty or suppressed; profuse
lochia, of a 'deep red color.
Concomitants.—Anguish,with apprehension and tremb
bling state of mind; great anxiety and restlessness, with
fear and fever. Fear of death,predi6ting even the fatal day ;
afraid to go out of the house. Congestion to the head;
dizziness or vertigo on assuming an uprzlg/zt position,-—also
Opium and Nux own. She has to lie down again, becomes
alarmed, and is certain she is going to die. Face red and
puffed; eyes sparkling, pupils dilated. Epistaxis. Sudden
paleness of the face on rising. Painful sensifiveness to con
taét ; does not want to be touched. Headache as if the brain
was moved by boiling water; crampy sensation over the
root of the nose, with a sensation as though she would
lose her Senses. Tendency of blood to the head and
chest; roaring in the ears. Shortness of breath, especially
when sleeping. Stitches in the chest hindering respiration ;
cannot breathe freely in consequence of a sensation as if
the lungs would not expand. Stinging and burning pains
in internal organs. ‘
Palpitation of the heart with great anguish; pulse hard
and very quick. Short dry cough, excited by a titillation
in the larynx. Dryness of the mouth, great thirst for
cold water, everything except water tastes bitter. Sharp
shooting pains in the whole abdomen, which is tender
to the touch. Bitter bilious vomiting, with heat, thirst,
profuse perspiration, and increased mi&urit'on.
Pressure in the pit of the stomach as from astone. Hic
cough, especially in the morning. Scanty, red, hot urine,
without sediment. Watery, brown and bilious diarrhoea.
Pain in small of the back, as if bruised and lamed by blows ;
tingling in the back. Numbness in left arm; coldness of
the feet; hot hands with cold feet. General dry heat.
‘ Sleeplessness, with constant tossing about. Cataleptie
attacks, with rigor of the body, loud lamentations, and
13”] Therapeutics of Uterine Discharges. 19
grinding of the teeth. Sudden great sinking of strength.
Fainting when rising, with paleness of the cheeks, which
were red when lying down; at night, all the pains are
unsupportable, with fear, anxiety and restlessness.
Aconite is especially adapted to sanguine temperaments,
plethoric women, lively young girls of sedentary habits,
and acute diseases.

zzESCULUS HIPPOCASTANUM.
Home Chestnut.

Leucorrhaaa.-With constant backache, affefting prin—


cipally the sacrum and lzips.
Concomitants—Lammess in the back across the sacro
iliac articulations, worse on walking; pain extending from
the abdomen to the small of the back, which makes it
almost
pain in impossible
the occipuz‘.to Nausea
get up and
and walk after sitting.
vomiting. Dull
Dry uncom—v

fortable feeling in the reEtum, which feels as if filled with


small sticks ; constriétion, fullness, aching, itching, pricking
pains in the anus and reétum ; tenesmus, dreadful pain in the
anus, cannot sit, stand nor lie down. Large hemorrhoids
protude from the reétum; are of a blue-purple color, with
sharp shooting, cutting pains in them, running up into the
sacrum; soreness in the reétum, with increased secretion
of mucus, or a sensation as if the folds of 'mucous mem
brane obstruéted the passage. Prolapsed feeling in the
reétum. White, soft papescent stool ; stool, large hard and
difficult. Feeling of extreme weakness and fainting.

AGARICUS MUSCARIUS.
A Cryptogalnous Fungus.

Menstruation—Profuse titillation in the genital organs.


Concomitants.—Great debility with trembling of the
limbs. Itching, burning and redness of the ears, nose,
20 Therapeutics of Uterine Discharges. ['sept.,
cheeks, fingers or toes, as if frost-bitten. Perspiration
from the least exertion. Great sensitiveness to cold air.
Irresistible drowsiness in the day time. Aversion to any kind
of work. Complaints arising from excessive coition.

AGNUS CASTUS.
Chute Tree.

Menstruation—Suppressed with drawing down colic.


Concomitants.—Melancholy, low spirited, fear of ap
proaching death. Sterility; lack of sexual desire; great
debility. Inflammatory rheumatic swelling of joints.
Corrosive itching on different parts of the body, which is
relieved by scratching, but soon returns. Urine frequent,
abundant and dark colored.

ALOE SOCOTRINE.
Aloea.

Menstruation—Too early and too profuse; obstinate,


protraeted and exhausting; uterine haemorrhage, which
occurs in women of nervous, relaxed and phlegmatic habit,
about the change of life. Fullness and heaviness in the
region of the uterus. .
During Menstruation—Headache, which is relieved
by the application of cold water; headache, alternating
with pains in the small of the back.
concomitants.—Fear and anxiety. Great aversion to
meat. Bloated state of the abdomen. Pain in the small of
the back. Labor like drawing pains extending down the
legs. Pressure, heat and tension in the region of the liver.
Sudden or continued desire to stool; desire for stool after
each meal; involuntary passage of hard stool; they fall
out unnoticed by the patient. Cramps and rumbling in the
abdomen, before, and during stool; involuntary soft stool,
while passing wind; stools like mush, thin, bright yellow,
1373,] Therapeutics of Uterine Discharges. 21
gray, hot, undigested ; burning pulsations after stool.
Gurglz'ng in t/ze'aédomen, as water running an! of a battle.
Haemorrhoids, which protrude in bunches, and are relieved
by 'cold water. Pains in the small of the back, pressing
down into the reétum. Great weakness, with aversion to
labor. Prolapsus uteri.

ALETRIS FARINOSA.
Star Grass.

Menstruation—Premature and profuse, with labor like


pains.
During Menstmation.—Pressure and pain in the
region of the uterus.
COHCOmitants.—-Vertigo, sleepiness and even stupifac
tion. Habitual tendency to abortion. Prolapsus uteri
from muscular atomy. Debilitating leucorrhoea. Obstinate
indigestion, nausea, disgust for food. Least food causes
pain in the stomach. Constipation; frequent attacks of faint
ing with vertigo; sleepy all the time. Flatulent colic, in
weak emaciated persons. Debility, general or local.

ALUMINA.
Oxide of Aluminum.

Menstruation—Delayed, too scanty, and of too short


duration. (Niece/.P/ws.) Discharge too pale. Discharge
simply of colored water.
Before Menstruation—Sleep disturbed by many
dreams. Wakens from sleep'with heat in face, headache
and palpitation of the heart. Copious discharge of mucus
from vagina before the menses. Colic at stool. Cutting,
pinching, writhing, and pressing labor-like pains, with
frequent desire to urinate. Bearing down pains as if the
bowels would fall through the vulva.
22 Therapeutics of Uterine Discharges. [Septn
During Menstruation.--Colic and other pains. Head
ache when the flow is checked. Frequent urination, urine
acrid and excoriating. Diarrhoea with colic.
After Menstruation—Great exhaustion, both mental
and physical. Discharge offlesh colored liquid.
Leucorrhma,—Profi1se, yellow, corroding discharge;
worse before and after the menses. Acrid, excoriating,
transparent leucorrhoea before and afler menstruation, and
during the intervals; leucorrhoea like cream; leucorrhoea.
with smarting of the pudendum and itching of vagina.
Abundant discharge of transparent mucus, flowing only in
the day time, attended with great weakness. Painless
leucorrhoea. Transparent mucus in large quantities, run
ing down to the feet. Chronic leucorrhoea, clear like
water, or transparent mucus, stiffening the linen. Discharge
of flesh colored liquid afler the menses, or between the
menstrual periods, especially in the afternoon and evening.
Itching in the vulva. Burning in the reftum. Leucor
rhoea relieved by cold washes. Aggravated by walking.
Concomitants.—Anxious and full of fears, changeable
mood, great vivacity, serious thoughtfulness. Semilateral
affeétions of the head. Compressive headache, with
nausea. Excessive dryness of the scalp, it goes 10 sleep.
The hair falls out. Great debility and weakness, especially
when talking. Unnatural appetite, she wants to eat chalk,
starch, charcoal, slate pencils, etc. Faintness at the
stomach, relieved by eating. Sour erué'tations and heart
burn. Consm'fiz'on of the (esophagus when swallowing,
food is felt until it enters the stomach. Can swallow but
small morsels at a time. Constriétion'of the stomach, ex
tending to the chest and throat.
Inaetivity of the re6tum; much straining is necessary to
pass even a soft stool. Diarrhoea with tenesmus. In—
creased secretion of aqueous urine; frequent desire to pass
water, sometimes with smarting; white turbid urine as if
chalk had been stirred in it. [nahilizj/ to pass water, except
when at slool, must strain at stool in order to urinate.
I373] Therapeutics of Uterine Discharges. 23
Stitches in the left side of the vagina, extending up
toward the chest ;, throbbing pain in the vagina; itching in
the vagina. Pains in the loins and region of the kidneys.
Pains in the back as though a hot iron were thrust through
the lower vertebra. Affeétions of the calves of the legs.
Spasms with attacks of laughing and weeping. Hysteria.
Want of animal heat. Restless sleep, always awakening
with palpitation of the heart. Aggravations on alternate
days, better in the open-air.

AMBRA GRISEA.
Gray Amber.

Menstruation,—Too early and tho profuse. Burning


in the genital organs.
During Menstruation.—Varices of the left leg, bluish
and painful on pressure. Swelling and soreness of the
labia. Violent itching and soreness of the pudendum.
Between the Periods.-—Discharges of blood in small
quantities, from the least exertion, especially after walking
or a hard stool.
Leucorrhma. only at night. Discharge of thick bluish
white mucus, with stitches in the vagina before the dis
charge. Discharge of bluish-white mucus in lumps.
Swelling and soreness of the libia.
Concomitants.—Great restlessness, extreme nervous
ness. Hastiness and nervous excitement when talking.
Seriousness, with aversion to talk or laugh. Headache in
the forehead. The hair is sensitive to the touch. Dry
nasal catarrh. Sleep disturbed by coldness of the body
and twitching of the limbs. Restless, sleep full of dreams.
Great weariness on waking int/1e morning. Frequent
miéturition of copious pale urine; sour-smelling urine,
looking turbid or brown. During miéturition, burning,
smarting, itching and titillation of the vulva and urethra.
Irregular, intermittent stools. Stinging, smarting and
ite/n'ng of the anus.
24 Cases in Prattiee. [Sept.,

Cramps in the thighs and calves of the legs almost


every night. Intense and painful coldness of the legs,
especially in the evening. The feet are painful when
walking. Especially suitable for lean or aged people.
Aggravation in the evening, while sleeping, while lying
in a warm place, and on waking. Many of the symptoms
are relieved by a walk in the open air, or by lying on the
part affefted.
:0:

CLINICAL, MEDICINE.

CASES IN PRACTICE.

BY L. D. MORSE, M. D., Memphis, Tenn.

RHEUMATISM,—-Bsyonia.
Mr. D. had suffered for a long time with rheumatism,
apparently involving nearly all the muscles of the chest.
Sometimes the pain and soreness were so severe upon
the least motion, that taking a long breath, was almost im
possible. The patient had made numerous applications
of liniment, plasters, etc., with little or no relief. I found
the respiration signing, great disinclination to move on
account ofpain and fear of being touched, especially on the
affeéted parts. I gave a single dose of Big/onia 200, dry
on the tongue, Saa, Lao., to be taken every hour. In two
days the patient was entirely well. No return after eight
months.
OTITIS.—Sulpfiur.

Mr. I. had been much troubled with “ gatherings” in the


ear, which would break and run for days, before healing up.
Sometimes the Eustachian tubes, would seem to be entirely
closed, and in walking, the sensation described by the
patient, was like the hating of a (Ease drum. Six months
ago, he came to me with his old trouble, both ears being
affected and very painful, said he believed he would try
homoeopathy. He received three doses of Sulphur 200,
1873.] Cases in Prafiice. 25
and in 36 hours, the trouble was entirely relieved; and this,
although the patient thought the right ear was almost
ready to lance when he took the first dose. The pain and
soreness went away as if by magic. No return.
DYSPEPSIA.—A cetz'c A cia’.
Some months ago, I succeeded in relieving a most dis
tressing case of dyspepsia, by means of acetic acid, first
and second decimal solutions, given every hour or two,
according to circumstances. The symptoms were sub
stantially as follows: Appetite good, but a short time after
eating, the contents of the stomach seemed to ferment and
sour, nausea and vomiting generally followed, attended
with much relief; severe paroxysmal headache,- with a
species of ophthalmia was prominent. All the symptoms
worse from any nervous excitement. The patient, for
years, had been in the habit of using large quantities of
soda, to neutralize the acridity of the stomach; but, of
course, with only a partial and merely temporary relief.
After using the acid for two months, taking it in water,
less and less frequently, the gentleman announced himself
cured.
INFANTILE COLIC—Barax.

Infant of Mrs. A., 3 months old, had suffered with colic,


almost constantly, from the very day of its birth. All the
domestic remedies tried, had miserably failed, and the
child was quiet, only when dosed with paregoric or sooth
ing syrup. Child was very nervous, colicky after nursing.
Ap/zt/zus, sore maul/c, would fall asleep in the arms, but
when the nurse attempted to lay lzim down, would wake
up. Borax 30, produced a c0mplete cure, sore mouth,
and all, in four'days.

RUTA IN DYSPEPSIA.
_ BY E. A. FARRINGTON, M.D.
Mr. F. at 46, had for fifteen years suffered from dyspep
sia. His general health seemed good, but his pulse was
soft, and every attempt to eat meat would be followed by
26 Cases in Praltiee. [Sept.,

headache, eruEtations and itching all over, like an un


developed nettlAe-rash. Fat could be eaten with impunity,
and even a small amount of meat could be tolerated, if he
also ate apples ; that is, so far tolerated, that only a slight
headache would follow. Hence the case was one of in
sufficiency of gastric juice, partly obviated by the mallic
and other acids of the apples. Liver and pancreas were
normal, as shown by the easy digestion of fatty and
starchy food. The next point was, what could have
caused this gastric inertia?
The patient had always been remarkably temperate. It
appeared, that some fifteen years since, while helping to
carry a heavy iron beam up stairs, he tripped, straining his
stomach. For months, he was forced to walk bent. Thus,
this accident had so impaired the stomach, that it failed to
secrete sufficient gastric juice. Only one medicine covers
the cause, and the aggravation from meat, with eruétations
and itching—Rum Graueolens, which was given in the 2c.
potency, before each meal. Cure complete, in 3 months.
The only obvious symptoms produced from such persis
tent use of the medicine, were an itching of the eyelids and
forehead, and watering of the eyes when attempting to
read—symptoms, which clearly belong to the drug.

ULCERS OF THE CORNEA.


BY THOMAS A. cAPéN. M. D., Fall River, Mass.
Late in May, I was called to see a child afflicted with
ulcers on the cornea. She had been clear through the
school of allopathy with no benefit. ,
She had a very few minor symptoms, indicating Sulphur,
which I prescribed, one dose of the 200th potency.
On the 15th inst., (June) the child is cured.
I cannot recommend Sulphur, high, too much in these
chronic affections of the eyes.
ABSTRACT OF HOMGSOPATHIC LITERATURE.*
FOR SEPTEMBER.

BY B. FRANK BETTS, M. D.

[From the Ha/memanuiau Mont/zly, P/zilaa’elp/zial


TREATMENT OF PHTI-IISIS PULMONALIS, by Dr. C. C. Smith,
read before the Central New York Homoeopathic Society,
contains the following with other indications for remedies:
Heparc—The patient is so sensitive to air that she cannot
bear the least exposure without having a chill or increasing
the cough. . Sweats easily, &c.
Carlie. veg—Nose bleeds very easily; hoarseness about
5 o’clock every afternoon. .
Cale. c., Femmmzet, Spougia, Kali c. and Sulpi are men
tioned.
P/zos.—A sense Of goneness in the region of the stomach,
or a feeling as if the stomach had been removed; hoarse
ness in the evening. (Caron. veg.)
[llyrtus Communis.—Stitching pain in the left chest, from
the upper portion straight through to the left shoulder
blade; worse when taking a long breath or coughing.
Also hepatization of the left lung.
Sanguiuan'a.—Goneness in the region of the stomach,
(P/zos.)
leavingbut
circumscribed
particularlyred
after
spots
eating.
on theFlushes
cheek of
; cough
heat, worse

in the evening and on lying down. Bad smelling sputa,


dyspnoea, lassitude and loose stools. To be thought of
first, perhaps, in phthisis occuring in syphilitic patients.

*In this department will be published a monthly abstraft of reports


and papers of general interest, in the order in which they appear in
the diHerent Homoeopathic Quarterlies and Monthlies, as tl ey are re
ceived by us. '

1- Sulp. is indicated early, rather to prev/eat the deposite of tubercular


matter in the lungs, than at a later stage. B. F.
27
28 Abstrat? of Homeopathic Literature. 15(11):"
DYSENTERY AND ITS TREATMENT, by Coates Preston,
M.D., gives the author’s experience with the low potencies,
and with the high, in the treatment of this disease. \Vith
the latter he claims to have arrived at a shorter and more
. effectual method of treating this disease, with one half the
labor and time. He uses the single remedy not lower than
the 200th. Seldom repeats, and seldom has to go beyond
Nux vain. and Mere. viz). ‘

BRIonT’s DISEASE OF THE KIDNEYS, by T. D. Johnson,


M.D., relates a case under treatment six months, during
which time Terehinth, Rhus., Lye, Hepar., Am.,Helonias,
&c. were administered; and recovery under the use of Ber
heris vulgarzs, 200th, every six hours; then the 30th every
night for three successive nights.

CASTRATION WITHOUT LOSS OF VIRILE POWER.——-CaSC


reported to the Homoeopathic Medical society, of Pennsyl
vania, by Drs. H. S. Hofmann and C. P. Seip; occurring
after Syphilitic infection, and disease of the testicles, had
lead the Drs. to perform the operation, first upon the left,
(May I Ith, 1871), then on the right, (December 6th, 1872).
The case is an anomalous one.

TIIE TREATISE ON DISEASES OF THE SKIN, by S Lilian


thal, M.D.-~It is proposed to publish in the successive
numbers of this valuable journal, eight or ten pages of
“ The Treatise" each month, commencing with the August
number.
This eminent author omits the consideration of Zymotic
affeetions as really belonging to another department of
pathology, and classifies skin diseases according as they
resemble the various stages of Variola Vera. By this sim~
ple and practical method, we have Erythematous, Papular,
Vesicular and Pustular Diseases of the skin.
The following suggestions in regard to treatment, are
valuable. “ Allow each remedy its full time of a6tion with—
1373], Abstrafi of Homeopathic Literature. 29
out interference or repetition.” That both local and con
stitutional treatment are necessary for the cure of cutaneous
diseases is now acknowledged by most dermatologists, and
we readily endorse the employment of local treatment, especi
ally in that class Of diseases which are due to the existence
of fungi or animalculai."

[From the Medical Investigator, Chicago]


This valuable Western monthly contains among other
articles the following: ‘
REPORT OF THE PROCEEDINGS OF THE ILLINOIS HOMCEO
PATHIC MEDICAL ASSOCIATION—THE ISOTHERMALS OF THE
LAKE REGION, by Prof. Alexander Winchell, and HEALTH
VIEW OF LAKE MlcHIoAN’s snones, by Dr. H. P. Gatchell,
with plates, furnishing valuable suggestions in regard to
the influence of the lakes upon the climate and healthful
ness of those regions. ‘

Alkaline 21s. Acid children, by Dr. T. C. Duncan, in which


these two divisions are made the basis of medicinal treat
ment. The alkaline child is plainly piétured as “ externally
presenting a plump, rosy appearance, a hearty feeder, sleeps
21 major part of the time and wakes to crow and laugh.
It is hearty, healthy and happy, teeths easily, and develops
without a struggle.
The Acid child is thin, scrawny and cross. Sours all
those who have to care for it, nurses constantly, cries and
squirms incessantly, vomits occasionally, and its bowels
are always out of order.
The tendency of disease in the fleshy alkaline subject is
to conjestions, effusions and exudations, while in the lean
acid subject, it is to inflammation, anmmia and consequent
struétural derangements. The diseases of the brain of the
alkaline child are chiefly ushered in with coma, and de
veloped with effusion, and lead us to think of Arn., Opium,
Apia, (9e. Whilst those of the acid child, restlessness is
the first symptom, followed with struftural change chiefly
30 Abstrat? of Homeopathic Literature. [germ
anaemia or inflammation, and suggests Bell, Sulp/L, Arsen.,
Zine., (Sn. In the throat and chest diseases of the alkaline
child, we have chiefly croup, inflammatory and membranous
(fibrinous), and capillary bronchitis, which may suggest
Hepar, Kali, Tart.- em., while the lean subjects give
us spasmodic croup, or diptheritic croup, (albuminous),
and more nearly inflammation of the lungs, suggesting
Aron, Spongia., Bell, 317., Alert, (‘51.
Bowel symptoms of the alkaline child are chiefly con
stipation, or there is profuse mucus diarrhoea. Alum,
Cale. o.,Kali., Pod,, (‘51. Those of the acid child are in
flammation and green stools. 6710111., Bell, Abra, c‘i'e.
Alkaline child has moist eruptions. Helena, Silieea,
_ Graph. The acid child, dry furfuraceous papular eruptions
suggesting Ars., (5'6.
The diet which these two classes require, in health and in
disease is pointed out. ,
“A fat child can the sooner be put upon starchy food,
the salivary glands being better developed than those of a
lean child." “ A lean. child can the sooner take sweets and
lean meats.” “ Attrition flour, or whole wheat flour, made
into gruel or biscuit and fed with milk, is very palatable
and nutritious to a teething child, and especially during
the transition period," (after weaning.)
“Children want plenty of water, and it should be water;
not tea or any mixed drink.”

SACCARUM, ore—Dr. Ad. Lippe publishes a very instruc


tive case treated by this remedy. A lady 60 years of age,
complains of inability to walk, especially to ascend the
stairs, becoming very short of breath. Abdomen feels
heavy, and becomes bloated from a small quantity of food,
sleepless, and depressed in spirits. N0 organic disease of
the heart found. Abdomen very hard and distended.
Lyeop. did not benefit, but Saaoarum of, 50 m. potency,
repeated once in three to five days, for three weeks, cured
completely, so that two months afterward the abdomen was in
1373] Abstratt of Homeopathic Literature. 31
a perfeétly healthy condition. She no longer suffered when
ascending stairs. Her former good spirits have also re
turned.

FACIAL EXPRESSION OF REMEDIES, by H. B. Fellows,


M. D., is an article so full of indications for remedies
taken from expressions of the face, that an abbreviated
statement of all the good things we find in it would lengthen
the Abstrat? too much. It deserves to be attentively
perused by the careful prescriber. '

[From the American Ohseruer, Detroit]


A CASE OF BRONCHITIS-CROUPOSA, ACUTA, by Dr. Kret
schy, translated by Dr. Lilianthal, recites the carefully re
corded symptoms of this very rare disease. Chronic Bron
chitis, by Thomas Nichol, M. D., is the thirteenth article
upon “The Respiratory affedtions of childhood," by this
writer. It is an interesting account of this very prevalent
disease.
The following points are given to aid in the diagnosis of
this affeétion from phthisis. Dry hacking cough in phthisis,
long before there is any expe&oration. In chronic bron
chitis the cough is often accompanied by copious expeétor
ation, almost from' the commencement. Phthisis cough,
except at later stages is short and tickling. Chronic bron
chitis has a deep, sonorous and paroxysmal cough. We
have haemoptysis in phthisis, rarely in bronchitis; early
stage of phthisis is marked by rapid breathing and harsh
sound on inspiration; in chronic bronchitis it is sonorous
and sibilant in the early stages, and mucus at later stages.

[From the New York Your-nul- of 'Homaeopathy, New York]


THE INFLUENCE OF THE MIND OVER THE HEART, by E. M.
Hale, M. D., is an able article, read before the Illinois Med
ical Association, and has for its objeéts: “ First, to show
the powerful influence which the mind (an and does exert
over the heart, and the manner in which such influence is
exerted. Secondly, the results which may be brought
32 Abstratt of Homeopathic Literature. [Sept]
about upon the normal condition of the heart by such in
fluence, and their value from a medico-legal and therapeutic
point of view.

THE SECTION PLAN IN THE AMERICAN INSTITUTE or HOM


(EOPATHY is the title of a communication from Dr. S. A.
Jones. The writer proposes a change in the programme.
This is to be effeEted by making each “ bureau ” a Section:
thus an Anatomical section, Physiological section, &c., and
we would infer that these sections might be in session at the
same time, in separate apartments. In this way it is claimed
every member attending the session can seleét just such in
tellectual food as shall interest him most.

GLAUCOMA, by Alfred K. Hills, M. D. “The general


pradtitioner, not familiar with diseases of the eye, should
consult an oculist whenever finding a patient with the fol
lowing symptoms.
Vision becomes more distant (hypermetropia): halos
make their appearance around the evening light: superficial
inflammation of the tissues, and spontaneous dilatation of the
pupil, generally of an ovoid shape: hardness of the glohe,
pain and diminution of vision.”
“ These symptoms will be generally present in the acute
form of the disease, while in the sub-acute we find sponta
neous dilatation of the pupil accompanying slight redness of
the eye, with hardness of the hall and diminished vision.”
The treatment should be, first, the carefully seleéted and
precisely indicated homoeopathic remedy. If the true
similimum cannot be found, iridotomy must be performed.
Bryonia alha is closely allied to the therapeutics of
Glaucoma. “ Coloeynth' will meet some cases, but pos
sesses no such relationship as Bryonia.

VOMITING DURING PREGNANCY, by S Lilianthal, M.D.—


This article furnishes valuable indications for the use of a
dozen or more remedies in this troublesome affeftion.
Our crowded pages will not permit of their reproduction.
1873.] Correspondence. Baak Natiees. .33

CORRESPONDENCE.
WHAT Is THOUGHT OF 1T.—\Ve cannot refrain from pub
lishing the following extraét from a private communica
tion recently received, showing as it does, what is thought
of the new appointments in the faculty, by one whose
judgment in the matter, we are disposed to put a high
estimate upon. ‘
* * * “ I wish to add, by way of postscript, thatI have
received the Hahnemann Medical College Announcement,
for 1873 and 74, and note some changes and additions to the
faculty. The unfortunate circumstances which produced the
vacancy, instead of weakening the College, must result in
materially strengl/zenz'ng it, since the vacancy has been
filled by one who is not only well qualified now, but whose
ambition will lead him to put forth every exertion, to
equal the very best in the land, and I know of no one
more likely to attain the end at which he aims.‘
“ Such branches as physiology, pathology and chemistry,
etc., may well be trusted to the hands of young men of
known attainments and great ambition. They will not
only teach accurately and thoroughly, but they will keep
up with the very latest discoveries in these branches, and
thus give _to tilt-Ill“ teachings the charm of freshness ;
besides, these young men get much nearer to the students
in their sympathies. All who know Drs. Farrington and
Betts, will congratulate the college in having secured their
services.”
IO:

BOOK NOTICES.
THE HOMCEOPATHIC FAMILY GUIDE, FOR THE USE OF
twenty-eight principal remedies in the treatment of the more Simple
forms of disease—By George E. Shipman, M. D. Together with
directions for the treatment of Dengue and Yellow Fever. By
W. H. Holcombe, M. D., of New Orleans, La. Chicago: The
Western News Company, 1873.
Of the many works for domestic use, which are in the
market, we esteem this one of the best. It is written in a
clear, forcible and interesting. style, is beautifully printed
on fine white paper, and while less voluminous 'than some
other Family Guides, is sufficiently full, and is exceedingly
well arranged.
The book is divided into three parts.
Part 1 treats of diseases by their name—ofsuch diseases as
are suited for domestic praétice. A brief description of
each disease is given, so that it may be distinguished from
34 Book Notiees. [Se pt.,
other diseases, and then a few direetions given as to the
treatment—medical and hygienic.
Part 2 is in the form ofa repertory, in which is found a list
of some of the most important symptoms (y‘ disease, with their
appropriate remedies.
Part 3 is on the Materia Medica, and here the most import
ant and charaéteristic symptoms of each drug may be
found.
The book is enriched by a chapten on Dengue and
Yellow Fever, by Dr. W. H. Holcombe, of New Orleans.
Dr. H. is a well-known writer and physician, and having
resided at the South for many years, is fully qualified to
speak of its diseases. These papers add much to the
value of the work for those who live at the South.
The book contains the photograph and autograph of the
author, and the profits of the sale are to be given to the
Chicago Foundlings’ Home.
A MEDICAL HANDBOOK FOR MOTHERS, OR HINTS FOR
the Management of Health, and the Treatment of the Disorders
common during Pregnancy and Infancy, by Alfred C. Pope
M. D': Henry Turner & C0., London, I873.
As the author says in his preface, “ this book is de
signed to assist the young wife and m'other in the manage
ment of her health, and in providing for the wants of her
infant,” and written as it is, in a plain and lucid style, free
from all unnecessary technicalities, and embracing every
topic of importance relating to those subjects, it is most
admirably adopted to the end for which it was designed.
No better work of its kind exists, and physicians will do
humanity a service, by recommending it for the careful study
of the young wife and mother. For sale by BGZRICKE &
TAFEL.
THE SANITARIUM.-A Monthly Journal, A. N. Bell, M.. D.,
Editor. A. S. Barnes & C0., New York and Chicago.
This valuable publication has now reached its fifth '
number, and has. fairly established for itself a reputation, as
an able exponent of sanitary science. The August number
contains articles on School Poisoning, Illustrated; Cholera
Stamped Out; Animal Refuse of Large Cities; Defective
Drainage. On the Aétion of Tea on the Human System ;
Cholera; the Morbid Effects of Alcohol ; The Public
Health; Editor’s Table, etc. Suitable for both professional
and popular reading, it should receive a liberal support.
THE AMERICAN JOURNAL
OF

Homoeopathic Materia Medica


AND '
RECORD OF MEDICAL SCIENCE.
IPfiiladelp/zza, September 1, 1873.

fiBRIEII' practical articles, Reports of Societies, Medical news, etc., etc.,


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper.
w'l‘he Editors assume no responsibility for sentiments or statements made
over the names of correspondents.
A. R. THOMAS, M. D., General Editor. ‘

THE APPROACHING LECTURE SEASON.


The preliminary leftures of the twenty-sixth annual course in the
Hahnemann Medical College of Philadelphia, will commence on
Monday the 29th inst, and the regular course on the second Monday
in October;
I Morgan, at 12theo'clock,
general
M. introduftory
- being given by Prof. J. C.

Never, probably, have the officers and faculty of this institution


looked forward to an approaching course of lectures with greater
interest, or felt more enthusiasm in commencing their labor, than at
the present time. With their ranks recruited by talented and ener
getic lecturers, with every facility at hand for illustrating their several
branches, with a hospital in complete running order, with a college
building, which, since the introduéiion of the recent improvements,
offers conveniences for the comfort of students, which will be sure to
be appreciated, and finally, with prospeas of an unusually large
class, they feel that they have every needed stimulus to incite them
to an. earnest and faithful discharge of the duties of their responsible
positions.
From the value of the preliminary course—as will be seen from the
list of leflurers and subjeéis on another page—it will be desirable that
students be present at the opening ofthe course. Two or three leftures
a day only, being given, students will have time for making all their pre
liminary arrangements for the winter, before the opening of the reg
ular course. Upon arriving in the city, students should call at once at
the College, where the Janitor may always be found, and who will
assist them in finding boarding places.
35
36 . Editorial Department. [Sept_ ,
THE SECRETS OF SUCCESS.
We are accustomed to look upon the acquirement of a large and
lucrative praftice, as the best evidence of the success of a physician.
Admitting this, and for the present saying nothing about the success
ful treatment of disease, as the true exponent of the physician's pros
perity, let us inquire what are the elements conducing to this end?
That a thOrough educational preparation is all important in the at
tainment of this obje6t, all will admit; but this is by no means the
only essential. Without tafl, and a knowledge of human nature, suc
cess will be slow and uncertain. A physician may acquire the best
possible training in the schools, may have the advantage of an
extended hospital experience, and yet from a lack of practical
common sense, from an inability to acquire and retain the full con
fidence of his patients, he may utterly fail in reaching that success
which had been predifted for him, and for which his qualifications
would seem to entitle him. _
The young man, who, in all cases where his diagnostic and prog
nostic skill may enable him to foretell the hopeless nature and cer
tainly fatal termination of a case of disease,bluntly informs the patient
or his friends that there is no hope, that nothing is to be done, is likely
to be discharged, and another sent for in his place. On the other
hand, he who assures the friends that there is no danger, that he is
certain of raising the patient, even where he knows there is great
doubt as to the result, or perhaps a certainty of a fatal termination.
commits a still greater error; as, after the patient is dead, he is very
likely to be considered as lacking either in knowledge or honesty.
An admission of ignorance of the cause or meaning of certain symp
toms, an appearance of alarm or anxiety- at any unexpefted change
in a patient, especially on the part of the young physician, will often
be the occasion of loss of confidence, which, with a little more tact,
might have been retained. .
Facility in making acquaintances. constitutes another important
element in acquiring a lucrative praftice. The young man who settles
among strangers should make it apointto secure letters of introdutftion
to as many of the citizens as possible, and should lose no opportunity
for extending his acquaintance. Neglecting these points, and setting
himself down in his office and waiting for praé'tice to come to him,
the young physician will be likely to become discouraged before he
can earn enough to pay his board. _
Facility in making acquaintances, a knowledge of human nature,
and taél in the management of patients, become therefore, import
ant elements for securing success for the physician.
VOLUME SEVENTn.—Again we present our readers with the initial
number of a. new volume, Encouraged by the success of the past,
1873.] _ Notes, Queries and Answers. 37
we enter upon the work with renewed interest, and shall earnestly labor
8) make Volume VII, superior to any of its predecessors.
A few changes will be noted in the form of the Journal, which we
consider as improvements. Arrangements have been effeéled for the
regular appearance of the Comparative Materia Medica, the Thera
peutics of Uterine Discharges, with other valuable matter, and with
occasional contributions from our many readers, aided by the prompt
payment of subscriptions, we shall hope to make a journal accepta
ble to all.
IMPROVEMENTS.—-In the interval since the close of the last course _
of lectures, important repairs and improvements have been made in
our College building, one of the most essential of which, is the cush—
ioning of all the seats, and placing of foot-rests in the lower leélure
room. These improvements will be at once appreciated by the
student, as his comfort during the many hours of listening to leclures,
will be greatly enhanced thereby.

NOTES, QUERIES AND ANSWERS.


*RHus IN INTERMITTENT FEVER, ETC.l—-The symptoms of Rhus

ameliorated during sweat, are found in intermittent fever especi


ally, so far as my observation extends. The dull, aching pains in
limbs and body, are ameliorated or leave entirely when the sweating
stage is fully developed. ,
I- have not made this a condition of much importance in selet'ting
Rhus for intermittents, but my experience with it in this disease is
limited. Perhaps at some future time Rhus. may correspond to the
genus epidemicus, when its finer points will stick out plain. A year
ago, Eupat. perfol was oftenest indicated for agues, but now I seldom
find use for it, (since May). Arnz'ea 200 is doing us good work,
lately. Also [feta/r. and Arsenic, in old cases.
In. two cases of intermittent I have verified the symptom of Gels. ,
"Sensation as if falling." Both cases were children and were cured
by Gelsem. 200.
I am 1107 grateful to Dr. Morgan for pointing out to me the charac
teristics ofthis remedy, (6618.), in children, especially, as it fills a blank
that heretofore existed in the treatment with me.
In the last number-of the Journal is a case of Cerebro-Spinal Men
ingitis reported as cured by Bell, high. I have tried this remedy
faithfully, in high and low dilutions for this disease, when it was a1}

*See July number.


38 Miscellaneous Items. [Sept.,
parent/y nicely indicated, but it has left me in the lurch as often as I
tried it, and had it not been for Gelsem. and Verat. vz'rz'dz', my patients
would have died. As it is, I have treated nine cases, all told, without
a single death. - '
Baptz‘sz'a is a remedy as dear to me as Quz'nz'ne to the Allopath, in
the remittent fevers of this section. I am sure that in many cases we
are able to cut short the disease by several days. i I have never

_ given it above the 3d, I-Io. If the Allopaths would use it until there
were clear intermissions, and then give Quin., in theintermission,
they would drive fewer patients into a typhoid condition than they
now do.
ELKHART, IND., Aug, 4, 1873, A. L. FIsIIER.

MISCELLANEOUS ITEMS. \
THE total number of deaths from cholera in Cincinnati, between
the I4th day of June and.the 14th of july, was 15}.
THE WHOLE medical staff of an English hospital recently resigned
because a lady physician had been eleéted house surgeon.
A PECULIAR weed growing in the vicinity of Cairo, by striking
against the face of the cattle when grazing, is said to have the pecu
liar property of causing temporary blindness.
A WEALTHY citizen of Indianapolis has given $500,000 for the en
dowment of a medical college to be attached to the Northwestern
Christian University.
DR. FONTAINE, of Spencer, Mass., has been held in $2,000 bonds
for manslaughter, in causing the death of a child by using small-pox
virus for vaccination, instead of vaccine matter.—1V. Y. Tribune. .
EXPERIMENrs by M.M. Estor and Saint Pierre, show that when
glucose is injeéted into the blood-vessels it is consumed; its disap
pearance being attended by a consumption of oxygen and a pro
portional produétion of carbonic acid.
"STATISTICS OF the Russian Empire show that the children of
faftory hands are affefted with Richets to a deplorable extent. The
sick rate among the hands is from 60 to 70 per cent. Factory
Yj/phus being the most prevalent disease. The mean duration of
life is only 20 years—Popular Science Monthly.
THE AMERICAN ARTIsAN gives an instance in which typhoid fever
attacked one-half the families that used milk from a certain dairy.
On making investigation. it was found that the cows drank water
from an old underground tank of wood, which was decayed, and from
which water, doubtless, found its way into the milk-cans in other
ways than through the udders of the cows.
TREATMENT OF DYSPEPSIA WITHOUT MEDICINE—Dr. Brown
Sequard has employed successfully, in the treatment of dyspepsia,
the method of giving the patient every twelve or fifteen minutes, a
few mouthfuls of solid food, chiefly meat and bread, with wine and
water every thirty or forty minutes, instead of the regular three meals
a clay. The improvement was prompt and decided.
1873,] Miscellaneous Items. - 39
A CURIOUS instance of spontaneous combustion is reported from
New Hampshire. A physician had prescribed linseed oil and cam
phor for a severe pain in the chest, and the patient complained of
the heat soon after its application on cotton batting. In about an
hour he protested he could bear it no longer, and before it could be
removed it took fire, aftually blazing up and burning the poor fellow's
neck severely.
TROUBLE IN HARRISBURG.—The new hospital'enterprise in Harris
burg has had a cloud thrown over it by the resignation of the entire
medical faculty. The trouble sprang out of the homoeopathic physi
cians of the city tendering the service of several of‘ their number in
case any of the hospital inmates preferred homoeopathic treatment. A
case of such medicines was allowed to be taken into the institution bythe
Board of Trustees ; but the original medical faculty objefted to this
course and now have resigned. The trustees promptly accepted the
resignation of all but two of the physicians, and it is believed they
will retire, whether they receive permission to withdraw or not.
TO BRING A DROWNING MAN To SHORE—Approach the drown
ing man from behind. Seize him with your left hand by the hair,
coat collar or Shoulder. Turn him on his back, and then place his
head upon your Chest, and with your right arm free, swim upon
your back to the land. (If by the left hand alone it be too difficult
to turn him upon his back, apply, in addition, the right hand to his
right shoulder, and the turning will be easily accomplished.) If he
be conscious, encourage him, and direft him to straighten out his
legs.
If the drowning man be out of sight under the water, watch care
fully for the rising of a bubble upon the surface; he will probably-be
found direftly below it.
N. Y. STATE HOMCEOPATHIC INSANE ASYLUM.
The annual meeting of the board of trustees of this asylum was
held recently in Middletown, Orange county. Eighteen of the twenty
one members of the board were in attendance. The officers eleifted
were: Fletcher Harper, Jr., president; Grinnell Burt, vice-president;
‘Peter S. Hoe, treasurer; M. D. Stivers, secretary.
Executive committee— John Cowdry, Dr. Draper, james G. Gra
ham, M. D. Stivers. _
Finance Com.—E. P. Wheeler, H. R. Low, VV.Wales, A.B. Conger.
Building committee—Grinnell Burt, Dr. Draper, E. P. Wheeler,
D. Thompson.
Dr. Henry R. Stiles, secretary of the bureau of sanitary inspefition,
of the city 'of New York, was appointed medical superintendent in
lace of Dr. Henry D. Paine, resigned.
The members of the board inspefted the central or executive buil
ding, as it is designated, now nearly completed, and expressed them
selves greatly pleased with the plan of the building and its beautiful
external appearance. This struClure is expedted to be completed,
ready for the reception of patients, in September or Oftober.
The building committee were instruCted to commence at once the
excavation for the basement story, and to procure plans for an addi
tional building of substantially the same size as the present one,
three stories high, and costing about $75,000.
As soon as the plans are obtained, the contraé't for the new building
will be let at once, and it is expeCted that the building will be inclosed
before the setting in of cold weather.
40 ~ Personals. [Sept., I873.
PERSONAL.
We would feel obliged if our subscribers would aenrtus for insertion. under this head, notices of removall
marriages, or deaths nfllemmopallhlc Physician.

THE FOLLOWING physicians, in addition to the members of the


Faculty, will leaure in the preliminary course of the Hahnemann
Medical College, commencing on the 29th inst.
DR. J. B. \Vooo, of Westchester, Pa.—Subje€t: Advice to clergy
men, doftors and students on the subjeft of tobacco:
DR. J. J. YOULIN of Jersey City, will give three lectures :—
Ist. On the Importance of @ittle Things in Practice.
2d. A glance at the Diseases of Infancy.
3d. A glance at the Diseases of Children.
DR. THEODORE Y. KINNE, of Patterson, N. J.-Subje&: The
diagnosis and treatment of Uterine displacements.
LECTURES will also be given by Prof. Hiram Corson, A.M., of Cor
nell University, Hon. John R. Reading, M. D., late member of Con
gress, J. T. Pratt Esq., and others.
DR. C. B. KNERR, assistant of Dr. C. Hering for the past three
years, is spending a year in study and travel in Europe.
PROF. I). H. BECKWITH has returned from his European trip.
PROF. H. N. MARTIN, who has been spending the summer at At
lantic City, has returned to his post of duty in the city.
DR. R. E. CARUTHERs, of Allegheny City, has moved from 67 Arch
Street to 52 East Diamond Street.
DR. GEO. HOSFELD, from 826 Wharton St., to 1229 S. 8th St., Phila.
DR. F. A. RocRWITH, from Newark, N. J. to Saginaw City, Mich.
PROF. WM. T. HELMUTH announces that his new work on Surgery
will soon be through the press.
DR. M. C. BRAGDON, has formed a co-partnership with Dr. 0. H.
Mann, at Evanston, Ills. Dr. Bragdon has recently returned from
Vienna, where he has been continuing his studies since graduating
with the last class of the Hahnemann Medical College, ofPhiladelphia.
MARRIED.—WAUGH.—REYNOLDS.—Th60. R, Waugh, M.D., of
St. Albans Vt., to Miss. Adah J. Reynolds, of Carthage, Jefferson
County, N.Y. '
Ceremonies in the First Presbyterian Church, by the groom's
father (Rev. John Waugh), on 12th of June, I873.
__
DIED.— Dr. Alfred Zantzinger, of this city, on the 16th ult., of
typhoid fever, aged 34. years. Dr Zantzinger graduated at the
Homoeopathic Medical College of Pennsylvania, in the class of 186I .
He had acquired a large pratf‘tice, and from his sterling integrity of
character had made many friends who will deeply feel his loss.
DIED.—Myra N., wife of Dr. W. C. Dake, of Nashville, Tennessee,
June 13th, I873.
The American Journal

@ummupaflgir mantis jammy

RECORD OF MEDICAL SCIENCE.

New Series. 3 I l 8 7 3. {WBOLVI1?.VI14§XIVI


Vol..8. No.2.
4 ./

DEPARTMENT OF SURGERY.
GUNSHOT WOUNDS.

BY F. HILLER, M. D., of San Francisco, Ca].

[Reported at the annual meeting of California State Homcenpathic Medical Society.]

CASE I.—E. W., aged 28 years, a professor of music, a well


developed man, of good habits, received a compound com
' minuted fracture of left arm, by the accidental discharge of
a navy revolver.
The ball entered above the wrist, fraéturing and passing
through the radius, and in its course upwards, fraéturing
the ulna in its upper third, passing through the elbow
joint, splitting the condyle of humerus in two, kept along
the internal surface of the humerus and imbedding itself in
the axilla.
The bones were much splintered and displaced; there
was considerable loss of blood, but the principal arteries
were not wounded, which is surprising if we consider that
the ball in its course passed in close proximity to them.
I had but little hope of saving the arm, because I have
seen cases terminate fatally where the joint was less involved
In this case, the ball, after fraéturing the ulna, passed along
and over the inner surface of the same without injuring the
olecranon, striking the humerus in or near the trochlear
VOL. VlI.—No. 2.
42 ' Dkpartment of Surgery. [om
depression, and after splitting off the internal condyle of
humerus, running'up to the axilla as above stated.
After the bones were brought into position as nearly as
could be done under the circumstances, the arm was placed
in an angular splint, slightly bent, for the reason, that,
should the arm be saved, the patient might be able to fol
low his profession. It appeared at the time that ankylosis
was inevitable.
Arnz'm lotion was employed for the first two days.
February 11th. Arm much swollen and inflamed, Calen
a’ula substituted for Arnica. _
February 12th. Arm is very painful, swollen up to ax
illa ;.has an erysipelatous appearance, high fever, pulse I 10.
Aron. 3; opened several abscesses; scant discharge of milky
pus. Calendulzz externally.
February 13th. Profuse discharge of sanguineous pus;
less pain, no fever. A very weak, watery solution of Kali
must. was now substituted for Calendula, compresses
moistened with this solution placed over the whole arm,
and the abscesses and sinuses well syringed with same.
February 20th. There has been no change of treatment,
the wounds are syringed twice a day; less swelling and
suppuration.
February zlst. Called in haste; found the patient bleed
ing from the arm, profuse arterial haemorrhage, easily con
trolled by pressure of the brachialis.
February 24th. Several bleeding spells during past three
days, easily controlled as above with appropriate bandages.
After this the arm gave no more trouble. No change of
treatment, except that an occasional dose of Lac/zeszlr or
Sz'lz'cea was administered.
April 1st. Wounds in forearm are closing; suppuration
continues from upper arm.
April 10th. Bones of forearm are firm, probe passes in
a sinus up to the axilla without discovering the ball. EX
amination discloses that the internal condyle of humerus
was loose, and necrosed, which necessitated its removal.
1373,] Department of Surgery. 43
The patient being under the influence of chloroform, I
made an incision over and along the condyle, for about two
inches and a half, through which the necrosed bone was
with difficulty removed, which proved to be the entire con
dyle with the trochlear articulation, and three inches and
a half of the internal border of the shaft of humerus. After
the dead bone was removed, and while the patient was in
an upright position, to have his bed changed, the ball
dropped out of the wound. The wound healed readily;
patient sitting up every day.
On the 6th day of May he was discharged, with an arm
still greatly serviceable to him. He has lost use of the
elbow, but has free use of his forearm and fingers. He plays
the piano and the organ with great facility.

CASE 2.--A. J. J., aged 26 years, was shot in right knee,.


the ball lodging in internal tuberosity of tibia. The man
was treated by several physicians for over two months, when
they recommended amputation. The friends as well as the
patient objected and demanded further council. I was called
to see the patient. Found the leg much swollen, a num
ber of fistulous openings connected with putrid abscesses
burrowing into the muscles of the leg. After learning the
nature of the injury, I probed down to the bone and dis
covered the bullet imbedded there. On account of the
putrid suppuration, the swelling of the limb and the low
condition of the patient, I deferred operating until there
should be manifest improvement.
Administered Arsenz'cum, 6c., in water, to be taken during
the day, and a very weak solution of Kali. caust., applied
with compresses externally ; the sinuses were syringed with
the same solution. In two days the leg had a much bet
ter appearance, swelling and discharge diminished.
After the patient was under the influence of chloroform,
Imade an incision of four inches to thebone, near the
border of the ligamentum patella; an assistant separated
the tissue in a manner to enable me tov cut down into the
bone with Hay’s saw, and to remove with the chisel a
44 Department uf Surgery. [Oct.,
triangular piece of bone with the ball imbedded; all the
necrosed bone was removed and after carefully cleansing
the wound it was united with four wire sutures. The leg
was now placed on an inclined plane, and kept in a
slightly bent position.
The wound healed kindly. In about two months the patient
moved about on crutches. It was several months before
the wound had entirely closed, but it gave no further
trouble, except that the knee was ankylosed, as was anti
cipated. Treatment as in preceding case.

CASE 3.—Geo. H. M., aged 19 years, returning from


Camp Lyon, in Montana, with a government wagon, when
about 6 miles from Dun Glen, in attempting to shoot a
hare, the gun burst, lacerating his left hand in a fearful man
ner. Fragments of the gun passed through the hand,
_ carrying off portions of the metacarpals of the two middle
fingers, and fraEturing the same in the forefinger and thumb.
The hand was fearfully torn. Being out on the plains
where surgical assistance could not be had, the hand was
tied up rudely ; cold water was applied when it could be
had. He suffered much from loss of blood. As soon as
he could bear transportation, he was conveyed to Virginia
City, Nevada, a distance of 140 miles; being four days on
the road. When I saw the patient, I found the hand very
offensive, badly swollen and very painful.
Although he had kept up very well during the four days,
and was courageous, it was necessary to bring him under
the influence of chloroform. After removing the bandage,
the hand appeared like a mass of decaying flesh, and alive
*with maggots. There seemed to be but faint hope of sav
.ing any portion of the hand. Considering, however, that
.two or three fingers would be of great value, I made the
.attempt.
The two middle fingers were at once amputated, the,
,remnants of the metacarpals disarticulated, the dead tissue,
so far as this could be done, removed with the knife, and
1 873.] Department of Surgery. 45
after the wound was carefully cleansed with a weak solu
tion of Caustic potassa, it was united with several sutures,
and splints were applied to forefinger and thumb. The
wounds healed kindly.
After ,a few days the patient was able to carry his arm
in a sling, and in about two months he was discharged
cured, having some use of the thumb, fore and little fingers.
Treatment as in preceding cases.
Kali causticum. Of all the remedies recommended in
surgical cases after suppuration has ensued, Caustic potassa
takes the first rank. (See U. S. Medical and Surgical
Journal, Vol. V., page 159.) .
By its application, the formation of pus is greatly dimin
ished. It produces a healthy granulation; it cleanses the
wounds and favors the discharge of pus; it keeps the
neighboring parts in a healthy condition. In more exten
sive traumatic injuries, it prevents inflammatory swelling,
and where it exists, it readily reduces it. In hospital
wards it cannot be dispensed with as a dressing; it suppres
ses foul odor and thus purifies the air. I have, during
the past ten years of surgical praétice, employed this Alka
line solutzon extensively, and I have obtained results which
cannot be produced by any other remedy.

Carholic acid. The praEtice of employing Carbolic acid


in fresh wounds and suppurating surfaces, has become the
fashion of the day. Almost every number of the Medical
Journals of both schools has something in its praise. I
believe, and this belief is cOnfirmed by experience, that
most of these recommendations in favor of Carbolic acid in
the treatment of surgical cases, cannot be sustained.
My experience does not confirm such reports. I find
Carbolic acid does not prevent complications nor constitu
tional disturbances, nor does it prevent sloughing. It re
tards I the process of healing and destroys granulation.
Wounds dressed with Carbolic acid leave unsightly cicatri
ces. It is a life destroying poison, especially remarkable for
46 Department of Surgery. [Oct..
its toxic action on microscopic forms of life, both animal and
vegetable.
Its disinfeétant qualities are supposed to be due to this
destruetive power; but the theory on which its use has
been founded is not well established, and in praEtice, its
efficacy is very doubtful.

MYELOID TUMOR OF THE JAW.


BY MALCOLM MACFARLAN, M.D.

Wm. Henderson, colored, aged 37, from Salem, N. J.,


was operated on, February 10th, 1873, before the college
class, for a tumor of two years growth, issuing from his
mouth, and of almost incredible size. Its greatest measure
ment from the border of the upper lip around the tumor,
lengthwise to the lower lip, being eleven and three-quarter
inches, and passing the tape around its smallest cir
cumference near the lips, showed eight inches. Externally
it was twisted and bent on itself, with the apex turned
towards the right. The jaws were separated to their
utmost, and the tumor as it grew, displaced forwards, and
thrust out the front teeth. The man was greatly ema
ciated from lack of nourishment, being but imperfeétly fed
on milk and fluids, which were allowed to trickle along
the left side of the growth, down his throat, while his head
was thrown backwards. The growth looked like the end
of a large elongated potato, held in the mouth, of slightly
lobulated, but smooth surface, dark red color, yielding or
elastic on pressure; very vascular, but not soft enough to
be broken by the fingers. The pain complained of was
trifling. The mouth was full, and the right cheek greatly
projeéting.
On account of its vascularity, the whole mass was re
moved by the écraseur, piece by piece, until the bone was
reached. The body of the inferior maxillary was found
greatly expanded, consisting of merely a thin shell, from
13734 Department of Surgery. 47
within which, in the cancellated structure, the tumor had
originated, and as it enlarged, burst its bony covering.
The remaining particles of fibre-plastic and osseous matter
were gouged out, leaving the right ramus in position.
The cleaned cavity was then crowded with styptic cotton,
which effectually controlled the free oozing of blood. The
man left the hospital in a few days, with absence of ex
ternal deformity, and ability to take proper nourishment.
I have heard lately that he has regained in a great measure
his former good health, with no return of the tumor,
‘nor any likelihood of it.
This disease somewhat resembles epulis or encephaloid
in appearance; is not disposed to ulcerate, of,slow growth,
vascular, and not. apt to return, when once thoroughly
removed. Photographs of the case have been taken.

Operation for Clry’t Palate.—Miss Mary Stafford, aged


18, of 191 Centre Street, Manayunk, Philadelphia, was
operated on at the hospital, for a cleft, which involved all
the soft and part of the hard palate. The operation dif
fered somewhat from that described in the August num
ber of this Journal. Using a lever gag, whigh acted
at the same time as a tongue depressor and supporter for
both sides of the mouth, I seized the parted uvula, on
either side, and put it on the stretch, by drawing down~
wards and towards the opposite side; this brought into
bold relief two resisting bands below and one above.
The two former, the palato-glossus, and the more promi
nent palato-pharyngeus were divided by stout scissors,
made for that purpose. The upper band, the levator
palati divided by transfixion. Both sidesof the soft palate
were then pierced internal to their hamular processes, by
a narrow double edged knife, cutting the tensores palati.
On account of the cleft involving the hard palate, where it
was rounded, a difficult part of the operation consisted in
bringing the parts together. In the successful case pre
viously reported, I made incisions near and parallel to the
48 Cases of Sudden Death. [Oct.,
alveolar processes, and thence raised the palatine mem
branes from the bone inwards towards the cleft, with a bent
chisel. In this case, after paring the rounded edges to an
angle, and making a straight incision above it, I peeled
up from the bones the membranes, beginning at the fresh
ened border, using first, pointed scissors and afterwards the
chisel, bringing the flaps together in a more horizontal
position. This is Warren’s method; a great improvement
over that of Roux. Sloughing of flaps is not so likely to
take place as in the other plan, where the- palatine vessels
are cut. '
Silver sutures were easily introduced and secured by
shot, using a Parker’s holder and very small needle. The
girl was fed on milk and clear broth, and to prevent
movement, the flaps were not disturbed by speech or degluti
tion, and constantly kept clear of mucus. In ten days, union
was perfect throughout, and the sutures removed at the end
of the second week. This case is noticeable from the fact,
that the operation was completed at one sitting, without
ether, and entirely successful.

ASPHYXIA PARTURIENTIUM; WITH ADDITION


AL CASES OF SUDDEN DEATH.—AUTOPSIES.
BY JOHN C. MORGAN, M. D.

EVERY little while one hears of a sudden and unexplained


death in childbed. The women are apt to be stout and
muscular, and if anything, better subjects than the average,
to all appearance. But, either in the beginning, or just
after delivery, it may be, some sign of unusual suffering is
noted, and in a few moments the breathing is suddenly,
and spasmodically, as it would seem, arrested; the lips and
face become livid, the patient unconscious, and, to the con
sternation of all,'it is directly evident that she is dead.
Then comes the query—Is it convulsions, or haemor
[187} Case: qf Sudden Death. 49
rhage, or heart disease, or laryngismus ? Or is the cause
of death undiscoverable?
The first case of the kind which came under my oWn
notice occurred some years since in Alton, Ill. The young
woman, who was single, was prematurely confined with
twins, had much pain during labor ofa crampy kind in the
right lumbar region, for which she got Bell, followed by
Pulsat. Lying on her back, with shoulders raised, she
gave birth to the first child, with my assistance. She then
looked pale, and said, “If I have another pain like that I
shall die." Thinking she was threatened with syncope, I
removed the pillows and lowered her head. Instantly she
became livid, the inspiratory effort became abortive, rapid,
and clucking in sound. I turned her to a prone position,
and attempted the “ ready method” of Marshall Hall, but
she was dead, and I removed the other child. My own
feelings were most unenviable, and I had no heart to say a
word about an autopsy. The children died in a few hours.
During the Atlanta campaign, an opportunity occurred
in which such experiences were familiarly discussed
amongst a somewhat numerous body of hospital surgeons. .
Little positive information was elicited, but rupture of the
uterus, with hamorrhage, was the generally-accepted ex
planation, and such was my own conclusion until recently.
Some weeks since I was called up at midnight by a dis
tressed husband, a German, saying he had ust come home
with the midwife, and that she pronounced his wife dead,
although her daughter supposed she was asleep ; and beg
ging me to come immediately, which I did. Sure enough,
she was dead. The first stage of labor was well advanced;
her lips were almost black with congestion. The account
given by her daughter was, that after her father went out
she came into the children’s room, got some baby clothes
and basket from the top shelf of the closet, returned to her
bed, called for a drink of water, began to utter distressing
sounds, and asked to have her forehead wet, which was
done by her daughter, who begged her “ not to go on so.”
50 Cases of Sudden Death. Lou"

These sounds or moans of distress gradually subsided,


until, as before stated, the daughter, a girl of fourteen,
supposed her mother had fallen asleep. The entrance of
the midwife was followed by the occurrences first related.
Gastrotomy was proposed, but rejected.
A post-mortem examination was held 20 hours later by
Prof. A. R. Thomas. A fine male infant, in the first posi
tion of the vertex, was removed through an incision in the
uterus. We had made sure that it would be found outside
of a ruptured womb, because the form was so prominent
beneath the upper abdominal walls. But the uterus was only
thin, not ruptured in the least, the placenta anterior and
low. The other viscera were normal.
Opening the chest, we found the lungs normal, and the
heart and great vessels perfect. Removing the top of the
skull, we found an unusually good brain; examined down
to the spinal cord.
We thought of examining the larynx, but the friends
objected; so having had already a prolonged search, we
gave up the fruitless effort no wiser than before;
Recently a case of death by asphyxia, from abscess of
the thyroid gland, occurring after labor, and published in
The Obsleirz'eal Yourna! for june, page 210, has given me
the impression that the cause of such cases of more sudden
asphyxia (for such the phenomena really seem to be) is to
sought in the thyro-laryngeal region. The voice in the
first-named case was such as would attend the spasmodic
retraction of the tongue, with the epiglottis closing the
larynx.
The phenomena appear to be convulsive, and ushered in
by peculiarly exquisite pain. But pharyngeal abscess,
tumors, polypi of the larynx, etc., are possibilities which
ought not of course to be overlooked, and rupture of the
uterus itself may indeed account for some cases.
Unexplained sudden death is not, however, confined to
women in labor. Several years since I witnessed an autopsy
by Prof. Thomas, upon the body of a gentleman, a patient
1373,] Cases of Sudden Death. 51
of Dr. Kitchen. Confined to the house a few days by some
slight ailment, he was convalescent, and whilst drawing on
his boots to go to his business, fell dead. The post mortem
revealed absolutely nothing.
The recent death of our esteemed friend, Dr. David
James, although long impending, was sudden and syncopic
at the last. His lungs were congested here and there, and
the liver in nutmeg degeneration; his kidneys not unhealthy,
the left end of the pancreas enlarged and indurated (the
seat of a severe chronic pain, which he was accustomed to
refer to the descending colon). Much serum was found in
the cavities. The coronary arteries of the heart were found
brittle, separable from the tissue of the organ, and appa
rently calcified. He had had many attacks of cardiac agony,
which were endured as became his exalted Christian cha
racter.
About the same date another sudden death came under
my notice. A middle-aged man, a drinker of ardent
spirits, subject to gastric pain, awoke one morning with a
severe attack. His wife gave him a mustard emetic, after
which he got much worse. Dr. Thomas was summoned.
His symptoms were those of a collapse, identical indeed
with those of a “congestive chill.” He got Arson, Veratr.,
Cnprnm; no relief. On the second morning I saw him in
consultation. He was sitting in an arm chair, pulseless,
pale, with livid lips; the pain in the epigastrium forbidding
motion, he sat very still; skin cold and clammy; much
belching ; feeling in epigastrium as ifa heavy stone were
lying there; wanted to be covered up. He received Nux
Vom, 200, in repeated doses. After I left he got upon the
stool, then was returned to his chair; held up his hands
saying, “ Why, what does this mean P” and expired. The
autopsy revealed a large and fatty liver, a ruptured spleen,
with profuse extravasation of blood in the abdomen, some
gastro-enteric venous engorgement, probably much reduced
at the moment of death by the haemorrhage, and rupture
ofa main branch of the portal vein, behind the peritoneum.
52 Clinieal Cases. [Oct.,

The epigastric pain was probably due to engorgement


of the already big and heavy liver, (also reduced by the
hzemorrhage.)
In the right cavities of the heart, as is common in death
by “ congestive’.’ diseases, was found a yellowish fibrinous
clot, evidently of ante-mortem origin, besides the ordinary
red clots in their usual situation.
:0:

CLINICAL CASES.
BY H. V. MILLER, M. D.
ULCERATED TOOTH.—Nux most/2., Laeh.
A lady had severe prosopalgia, right side, from ulcera
ation of right upper bicuspid tooth. This had continued
two days; worse when recumbent; chilliness from move
ment; face distorted by swelling, without relief; vesicles
on inside of upper lip; pains implicate upper and lower
teeth of same side, but they are severest in first bicuspid,
extending thence to the eye; pulsating pains, indicative of
suppuration; extreme sensitiveness to pain; during se
verest paroxysms, yawning, sleepiness and swooning, fainting,
with pains not so severe, Hep. JVux nzosch. 2c, one dose
immediately took effeét, and in a few minutes, almost
completely relieved the pain, so that she rested well the
succeeding night. The second night afterwards, since
there was a decided aggravation of pain after drowsing,
she got Laeh. 2c, and after that time, rested comparatively
well. Finally under the ac'tion of Hepar s. 2c., the abscess
soon discharged.
DIARRHCEA.—Aloe.
A case of acute diarrhoea, with sudden urgency and
burning in anus, worse ‘at ahout 7 A. M, was promptly
cured by Aloe 2c.
UTERINE DISPLACEMENT.—Flatulent Colic and Globus
Hysterieus.
A married lady, had among other complaints, obliquity
of the uterus, to right side, with great sensitiveness of 05
i 1873.] Clinical Cases. 53

to touch and pressure, and flatulent colic, with acute pain


and soreness, especially in right iliac region; the pains
occasionedfainting. Sensation in" a hall, rising from epigas
trium to throat. Assafoetia'a 30, aéted promptly, relieving
colic and globus hystericus. Afterwards, Cantharis 30,
relieved severe dysuria, charaéterized by frequent emission
of a few drops of urine, with smarting pain.

PARALYSIS.—Silz'eea.
Dr. I. F. Baker, of Batavia, reports, that with Silieea
high, he once cured a case of partial paralysis, of the
motor and sentient nerves, in the lower extremities of a
patient, occasioned by the suppression of profuse and of
fensive foot sweat. The latter complaint, was soon re
stored, and ultimately cured by ‘the same treatment. Sup
pression of foot sweat, indicates Apis, Chain, Cupn,
Mere, Nate, Nitr. ae., Puls., Sep, 527., Rhus.

CHARACTERISTICS FOR ‘ARSENICUM.


Has to sit up in bed with hn'ees drawn up; rests her head
and arms upon her knees.
MRS. , aged 50, has been sick three weeks with
rheumatic fever; now affeéts her heart and lungs; also
head. Given up to die by two old school doétors. In
sittingr up in hed, hnees drawn up, resting her head upon her
knees. I: in great distress in chest, can’t tell where; puts
her hand over region of heart. Cannot keep still. Constant
motion prevents examining heart or lungs. Arsenieum 200,
followed by Ars. 5m, relieved and cured her.
Mrs. , aged 35, has had asthma ten years. Is sitting
up in bed, cannot lie down; knees drawn up; short hi'eath;
constant cough ; severe pain in upper hatf of right lung.
Arsenieum 82 1n., was given, ‘one dose. In twenty minutes
was asleep. Was able to lie down in less than ten minutes.
Slept well all night.
A. M. C.
54 Clinical Cases. [Oct.,

RANULA-THUJA, 30.
BY W. H. BIGLER, M.D.

LAST summer Harry R., aged 14, presented himself with


a ranula, of the size ofa large hazel-nut, on the left side of
the frenum linguae. With the exception of the inconve
nience experienced in talking, and eating and drinking, the
patient had nothing to complain of. Having heard that
the remedy had been recommended as almost specific in
such cases, I deposited with all due care a dose of Cale. 0.,
7 m. upon the expectant 'tongue of my patient, and dis
missed him with a placebo.
At the end of a week he again made his appearance
with the swelling still there, and if anything, somewhat
larger. As I could hardly regard this increase in size as
one of the “ aggravations,” resulting from the use of high
potencies, I determined to try some other remedy. On
re-examining
ill/14871855 about itthe swelling,the
to warrant I thought I detected
trial of Tlmja, sufficient
of which I gave

four powders of the 3ol/z, to be taken in water, a teaspoon


ful every three hours. '
At the end of one week, patient reported a slight decrease
in the size of the tumor, and by the end of the fourth week,
under the use of the same remedy, continued in the same
frequent doses, it had diminished to the size of a small
pea, wit/mat aggravation: of any kind. \
I heard nothing of the patient for about four weeks, when
he again presented himself with the tumor of the original
hazel-nut size! So soon as he had ceaSed taking medicine,
the swelling had begun to increase. Thinking to improve
upon my last partial cure, I gave Thuja, 3d dec., to be taken
in the same way as the 30th had been.
At the end of one week no improvement, and no aggra
vations. ‘
T/zuja 30, again continued for little over four weeks, as
before, entirely removed the tumor which has not re
appeared.
THE

THERAPEUTICS OF UTERINE DISCHARGES.

BY HENRY MINTON, M. D.

AMMONIUM CARBONICUM.
Carbonate of Ammonia.

Menstruation,—Pre1nalure and abundant, the discharge


consisting of blackish clots or of light-colored blood, which
is acrid and makes the thighs sore. Menstruation too
early, too scanty and of too slwrt duratian.
Capions flow, especially at night, when standing or riding,
and after a ride in the cold air. Discharge of serum from
the uterus.
Before Menstruation.—Paleness of the face, griping
colicy pains, violent pains in the small of the back and be
tween the scapula, which passes off with pain in the abdo
men; constipation tenesmus, toothache, back ache and
chilliness. Unconquerable sadness. Clialera-li/ée symptoms
at the commencement of the catamenia.
During Menstruation—Palmer: of the face, great
bodily prostration, soreness of the thighs, yawning, tooth
ache, pain in the side and small of the back. Violent colic,
with tension between the shoulder blades. Cutting colic in
the abdomen, pressure downwards and desire to remain in
bed. Swelling, itching, and burning in the pudendum.
Diarrhoea and vomiting. Menstrual blood bright red,
with pains in the pelvis, as if pressed or squeezed together.
She does not want lo talk or to near others talk.
Leucorrhma,—Projuse acrid leucarr/zaea. Watery burn
ing discharge from the uterus. 0
Concomitants.-—Serious mood. Disposed to weep.
Great anguish, as if she had committed a crime. Great
aversion to water; cannot bear to touch it. At every men
55
56 Therapeutic: 0f Uterine Discharges, [0ct_,
strual perioda discharge of blood from the bowels. Ham
orrhoids worse during menstruation. -
Great general debility, soreness and lameness of the
whole body, and especially of the thighs. A feeling as if
lamed and bruised by blows. Yawning, toothache, pain
in the small of the back, tearing in the joints, and chilli
ness. Sterility.
Great sensitiveness to cold, open air. Inclination to
stretch the limbs. General uneasiness of the whole body
in the evening. Emaciation, Apprehensive anxiety. Cloudy
weather produces ill humor. Violent headache after
walking in the open air. Chronic headache. Cold hands
and feet, even in a warm room.
Drowsiness in the day time. Sleeps badly at night, un
less she retires early ; the later she retires the greater diffi
culty she has in getting to sleep.
Nocturnal 'enuresis. Frequent desire to urinate, with
continuous pressure on the bladder. Urine pale and sandy.
Involuntary emissions of wine while asleep. Retarded and
hard stool. Dyspnoea from retrocession of an eruption.
Incessant cough, excited by a sensation as of down in the
larynx.
The right side of the body is more sensitive or more
affected than the left. Many of the symptoms become
aggravated in the open air, in the evening, on bending
down, during wet weather, and from wet applications.
Many are ameliorated by lying on the stomach, from ex
ternal pressure, while in a room, from warmth, and in dry
weather. This remedy is especially suited to weak or
nervous females, of -a lymphatic or venous temperament.

AMMONIUM MURIATICUM.
\ Murlata of Ammonia.
Menstruation—Premature and profuse, (Cal. c.,) with
pain in the abdomen and small qf the hack, the flow being
Seanty a’arh urine. Urine often burns and smarts as it
passes. Exceptionally too profuse secretion of urine.
1873] Therapeutics of Uterine Discharges. 57
more profuse at night; in the morning and day time it is
better.
During Menstruation—A quantity of blood is passed
with each stool. Diarrhoea and vomiting, with pressure
and contractions in the back. '
Leucorrhcea.—Discharge albuminous, like the white of
an egg, preceded by pain around the navel. Brown, slimy
discharge after making water; painless or preceded by
pinching around the navel. Leucorrhoea with~ distension
of the abdomen, without accumulation of wind.
Concomitants.—Apprehensive and melancholy, as if
caused by care and grief. Feeling of fullness in the head.
Lacerating pain in the head, darting from below upwards.
Burning in the corners of the eyes. Prosopalgia. Burning
in the face. Languor, especially of the lower limbs. Lac
' crating pains in the thighs. Shooting and lacerating pains
in the tips of the fingers.
Bitter taste in the mouth and bitter eructations passing
off after eating something. Nausea after dinner and when
walking in the open air; frequent and violent hiccough.
Vomiting and diarrhma during menstruation.
Stools hard and crumbling. Several loose stools during
the day. Stinging pains in the renal region. Pinching
colic, hindering respiration. Rumbling and emissions of
flatus. Pain around the navel previous to stool. Dis
charge of blood at stool during menstruation. Sore pain
in the rectum. Increased secretion of urine, especially at
night. Inclination to urinate at four o’clock, A. M.
Pain in the small of lhe hack, especially at night. Cold
ness of the back between the shoulders. Coldness of the
feet in bed. Pain in the left leg, as if the muscles were too
short. Aggravations during menstruation in the morning;
at night in bed, and often after rising from bed.
Especially adapted to fat, bloated, and lax women, who
are indolent and sluggish.
'58 Therapeutics 0/ Uterine Discharges. loci"
ANACARDIUM ORIENTALE.
Malacca Bean. ’

Leucorrhaaa.—With itching and soreness of the puden


dum, inereasea' 12y scratching. -
COncomitants.—Great ntental weakness. Contradiction
between reason and will. Cognition of two wills, one of
which hinders her from doing that to which the other
impels her. She is malicious, and constantly bent on
some wickedness or cruelty.
Congestion of blood to the head, with pain in the cere
bellum. Stitches in the brain. Fluent coryza. Weak di
gestion, with fullness and distension of the abdomen.
Morning sickness. Violent thirst. Ineffectual urging to
stool. Liability to take cold; sensitiveness to a draught of
air.
Aggravation from rubbing or scratching; from lying on
either side. She must lie upon her back.

ANTIMONIUM CRUDUM.
I. . . Crude Antimony.

Menstruation—Profuse, with a peculiar pressure in the


uterus, as if something would come out.
Leucorrhwa..—~Am'd smarting leucorrhcea. Discharge
of aeria' water from the vagina, which causes a sensation of
biting down along the ting/is.
Prqfuse dike/large of aeria' water mixed wit/z plugs. Ulcer
atea' os-nteri, dzlre/targing aerial water andpus.
Concomitants.—Sentimental mood, worse when walk
ing. in the moonlight; ecstasy and exalted love. Great
anxiety about her fate, inclination to commit suicide.
Gastric and bilious complaints. Thick milky-white
coating on the tongue. Aversion to solid food. Great
longing for coffee. 4
Diarrhoea at night, with great thirst for cold water.
Vomiting and diarrhoea. Vomiting of bitter bile or slimy
mucous. Sensation as ifa copious stool were going to take
place, when only flatus comes forth ; finally a hard stool is
18”] Therapeutics of Uterine Discharges. 59,
voided. Alternate diarrhoea and constipation. Stools often
liquid, containing portions of solid matter. Discharge of
solid excrement and blood. Discharge of mucus from the
rectum. Increased and frequent discharge of urine at night,
with mucous discharge and pain in the back. Brown,
red or dark urine. Gouty pain in the joints. Corns and
callosities on the soles of the feet.

APIS MELLIFICA.
Poison of the Honey Bee.

Menstruation—Profuse uterine heemorrhage, with


heaviness in the abdomen and faintness. Great uneasiness,
restlessness and yawning. Menstruation suppressed or
diminished, with congestion to the head.
Before Menstruation—Congestion to the head. Vio
lent labor-like, bearing down pains, which are followed by
a scanty discharge of dark, bloody mucous. Sharp, cut
ting, stinging pain in the right ovary, before and during
menstruation.
Amenorrhma.—Dysmenorrhoea and menorrhagia from
acute congestion of the ovaries.
Leucorrhma,—Yellow leucorrhoeal discharge; green
and acrid leucorrhoea, with frequent and painful inclination
to urinate.
Concomitants.-Irritab1e disposition. Jealousy, very
busy, restless, constantly changing her occupation. Awk
wardness; breaks things. (Bot/ism.) Great debility after
work. Headache, the brain feels tired. Congestive head
ache. with suppressed menstruation. Pressing pain in the
fore-head and temples, worse on rising and in a warm
room, relieved by pressing the forehead together.
Oppression of the chest, shortness of breath, rapid and
painful respiration, especially when ascending or lying
down, relieved by inhaling fresh air.
Inflammation, induration, swelling and dropsy of the
ovaries. Stinging pain in the ovaries, aggravated by sexual
intercourse. '
60 Therapeutics of Uterine Discharges. [Oct.,
Wax-colored skin. Red spots like bee stings here and
there upon the skin. (Edema, or dropsy, without thirst.
Enlargement of the right ovary, with pain in the left
pectoral region, with cough. (Edematous swelling of the
eyelids. Waxy paleness of the feet and legs, which are
swollen. Skin unusually white and almost transparent,
with ovarian dropsy. Ascites, urine scanty and dark col
ored, with great soreness of the abdominal walls and sting
ing, burning pain.

APOCYNUM CANNABINUM.
Indiuu Hemp.

Menstruation—Profuse uterine haemorrhage, the flow


being either continuous or paroxysmal, the blood either
fluid or clotted.
Amenorrhtea.—In young girls, attended with bloating
of the abdomen and extremities.
Concomitants.——Great drowsiness, weakness and pros
trated state of the system. Vertigo, nausea and vomiting.
Distension of the abdomen, oppression of the chest, pal
pitation of the heart.
All kinds of dropsies, with a sinking sensation at the
pit of the stomach. Great prostration and fainting when
raising the head from the pillow. Irritable condition of the
stomach ; cannot retain even a draught of water.
Diminished quantity of urine. Small discharges of light
yellow or dark thick urine. Frequent desire to urinate;
severe pressure and pain at the neck of the bladder.
Heaviness of the extremities, swelling of the hands and
feet. Dropsical swelling of the extremities. The skin
cracks and exudesserum.

ARALIA RACEMOSA.
American Spikenard.

Leucorrhcea.—With acrid, foul-smelling discharge and


pressing down pains in the uterus. Feeble state of the
nervous system. Great debility. Chronic uterine catarrhs.
1873,] Therapeuties of Uterine Discharges. 61
ARGENTUM NITRICUM.
Nitrate of Silver.

Menstruation—Profuse, with cutting pains in the small


of the back, groin and pelvis, especially in withered and
dried-up-looking women.
Metrorrhagia,—With much trouble in the head, greatly
aggravated by motion. Uterine spasms. Sexual desire
extinct. p
Leucorrhwa.—Of a mucous nature. Bloody discharges
from ulcerated os uteri and adjacent parts, attended with
pain in the back and great debility of the lower extremities.
Concomitants.-—Anxious and irritable mood. She is
always in a great hurry. Time seems to pass so slowly
with her. She is very anxious, and is obliged to do things
in a hurry. Errors and defects of perception.
Vertigo and enlarged feeling of the head, dizziness and
confusion of the head, especially when she attempts to do
anything, even to talk or think. Vertigo in the morning,
with headaehe. Headache, not severe, but dull and constant.
Moral and nervous disturbances come in quite regular
paroxysms, coming on every night, every morning, or at
noon, more particularly after dinner.
Great debility and weariness of the lower extremities as
after a long journey, with a general sick feeling, chilliness,
dread of labor, drowsy and sickly appearance. [Vightly
pains in the bath. Cutting pains in the small of the back.
Darting pains through the stomach and ahdonzen. Violent
cardialgia. Painfully oppressive distension of the abdomen.
Stomach feels as though it would burst with wind. Fre
quent evacuations of a greenish fetid mucus, with emissions
of noisy/lotus. Emission of a few drops of urine, with-a
sensation as if the interior of the urethra were swollen.

ARNICA MONTANA.
Leopard’s Bane.

Menstruation—Profuse, especially aftera concussion, as


from a blow, or a fall, or a shock to the system. Premature
menstruation. Blood of bright red color, mired with clots.
\
62 Therapeutirs of Uterine Discharges. loch,
Heat about the head and cool extremities. Symptoms as
though the menses were about to appear. Discharge of
blood from the uterus between the periods.
Menorrhagia.-—With pains in the small 0f the back, ex
tending into the groin and down the inner side of the thigh
and leg to the great toe. '
Concomitants.—Execssive sensitiveness of the mind, with
anxiety and restlessness, peevishness, hopelessness, quarrel-'
some, tendency to start.
Head [wt and bady cool. Vertigo, especially when walk
ing. Burning in the brain, the remainder of the body being
cool. Headache over the eyes, extending toward the tem
ples, with a sensation as if the integuments of the forehead
were spasmodically contracted. .
Tendency to small boils. Ecchymosis on various parts
of the body. Varicose veins which feel sore and bruised;
painful cutaneous eruptions. Nausea in the pit of the
stomach. Sore and bruised feeling throughout the system.
Giddiness with nausea when moving about or on rising;
better when lying. Patrid emetatious, vomiting of blood.
Cannot walk erect on account of the bruised, sore feeling in
the uterine region. Brown urine, with brick dust sediment.
Bad effects from strains, bruises, falls, concussions and all
mechanical injuries. Especially adapted to nervous women
and sanguine plethoric persons with red face.

To be a good Therapeutist, a man must be well versed


in every department of Medicine, and be capable of observ
ing and reasoning well. He may be a good oaserY/er, and
yet a bad reasorzer. He cannot practice well unless he is
both, henCe 'the comparatively small number of good
Therapeutists.

WHEN we examine other professions, it is very plainly


seen that there is as much uncertainty and want of uniform
ity in opinions as in ours—Camegys.
ABSTRACT OF HOMGZOPATHIC LITERATURE
FOR OCTOBER.

BY B. FRANK BETTS,'M.D.

[New England .Mcdical Gazelle, Boston.] '


Y. Heber Smith, M D. publishes a very interesting arti
cle in the September number of this Journal, on the -“.Men
tal Symptoms of Drugs.” In the study of the mental
symptoms of our Materia Medica, he says we are often
impressed with the seeming identity of dissimilar drugs,
on aCcount of the imperfeétions of the language, and also
of the translations. There is likewise a want of physiolog
ical nexus, which shall enable. the student to comprehend
the true pathogenesis of a drug by its effeEts on the sen
sorium. Were this chain of consistency between mental
symptoms and those produced upon the periphery made '
more clearly visible, there would be increased respect for
our provings, and the memory' would receive an efficient
aid. He then goes on to show that there are connecting
links between the mental symptoms and the general symp
toms. To the older members of the profession who have
“ grown up” with our Materia Medica, there may not ap
pear to be a necessity for such a physiological interpretation
of the symptoms of a remedy, but the young physician
who finds our Materia Medica so voluminous, experiences
great difficulty in memorizing it, especially the mental
symptoms which are of so much importance in prescribing
efficiently. Therefor several laudable attempts have been
made at classification, so as to assist the memory and aid in
making selections, but, without these classifications are very
accurate—more accurate than we can reasonably expect at
present—they must be defe&ive and restrict us to a certain
set of remedies, to the exclusion of others. If we aim
however to arrive at the genius of each remedy for ourselves,
63
64 Ahstrat? of H0mw0pathie Literature. Loft"
by a physiological interpretation of its symptoms we will
find it less difficult to study the remedy, and will have a
guide to assist us in choosing the correct medicine, from
amongst several that seem to have a correspondence with
the symptoms of the case we are treating. A man whose
experience has taught him the genius of his medicines,
will be likely to select the right one from amongst several
that seem to be similar to the case, not because the partic
ular remedy has a greater number of the symptoms to
match the case, but as is often said to the utter annihilation
of the young doctor, because it suits the case better.
But let us refer to Dr. Smith’s interpretation of the symp
toms of Nux Mosehata.
Through the action of Nux .Mosehata on the vaso-motor
system of nerves, it contracts not only the cerebral blood
vessels, but also those of the periphery. Hence we have
the well known characteristics of this drug: chilliness with
unusual sensitiveness to cold and dampness, with general
pallor. From this lessening of the capillary calibre at the
surface, we are led to expect as a- matter of course that the
drug is capable of producing portal and thoracic engorge
ment. That this is the case, observe the following symp
toms recorded in the provings: heaviness in the region of
the liver; swelling of the liver; fullness of the stomach
with oppressed breathing; sensation of constriction of the
chest, &c., and as a resultant of this eugorgement, we find
what we should certainly expect, “depression of spirits and
hypochondriacal mood." '
Usti/aga Mazdis.—Dr. J. H. NVoodbury, of Boston, in
speaking of this remedy says: While some are loud in its
praises, others have come to look upon it as altogether
inert and worthless. The latter opinion may be attributed to
a want of familiarity with its peculiarities and characteristics,
from the absence of any thorough and reliable provings;
also, because the quality of the drug used in many in
stances, is defeétive. Like the ergot, it deteriorates rapidly
with age. He places very little confidence in any
1373_] Abstract of Homoeopathic Literature. 65
specimen more than a year old. It should be seleéted in
the field at maturity, before the autumnal rains and winds
set in, never from the shock or bin. It resembles ergot in
its physiological aCtion; contests uterine hmmorrhage, and
induces uterine contraftions in a Similar manner, but not
with the same_ promptness and vigor. It is more applica—
ble to chronic uterine haemorrhages and passive conges
tions. Hewould not give it in aétive haemorrhage from
enlarged uterus with dilated 0s and cervex, bright red
blood, easily coagulating, but where there has been a slow,
but persistent oozing of dark blood with small black co
‘ agulae ; where the finger upon being withdrawn from a va
ginal examination is covered with dark semi-fluid blood,
as though partial disorganization had taken place; where the
uterus is enlarged, the cervex tumified and the os some
what dilated, but swollen and flabby, indicating that the
whole organ is in a most passive and congested state; when
in spite of all treatment, the blood cOntinues to ooze day
after day, simply from lack of some means of overcoming
its “invincible inertia;” the (/lstilago is in such cases, a
remedy of most gratifying promptness and efficiency.

[American Observer, Detroit] '


Vcratrum Viridc.—H. M. Dayfoot reports two cures with
this remedy, one of “ rheumatic fever," the other of “ bilous
pneumonia.” He was lead to give it upon observing the
following symptom : Red streak running along the centre of
the tongue with coated sides.

Carbolic acid—Dr. E. C. Price, of Baltimore, has cured


the following symptoms with this remedy. Severe rheu—
matic pains in the left shoulder, (has been subjeét to rheu
matism for twenty years), and also, in the right hipjoint.
Feeling as though it would be impossible to raise the arm,
but, when the effort was made, it increased the pain but very
little. After taking Carbolic acid, 3x, on retiring, found
next morning the pain in the shoulder had nearly dis
66 Abstralt of Homeopathic Literature. loci"
appeared, but the pain in the hip was worse. Repeated
the dose and was well next day.
An unmarried lady complained of pains in the right
shoulder without sufh’ring from wooing the arms, received
the same prescription with prompt relief. Two months
after she complained of aching pains in the right shoulder,
like a toothache, when lying on her right side. Moving
the arm produced no pain; this remedy again relieved
her promptly. According to his provings in 1869, he re
gards the following as charadteristic: Pains feel as if they
would be increased by motion, but are not; they are sharp.
come suddenly, and leave as suddenly and last only a
short time.

[The M‘a’ical Union, New York]


Cholera—Dr. J. P. Dake, who has recently passed through
an epidemic of this disease, at Nashville, Tenn., says ;
from his own observations lately, as well as formerly made,
and from his views, of the causation of cholera, he can
specify the following as the most important precautionary
and preventive measures to be adopted against this disease.
I. A cool sponge bath and brisk dry rubbing of the e'n
tire person every morning on rising.
2. Usual avocations moderately pursued.
3. Avoidance of unusual fatigue or exposure to heat or
cold, especially to currents of night air.
4. Avoidance of large draughts of cold water, also, of
food difficult of digestion.
5. Avoidance of alcoholic drinks, especially beers fresh
made. Light still wines, such as Catawba, Ives', Seedling,
or Concord, may be used moderately at or after meals with
benefit. i
6. The best articles of diet are generally beefsteaks rare
broiled, beef rare-roasted, broiled mutton chops, good
bread, crackers, potatoes, tomatoes both thoroughly ripened,
hominy and rice well cooked, Japan or black tea, cistern or
freestone water moderately, very little milk or cream.
1 873.] Correspondence. 67
Upon the same principle as we apply the vaccine-virus to
variola, and Bell. to prevent or modify scarlet fever, he rec
ommends Cupruin met. as a prophylactic against Cholera.

[Hahnemannian Monthly, Philadelphia]


Carholic Acid in Burns..—F. G. Oehme, M.D., gives it as
' his experience, that this remedy excels all others in the
treatment of burns and scalds. One part of the crystals of
Carholic Acid to which twenty-five parts of Sweet Oil have
been added, should be applied with a soft brush, from every
two to four hours, or as often as the pain reappears, till the
new epidermis is formed. I-le precedes this treatment by
cold water applications, if called immediately after the acci
dent, until the first shock and pain is alleviated.

102

CORRESPONDENCE.
CHOLERA INST. LOUIS.
A. R. Thomas, M l).
DEAR SIR :—In answer to your request to- give you
some information about the Cholera in this city and
the Southwest, I would say that at no time this summer
has the Asiatic cholera been epidemic in this city. There
has been however, a great deal of cholera morbus and
cholera infantunz, of a very fatal character. There have
also been quite a large number of very virulent and
malignant fatal sporadic cases of Asiatic cholera, but at
no time have the fatal cases exceeded from'eighteen _to
twenty-five per week, being a very small per centage,
and for the last two weeks from six to eight per week.
There is no apprehension felt of its becoming epidemic in
the city this summer. It has been seemingly much worse
in the country and other towns and cities than here.
As to its origin and migration from place to place, I will
append what Dr. I. C. Peters, of New York, in his report,
says on the subject, which is very interesting at this time, and
68 Correspondenee. [rm .,
which will go far towards explaining its sudden appearance
in different parts of the country, and as suddenly disappear
ing again. Regarding its treatment, I have no fault to find
with the results of the usual Hahnemannian method.
Dr. Peters says: “In advance of a more full report, I can
state that to my personal knowledge, cholera was conveyed
from New Orleans and Memphis by steamboats to Louisville
and Cincinnati. The Health Officer ofEvansville also reports '
that the first three or more cases were landed there from
steamboats from below. The same has happened at St.
Louis. I also have very positive information that cases were
brought by railroad to Nashville and died there. In Gal—
latin, Woodburn and Bowling Green, the first cases, some
times three in number, were imported ones. But the mo
mentous fact stands out very strongly that, however the
disease may have been brought to or have originated in
Murfreesboro, Nashville and Bowling Green, and many
other places, the pestilence quickly and almost exclusively
localized itself in the filthiest parts of these towns, while
the cleanest portions almost entirely escaped. _
“In Murfreesboro no direét importation of the disease is
yet acknowledged, but it is well known that among the
earliest cases in the neighborhood was that of a negro
who arrived from Nashville and died in a house near the
town; the woman who nursed him, washed his clothes,
died, and two others in the same house. In Murfreesboro
the physicians generally admitted that the disease was true
Asiatic cholera, like that of 1866; but were also fully im
pressed with the Southern theory,,viz.: That a long, severe
winter, changing suddenly to a very warm summer, had
produced such a rapid growth of vegetation that all the
grasses and vegetables were very watery and unwholesome ;
the filth accumulated during the winter was suddenly ex
posed to a very hot sun, and bred a peculiar indigenous
malaria ; that the drinking water became affected, especially
in the lower portions of the town,which received sewerage
and drainage from above; that the disease crept along
the creek and water courses, wherever drainage, mists and
malaria most prevailed, and affected principally, or almost
exclusively, the‘black and low-class white who lived in such
places. These localizing influences were so great and
manifest that importation was not thought of or looked forI
especially as almost all the better and higher parts of Mur
1873.] Correspondence. 69

freesboro and the more cleanly and comfortable inhabitants


almost entirely escaped.
At Nashville the localizing causes of cholera were so
extended and apparent, that no importation of the disease
was looked for or generally believed. Nor are the Nash
ville physicians much to blame for fastening their attention
’almost exclusively upon these secondary and localizing
causes of the disease. They are so patent in Nashville
that they force themselves upon every one’s attention.
Comparatively few deaths occurred in the highest, cleanest,
best ventilated, best drained and best paved portions of the
city. The best residence and business portion of Nashville
during the whole of the terrible epidemic which raged on
its outskirts was almost perfectly safe to live in. The cholera
was almost exclusively confined to the outer limits and
low portions of the city, and carried off hundreds of those
living near the small streams or so-called branches, licks
and runs of water, especially the Lick branch on one side
and Wilson’s Spring branch upon the other, “along which,”
says Dr. Jones, “there has been a rapid and progressive
crowding of houses, or rather huts and shanties, either
clustered together in narrow streets and alleys, or more
frequently huddled together without system, and crowded
with a careless and filthy population, wholly deficient in
ventilation, without any facilities for the enforcement of
hygienic regulations, forming a most favorable field for the
lodgment and spread of disease like cholera, and rendering
it difficult, if not wholly impossible, to devise any efficient
measures for the arrest of communicable diseases in them‘.
“At Edgefield,just across the Cumberland river, and
scarcely halfa mile distant from Nashville, there were only
fifteen or twenty deaths. It lies on a low, sandy plain, is
supplied with good cistern water, and has broad, well ven
tilated streets. Its immunity was so remarkable that a
public thanksgiving was held “for being only partially
visited by the epidemic.” Similar cases are very common.
In 1849 it did not spread from St. Louis to Altoona for
more than a month.
“At Gallatin, Woodburn and Bowling Green, the first
cases were all imported; some of the Nashville fugitives
died in the hotels, followed by more deaths among the
inmates, and another scattering to more distant places, with
the same general result. At Bowling Green almost the
same condition of things prevailed as in Murfreesboro and
'70 Correspondence. [Oct.,
Nashville, viz. : The higher, cleaner and better parts of the
town remained free from disease, while the course ofa filthy
stream, and the low, marshy land below, which were defiled
with sewerage from above, were ravaged by it. Louisville,
a very clean city, built on sandy, gravelly soil, with broad,
well-paved streets, widely-separated houses, clean courts,
alleys, yards and stables, has again, for the fifth time, escaped
cholera. It has had little or none in 1832 and 1833, 1848
and 1849, 1854, 1866, or 1873. The disease has been re
peatedly landed there from steamboats and railroads, to my
own knowledge, but has never taken root, although it lies
in the direEt line of travel, both by river and rail, between
Nashville and Cincinnati, and Mobile always enjoys nearly
the same immunity.
“Cincinnati is not as clean as Louisville nor as foul as
Nashville, and cholera has pursued an intermediate course.
It was first imported as far back as May 22, by a steamboat
from New Orleans, and the first cases occurred on a con
tagious boat.
“The type of cholera which I have seen at the West is of
the most virulent and malignant type of Asiatic cholera,
marked by suddenness of attack, rapidity of fatal result, by
rice-water discharges, cramps, blueness, coldness of the
surface, nose and breath, pulselessness, absence of elasticity
of the skin, sunken eyes, pinched features, suppression of
urine, etc.—in short,scarcely any disease more virulent and'
malignant can be conceived of. It has, perhaps, advanced
North more slowly, because the emigration from New
Orleans upwards is far less than it used to be."
Every town and city on this continent should .161 on the
hints given above, as if they expected a visitation of the
cholera next summer (1874), and we are not entirely sure
that such will not be the case, because it generally lingers
in the country for a year or two after making its first ap
pearance. Very respectfully,
F. R. MOORE, M. D.

D10 LEWIS advertised through the country, that he could


tell any one how to grow fat on a dollar a week. We
won’t charge a cent for telling how to live on half that sum
-—live on your relatives Hundreds of people who have
tried it, can testify to the soundness of the above recipe.
1873.] Book Noticer. 71

BOOK NOTICES.

CLEAVE’S BIOGRAPHICAL CYCLOPIEDIA OF HOMGEO


pathic Physicians and Surgeons in the United States. Illustrated
with portraits on steel. Galaxy Publishing Co., Philadelphia, 1873.

After a year of Preparation, this volume finally makes


its appearance; and as a specimen of book making does
credit to the publishers, and will give satisfaction to the
subscribers. It is printed on fine toned paper, in double
columns, and makes a large octave of 5 12 pages; which, in
its gilt edges and heavy bindings, and with its illuminated
initial letters and sixty five portraits on steel, makes a hand~
some volume for the library or parlor table.
As an introduction to the work, we find a carefully pre
pared and comprehensive sketch of the life and labors of
Samuel Hahnemann, with a portrait; this being followed by
brief sketches of 710 of the homoeopathic physicians of
the United States and Canada.
It is to be regretted that there should have been any lack
of interest in this enterprise, on the part of the profession,
or any disposition to withhold information from the pub
lishers, as has manifestly been the case, as evinced by the
meager character, and in some instances by the total ab
sence of sketches of men, prominent in the profession, and
for information relating to whom, this volume will be fre
quently, but unavailingly consulted. The object of the
work—aside from any speculative purpose on the part of
the publishers—having been that of collecting material from
which the future history of Homoeopathy in this country
may be made, rather than that of promoting the personal
interest of any whose names may appear, it should have
received the hearty approval and co-operation of every
member of the profession. .
In judging of the price of this book, ($15) it is to be re
membered that the labor and expense of preparing a vol
of this character, is not to be compared with ordinary book
making, where the author may leisurely prepare his MSS.
without the aid of clerks or heavy office and other ex
penses. In this case, however, a correspondence had to be
opened with every homoeopathic physician in the country,
requiring a heavy outlay in postage, clerk hire, etc., in addi
tion to the expense of canvassing agents and competent
writers for reviewing and properly preparing the matter
for the printer, a corps of fifteen having been employed for
72 ' Book Notices. 1 [och
this purpose, as we are informed by the prospeetus of the
publishers. In view therefore, of the cost, in conneétion
with the necessarily limited sale, in our judgment, the pub
lishers will have to be content with quite a moderate profit
as the result of their venture.
It is hardly to be expected that the first edition at least,
of a work of this description, should be everything that
might be desired. We consider however, in view of the
faét, that the publishers of such a work must necessarily
be to a large degree unacquainted with the standing of
physicians throughout the United States, that it is a matter of
surprise, that the defeéts should be so few, and so incon
siderable. The experience which has been acquired in
issuing this, will enable the publishers to eliminate from the
pages of a future edition, any material which may not be
justly entitled to a position therein ; and we are assured that
these matters will be carefully looked after, and that many
additional names, including those of the leading European
homoeopathic physicians, will appear in a new edition
which it is proposed to bring out at no distant day.

THE HOMGZOPATHIC TREATMENT OF SURGICAL DIS


EASES. By J. G. GILCHRIST, M. D. Chicago: C. S. Halsey.
I87 3.
THIs important book, long expected, is now in the hands
of our dealers, ready for distribution.
Mechanically, we could wish for larger type and more
prominent headings, but it having been commenced as an
appendix to The Medical investigator, these could not, we
suppose, well be otherwise. In paper, presswork, binding
and general appearance it is well worthy of the enterprising
and tasteful publisher; which is saying a good deal.
Surgically our esteemed friend the author has done our
physicians a real and essential service, deserving not only
thanks but substantial support. Faults as well as excel
' lences are, of course to be expeéted. Some of the former
we could wish were less glaring, yet we suppose will, from
that very fact, prove the less hurtful. Among the minor ones
we observe, in a passage on page 23, non-suppuration of
scalp-wounds made peculiar to homoeopathy, and on page
302 the “first method” of acupressure of Sir James Y.
Simpson is spoken of as “ the acupressure method of
Sims," and which, by the way, the index does not enable
us to refer to. A dozen other “ methods” and modifications,
fully presented some time ago in this journal as well as
1873.] Book Notices. 73
elsewhere, are unnoticed. On page 318 Naevus is spelled
“ Nevus.” On page 157 Opium, in constipating doses, is
advocated for quieting the bowels after perineal and vesical
operations. To which we object: I. that in lacerated per
. ineum, which he particularizes, the tension of defecation is
effectually resisted by the use of Dr. T. A. Emmett’s bind
ing suture, which, passed from behind the line of the
anus on one 'side, around to the same point on the other,
(appearing in the vagina, then passed through the ruptured
septum into the rectum, then through the other lip of the »
same into the vagina again, lastly through the perineum,
emerging opposite the point of entrance; that this) turns the
raw edges of the rectal wound forward into the vagina, quite
out ofthe way ofthe faecal contents of the gut; 2. that success
has followed the omission of opiates in such cases ;_ 3. that
the large, hard stool which first comes after opium is
more injurious to the integrity of the wound than re
peated soft stools; 4. constipation usually follows such
operations without the use of opium, and if anything
rather needs to be controlled, to Prevent hard stools and
rupture of the union in its early stages; 5. sloughing is
more likely to take place after the opium routine than
under a sound homoeopathic after-treatment, a notable case
having occurred some time ago after lithotomy by a homoeo
pathic surgeon of this city; 6. Staphysagria has proved its
value in this class of wounds, and should not be superseded
empirically, or interfered with.
But the author’s aim has not been to furnish a complete
treatise on surgery, only surgical therapeutics. In this, we
may say he has fairly well succeeded. We think, however,
thata homoeopathic edition of Erichsen, which he informs
us in the preface was thought of, would have been more
creditable, and more useful as well. Others will differ from
this opinion, notwithstanding which, we commend the plan
for adoption in the second edition.
Therapeutically, where there is so much to praise we
should be glad to be silent concerning defects. We think
it but duty, however, and a kindness to the author to call
attention to the entire absence of any chapter on Surgical
.Feoer, one of the most important generalities in surgical
practice. An article of our own, published in this journal
and copied into some transatlantic periodicals of our
school, has pretty fully treated of this topic, and the omis
sion seems the more strange. We also gave indications
for a considerable number of remedies in shock of injury
74 Book Notices. [Oct.,
of which but three are here alluded to, omitting Veratrum,
Lac/zesis, Acauile, &c., &c. The chapter on " Traumatic
Delirium” is mostly good, so far as it goes; but whilst re
ferring (under Bay.) to Veralrwm for comparison, omits that
drug. craziness”
Some indications, as for Capri/m, are incomplete.
The“ of this remedy is sometimes at least shown I
in attempts to get away ; “ wants to go home,” or again (like
Stramam'zmz,) in fear of persons approaching.
Under syphilis we find no mention of Crap/c. 200 as a
. remedy for hard chancre, which, with the local use of gly
cerine, is our first thought in such cases, and which has
also been published. The indications for this remedy in
suppurations are well stated, however, under “Abscess,”
page 348—“ red, hard swelling, strumous indurations
(bubo P). Pus corroding,watery, scanty, very putrid smell,
like herring brine.” (We should rather say, like soured
soup).
In a few instances indications for remedies are given, but
discredited; which, whilst rather confusing, may be ac
cepted as evidence of the honesty, candor and reliability of
the rest.
Indeed, it gives us sincere pleasure to say that the thera
peutics of this book render it indispensable to the whole
body of homoeopathic physicians. Nowhere, outside of
the “wilderness of the MATERIA MEDICA," can such a mass
of valuable indications be found for surgical use. The
painstaking, conscientious and comprehensive labor of the
author will save precious hours, to say' the least, to all of
us who have the care of surgical cases. In the name of
such we desire. to thank both him and the publisher for
this timely contribution to our practical armament.
Among the good things in the work we, in passing,
take note of the cure of varicose veins of the leg and
scrotum by Hamamelis, internally and externally used, and
which we know to be reliable; the indications for Arum
Irz'p/zyllzmz in throat affections, on page I 10 (by the way, why
is this name so often* misspelled P); also the cure of pur
ulent ophthalmia with Acon., 200; the general advocacy of
purity in practice, &c., &c., &c. We trust and believe that
the work will meet with a ready sale, and that it will do
great good to both the classes interested—viz, homoeopathic
physicians and their patients. J. c. M.

* It is not uncommon to see it in print “ Aurum try." (! ! I) It is


not gold in any form, but simply “ Indian turnip“ that is meant.
THE AMERICAN JOURNAL
OF

Homoeopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.

Philadelphia, Oclober I, 1873.

WBRIEF practical articles, Reports of Societies, Medical news, etc., etc.


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper.
fiThe Editors assume no responsibility for sentiments or statements made
over the names of correspondents. ’
A. R. THOMAS, M. D., General Editor.

A NEW HOMCEOPATHIC SCHOOL.


The multiplication of Homoeopathic Colleges that has taken place
within the last few years has been more a source of regret than re
joicing to the profession at large. With no suitable college building,
with the most meagre facilities for the illustration of the demonstra
tive branches, and with the poor clinical advantages which they have
offered the student, they have presented little to excite the enthusiasm
of the well-wishers of our cause.
The organization of the Medical Department of the ,Boston Uni
versity, however, marks a new era in the progress of Homoeopathy,
and the profession not only of New England, but of the whole coun
try, may congratulate themselves upon this happy event.
The Boston University was incorporated in 1869, and liberally
endowed by a wealthy citizen of that city. Its schools of theology,
law, oratory, liberal arts and music, are already in successful opera—
tion, and now we have the first announcement of its Medical Depart
ment,
on theby8thwhich we learn that
of November, I! 873.the Both
first session of this
sexes are schooltowill
admitted theopen
lec

tures on equal terms and conditions, the ledtures being heard in


common, so far as seems appropriate in the judgment of the faculty.
A three years’ progressive course of instruftion has been adopted
and is generally recommended, but is not made obligatory.
If the success of this enterprise is to be commensurate with the
size of its teaching body, the new school is destined to an unparalled
prosperity, as the list of professors includes the names of eighteen
of the leading physicians of Boston and surrounding towns, (two of
75
76 Editorial Department. [Oct.,
them being ladies—Mercy B. Jackson, M. D., and Mary Satford
Blake, M. D.)," while there is also a list of eight “lecturers.” We
query, however, whether such a profusion of teachers will add any
thing to the advantages of the students, or whether so large a body
can be broughtinto practical working operation.

ANN ARBOR—~THE HOMGEOPATHIC QUESTION IN THE


UNIVERSITY.

[Correspondence of the Detroit Po:t.]


Ann Arbor, Septemoer 18, 1873.
The Attorney-General of the State has presented in the Circuit
Court a petition for a mandamus to compel the Board of Regents of
the University to appoint two homoeopathic professors. The petition
recites the law passed at the last session of the Legislature, and also
states the aftion since taken by the Board of Regents in relation to
the subjec't. It is supported by affidavits from Thomas F. Pomeroy
and Francis Woodruff. In response to the petition Judge Crane has
issued the following order ;——
Ordered, That the Board of Regents of the University of Michigan '
show cause, at the next term of court, to be held at the Court House
in the city of Ann Arbor, in said county, on the twenty-fourth day of
November next, why a peremptory mandamus should not be issued
out of tha said court to compel it, the said Board of Regents of the
University of Michigan, to appoint, install and thereafter maintain
two Professors of Homoeopathy in the Department of Medicine of
the University of Michigan, to wit: One Professor of Theory and
Praftice, and one Professor of Materia Medica, who shall receive the
like salary, and be entitled to all the rights and privileges of other
professions in said Department of Medicine.
And it is further ordered that a copy of this order, together with a
copy of the petition and affidavit aforesaid and upon which this
order is founded, be served on the said Board of Regents of the
University of Michigan sixty days before the time herein above limited
for showing cause.
A copy of the above order has been sent us by Dr. S. B. Thay'er,
of Battle Creek, Mich., from whom we learn that it was duly served
on the eighth day of September upon the Board of Regents. Our
friends consider the result before the Circuit Court by no means
doubtful. The preliminary order itself is some evidence that they
are right in this conclusion.
Just here, indeed, their opponents, having exhausted the arsenal of
legal filibustering, indulge in the use of hard words, and charge the
homoeopaths with “ sharp praflice." And wherefore? Because the law
reads that to reverse a decision of a lower court, a. majority of the Su
preme Court is requisite. Now,the latter tribunal consists offourjudges,
two o‘fwhom, being professors in the law school ofthe University, are
favorable to the Regents; whilst the other two are already on record
the other way; and whereas the Supreme Court has once failed to
1873,] Mincl/amour Ilems. 77
give any positive support to the homoeopathic movement for want of
a majority, it is quite powerless to prevent the execution of the posi
tive order of the lower court once it is issued ; and for the like reason,
want of the requisite majority. Hence, Judge Crane will doubtless
bring to a speedy close this long and spirited controversy.
The allopaths, having already exhausted their ammunition, will, it
is to be hoped, accept the inevitable gracefully.
One other point must be mentioned, The various steps taken by
Dr. Thayer and others in prosecuting this case before the people, the
legislature and the courts, have been attended, obviously, with heavy
expense, all of which has fallen on them personally. As the work
done is of national importance and interest, these faithful men should
be reimbursed by the friends of homoeopathy throughout the nation ;
that is, if their modesty will permit them to state the extent to which
they have thus applied their personal means in our common cause.
£6 *

WE would call attention to the " Practice for sale," in our adver
tising pages. So favorable an opportunity for securing a good busi
ness, seldom offers.

THE PRELIMINARY COURSE of the Hahnemann College, opened on


the 29th ult, with a larger number of students in attendance, than
has ever been seen so early in the course before.

MISCELLANEOUS ITEMS.
ADVICE T0 BATl-lERS.—AVOid entering the water within two hours
after a meal; or when exhausted from any cause; or when the body
is cooling after perspiration.
Stay in the water usually not more than fifteen minutes.
Leave the water always with promptness, and dress at once. Do
it immediately on suffering from chilliness, especially if there be
numbness of hands and feet.
The best time for bathing for strong persons is before breakfast.
For the young or weakly the best time is two or three hours after
breakfast.
Bathing should be entirely avoided by those in whom it habi.ually
causes faintness, giddiness, or disagreeable palpitation of the heart.
' Exposure of the head to the sun during bathing is attended with
special danger of sunstroke.
ANATOMICAL DRAWINGS—A uniform position for anatomical
figures is absolutely necessary in the plates of works of medical
instruction. The neglect of such uniformity is the cause of much
perplexity to students, and the position with the head to the left is
advocated because it is more natural in dissection and drawing, and
because Professor Agassiz has for many years adopted it in his
plates.
’78 Miscellaneous Items. [Oct.,
MORTALITY STATISTICS OF THE WAR—The Medical History of
the War, just published by Sergeant-General Barnes, gives the fol
lowing figurcs :
Killed in Battle ......................................... .. 44,238
Died of Wounds and Injuries ............... .. .. 49,205
Suicides, Homicides and Executions ............. .. 526
Died of Disease ........................................ .. 186,216
Unknown Causes ..................... ..
Total ................................................. .. 304 369
A YOUNG LADY, in Missouri, recently dislocated her arm on both
sides, during a violent attack of vomiting.
THE Medical Department of the Boston University, opens its first
course of leétiires on the fifth of November.
DR. FONTAINE, of Spencer, Mass, has been held in $2,000 bonds
for manslaughter, in causing the death of a child by using small-pox
virus for vaccination instead of vaccine matter.
EXPERIMENTS by M. M Estor and Saint Pierre, show that when
glucose is injefted into the blood-vessels it is consumed, its disap
pearance being attended by a consumption of oxygen and a pro
portional produdtion of carbonic acid.
AT Evansville, Ind., recently a. young man who had suffered for
some time with a cough, found entire relief after coughing up a gold
dollar. He remembers having several of these coins in his mouth
one night in bed, and that one of them disappeared, but he was not
conscious of having breathed it into his lung.
THERE is a fly in Cayenne, Guiana, known as the man-eater,
which is the-cause of many deaths in that penal colony of France.
M. Coquere], who has investigated the subject, describes the insect
as laying its eggs in the mouth or nose of asleeping person. The
offspring in their larvel state usually bring about the death of the
victim.
THE AMERICAN ARTISAN gives an instance in which typhoid fever
attacked one-half the families that used milk from a certain dairy.
On making an investigation, it was found that the cows drank water
from an old underground tank of wood which was decayed, and
water from which doubtless found its way into the milk-cans in other
ways than through the udders of the cows.
THREE LADY MEMBERS have recently been admitted to the Michi
gan State Medical Society, one to that of Rhode Island, and one to
that of Kansas. These were all graduates of the Pennsylvania
\Vomen’s Medical College. In England all the restriftions on the
admission of ladies to the advantages of the Pharmaceutical Society
of London have been removed.
STARcHY FOOD FOR YOUNG CHILDREN—Experiments made by an
Italian physcian go to Show that the saliva of young, new-born ani
mals has not the power of converting starch into sugar, and, that
the pancreatic secretion obtained from young kittens, puppies, &c"
was also unable to accomplish this change. The fallacy, even in_
jury to young children, done by giving them starchy food, is
apparent. -
O
1873] Miscellaneous Items. '79
A CURIOUS instance of spontaneous combustion is reported from
New Hampshire. A physician had prescribed linseed oil and cam
phor for a severe pain in the chest, and the patient complained of
the heat soon after its application on cotton batting. In about an
hour he protested he could bear it no longer, and before it could be
removed it took fire, actually blazing up and burning the poor
fellow‘s neck severely.
QUALITY or AIR IN DIFFERENT LOCALITIES.—An interesting
paper, valuable in a physiological point of view, on the quality of air
taken from various localities, was lately read by Dr. Sigerson, at
Dublin, before the Royal Irish Society. In air from an iron factory,
he found, on examination, carbon, ash and iron; the latter sub
stance was in the form of little hollow balls, each about two-thous
andth of an inch in diameter, the iron being so thin that the light
passed through it. In shirt factory air were found filaments of linen
and cotton. Antimony—from the type metal, probably—was dis
covered in the air of printing rooms. Stable air was ascertained to
contain floating hair and scales; and in the air through which
tobacco smoke was passing, nicotine, the :poison of tobacco, ap
peared in little globules.
HAY FEVER.—-The latest theory in regard to this disease, the hay
fever, or rose cold, is that it is caused by “ vibriones," as a miscros
copical examination of the fluid, discharged from the nostrils of a
person suffering from the disease detected the presence of minute in
fusorial animalculze of that description. The gentleman who claims
to have made this discovery describes himself as a sufferer from " hay
fever" for twenty years, but is now entirely relieved from the malady.
His cure is to get a saturated solution of sulphate of quinine in water,
in the proportion of one part of quinine to 740 of water, lie down
upon his back, dip a small camel's hair brush into the solution, apply
the brush to the inside of the nostrils, moving the head about gently
so as to make sure that the fluid reaches all parts of the nostrils until
it is felt in the throat. He describes the relief as immediate. and says
that three applications a day, when threated by a return of the dis
ease, is sufficient to prevent a return.
DR. EDWARD SMITH, F.R.S., by experiments upon himself, finds
that different kinds of muscular exertions are attended with agreater
or less amount of vital change (tissue metamorphosis) in the ratio
represented by the following table, which he bases upon the increased
volume of air inspired under the several circumstances mentioned.
The lying posture (devoid of muscular efi'ort) being repre
sented by ........................... ......... ....... .. 1.00
The sitting posture, will be represented by.. 1.18
Reading aloud or singing ..................................... .. 1.26
The standing posture .......................................... .. 1.33
Railway travelling, in the lst class... .. 1.40
n u :1 2d :1 I. 50

" “ upon the engine at 20 to 30 miles per


hour........................................................ .. 1.52
Railway travelling, upon the engine at 50 to 60 miles per
hour ....................................................... 1.5 5 _
Railway travelling, in the 3d class... 1.58
Walking in the sea..................... 1.65
“ on land at I mile per hour.......... ........... .. 1.90
80 Personals. 0a., 1873.]

Riding on horsebach at the walking pace ................ .. 2.20


Walking at 2 miles per hour........... .. . 2.76
Riding on horseback at a canter ............................ .. 3.16
Descending steps at 640 yds. perpendicular pr. hr.... .. 3.43
Ascending " “ “ “ “ 4.40
Walking at 3 miles per hour ............................... .. 3.22
“ “ " “ and carrying 34 lbs........ 3.50
“ “ " " “ “ 62 “ ...... .. 3.84

it 4
u “H “u .............................
u in H8 11 "In." 5.00

Swimming at good speed ..................................... .. 4.33


Running at 6 miles per hour ............. ........... .. 7.00
—Pafiular Science Alnnf/zly.

PERSONAL.
We would feel obliged lfou;::rbiil¢;elrs: J21: figqtcgtgél:ggléfilifilftél;::l;:::.lill‘ head, notice! or removal!

DR. C. H. LELAND, has entered into co-partnership with Dr. Au


gustine Thompson, i4 Centre Street, Lowell, Mass.
DR. ALEXANDER BORGHANS, of New York, has returned from his
European tour.
DR. L. D. TEBO, has located at 147 Main Street, Bordentown, N.]_
‘MINTON.——The “ Blackburn University " has conferred upon Dr.
H. Minton of Brooklyn. N.Y., the honorary degree of Master of Arts.
MARRIED.——BRADLEY.——BLANCHARD.—At the residence of Mrs
Dr. John McClintock, in Philadelphia, on Thursday afternoon, Sep_
tember 4th, by the Rev. Jacob Todd, Dr. D. H. Bradley, of Wilkes
barre, and Miss Virginia L. Blanchard, of Philadelphia.
Dr. Bradley graduated in thc_class of 1872. For six months he
was in practice in West Philadelphia, but remm-cd to Wilkesbarre,
in September, 1872, where he is now doing a fine l)ll>ll‘.“~S. '
CORRIGENDUM to Comparative Materia Mcdica.—l‘age 8, note (8)
first line, for " asthenic," read “ sthenic.”
*
OBITUARY.—Dr. Auguste Nelaton, surgeon to the late Emperor
Napoleon, died in Paris, September 20th, in the 66th year of his age_
He was a pupil of Dupuytrien, and took his degree at Paris, in 1836.
He became hospital surgeon and member of the Faculty of Medicine,
and in 1851 was appointed Professor of Clinical Surgery. M. Nela
ton distinguished himself both as a teacher and a prac'titioner, and
was one of the most successful surgeons of the age. His successful
operations on General Garibaldi and the Prince Imperial were among
the more noted of his surgical operations. He published several
valuable surgical works.
The American Journal

O G) I i

@umrenpaflgzr fistula winters

RECORD OF MEDICAL SCIENCE.


$575358, } NO VE MB ER, 1 8 7 3. { “qrgfefxxv
,.

THE MATERIA MEDICA OF HAHNEMANN.


BY T. F.4P0MEROY, M. D., of Detroit, .Mz'c/tigan.

I purpose in this paper, very briefly to consider the


Materia Medica of the Homoeopathic School, in its most
general aspeét. In the hurry and bustle ofa busy praEtice,
we are often times led to forget the relations that as
homoeopathic physicians, we sustain to that work, and
find ourselves leaning upon the compilations or the labor
of others, as presented in various works on praftice,
domestic or otherwise. In this manner, we are far too often
misled and carried into the domain of generalization, and
of a routine practice, methods that are wholly at variance
with the genius ofour therapeutics, and utterly inconsistent
with the principle of individualization, that so charaCter
istically distinguishes ours from every other Materia
Medica.
The Homoeopathic Materia Medica, is a record of the
manner in which drugs and other agents are capable of
affeéting the healthy organism pathologically, of changing
physiological conditions into pathological ones, as it is
also of the more or less frequently repeated, therapeutic
confirmation of those observations, in the treatment of the
sick. Thus, when perfeCted, it must become the com~
pendium of the symptoms of all disease, exhibiting the
Von. VII.—No. 3. ‘
82 The Materia Media: of Hahnemann. [Nov_,
phenomena of all, and of every possible pathological condi
tion, refledting as in a mirror, the images of the varied
groupings and combinations of symptoms, to which, for
the sake of convenience, we give names and call them
diseases;
Every intelligent and experienced physician of whatever
school, studies the diseases of his patients from the in
dividual symptoms which they present, for thus only, may
a correct diagnosis be made out. We, ofour school, study
them thus, that in their totality, we may find their counter
part among the materials which our Materia Medica supplies,
that we may be able to apply the principles of our system in
accordance with its therapeutic law, as well as for the
detection of the particular pathological state or condition of
the patient. The allopathist and eclectic, this study their
cases, that they may acquire a sufficient knowledge of
them to treat the pathological condition, and name the
disease merely in accordance with the experience and
observations of themselves or of others. I shall not stop
to draw any comparison of the two methods in their re
sults; but that they are as wide apart as possible, is evident ;
as wide apart as the acceptance or the rejeétion ofa natural
therapeutic law can make them.
In this light it will be seen that it is of the utmost im
portance, that in constructing a Homoeopathic Materia
Medica, all symptoms with the conditions and circum
stances of their manifestation, and those of their disap
pearance under treatment also, must be regarded, and be
recorded separately, as individual symptoms; thus only,
may they be kept untramme'led from others, and free to find
their relations to those of already existing pathological
conditions, with which they may be compared, in the study
and treatment of individual cases of disease. An impera
tive necessity requires that a Materia Medica thus c0n_
struéted, shall be regarded as the great praétical work of
all homoeopathic physicians, just in the same manner that
in astronomical, trigonometrical or other mathematical
1373,] The Malaria Media: of Hahnemann. 83
calculations, tables of logarithms are quite indispensable.
Our Materia Medica, is onelogarithmic table, which we must
consult faithfully and constantly, in order to a proper solu
tion of the pathological problems, both simple and com
plex, that are continually presented for our consideration.
No treatise on therapeutics, no record of the experiences
and observations of others, can in, its place, supply this in
dividual want of every homceopathic physician, or enable
him to discharge his duty to humanity, or to fulfil the
weighty responsibilities he has voluntarily assumed in
accepting the homoeopathic law of cure, as his rule of
faith and practice.
For the study of pathology, or of pathological condi
tions, as contra-distinguished from symptomatology, and
about which so much has been said and written—as if the
study of the symptoms of disease from it, precluded all
knowledge ofthose conditions—the Materia Medica supplies
the most complete and reliable material, inasmuch as it
presents with the utmost detail and comprehensiveness,
those phenomena of disease through which alone they
may be studied and observed; for, pathology relates to the
living and not to the dead subject, to a condition indicative
of life and not to one of death. Has it ever appeared that
a knowledge of pathology, either in its general or special
aspect, could be obtained otherwise than through its ex;
ternal manifestations or phenomena, or, that these phe
nomena of life can be exhibited in death? Ifnot, why then
should not pathology and symptomatology be regarded as
identical, so far at least as the human senses can regard
them, just as words, gestures, pictures and signs, represent
the ideas that lie back of them in the human mind, and
which cannot be otherwise apprehended. ‘
A complete Homoeopathic Materia Medica, comprises
I then, not only
symptoms, but ita is
fullalso
record ofvindividualcompendium
a comprehensive and colledtive
of

all that pertains to the human organism, in its pathological


as well as in its therapeutic relations. Thus, there need
84 The Alateria Medica of Hahnemann. [Novu
not be, as there cannot logically be, any controversy, as to
the comparative claims and merits of symptomatology and
pathology, as they cannot be placed antagonistically to
each other; any supposed antagonism between them is
the result, not only of an ignorance of first principles, as to
the cognition of disease, but also as to the methods of its
successful treatment, and is thus utterly opposed to an in
telligent comprehension of homoeopathic principles and
practice. As a knowledge of human nature in the aggre
gate, is obtained by a study of, and an acquaintance with
individual character, so also must a knowledge of the
Homoeopathic Materia Medica be acquired, by a study
of its individual remedies or drugs, which, like individual
men, have their charaéteristic traits and features, whereby,
although like mankind also, possessing those that are
common to all, each individual drug is distinguished from
every other one. This knowledge must come as the fruit
of much labor, and of increasing study; there is no short
route, no royal road that leads to it. Without it, the
principles of homoeopathy cannot be applied in praEtice,
nor the requirements of its therapeutic law fulfilled ; and it
is only by means of it, that our system has attained that
distinétion and eminence which is attached to it, and it is only
through its aid that we may hope to retain what we have
thus gained, and to advance to a still higher relative rank.
It is well understood, although nowadays hardly ap
preciated, that the present advancement of homoeopathic
therapeutics, and its great usefulness and popularity, have
been attained through the application of the Provings of
those drugs, contained in our original Materia Medica, as it
came from the hands of Hahnemann, and his cotemporaries,
and that too, principally, from those remedies styled poly
chrest. Comparatively little, have the more recent provings
of drugs, or the so-called_new remedies, contributed to this
result; in truth, this result was itself a faét already accom
plished, before the era of new remedies, and of an expur
gated Materia Medica had dawned upon us. Although
18734‘ The Materia Median of Hahnemann. 85
there have been many valuable additions made to our list
of proved remedies, no apparent improvement has as yet
been made in the individual or collective arrangement or
modification of the old ones, and it is still a matter of great
doubt, in the minds of many, whether the calling together
of ever so learned a Council of Homoeopathic Bishops, for
the purification and rearrangement of our Old Homoeo
pathic Bible, would result in its improvement, or in its de
struction. A work through which such valuable and
lasting results have been attained, is surely to be regarded
with a sufficient degree of respect, if not of veneration, to
protect it against the assaults of ignorance or of presump
tion, if not from the well meaning interference of over
zealous reformers, and especially, so during an era of
homoeopathic degeneracy and retrogression.
These remarks and reflections are not aimed at any one
of the proposed methods of purifying or of reconstructing
our Materia Medica, unless they contemplate a removal of
the ancient landmarks, or a remodeling of the old chart,
whereby our homoeopathic ship has been thus far safely and
successfully navigated towards its haven ofuniversal recogni
tion and adoption. We bid God-speed to all efforts that have
for their object, the firmest establishment of those land
marks, and a clearer defining of the outlines of that chart,
as we also welcome every new method, whereby they may
be more readily and accurately understood ; but we cannot
afford to throw them away and substitute others that have
been less thoroughly tried and proved. We are thus
inevitably led to the conclusion that the principles and the
arrangement of the Materia Medica, as bequeathed to us
by Hahnemann and his cotemporaries, should continue to
be, essentially, those of its further study and development,
and to constitute our only rule of faith and practice, as in
telligent and consistent homoeopathic physicians.

A great mind may change its objects, but it cannot re


linquish them ; it must have something to pursue: Variety
is its relaxation, and amusement its repose—Lawn.
CLINICAL CASES.

ALBUMINURIA AND DIABETES.

BY JAMES KITCHEN, M.D.

For several years past, favorable notices have appeared,


from time to time, in the numerous Medical Journals of
Europe and this country, of the use of skimmed milk in
disorders ofthe kidneys, especially where Sugar or Alamrzen
was present, and the patient dropsical. Every physician
is a witness how intraétable, and I may say fatal, are such
affe6tions under ordinary treatment, soithat every case that
terminates favorably, ought to be recorded. Many such
cases have been thus recorded under the skimmed milk
treatment alone.
A case which Iattended of a young man 15 years old
only, Was put under the said treatment, and in the course
of the second week of my attendance, was doing well, and
in a fair way of recovering, when, unfortunately, some
ignorant, meddlesome friend, recommended a dropsy
doctor, who gave him some powerful medicines, and he
died in a few days.
My main objeEt in this paper, is to report two cases of
Diabetes Mellitus, which I.consider as very remarkable
chres, taking into view the almost invariably fatal issue of
such cases, sooner or later.
The first one was E. L., aged 57 years, married,
merchant. December, 1872. He had been troubled for
months by passing large quantities of water, day and
night, and at frequent intervals. I found him with fever,
red tongue, with white scurfy patches here and there; in
tense thirst for cold water, which failed to allay his thirst;
insatiable hunger but rapid emaciation; dry skin; fre
quent, and large evacuations of urine ofa light straw color,
day and night; and wherever a drop of urine would fall,
and evaporation take place, there would be left a crust of
86
1873,] Clinical Cases. 87
sugar; in fact, I had an unmistakable case of acute
Diabetes.
The first test of the urine showed a specific gravity of
1037, and loaded with sugar—in one week it was reduced
to IO32—then to 1024—and soon to a natural standard,
and healthy urine.
My treatment in this case was Lafiz'c acid, two tea
spoonfuls of pure Laflz'c acid in a goblet of water, to be
drank during the day; next day the same, and so on.
Diet; beef or mutton, roast or boiled, eggs, and water with
a very small quantity with good brandy or whiskey, a
mere trace to modify the taste somewhat. Under this
treatment, as he was a good patient, and carried out my
instructions to the letter, he recovered in the course of the
fourth week, and so perfectly, that he is now much better
than he has been for years.
My second case—singular to relate—was a brother of my
first, a few years his junior, and affected similarly, but in a
much milder degree; he was put on the same treatment.
This case was rather more difficult of cure than the first,
owing altogether to his erratic habits, being a widower
without children, and somewhat given to gayety and frolic.
He would get comparatively well, and then, solely from
some impropriety, would relapse; he would not adhere so
strictly to diet, as was necessary; he would eat bakers’
bread and fried oysters, and now and then, worse articles.
I at last frightened him, by depicting in strong terms,
the folly of his course, and its fatal termination, if per
sisted in, but allowed him to use Bonchardat’s bran bread,
which satisfied him. He then perfectly recovered.
In closing, it may be mentioned as rather singular, that
the leading physicians of Europe, recommend alkalies
and alkaline waters, the bi-carb soda and the mineral
waters of Vichy and Carlsbad especially. Niemeyer says :
“whether or not, the results be permanent or transitory,
still in our present state of knowledge, a course of waters
at Carlsbad, is the measure which should deserve the chief
reliance, as a remedy for Diabetes Mellitus."
88 Clinical Cases. |Nov.,
From my previous want of success in the treatment
of this disease—and, I infer from all accounts, I have not
been alone—I was induced to try the Lactic acid from read
ing a paper, published by an Italian physician, giving
such a glowing account of his success in private practice,
that he was compelled, on the score of humanity, to open
a hospital for those poor sufferers, who could not employ
a medical man. Every case that he admitted, in the course
of several months, was discharged cured, most of them in
an incredible short period of time. The above two cases
corroborate the efficacy of the medicine used. 7
Now the question comes—and a very interesting one it
iS—WOUld a dilution of the acid have the same effect? I
hope some of our high-dilution friends will give it a trial,
and let us know the result. It would be doubly interesting
to me for the following reason : When I was an allopathic
praétitioner, (unfortunately in some points of view, during
fifteen years), dysentery was considered by the leading
physicians of that day, a very formidable and even fatal
disease. Well, it so happened, that I hit upon the ad
ministration of Nux vomica, in the treatment of it, and for
several years, previous to my conversion to Homoeopathy,
I used nothing else. It was my practice, (my blood runs
cold when I think of it), to give five grains, and in some
cases, seven grains of the pure powder of Nux. vomica,
three times a day; and here I must, at the same time,
confess that I never saw any ill effects following, but, on
the contrary, the benefit was striking. I used to cure all
my cases with that remedy, not remembering to have met
with a single failure. Now the point I wish to make from
the above statement is this: that as homoeopathic physi
cians, now cure the same disease with the highest dilutions
of the same remedy, may not Diabetes Mellitus be cured by
the highest dilutions of Lafiic acid ? I say it would be in~
teresting, if such were the case, and yet, in the final settle
ment, where is the difference, so that the cure is effeéted P
To avoid the taste, some might give preference to the
13”] Clinical Cases. 89
potentized dose, yet with the intense thirst of Diabetes Mel
litus, a cup of acidulated water now and then is not un
pleasant. ' '

PUSTULAR EXANTHEMA OF FACE.


BY R. C. SMEDLEY, M. D. of Westrlzester.
On page 240, Vol. VI. of this Journal,I reported the
case ofa scrofulous child, with a peculiar pustular eruption,
about four inches in width, extending from the upper part
of forehead to the chin, which was removed by Cale. jod.
I recently had the opportunity of testing this remedy in
another case of like nature.
A child had this thickly-set pustular eruption, about the
width of four fingers, extending from the upper part of
forehead, in a direct line, down over face and nose to
underneath the chin, sore and itching. The other parts of
the face and neck were almost entirely free from these
pustules.
I scarcely knew by what name to accurately denominate
this eruption, for there is a greater difference made some
times in the name, than is adtually observed in the character
of the disease. Perhaps, impetzlginous eruption would more
nearly express its nature, for it would have been called
that, if spreading over the head at the same time; if over
the body, it might have been classed as an eczema.
Calc. joa'. 6, was administered four times a day, and in
in about a week, the pustules had dried up, leaving the face
smooth. I have not seen this peculiar character of erup
tion described under any other remedy.

MENTAL AFFECTION-S.
CHARACTERISTICS OF A FEW OF THE REMEDIES.
BY F. R. MOORE, M. D., St. Louis, Mo.
JVux V0m.:—A kind of fainting feeling, with nausea and
flushes of heat, going off when lying down.
Compare, Acon., Ammo-m., Arm, Ara, Cal. card, Caps”
90 The Cholera of 1873. [Nov.,
China, [gn., Mar. ac'z'd, Opium, P/zos., Puls., (pecan, Lac/1.,
Charm, Sulplz.
Nat. Ilium—He likes to dwell on past unpleasant occur
rences, with depression of spirits.
Compare, Arm, Ars., Carb. veg, C/zz'na, Lyc., Nux. 21.,
Pals.
Puls.:—Early in the morning, depression of spirits and
full of cares about domestic affairs. ‘
Compare, Agar., Ant. 01, Arm, Aur. 112., Bell, Com, ($12.,
Lye, Lac/1., $217., Sulp/z.
C/zelz'donz'um.:—Full of sad thoughts about the present
and the future ; cannot remain long in any one place.
Compare, 7711921., 52411712. a., Opii.
Lycop.:—VVeeps the whole day; cannot calm herself;
worse from four to eight o'clock, P. M. -
Compare, Ars., BU, Cal. card, Crap/2., Plum, Pals, Sep,
52'].

THE CHOLERA OF 1873.


A PERNICIOUS GASTRO-INTESTINAL CATARRH, OR
FALSE CHOLERA.

BY WILLIAM H. HOLCOMBE, ofNz'w Orleans.

A pernicious gastro-intestinal catarrh,reported as c/zolera


sporadz'ca, prevailed in New Orleans. from March to July.
Like the great epidemics ofthe Asiatic cholera, it was prece
ded by influenza and followed by dysentery, although in a
minor degree. But there were so many differences, that
the old experts of 1849-50 could not confound the recent
epidemic with the terrible malady that is said to have
originated on the banks of the Ganges.
There was no Asiatic cholera nearer to us than Central
Europe, and no recorded advance of it westward. Our
disease was was not imported by sea-going vessels, nor
brought by railways. It originated here, and not on the
river banks, nor among the marine population. It did
not spread from any one centre or focus. The first five or
1873,] The Cholera af 1873. 91
six deaths occured at points in the city far distant from
each other. There was no sign whatever of contagion.
There were multiple deaths reported from but two houses
in the city. I saw thirty-one cases, and every case was in
a different house, and in a different family.
My general skepticism as to the current and popular
atiology ofdiseases was strengthened by my observations
of this particular malady. Cholera is said to be a disease
ofhot weather, and the winter epidemics of Northern Europe
are ascribed to the dense heat and filth of over-crowded and
ill-ventilated rooms. Our disease began when the weather
was cold, and vanished entirelyjust at our point of extreme
heat. '
In three-fourths of my cases, no cause whatever having
the least rational basis could be assigned for the attack.
Make a full list of all the supposed causes of cholera, and,
with afull praétice you can jot down case after case as
having occurred under precisely the opposite conditions.
In leaving New. Orleans, it did not follow the main
routes of travel. More cars and passengers run from our
city daily to Mobile and to Louisville than to any other
point, and those cities have escaped entirely. Nashville,
which suffered sooner and more severely than other places,
is entirely offthe direct line from New Orleans, and has
very little communication with us. The disease, moreover,
has passed by great cities, railways, and river courses, and
fallen like a thunderbolt on sundry obscure and remote in
land towns, in the interior of the Southern and Western
States.
The causation of cholera is still an unraveled mystery,
and so will ever remain as long as artiology is studied
from standpoints exclusively physical and materialistic,
and the great spiritual rapport between man and nature
entirely ignored. ‘
There were 232 deaths by cholera reported in the four
months. But many of the 368 deaths reported during the
same time as cholera-morbus, cholera-infantum, diarrhoea,
etc., were no doubt, with more truth to be assigned to the
prevailing type—the pernicious gastro-intestinal catarrh.
Why should more than a hundred deaths be attributed to
cholera-morbus in 1873, when only three deaths were re
poted in 1872 from that rarely fatal malady? The deaths
by cholerainfantum are reported as double those of last
.year, whereas the extraordinary, comparative coolness of
92 The Cholera of 1873. [Nov.,
our summer ought to have made that disease less fatal than
usual.
My impression is that the disease was of a very mild
type, and that the fatal cases were the wholly neglected
ones, or the result ofoutrageously bad treatment. Cholera,
even the most malignant Asiatic, leaves the brain and
mental faculties conspicuously clear, and when you hear of
cholera patients dying stupid and comatose, as I frequently
did, you may suspeét that their Allopathic friends have
caused or hastened their exit into the spiritual world by
opiates—kindly meant.
The symptoms were those of mild Asiatic cholera: very
copious rice-water evacuations, intense pains in the abdo~
men, cramps in the extremities, frequent vomiting, prostra
tion, cold sweats, cold tongue, feeble pulse, intense thirst,
restlessness, etc. In a few cases where there were in
cessant jactitation, a husky voice, and venous suffusion of
countenance. In one of my cases there was suppression
ofurine for thirty-six hours. I saw no genuine collapse.
One of the earliest things noticed was the failure of cam
phor to do what was confidently experfted of it. Almost
every patient had taken several drops of camphor, every
three or five minutes, for a good while before I reached the
bedside, and nearly always without any appreciable result.
This was surprising to them all. Every Homoeopathic
family knows that camphor is one of the best specifics for
cholera. Even the Allopaths are finding that out. Dr.
Ringer—whose Therapeutics, well saturated as it is with
Homoeopathic ideas, is the best Allopathic book which has
appeared in the last decade—gives Hahnemann’s exact pre
scription for the use of camphor in cholera, as if it was his
own discovery. But camphor must fit the case exaétly, or
it will be of little value; and this was not a camphor epi
demic. -
Camphor represents the sudden and rapid development
of genuine Asiatic cholera. The symptoms which call for
it are: Great muscular prostration, occurring simultane
ously with mental apathy, coldness of the whole surface,
hoarseness, stupor, intense anguish,—-and all before any
great sweating, vomiting or purging has exhausted the sys
tem. It does not represent an extensive gastro-intestinal
catarrh, but rather a terrible shock to the great sympathetic
nervous system, and suits the congestive chill of malar
ious disease just as it does the worst form of Asiatic
1873.] The Cholera of 1873. 93
cholera, in which the case seems to begin, instead of ending,
with collapse. I I
Now there may have been cases of that kind in the city,
which might have been saved by camphor, but I saw none
of them. The constitutional type of the disease, as it came
under my notice, called especially for Veratrum all};
vomiting and purging of rice-water, cramps in the abdomen,
cold skin, nose, face, and tongue, cold sweat 0n the fore
head, feeble pulse, etc., with no special rapidity of develop
ment in the case.
In every case I alternated Vzmtrum, 1st dec. with Cuprum
3d cent. every five minutes, until the cramps and dis
charges ceased, which occurred in almost every case in
from two to four hours. I enjoined the horizontal position,
insisting even upon the use of the bed-pan for the evacua
tions. I allowed ice water, to drink, frequently, but no
more than a quarter of a common tumbler at each time.
Insisted upon the patient lying still and under moderate
cover. Applied a mustard plaster over the Whole abdomen
in some very painful cases, and in one instance where the
evacuations were of enormous size, gave injections of
starch-water and laudanum with apparently good effect.
The difference between Cuprum and Veratrum seem to
be this: i. e., Veratrum affeéts the sphere governed by the
great sympathetic; Cuprum, the cerebro-spinal sphere.
Veratrum has cramps predominantly of the involuntary
muscles ; Cuprum predominantly of the voluntary muscles.
Cold sweating demands Veratmm especially, while violent
cramps call more loudly for Cuprum. Either remedy may
be used alone with excellent effect when clearly indicated;
but in the cholera, the cerebro-spinal and the ganglionic
systems are so often implicated together, and act and re-a6t
upon each other, thatI thought it best to alternate the
remedies, and the brilliant result has in my opinionjustified
the measure.
When you see cases of cholera of the genuine Camp/201'
type, you may be sure that cases demanding Arsenz'rum
and even Seal/e car. will present themselves. Arsenicum
may be said to represent the reaction against the Camp/10r
congestion. In other words, a case of Camp/zor-cholera,
slowly recovering, will almost certainly call for Arseniczmz
And when Camp/[or is rarely indicated in the beginning,
you will rarely find a demand for Arsem'cum.
4
94 The Cholera of 1873. [Nov.,
In the late epidemic the characteristic symptoms of Ar
scnicum did not appear in any of my cases. Incessant
restlessness and change of position; intense thirst, satisfied
for a few moments by a small quantity of water; cold
skin, with great subjective heat; violent burning pain in
the epigastrium, and dischages, not rice-water, but frequent,
scanty, and of a dark or yellowish water. It takes all
these symptoms combined to make a true Arsenic case.
I Isaw one case which recovered slowly under Arsenic
and Car/10. veg. 30th attenuation, after Vei'alrum and
Capra/a had arrested the rice-water discharges and cramps,
but failed to advance the cure beyond that point. The patient
was an old English woman, and the symptoms remaining
were: retching without vomiting, dirty, yellow discharges,
flatulence, huskiness of voice,slight discoloration of counte
nance, thirst, restlessness, and fear of death.
The Arseniate of Copper—Cuprzcm Arsenicum 3d cent,
was found very useful in the choleraic diarrhoea which has
prevailed during the summer, in the disturbed condition of
the bowels during convalesence from cholera, and even in
some of the dysenteric cases which prevailed on the decline
of the epidemic.
For the stage of reaction after an attack of cholera,
aconite is unquestionably the best remedy. I put ten drops
of the mother‘tincture into halfa glass of water, and gave
two teaspoonsful hourly. My experience with that dose
has been so satisfactory that I have had no occasion to ex
periment with the higher attenuations.
Abdominal neuralgias were very frequent during the
prevalence of the disease. Cramp in the stomach, bilious
colic, ovarian neuralgia, nephriti‘c colic, lumbago, and
sciatica were prescribed for more frequently than before.
Several cases were mistaken for cholera sicca, dry cholera,
from the very violent and alarming symptoms, which proved
nothing but intermittent neuralgia of the czeliac plexus.
I lost no case of the late pernicious gastro-intestinal
catarrh, or false cholera, as I would term it. This is not
at all surprising, when none of the cases were of the very
severe type, when they all occurred in patients in most
comfortable circumstances and surroundings; when I was
called in ample time to every case, and when the treatment
was homoeopathic. I do not believe that the most judicious
Allopath, with all the same advantages, could have pre
sented so fair a result—U. 5. Medical and Surgical Faurnal
of Oc'Zober, 1873.
THE

THERAPEUTICS OF UTERINE DISCHARGES.


BY HENRY Mixron, M. D.

ARSENICUM ALBUM.
Arsenlous Acid.

Menstruation,—Too early and too profuse. (Cal. c.,


Rl-zus t.) Suppressed menstruation with pain at the coc
cyx and in the shoulders.
Menorrhagia,-—In feeble subjects, with organic lesions
of the uterus or ovaries, great prostration, with sinking of
the vital forces. ‘
During Menstruation—Various kinds of pains and
complaints; distress; cutting colic; lancinating pain from
the rectum to the anus and pudendum; eructations;
sighs and weeping.
After Menstruation,— Discharge of bloody mucus
from the vagina; stitches from the hypogastrium‘ to the
vagina.
Leucorrhma,—Acrid, corrosive, thick,yellowish, excori
ating the parts with which it comes in contact; worse when
standing. Thin corrosive leucorrhoea; thick yellow dis
charge wltic/z drops out when the woman stands.
Concomitants.—-Excessive anxiety and restlessness,
driving her to and fro in the day-time and out of bed at
night; anxiety and despair; thinks it useless to take med
icine as her case is hopeless; excessive fear of death.
(Aconite) Face pufled and blue ; white waxy face.
Periodical cep/zalgia. Headache, relieved by applying cold
water; pain in the forehead over the root of tlte nose; great
weight in the head ; fluent catarrhal discharges, often acrid.
Burning in the nose. Her sleep is full of' tiresome
dreams; sleep anxious and unquiet; sleeplessness at night,
with constant tossing about; starting of single parts or of
the whole body, when on the point of going to sleep.
95 .
96 Therapeutics qf Uterine Discharges. [Now
Great thirst for cold water, but she seems unable to as
similate it, it lies like a stone on her stomach; drinks qften,
hut little at a time, and immediately wmits it up.
Burning in the stomach, with hitter eruétations; great
anxiety and painfulness in the pit of the stomach; bitter
taste in the mouth after eating or drinking; vomiting of
green substance after eating or drinking never so little.
Tongue dry, brown or blackish; aphtha of the buccal
mucous membrane; involuntary burning, offensive diarrhoea;
great enervation after stool.
General anasarca, with white, waxy paleness of the face,
and great debility. Skin wrinkled, cold and hlue, or cold
clammy perspiration; white miliary eruptions upon the skin;
herpes with vesicles, violently hurtling, especially at night;
bran-like, dry, scaly eruptions with burning and itching,
made worse by scratching; exanthema about the mouth;
tetters in general, with pricking and burning. She is chilly,
and wants more clothes on, or to be near the fire; exper
iences a sensation as if warm air was streaming up the spine
into the head. Indurations, or even schirrus, of the
uterus or ovaries. All the symptoms are worse at, and
during rest. Chronic infiammations with effusions; palpita
tion of the heart; organic, valvular disease of the heart.
Dyspncm; oppression of the chest. Pulse frequent in
the morning and slow at evening. Roaring in the ears
during a paroxysm of pain.
Adapted to lymphatic, nervous temperaments ; sad and
irritable dispositions; cacheétic and debilitating tenden
cies.

ASSAFCETIDA.
Gum Resin of Farah.

Menstruation—Too early and too scanty, lasting only


two or three days. (Coccnlns). Labor-like pains in the uterus
with cutting and bearing down, returning at intervals.
Leucorrhma,—Profuse, greenish, thin and offensive.
1373.] Therapeutics of Uterine Discharges. 9'?
CODCOInitants.——Hyper-sensitiveness, especially in fe
males troubled with congestion of the portal system, and pyl
sation of the veins. Chorea; hysterical restlessness and
anxiety; hysterical, with much trouble about the oesophagus.
Rush of blood to the head; flushes of the face ; headache,
which disappears by contaét. Constant change of mind;
fits of great joy and laughter or anxious sadness. Pains
as if bruised, and a feeling offullness in the region of the
stomach.v _
Pressure in the (esophagus. Pulsations in the pit qf the
stomach. ‘
\- Stitches, lancinations, dartings in the abdomen, particu
larly in the left side; pinching, flatulent colic ; eruEtations
which smell like garlic; accumulation of gas constantly
passing upward, never downward. \Vatery, liquid stool, of
a yellow, dark brown color, and a most disgusting smell.
Accelerated breathing, oppression of the chest; spasmodic
asthma; pressure in the region of the heart; the mamma:
become turgid With milk in those that are not pregnant.
Especially adapted to nervous, hyste'rical females with a
tendency to scrofulus diseases.

ASARUM EUROPZEUM.
Asambacca. Haselwurz.

Menstruation,—Too soon and of too long duration,


with black blood. See Coeeulus.
Before Menstruation—Violent pain in the lumbar'
region before and at the appearance of the menses which
scarcely Permits her to breathe.
Concomitants.—Exeessive sensibility of the newes; can
not bear to hear the sound of scratching on linen or any
similar substance.' Food tastes bitter; empty retching;
pinching in the stomach; constant desire to urinate; lassi
tude of the lower extremities. '
98 Therapeutics of Uterine Discharges. [Nov.,_
AURUM FOLIATUM.
Pure Gold.

Menstruation,—Non-appearance of the first menses;


labor-like pain in the abdomen as if the anus would appear.
Leuconhma—Profuse and excoriating.
Concomitants.—Melancholy mood, dejeéted ; her mind
constantly turns toward sclf-destmc’tion ,' the least contradic
tion excites her wrath; mental irritability; great moral
weakness; utter despair. Hysterical spasms, with alter
nate laughing and crying and desperate action, throwing
herself about violently. Nightly born pains. Stench from
the nose; smelling and hearing painfully sensitive; stop
page of the nose; violent lacerating pain in malar and'
nasal bones; fetid otorrhoea. Eruption of fine pimples on
the face. Turbid urine like butter-milk; painful retention
of urine, with pressure in the bladder.
' Prolapsus and induration of the uterus.
Constipation, nightly diarrhoea, with burning in the rec
tum. Bad effeéts from abuse of fliercury, such as swelling
of the bones, caries, nightly pain in the bones, etc.
Aggravations in the morning, on getting cold, while
reposing; better when moving about.

BAPTISIA TINCTORIA.
wua Indigo.
Menstruationr—Too soon and too profuse.
Leucorrhma,—Acrid, fetid leucorrhoea from ulcerated
vagina and OS uteri; virulent leucorrhoea with frequent
miscarriages. , -
GOnCOmitantS.—Sleeplessness ; she cannot go to sleep
because “cannot get herself together;” her head feels as
though it were scattered about, and she tosses in bed to get
the pieces together; dull, stupyfying headache; soreness,
as if in the brain. Great dryness of the mouth and tongue
in fevers; tongue coated, dry and brown; pasty tongue,
1873,] Therapeutics of Uterine Discharges. 99
heavily furred; putrid offensive breath; violent, colicky
pain in the hypogastrium, before stool.

BARYTA CARBONICA.
Carbonate of Baryta.

Menstruation.—~Too scanty and of too short duration.


Before the Menses.—Toothache, with swelling of the
gums; or colic, with swelling of the limbs; leueorrhzea.
During the Menses.;Colic with pinching and cutting
in the abdomen; a troublesome weight above the pubis;
pain as from a bruise in the small ofthe back.
Leucorrhma..——Discharge of sanguinolent mucus from
the vagina, with anxious beating of the heart; pain in the
back, with a weak, faint sensation; tearing in the puden
dumatintervals ;' leucorrhoea immediately before the menses.
Concomitants.—Musing mood; very cautious and.
irresolute; great anxiety about her children; weak mem-_
ory; ebullition of temper, with cowardice; general weak
ness of mind and body; constant inclination to lie down;
Dullness of the head; headache close above the eyes and
root of the nose; stitching headache, especially when near
a warm stove; prosopalgia from debilitating causes. Dis
position to feel chilly; liability to take cold in the head ;._
coryza with thick mucous discharge; swelling of the sub
maxilary glands; sore throat after a cold, with swelling,
inflammation and suppuration of the tonsils; roughness
of the throat, hoarseness, loss of voice. Stiffness at the
nape of the neck; induration and swelling of glands; sore
ness and dampness of the skin; moisture and dampness
between the thighs.
Tearing in the vulva by fits and starts. Increase of the
sexual desire. Loose stool, with pain and soreness in the
lumbar region. Frequent urination. Tensizze pain in the
small of the bark; burning in the loins ; throbbing in the
book like strong pulsations. Perspiration on one side, on
100 Therapeutics of Uterine Discharges. [Nov.,
one hand, one foot, or one side of the face. Stinhing per
spiration, especially of the feet. Scrofulous eruptions ; re
tarded growth and development in young girls.
Dwarfish women with weight about the pubes in any
position. The left side is most affected.

BELLADONNA.
Deadly Nightshade.

Menstruation.——Too early and too proficse—(Calc. c.,


Rhi/S)--of bright red blood. Menses retarded and too pale ;
putrid smell of the menses.
Before Menstruation—Great weariness; blur before
the eyes; anorexia and colic.
During Menstruation.—Throbbing headache, rush of
blood to the head, red and suffused face, especially in young
girls of full habit; pains in the limhs and back. Spasnzodie
contraltions of the uterus. Pressing in the genital organs as,
if everything would protrude. (Lillimn). Aggravated in the
morning. Bachache as if the back would hreah; crampy
pains in the back; pains in the sides; stitches in the inner
parts; vagina hot and dry.
Amenorrhwa.——In plethoric girls, with congestion to the
head. Throbbing headache; red bloated face; numbness
of legs when sitting; anguish about the heart; crampy
pains in the of
indurations sides
the and chest; burningI thirst; prolapsus and
uterus.
Dysmenorrhaaa.—Of a congestive and neuralgic type,
with violent throbbing headache, which is relieved by ex—
ternal pressure. Shiverings over the back; throbbing
toothache ; spasmodic twitchings; enlarged pupils, delirium ,
phrenzy, rage. Pressive pains which come and go quickly,
Metrorrhagia.—Profuse discharge of bright red, hot
blood with pressing pains, or pains as if the hack would
break; sometimes the discharge has a bad odor, and is
mixed with coagula; sometimes there is great vascular
1373,] Therapeutics of Uterine Discharges. 101
excitement, flushed face, red eyes, and full, bounding pulse,
and oppression. Flow of blood between the periods.
Post Partum hemorrhage.
Leucorrhrea,—Acute catarrh, which is followed by a
discharge of white mucus, and attended with colic, the
pain coming suddenly, and ceasing as suddenly as it came,
with hearing down pain as if the uterus would be expelled.
(Lillium). Leucorrhoea most copious in the morning.
L00l1ia..——-Comes in clots, is offensive and feels hot to
the parts. Continues too long, and becomes thin and ofen»
sive, and produces excoriation of the parts with which it
comes in contaét. _ (Carho 1/.)
Concomitants,—Fantastic illusions of the intellec‘? ,
nervous anxiety; desires to escape ; merry; craziness; she
laughs, cries and sings. Rage ; tears her clothes, bites and
strikes ; violent weeping, moaning and howling, without any
cause. '
Disturbed sleep; starting, as if in fright during sleep;
nocturnal wandering of the mind, with moaning and tossing
about; over excitability of all the senses; drowsiness in the
day time, with restlessness at nights ; tries to sleep, in vain ;
'sleepiness, but cannot go to sleep. -
Violent throbhing headache; pain in the head as though it
would burst; lacerating pain in the right side of the
vertex; neuralgia of the right side of the face and fore
head ; hysterical headache ,' vertigo, with vanishing of sight.
Sparks before the eyes; she sees things double; photo
phobia; strabismus; wild wandering look.
Face red, or livid and puffed; bleeding of the nose;
smelling too sensitive; foul imaginary smells.
Inflaniinatoiy swelling of the mouth and fauces; constricv
tive sensation in the fauces; spasms of the gullet; constant
desire to swallow; burning thirst; loss of appetite ; aversion
to food. Nausea in the stomach ; eruftation empty; gag
ging withLinclination to vomit.
102 Therapeutics of Uterine Discharges. [Nova
Vomitingof bile and mucus; hard and painful pressure in
the stomach ; pain in the abdomen as if the parts were
clutched by a hand, or a sensation as if finger nails were dug
into the parts; their pains are transient; stitches and sore
ness in the abdomen.
Flatulent colic, with protusion of transverse colon, like a
pad ; lessened by st00ping forward and pressing upon the
part; diarrh'oeic stools followed by frequent urging; shud
dering during stool; involuntary stools.
Frequent desire to urinate; incontinence of ‘urine in bed,
at night. The urine is yellow, and stains her linen; in
voluntary emissions of urine while standing.
Hysterical spasms of the chest; violent beating in the
chest; palpitation of the heart. reverberating in the head';
trembling of the heart; violent palpitation of the blood
vessels, disturbing her sleep.
Dyspnoea; nightly cough; aphonia; huskiness of the
throat
motion; ; dry,
coughspasmodic cough, worse iat night, and by _
after eating.

Congestion and inflammation of the uterus, vagina and


labia; prolapsus and induration of the uterus.
Nymphomania; mammae inflammed, swollen or in-
durated ; breasts feel heavy.
Stiffness of the neck; pain in the neck as if it would
break, hindering motion. Intense cramps; pain in the
small of the back, and 05 coccygis, can only sit for a short
time. Spasms, with rigidity of the limbs. Tearing pains
and pressure in the shoulders ; heaviness of arms and
feet; scarlet redness of arms and hands.
Adapted to plethoric females, with delicate skin, fair hair
and blue eyes. She takes cold from every draught of air,
especially when uncovering the head.
Aggraz/atz'ons. Worse from the least jar of the bed or
chair; it aggravates the patient exceedingly, in the after
noon and after midnight, on looking at shiny objec‘2s.
1373,] Therapeutics of Uterine Discharges. 103
BERBERIS VULGARIS.
Barberry.

Menstruation—The flow is too scanty, of too long dura


tion, and is attended with violent pains; the discharge con
sisting of grayish colored serum, or grayish, slimy mucus,
or brown blood.
The menses are very scanty and intermitting, with labor
like pains.
. During Menstruation—The patient complains of a
good deal of chilliness. Violent pains in the sacrum and
loins, in the region of the kidneys, or down the thighs and
calves of the legs. Pains are felt all over the body, emana
ting from the lumbar region; labor-like or ulcerative pains.
After Menstruation,—The vagina is sensitive, hot and
dry; smarts and burns; pinching in the perineum; tensive
pain in all the muscles; ill humor.
Concomitants.—Indifference, apathy, melancholy, in'
clination to weep.
Great weakness, like fainting; numbness in the small df
the back; bone pains.
Headache after dinner or in the afternoon; headache
aggravated by motion ; hetter in the open air,- chillines's
along the back; mouth dry and sticky. \
Painful distention in the abdomen; lancinating, tearing,
stinging or burning, gnawing, aching pain, on one side of
the umbilicus, and passing to the luml'ar region.
Empty eruétations; increased thirst; lancinatingpain iii
the region of the kidneys, with a feeling of soreness, as if
bruised ,' worse on motion.
Stitches in the left side down to the vagina.
Urine dark yellow, becoming turbid; mucous sediment;
urging to urinate. Stools hard and scanty; burning at the
anus.

NOTE—By a blunder in making up the pages of Ofiober number,


the last two lines on page 56, (Therapeutics of Uterine Discharges),
were transposed from bottom of page 59, where they properly be
long.
104 Semi-Annual Meeting of the [Nova
‘SEMLANNUAL MEETING OF N. Y. STATE
HOMCEOPATHIC MEDICAL SOCIETY.
THE Semi-Annua lMeeting of the NY. State Homoeop
athic Medical Society, was held in Brooklyn, on Tuesday,
Sept. 9th. Mayor Powell received the delegates, and
made a short address of welcome.
The President of the society, Dr. E. D. Jones, of Albany,
‘ after a brief response to the speech of the Mayor, pro
ceeded to read his annual address, in which he briefly allh
ded to the present state of medical science, and called at
tention to several topics which should receive the attention
of the meeting. '
After the report of the Secretary, and some other mis
cellaneous business, Dr. Gray, of New York, read an elab
orate paper on Medical Education, supplementing it with oc
casional and collateral remarks. Dr. Gray afterwards read
the “Rules and Regulations of the Regents ofthe University
of New York,” in many of the sections of which it was
the purpose of his lengthy esSay to point out a noticeable
accord with the best methods of examination among stu
dents. He suggested, in conclusion, that prizes of merit
be awarded to those students who attain the highest honors.
He offered the following resolution, which was unanimously
adopted:
Resolved, That the thanks of this society are hereby
tendered to the Regents of the University of this State for
the preparation and adoption of a code of rules for the
government of the State Board of Medical Examiners, ap
pointed in compliance with the law of 1872.
Dr. H. R. Stiles presented a paper on “Emotional In
sanity,” prepared by Dr. Samuel \Vorcester, dilating upon
its numerous phases, and instancing the prevalent opinions
as to its cause as entertained by eminent students through
out the world. The paper was exceedingly comprehen
sive, and elicited full interest throughout.
Dr. Gray moved that Dr. Stiles be appointed a com
mittee of one for the purpose of disintegrating the able
1373] N. T. State Homeopathic Medical Society. 105

. document on insanity by Dr. Worcester, in so far as to


present the subject in its separate parts for discussion, which
was unanimously carried.
Doéter Stiles submitted an encouraging oral report of
the condition of the Middletown Homoeopathic Insane
Asylum, of which he is Superintendent, in which, after
narrating the numerous obstacles encountered by him upon
assuming its charge, he submitted in detail a statement of
its advantages in all the various demands that present
themselves
eral. in the management
Y of insane asylums in gen

He stated that last june the building was in an unfinished


condition. Within the past few months progress has been
made now
have toward the completion
abuilding of the
of 175 feet firstfour
long, building.
stories They
high. I

Yesterday they commenced a new building, 195' feet long


and three stories high. The new building. when completed,
will accommodate from. 90 to 115; possibly more, if
crowded; which, however, he does not believe in. They
had there an elegantly located farm of 250 acres, and re-
ceived their water from the reservoir of Middletown. The
building will 'be lighted by gas manufactured on the
premises. He extended an invitation to members of the
Society to visit the institution. He would submit the
architectural plans of the building in the afternoon.
Dr. W. H. Watson presented the following as having
been passed by the American Institute of Homoeopathy
at its late session at Cleveland, Ohio, supplementing the
resolution by somewhat lengthy and patriotic remarks,
advocating the claims of Homoeopathy by reason of its mar
vellous growth and_its widespread influences, and protesting
against many of the assumptions of the allopathic branch
of medicine.
Resolved, That homceopathists everywhere should
strenuously insist upon the non-violation of the great
fundamental American principle of “no taxation without
representation” by settarian monopoly, either of national,
106 Semi-Annual Meeting of the I [Nov.,

state, county, or city institutions, supported by legal as


sessments, or of those private elemosynary institutions
which derive their support from individual contributions.
Dr. Watson urged the adoption of the resolution, saying
that the homoeopathists had now become so large a body
that they should be treated with exaet and impartial justice,
and not be pushed aside by the allopathists. It seemed to
him that it was their duty, at this time, to create a public
sentiment. It is an old saying, that whom the “gods would
destroy they first make mad," and this was the condition
of the allopathists to day. There was no better opportu
nity than the present for the homoeopathists to take a
stand.‘
The resolution was seconded in a few pertinent remarks
by Dr. A. E. Sumner, of Brooklyn, who spoke of some of
the abuses sought to be eradicated by the resolution,
mildly denounced the proscription 0f homoeopathists from
service in the Police Department, and inveighed against
the allopathic monopoly of all the municipal and elemosy
nary institutions of Brooklyn. It was some comfort, of
course, that many of our civic magnates are devotees of
Homoeopathy, and among them he instanced Mayor Powell,
and other prominent citizens; but the fact remained that
the peculiar claims 'of they science had been systematically
denied. The resolution was adopted.
The Secretary then offered a report on the general con
dition of Homoeopathic Societies throughout the State,
prepared by Dr. H. M. Paine, Chairman of the Bureau of
Medical Societies and Institutions. There are in this
State twelve hospitals, sixteen dispensaries, one insane
asylum, four medical schools, and forty county and local
medical societies.
At {2.40 the Society adjourned to accept the hospitality
of the Cumberland Street Hospital.
AFTERNOON SESSION.

The society was called to order at 3 P. M. in the chapel


of the Cumberland street Hospital. The members were
1873,] N. T. State Homceopathic Medical Society. 107
cordially tendered an invitation to visit the hospital in a
neat and appropriate address by the President of the Board
of Trustees, Hon. C. A. Townsend. After partaking of a
bountiful collation provided by the officers of the hospital,
the Society was called to order by the President, Dr.
Jones. _
Dr. Vincent, the Secretary, read a biographical sketch
of the late Dr. E. B. Cole, of Waterford, written by Dr. B.
F. Cornell, of Fort Edward. It was referred to the com
mittee on publication, also ordered to be placed upon the
records of the Society.
Dr. Helmuth, of New York, read an able and instructive
article on the subjevft of Plastic Surgery. This article
elicited discussion in which Drs. Wright, Lord, Brown,
Morrill, and Lilienthal participated.
Dr. Houghton, of the Ophthalmic Hospital of New
York, presented to the Society a treatise on the subjeét of
“Aural Diseases of Children,” giving the history of
several cases which had come under his observation in the
course of his praétice. This essay elicited remarks from
Dr. Searle and others which were very interesting, many
cases being referred to by them.
Dr. Lilienthal, of New York, read an exhaustive essay,
entitled “Differential Indication of Remedies in Pneumonia
on a Physiological Basis,” giving many illustrations in the
course of his readings.
Dr. Brown, of Binghamton, made some remarks upon
the subjeét of the distinétive difference between moral ,
sanity and insanity. In the course of his remarks he made
an earnest appeal for temperance, and vigorously assailed I
the use of tobacco in any shape. Dr. I. S. P. Lord, of
Brooklyn, who is a man of advanced years, and whose
words should have weight, endorsed the remarks of Dr.
Brovvn, and added an earnest, unanswerable argument in
furtherance of the cause of temperance.
Dr. Searle, chairman of _the committee appointed to
108 Meeting of the NJ". State Ham. Med. Society. [Nov,,
draft suitable resolutions relative to the death of Dr.
Simeon A. Cook, of Troy, made the following report:
The Homceopathic Medical Society of the State of New
York, having heard of the death of Dr. Simeon A. Cook,
of Troy, one of its former Vice-Presidents and aétive
members, desires to record its appreciation of his rare
talents, his earnest, meful, and in the highest sense, suc
cessful life, as well as its deep regret at his loss, and heart
felt sympathy with the surviving relations.
The report was received and ordered to be plaCed upon
the minutes of the Society.
- EVENING SESSION.
The members of the Society were the guests of the lady
managers of the Maternite, at their institution, No. 48
Concord street. A pleasant time was there held over the
supper table. When this had been cleared, Hon. W. W.
Goodrich was called upon to take the chair,'which he did,
after expressing his hearty sympathy with Homoeopathy,
and his pleasure in meeting the gentlemen assembled.
Congratulatory remarks were then made by the President,
Dr. E. Darwin jones, Dr. H. C. Houghton, and others.
Before the company adjourned, an elegant gold watch and
chain was presented to Dr. H. M. Paine, former Secretary
of the Society. The presentation speech was made by Dr.
W. H. \Natson, who referred in complimentary terms to
the valuable services of the Docter during his secretaryship,
the latter, replying thereto in an appropriate speech, which
our space will not allow us to reproduce. After having
adopted a vote of thanks to the Lady Managers of the
Maternite for the bountiful reception, and to the several
speakers for their addresses, the Society adjourned to
meet in Albany on the second Tuesday in February,
1874.
FRANK L. VINCENT, Rec. Sec.

THE Funcrrous OF THE PHYSICIAN—TO avert preventa


ble death; to prevent avoidable suffering and injury from
disease; to diminish or palliate irremedial suffering and
injury; to reduce to its minimum the agony of inevitable
death—Prof. Dickson. -
1373_] Nebraska State Hem. Med. Association. 109
NEBRASKA STATE HOMGZOPATHIC MEDICAL
ASSOCIATION.
PURSUANT to a call made for that purpose, the physicians
of Nebraska assembled at the University building, in Lin
coln, September 2d, for the purpose of organizing a state
society.
Dr. W. A. Bun, of Lincoln, was chosen chairman, and
Dr. A. C. Cowperthwait, of Nebraska City, secretary.
A committee on permanent organization was appointed,
and reported a constitution and by-laws, which were ac
cepted and adopted.
The following officers were then eleé'ted for the ensuing
year :
President—Dr: E. T. M. Hurlbert, Lincoln; 'Vice-Presi
dents—Dr. C. S. Wright, Omaha; Dr. J. H. \Vay, Ne
braska City; Secretary—Dr. A. C. Cowperthwait, Nebraska
City; Provisional Secretary—Dr. L. ]. Bumstead, Lincoln ;
Treasurer—Dr. O. S. Wood, Omaha.
The following Committees On Medical subjedts were
appointed:
MATERIA MEDICA.—Dl'. A. C. Cowperthwait,
OBSTETRICS—Dr. J. H. Way._
NERVOUS DISEASES—Dr. L. ]. Bumstead.
CONTAGIOUS Diseases—Dr. L. Walker.
SKIN Diseases—Dr. E. Lewis.
PHYSIOLOGY.——Dr. W. A. Bun.
SURGERY.——Dr. G. D. Streeter.
DISEASES OF WOMEN.-—-DI‘. O. S. Wood.
After the transadtion of miscellaneous business, includ
ing the adoption of appropriate resolutions, etc., the fol
lowing papers were presented and read : “Contagion,” by
Dr. M. Pinkerton, of Glenwood, Iowa; “Clinical Cases,"
by Dr. W. A. Bun, of Lincoln; “ Clinical Examination of
Children,” by Dr. A. C. Cowperthwait, of Nebraska City.
After a limited discussion on the papers read, the Asso—
ciation adjourned to meet in Omaha, on the third Tuesday
in May, 1874, all satisfied that our organization had proved
110 Abstrafi 0f Humwopat/zie Literature. |'Nov,,
a success, and each encouraged to go forward in the pro
mulgation of the principles of pure homoeopathy.
A. C. COWPERTHWAIT, Seeretmy.
10:

ABSTRACT OF HOMGOPATHIC LITERATURE


FOR NOVEMBER.

BY B. FRANK BETTS, M.D.

[British Yournal 0f Hamzeopat/zy. Octoéer [Vin/160.]


Prevention and Cure of Small-pox, by Varz'olz'mmz and
Vaeez'num.—Dr. KaEtzkowski gives his testimony in favor
of these remedies, given internally for the cure of variola,
and also as a preventive, instead of vaccination.
His mode of administering varz‘o/z'mmz as a prophylacti
cum, is to give the child Sulphur, for three mornings and
evenings in succession. Allow this to act for six weeks,
when there is no necessity for hurry; then he administers
‘the variolinum, in the sixth potency, every morning for
three days, to the child, and to the nursing mother. As a
consequence, he finds about the sixth, seventh or eighth
day, the child becomes feverish ; then or later, there is an
itching eruption breaks out on the skin, of large spots,
followed by desquamation, about the 18th to the 20th
day.

[New England Medical Gazetfel


C/zronz'e [Marius—Elmira S. Howard, M.D., has written
for this monthly, a valuable article upon this troublesome
disease. Speaking of treatment, she says our chief reliance
must be on time, rest, general regimen, local use of tents,
alterative and emollient applications, combined with the
carefully selected remedy. It is best to say to your patient
frankly—one year, may be two—you will have to be under
treatment. Years of past suffering, compared with relief in
1373,] Abstrafi of" Homaopathio Literature. 111
one or two, and your frankness inspires confidence. Rest,
we are glad to find the author interprets, to mean not
absolute quiet, for as these cases are tedious. it is disad
vantageous to the patients to keep them in doors, reclining
on a sofa. All exercise that can be done without serious
aggravation, is advisable. There must be an utter and
absolute abandonment of corsets; and clothes must be
supported from the shoulders. As local treatment, she
finds copious, tepid water injeEtions, used daily, very ad
vantageous; occasional Sitz baths give relief from pain.
The use of the tent she thinks advisable, midway in
each intermenstrual period. Beginning with the laminaria
tents of the smallest size, gradually increase the size, and
after a day or two, insert the sponge tent, until the 05 is
perfeetly dilated. This usually takes three, sometimes four
days. She is in the habit of injeeting the tinEture of
Iodine into the uterine cavity, after this, and again at the
next intermenstrual period in the same way, dilating
and injeéting the Iodine, as thoroughly as possible, each
time. Such remedies as Argent. nit, Seaale, Sop, [gn.,
More. proto, Bella, Gels. and Sanguinaria, are found most
useful.

[The Medical Umbra]


Syphilitio Laryngitzs.—Dr. E. 1. Whitney, in a valuable
article on this subjeét, in the Oétober number, gives the.
following indications for remedies in this disease : Thera
peutical indications are to be found in the symptoms pre
sented in each case, and no prescribed line of treatment can
be suggested for all, except that constitutional remedies
are to be most relied upon, although local measures are by
no means to be despised. These remedies are to be found
chiefly among those whose aétion is anti'syphilitic, among
which, and ranking foremost, are the mercurials.
Auruni Foliat.—Caries of the mastoid process and
bones of the nose or palate, snflocatiue attaehs, pain in the
bones at night.
112 Abstraé? of Homeopathic Literature. LNG“,
Iodine.——H0arsencss, with tickling and tingling in the
larynx. Pain in the bones, worse at night.
Kali Bic/trout—Sensation, as from ulceration of larynx ;
hoarse, rough voice, fauces of a dark red or coppery color;
deep excavated sore, containing yellow tenacious mucus, at
the base of noula. Throat pains when the tongue is
protruded. ,
Kali Curb—Difficult deglutition ; the food gets easily into
the windpifie. Hoarseness, with sneezing.
Kali Ifydriod. is better given in appreciable doses.
Lycopodiurn.—Carious nodosities.
r
flierczm'us Corros.-—l%agedemk ulcers ofthe throat; hoarsc~
ness, aphonia.
M'rcurius Virus—Syphylitic ulcers of the mouth and
throat; stinging and burning pain in the throat, aggravated
by empty dig/utition; hoarseness and tickling in the larynx.
Nitric Acid—Great soreness in the bones of the skull,
stinging in the larynx, hoarseness, sycotic condylomata;
plinfulness of the bones, worse at night.
Phosphatas—Hoarseness, aphonia, great painfulncss of
, the larynx; dryness, soreness, and roughness ofthe larynx.
Phytolacca Decandra.—Dryness in the throat, with
sycotic rheumatism.

[American Observer, Detroit]


A Foreign Body in the Right Bronchus. Diagnosis and
Removal—A man act. 70, previously in good health, felt
despondent, debilitated, often dizzy; complained of forget
fulness, and loss of appetite for about a week; after taking
a carriage ride, on alighting, he fainted away; on regaining
consciousness, his memory seemed entirely lost.
Dr. Hamburger was called in, and found increased tem
perature, great thirst; small hard pulse, 100 per minute
breathing short, difficult, 36 per minute; although patient
complained of no dyspncea, it was seen that the respiratory
funétion only took place on the left side; the right lung
1873.] Book NMiner. 11 3
did not work at all; on the left side forced respiration and
enlarged intercostal spaces; rough vesicular murmur; no
rales; heart and spleen displaced ; on the right side, inter
costal spaces small; no respiratory murmur nor rattling; cir—
cumference of this side, I% inches less than left side; no ~
cough, but all the signs of emphysema were present; on ,
account of absence of hypertrophy of the right lung, the
case was proven to be acute. But as acute emphysema
is so rare, he concluded the insufficiency or functional
inability of the right lung, the cause of the acute emphy
sema on the left side.
After administering 4 grains of Tartar Emez‘z'c, vomitu
ritions set in, and during a severe fit of coughing, a green
pea was expectorated, swollen to the size of a large bean,
followed by sudden and marvellous improvement of all the
symptoms.
IO:

BOOK NOTICES.
THE MEDICAL AND SURGICAL HISTORY OF THE WAR
of the Rebellion (1861—65), prepared in accordance with Acts of
Congress, under the direction of Surgeon-General J. K. Barnes,
U. S. A., Washington. Government Printing Office, 1870.
We have received from the office of the Surgeon-Gene
ral, for. deposit in the library of the Hahnemann College,
copies of Part First of the Medical, and of Part First of
the Surgical History of the War. ~The former of these
ponderous folios is devoted wholly to the medical history '
. of the war, and consists of a series of statistical tables
presenting a summary view of the facts embodied in the
monthly reports made to the Surgeon-General, with regard
to the sickness, deaths, and discharges during the four
years of the war, with an appendix containing reports of
medical directors and other officers, and contains many
maps and plans of battle fields, making altogether a volume
of 1091 pages. _
Part First, of the Surgical History, makes a volume of
650 pages of letter-press. In this are found many statis
tical tables, besides chapters on injuries of the head,
face, neck, spine and chest; each of these chapters being
I14 Book Notices. [Nov.,

illustrated by reports of numerous cases, and by thirteen


expensive photo-lithographs, besides many hundred wood
cuts. This is to be followed by a second volume, giving
wounds of the abdomen, pelvis and limbs, besides other
matters, thus completing this great work.
In the publication of these volumes, Government has
done a service to the medical profession—indeed to the
' Whole world—the importance of which can scarcely be
estimated; as the mass of fafts here accumulated, form a
storehouse, from which may be drawn valuable informa
tion by all future writers on Medicine or Surgery.

THE PHYSICIAN‘S VISITING LIST FOR 1874. Lindsay and


Blakiston, Philadelphia.
,3 The faét that this Visiting List has reached the twenty
third year of its publication, is the best possible evidence
of its popularity with the profession. It contains, as here
tofore, an almanac; Marshall Hall’s Ready Method in
Asphyxia; Poisons and their Antidotes; Table for Cal
culating the period of Utero-gestation, besides the usual
blank leaves for visiting list, memoranda, etc., etc., and is
arranged for 25, 50, 75, or 100 patients weekly.

CHARACTERISTIC MATERIA MEDICA, by W. H. Burt, M. D.


Second Edition, Enlarged and Improved. Bcericke & Tafel, I873,
' pp. 541, 8vo. Price, $3.00.
This work, which has been for some time promised us,
finally makes its appearance, and we must predict for it a
greater popularity and more rapid sale, than even the first
edition met with. A' number of new remedies have been
- added, with many new symptoms for old ones, adding thus,
nearly 100 pages to the size of the book. The prominent _
feature, however, ofthis new edition, is a New Classification
of the Remedies. Dr. Burt says: “This classification is
based upon a new discovery, which to the author, appears of
great practical value, since, by its application, the varied
and ponderous MateriaMedica is simplified, and rendered
less difficult.
“This new discovery consists, in the fafit, that all medi
cines have for a starting point, or centre of action, one or
the other of the two nervous centres, either the animal or
the organic; those that have their centre of aétion in the
animal (cerebro-spinal), nervous system, being the true
1873.] Book Notices. 115
remedies for acute and sub-acute diseases, while those that
have their centre in the organic, (ganglionic), nervous system,
are the true remedies for sub acute and chronic diseases.
This distinétion greatly simplifies the Materia Medica, and
I believe it to be a corollary to the immortal Hahnemann’s
great law ; siinilia, similibus curantur.”
Based upon this theory, Dr. Burt proceeds to give us
one of the most rational, and, we believe, what will prove
after due elaboration, the most praétical and useful classifi
cation ever offered.
Certainly, ifour system of therapeutics is a science, some
natural plan of classification must be discoverable, by means
of which our vast Materia Medica may be brought into
some order, and its study greatly simplified. What a
Herculean task would it be to acquire a knowledge of
Botany, or any other branch of natural science, _without the
aid of classification ? and only by the assistance of this, can.
the science of therapeutics be studied to the best possible
advantage. As all diseases are deranged conditions of
tissues or organs, what more natural, than, that the
Materia Medica should be classified upon an anatomical
or physiological basis, such as is here suggested.
To aid in the elucidation of this problem, Dr. Burt's
book should be in the hands of every praétitioner, and his
theory carefully applied in the treatment of diseases,

CLINICAL ELECTRO—THERAPEUTICS, MEDICAL AND


Surgical. A Hand-Book for Physicians, in the Treatment of
nervous and other diseases. 'By Allan McLane Hamilton, M. D.
Illustrated. New York. D. Appleton & Co., 1873, pp. 184..
For every one feeling the least interest in the application
of electricity to the treatment of disease; and we believe
there is an increasing interest in this subjeét, on the part
of our branch of the profession; this volume is just what is
required. Less voluminous, and consequently less expen~
sive than Meyer’s Work, it still gives just the information
that is desired upon this important subjeét; and from the
profuse and excellent charaéter of its illustrations, it meets
every want in this direétion.
Chapters I. and II.,are devoted to the general considera
tion of Eleétrical Phenomena, including a history of
eleétricity, and a description of the different forms of
batteries and various eleEtrical apparatus. .
Chapter III., on Elec‘tro-Physzology, gives the phenomena
116 Book Notices. [Nov.,
of eleétricity, when applied to the various organs and
tissues of the body; following which are chapters on
E/efiro-T/zerapeuties; Galz'am'zation ; Faradzzation ; and
Diagnosis by Eleflrieity.
The chapters on Special Therapeutics, gives the method
of treating paralysis, in its various forms, with hyperxsthe
sia, and the various convulsive diseases.
Chapters XI. and XII., are devoted to Elet‘trolysis and
Galvano-eausty, an Appendix, giving the methods of manag
ing batteries, formulae for solutions, etc.
\Ve feel that we give good advice, when we say to physi
cians, buy and study Dr. Hamilton's book.

THE PHRENOLOGICAL JOURNAL. The OEtober number of


‘this veteran journal, now in its 57th year, comes to us
loaded as usual, with good things. Prominent in its list
of contents, we find biographical sketches of Miles Grant,
Richard Newtown, D.D., and W. J. Lowrie, with portraits.
Among other subjects, we find articles on Spiritualism ; on
the True Law of Population; How to use Phrenology; our
National Capital; Genesis in Geology; great fortunes in
England, etc., etc., besides a great variety of miscellaneous
and current items, making altogether a most interesting
number.

CROWDED OUT.
NOTICES of the following works are crowded out of the
present number :
Repertory of the Materia Media, for the Eyes, by E.
\V. Berridge, M.D.
Quarantine on the Southern and Gulf Coasts, by H.
E. Brown, M.D. ‘
The Application of the Principles and Practice of Hom
oeopathy to Obstetrics, by H. N. Guernsey, M. D.
Taking Cold the Cause of half our Diseases, by John
Hayward, M.D.
The Dependence of Life on Decomposition, by Henry
Frecke, M.D.
An Appc‘al to Physiologists and the Press, by H. Frecke,
M.D.
THE AMERICAN JOURNAL
OF

Homoeopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.


Philadelphia, November I, 1873.

mBRIEr practical articles, Reports of Societies, Medical news, etc., etc.


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper. _
NThe Editors assume no responsibility for sentiments or statements made
over the names of correspondents.
A. R. THOMAS, M. D., General Editor.

THE PHYSICIAN AS A STUDENT.


Medicine having been accorded a position among the “learnedpm
fessz‘ons," community has a right to expeé‘t the physician to. be a man
of general scientific attainments, and that his knowledge shall not be
limited to the mere essentials of his profession. The greater number
of medical students however, not having received a classical educa—
tion, commence the study of their profession with little acquaintance
with science in general, and are too frequently content, after having
passed through the required course of study and received their de
gree, with discontinuing all study proper, and with getting barely suffi—
cient professional reading to keep themselves within sight ofthe advan
cing ranks of the profession. This is not as it should be
Want of time, is the usual excuse offered for a negleét in these mat
ters; but the young physician, as a rule, has in the early years of his
praaice, abundant time for commenting, and few may not find suf
ficient leisure, even with a large praftice in later years, for continuing
the study of one or more branches of science, or specialty in the pro—
fession. '
With the majority of medical men, more time is aftually wasted
than would be required, not only for keeping one thoroughly posted
in the various departments of the profession, but for prosecuting col
lateral branches of study, and thus for obtaining that position among
men of science, which every member of a liberal profession should
aim to acquire. How much time is wasted in unrequired sleep, in
idle conversation, or in unnecessarily prolonged professional visits?
How many odd moments are allowed to run to waste ? How
many men imagine themselves very busy, and consume the
whole day in attending to duties, which, by a little more
117
1 18 Editorial Department. [Nov.,
energy and promptness, might'be dispatched in 'half the time, leav
ing the balance for study? A careful employment of these frag
ments of time, in the study of some branch of science, would in
a few years add vastly to the physician's knowledge, and tend to
elevate the standing of the whole profession.
Many examples might be given of what has been accomplished by
the industrious improvement of spare moments. The late Professor
Meigs tells us that one of his most valuable works was largely written
while waiting at the bedside of his obstetric patients. A friend
writes, that in June next he is to pass an examination for the degree
of L.L.B.; the time devoted to the study of Law, however, in no
way interfering with his medical reading or praélice, two hours a
day only—from 5 to 7 A.M.——being given to the subjcft. At the same
time, this industrious student is a large contributor to our medical
journals, and is soon to publisha work on the Respiratory Affeftions
of Childhood. The Praétical Guide for Post-Mortem Examinations
and Morbid Anatomy, was almost wholly prepared between five and
seven o'clock A. M., while the whole of the Editorial work of this
Journal is accomplished during the same time. Dr. 0. P. Baer, in
addition to his professional study and praétice, has carried on the
studies of Geology, Mineralogy, Botany, Meteorology, Conchology,
Microscopy, etc., and says that he believes earnestly that they have
conduced very greatly to his success in business, for the reason that
they have helped in disciplining his mind.
Other examples might be given, but these are sufficient to show
what may be accomplished by industry and application; and suffi
cient, we hope, to stimulate the young physician to the praftice of
economy in the use of his time, as well as his money, and to the
careful employment of the same, in the pursuit of knowledge.
THE PRELIMINARY Counsr: OF LECTURES of the Hahnemann Medi
cal College of this city, which commenced on the 29th of September,
ult., was attended by an unusually large and intelligent class of
students. Those lectures of the course, given by physicians from
abroad, were of special value and interest. Dr. J. B. Wood, of West—
chester, gave the class most wholesome advice on the use of tobacco.
Dr. Kinne, of Patterson, N. J., gaVe them three most admirable
lectures on Uterine Displacements; Dr. Shearer, of Baltimore, in a
most lucid and satisfaftory letture, gave them an insight into the use
of electricity; while Dr. Youlen, of Jersey City, gave them three
lefturesz—I. On the importance of Little Things in prac'tice; 2. A
glance at the diseases of children ; 3. A glance at the diseases of in
fancy; which, from the care of preparation and earnest manner of
delivery, will long be remembered. Each of these gentlemen is
entitled to the thanks of s.udents and faculty. '
1873.] ‘ , ‘ Miscellaneous Items. 11-9.
\VANTED.—Copies of Nos. 3, 4, 5 and 6 of Vol. V., and No. I of
Vol. VI. of this journal. Any one sending us either of the above
numbers, we will allow them twenty-five cents per number on a
new subscription, or pay cash for the same.
PROF. GUERNSEY'S OBSTETRICS.—A new edition of this work has
recently been issued by Boericke & Tafel. The improvement upon
the old edition is most‘ noticeable, and the volume will give pleasure
to. all. An extended notice will appear in our next issue.

MISCELLANEOUS ITEMS.
THE late Dr. Nelaton, the eminent French surgeon, left a fortune
valued at $1,400,0co.
THIRTY-SEVEN young ladies have matriculated in the Medical De
partment of the University of Michigan.
THE National Foundling Hospital, at Moscow, is said to cost
$3,000,000 a year, and to contain 10,000 babies.
THE Oldest Lunatic Asylum in America, is at Williamsburg, Va.
It was opened October 11th, 1773. There is but one older institution
ofthe kind in Europe.
DR. J. R. LOUIS, of the Sanitary Commission, in India, states that
in all the cases of Chyluria he has examined, minute aftive worm
like creatures were found in the blood.
THE FIRST COURSE of Lectures on Anatomy, in the University of
Edinburgh, illustrated by a dissection of the human body, was given
in 1697, and was completed in ten leélures.
MEDICAL EDUCATION or WOMEN.—Miss Jex Blake has recently
read a paper before the Social Science Association, at Norwich, Eng
land, in which sl e ably defended the affirmative of this question.
THE ORIGIN OF YELLOW FEVER.-The Chamber of Commerce, of
Galveston, Texas, has appointed a commission to make an exhaust
ive investigation into the origin or importation of yellow fever. The
result of their labors will be published.
FEMALE PROFEs50RS.—~The University of Bologna has had three
female professors in its Medical Faculty: Dorotia Bacca, Professor of
Medicine, in 1400; Anna Mazzolini, Professor of Anatomy, in 1760;
and Maria della Donne, Professor of Midwifery, in 1800.
NEW BOOKs.—Bcericke and Tafel have issued the following new
works this fall: Guernsey‘s Obstetrics; Second Edition. Burt's
Characteristic Materia Medica; Second Edition. And Bonning
hausen's Intermittent Fever. Translated by A. Korndoerfer, M. D.
YELLOW FEVER.—This disease has been prevailing for two months
past, at Shreveport, and is now prevailing in Memphis, Tenn. In
the former place, a city of about five thousand inhabitants, halfofwhom
have fled since the outbreak of the disease, there have been over
six hundred deaths, a mortality representing one fourth of the re
maining population ! -
120 Persona/s. [Nov., 1873.

GUANO.—ACCOrdlng to the‘latest theory, guano has not, as is gene


rally supposed, been deposited by birds, but is the result of the accu—
mulation of fossil marine plants and animals, whose organic matter
has been transformed into nitrogenous substance, leaving the mineral
part behind. Of course it was originally deposited on the bottom of
the sea, but the islands on which it is now found have themselves
been lifted up from the depths of the ocean.
A NEW ELEMENT.—A discovery is alleged to have been made by
a member of the Paris Academy of Science, which, if true, may be
of importance to balloonists. The discovery is, that hydrogen,
hitherto considered an element, is in reality a combination of two
elements, one of which is nine times as light as hydrogen, and
twenty-five times as light as ordinary illuminating gas. The new
element is called abaron—meaning weightless. It will not burn, ex
tinguishes flame, is without odor, taste or color.

Posr PARTUM BXNDERS.—Dr. Cairns, before the Obstetrical


Society of Edinburg, gives the following reasons for discarding the
bandage: The trouble unnecessarily entailed on the accoucher; the
unnecessary exposure ; the impediment they offer to the circulation ;
their want of proper form generally; and in case of post partum
haemorrhage, the obstacle they offer to the application of proper
remedies.
Animals with pendant bellies require no bandages, then why do
our women P
(In the obstetrial wards of the Vienna Hospital, where about 9,000
women are delivered per annum, no bandages are used).

PERSONAL.
We would feel obliged "our snhxarlherl would send us for insertion. under this head, notice: of removals,
marriages,“ doubl of Hommopnthlc Physicians.

Die. B. BOWMAN, has removed from Chambersburg to Harrisburg


Pa.
DR. C. C. OLMSTEAD, from Fond du Lac to Cleveland, Ohio.
DR. G. \V. PARKER, from No. r8r3 South Second Street, to No.
1404 South Sixth Street, Philadelphia. _
DR. J. P. DINSMORE, of San Francisco, has returned from Santa
Barbara, with improved health, and located in' Oakland, Cal.
DR. GEO. D. STREETER, has removed from Nebraska City, to 639
Main St., Quincy, 111., and entered into co-partnership with Dr. J.
Moore.
Du. CARROL DUNHAM, has recently returned from his European
trip, much improved in health, yet will not for the present, resume
his professional duties.

ERRATUM.—Oflober number, page 65, fourth line, for “ contests".


read arrests.
The American Journal
OF

_ i 0.} ' e} !

@ummnpatlpr <Sijlilatizrm fileiura

RECORD OF MEDICAL SCIENCE.

arises-i DECEMBER. 1873- iw“"t:.’.‘°+t“"


,

THE PATHOLOGICAL MOVEMENT IN CONNEC


TION WITH HOMCEOPATHY.
BY C. NEIDHARD, M. D.
HOMCEOPATHIC physicians of much experience, must
have observed that a certain disease was very promptly
cured by a remedy at one time, but not at another,
although the same symptoms were present.
We consoled ourselves that there was something in the
epidemic constitution of the atmosphere which prevented
the same remedy from aeting at this time, or that the
disease had undergone some change which required a
change of remedies in order to produce the same beneficial
effeift. Of~late, however, by prescribing certain remedies,
not only for the varying symptoms, but what we con
sidered the pathological cause, our cures, have become
more permanent. The homoeopathic praétice was thus
greatly simplified. Instead of prescribing innumerable
remedies for a host of symptoms and having to change
them all the time, we often completed the whole cure with
one, or at most, two remedies. Without some rational
speculations about the cause of the symptoms before us,
we should never have discovered these remedies. The
difficulties encountered in discovering this cause did not
make us shrink from it. Even as homoeopathic physi
cians, the “ Tolle cansam” has to be still our motto. In
VOL. VII.-—No. 4.
122 The Pathologieat Movement {9%,
most instances we had to rely upon our clinical experi
ences and the anamnesis of the patient’s family. We found,
e. g., in this way, that Kali lzydriodieum, Olezmz jeeoris
asselli, Cale. Iii/poplzos., Natr. mun, Bromine, Yodium,
Cale. earth, etc., corresponded better to the tubercular
diathesis, (cachexia tuberculosa), than other remedies for
permanent effect. This did not prevent us from using as
palliative aids for troublesome symptoms, remedies like
Brj/om'a, Aeoaitum, Phosphor, Acid lzydroeyan., Lauroeera
sits, Squilla marit., Lyeo/Jodiam, Salvia Mexieana, etc.
We soon found, liOWever, that radical cures were impossible
by these latter remedies. The physiological provings in
Frank‘s Magazine as well as some of the provings of
the Homoeopathic School, furnish us with decided hints
in this resperft.
On examining the lungs of numerous persons with
incipient phthisis, we have often found both lungs give
strong indications by auscultation and percussion, of tuber
cular deposit. After reexamining them in two or three'
months, the dull sound of percussion had entirely disap
appeared, and the natural respiratory murmur had re
turned. These great changes could only be ascribed to
the remedies to which we attribute more permanent effects.
The same results were never obtained by the remedies
which we mention as palliatives, although they were ex
tremely useful in removing isolated troublesome symptoms.
It cannot be however overlooked, that in every difficult
case, exercise on horseback, (which Sydenham and our
own Benjamin Rush* consider a true specific in lung
diseases), was of the greatest advantage in these cases.
\Vhen re-provings of our Materia Medica are instituted,
our Homoeopathic Colleges must take the lead. These
must be made on man as well as animals, and with both
large and small doses. It will then be found that the
material changes in the system, and their external manifes

*See “Thoughts upon the Cause and Cure of Pulmonary Con


sumption." Benjamin Rush, M. D., 1800.
‘37“ Conneflion with Homeopathy. 123
tations by symptoms, take place simultaneously, and must
be considered of equal value for the selection of the
remedies.
In the Parisian Foundling Institutions, it has been dis
covered that the seeds of tubercles are often found in the .
embryo. Is it not so with all chronic diseases P May not the
discoveries of a Salisbury, n ho found _sixty-five different
kinds of bad blood, lead to something? The late Dr.
Griesselich used to say in his rough way: “ Die Materie
ist nicht des Teufels,” meaning thereby, that as long as we
are on earth, the spiritual and material nature of man have
equal claims to our consideration.
As a practical fact, we may mention that the first
remedies have been of great service to us in many hundred
cases of tubercular diathesis, and if the disease was not too
far advanced a complete cure took place. They were of
course varied according to the idiosyncracies of the
patients. We wish here to reiterate our previous state
ment, that according to our experience, some remedies.
touch more the external symptoms of the disease while
others penetrate to the root. The first one palliates and
relieves symptoms, whilst the last is more fundamental in
its action, andabsolutely cures chronic diseases, if a
a radical cure is at all possible. Hahnemann, when estab
lishing his distinction between antipsoric and other
remedies, had undoubtedly this idea in his mind.
That there is a strong tendency in the Homoeopathic
School in the same direction, the following extracts from
our periodical literature will show. Thus, Dr. Elb, of
Dresden, remarks that the reflected symptoms are often
deceptive. “Identical arrays of symptoms may be fre
quently occasioned by entirely different pathological con
ditions.” .
Dr. Henry R. Madden relates two severe cases of
rheumatic ophthalmia, treated by two leading homoeopathic
physicians, the representatives of two opposite homoeo
pathic schools. “ In one case,” he says, “the pathological
124 The Pathological Movement [Dec.,

condition wholly and solely regulated the selections of


the drugs, while in the other, the subjective sensations
were invariably utilized for choosing the remedy. In
neither case did I myself prescribe, but I watched the
progress of both with great interest. The patient treated,
pathologically complained bitterly of his severe pains and
sleepless nights ; indeed, so great were his sufferings that
once or twice an auxiliary sedative was permitted. The
progress however of the case was objectively satisfactory,
and the patient made a complete recovery. This case I
had not the opportunity of seeing during the illness, but
the gentleman's wife wrote to me again and again, and I
had some difficulty in preventing them changing their
attendant, as they were so disheartened by the continued
severe sufferings of the patient; nevertheless as I re
marked, the recovery was perfect, and the attack lasted an
ordinary time. The second caseI watched from day to
day, and what impressed me so strongly was that each
subjeé'iz've symptom as it arose was controlled, often with
marvelous rapidity ($31 the remedy symptamatz'eally selected,
and yet the pathologz'eal condz'tz'an was totally zmz'uflueneed.
As far as the appearance of the eye went, no medicine
affected it in the least; the disease ran its whole course
precisely as if left to itself, and the eye was material/y
damaged, while the duration of the case was decidedly
protracted. Still, from beginning to end the patient
obtained encouraging relief from his sufferings to such an
extent, that had the disease been internal, any practi
tioner would have felt thoroughly satisfied with the
apparent efficacy of the drugs. Of course, one must not
build too much upon single cases, nevertheless I am satis
fied that the comparison of such a pair of cases as these
must lead to some useful results.* It seems to me that if
some possible union of the two methods oftreatment could
*If this statement is correct, (and we have no doubt that it is), and
should be corroborated in the majority of cases, the selection of the
homoeopathic remedy from pathological indications would be of the
highest importance.
187%] In Connefiion with Homoeopathy. 125
have been devised, both patients would have been benefited
materially. We ought certainly, whenever possible, to
relieve our patient’s suffering, while at the same time we
ought not to negleot the pathological condition. In so
important an organ as the eye, there can be no doubt
that it is better to suffer pain and retain the eye uninjured,
than to purchase relief at the cost of defeftive vision. The
question however is, cannot both these indications be met?
and might we not control equally the subjective symptoms
and the objeétive changes P
“ How this is to be accomplished I confess I do not at
present see, since the medicines indicated by the subjeétive
symptoms, so often differ from those which are direétly re
lated to the pathological state. For example, Aconite and
various preparations of Morourius, formed the basis of the
treatment in the first case; while Hepar 3., Am, P/zos.,
Verat., Zilla, Lac/2., Croton, fliangan., Gmmm' gutz‘z', jVux
210112., etc., took part in the treatment of the second, and
each seemed to answer its purpose as far as relief of pain
was concerned. -
“I was much struck with the unusual frequency with
which the pains changed in charaéter and condition during
the progress of this case, which affords grounds for the
suspicion that the constant symptom-treatment, transferred
the morbid irritation from one nerve to another. Just as
when a tank overflows, the stopping of one stream will
constantly originate a fresh one, so long as the fountain _
continues to pour forth its waters, so all these pains,
though sufficiently independent to be capable of separate
treatment, may be fairly considered as intimately associated
with the pathological changes in the eye. And hence, as
long as that morbid process continued unchecked, the re
moval of one set of symptoms was only the signal for the
appearance of some other sympathetic suffering.”
Thus far Dr. Henry Madden. We may ask the
question with him: Can we give palliative remedies for the
pain and at the same time curative remedies for the radical
126 The Pal/1i Movement in Can. with Hum. [98%
treatment of the pathological changes? In an article on
this subject, lately published in the British For/ma! 0fHom
aeopat/z ', we say: “\Ve cannot cure all diseases without
ralz'onal speculations about their cause and their pathology.
Relying exclusively upon the symptoms, three points must
be considered :—
“ I. The actually present symptoms with their conditions.
“ 2. The pathological state as far as it can be ascertained
by auscultation and percussion, by the opthalmoscope,
laryngoscope and similar_means, and by the discoveries
of former post-mortem examinations when similar symp_
toms were present.
“ 3. Anamnesis, the history of the family, predisposing
the patient to any particular disease."
Dr. Hempel,
Medz'ealland in the Yuumal
Surgz'ml Octobercomes
number
to of
the the Chicago
same con

clusion. He says: “The Homoeopathy which we have


foreshadowed, puts an end to the dreary trading in symp
toms, which is indulged in much too freely by some of the
cultivators 'of this science. * * * * *
“There are hundreds of symptoms in our Materia
Medica that are identical with corresponding pathological
conditions. Effects so perfectly alike must spring from
the same cause; hence we have been led to infer that the
morbific force and the drug force is the same essential prin
ciple in different forms of development and ultimation.
. Disease is an aberration of the morbific force, from its
natural order of development or its embodiment in some
animal, vegetable or mineral drug.”
Although these last sentences may not be very clear to
some, they still can state the fact which we wish to es
tablish, that prominent minds in our ranks seek the solu_
tion of‘the homoeopathic riddle, in the direction of a.
higher pathology.
Dr. Sharp, in his “ Essay on the Anatomical Basis of
Therapeutics,” says: “I cannot but again conclude, that
of the different foundations which have been proposed far
1 873,] Clinical Medicine 1 27
therapeutics, an anatomical one is the easiest, the safest and
most praétical, and the one likely to be the most perma
nent, and so in every way the best.”
Dr. Black, his critic, comments on Sharp‘s views as fol
lows: “ Taking Dr. Sharp’s definition, ‘symptoms are signs,’
the thing is, the morbid state or condition which produces
them, I shall from the writings of eminent modern authors,
show that while symptoms are signs, the thing signified
is the morbid state or condition which produces them.”
There is no doubt that other homoeopathic physicians
may have expressed similar views. Lacking the time to
examine all the records of homoeopathic literature, the
above quotations must suffice for the present.

CLINICAL MEDICINE.

CEREBRO-SPINAL MENINGITIS.
BY A. C. COWPERTHWAIT, M. D., of Nebraska City.

NOVEMBER 16th, 1872, was called in the morning to see


a little girl aged four years, black hair and eyes,_ robust
and healthy. The mother said she had had a chill, and
upon examination I found a slight fever present. The
tongue was clean, and the child was eating with apparent
relish. There were several cases of ague in the neighbor
hood, and I expeéted nothing unusual here.
In response to a message I called again in the evening.
The change in the condition of the child was astonishing.
Ilearned from the mother that she had vomited after I
left, the fever had not abated, there had been great pros
tration and intense pain in the head. The child was now
lying with the head violently retraéted, constantly beating
the head with the hands, at the same time continually
utteringa sharp, quick cry. She was vomiting occasionally
a dark green substance; the eyes were glaring and in
1 28 Clinical Meditine. [Dec.,
sensible, and the hearing seemed gone. The pulse was
130, the respiration 40; the face was flushed, the head hot,
the extremities inclined to be cold. Iat once prescribed
Bell, 2e., andapplied hot fomentations to neck and feet.
On the following morning the case was comparatively
unchanged, the crying still continued; the pulse was 150,
respiration, 48. These symptoms continued unabated
during the day. About 4 P. M. a partial-paralysis of the
whole right side was observed, and at the same time a few
purplish spots made their appearance, scattered here and
there on the neck and face. The pulse was 160, respira_
tion, 70 to 80 per minute. The extremities being cold, I
enveloped the lower extremities from below the hips in a
hot pack, and wrapped the arms and hands in hot flannels.
This was the condition of the case, when a popular
homoeopathic (P) physician of a neighboring city was called
in consultation. He coincided in diagnosis and treatment,
only advising me to drop a little [Warp/Zia sit/pit. in each
powder of the Bell., in order to quiet the patient and
friends. I hope it is not necessary for me to state that I
did no such thing.
The above condition ofthe case, with but little variations,
now continued for eighteen days, the family and friends
only waiting for the last hour to come. The pulse re
mained about 160, the respiration 70 to 80. She would
occasionally sleep an hour or so, but would wake up scream
ing, and would soon have a slight convulsion. The face
became pallid; the nose pointed; the eyes sunken ; the body
emaciated ; the hair worn from the head by constant
rubbing and motion, and yet the lamp of life still flickered,
and the little sufferer cried continually day and night with
heart-rending sound. During all this time, Bell. had been
the principal remedy, accompanied by hot fomentations to
the neck, and hot packs to the extremities every day.
Several times I had tried to change the remedy, but every
time I did so, there was an apparent exacerbation, so that
I was glad to get back again.
1 873.] Cliniml Medicine. 1 29
On the nineteenth day the cry began to subside for the
first time, a profuse perspiration covered the body, the
extremities were warmer, the head cooler. The next day
the blind eyes were open and the deaf ears unstopped, and
from this time on, the case gained with marvellous rapidity,
and soon entirely recovered.

VERIFIED CHARACTERISTICS.
BY G. R. KNIGHT, M.D.

NEURALGIA.-BELL., SEPIA.

CASE. I.—-Mrs. H., has been suffering for three weeks


with severe pains coming on in paroxysms, lasting about
three hours. _The pain begins in the nape of her neck,
spreading over occiput and rig/it side 0f lzead and face;
flames on suddenly and leaves as Quickly.
Cured with Bell, 200t/z.

CASE. 2.—Miss S. for several weeks has had pain 6e


gi/mz'ng over lzer left eye and extending over right eye and
around to the right ear. One dose of Sepia, 301/1, followed
by immediate disappearance of the pain. N0 return.
H/EMORRHOIDS.—-IGNATIA.
Mrs. D. Since the birth of her first child, I I years ago,
has had piles, bleeding but slightly and protruding at stool ;
which is followed by, severe contrai‘liz/e pain in the anus,
and stitc/zes up the refium ,' lasting until exactly 5 P. M. of
each day when the pain suddenly ceases. There was
prompt relief from [gnatia, 61/1.
NUX VOMICA.
During the prevalence of typhoid fever, several ofifice
patients were promptly relieved of the following symptoms
by Nun: wmica: headache; aching in all the bones ; lan
guor, debility; feverishness in the afternoon and loss of
appetite. '
OBSTETRICS AND GYNZECOLOGY.

HOT WVATER FOR UTERINE HjEMORRHAGE.

BY T. H. MANN, M.D., 4 1:10:12 Nana, R. i.


I have no doubt that every physician entertains almost a.
mortal dread of meeting his first case of severe uterine lizem
orrhage, occuring after natural labor; or, more commonly,
that occurring after miscarriage or abortion. With myself
perhaps, the dread was not a mortal one, though shrunk
from as a case very undesirable to meet, and 'yet, accom
panied with 'a certain undefined feeling as though I should
like to meet just such a case, in order to test my own
nerves.
Every remedy for controlling such a haemorrliage had
been carefully studied and noted, from Dr. Guernsey’s 200th
of [pang to drop doses of Erz'geron Ca12ad., and from the
tampon of lint, to pounded ice, injections of Iron, &c.
Every given case has its undoubted homoeopathic re
medy, but how many of our best and most trusted physi
cians, are able to select that remedy for the case in hand,
with any secure feeling of safety in the choice?
Reported cases are multiplying themselves, each repor
terlauding the particular remedy, yet differing widely from
the remedy which cured a similar case in the hands of a
brother praftitioner across the country. To test the truth
of the above proposition, please collect a dozen different
cases reported in as many different journals, and by as
many different reporters ; upon comparison see how similar
the cases, yet how different the remedies employed, and
how uniform the success. We may suppose the uniform
success may be attributed to the fact that, unsuccessful
cases do not find their way into our journals, but their
remembrance is locked up snugly in the the doétor’s own
bosom. What an array of unsuccessful cases might be re
ported, where five, ten, even twelve different remedies had
130
13”] Hof Water for Uterine Hamorrhage. 131
been tried in a single case, and the physician finally leav
ing the patient convalescent, but with the comforting feeling
to brood over that the patient recovered because she had
flowed all that nature intended she should, and that too in
spite of the remedies.
I do not throw a doubt upon homoeopathy, for I believe
in sz'mz'h'a, simz'lz'hus, curantur, as I believe in any other of
Nature's well adjusted and applicable laws; but we must
have a means of controlling severe uterine haemorrhage,
that may be safely used by the thousands that cannot intelli
gently use [pecag 200th. That remedy may be found in the
use of hot water. I found this remedy spoken of in one
of our journals a few months ago, and just in time to use
in my first case of severe uterine hzemorrhage; and I note
this case, and the second one, to thank the author of the
remedy, and to give to the profession, proofofits entire feasa
bility and certainty of action. ,
I will here add, that I am the only physician upon an is
land of 1,500 inhabitants, with no chance for consultation.

CASE 1.—September IIth, 1873,. was called early in the


morning to see Mrs. Sarah D., four miles from my oflice.
She had been “ flowing all night,” regular labor pains
having commenced early in the evening. \Ve anticipated a
miscarriage at the second month; the patient was exhausted
from loss of blood; pains growing weaker. Three or four
days before, the patient had done a hard day’s washing at a
spring 40 rods from the house, carrying the linen, wash
tubs, etc., to and from the spring to house, thereby bring
ing on a severe cold accompanied by prolapsus ,uteri ; ,had
partially recovered from cold when taken with labor pains
and haemorrhage.
On my arrival, immediately made examination and found
the os soft and spongy to touch, not dilated enough to in
troduce end ofthe finger. The examination brought on a long
lasting, severe pain, with gushes of blood which produced
fainting, between the pains, the blood .flowing passively.
1 32 Hat lVater for Ulerine Haemorr/zage. [D ec.,
No ice on the island to be had, no very cold water, no styp
tic of any kind nearer than my office.
The use of the hot water occurred to me, and with the
aid of a female syringe (Davidson‘s) t/zree pim‘swvere in
jeéted to the uterus at once, not particularly into it, though
probably some of the water found its way partially within.
The result was immediate cessation of haemorrhage, and
the vagina contraéted as with a powerful styptic, so that I
could not introduce my finger to the uterus. . It was fifteen
minutes after the injeftion before I could reach that organ,
when I found it hard and smooth, with the os dilated to
double the extent of twenty minutes before. Labor pains
continuing regular without any haemorrhage for an hour,
and two hours before the haemorrhage became at all severe. '
Meantime I had discovered a fibrous tumor, attached to
the left side and immediately above the internal 05; tumor
nearly an inch in diameter. While a messenger had gone
to the office for surgical instruments, I used the hot water
injection again with the same effect as at first. Upon ar
rival of instruments, grasped the tumor with placentae
forceps, twisting and wrenching it off, bringing away
' with it quite a large section of lining membrane, with
a few muscular fibres of the uterus. Haemorrhage com
menced again, but was controlled in the same manner for
the third and last time. No more haemorrhage to present
time. ‘
Patient rested well the following night, receiving Amz'm,
30th, and China, 1st. The second evening there was great
tenderness of abdomen; bloating ; pulse one hundred and
twenty, and other symptoms usual to badly inflamed uterus.
Treated by warm water fomentations to the abdomen, warm
water injection slightly colored with Permangnate of Patas/z,
C/zz'na, 1st, drop doses, and Lyeopodium, 301/1. After making
the above prescription and fairly on my way home, it oc
curred to me that Aconz'te ought to have been given, in
order to be strictly orthodox, per Hempel, but concluded
to make no change, and found my patient in the morning
1373,| Hot Water for Uterine Hamorrhage. 133
with pulse at ninety and inquiring for something to eat.
No further trouble from that case, and Within three weeks
after the operation Mrs. D. performed a day’s washing,
though as suggested, her husband brought the water to the
house.
CASE. 2.-Following immediately upon above case, Mrs.
George M., in crossing from main land to the island suf
fered from sea-sickness, with very severe vomiting. Six
days after was called to attend her through miscarriage at
third month. Found her weak and faint from loss of blood.
Examination discovered 05 slightly dilated, soft to touch.
The hot water injection, three pints, immediately stopped
the haemorrhage without interfering with labor pains, but
on the contrary promoting them. As soon as an examination
could be made, which as in case I, was not till after fifteen
minutes, found the os well dilated, hard, and the foetus
engaging, which prevented any further haemorrhage until
after its ejedtion. Haemorrhage returning, used the injeétion
second and last time. Seven days after Mrs. M. walked
down to the Office, one ‘mile distant.
Since the above cases have occurred, I do not in the least
dread to be called to any severe haemorrhage from the uterus;
should not hesitate to use the hot water in any stage of
labor. It is also the best means I know for replacing an
ordinary simple prolapsus uteri, and conjointly used with
peifett rest. in bed for a few days, under homoeopathic
treatment, the best means for a cure. - ,
In using the hot water as a styptic, I would recommend
that the following two items be carefully followed: 1.
Never stop with any less than one full quart, thrown in
as continuous a stream as Davidson’s syringe will admit Of.
2. Use it as hot as can be borne by the patient without
scalding, though not quite so hot as can be borne by the
hand.

IT is better to be able to cure a disease without explain


ing it, then to be able to explain and not cure it.
THE

THERAPEUTICS OF UTERINE DISCHARGES.

Br Ilmmr Mun-on, A.M., M. D.

BORAX VERRETA.
Blborate of Soda.

Menstruation—Too soon and too profuse ,' suppression


of the menses, with great nervousness. ’
Before Menstruation—Beating in t/zc liead, aliasing in
the ears, and pressure on the chest. Stitching pain in the
right pe&oral region; pain extending from the stomach
to the small of the back.
During Menstruation—Great lassitude; pulsative
headache, buzzing in the ears. Spasmodic pressing and
lancinating pain in the groins; colic fr0m the stomach to
the inguinal region; pain extending from stomach to the
small of the back. Nausea; headache all over.
After Menstruation.-—Gastra1gia, with heaviness from
the right groin to the shoulder blade; crampy and lan
cinating pains in the groins ; lencorr/icea.
Leucorrhaaa.—W/n'te alomninons disc/taigc, like the
white ofan egg, or like starch, with a sensation as if warm
water was escaping; thick, corrosive burning leucorrhoea;
thick, white discharge, like thick starch or paste; leucor
rhoea, white as starch, without pain.
Sterility on account of chronic acrid leucorrhoea ; leucor
rlicea, midway between the menstrual periods.
Concomitants.—Low spirited and peevish, easily fright
ened, very nervous, cannot sleep well, starts' at the least
noise. Pain all over the head, with nausea and inclination
to vomit; vertigo in the morning. The hair is rough and
frowzy, and the ends split; unwholesome, thin. Trembling
of the whole body. She drcaa’s a downward motion, or
descending stairs, or the downward motion of a swing, or
134
1373,] Therapeutic: of Uterine Discharges. 135
a rocking chair. Distention from flatulence, after every
meal. Stitches in the chest at every turn of cough, or
when yawning or breathing deeply; pain in the right pec
toral region; pain in the small of tlze oat-k. Stitches in the
soles of the feet. Violent, instantaneous desiie to urinate.
Stools [lg/it yellow, slimy nznrous, with great exhaustion.
Sleepiness in the daytime, and sleepleesness at night.
Stitches in the uterus, pinching Sensation at the clitoris,
especially at night. Especially adapted to sensitive, lax
temperaments, and nervous constitutions.

BOVISTA.
Pufl' balls.

Menstruation—T00 seanty, or retarded; watery, and


flowing only at mgr/it. Menstruation too often and too pro
fuse, flowing more in the morning and less at night.
6 Before Menstruation.——Dian'/iaa, and bearing down
toward the genital organs.
During Menstruation.—Lassitude, headache, tooth
ache, colic, soreness and excoriations in the groins.
After Menstruation.—Leu£0rrnoea. Discharge of
blood betWeen the menstrual periods.
Leucorrhma,—After t/ie menses. Thick, viscous, alon
nzinons, of a yellowish-green color, acrid, corrosive. Leu
corrhaeal discharge like the white of an egg, especially wlzen
walking, dropping out in a coagulate mass, or clot; soreness
between the labia and thighs.
Concomitants.—She is sad and despondent, especially
when alone; absent minded; ill humor and vexed mood;
great lassitude and debility. Tetters in spots all over the
body; moist, scurvy eruptions. Vertigo in the morning;
headache deep in the brain; headache on walking, as from
sleeping too long; color of the face alternately red and
pale; fainting turns; sleepiness after dinner, and early in
the evening; stuttering; nausea, with chilliness; fullness
136 Therapeutics of Uterine Discharges. [Dec.,
and pressure in the pit of the stomach; pinching in the ab
domen. Pain in the left groin ; great weakness of the
joints.
Diarrhoea before menstruation; morning diarrhoea, with
urging pain. The first part of the stool is hard, the balance
thin or watery. Burning and itching in the anus after stool.
Intolerance of tight clothing about her waist. Diabetes
.mellitus. Frequent utging to urinate.

BROMINE.
Menstruation.—Too frequent and too profuse, the flow
being bright-red blood; passive haemorrhage, attended
with great exhaustion; menstruation supressed.
Before Menstruation.—Headache, pain in the fore
head, with asensation when stooping, as if the eyes would ~
fall out. Violent, contraEtive spasms on the appearance of
the menses.
During Menstruation—Violent, contraétive spasm
in the abdomen, beginning previous to, or at the commence
ment of the flow, and continuing some hours after it is fully
developed, with subsequent soreness of the abdomen.
Emissions of large quantities offlatus duringr the menses.
Pains in tlte abdomen and small of the lack; soreness in
the vagina.
Leucorrhaea.—Constant leucorrhoea.
Concomitants.—Cheerful mind, very active, disposed
to mental labor. Sad, low spirited, and out of humor. Illu
sions of sight. Weak and worn~out feeling after all pain has
ceased; great exhaustion; very drowsy in the daytime,
especially toward evening, when reading. Sleep disturbed
by unpleasant dreams, suchflas of quarrels, murders, dead
bodies, and long journeyings. Headache, especially in the
left side; pain in the sinciput, worse in the hot sun, going
off when in the shade; headache from drinking milk; feel
ing of heat in the face; darting pain through the left eye;
1373,] - Therapeutics of Uterine Discharges. 137
a sensation, when stooping, as though the eyes would fall
out. Pressure in the stomach as from a stone; colic as if
the abdomen would burst; sharp stitches in the left breast.
Much rattling in the larynx when coughing. Palpitation of
the heart. Swelling and induration of glands; hard swel
ling in ovarian region ; dull, and constant-pain in left ovary.
Lack ofsensibility, feeling, during coition. Blind, intensely
painful varices, worse from the application of cold water.
Adapted to females with light hair, blue eyes, fair skin,
and those affeéted with diseases 0f the chest.

BRYONIA ALBA.
White Bryony

Menstruation—Tab early and too profuse, with dark


red blood, which smells badly. Amenorrhoea, with bleeding
of the nose. Vicarious menstruation, bleeding at the nose.
Discharge of blood between the menses. '
Before Menstruation.—Pinching pain in the uterus.
During Menstruation—Aching in the head as if it
would split; rheumatic pains in the back and limbs; tear
ing pains in the legs; congestion of blood to the head, with
epistaxis; pressure
pation. I and fullness at the
. epigastrium; consti

L00hia.——Suppression, with bursting headache; exces


sive lochia of a bright red color, with burning pains in the
uterine region; aching in the small of the back; scanty
urine; dryness of the lips and mouth.
Concomitants.—Great irritability, she gets angry upon
the least occasion; drowsy in the daytime; sleep disturbed
by thirst; vexatious dreams; noEturnal wandering of the
fancy ; starlings when falling asleep. Pains in the head, as
if it would split open; aggravated by motion, opening the
eyes, or stooping; relieved by pressure, or closing the eyes. I
Congestion of blood to the head; hysterical headache ; head-'
ache as if the forehead would burst open, with epistaxis;
2 .
138 Therapeutics of Uterine Discharges. [De¢,,
headache and red face after every meal; heat in the face,
yellow paleness of the face; lips parched, dry and cracked ;
frequent bleeding at the nose, especially in the morning,
and before the beginning of Me menses; or in pregnant
women, just before a menstrual period. Tongue coated
white or yellow; aversion to food, vomiting immediately
after eating, though the food is relished; morning sickness
or nausea, especially when rising up in bed; she gets faint
or sick, or both, on sitting up; great desire for things that
cannot be had, or which are refused, or not wanted when
obtained. Fiequent empty emfz‘ations; sensation of swell
ing in the pit of the stomach; burning in the stomach;
great tbirst at long intervals for large dmugbts. Constipa
tion, slob! liard and dry, as if burnt; stool too large for the
passage.
Urine hot, red, and diminished in quantity; it becomes
turbid, and casts a pinkish stain over the bottom of the
chamber. Stinging pain in the ovaries on taking a deep
inspiration; great sensitiveness of the parts affeéted, can
not bear the least pressure; pain worse on motion ; uterine
cramps, with pinching and uneasiness in the abdomen;
swelling of the left labia majora; lumps, induration, and
inflammation of the mammaa. Stitches in the chest when
lying on the back, aggravated by motian; respiration op
pressed, a sensation as though the lungs would not expand
sufficiently; a full inspiration produces stitching pains in
the chest. Cough worse after drinking; cough caused by
a titillation in the throat; cough, with pain in the head as
if it would fly to pieces; palpitation of the heart.
Articu/arand muscular r/zemnatism, aggravated by molion.
Sour perspiration. Pain in the small ofthe back, like a pain
ful stiffness, not allowing her to stand erect; drawing and
tearing pains in the legs; tensive, stitching and tearing
pains in the calves of the legs down to the ankles.
Especially adapted to subjefts with choleric tempera
ments, tendency to bilious complaints, dark hair and com
plexions, with firm fleshy fibre.
,373_] Abstratt of Homeopathic Literature. 139
BUFO.
Menstruation—Too early and too copious, discharge
composed of pale, fluid blood, with clots; bloody discharges
between the periods.
During Menstruation—Headache.
Leucorrhaaa..—Purulent, and very fetid discharge.
COncomitants.——Inclination to be angry. Drowsiness
after eating; giddiness, with heaviness of the head; ap
pearance of objeéts as if seen through a veil. Fetid odor
from the mouth ; great dryness of the throat; mucus
descends into the posterior nares. Sensation Of faintness
from emptiness ofthe stomach ; eriiétations like rotten eggs.
Constipation, with coldness of the body. Urine brown and
offensive. Pruritus vulva; hard tumors, and potypt of the
uterus. Palpitation of the heart after a meal. The arms
and hands go to sleep. Epileptic convulsions; twitchings
of the muscles; great weakness, fainting. Aggravation
morning and evening.

' :0:

ABSTRACT OF HOM<EOPATHIC LITERATURE


FOR DECEMBER.

BY B. FRANK BETTS, M.D.

[[{ahnemannian .Monthly, Nooenzherl


Dr. H. V. .Miller, in an article entitled “‘ Notes on the
Ear," alludes to the use of the tuning fork applied to the
vertex, as a test of deafness caused by obstruétion of the
meatus, or by imperviousness of the Eustachian tube. The
vibrations are always heard loudest on the deaf side, be
cause of the impediment to the conduétion of sound out
ward, as well as into the tympanum.
When the tuning fork is 'heard distinctly on the vertex,
and but faintly'or not at all when held near the ear, the
140 ,dbstrafl of 'Homa’opathic Literature. wee"
concluéting apparatus, including the external and middle
ear and Eustachian tube, are somewhere at fault.
When it is indistinctly heard at the vertex, the auditory
nerve is for some reason not sensitive to the impression of
sounds; either the nerve itself is implicated in the dis—
ease, or there exists an abnormal pressure upon the laby
rinthal fluid. Occlusion of the Eustachian tube is a fre
quent cause of deafness. Beside the test with the tuning
fork, we may find tinnitus aurium, pulsation, fullness and
sense of weight in the ears and in both sides of the head,
with undue concavity of the membrana tympani, which
looks dull and opaque when examined with the Speculum.
As from this occlusion, no interchange of air can take
place between the inner and outer ear to restore the equili
brium in the density of the air on either side of the tym
panum, the air in the drum becomes gradually absorbed.
To remove the obstruction in the tube, the Valsalva
method of inflating the tympanum is mentioned. This
.consists in closing the mouth and nostrils, and forcibly ex
haling during the act of empty deglutition. Politzer's in
flation bag, and Dr. P. Allen’s improvement of the same
are also alluded to.
When perforation or destruction of the tympanum has
occurred, an artificial membrane may be made of cotton,
oiled with glycerine, and introduced into the meatus, to
be changed once in a few days.

Clzronic Nasal Catarrh—Dr. Mahlon Preston, in an


article read before the Homoeopathic Medical Society of
Chester, Delaware and Montgomery Counties, Pa, says:
“I have permitted the use of the nasal douche for cleans- '
ing and relieving the nares and nasal fossae of indurated
masses in several cases, and am able to declare very de
cidedly that the unaided aEtion of homoeopathic remedies
did more for the cases in which they were used alone, than
was effected in those in which the use of the douche was
permitted as an accessory. I'have consequently dispensed
with its use entirely."
1873,] Abstract of Homeopathic Literature. 141
Douole Divergent Strabismus.—Dr. M. Macfarlan gives
an account of a case that had been operated on for diver
gent squint. When it came under his notice, the eyes
turned greatly outward, causing double vision. He pro—
pdsed to operate by cutting the tendon of the internal rectus,
and transplanting it forwards when the external reétus was
divided, but the patient objected. He found, after repeated
trials, that a plane prism of four degrees, with its base in
clined inwards and downwards, thirty degrees from the
horizontal meridian, corrected the inversion of the right
eye, and a prism of seven degrees, with its base directly
inwards, was the glass suitable for the left eye. 'Accord
ingly a pair of glasses were made at Queen’s, acco’rding to
the above formula, which the patient is now wearing, cor
reéting his diplopia or lateral crossed separation.
Eczema Seroti, Pudendi and Ani.-—In the portion of Dr.
Lilianthal‘s Treatise on Skin Diseases, published in the
November number of Tlie Ha/znenzannian, he says of scro
tal eczema: “ As long as the skin is not infiltrated and
copiously discharging, R/ius tox., Arsen. and Crotal. ought
to be given; where the skin is thickened, infiltrated, and
between the folds sore and humid, apply methodically
Rkus tox., Sepia or Crap/L, and in obstinate cases, Silicea
or Lac/zesis.
Chronic eczema ofthe female genitals, extending out
wards, needs Sula, Cale. or Hep. That extending in
ward, Alum. Eczema ani, will be ameliorated by Nitr.
ac., Caro. am. or Causticum. p
Severe itching at night with sleeplessness, always in
dicates Sulp. or Ars.
Mere, precip-ruoer will always a8: favorable in eczema,
where rhagades and fissure are present.”
Particular indications for other remedies are given.

[Nortli American Yournal of flomazojiatli , Novenzoeifl


Anal and Refial .Fzssure—We meet this affection, says
Dr. W. Eggert, in an article for this Journal, most fre
142 Abstrae? of Homeopathic Literature. |Dcc_,

quently in females. Its position is generally dorsal; by


the speculum, we can deteEt a long narrow ulcer, if it is
high up; if low down, we may only need to separate the
buttocks with the fingers alone. As regards treatment,
the majority of cases may be cured by medicine alone. If
constipation, uterine displacement or haemorrhoids are the
cause of the disease, they must be remedied, and the med
icine we apply to the cure of these troubles will often ex
terminate the fissures likewise.
]Vitr ac. will often cure haemorrhoids associated with
fissure; at other times, Nztx own. or any other remedy
may relieve the haemorrhoids, but leave the fissure un
touched.
Tlmja is indicated for fissures trimmed with some kind
of polypoid excrescenses; the patient has varices of the
skin here and there; urinary troubles and other symptoms
of this remedy. '
Peeonia, with this comparatively unknown remedy, from
amongst other cases cured, one is mentioned, presenting
all the symptoms of the disease in its worst form. The
patient had suffered with hemorrhoids and fistula for
eighteen years; around the anus there was a thick crust,
covering what resembled a purplish hard mass; after the
application of the speculum, several ulcers were found
seated on inflamed surroundings; they were so sensitive
that the patient fainted. He received Hepar. 5c. and Iooc.
Rion'nunz and Nat. war. After four months the general
health was improved, but the anal and reétal symptoms
did not differ. He now received Pteonia 3dec. three times
a day in water, the same to be applied externally, and was
cured in two months. .
Sulp. may be required in intraétable cases, but we must
have patience to await its action, for it has no inclination
to flatter, but means never ending work. For ladies in the
climaéteric, Lao/tests and Sepia must be remembered;
Laelzesis has more of a bloody discharge from the rectum
13731 Abstrat? of Hamaeopatlzie Literature. 143

independent of stool ; Sepia, mostly mucus; Lae/zesz's pain


is beating and hammering in character; Sepia, stinging
and tearing.
Caustz'eum cures, when the fissure has a tendency to dry
up,-but little secretion comes from it. Its edges are dark;
symptoms worse from walking.
Graph. aside from the fissure, the anus is studded with
little cracks.
Petra/elmz.—I-lerpes around or near the anus, and peri
neum or furuncles at the verge of the rectum.
jVlere. via, in syphilitic cases.

Intermittent Fever—G. B. Higgins publishes indications


for Nux 2mm, 1pm, Ars., Ant. crud, Bryn, C/ziu. 5111)., Plan
taga maj. and Cae7u: grand, which he has found valuable
to him in the treatment ofintermittents, in South America.
Plantago maj.—Fever which has run'its course for many
weeks or months, either daily or in accesses, repeated
every twoI three, four, seven or fourteen days. In cases
which have proven intractable to Quinz'ne, and the entire
list of popular febrifuges. The marked indications being a
recurrence of the access during the day-time, and a relax
ation of the sphincter vesicae.
Caflusgrand.—-Flushes of heat to the face; suffocation ;
fever brought on by exposure to the sun’s rays ; eyes blood
shot; coma; symptoms of cerebral congestion; suppres
sion of urine, and pains in the bladder during febrile access;
lancinating pains in the heart; violent vomiting.

Herpes and Graphz'tes.—Taken from “Goullon's Prize


Essay on Graphites ; “ “ Our Outsideu,” by_ Dr. C. Hering;
“ Psychology," by Dr. C. G. Raue; “Siek lzeadae/ze," by
J. B. Bayliss, M.D.; “ Clinical Cases,” by W. Eggert, M.D.,
are all original articles of great interest. A portion of Dr.
Eggert's “Treatise on Dysmenorr/uea" is published as an
appendix, which is separately paged, making, altogether,
one of the most valuable numbers of this quarterly.
\
144 Abstrafi of Homeopathic Literature. [9%,
[New England Medical Gazette]
Yj/p/ioid Fever; Perforation of the Ilium and Abdominal
Walls—Dr. W. Wesselhoeft reports an interesting case: A
young lady, act. 16, on the eleventh day of Typhoid fever,
complained of great pain and soreness at a point slightly
below, and t0 the right of the umbilicus. From examina
tion, it was found that there was slight congestion of the
cutis at this point, about as large as a two cent piece. This
had extended, however, over the greater part of the umbil
ical region on the following day. The stools were fre
quent, yellowish, grumous in appearance, and very offen
sive; sometimes black, tar-like, from admixture of blood
The inflammatory process, which commenced in Peyer’s
patches, and the solitary glands of the ilium, extended to
the abdominal wall, involving the peritoneum, fascia, mus
cles, etc., all of which had to give way before the pressure
of the accumulatioii in the intestine, until the abscess
pointed externally, and was opened by a slight incision,
which allowed of the discharge of about a pint of fetid mat
ter. This was followed by marked relief of all the symp
toms, up to the 28th day, when, after improper diet, a
painful soreness was felt about the wound, and increasing
inflammation supervened, which ended in fatal peritonitis
Bromide of Potassium. -Dr. C. Wesselhoeft publishes
some observations on a proving of this drug, and a number
of cases of melancholy and loss of memory cured by its
administration. The patients were haunted by gloomy
ideas relatiVe to their present and future condition, with
profound depression of spirits, and melancholy delusions.
There was absent—mindedness, forgetfulness and feeble—
ness of intelligepce, all symptoms of the drug.
Ricinus communis.—]. H. Woodward, M.D., has used
this remedy in five drop doses, every four hours, to increase
the secretion of milk in nursing women.

NONE are so fond of secrets, as those who do not mean


to keep them; such persons covet secrets, as a spendthrift.
covets money, for the' purpose of circulation.
1373,] Correspondence. 145

CORRESPONDENCE. '
Prof. Morgan.
DEAR Docronz—The 12th and 13th of this month,I
spent at Indianapolis with our State Institute, and a royal
good time we had too. Dr. Eggert, whose guest I had the
honor to be, is one of the most enthusiastic workers I ever
knew. Notwithstanding a yearly business of about $13,000,
he devotes a great deal of time to study. His medical
library is extensive, and up to date, he takes and reads
sixteen medical periodicals; American, English, German
and French. Materia Medica is his hobby, and I think he
is the best teacher I ever knew.
I asked him about how to handle remittents. He, too,
finds it often difficult to prevent-the disease running into
intermittent.* His main remedies this season, are Gelsem.
and Bryonia, in early stage, and often sufficient to complete
the cure. He gives his remedy allthe time, not merely when
the fever is lowest. This is my plan also; have never tried
the latter.T I am certain that the proper drug administered
in repeated doses during height of fever, will tend to
shorten the febrile stage and lengthen the remissions.
Both the cases I have taken notes of were cured with
Gelsem, and the indications were such as you gave me
nearly two years ago. I think the great prostration, the hest
indication for its use in many diseases, and especially in
fevers. We also find the drowsy stupid condition with
little thirst, and the crimson face.
When there is a tendency to typhoid, Bry. has helped
me out almost every time this season. Lately Rhus tox.
did the same. The indications for their use are such as
we all know well. The dreams of both these remedies are
of importance in the seleétion. Dr. Eggert thinks the
mental symptoms of the highest importance. Last year,

*Intermission is often the first sign of cure in remittent fevers.


J(In two cases of remittent this season, I have seen curative results
from Antz'm. crud. 200, four doses, beginning with the ebb of the ex
acerbation, repeating once in four hours, following with Sac., Lac.
The symptoms for which it was indicated were gastric disturbances,
impaired appetite, and dirty looking tongue, occuring in lymphatic
constitution. There was speedy aggravation, soon followed byinter
mission, then convalescence
Gelsem. and Cats. are pre-eminently adapted to the paroxysm. Can
the same be‘ said of all the medicines? Let us hear more of this
disease. 1.0M.
146 Correspondence. [Dec.,
and in the forepart of last summer, Baptisia was almost
specific in remittents. The cases were all marked by the
following symptoms. Fever without marked remissions,
almost continuous; tongue heavily coated, brownish;
head feels dull, not much pain ; temperature in axilla 104°
(average). Later, the tongue is dry; the breath very fetid;
delirium mild, muttering; feet often cold; there is scarcely
any complaint from the patient; they do not seem to
realize their condition; they dream nine/z, that some body
else is sick, or in bed with them; there is dull ac/ting in
bones. In such cases, Baptisia 2d or 3d worked beautifully.
In from 36 to 48 hours, perspiration followed; the tongue
cleaned up; senses, ditto.
One case this fall was peculiar. A man of forty, got a
chill with fever; then profuse sweat with fever; tongue
large and flabby, imprinted with teeth. Gave jlIerc. sol. cc.,
next day no better; sweats constantly. Pulse 100 to 110;
axillary temperature 102°. Continued Mere. sol. 3d, next
day no change; Nit. acid. 200, no improvement; is chilly
if uncovered, and coughs from uncovering even a hand.
[[epar. 200, no better next day. Gave Nnx. 110m. cc., (a
silly prescription). Again I find him no better; he has
now sweated constantly for over one hundred hours ; lie is
still c/zilly from uncovering; wants clothes packed close
to his back; is very ill-lzuniored; the surface of the body
feels warm to the touch, but the feet are cold. I gave
Sambncns 200 every two hours, and the relief was quick ;
in six hours the sweating was stopped, except when he
dropped asleep. Continued the same; next day he is
much better, but still sweats while asleep; no fever, some
appetite. Gave Puls. 15c.; this was his last prescription,
and he soon was about his business; but thought he did
not need a Turkish Bath.
I remain very respeétfully yours,
A. L. FISHER.
Elk/tart, Indiana, November 20th, 1873.

Two things well considered, would prevent many quar


rels, first: to have it well ascertained whether we are not
disputing about terms, rather than things; and secondly: to
examine whether that on which we differ, is worth con
tending about. '
1873.] Book Notices. 147
BOOK NOTICES.
THE APPLICATION or THE PRINCIPLES AND PRACTICE
of Homoeopathy to Obstetrics, and the Disorders Peculiar to
Women and Young Children. By Henry N. Guernsey, M. D., with
numerous Illustrations. Second Edition, Enlarged and greatly
Improved. Bosricke & Tafel.
The man who furnishes a reliable text book, one that
will enable the student to follow the oral teacher, one
that embraces the essential fafts and figures, the necessary
illustrations and explanations for the comprehension of the
text, deserves the grateful acknowledgements of the pro
fession.
It is with no ordinary pride and satisfaeftion, that we
view the steady advancement which our school of medicine
is making in this direétion. Laying claim, as we do, to be
scientific in every distinEtive charaéteristic of our modes
_of treatment, it becomes us to provide text-books that
shall enable our students to dispense with those of the old
school.
In so far as we have been able to examine Prof. Guern~
sey's new work, we have found it quite satisfaCtory. It
purports to_be a Second Edition of his previous work ; but
it will be found on comparison, so much more complete
and accurate, as to justify us in styling it a new work.
The Anatomy is sufficiently minute and perspicuously ex
pressed. The Physiology of the various organs is in ac
cordance with the latest views of standard authors.
The Chapter on Reproduétion has been re-written; the
argument in favor of his views of the modus operandi of
Fecundation fully stated, together with the more generally
received views of Physiologists. The student is informed
that the Author is responsible for what he sets forth, as
the truth on this matter. If we cannot agree with Dr.
Guernsey, we greatly respe& his candor, and admire his
“ pluck” in adhering to what he honestly believes to be the
truth, on a subjeEt admitting of some diversity of opinion,
until further research shall have fully demonstrated that
there is but one avenue, whereby spermatozoa may be
conveyed to the ovaries, or that the susceptibility for
fecundation is immediately lost‘ on the escape of the ovule
from the Graafian vesicle into the oviduét.
The aetiology, pathology and diagnosis of female dis
eases, both puerperal and non-puerperal have received as
much attention as the limits of such a work will admit.
148 p Book Notices. [Dec.,
On, all the foregoing subjefts, the student will find in
this work, the essential facts needed to make him ac~
quainted with his duties to the lying-in woman, and
familiarize him with the most common diseases of women.
But in all this, we find nothing to make appropriate the
title which Dr. Guernsey spreads on the title page, viz.:
“ The application of the principles and practice of Homoeo
pathy to Obstetrics, and the Disorders Peculiar to Women
and Young Children.” Hence we must look further for the
distinctive characteristics of this work; characteristics
which make it essential. to every student of our school, as
it supplies a gap in our literature, which has embarrassed
the student for many years.
To the preparation of this part, Prof. Guernsey has
devoted his very best energies. The student and praEti
tioner will find garnered here the real gold of our
remedies freed from the dross of uncertainty. He first
enumerates all the remedies, where pathogenesis shows any
marked similarity to a given disease; he next gives the
regional resemblance; and lastly points out the essential
charaéteristics upon which the choice depends. -
Pregnancy not unfrequently gives rise to a multitude of
discomforts, which call for remedial measures.‘ In these
we do not as in other cases of sickness, propose to remove
the muse of the disturbances, but to harmonize the funE'tion
of gestation with the various other functions of the body.
There is no department of the body which may not give
manifestations of sympathy with this incidental but all
powerful funétion. Hence it is not surprising that very
many remedies bear a greater or less relation to these
functional disturbances.
For nausea or “morning sickness," Dr. Guernsey finds
sixty-seven remedies ; for the bowel affections of pregnancy,
he gives seventy-one remedies; forty for that terribly
annoying complication of some cases, haemorrhoids or
piles; and thirty for renal and urinary disturbances.
In the chapter on “Therapeutics of Labor” he is
especially full and minute; giving to this chapter an un
usual value to the beginner.
For the insufficient, vexatious and trying pains of labor,
pains which exhaust but do not advance labor, he finds
in the Armamentarz'um of our Materia Medica, forty
different remedies; seven for rigidity of the os, fourteen
for hour glass and other irregular contractions, and over
forty for uterine ha'morrhage.
1873.] Book Notices. 149
These complications of parturition, together with that
chiefest terror of the lying-in room, puerperal convulsions,
are but local and particular manifestations of a cause that
has been acting upon the general system, until labor has
.developed into a specific expression. Dr. Guernsey is
careful to take the student back from the specific to the
general, and lead him to the specific; thus teaching the
true philOsophy of homoeopathic medication.
The chapter on Abortion gives us particular satisfaction,
as it condemns the practice in the most emphatic terms;
giving as reasons, its positive physical injury to the sub
ject of it, and the absolute immorality and sinfulness of
the act, both on the part of the woman who submits to it,
and upon that of the person who perpetrates it. '
For the prevention of spontaneous abortion, or abortion
from slight accidents, he gives ample and careful instruc
tion, both hygenic and medicinal.
To the non-puerperal diseases of women, he devotes nine
chapters, covering 248 pages.
One to menstrual derangements; one to nymphomania
and hysteria; one to the diseases of the external genital
organs; one to the diseases of the vagina; four to the
diseases of the uterus: one to the diseases of the ovaries.
In'this last, he also includes what he has to say upon the
diseases of the mammae, dwelling particularly on cancer of
the breasts.
The next department of the work treats of the diseases
of infants and children. Here we find 200 pages of most
valuable and suggestive reading. We do not know of any
Text-Book on Obstetrics, in which anything like as
much space is given to the “ angels of the household."
Prof. Guernsey satisfactorily vindicates himself from the'
charge of partial views in the examination of cases, as well
as from the charge ofindifference, in regard to a comprehen
sive knowledge of the pathology of whatever affection
presents itself for treatment, or of teaching a method of
selecting remedies upon insufficient investigation. His
methods as set forth in this work, cannot fail to meet the
approbation of every thoughtful homoeopath, since he in
sists upon the Hahnemannia'n doctrine of the adaptation of
the remedy to the case. There is absolutely no other way
for , us, unless it be to guess at it. Exaétness is‘what too
few attain. Dr. Guernsey believes in it, preaches it and
endeavors to point out the way by which the student may
attain it.
150 Book Notices. [Dec.,
He thus sets forth his views on pages 498 and 499:
“ In describing the forms of disease to which women are
peculiarly liable, and especially in pointing out the reme
dies which may be required in their treatment, it will be
seen that we do not attempt to give all the symptoms.
And this is true also, of all the forms of disease and of all
the rem :dies mentioned inthis work. And since, in some in
stances, remedies are mentioned with scarce more than asin-_
gle indication for their use, it seems important at the outset to
guard against the serious error of supposing that we
recommend a medicine from a single symptom—a practice
especially deprecated by Hahnemann. And it might be
sufficient to state here, that in all cases where remedies are
introduced, whether with one symptomatic indication or
with many, they are so introduced as remedies w/zz'e/z should
be sizedied in conneetion with the class of disorders under
consideration —not as remedies which should be given one
after another till the patient is relieved, by death or other—
Wise.
“ In the different forms of structural or organic disease,
some of which have no direct counterpart as yet in the
pathogenesis of our remedies, we are compelled to look for
the great charavfteristic constitution symptoms, the most
prominent and peculiar features of the case, even apart, if
necessary, from functional derangement and from structural
disorganization. Such symptoms—which are purely con
stitutional, just the reverse of the local, since they may
appear in eomzefiz'on with any form of disease—become the
' peculiar e/mme‘lerzstz'es, t/ze key-notes, of their respective
cases. Such symptoms must be prominently contained in
whatever remedy is suited to the case. \Ne believe that
each 'case has its head symptoms, which leads all the rest
--its keynote, from which all the others take their pitch.
And we believe, also, that the remedy which contains this
characterizing head symptom, will invariably be found to
contain all the other symptoms of the case. Thus, if this be
true, as we believe it to be, the clue then given will afford us
the means ofextending the curative action and sphere of the
medicine far beyond what it _had reached, or could be ex
pected by direct pathogenesis, as well as enable us to pre
scribe with greater certainty and facility.
“ These distinguishing characteristics, these key- notes,
which form are
the sensational
individual and constitutional
rather symptoms of
i the patient, symptoms, than such as
1873.] Book Notites. 151
are known as functional derangements or structural dis
organization. And the method we pursue in relying upon
these in the absence of other indications, and of attaching
very great importance to them, even where other symptoms
are not wanting, is sustained by two substantial reasons:
First, in many cases we can do no better, since, as already
stated. few, if any ofour remedies either have, or can ever be
expeéted to have, direEt pathogenetic symptoms to corres—
pond to the innumerable ultimate form of structural dis
ease which we are often called upon to treat. Second, this
method has been found reliable by much experience, the
purely constitutional symptoms, such as those of periodicity
and the conditions ofaggravation and amelioration, striétly
sensational symptoms, being found to oonstitute infill/iota
indications in the choice of the remedy, where all other
guides are wanting.
“ Of course, under such circumstances it would be alike
useless and impossible to repeat with the particular reme
dies, under the different forms of disease in which they may
be useful, a long detail of pathogenetic symptoms. Where
the charactelistic symptoms are present and recognized,
they will suggest the corresponding remedies for more
particular examination.
“ So, on the other hand, we cannot attempt to give all
the symptoms which may occur under the particular forms
of disease described. The symptoms which may and even
do arise under some of these forms of disease, such as
hysteria, for example, would fill volumes. For nearly
every part of the female system will be found to sympathize
_ with the more purely local sufferings conneeted with uter
ine difficulties; and every possible kind of distress, every
imaginable morbid sensation, and even the simulated ap-‘
pearance of every form of disease, may arise in connection
with nervous disorders of the uterus.
“ We do not wish to be misunderstood as recommending
'a method of generalizing, by advising to pay particular
attention to the constitutional symptoms, such, for instance,
as ‘ aggravation at three o’clock in the morning.’ That is
indeed a very general indication and a very common
symptom in a particular remedy. But in the individual case
of our patient, it is the wry particular form of [tor system’s
vital and constitutional i'mfiion against aspetiai moroifio in
fluence. The local symptoms are the more common, and
are those which are alike common to many individuals and
152 Book Notites. [Deg
to many medicines ; but the constitutional symptoms, as they
are more remote, are also more especially the characteristic
and individual symptoms, since they are confessedly the
indications ofthe profound reaction of the individual itself.
“These constitutional symptoms, while thus reflecting
the profoundest reaftion of the system against the morbid
influence, and so establishing their claims to be considered
as ofthe very first importance will also be found to carry with
them, as it were, all the more important local symptoms.
Thus the remedy which is found to answer best to such
a form of periodic aggravation as has just been mentioned,
‘at three o‘clock in the morning,’ will also be found to cover
the other symptoms sufficiently. And if we do not find in
our pathogenesis all such symptoms, it is because the patho
genesis itselfis necessarily incomplete."
The entire text comprises 950 pages, followed by a
Clinical Index or a General Index of Subjects. The author
says in his Preface: " The Clinical Index, it is hoped, will
prove a great help to the busy praétitioner. By it the
therapeutical parts of the work may be read ‘ cross-wise,’
as Dr. Hering expresses it, which will facilitate the selec
tion of the remedy at thebed side." He has also prepared
a glossary of medical terms for the use of the beginner or
the lay reader.
We cannot be too emphatic in our commendation of
this valuable contribution to our literature. Every physi
cian or student of our school should make haste to pro
cure a copy for daily reference. O.B.G.

TAKING COLD. Its Nature, Causes. Prevention and Cure. By


John W. Hayward, M. D., M. R. C- S., L. S. A. Fourth Edition,
Enlarged and Improved. Henry Turner & Co., London, 12 mo.,
pp. 188. '
The first part of this work appeared several years ago,
and has since passed through three editions. It is de
voted to a description of symptoms, causes, means of pre
vention and treatment of a cold.
Part second, which has been added to the present edition,
and which constitutes the greater part of the volume, con
tains a description with symptoms and treatmeat of dis
eases brought on by taking cold; including ,catarrh, in
fluenza, sore throat, croup, asthma, pleurisy, consumption,
etc., etc., making altogether a most useful book to place in
the hands of- the laity.
1373_| Book Notices. 153
THE HOMCEOPATHIC PHYSICIANS' VISITING LIST, by
Robert Faulkner, M. D., with a Repertory, by W. James Blakely,
M. D. Boericke & Tafel.
This visiting List differs from all others: first, in its
being better adapted to the Homoeopathic physician, by
containing a most convenient repertory, and by giving
space for recording the daily prescription for each patient;
and second, by having been made one-third longer than
other lists, thus, giving room for a large number of patients
on each page, (40); more “pocket”room for papers, etc.,while
it is even more convenient for the breast pocket than the
old form. In addition to these peculiarities, the List con
tains the usual calendars,poisons and their antidotes, ready
method in asphyxia, etc., etc., besides blank pages for
general memoranda, obstetrical engagements, record of
deaths, vaccinations, etc., etc. The work is printed on
beautiful paper, with gilt edges, and handsomely bound in
_ leather.

THE PHRENOLOGICAL JOURNAL commends itself as a


magazine to all who appreciate the good, true and im
proving in literature. Its candor and liberality and clear
ness in the discussion of all topics, adapt it to all classes
of readers. We welcome each number to our table. See
the December edition, which contains: The Evangelical.
Alliance in America, with portraits of the Dean of Canter
bury, Rev. Dr. Geo. Fisch, of Paris, Rev. Dr. Dorner, of
Berlin, and Rev. N. aSheshadri, of Bombay; The Face
Factory, N0. 2; Sketches from Real 'Life, No. 4; The
Church of the United Brethren, with 12 portraits; a Chap
ter on Lovers, very amusing; Money—Its Function and
Requirements, No.2; ]. M. Bundy, of the N. Y. Mail;
“ By the Neck until Dead ;” Architeéture; Lecturers and:
Leétures; Genesis of Geology, No. 2 ; Agricultural Hints,
etc. Price, 30 cents. $3 a year, with excellent premiums.
S. R. WELLS, 389 Broadway, New York.

DEFERRED—Noticesof the following works are deferred


until the january number: “Berridge’s Repertory for the
Eyes,” " Helmuth’s Surgery,” Hering’s Materia Medica,”
“ Boenninghausen on Intermittent Fever,” “Raue’s Record
for [873,” “Theory and PraEtice of Medicine," by Roberts.
THE AMERICAN JOURNAL
OF

Homoeopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.


P/zz'ladeZfi/u'a, Dore/now I, 187 3.

Wilma! practical articles, Reports of Societies, Medical news, etc., etc.


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper. -
mThe Editorsassume no responsibility for sentiments or statements made
over the names of correspondents.
A. R. THOMAS, M. D., General Editor.

MEDICAL COLLEGES AND THE NE\/V YORK " MEDICAL


UNION."

TWO articles have appeared in the above named periodical for


September and Oétober, on the subjcft of Medical Education, in
spired, it is supposed, by an influence emanating from the newly or
ganized Board of Examiners of the newly fledged and untried, non
educating “ University of the State of New York."
The article in the September number can scarcely, we think, have
the same parentage with the other. It is cool, temperate, discriminating,
sensible; the other, none of these. But even the former is open to
objeftion. Thus, we read, that no appeal should be made by any school
to its friends, for support because of its faith. Now, we contend that
unless homazopathic students become primarily well founded in
homoeopathy, by leftures and otherwise ;—if, as many now are, they
be carried away by love of appearances, which the old-school col
leges, with their wealth and patronage, can maintain; if from allo
pathic professors they daily imbibe anti-homteopathy with their
medical milk, they are almost certainly spoiled for any homoeopathic
purpose, and rarely make homoeopathic physicians in any true sense.
But, to the Medical Union and its stipporters, this cannot make the
slightest difference,of course; except possibly, as a consummation to
be wished.
We write not for such; but for homoeopathic physicians—men who
believe in the significance and in the honor which belong to the
name. To these, our remarks may come as a word of timely warn
ing. No earnest homoeopath can demur to them.

154
1873, J Editorial Department. ' 155
But what an introduction to the second article, what an admission
as to the doubtful competency of this Board of Examiners, have we
in the last paragraph ! How little better will it serve the public than
the poorest of college-faculties, if the following sentences mean any
thing; and we would not accuse their author of a meaningless ver
bosity ! He says: “There is danger that much of the good which a
State Board of Examiners might produce, if rightly constituted, may
be prevented by the construflion of the Board itself. The Board, to
have any weight, should be made up from the ablest men in the various
departments of our profession; otherwise, it becomes the broadest
farce and sinks below the level of contempt. If the student is to en
counter mediocrity, he will prefer meeting it in college faculties to en
countering it allied with stupidity in State Boards." But perhaps,
when this was written, the members of the State Boards had not yet
been designated. Still, in our humble opinion, no set of rusty
doctors, half-of them provincial, and none of them teachers, is half
so competent to examine, as the metropolitan physicians who, as‘
teachers, constantly give themselves to'the special studies involved.
We have yet to be convinced that the faculty of any college, of
any school, is not a fairly representative body. Self-interest is about
as strong in dictating the selection of professors as it can be in any
other particular, and as the writer has shown, good students, and we
may particularly say, homoeopathic students, go, as a matter of busi
ness, tofwhatever college will best teach them their profession ; (except
the foolish few whom appearances, as already remarked, may divert
to their hurt, as it does in too many cases in all spheres of life). We
speak particularly of our own school because, whilst holding the largest
charity for every true man of the other school, we are yet, notwith
standing the labors of the [Medical Union, firmly of the belief that
theie is a dgflen‘nre, of vast import to humanity.
But these reflections are proper rather to the tenor of the second
article. And here again, we find another closely following, full of
(deserved) praise of the Boston University Medical Faculty, which
we find it difficult to reconcile with such splenetic phrases as the fol
lowing : “ There is not a medical college in existence in this country
that does not include among its faculty some who are notoriously in
competent for the positions they hold, either from positive ignorance
or from lack of teaching ability, and generally from both. Upheld
by the force of one or two eminent names, these faculties issue their
announcements and attract as many students as possible to attend on
the instruction of incompetent teachers."
How much all this sounds like the “ ancient clarion " of the politi
cal "outs!" How much of the ring of a disappointed ambition,
how much of the plaint of neglected merit! Of course, the writer
156 Editorial Department. [Dec.,
has refused numerous invitations to become a professor, and would
never serve with such men as now are professors, on any conditions.
There are many such, unhappily standing about the doors of every
college, of every School. One can but wonder, that such signal
ability has not organized itself, as signal ability has successfully done
before now, under our liberal laws, as a rival school—and surely,
on business principles, its success would long ere this have rendered
such a tirade needless. ‘
But the writer avers that “ when the faculty grant a diploma, they
certify not only to the ability and learning of the candidate, but also
to the learning and ability of themselves. Thus it happens that
degrees are easily obtained. This would be amusing if it were not
disgraceful."
The last sentence is our sorrowful comment on that which precedes
it. Is it not, however, very plausible that professors will certify to an
_ignoramus as the work of their hands, in order to certify to their own
quality I" .
He continues :—“ In their hands the honor of the profession has
been placed for safe keeping. * * * * They have accepted the
trust. * * * We have supported them by sending students, by
contributing time and money, and by permitting them to represent
the profession." (We give him the credit of impartially including
the best and oldest of the old school colleges). And again :--“What
are the medical colleges? Are they the masters or the servants of i
the profession? * * * They are in fact servants of the profession.
As servants, then, is it reasonable that they should furnish their own
testimonials of ability and charafter? * * * The facts of the
case are so plain that there is no necessity for a confession on
their part of a betrayal of trust. None are so well aware ofothe
general incompetence of medical teachers, of the deficiencies of
medical education, and the worthlessness of medical diplomas as
the faculties of these very colleges, and they must meet this question
of ahigher education, either by silence or evasion. Meanwhile, * * *
we must agitate * * * until we force the colleges to adopt such
methods and such men as will meet the wants of the profession."
It is comforting to remember what excellent company we are in,
when we get such a pen-lashing as the above. In view of this, we
ask no revival of the “ducking-stool." .
The order ofthe day is reform. Heaven speed the work, in medi
cine as well as politics. We can suggest a very short route, at least
to medical reform; viz. : make it pay. Organize a fund which will
at once prove the greatness of your sincerity, and gain the material
power which always secures desired service. Guarantee to such
colleges as may adopt your plans, so liberal an endowment, condi
1873.] Editorial Department. 157
tioned thereupon, that the inevitable withdrawal of pecuniary support,
by the hasty and superficial doctors with whom, you tell us, we have
crowded the profession, may not bankrupt and destroy us. And
give us the power fittingly to rebuke such members of “ the profes
sion," as may beg us to admit ignorant students and graduate them
without study. But to this, honesty and self-respect compel us,
without your support.
And we by no means admit the justice, not to say decency of the
foregoing indiétment. We speak knowingly, only of our own, the
Hahnemann College, but in all charity are bound to include the rest
until we know otherwise; and for ourselves can freely and con
scientiously say, that the character and success of our pupils and
graduates being the criterion, it is false in every essential particular.
Not that we are so conceited as to believe ourselves immaculate and
unimprovable ; far from it. But we can fearlessly appeal to the men
who hold our diploma, and say to them—“ye are our epistle." We
can assure the profession that that diploma is a certain evidence—so
far as human fallibility can make anything certain—of hard and
well-tested study, and of substantial knowledge of the healing art;
and the profession have a right to this assurance.
The charge of a betrayal of trust, we spurn with honest indigna
tion, born of the consciousness, that (as the faculty-minutes will also
prove, being ourselves trustees also), we have every year recently. so
remodelled our own body, as to put every man of us more exaftly in
his right place; have struggled for the best attainments ourselves,
and have secured the best talent obtainable in re-inforcement; in
creased the number of chairs, expended large sums for improved
facilities, assigning matriculation and graduation fees to this purpose ;
and in fine, have labored, not for mere personal ends, but frequently
at personal sacrifice, for the lasting honor and practical welfare of
the profession, and especially of our pupils, as well as for the public
good.
As to who are servants, we believe that true greatness consists in
service—that is our highest aspiration. But service does not imply
the right of those who are benefited by it, to abuse with wholesale
and false accusation, the men who do the work. And for what a
pittance! Think of the paltry sum received as the proceeds of a
winter's work, such as every medical professor is this moment
engaged in ! This is the fashion in which we have been “ supported"
by the writer and his friends. Surely he has earned the right to
falsify and decry! But we are still happy to be judged “by our
fruits."
And if the current criticism have any praflical value whatever, it
will speedily assume the same practical shape that is recognized as
158 Editorial Department. [Dec.,
needful to secure every other good object; large sums of money
must be forthcoming; for this, like every other, has its price. Fairly
enough, the price of such medical reform as we read about, is heavy;
and it is not in reason that medical teachers themselves should bear
any more of the brunt than they already do. * * *

THE MICHIGAN UNIVERSITY.

The Medical Investigator, having received information ofa clause


introduced into the proposed new constitution of the state, by the
enemies of homoeopathy, giving exclusive control of the University
into the hands of the Regents, infers that it is the work of a constitu
tional convention, and hence, quite likely to become a fundamental
state law. This, we are glad to say, is incorrect. We learn that no
such body has been in session in the State. Our friends explain
thus: “At the last session of the legislature, a resolution passed
that body, authorizing the Governor to appoint a commission to re
commend to the legislature, such changes as they might, after ex
amination, think necessary to be made to the constitution of the
State. This commission had no power beyond that of recommending
to the logz'tlature. No more binding, than the work of a committee
of its own body. The work of this commission, first goes before the
legislature, and must pass that body by a two-thirds rlzajorz‘ty, before
it can be submitted to the people. The obnoxious article, recom
mended by the commission, stands as fair a chance to pass the
legislature, as a camel would to pass through the eye of a cambric
needle. There is to be an extra session of the legislature in January
to consider the work of the Commission and other business. This
legislature is the some who gave us the low of last winter oy nearly
three-fourf/z's majority. All the romance our enemies can find in
this state of things they are entitled to. I- tell you what I know, the
people will never yield the control of the State University into the
hands of a close corporation. So much [or this. In the case of
‘ The People v. The Regents,’ the time fixed to hear it, is the 12th
of the present month.
“ There will be no postponement; the arguments in the case will
certainly be heard during the present term, and we confidently ex
pect to be able to announce to you a victory, which will settle the
question for all time. Our Regents are elected by the people, they
are eight in number, and are elected for a term of eight years.
I87 1.] h Mirrellaneaus 1mm. 1 59
\rVe have an educational aristocracy in the State, who have, until
last year, controlled the nomination of regents. Last year we fought,
and beat them on the issue of the hour, and eledted our Regent, and,
propose to continue this process, until we oust from the regency the
last conspirator, whose aim has been to convert Our noble University
into a religious and medical oligarchy. ‘ The slogan has been
heard through all our borders,' and the people are fully awake to the
issue." ‘
WEBsTi-zR‘s DICTIONARY FOR MEDICAL STUDENTS AND PRACTI
TIONERS.'—We would call the attention of our readers to the advertise
ment of this great work, found in the present number of the Journal.
The unabridged illustrated edition of this didtionary, while it is the ac
cepted standard of authority for this country, is a marvel, both from
the vast amount ofinformation contained, and from the beauty of its
3,000 illustrations; forming thus a library of itself, and one which
should be found in every family, and more especially on the table of
. every physician. It is particularly full in its definitions of all medical
and scientific terms, and hence, should be one of the first books
which the medical student should struggle to possess.

MISCELLANEOUS ITEMS.
A CHILD was recently born in this city, weighing seventeen and
three-quarter pounds at birth. -
ANIESTHETICS.—On6 death in 2,872 cases occurs from the use of
chloroform, whereas, only one in 23,204. occurs from the use of ether.
SIR HENRY THOMPSON, an English surgeon, is said to have a
larger income from his practice, than any other member of the
profession.
DIsLOCATED NEeK.——A man was recently received into the Penn
sylvania Hospital With a dislocated neck. Reduftion was effected,
but the man lived for a few days only.
A New WORK ON SURGERY.—~Carle &'Grener, of New York, have
just issued Prof. Helmuth's System OfSurgery, which makes a hand
some volume of 1,228 pages, illustrated by 571 engravings on wood.
An extended notice will appear in the next number of this Journal.
PLANTS IN SLEEriNdROOM$.-Experiments made by Dr. Rodzie,
of the Michigan UniverSity, go to show that the carbonic acid was not
increased in a closed room, where there was more than 6000 plants ;
and consequently that a few plants in a sleeping room cannot be un
healthy as heretofore supposed.
A SUBSTITUTE for quinine is reported to have been discovered in
the echises plant, which grows abundantly in the Philippine Islands.
It is said to be a remedy for all kinds of fever, that the use of it in
volves none of the unpleasant after effects of quinine, and that it can
be prepared at one-half the cost of the latter drug.
160 Persona/s. ‘ [Dec., 1873.
NEW DISPENSARY.—A new Homoeopathic Dispensary has recently
been opened, No. 1520 North Fourth Street, and is already in a
most flourishing condition. The attending physicians are Jos. C.
Guernsey, M. D., Geo. H. Clark, M. D., Jas. Wandell, M. D., T. F.
Wood, M. D. Consulting physicians: Constantine Hering, M.
1)., Ad. Lippe, M.D., H. N. Guernsey, M.D., C. G. Raue, M.D.,
C. Carleton Smith, M.D., M. Macfarlan, M.l). Donations for the aid
of the dispensary will be received by either of the above.
CHAPPED HANDs.--Take common starch and grind it with a knife
until it is reduced to the smoothest powder, put it in a clean tin-box,
so as to have it continually at hand for use. Then, every time that
the hands are taken from the suds or dish-water, rinse them thor
oughly in clear water, wipe them, and while they are yet damp, rub
a pinch of the starch thoroughly over them, covering the whole sur
face. The effect is magical. The rough, smarting skin is cooled,
soothed and healed, bringing and insuring the greatest degree of
comfort and freedom from this by no means insignificant annoyance.
INVALID CLIMATES.—A comparison of four places of invalid resort,
Mentone, France, Aiken, South Carolina, Anaheim, in Southern
California and Colorado Springs, for the months of December,
January and February, has been made with the following results. I
Alamo. Clear days. Bad or cloudy.
Colorado Springs ......................... .. 70 2t
Aiken ..................................... .. 53 37
Anaheim... 81 9
Mentone... 67 23
Colorado Springs, is at the foot of Pike’s Peak, where the Govern
ment has just established a signal station. Last year the winter in
Colorado was an exceptionally severe one.

PERSONAL.
We would feel obliged if our subscribers would send us for insertion, under this head, notices of removals
marriages or deaths of Homteopnthlc Physicians.

DR. A. NOXON has removed from Almonte, to Bloomfield, Prince


Edward Co., Ontario, Canada.
DR. T. C. HUNTER, from Dunkirk, N. Y., to Maumee City, Ohio.
DR. C. H. SPRENGER, from \Vashington, D. C., to Salem, Fauquier
Co., Va.
DR. J. M. CURTIS, from 835 Market Street, to 1003 Washington
Street, Wilmington, Del.
DR. W. M. WILLIAMSON, from 29 N. Eleventh Street, to 2005
Columbia Avenue, Philadelphia.
MARRIED—On the 19th of October, Edward A. Wareheim, M. D.,
to Miss Achsah L. Faust, all of Glen Rock, Pa. ' Y
_The American Journal
OF

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gummupatlgm firearm: instant
AND .

RECORD OF MEDICAL SCIENCE.


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THE CLINICAL EXAMINATION OF CHILDREN“


BY A. C. COWPERTHWAIT, M.D. ’
Read before the Sobraska Stale fiomwupathic Medical Association, September 8d, 1873.
-

DR. HERING once remarked that it was “far easientm


selefit the proper remedy, than it was to properly examine
the sick.” If this be true,‘as it undoubtedly is in the case
of adults who are able to describe their feelings to'a-;_
greater or less extent, enabling the skillful physician to 1, A
.. get hold of those prominent features ofthe case, which give 7
him a key-note to the proper remedy; how much more
difficult must it be to examine intelligently the diseases of'
infancy and childhood.
Though a great diversity of opinion prevails among.
physicians as to the relative value of subjeEtive and objec
tive symptoms, some even going so far as to proclaim in
favor of expunging the former from the Materia Medica ;v
yet the true thinker, the progressive mind, realizes the ab
solute necessity of both. However, the true Hahnemann»
nian learns principally to rely on subjeEtive symptoms,,
they are to him the language of disease; objective symp-~
toms may lead to error; subjective symptoms, if properly
elicited, are positive and unmistakable.
Dr. Raue, in an address on the subject, dwells long and!
earnestly upon the superior value of subjective symptoms, ,
and places no credit whatever to the objective in the treat-_
Von. VlI.—No. 5. _ '
162 The Clinical Examination of Children. Han,
ment of disease. He says: “Symptoms which are of the
utmost importance for diagnostic purposes, are of little or
no value to the homoeopathic physician for the purpose of
selecting the curative remedy.” \Vith this view of the case
entirely, how difi‘icult indeed would it be to prescribe for
the little sufferer, whose external appearance and aEtions
are all there are to guide us to its relief. These actions
are indeed iii the “ hidden laboratory of life," inaccessible
to us; but are we to leave the little one without an en
deavor for its relief, simply because we can obtain no sub- ‘
jective symptoms P Ah ! no! There is an external as well
as an internal language to disease, and though the latter
may be the most reliable, yet in its absence, the former
comes to our aid. But, as with the latter, so with the
former, only in a still greater degree, do we require good
discriminating judgment, founded upon study and experi
ence, to read aright this external language of disease.
Thus we see that in the treatment of infants and young
children, all we have to guide us in the case, is what we
can grasp with our external perceptions. How necessary
then, that we should be the better able to investigate thor
oughly the symptoms of the disease spread before us, not
only in order to select the proper remedy, but that we
may know what is the matter. Not that we wish the
name of a disease for which to prescribe, but that as scien
tific men, we may form a prognosis intelligently. The
difficulty then in presenting rules to guide in the examina—
tion of the child patient, are very apparent, and when
given, will require the closest attention of a thoughtful
mind, or they will in the end prove comparatively valueless.
In order to properly examine a child in sickness—we
refer particularly under this head, to children under six or
seven years of age, who are not old enough to give any
intelligent assistance—we are to notice carefully the
countenance, decubitus, gestures, sleep, cry, respiration,
pulse, tongue and mouth, skin, breath, evacuations, (stool,
urine and vomit), and in some cases if not in all, the
13741 The Clinical Examination of Children. 163

general development of the whole system, osseous and


muscular. In order to do this correctly, there are many
serious difficulties to overcome, which oftentimes dis
courage the young prac'titioner. Dr. Meigs in his work v
on “ Diseases of Children,” lays great stress upon the diffi
culties to be encountered in eliciting symptoms from the
child patient, and if so great difficulties beset the path of
those, who, as a general rule, either give Hydg. c., Creta
and Quinine; or, Quinine and [-1. C., Creta, how much
greater must be the difficulties to overcome, before the
homoeopathic physician is able to select the similimum. It
is true, very many so called homoeopathic physicians have
an easy way ofsurmounting these obstacles. Ifthere is fever,
they give Aconite; if vomiting, [pecac.; if diarrhoea,
Menz; if brain symptoms, Bell. ,' and if more than one
such condition is present, they alternate a sufficient
number of remedies to control each of the various patholo
gical conditions present. Such a course is unscientific and
non-homoeopathic, and he who thus abuses the principles
of homoeopathy, deserves not to bear its name.
The principle obstacle to surmount, then, in examining
children, is the absence of intelligent speech. The next
serious difficulty we encounter, is the violent disturbance
of the child as soon as the examination begins. The
usual agitation, fright and crying, seriously disturb the
action of both the normal and abnormal functions of the
system, rendering it extremely difficult to arrive at any
definite conclusions. ‘The countenance is altered; the ges
tures a result of agitation rather than disease; the circula
ting and respiratory functions are excited and unreliable,
and, unless these difficulties can be overcome, the physi
cian is compelled to rely on the very uncertain words of the
attendants. To quiet such agitation in a child, requires
both skill and patience. It is often considered a tact
which is not to be acquired, except by those to whom it is
a natural talent; yet those who persevere, determined to
win by patience and kindness, will in the end succeed,
164 The Cliniml Examination of Children. [Jam
and will have mastered one great keynote to popularity
and success in the treatment of diseases of children.
The best plan, however, is, when possible, to conduct the
examination, or the greater part of it, during the child's
sleep, or while it is quiet, during or just after nursing.
Should the child be asleep upon the arrival of the physi
cian, he should not allow it to be awakened, but should
proceed at once to examine the case, particularly as re;
gards' respiration, pulse and those conditions which a
sudden awaking in pain or fright might render unsatis
fa6tory for the purpose. In case the child is not asleep, the
physician should, before commencing a personal examina~
tion of the case, endeavor to obtain from the mother or
nurse a complete history of the case, and this being a
very important part of the examination, should be con
ducted in a very careful manner. The attendant should be
requested to commence with the first symptoms of de
rangement manifested, and to give a historypf the case up
to date. While she is so doing, the physician should not
allow either himself or another to interrupt her recital, but.
he should carefully note all she says, and when she has
finished, he can refer to his notes and ask any particulars
he may think proper. After this is accomplished, the ex
amination of the child may be conducted more intelli
gently. In the latter, he should not allow any pre-con
ceived opinion of the case to deter him from making a
thorough examination of the child in every particular as
before stated. ,
_ After this stage of the examination is complete, the
physician must again question the attendant; and here
comes, as far as the selection of the remedy is concerned,
the most difficult part of the examination. Great skill is
necessary in properly combining the symptoms given by
the attendant, and the present objective symptoms of the
case. Some of the former will, of course, be compara
tively worthless, yet the physician should not be hasty in
throwing out what he may consider to be the chaff. It is
I374] The Clinical Examination of Children. 165

true that a mother’s anxiety may often lead her imagina


tions to enlarge upon the case, yet the same anxiety may
cause her to perceive changes that the physician might
overlook.
In summing up the, case for treatment, the physician
should be very careful to elicit from the attendant the dis
position manifested in the child; is it cross or peevish?
does it wish to be quiet, or does it wish to be carried? are its
desires numerous and capricious, etc.? The aggravations
and ameliorations of symptoms are of unusual importance
in 'the treatment of children's diseases. What are the
cliaraéter of the aggravations? the time of day, before,
during or after meals, or sleep, or stool, or mi&Urition P
The unconscious habit in some physicians, especially
young ones, of trying to make the case point to some
particular remedy that they have pre-conceived to be in
dicated, is very wrong, both for the physician and the
patient ; it may be fatal to the life ofthe latter, and fatal to
the progressive intentions of the former. Wherever there
are cliaradteristic indications of a remedy in the case, they
should certainly be drawn out, not by a, direét question
which shall demand a simple “yes” or “no,” but rather
by a series of indiredt, which will in the end elicita far
more satisfactory and reliable answer.
Young physicians, especially those who have learned
all that they know of Materia Medica through the short '
hand system of charaéteristic cards, are too apt to expeét
to find more or less of those charafteristics standing out
in bold relief in every case, and some would not even
then recognise them, unless they happened to be expressed
by the patient or attendant in the exact language in which
the physician had learned them. These errors ‘of course,
will be overcome in due time, by the aid of dearly bought
experience, yet they are the out-growth of the popular, and
to the writer, erroneous habit among physicians, of trying
to master the greatest of sciences, the Materia Medica
with comparatively little labor. The old maxim "Ni/n'l
166 The Clinical Examination of Children. [jam
sine labore" is indeed applicable here, and he who would
properly master the science of medicine, must do so by
unremitting self-sacrificing labor.
\Ve will now notice very briefly, and in their regular
order, those points which are to receive our attention.
I. General appearance. (a) The countenance in health
denotes ease and tranquility, pain and disease producing
a look of suffering and anxiety. (é) Color of the face. Is
it pale, red, blue, brown, yellow? and if so, what is indi
cated? 2. The expression qf the face. Is it contracted,
staring. rigid, stupid, etc.? 3. Temperature of the faee.
4. Condition of the eyes. They are nearly always altered
in disease, yet require the closest scrutiny in order to de
tect and correétly apply the various changes. 5. The
nose and ears often present symptoms of value. 6. The
investigation of the many objeétive pathological phe
nomena likely to occur in the Mural ear/i111! in the onset
or course of almost every disease, is one of the most im
portant as well as difficult features in the clinical examina
tion of children. It is very seldom that infants or young
children will allow a peaceable examination of the mouth
and throat, yet persevering kindness will nearly always
win. Pressing upon the chin will usually open the child's
mouth, and when a tongue depresser is necessary, the
handle of a silver spoon will answer best. The introduc
tion of the finger into the mouth informs us of the tem
perature, state of the secretions, dryness, humidity, as well
as of the disposition of the infant to suck. The latter often ‘
‘I being of great importance, as is also the manner of taking
drinks in older children. The examination of the tongue
should be thorough in every particular. Its color, moisture,
temperature, coating, form and size, consistency, etc.
The decubitus and gestures ofa child in disease require
careful attention. The healthy child is nearly always in
motion, when awake, and when asleep it rests quietly,
but when disease approaches, these symptoms are gone.
The different diseased motions of the whole muscular
i874] 'Tlre Cliniral Examination 0f Children. 167
system are often of great importance, especially in obscure
diseases. The various phenomena occuring during sleep
are of great importance. It is enough to say, that in
health the sleep_is easy and tranquil, there are no phe-_
nomena present. Crying is the only language the infant
has by which to express its wants and sufferings. Every
physician should thoroughly understand this language.
The skin of the healthy infant is always moist and cool,
when otherwise, we may look for the onset of disease.
There are many important diagnostic signs that may be
found upon the cutaneous surface. -
The pulse and respiration should be examined during
sleep or perfeEt quiet, for obvious reasons. They should
always be counted by the watch if possible, as this is the
only certain method. The examination of the lungs by
auscultation and percussion, is often times necessary and
quite as often extremely difficult, and the results decidedly
unsatisfaétory. The subjeeting of an infant to this opera
tion should never be indulged in, except in cases of
necessity. The manner of thus exploring the thorax,
should be thoroughly understood by every practitioner,
but its praétical value in the treatment of infantile dis
cases, is, in the opinion of the writer, greatly over-estimated.
It is true that these various methods, auscultation in
particular, are often of absolute necessity in order to arrive
at an intelligent understanding of thoracic diseases, and we
do not wish to create the impression that we would under—
rate the value of any of the methods used in the physical
exploration of the chest, but only to guard against the
other extreme—too much physical examination, which is
often productive of injury to the patient, though the danger
ofsuch injury decreases, as the relative value of such ex
aminations increase with the age ofthe child.
It is of great importance to the homoeopathic physician,
that he has a thorough knowledge of the quantity, as well
as general charaéter of the evacuations, vomit, stool and
urine, and he should invariably inspeEt them personally.
v

168 9 Clinical Cares. Man,


The examination of the urine is of less consequence than
the other evacuations, and though its condition will
generally afford but little aid to the physician, yet it should
be carefully examined in regard to its consistency, quantity
and color, as well as the symptoms if any, attendant upon
its discharge. The charaEter of the stools is of more im
portance, but here as elsewhere in this paper, we can only
point to the faft, and leave you, gentlemen, to find out for
yourselves those charaéteristic indications of disease which
should be laid down under each head, and which you will
mostly find in our textbooks. The vastness of the sub
jetft under consideration would fill a volume, and we can
only hope that the hints we have given, may lead you to a
closer and more careful examination of your child patients.

CLINICAL CASES.
BY L. HOOPES, M. D., ofPottstown, Pa.

EUPHRASIA IN CONSTI PATION.


A child aged one year, Cale. constitution, has been suf
fering about six months with obstinate constipation, for
which I had prescribed a number of remedies with little or
no benefit. .A short time ago he was attacked ‘with profuse,
fluent coryza, slight lachrymation, and a bright-red rash on
the cheeks; worse in the afternoon, and after crying; the
constipation still remained, stools of large, hard, dry halls,
passed with great difiiculty, almost j'issuringr the arms. I
prescribed Euphr, 200, four doses, about thirty-six hours
apart, promptly relieving the whole train of symptoms.
The symptoms of the stool and anus, under Eula/m, in
our works on Materia Medica, are very meagre, and I
would be glad to learn from others of more experience, if
the above is the characteristic constipation of that remedy.
1374.] Clinical Cases. 169
HYDROPHOBIN 1N DYSENTERY.
The following symptoms occurred in a case of dysentery,
in the winter, brought on by great imprudence in eating.
Aggravation from, and dread of the sight or sound of
water, cured in a few hours by one dose Hydrophoh, 200,
after having continued several days; after which, when
drinking, water was heard to gurgle down through stomach
and bowels. I then gave one dose of Laur., 200, which
cured the case.
CALC. C. IN METRORRHAGIA.
September 15th, 1871, Susan H--———, married, but with
out children, called at my office, suffering from metrorrha
gia. For four months she has had a constant flow of blood
from the womb, which has greatly exhausted her; she has
been treated by two allopaths without benefit. She is very
pale and weak, and any little excitement or exertion in
creases the flow, which is painless. Two doses of Calc.
card, 30, cured in two days, since which, there has been no
return of the trouble up to the present Writing, November
24th, [873.
APOCYNUM CANNABINUM, 12

Has proved speedily curative in a number of cases of


cold, in which the following symptoms were present: cold
commencing with a thick, yellow discharge from nose and
throat ; head feels very large and heavy, as large as a half
bushel; says he “is tired of carrying such a big head;"
headache in forehead and sinciput, with pain as though
behind the eyeballs, with nausea. ,
The last symptom was, in one case, produced by the
continued use of the drug after the other symptoms had
disappeared. '

CLINICAL CASES.
BY R. s. PERKINS, M.D., of A’orfolh, Va.
CHILD of Mrs. S., aged twenty-seven months, has had a
diarrhoea all the summer and fall ; discharges frequent, pain
2 .
1 70 Clinical Cases. U311

less, and ofa yellow, watery character; often of undigested


food; no appetite, but constant thirst; as soon as he cats or
drinks, has a movement from the bowels. The child is
swollen very much in the face and abdomen.
I gave China, 30/11, in water, to be taken, a teaspoonful,
after every stool. The next day found him much better,
had not had but one call in twenty-four hours; all his
symptoms improved rapidly, and in five days left him cured.

OEtober 25th. Called to see Mrs. R , pregnant about


eight months. She has been suffering for three weeks with
violent cramps of the arms and hands, attended with a
numb, dead feeling; cannot rest day or night for the in
tense pain; there were also, occasionally, cramps in the
lower extremities.
I gave Cuprunz for three days; at the expiration of this
time she was no better; in fact worse. Upon examining
her again decided to administer Cicuta. On visiting her
the next day, stated that she was a little better, had rested
some during the night. I gave Sar.lac., and she recovered
entirely within a few days.

INVOLUNTARY PROVING WITH GELSEMIN., 30.

MRS. M , November 27th, 1873. Is of sensitive


organization. Has taken Gala, 30, twice a day, for two
weeks, effectively for constipation. (Previously had Arum,
200.) During the past ten days, has had a voracious
hunger; wants to eat again immediately after meals;
grows fat in body and limbs rapidly; abdomen looks
'bloated at night, not in the morning. Felt 'Z/é’lj/ well
yesterday evening.
Menses, four days; began two days too soon; less in
amount than usual, ceased yesterday afternoon. Slept
well until a quarter before three this morning, when she
wokewith swimming of the head, proceeding from occiput;
things seemed to dance before her, with inclination to
‘874-] Clinical Cases. 171

vomit. Vomited freely ; half digested food, (beans, &c.);


albuminous looking, stringy mucus, followed by a little
bile. Extremities cold; cold, clammy sweat on chest,
&c., especially on fOrehead. Then dozed; interrupted by
efforts to vomit and sudden whirls in the head; (said
“there goes my head again”) At the beginning, pulse
scarcely perceptible; prostration. Daylight shows very
pale, sunken face, with prominent veins. Enjoyed being
sponged with cold water. Pulse 64, very weak beat, not
small. Skin, even of palms, shows veins plainly. Menses
recommenced of normal appearance, at 7 A. M. Lies
dozing ; head whirls now and then ; vomits coffee and toast.
P.M. When turning head on pillow, feeling as ifa wave
noisily rushed to that side; the greater the wave, the
greater the noise; singing up to rushing, and deafening. '
Then, without change of position of head, the wave rushes
back again, and seems as if it can’t get out, and so it feels
as if it would burst, takes her strength away, (after it).
Tongue whitish; transversely cracked, moist.
Hungry all day when not asleep, but cannot keep any
thing on her stomach, comes up speedily; warm things im
mediately; water, as soon as it gets warm in the stomach.
Slept most of the day; dreaming of wading through
snow to her neck, by a precipice, searching for a friend ;
couldn't find her, although she found the place; retraced
her way; thought she was slipping ; waked in affright.
Wakes from doze, starting; grasps her husband's arm;
says, “there goes my head again ;" once, the wave went
down her back, (I % P. ; felt and saw her head sailing
off over the foot of the bed; followed by vomiting of toast
taken, and of bile. Head relieved until L40; more bilious
vomiting. '
2.30, coldness from occiput, down back and all over,
(after the whirl); then great heat, waving also from head.
(Took Veratr. alb. 3d as antidote, four doses); unable to sit
for the whirl; when eyes are open, this is accompanied by
things jumping and whirling; her bird seems as if it
‘ 172 Therapeutics of Uterine Discharges. Llan
hopped; (unreal); and she seems to whirl herself; bed
seems upsetting; “ when my eyes are open, we all seem
to go together; when shut, I go one way, and everything
else the other.”
During the whirl, complete blindness. Duringthe heat,
parched and hot feeling in lips and mouth. Knuckles
when bent, felt stiff as if burnt; general dry heat, two
hours ; (has been subject to sudden bloating of body and
hands, and face, lasting a clay or two; before and after
menses; better during these. Veratr. ale. 200, three
doses; night, sleep good; better, the morning after.
Symptoms subsided in a day or two; then, head felt as
if brain were flying to press its way out, (too big) ; then,
left ovarian region got very sore; (seat of an old inflam
mation, with suppuration per uterzmz). Silly/1. 200, four
doses, relieved at once. 1. C. M.

202

THE

THERAPEUTICS OF UTERINE DISCHARGES

BY HENRY Min'ron, A.M., M. D.

CACTUS GRANDIFLORUS.
Night Blooming Cereus.

Menstruation—The menses are too scanty, and cease


- flowing when the patient lies down ; menses attended with
terrible pain, causing her to cry out aloud and weep. The
pain comes on periodically mostly in the evening.
ConcomitantS.—Sadness and bad humor; heart dis
ease in general ; palpitation of the heart ; acute and
chronic carditis; rheumatic affections of the heart and
diaphragm ; palpitation of the heart in debilitated persons,
especially when lying on the left side, when walking and
at night, with great melancholy. Feeling as though an
1374; Therapeutic: of Uterine Discharges. 1'73
iron band was around the heart, preventing its normal
motion.
Sleeplessness without cause, or from pulsations in the
scrobiculus, and in the right ear.
Chronic bronchitis, with profuse rattling of mucus in
the lungs; difficulty of breathing; attacks of suffocation
with fainting; cold perspiration. Sensation of constriflz'on,
in the chest, throat, heart, reétum and bladder.
(Edema of the hands.
Vertigo from congestion of blood to the head; face
bloated and red, with pulsations in the head. Pain as from
a weight on the vertex, worse from sounds, even talking.
Irritation and »corzstrz'é?z'on of the neck of the bladder;
urine passes in drops, with much burning; pulsating pain
in the uterus and ovaries; sensation of constrz'fiioh in the
uterine region; general weakness and prostration of
strength.

CALCAREA CARBONICA.
Carbonate of Lima.

Menstruation.—Too early, too profuse and too p: otraéted.


The least excitement causes the menses to return. I

Before Menstruation—Voluptuous dreams; swelling


and sensitiveness of the breasts ; leuoorrhwa [the milk.
Headache, great depression and nervousness; noé'turnal
shivering and pains ; swelling and sensitiveness in the renal
region.
During Menstruation—Rusk of Hood to the head;
heat in the head; vertigo. Cold dampfeet. Tearing, boring.
headache; pressure at the vertex; heaviness of the head
and dizziness; vertigo on rising from a stooping position
or ascending a height. Toothache, boring in decayed
teeth. Crampy or griping pains in the small of the back ;
drawing and oppressive pains, with stitches in the abdo
men ; emissions of urine when taking exercise ; a sensation
as cold damp stockings were on herfeot.
1'74 Therapeutic: of Uterine Discharges. [Jan

After Menstruation,—Toothache, drawing and shoot


ing pains in the teeth, day and night.
Amenorrhma.-In young girls of a leucophlegmatic
temperament, with congestion to the head; pulsative head
ache; buzzing in the head. Cutting pains in the bowels
and down the thighs; cold, damp feet; sensation as though
the menses would appear, but do not. Fatigue and heavi
ness of the legs. Suppression of the menses, with ana—
sarca, from working in water.
Metrorrhagia.—At the critical period; the subject pre
viously, always subject to premature, profuse or protracted
menstruation. Swelling at the pit of the stomach like an
inverted saucer; cold feet.
Metrorrhagia in young girls ofa full habit, with conges
tion to the head; pains in the small of the back; profuse
discharge of bright red blood; abdominal colic; conges
tive headache; vertigo on st00ping; constant aching in
the vagina.
Leucorrhma.—-Like mucus or milk; leucorrhoea before
the menses; leucorrhoea with [filming and iii/ling of the
vulva; milk-like discharge during micturition, or fioWing
profusely only at limes. Cervical leueorr/zaza, the discharge
being albuminous, and allended wii/z great lassiz‘ude and
debilizjy. Sinking and trembling at the stomach; burning
pains in the cervical canal. Stitches in the os uteri.
Much mucus between the labia and thighs, with biting
pain, especially in leueoplzlegmatz'e suéjee‘ls.
LOChia..——Protra6ted lochial discharge, either light or
red color, especially in women whose menstrual periods
are premature and profuse. After growing light in color
the lochia again becomes bloody. The lochia is attended
with an itching sensation in the uterus.
Concomitants.—Very sensitive, inclined to weep.
Melancholy, anxiousness, shuddering, and awe as soon as
the evening approaches. Despoizding maoa’, with dread of
sickness and accidents; hopeless of everything, with fear
of death ; fear of going crazy, or that people will observe
I874-] Therapeutics of Uterine Discharges. 175
her and suppose her to be crazy. Obstinate, out of humor;
vexed mood; fault finding. Illusions of the fancy; diffi
culty of thinking. Hysterical.
Stupijj/ing headache, or throhhing headache; supra-orbi
tal neuralgia; chronic headache, pain worse from early in
the morning, after waking, until afternoon; fullness and
heaviness of the head; icy coldness in and ahout the head;
head and upper partof the hody sweats pro/itsely, especially at
night; perspiration stands out in large bead-like drops.
Vertigo when ascending a height; headache with empty
eruétations. Headache ameliorated by closing the eyes,
and lying down. Falling off of the hair from the sides of
the head and temples.
She cannot sleep after 3 A. M, Finds it difficult to fall
asleep on account of many thoughts involuntarily thronging
the mind. Pale bloatedness of the face; yellow color of
the face; moist itching, scurfy eruptions on the cheeks and
forehead; eruptions on the lips and at the corners of the
mouth ; skin dry and flabby. Swelling of the suh-maxilaiy
glands; constant mist before the eyes, pupils dilated; fis
tula lachrymalis; itching in the canthi; excessive lachryma
tion. Purulent nasal secretions.
Pain in the region of the heart; palpitation of the heart
with anguish; treml/ling pulsation of the heart.
Chronic hoarseness; cough with rattling of mucus in the
chest; expeftoration, mucous, purulent, yellow, with sour
taste, or offensive smell; nightly cough; tickling cough as
from dust in the larynx; expeetoration through the day,
not at night.
Swelling over the pit of the stomach like an inverted
saucer; sour vomiting, or reguigitation,. particularly of sour
food; constant thirst; swollen, distended ahdomen, with
emaciation and good appetite; desire for wines, salt or sweet
things.
Difficulty in standing, on account of a pressing down
sensation, as if the internal organs would pass out; uterine
polypus.
176 Therapeutics of Uterine Discharges. [Jam
Cannot bear tight clothing about the hypochondria; pro
lapsus uteri, with a sensation of pressing on it; varices of
the labia; itching of the pudendum; sterility.
Pailgful and difiicult urination, the urine liar/ing a peculiar,
strong, pungent, fetid odor. Stitches in the urethra ; invol
untary emissions of urine when walking; stinging, burning
tubercle on the margin of the labia.
Chronic diarrhoea, stools whitish and watery; yellowish
gray, clay-like stools; crawling and itching in the
anus; pains in the small of the oaok; pains in the arms,
hands and fingers; tingling in the fingers as if gone to
sleep; per5pirati0n of the palms; crampy feeling of the
lower limbs, in the bends of the knees, calves, soles and
toes; burning of the soles.of the feet. In the evening the
feet feel numb; offensive perspiration on the feet, making
the soles raw.
Great general debility; walking produces great fatigue,
she is put out of breath by going up stairs, and has to sit
down; fatigue from the least exertion, even from talking;
faintness, with loss of sight, and coldness; liability to take
cold, great sensitiveness to moist, cold air; epileptiform
attacks.
Tendency in young girls to obesity. Severe orgasms of
blood.
Caicarea carb. is the chief remedy for hysterical women
during climacteric years, especially if they have not been
married, or have had no children, and have formally suf
fered from profuse menstruation. Especially adapted to
lmcoplzlzgmatic constitutions, prone to affeétions of mucous
membranes. Scrofulous constitutions. For women with
bloated abdomen, narrow chests, flabby, poorly developed
muscles, and bones containing too little phosphate of lime.

CALCAREA PHOSPHORICA.
Phosphate of Lime.

Menstruation.—Retuming every two weeks; blood


black and clotted.
1874; Therapeutic: of Uterine Discharges. 1'17
Before Menstruation.—Griping and rumbling in the
bowels; stitching in the left side of the head; sleepiness
during the daytime; leucorrhoea.
Leucorrhma.—After the menses; as the menstrual fiux
diminishes, the leucorrhoea increases, looking like the
white of an egg.
Concomitants.—Great mental anxiety; disposition to
censure and find fault; complexion of a dirty white or
brownish color; acne rosacea, with red pimples full of
yellow pus; white cracked tongue; violent pain in the
stomach, with great debility; passes a good deal of flatus
at stool; haemorrhoids oozing a watery fluid all the time;
fistula in ano. Burning in the epigastrium.
Feeling of great weakness in the sexual organs after
stool and urination; frequent emissions of large quantities
of urine.
Rheumatic pains in the shoulder and arm. Pains in the
carpal and metacarpal joints, especially of the left thumb ;
violent pains in the knees; pain in the small of the back
after the least exertion. '
Is useful to young ladies who have been crossed in love,
and suffer great mental anxiety with all their troubles.

CANTHARIS.
Spanish Fly.

Menstruation—T00 early and too copious, with black


blood. Retarded menses.
Before Menstruation—Burning during micturition,
with white sediment in the urine.
During Menstruation—Uterine haemorrhage, with
great irritation at the neck of the bladder. Membranous
dysmenorrhoea with severe dysuria.
After Menstruation—Discharge of bloody mucus
from the vagina. '
178 Therapeutics of Uterine Discharges. Uln
Leucorrhaaa.—Acrid and burning; after urinating, a.
discharge of bloody mucus from the vagina.
Concomitants.—Anxious restlessness ending in rage;
mental alienation; amorous frenzy, with shameless, un
chaste gesticulations; excessive desire for sexual inter
course; lntrning in the sides of the head, ascending from
the neck, with soreness and giddiness; worse in the morn
ing and afternoon, better when walking or lying down.
Yellow complexion, pale, wretched, sickly appearance.
Loss of appetite; aversion to all kinds of food. Thirst,
with aversion to all fluids. Burning in the throat and
mouth; vesicles and canker in the mouth. Inzpeded deg/u
tition, especially of fluids; thoughts of drinking, or the
sound of water produces spasms.
Vomiting, with violent retching and severe colic. Burning
in the aha/omen ,' hnrning through the whole intestinal
canal, with an unquenchable thirst, and a disgust for all
kinds of drink.
Dysenteric diarrhoea ; white or pale reddish mucus stools,
' like scrapings of the intestines; burning in the anus during
stool; after stool, chilliness and tenesnzns.
Constant desire to urinate, passing but a few drops at a
time; at times mixed with blood; hnrning after nzicYari
tion; smarting and cutting in passing only a few drops of
urine; harning in the pudendum; [turning in the vulva.
Violent itching in the vagina. Swelling of the ceivix uteri.
Ovaritis ; ovarian hydatids.
Tearing-pains in the back; over-sensitiveness of all parts.
Excessive dehility; treinl/ling of all the linzhs; prostration
and enzaeiation of the whole hody. It is suitable for slender
women.

CARBO ANIMALIS.
Animal Charcoal.

Menstruation—Too early, and continuing too long;


not profuse, but producing great exhaustion, so much so,
1874-] Therapeutics of Uterine Discharges. 1'79
that the patient is scarcely able to speak. The menses flow
only in the morning.
Before Menstruation—Heat with anxiety and head
ache.
During Menstruation—Great exhaustion and weari
ness, with stretching and yawning; pressure in the grains,
sides, thighs and small ofthe back. Distention of the
abdomen, with ineffeftual attempt tov raise wind. Great
weakness and languor in the thighs.
After Menstruation—Great weariness and fatigue,
with stretching and yawning.
Leucorrhma.--Watcry, worse when standing or walk
ing, leaving yellow stains on the linen; acrid,h11rning or
biting leucorrhoea ; yellowish leucorrhoea ; scrofulous leu
corrhaza.
LOChia.-—The lochia becomes thin and vcry oflcnsivc.
Concomitants,—Alternate cheerfulness and melan
choly ; low spirited and despondent, or excessively merry;
homcsich'ness; tendency to start; full of fright in the dark.
Heavi/zess in the ccrchcllum, worse in the forenoon; in the
cold air, relieved after dinner; pain in the vertex as if the
skull were 0pm. Humming in the ears; discharge from
the ears; swelling of the parotid glands; hearing is dull
or indistinct; the tip of the nose is red; bleeding of the
nose after vertigo or headache; dry coryza. ‘
Copper colored eruptions on the face; earthy com-_
plexion ; numerous pimples on the face; vesicles oh the lips;
itching over the whole body; heat of the face and head in
the afternoon. Dryness of the mouth; bitter taste in the
mouth, especially in the morning; offensive odor from the
mouth; loss of appetite; repugnance to cold drink ; repug
nance to greasy food; weakness and empty feeling at the
pit of the stomach ; eructations tasting of the food; saltish
Water rises from the stomach; inefi'eétual eruétations with
pain; audible rumbling in the abdomen; inflation after a
meal; pressure at the stomach in the morning, and in the
evening when lying down; contraé'tive cardialgia; clawing
and griping in the stomach ; stitches in the grains.
18f)v Abstratt of Homeopathic Literature. [Jan
Constipation, ineffectual urging to stool, only offensive
flatus being passed; stools hard, knotty; during ~rtool, pain
in tile lmck,‘ burning and stingingr in the anus and rectum ;
distended r/arices wit/t burning pain, especially when walk
ing; exudation of a sticky, inodorous humor from the rec—
tum and perinmum ; gr eat exhaustion after menstruation.
Frequent desire to urinate; fetid smelling urine.
Hard, painful nodosities in the breasts; breast, swollen
and inflamed ; indurated os uteri, swollen and hard; malig
nant ulceration of the cervex uteri, with foul discharges.
Dry nocturnal cough; cough in the daytime accom
panied by a gray, greenish, sometimes purulent expectora
tion of an offensive, somewhat sour taste; roug/znecs and
[coarseness in the throat in the morning; pressing pain in
the small of the back when drawing a long breath.
Palpitation of the heart in the morning. Indurated cer
vical and axilary glands.
Arthritic stiffness of the finger joints; stitches in the left
hip when sitting; aching pain in all the joints, especially
at night; numbness of all the limbs. Very sensitive to
cold air; great exhaustion from walking.

ABSTRACT OF HOMCEOPATHIC LITERATURE


FOR JANUARY.

BY B. FRANK BETTS, M.D.

[Monthly Homaopat/tic Review, (Brittle/t) December]

Treatment of Sprains.—Dr. R. Baikie alludes to the


hydropathic plan first applied by Priessnitz in the treat;
ment of sprains, and mentions the following process:
“‘As soon as possible after the accident, two basins or
foot pails are to be provided, into one of which as much
1874-] Aéstrafi of Hama’opathic Literalure. 181
water, thecoldest is to be preferred, is to be put, as will
completely cover the injured part; into the other an equal
quantity of chilled water, (at 64° The affected joint
is at once to be plunged into the cold water, kept there for
half a minute, then transferred to the chilled water, retain
ing it there for two and a half minutes; and this process of
alternate submersion in cold and chilled water is to be con
tinued for three, four, five, or six hours, or until all pain
and swelling have disappeared. The joint is then to be
wrapped in a coarse cloth, wrung with cold water and
sprinkled with lotion of Kim: taxz'rodendrwz and covered
with a piece of India rubber or gutta-percha cloth, re
newing the application when nearly dry.”
An excellent cure for sprains is the sailor’s cure, viz:
Wrap the sprained joint in oakum, (charpie made of tarred
ropes), to the thickness of about four or five inches, and
pour on this hot salt and vinegar as warm as it can be
borne, and cover with a dry cloth. A lotion of Kim: tax.
inhot water may be substituted for the salt and vinegar.

P/zarmaceutz'c Pracerses.—At the request of the British


Homoeopathic Society, and of the Pharmacopoeia Com
mittee, we find published, minute directions for the prepar
ation of homoeopathic remedies, so as to insure greater
uniformity in the preparations from different sources. .We
presume these are open to correction and revision, so that
when they may be eventually published by the Society as
definitely settled upon, they will be strictly adhered to, in
the future, by all. I
Trz'turaz‘z'ons.—Weigh out any number of grains (not ex
ceeding one hundred grains) of the medicinal substance,
which should be in fine powder, and then weigh separately
nine times as many grains, of perfectly pure sugar of
milk. Transfer half the quantity of the sugar of milk,
into a perfectly clean and dry wedgewood mortar, then
place the medicinal substance upon the sugar of milk, and
mix the two together with a horn or ivory spatula. Using
182 Abstrafi of Homeopathic Literature. [Jan
a pestle of the same material as the mortar, rub the mix
ture-thoroughly and carefully, during six minutes, taking
care that it should be not only mixed thoroughly, by the
steady circular movement so well known to pharmaceu
tists in mixing powders, but also that the hard grinding
motion which is employed in incorporating pill mass,
should be effectively used, so as to break up all large and
hard particles. ~At the end of six minutes, scrape the
pestle and mortar carefully with the spatula, and stir the
mixture again, a process which will usually occupy about
four minutes; again rub and stir the mixture with the pestle
for snx minutes as before, and again scrape all the particles
off the mortar and pestle. Now add the remainder of the
sugar of milk; stir it well in with the triturated material,
and proceed as before, viz: rubbing for six minutes,
scraping and mixing for four, etc., etc. This will form the
'X"1 trituration, and should be so marked. Proceed with
the second as with the first. etc. All insoluble substances
are submitted to this process of trituration up to the f’X
or 3rd centessimal, at this point, experience has shown that
even the most insoluble substances have became soluble,
both in water and alcohol. '
Liquid Attenuations.—Take a perfectly clean new bottle,
(say a half ounce phial), fit a good new cork into it, and
then, having removed the cork, pour in 20 minims of the
mother tinéture, then add 180 minims of spirit of the same
alcoholic strength as that with which the mother tinctu re was
prepared. Cork the bottle, and grasping it in the right
hand, with the thumb held firmly over the cork, shake it
well, letting each shake terminate in a jerk by striking the
closed right hand against the open palm of the left, after
giving several such shakes mark the attenuation, 1X‘“, and
then with this, proceed to make the 2X. The first attenu
ation made from a tritumtion (which will be 4) must be
made as follows: Dissolve one grain of the 3d centessimal
trituration in 50 minims of distilled water, and then add
I874-] Abstralt of Homoeopathic Literature. 183

gradually 50 minims of rectified spirit, thus forming dilute


alro/iol.
N. B.—As sugar Ofmilk is not soluble in less than six
times its weight of cold water, and is insoluble in alcohol, a
decimal solutiOn of a trituration could only be made with
pure water, and would not keep; the centersinml senile,
therefore, must be followed in preparing the first solution of
a trituration. '
a. The next attenuation, viz: 9X, must be made with
proof spirit.
6. The next, viz: 5th centessimal, and all higher atten—
uations, must be made with rectified spirit, i. e.. 60° P.

[New England I’llm’ieal Gazette, December]

_ fnflanmzation of {he Bowels; Baptisia.—Dr. S. M. Cate


reports the following symptoms cured with this remedy,
viz: Violent cutting pains in the bowels, most severe in
the region of the ileo-czecal valve, and up the ascending
colon; dark brown loose discharges from the bowels at
first, afterwards constipation; painful region sensitive and
swollen; skin hot, mostly in afternoon, attended with some
sweat; pains worse in paroxysnis and violent, so as to
cause him to scream. After other remedies had failed
Baptisia 'X‘“, in solution every hour gave prompt relief.
lllemhianous Croup; Bell. 900.—Dr. Cate also reports
the case of a child, set. 3, having hard, labored breathing,
sawing and whistling; frequent barking, croupy cough,
skin dry and hot; face red ; pulse full and sharp, I40 per
minute, very restless; tonsils red and swollen with patches
of membrane on the fauces. Bell. 900, one dose cured.
A tubular piece of membrane was coughed up next day.
Abdominal Nezmzlgia ; Kalmia latifolia.—Dr. A. M.
Cushing has treated five cases of this affection, in married
184 Ahstrat? of Homeopathic Literature. lien-i

ladies, aged from 25 to 35, with Kalnzia. Two of these


cases are reported.
One at. 25, had sharp, cutting, tearing pains about the
lower border of the liver passing across above the umbili
cus, then down left side, midway between the umbilicus
and crest of the ileum, where it remained; pain ceasing
in the right side after locating in the left; pains sudden;
paroxysmal, worse from motion and lying on either side.
Fecul, flatulent, and menstrual discharges normal. Kalnzia
latifulia 2, cured speedily.
Another case came from allopathic hands, with severe
pains to the left and below the umbilicus, without heat,
swelling or tenderness. The patient was nervous and dis
couraged. She first received Gelsenc. 2, after which she
was less nervous. Kalmia 2, every two hours, was followed
by prompt relief.
Speir's Artery Constrictor.—With this instrument, in~
vented by Dr. Speir, of Brooklyn, Dr. I. B. Bell operated
very successfully upon a case of aneurism of the right
common carotid, arising at, or very near its departure from
the innominata, by Brasdor's distal operation. Dr. Bell
speaks highly of this instrument.

[American Ohserver. Yanuaty]


Nux as an antidote to Opium—Dr. C. P. Hart reports
the case of child, at. 2, who had swallowed nearly an
ounce of laudanum, was cold, insensible, and in strong
convulsions. Nux vonz., in drop doses, every five minutes,
in all twenty-three doses, restored it.
Dr. T. Nichol continues his original articles on the
“ Respiratory Affections of Childhood," and treats of
Asthma in the present number, which, with numerous ex
tracts from other medical journals are valuable. Dr. B. W.
James furnishes an article upon “Amputations and Fitting
Artificial Limbs.”
X874-l Indiana Institute of Homeopathy. 185

MEETING OF THE INDIANA INSTITUTE OF


HOMCEOPATHY.
This Institute held its Semi-Annual Meeting at Indian
apolis, on the 12th and 13th of November, 1873. The
Meeting'was called to order at 2 P. by the President,
J. B. Hunt, M. D. There was a good attendance of
members and visitors.
The minutes of the preceding meeting were read and
adopted.
Resolved, that gentlemen present, who are not members
of the Institute, are requested to take part in the discus
sion.
Call for Reports of different Bureaus:

CLINICAL MEDICINE.

Dr. Lucas, of Shelbyville, reported an interesting case 01


motor paralysis of the whole body, in a child two years
old, for which Gelsemz'n. 3d, 2d and 1st, had been given in
rotation with apparent good success. The child is im
proving constantly, but not cured yet.
Dr. Hunt suggested Causticum. ,
Dr. Eggert has seen only fine result from Caustz'cum in
chronic cases.
Dr. Fisher thinks Causticum only of service in those
cases where the urinary organs are likewise affected, which
does not happen in the case presented.
Dr. Eggert reported the case of a fibrous tumor, in a
lady fifty-two years of age, located at the orifice of the
urethra. The tumor has the size ofa. large bean, is crimson
red, excessively sensitive to miéturition (urine normal) and
to the slightest touch; bleeds often and readily. On the
strength of some constitutional symptoms, Lac/t. 200 has
'been given, and it is the intention to follow it with Phos.
200. Should medicinal treatment fail, he will resort to
operation.
The Secretary read a report sent in by Dr. Funk, of
Carmi, Ill. Cures had been effeéted of a most marvel
ous character, by a plant taken by mistake for the one
sought. The one intended to be given was the .Myosatz‘s
palustrzls‘; but another One (its name so far unknown) was
8
186 Indiana Institute cf Homaopatfiy. [Jan

given, and the same gratifying results obtained, as if the


jllyosotis 1). had been administered. A description of the
plant followed, and more definite information is promised.
It is thought useful in phthisis, and badly treated pneumo
nia. The thanks of the Institute was unanimously awarded
to Dr. F'unk.
The Board of Censors reported favorably upon the ap
plication for membership of Dr. J. N. Lucas, of Shelby
ville, E. Beckwith, of Muncie, WI Bancroft and O. S. Run
nels, of Indianapolis. .
Report accepted and the candidates elected.

PUERPERAL CONVULSIONS.

Dr. I. B. Hunt, of Indianapolis, read the report ofa case


of puerperal convulsions. A lady, approaching the time of
confinement, partook of a rich and sumptuous supper.
Early next morning a messenger was sent to the doctor,
informing him that she was suffering from a violent head
ache. The doctor prescribed Bell. 3d. Sometime after,
he was requested to call upon her, when the headache had
grown worse. He gave Bell. 200. Time passed on, the
pain getting worse all the time, and after Verat. oer. had
been ineffectually tried, convulsions appeared. The doctor
now resorted to artificial delivery, after which there was
seemingly for a while, a suspension of the convulsions.
But again they appeared, until he resorted to veneseétion,
drawing off a pint of blood. The lady recovered imme
diately.
Dr. Eggert thought he would have wondered less, if the
patient had died rather than recovered. He considered
such practice most pernicious, and surely not in harmony
with the teachings of our school, nor with the brilliant
success we have obtained in such cases with our well
chosen remedies. During twenty-fouryears of his prac
tice he has met all sorts of puerperal cases, but never
found such barbarous treatment necessary. He would feel '
ashamed to present such a case, the treatment of which, is
not only a slander upon Homoeopathy, but would even
not have found the countenance of a large majority of our
leading allopathic physicians. -If the case had been re
ported in full and properly, there would be no difficulty in
pointing out the remedy. But 'not a word is said, for
instance, about the mental condition of the patient, which
1874-] Indiana Institute of Hamwopai/zy. 187
to know, he considered all important in the treatment of
puerperal diseases of any kind. He thought Acom'z‘e, likely
was the remedy, and not Belladonna, for we frequently
find preceding such convulsions, a great anguish and
anxiety; fear of death; tossing about, together with a
dryness and heat of the vagina; even the apparent favor
able result from venesection, may to some extent point
to Acolzz‘te as the remedy.
Dr. Runnels said,we don’t yet know exactly what Homoe
opathy is, and should resort to anything that will save
our patient. This patient had taken a plentiful supper,
and there was too much blood in the body which caused
the convulsions. To cure such a condition, sufficient blood
was extracted, until the normal standard was reached
again. It is a similar process, as if a person gets sick
from over-loading the stomach, and we give him an
emetic, in order to relieve the stomach.
Dr. Eggert thinks no man has too much blood; an in
crease, is perhaps temporarily present during digestion, but
surely not amounting to a pint. Certain localities of our
body may sometimes show a surplus, at the expense of
other localities, but the individual normal quantity never
increases permanently, so as to require venesection. He
thought the doctor ought to understand better the gener
ally accepted causes of eclampsia.
Dr. Hunt said, the convulsions were undoubtedly caused
by congestion, which, operating here as a mechanical
action, they were cured in the same manner, that is by me
chanical interference. -
Dr. Eggert said, we are getting deeper and deeper in th
mire all the time. Congestion is a dynamical action, and
ought to be, and can be cured easily by dynamically acting
remedies.
Dr. Hunt did not intend to say that his treatment was
Homoeopathic, nor did he advocate it. -
Dr. Beckwith, of Muncie, reported a highly interesting
case of epileptic convulsions. The case had been treated
for years with the best remedies apparently indicated, with
both high and low attenuations. The best counse'l had
been called into service, but all of no avail. The doctor
asked for an opinion from the members.
BUREAU OF MATERIA MEDICA.
Dr. Eggert read a paper entitled: “How to teach and
188 Inaiiana Institute of Homeeopat/zy. U“
how to study Materia Medica,” illustrated by an analysis
of Aoonite and Ge/seminunz.
Meeting adjourned until next day at 10 A. M.

SECOND DAY.

The meeting-was called to order at IO A. M., by Dr.


Hunt.
Resolved, that all members moving from this State, and
having settled their accounts with the Institute; up to the
time when leaving the State, shall become honorary
members.
The President called for the discussion on Dr. Eggert’s
paIDr.
er. Eggert said, that the lamentable ignorance of the

Materia Medica, by a large number of professed homoeo


pathic physicians, has become too apparent as to be longer
overlooked. The causes for such sad condition, he con
sidered in the main, two-fold. First: The teacher is too
often careless, without discipline and not all practical. It
is neither made impressive nor attractive, qualities particu
larly necessary for students of generally so poor primary
education. Very few of them have a mind and thought
already disciplined when entering college. Instead of
having imparted to them the very life of our therapeutics,
they receive dry bones, and in many instances the student
would be as well off, and perhaps better, by staying at
home and reading, and committing Lippe’s Text-Books to
memory, than attending the lectures upon Materia Medica.
Some teachers pay attention only to pathological condi
tions, setting aside subjeétive symptoms; while others
ponder over nothing but subjectivity, neglefiting patholo
gical conditions entirely. Such lamentable teaching can
create nothing but confusion and indifference. In his, he
tried to show how to avoid this, by taking up remedies
analogous to each other. He should first analyze each
remedy separately, then point out their concordances, and
finally mark strongly their differential diagnosis. The
second cause rests with the student himself; for, too many
think, that when they have read their text-books, and
soiled them well in the bargain—which latter, is even con
sidered by some a sufficient proof of study—they graduate,
and consider themselves masters of Materia Medica at a
time, when study proper, should just commence. These
1874'] Indiana Institute '0f Hamwopathy. 189
causes have produced that class of quacks and mongrels,
who, after failing to cure intermittent fever with attenuated
medicine, prescribe large doses of Quinine, or of the mother
tinctures of Podophyllin and Leptandn'n; and carry for con
vulsions and other nervous diseases, pills in their pocket,
prepared from the extraéts of Hyoscyamus and Stratna
m'um, etc., etc., stating boldly, that Homoeopathy is not
applicable everywhere, and that we have often to resort to
a different practice, when nothing but ignorance and
stupidity, or too great laziness to study diligently our
Materia Medica are at the bottom of it.
Dr. Haynes thought Dr. Eggert should also have men
tioned a third cause for the lack of knowledge of Materia
Medica amongst professed homoeopaths. He referred to a
portion of onr literature, and considered, for instance, the
New York Medical Union as exerting a bad influence. Its
teachings are, that homoeopathy is good for one class of
diseases, while allopathy is adapted to another, and hydro
pathy to a third. He thinks Aconite should never be
given in intermittent fever. .
Dr. Fisher said palliations during the paroxysm of inter
mittent fever are of little use, yet, nevertheless, they are
sometimes imperatively demanded.
Dr. Haynes thought that he has been more successful
than ever, since he read Dr. Lord's books on intermittent
fever; but the books ought to be studied and comprehended
well, for one reading alone was not sufficient.
Dr. Hoyt presented a report on the study of Materia
Medica in general, and the appreciation of new remedies,
closing with a proving of Hydrophylum virgz'nz'cmn.
After some further discussion on the subject of Materia
Medica, there was a call for the

BUREAU OF SURGERY.

Dr. Hoyt presented a paper upon the diagnosis and treat- ‘


ment of various ulcers. He recommended the combined
external and internal treatment, and discarded the idea
that some ulcers neither could nor should be cured.
Dr. Eggert was surprised the report did not refer to
skin grafting and electricity, for he had seen admirable
effects of their application after medicinal treatment had
failed. He preferred the Palmer battery for this purpose.
Dr. Runnels lauded highly the application of starch for
190 Indiana Institute of Homoeopathy. lien

the irritable ulcer. It allays the irritation, promotes the


process of healing, and aEts well as a disinfectant.
Dr. Fisher recommended dry earth applications.
Dr. Compton spoke against the external use of Carholic
ac. as preventing, to a great extent, healthy granulation,
interfering much with the process of healing. The skin
becomes hard, shrivelled, death-like, wherever we apply it,
even in dilution. He knows this to be the opinion of many
eminent surgeons. Prefers, for external use, starch, or the
commonest brown sugar. His entire reliance rests upon
constitutional treatment.
Dr. Eggert said the admissibility as well as the possi
bility of curing such ulcers, are still open questions. He
knows a gentleman whose lungs and respiratory organs
are in the best condition as long as his legs remain very
sore ; but as soon as they heal, he suffers terribly in these
organs, and was often apparently on the point of death.
- The most careful homoeopathic treatment has been of
little use so far. Don‘t think he ever used external
treatment, except a bandage, and what cleanliness would
demand; or, if he has done so, it has been very sparingly
and with great caution.
Dr. Beckwith referred to the importance of selecting the
proper attenuation for treatment of ulcers.
Dr. Haynes presented a paper on Colles' and Barton’s
fradture of the radius. He used Bond’s splint until the
swollen parts had assumed their normal condition, which
took from three to five days, when he applied the Paris
plaster matrix to the hand and whole forearm. Treatment:
Remove the matrix, and exercise the joint every third day;
give 'Aconite, 200, until the pulse comes down to 80 per
minute; then Arnica, 200, until the pulse reaches 75 ; and,
finally, follow it up with Ruta. gr., 6th, until every tender
ness of the fracture ceases.
Dr. Campton spoke highly of the use of Paris plaster.
He treated once, very successfully, a hand fraétured by a
gun-ball, penetrating the hand, and mutilating it severely.
He made a cast, of plaster of Paris, for the palm of the hand,
and attached it to the hand by a single roller bandage.

BUREAU OF POTENCIES AND DOSES.

Dr. Fisher read a report containing his experiences with


different remedies in various attenuations.
1874-] Indiana Institute of Hammopat/zy. 191
Dr. Eggert said, his experiences differ somewhat from
those of Dr. Fisher. He never has found it necessary in
the treatment of gonorrhoea to give Cannaé. sati, when
otherwise indicated, below the third dilution; and often
gives it, with fine result, even much higher.
With reference to Rims 10%, he obtained all that could be
desired from high attenuations. A case, in point, happened
only lately. A young child fell from a chair and sprained
her left arm. A doctor was sent for, and, after six months,
the child could use the arm, but hand and wrist remained
paralyzed. When called in, he gave the child one dose of
R/zus tax, 200, and in less than 48 hours, the child was per
fectly cured.
Dr. Beckwith said, he appreciated high attenuations very
much, but with all this, the whole scale should be left open
to the practitioner. He referred to a case of raving mania,
manifesting itself only every night, in a person addicted to
only occasional spells of drunkenness. Opium, 200, cured.
the case in a very short time.

BUREAU OF OBSTETRICS.

Dr. Hunt presented a report on obstetrical practice in


general, demonstrating what thdphysic'ian ought to do,
and what not.
Dr. Beckwith thought it unwise to present reports that
contain nothing else than we can read in common text
books every day. He preferred to listen to histories of
complicated and difficult cases, rather than ’to those of a
mere natural labor with which every student is conversant.
He spoke of the perplexities that surround, particularly the
young practitioner, in cases of threatened abortion and mis
carriage, and related some cases in point.
Dr. Eggert was glad to hear his friend speaking against
the Binder, as causing nothing but mischief. He thought it
also. proper, here, to protest against the so prevalent prac
tice of physicians, often styling themselves specialists,
but being, in reality, nothing but pretenders, of demanding
vaginal examinations of almost every lady who presents her
self for treatment. This practice, necessary as it may be in
some cases, has been shamefully abused; and he knows of
physicians of our school, with very moderate and inferior.
practice, and whom the speculum would make no wiser,
boasting on the streets, that they had to resort to such
192 Mississippi Valley Hom. Med. Association. llan

manipulations ten times a day. Such practice is an out


rage, it is indecent and demoralizing; and every honest
physician owes it to himself, to his family, and to morality
in general, to protest against such shameful abuse of prac
tice. There is no earthly use in making an examination
for every uterine catarrh, or for every pain located in one
or the other region of the lower abdomen. If we study
Materia Medica, and apply it properly, most of these expo
sures can be easily avoided.
Dr. Haynes thought that the ligation of the funis was
useless, and did harm. All that was necessary, was to tear
the funis asunder.
Dr. Hunt could see no difference; he thought it best to
apply the ligature in order to be sure and prevent haemor
rhage. If any one thinks that the escape of some blood
from the funis is required in order to prevent colic, although
the truth of such theory has not been established yet, let him
do so by keeping the ligature loose around the funis until
it has been divided, and after the blood has escaped, tie it.
Dr. Haynes objected to Dr. Hunt’s praétice, in taking
away the placenta immediately after delivery. He thought
it unwarranted, and often dangerous. He always waits for
labor pains, and, then, with gentle traction, delivers the
placenta.
Dr. Hunt has never seen any danger emanating from it;
he considered the woman to be in a better condition for
such manipulation, right away after deliver , than one or
more hours later, when soreness of the parts, or even more
or less swelling become apparent. I do it at once, and
have done with the whole.
After the appointment of Bureaus, to report at the next
meeting, the Institute adjourned, to meet again on the
second Wednesday in May, 1874.
W. Essen-r, M.D.,
Corresponding and Recording Secretary.

MISSISSIPPI VALLEY HOMCEOPATHIC MEDI


' CAL ASSOCIATION.
AT a meeting of physicians held in Quincy 111., on the
17th of December, 1873, the above society was organized.
The following officers being elected for the coming year.
Dr. Wm. Collison, Hannibal, President; Dr. 1. Moore,
1874-] Book Nutices. 193

Quincy, Vice-President, and Dr. C. Lowry, Hannibal, Sec


retary and Treasurer; Censors, Drs. Moore, Streeter and
Lowry. .
Appointments for the following Bureaus were also made,
vrz:
Materia Medica, Drs. Collison, Moore 'and Craig; Sur
gery, Drs. Foster, Streeter and Koch; Clinical Medicine,
Drs. Lowry, Undland and Van Syckel. Dr. Craig was ap
pointed Chairman of the Committee on the Eye and Ear.
The annnal meeting of the Society will be held in
Quincy, on the second Wednesday in April, 1874.

10:

BOOK NOTICES.
DR. T. S. VERDI‘S REPORT AS SPECIAL SANITARY COM
missioner to European cities, Washington, D. C., 1873.
In April last, the Governor of the District of Columbia,
appointed Dr. Verdi as Special Commissioner to visit Euro
pean cities, for the purpose of investigating their Sanitary
laws and regulations, with the view of,obtaining informa
ti0n to assist in perfecting a sanitary system for that Dis
trict. This pamphlet contains the results of the doctor’s
investigations, and has been published by the Board of
Health as an appendix to their forthcoming annual report.
In the discharge of the duties of this Commission, Dr.
Verdi has accumulated much valuable information on
various sanitary questions, including the subjects of the
removal and utilizing of night-soil, garbage, etc.; slaughter
houses; unhealthy habitations; lodging and tenement
houses; public bath-houses; public wash houses, etc.,
etc., all of which is clearly set forth in this pamphlet.
Dr. Verdi has done himself credit, as well as performed
a valuable service to the community in this report.

COMPLETE REPERTORY to the Homoeopathic Materia- Medica,


Second Edition. Revised, re-arranged and very much enlarged.
DISEASES OF THE EYES. By E. W. Berridge, M. D., &c.,
&c. London : Alfred Heath, 114 Ebury St., pp. 320.
_ We should be glad could we write in praise unqualified,
of this work. But, before speaking of its good features,
we must “ relieve our mind ” of a burden of dissatisfaction,
194 But Notices. U...
not to say resentment, concerning its most patent charac
teristic. We mean, of course, its method of abbreviation
of the names of the drugs. For a single person to impose
a system, an original dialect, one may say, upon busy men;
and which necessitates the study of a vocabulary of II7I
names, averaging two words apiece, more or less, with
I I71 abbreviations; often of unheard of and far-fetched
drug-titles, and more unheard of contractions of the same;
this, we think, is hardly fair.
Even after reading the preface, with its explanations,
what a provocation it is to find, for instance, that “ dt ”
means Stramonium ; that “ cch ” is Colchicum; that “ str ”
means, not Strum, but, miraoiie die—in, Strychnos, Nux vom
ica! And wherefore? Because, forsooth, the most impor
tant species of each genus deserves to be distinguished by
the generic title; the other species, by the same, with the
specific name added. Thus, the first of the foregoing is
significant of the fact that Stramonium is the leading species
of the genus Datum; hence the contraction “ dt ;" and so
less wide ofcommon usage, Colchicum gets the no less queer
“cch.” But what can we say when so dangerous a per
version as the 1ast is allowed to find its way into print?
Please fortune, we trust the book is not stereotyped, nor
will be, until the author takes mercy on his medical breth
ren who need the repertory, and upon the greater multitude
of the sick who will fail to be benefited by it, in its present
shape. Indeed, he states that his peculiar method will not
be continued, except desired by the profession.
Homoeopathy, however, is surely benefited by every
such wellplanned and complete_ endeavor, and hence the
author has made us all his debtor.
First, we are obliged to admit that, for might we can see,
he has secured that which he claims, viz: an almost abso
lute completeness—itself likely to prove onerous to many,
in his collation, under nearly all possible variations of
heading, where they can be readily discovered, of all med
icines from every source, of which anything has been
published relative to his subjeét. The very number of the
medicines referred to is sufficient indication of the com
prehensiveness of his research. And, did not the extremely
-—well, say inoonvenient—nomenclatu re prevent, there could
be no doubt of the value of so exhaustive a compilation,
representing, as it does, so great industry and such hard
work. The divisions of the book are as follows :
1374_] Book Notites. 195
In the preface is given an explanation of the arrange
ment, with illustrations. Next comes two pages of syn
onyms and definitions of symptom-language. Following
we find, in Section I, Symptoms of the Eyes; A, funétion
ally considered; B, anatomically; thus rendering each
symptom successively under each of these headings, with
admirable minuteness and exactness; C, order of sequence,
and direction taken by symptoms, again including their
general charaeter; D, right eye; E, left eye; and under
each, a great variety of symptoms, functional, anatomical,
sequential, geometrical, etc. The symptoms, proper,
disposed of; they recur in Seftion II, page 100, &c. Under
A, " Conditions of Aggravation," as to Time, Situation, (cir
cumstances), Posture, 'l‘ouch, Motions, including those of
the head, mental excitements, etc.; symptoms before, with
or after head symptoms, (not very orderly in arrangement,
by the way), given very minutely, as to both funEtions and
anatomical positions and directions; Circumstances, (as
darkness and light, reading, sewing, &c.), under the notable
caption “Eyes; bringing the symptoms again before us
under other heads ; and again, under the. several anatomical
regions of the body, as showing the relation of their symp
toms to the eye symptoms. Thus we have divisions for Ears,
Nose, Face, Teeth, Throat, Abdomen, Urinary Organs,
Genitals, Chest, Back, Arms, Legs. Then follows Sleep,
(before, during and after) ; Fever, (chill, heat, sweat) ; Gen
eralities, (convulsions—before, with and after—Emaciation,
Fainting, Heaviness of Body, Numbness, Weakness, etc.,
etc., etc.,); Glands, Joints, Skin, Morbid Diatheses, Injuries,
Injurious Ingesta, (drugs, drinks, etc.)
In the same Section, under B, page 290, &c., are com
menced Ameliorations,- under similar rubrics.- Addenda,
Errata and Index (too brief) complete the volume.
We have endeavored to give a full and fair resume of
this work, believing that it may facilitate the comprehen
sion and use of it; for, notwithstanding its faults, it must
really be considered an indispensible addition to our arse
nal; and we indulge the expectation, that the author will,
in the forthcoming volumes of his Repertory, (on Diseases
of the Head, Mind, Ears, Abdomen, Chest,) change these
features, and give us a valuable, practical series, ready for
instant use by everybody. .
* * *
196 Book Notices. Han.
THEORY AND PRACTICE OF MEDICINE, by F. T. Roberts,
M. D., B. Sc., M. R. C. P. pp. IOOO, 8 v0. Lindsay & Blakiston,
Philadelphia, 1874.

Rhetoricians define the Simple Style as that which


seems easy of execution, until the attempt shows its
difficulties. Such, happily, is the style of the present
work. It is free from those burdensome technicalities,
the pedantic display of which so complicates the stu
dent’s labors. Where scientific terms are employed, they
are defined with conciseness and clearness. The un
initiated can form no adequate idea of the many laborious
hours requisite to produce a thousand pages, every word
of which shall be full of import. Yet such is the task so
well performed in the work before us.
Those who delight in delving into abstruse theories, will
find but little satisfaction here; for mere hypotheses are
dismissed with a terseness that is in excellent keeping with
the tenor of the work. And yet thoroughness is not sac
rificed; nor are the most recent investigations of eminent
pathologists forgotten. We note especially the varieties of
phthisis, classified in reference to the :latest theories of
tubercle; the value of the clinical thermometer; nervous
aphonia diagnosed by the laryngoscope; eleétricity in the
diagnosis of nervous diseases, &c.
Many pages appear printed in small type. These include
unique articles of general clinical value. It is to be hoped
that they will not share the fate of most fine print interpo
lations, and receive but a cursory examination ; for they are
full of practical import, original in arrangement, and calcu
lated to make the study of special diseases more profitable.
Chapter XVIII, giving general diagnosis of chest af
feEtions, is a model of perspicuity. Here the student may
see what elsewhere he might search chapters to find.
With the treatment we have but little to do ; nevertheless
we can trace here, also, the stamp of progress. We notice
the limitation in venesedtion ; and mercury is recommended
with a caution some of our older physicians might well
heed. From the great care that has been bestowed upon
the pathological and diagnostic portions of the work, we
consider this one of the best treatises on practice, that has
for a long time, appeared; and that it deserves, as it will
no doubt receive, a wide circulation.
E. A. F.
1874.] Book Notices. 197
BONNINGHAUSEN'S HOMCEOPATHIC THERAPEIA OF IN
termittent and other Fevers. Translated by A. Korndoerfer, M.D.
Pp. 243. Boericke & Tafel, 1873.
We have here another valuable addition to our mono
graphic literature, making a fit companion to the author’s
“ Hooping Cough,” “ Bell on Diarrhoea,” etc., etc.
The work is divided into four parts; Part First giving
the general Fever Symptoms of 158 remedies, 26 having
been added by the translator. Part Second, the Repertory,
is particularly full and well prepared, and will be found a
great aid in the use of the book. Part Third is devoted to
the Relations of the Fever Stages, as: “Beginning with
chill; beginning with heat; or with shivering or sweat,” etc.
Part Fourth gives the Pathological names of the different
fevers, with the remedies for the same; the author and
translator however, both cautioning the physician against
selecting the remedy from this, rather than by the totality
of the symptoms, as might be better developed by the Rep
ertory and Materia Medica.
Both the translator and publishers are entitled to the
thanks of the profession for the care which has been devo
ted to the reproduction of this work, while its beautiful
typography, is sufficient to establish the reputation of the
new house of W. Hering & Co., as first—class book printers.
O

ANNUAL RECORD OF HOMCEOPATHIC LITERATURE FOR


1873. Edited by C. G. Raue, M. D. Pp. 332, octave.
The fourth volume of this valuable series of publications
has recently been issued by Messrs. Boericke & Tafel, and
we find it fully sustaining the reputation of its predecessors.
The volume is made up of abstracts of the most important
matter that has appeared in our periodical literature, trans
actions of societies, etc., during the year of 1872.
The plan and arrangement of the volume is the same
as before employed; 41 pages being devoted to Materia
Medica; 210 to Practice; 30 to Surgery and 25 to Mis
cellaneous subjects. The Index, which has been very
carefully prepared, consists of three portions: Ist, Index
of Subjects; 2d, of Remedies and 3d, of Authors. Con
taining, as it does, the cream of our literature, this work
is becoming indispensable to the physician, and none should
neglect to place the volumes on their shelves as they ap
pear from year to year.
THE AMERICAN JOURNAL
OF

Homoeopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.


Philadelphia, Yanuarfy 1, 1874.

wBR-IEF practical articles, Reports of Societies, Medical news, etc., etc.


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper.
@The Editors assume no responsibility for sentiments or statements made
over the names of correspondents.
A. R. THOMAS, M. D., General Editor.

A NEW ILLUSTRATION OF THE POWER OF INFINI


TESIMALS. I

Various faéts in science, have from time to time, been brought


forward in illustration of the potency of little things, and thus made
to aid in the demonstration of the extreme divisibility of medicinal
substances, and of the possibility of such minute particles exerting an
influence upon the animal organization. In the january number of
the Popular Science Monthly, we find an article under the title of
Quicker than Lightning, in which the writer demonstrates the won
derful power of the eye, for obtaining impressions of light, of such
brief duration, as to require for its expression, figures quite as start
ling as those employed for showing the proportion of original sub
stances contained in potentized remedies. The writer says 1
“Of all the curious things that science has revealed, none are so
confounding to the ordinary reason as what has been learned re
speéting the order of Nature in its extremest aspect of minuteness.
Objects fade away from the customary range of the senses, and we
habitually think, what was long believed to be the faét, that there
remains nothing more; or, that we find the edge and final termina
tion of things but little beyond what is familiarly recognized. But
we now understand that Nature is fathomless below as well as
boundless above, and that, beneath the grasp of unaided sense, there
are an inexhaustible wealth of wonders, a fixcdness of relations, a
definite play of interaéting forces, and a sharp exaélness in the
working of law, which we could never infer from the coarser pro
cesses of the world of common experience.
" As we are to speak of the briefest known duration of luminous
effetts, it will be proper first to recall how much is involved in the
a& of sight. When theman of experiment talks to us about what
occurs in the thousandth of a second, he is, of course, dealing with
something recognized, or which has affected both his body and his
mind in that short space of time, and this is necessarily an illustra
198
1 874-] Miscellaneaus Items. 199

tion of how quickly his composite machinery can work. Then the
agency which afls upon him must be taken into account, and also
the cause of that agency, for they both belong to the same order of
activities. When we look upon a source of illumination, as a candle
or a star, we are affected by something that is done at thOSe points.
The light originates in the vibration of the molecules of matter.
These vibrations are communicated to some medium which can
convey the impulses at a demonstrated velocity of nearly 200,000
miles per second. The luminous waves strike the retina of the eye,
and they are a ain translated into the molecular vibrations of nerv
ous matter, an the physical influence is turned into a sensation by
the organ of consciousness. The act of seeing thus involves the
constitution and action of the visible object, the mode of movement
of the force, the operation of the organ of vision, the changes of the
nerve-line, and the cerebral aft of recognition. There is a dynamic
chain connecting thought and the objeft seen through a nether
world of minuteness, but where all is correlated in a common scale
of relations; and, whenever we see any thing, this whole train of
transformations is implicated in the efl'ec't. The molecular tremors of
Sirius, the ethereal thrills of space, and the rhythmic swing of the
nervous elements, are but parts of a unified system of subsensiblc
dynamics. Bearing in mind, then, what is involved in a single aft
ofvision, let us now trace the course of experiment which has led to
the latest results regarding its duration."
He then proceeds to give an account of some ingenious experi
ments, by means of which the duration of a flash of lightning was
accurately measured; and finally, by a modification of the same, the
duration of the spark of the Leyden jar was most carefully ascertained.
As a result of these experiments, he observes: “'the duration of
the first aft of the eleftrical discharge is in certain cases only forty
billionths of a second, an interval of time just suflicient to enable a
ray of light to travel over forty feet.‘ The duration was twenty-five
times smaller than had ever before been measured. In this infinite
simal portion of time a strong and distinct impression upon the retina
is made, so that ' the letters on a printed page are plainly to be
seen; also, if a polariscope be used, the cross and rings around the
axis of crystals can be observed with all their peculiarities.‘ Nor is
this all; 'as the obliteration of the micrometric lines could only take
place from the circumstance that the retina retains and combines a
whole series ofimpressions whose joint duration is forty billionths of
a second, it follows that a much smaller interval of time will suffice
for vision. If we limit the number of views of the lines presented to
the eye in a single case to ten, it would result that four billionths of
a second is sufficient for human vision.'
" We saw at the outset how much an act of vision involves, and
we have now some idea of how long it takes. Ifthe discharge of the
thunder-cloud occupies, as was stated, the one five-hundredth of a
second, the ‘ interviews“ of our philosopher with the ' amber-spirit‘
were at least fifty thousand times 'quicker than lightning.“ "
SOUTHERN HOMCEOPATHIC DISPENSARY.—Thi5 institution was
opened on the I5th of December, at 1314 Bainbridge Street. It 15
under the management of the Homcnopathic Hospital, the attending
physicians being]. Arthur Bullard, M.D., and E. B. Stephens, M.D.
It is already doing a flourishing business.
200 Persona/s, etc. [I1111-. I874

MISCELLANEOUS ITEMS.
MORTALITY OF PniLADnLPHIA.-The total deaths in the City
during the year 1872, were 20,544, while in the year 1873, they were
but 16,776, showing a difference of 3,768, in favor of the year just
closed.
FISH DIET.-—The theory that fish diet is promotive of brain work,
is supported by the {aft that seals and otters, which live exclusively
on fish, are among the most intelligent of animals, while storks and
other aquatic birds are equally distinguished among the feathered
tribe. ~
JAconI’s FOOD FOR CHILDREN, is prepared by cracking a tea
spoonful of barley in a coffee mill, then boiling fifteen minutes in a
gill of water, with a little salt. Then strain, and,»for a young child,
add one-half as much cow‘s milk as there is of the barley water,
sweeten, and give warm from bottle. If the bowels are costive, use
oat meal in place of barley.
SLEEP As A MEDIctNE.—The cry for rest has always been louder
than the cry for food. Not that it is more important, but is often
harder to obtain. The best rest comes from sound sleep. Of two
men or two women, otherwise equal, the one who sleeps the best,
will be the most moral, healthy and efficient. Sleep Will do much
to cure irritability of temper, peevishness. uneasiness. It will restore
to vigor an overworked brain. It will build up and make strong a
weary body. It will cure the headache. It will cure the heartache.
It will cure a broken spirit. It will cure sorrow. Indeed we might
make a long list of nervous and other maladies that sleep will cure.
The cure of sleeplessness requires a clean, good bed, sufficient exer
cise to produce weariness, pleasant occupation, good air and not
too warm at room, a clear stomach, clear conscience and avoidance
of stimulants and narcotics. For those who are over-worked, hag
gard, nervous, who pass sleepless nights, we commend the adoption
of such habits as shall secure sleep; otherwise life will be short,
and what there is of it sadly imperfeft.-- Tlze Science qf [frail/z.

PERSONAL.
We would feel obliged if our subscribers would send In for inlenion, under this head, notices of removu‘s
marriages or death: of Homeoputhlu Physicians.

DR. H. P. MERA, has removed from Rochester, N. Y., to Potts


ville, Pa., where he takes the place of Dr. D. Gardiner, who retires
from practice.
DR. L. HOOPES, has removed from Pottstown to Avondale, Pa.
PROF. I. T. TALBOT, retires from the Editorship of the N. E.
Medz'ml Gazelle, with the close of the year. New Editor not an
nounced.
DR. ALEXANDER BERGHAUS, of New York City, has returned from
his European trip.
DR. SAMUEL A. JONES, has removed from Englewood, N. 1., to
230 West Twenty-Fifth St., New York.
WE have received an extended notice of Prof. Helmuth's “ System
of Surgery," too late, however, for the present number of the Journal.
The American Journal

éummupaflgit Wanna (imam

RECORD OF MEDICAL SCIENCE.

N... as... §
VuL. 3. No. 6.
F E B R U A R Y, 1 8 7 4. {“"°;':,§°-v%;f“'m
,MA. /\/\_/\ M,

BLEEDING FROM INTERNAL PARTS.


A Leélure by H. N. GUERNSEY, M. D.,
(Reported by J. c. Guernsey, M.D.)

GENTLEMENI—YOU have frequently, during this course


of lectures, heard me mention remedies to be used for
“ Bleeding from Internal Parts.” I now propose to collate
the same, and to make a differential diagnosis of each of
them, that you may be prepared to select the one whose
' pathogenesis most closely resembles the presenting symp
toms on the “ spur of the moment”—if need be ; and, that
you may be enabled to arrest a hemorrhage of the most
frightful character, in the most “ mild, prompt, and durable
manner” of all known methods.
Those remedies which are most highly characterized by
BLEEDING FROM INTERNAL PARTS, are: Avon, Am, Bell,
Cal: 0., Cart}. veg, Cant/5., C/zarn., Clan, Croa, Ftrrum,
Hymn, 1pm, Kali 6., Lucia, Lyn, Mara, Nitr. an, Nux 21.,
Plum, Plat, Pals, Sabz'lz.,-Secale, Sepia, Sulphur.
As we may at any time be suddenly called upon to pre
scribe almost instantly for a dangerous hemorrhage, I will
give the strongest points of each drug first, that we may be
facilitated in our choice.
AcoN.—When we find with the hemorrhage an appa~
rent mental excitement, accompanied by a fear of death
VOL. VII.—N0. 6.
202 Bleeding from Internal Parts. [Feb
(perhaps the fear of bleeding to death), we may find on
investigation that the hemorrhage was brought on by a
fright, by a fit of anger, or by anxiety; the patient may
still be suffering from the exciting cause. The sufferer is
usually lying on the back, owing to an aggravation from
lying on cit/m side; worse on rising, (becomes dizzy);
blood coagulates easily; afraid to move about much,
though feeling restless and anxious; thirsty; skin dry.
Most generally found in dark-haired subjects, plethoric
and active. I
ARN.—H€l'6 the bleeding has been excited from an
injury; from concussion; bodily fatigue; physical exer
tion. \Ve often find a bruised or sore sensation in the
parts from which the blood exudes. Pulmonic or uterine
hemorrhages and epistaxis, etc., are often attended with
this sensation. Hot head and a cool body are very char
acteristic of this remedy.
Sometimes a fright and an injury may be nearly coinci
dent, and here great care must be observed to decide
which was really the exciting cause; should frzg/zt have
caused the bleeding, Arn. will not be the remedy.
The difference between Acon. and Ara. may be seen at a
glance.
BELL—The blood coagulates almost as soon as dis
charged, and feels hot to the parts from which it escapes.
If it be from the genital organs, there are usually forcing
or bearing down pains; if from the chest or head, there is
congestion, throbbing of the carotids, injeéted eyes, flushed
face. The patient wishes to be covered; cool air is un
pleasant; cold shiverings frequently run through the body;
photophobia; drinks little and often; hot skin; plethoric
habit.
Patient generally feels worse in the afternoon and even
ing; from draft of air; from moving; from rising; from
suppressed perspiration.
Here, too, we see that Bell. in its turn, differs very essen
tially from either of the preceding drugs.
1874,] Bleeding from Internal Parts. 203
CANTII.——A most striking symptom calling for the uSe
of this remedy is found in the urinary organs, and consists
ofa cutting and burning pain during micturition; the urine
flows in drops, or in a very scanty stream. Haematuria ;
uterine-hemorrhage, blood usually being very dark;
hemorrhage from the lungs or nose. I
CALC. c.—Here, the most striking feature is the consti
tution of the patient. This is leucophlegmatic; light hair.
A little investigation may show that the menses are apt to
be too profuse and too often; much perspiration about the
head and shoulders; limbs are usually drawn up, and are;
cold and damp; desire for loosened garments; ameliora~
tion from being rubbed ; desire for warmth and covering ;;
a slight draft of cool air is chilling; if the bleeding be from.
the chest, it is usually from the left side. Cale. e. cannot.
be mistaken for, or confounded with, either of the above
remedies.
CARE. VEG.—We are chiefly led to the use of this remedy
in very desperate cases, where there is almost an entire;
state of collapse; weak pulse; anguish of heart; skin cold,
and blueish; patient wants to be fanned very hard; and
often whispers to the attendants, “fan harder, fan me
harder.”
This desire to be “fanned hard" is found in many different
complaints, and may always be considered as indicative of'
this drug; we may sometimes be called in very late to such
cases, or we may get them from the old practice.
CHAM.—Th6 striking peculiarity here is mental irrita
bility of a spiteful nature; the patient speaks quickly and‘.
sharply. Blood dark and coagulated ; desire for air; rest-
less; distressed ; spiteful and irritable.
Patient generally feels worse in the night; from warmth ;;
from anger; during eructations; lying on painless side;
during perspiration; during sleep ; from coffee. Better.
while fasting; while lying on painful side.
CHINA.—The first note of alarm here is faintness, with:
ringing in the ears; ringing in the ears is one of the
204 Bleeding from Internal Parts. . [Fen
most charaéteristic symptoms in the pathogenesis of
China, and if we do not give it soon, the pulse will become
irregular, flickering, and imperceptible; skin cold and
clammy; fainting and unconsciousness. Even at this stage
Chi/2a, 2c., in water, every two or three minutes, will soon
work a favorable change.
Generally feels worse, periodically; in the night; after
drinking; while talking; can’t talk, wishes others to ex
plain; after perspiration; on touching the parts softly.
China cannot be confounded with 64715.7/6‘5'. as, Firstly,
in Curb. veg, the patient wishes to be fanned hard, and if
at all in China, very softly. Secondly: In Carh. 71., the
skin is dry and blue, while in China it is moist and clammy.
Thirdly: in Car/J. 71. we find no ringing in the ears, as we
do in China.
CROC.—The striking feature of this hemorrhage is its
hlach and string] charaéter, the blood forming long dark
strings as it flows; often resembling long, black, earth
worms. we find this feature, whether the hemorrhage be
from the uterus, lungs, or the nose. When examined in a
mass the strings may be somewhat matted together, but
the characteristic tendency is plainly observable. Sensation
of a bounding or rolling in the abdompn, as of something
alive.
Feels worse in the morning, when fasting; during preg
nancy; in a warm or close room.
Better in the open air; after eating.
FERRUM.—We usually notice a very red face, with a full
pulse; the hemorrhage is partly of a fluid, and partly ofa
black and clotted character. The flow may be from the
lungs, stomach, nose, bowels, or uterus—if from the latter,
there are very often violent, labor-like pains. in the back
and abdomen; great erethism of the circulation; flushes of
heat.
Feels
from worseofin
change the night,
position ; fromparticularly
fat food. after midnight; I

The trouble may have been superinduced from poisoning


Is74-l Bleeding from Internal Parts. 205
by Peruvian bark; the patient is generally very weak,
though having so red 2. face and so full a pulse.
HYOS.——Th€ alarming points that appear are delirium;
semi-unconsciousness; a constant flow of blood; jerking
and twitching of the muscles; face blueish; eyes congested.
The hemorrhage may have been brought on by a fit of
jealousy; by taking cold; by unhappy love, or some other
mental affection. ‘ -
Worse usually in the evening.
Better from stooping or leaning forward.
Hyos. differs from all its companion remedies by the
prompt appearance of delirium in the case, by the semi
unconsciousness, by the twitching and jerking of the
muscles, and by the blueish face. This alarming kind of
hemorrhage is usually uterine.
IPEc.—\Vhen we have an uninterrupted discharge vof
bright red blood from the vagina, nose or lungs. The
first symptom here, is usually, a complaint of faintness and
nausea ; also, there may be a sharp cutting pain from the
navel towards the uterus; later we may find cold skin,
cold sweat, and a species of suffocating spells.
Hemorrhages sometimes follow suppressions of erup
tions; abuses of Peruvian bark; after eating veal; after
coughing; while vomiting; occurring periodically
It will be perceived that [fee approximates C/zina in the
cold sweats and cold skin, but [pea has not the ringing in
the ears, nor has C/zina the nausea. [pea would also be
indicated in a constant flow of bright red blood from the '
nose or lungs, with the above gastric symptoms and faint
ness. [pea is more frequently indicated than any other
remedy.
KALI cum—We are most frequently led to think of this
remedy for hemorrhages occurring some days or weeks
after parturition; also for epistaxis and haemoptysis after
being over-heated, and after a vexation. The sometimes
accompanying symptoms are agonizing pain in the back,
extending into the glutaei muscles, and down over the
206' Bleeding from Internal Parts. lFeb

sacrum; stitching pains in the abdomen; abdomen often


tympanitic.
Fells better from being covered up warmly; after erue'ta
- tions which occur quite frequently.
One of the best of remedies to prevent abortion from
occurring about the second month, when chara éterized by
stitching pains; pains in the back hindering walking
causing the patient to feel like stopping to lie down any
where, in the street, on the floor, etc.; later, these pains
may extend over the sacrum in the glutaei muscles.
LACHESIs.—For flooding occurring at the critical age,
particularly when charafterized by chills at night and hot
flushes by day, or fioodings at any time when thus charac
terized; after parturition, with pains in the right ovarian
region always relieved by flow of blood from the vagina;
in all typhus or typhoid conditions, where there is a flow of
dark blood from the nose, from the lungs, or from the
bowels with a sediment like e/zarrecl straw. This sediment
may either have a crushed appearance, or may look like
distinct spears of charred straw—it really being decom
posed blood.
Diarrhoeas following milk-leg are sometimes accompanied
with a hemorrhage of this sort, and here Lac/z. will be the
curative agent.
LYc.—Hemorrhages from the nose, lungs, or uterus
where there is a great deal Of flatulence, borborygmus, and
a sensation of fullness up to the throat, after taking a
I small quantity of water 01' nourishment; frequent flushes
of heat; palpitations of the heart; cutting pains from right
to left in the abdomen; all symptoms worse from four to
eight in the afternoon and evening. Desire for air; to
have the windows up; to be fanned. This remedy may
be often used in the worst cases of pulmonic hemorrhage.
MERc.—-This remedy is particularly applicable in hemor
rhages occurring in elderly females some time after the
critical period has passed; light hair; scorbutic condition
of the system. Cold, damp thighs and legs at night; per
1874,] Bleeding from Internal Parts. 207
spiration sour and mouldy, excepting of the feet, which is
scentless; skin and muscles lax; thirst, even though the
mouth be full of saliva; mood serious, sometimes amorous.
Feels worse at night; when blowing the nose. \Vith
the above conditions epistaxis, haemoptysis, haematemesis,
hemorrhage from the bowels, or uterus.
NITR. Ac.—This remedy is in many respects very similar
to fliere. and sometimes a very close comparison is requisite
to discriminate between the two. i
Contrary to Mere, ZVitr. am, has dark hair; perspiration,
sour and urinous ; skin and muscle, rigid; no thirst;
blood, dark; foot-sweat, fetid; distrust. The urine is much
stronger, and more like horse urine, than in Mere.
Bleeding from the arteries and capillaries; bleeding
from the uterus with pain in the back, running down
through the hips into the legs with a sensation of pressure,
as if the uterus itself would escape. from the vulva. In so
comparing Mere. and Nitr. ae., we find them differing from
each other, and from all the preceding remedies.
NUX VOM.—It is a curious fact that in most all hemor
rhages requiring Nux. 21., we find an irritable condition of
the rectum, which is a fiequent and ineflet‘lual desire for
stool, with the sensation as if portions of feces were in the
refinm, this latter sensation remaining even after defeca
tion; usually in dark-haired subjects.
Hemorrhage may be excited by indulgence in rich
food; from much coffee; intoxicating drinks; constipation.
Worse in cold air, between three and four, A. M.
Better in a warm place; lying on the side; in loose
garments; passing wind per anum.
PHOS.—Particularly for tall, slim, dark-haired subjects;
also in females who menstruate too often, too much, too
long; sensation of emptiness in the abdomen; slim, dry
stools, expelled with difficulty; flushes of heat.
Feels worse lying on the left side; on the back; from
warm food, or drinks.
208 Bleeding from Internal Parts. lFeb
Better lying on the right side; from cold food and
drinks; from being rubbed; after sleep.
Small wounds bleed persistently and profusely; bleeding
erectile tumors.
PLAT.—Hemorrhages, blood being partly fluid and hard
black clots; also coming away in quantities, and having a
dark, tarry appearance; with sensation as if the body was
growing larger in every diredtion; in dark-haired, spas
! modic, and nervous subjeéts.
PULs.--Intermittent hemorrhages, blood generally dark;
in subjedts of mild and tearful temperaments; can lie best
on right side; feels much worse in a close warm room ; de
sire for open doors and windows; no thirst; scanty urine ;
blood flows and stops, flows and stops.
SABINA.—Bl00d flows freely in fluid and in clots. When
from the uterus, there is very often a pain from the sacrum
to the pubis or vice versa; for violent after-pains of the
above nature, with the above charaéteristic bleeding;
especially applicable for miscarriages coming on about the
third month; blood pale from the nose; blood from the
vagina pale, or red, dark, or mixed with light red; much
soreness in the hypogastric region.
Feels worse in a close warm room.
Better in the open air.
We see that Puls. and Sabina agree in the aggravation
from warmth, but Sabina has that peculiar pain. Puls.
has a different disposition, and the character itself of each
hemorrhage differs.
SECALE coma—The flow is passive and may be dark or
red, though is mostly red; in subjedts who are naturally
feeble and cachedtic; tingling in the limbs and prostration;
desire for air; aversion to being- covered; cool skin with
no desire for covering.
Better when lying with the limbs extended. (In Cale. c.,
the patient feels better with the limbs drawn up.)
SEPIA.—\Vith abdominal plethora or congestion; pain
1374-1 Bleeding from Internal Parts. 209
in the right groin; sensation of weight in the anus ; pain
ful sensation of emptiness in the pit of the stomach.
Feels better from drawing up the limbs.
Disposition to abort from the fifth to the seventh month,
especially when there is uterine congestion; cold hands
and feet; hot flushes; particularly, where she complains of
little, fine, darting pains, up the neck of the uterus. The
difference must be remembered between Kali e., which has
abortion about the second month of pregnancy; Saoz'na,
with abortion about the third month ; and Sofia, with abor
tion after the fifth month.
SULPHUR.—Sensation of heat in any part previous to, as
well as during the hemorrhage; particularly when from
the lungs. This sensation of heat may be in the inner parts
of the nose, uterus, rectum, etc.
Worse when warm in bed; when exposed to any heat,
as of the fire, etc.

In giving these remedies for “ Bleeding from Internal


Parts," I think it proper to remark upon the so called ad
juvants, which some physicians resort to for the arrest of
hemorrhages.
As we have passed over a variety of hemorrhages, and
have observed how each has its own peculiar chara6ter,
each one differing from all the others, it will be useful to
inquire : “ \/Vhy does the patient bleed in this manner, or
in that? Why are these bleedings, each ofits own peculiar
type, fi'om the nose, from the lungs, or from the dried up
uterus of the aged female P" \Ve know that in all these
hemorrhagic conditions, there were no open blood-vessels
of any size, from which the blood could flow.
What other cause then, can be assigned but that of a
peculiar morbific condition in each case, which, having
induced an afflux of blood to the parts concerned, caused
the bleeding? In apoplexia, in the various congestions,
in the erethism of blood which causes flushes of heat, there
is a morbific agent at work, which is not unlike, in prin
210 I Indigo in Epilepsy. [Feb

ciple, to other morbid conditions, causing other forms of


disease which are perfectly amenable to the remedies of
our Materia Medica.
And Why then, might we not as well employ so called ad
juvants in almost any other form of disease, as in. bleeding
from inner parts ?
As it is the pathogenesis ofa peculiar morbific influence
which we see manifested in the various forms of hemor
rages, so the pathogenesis of some peculiar drug must
indicate its use in arresting the forms of bleeding to which
it is adapted.
As we know our remedies, we can succeed in their use
as destined by the Creator, without the aid of any cum
bersome, and often injurious, so called adjuvants.
:o:

INDIGO IN EPILEPSY.
BY L. M. KENYON, M. D., ofBufialo, N. Y.

CASE I.——Harry Turner, aged nine years, has had epi


leptic fits for nearly three years; they recur generally
every ten to twelve days, but if he attempts to go to
school, they are of almost daily occurrence. I saw him
first in March, I849, his parents living two miles from me,
I never could see him during the paroxysm, but as near
as I could learn, they came on suddenly, he would fall
down or out of his chair, and become convulsed all over,
frothing at the mouth, and the convulsive movements
would end with a rigid condition of the body; the convul
sion lasting generally two to four minutes, and the rigid
condition sometimes half an hour; there never was but
one at a time. '
He had been treated by the family physician, (allopathic)
during this three years, for worms, and been closed with
every thing that could be thought of, besides numberless
messes fixed up by friends and neighbors, with no possible
good result, and as there was no evident increase of the
trouble, perhaps no very seriously bad results. I treated
1874.] ' Indigo in Epilepsy. I 211

the boy some six weeks, using Bell, Cale. card, Cina,
Ignatin, Hyos., Sulp/i., but with no results. One day in
conversing with his mother, she remarked, that oqfoie he
had these attacks, he was of such a furious disposition,
excitable, easily angered; since then, he had become so
mild and even timid, and that now, if he went a few days
beyond the usual time without a recurrence, he would
show his old disposition again. I gave him that day, May
3d, Indigo, 3d centesimal, in two grain doses, four doses a
day; the boy continued to take it for nearly a month, each
week dropping off one dose a day, and he never had another
convulsion. In November following, he had typhoid
fever with mild delirium, which ran its course in about
three weeks; during this fever, the boy passed a large
number of lumbrici, in fact, they crawled away from him
and would be found in the bed, and several times, he
pulled one out of his throat. The next season the boy
went to school, and I knew him four years after, and he
remained a sound healthy boy, his old time disposition
returned, and his mental powers were as good as most
boys of his age.

CASE 2.—In October, 1856, john Henry, aged seven


teen years, applied to me, saying he had fits every few
days; he was a laboring boy, and said he would frequently
fall down in the street or at his work. I could learn noth
ing of the character of them, except he said that he was
told by those who had seen him, that he jerked all over,
'and he always found his tongue badly bitten; he had the
appearance of being guilty of masturbation, but denied it
strenuously, even when told that his life probably de
pended upon my knowing the truth. I was so convinced
that such was the case, that I gave him first Plios. Acid,
and Nnx. z/omiea, but with no result. Ithen gave him
Stop/zysngria 200, and afterwards Sulphur 200; still of no
avail; finding him exceeding melancholy, I gave him In
digo 3d, three doses a day; he reported twice, the first
212 ‘ Indigo in Epilepsy. [Feb.
time, that he had gone more than twice as long without
any fits, and the second time, that he had gone a month
without any; I never saw him again and do not know the
result.

CASE 3.—In July, 1858, a lad twelve years old, engaged


in an elevator in this city, his work being sweeping and
clearing up, came to me withI his employer, saying he had
had fits ever since he could remember; he had no parents
or relatives, so I could not learn how or when they com
menced; his employer said he would be busy at work,
and fall suddenly in a complete convulsion. If he had a
broom in his hand, it would be thrown with force several
feet. The spasm was clonic, very violent, lasting some
times five minutes. They occurred every nine to ten
days. For some hours after one, he would stagger like a
drunken man when attempting to walk ; this boy was very
melancholy, exceedingly timid, and said he didn’t want
to live. I gave him Indigo at once, 3d trit., three doses a
day, he reported several times, each time looking im
proved, and said the fits were less frequent, finally he ran
away and I lost sight of him; but he was under treatment
about three months, the last time I saw him, he had had
no fit for six weeks. -

CASE 4.—August 12th, 1873, Mary F., aged thirty- three,


unmarried, light hair and eyes, florid complexion. Has
always enjoyed uninterrupted good health, except that for
nearly a year, every Tuesday morning at 3 o'clock, she
would be wakened with an uncomfortable sensation in the
right hand, which she says was not pain, nor a numbness,
but something between the two, this quickly extended up
the arm and neck, and she would loose consciousness for
two or three minutes, coming to herself with a long drawn
breath, and a confused feeling of the brain, and a general
tired, restless, uneasy feeling, which would wear off about
noon; she would then go on again for another week; she
1874.] Indigo in Epilepsy. 213

had never mentioned it to any one. Her mother has been


three times insane, and she said she had made up her
mind that she was to be like her mother, and there was no
use troubling any one with this, until it was necessary to
take care of her. She has kept house for her brother, and
had charge of her mother, who frequently has Spells of
becoming partially insane, for weeks at a time; this night,
an older sister visiting her, slept with her, and happened
to be awake when the 'trouble came on; she says, Mary
sprang up, caught hold of right arm, and in an instance
fell back, convulsed all over; head drawn back; frothing
at mouth, and very violent jerking of muscles of whole
body, which lasted perhaps two minutes; Mary thinks it
was the hardest one she ever had, but says she thinks they
- have been increasing in severity for some weeks, and says
she has been very gloomy in consequence, but has en
deavored not to have the family know anything of it by
her looks or actions; says she has spent many nag/its
alone flying, but would put on a cheerful face in the
morning. Gave. her Indigo, 2d centesimal, three closes a
day. ' 4 _
August 19th, the convulsion was less severe, and she
had all day a hot sensation in back of head; continue
remedy; August 26th, convulsion scarcely perceptable;
continue one dose a day; September 2d, nothing but the
sensation in the arm, no convulsion; is more cheerful and
happy; continue one dose a day; September 9th, did not
wake up, of course had none; omit remedy; September
16th, same report; nothing; September 23d, same, noth
ing; September 30th, her mother has been quite bad a
few days, and tried her very much, and she had a slight
spasm this morning at the usual time. Indigo 3d, two
closes a day; Oétober 7th, 14th, 21th, 28th, November
4th, reports no trouble and took nothing; November 11th,
has taken a violent cold, and felt a slight sensation in the
arm ; an hour later this morning, took Cepa. 200, for the
cold; nothing else; November 18th and 25th, and De
cember 2d, reports no sign of any trouble.
OBSTETRICS AND GYNZECOLOGY.

A CASE OF PLACENTA PR/EVIA.


BY EMIL TIETZE, M. D.

MRS. BEWLEY, residing at 2505 Pennsylvania Avenue,


called on me, at my office, about the middle of November,
1873, to engage my services for her approaching confine
ment which, according .to her calculations, she expected
would take place at the end of December. She complained
to me, moreover, of having suffered, for the last six or seven
weeks, from uterine hzemorrhage, which, sometimes profuse,
had returned more or less frequently, adding that, even in
the absence of a more copious sanguineous discharge, a
small amount of blood was passing from her every day. ‘
Previous to her calling on me, she had, to obtain relief from
this trouble which of late had quite alarmed her, presented
herself at one Of the City Dispensaries, where she had been
advised, forthwith, to consult a physician in her immediate
neighborhood, and to keep as quiet as possible.
How strictly she obeyed the first part of this direétion,
with utter disregard of the second, her presence in my
office fully demonstrated. To my remarks to this effeét,
she briefly replied that she was a poor woman, unable to
hire help, and consequently had to do her own work, etc.;
a very stubborn argument, unfortunately, which I felt myself
unable to overcome by a repetition of the advice given her
elsewhere; and which, notwithstanding my attempts at im
pressing upon her the danger she might be liable to incur
by its disregard, I knew she would not, and could not fol
low to any great extent. However, I requested her to send
for me immediately if pains, or profuse hzemorrhage, or both
together should set in. An examination of the woman at
her own house, made by me on the day following, though
not fully satisfaétory, left but little doubt as to the nature of
her trouble.
214
1874,] A Case of Placenta Previa. 215
Mrs. B. is a small, but well-formed woman of some thirty
years of age, with black hair, and dark eyes, and a pale and
anaemic complexion. A certain dread of some imminent
danger has made her, who naturally seems to be of a very
excitable disposition, exceedingly nervous. She now pas
ses through her second pregnancy, her first child being a
boy between five and six years old.
On November 2Ist, 9 P.M., I was summoned to see Mrs.
B., at once, and on arriving at her house soon afterwards,
found her in a small room—the only one the family occu
pied—seated on a rocking-chair near a hot cooking-stove.
Shortly before sending for me, she had been in the market
to make some purchases, and a heavily-loaded basket with
provisions standing on the table, which she had carried
home herself a considerable distance, presented ample proof
of the rather doubtful effeEt ofmy former persuasions. She
told me that she had been seized with pain and flooding on
her return from market, and had scarcely been able to
reach home. Several small pools of blood; as well as a
number of bloody rags in the room, were more than suf
ficient evidence of the danger of her recent foraging ex
pedition.
On examination, I found the lower segment of the ute
rus—evidently much enlarged and pouched—pressed down
' into the small pelvis, and the os uteri' dilated to the size
of about a silver quarter of a dollar. Through this open
ing the finger came in contact with a somewhat soft, but
resisting and elastic body that conveyed to the former an
impression similar to that of touching a piece of fresh
liver. It was firmly attached to the inner 05 for more than
two-thirds of its circumference, but had became detached
from it on the right side, and at this point readily per
mitted the introduction of the finger between it and the
inner uterine wall. This space was filled up with blood
coagula, the removal of which was followed by a slight
haemorrhage. This became more profus'e at every pain,
and ceased spontaneously with its disappearance. So far
216 A Case of Placenta Preevia. [Fen

as the finger could reach, no bagging of the liquor amnii,


and no part of the foetus could be felt. Palpation of the
uterus through the abdominal integuments, did not
warrant any definite conclusion as to the position of the
foetus, although it seemed as if the foetal head could be felt
pressing against the left side of the womb.
In view of the above data, the diagnosis of placenta
praevia centralis, seemed to be fully sustained.
Next, the question arose as to the proper means by
which this abnormal case could be brought to a favorable
termination.
Observing that the woman’s strength had not given
way, as yet, to any alarming extent; that the loss of blood
occasioned by the gradual dilation of the os uteri remained
within moderate bounds, and thus far did not tell very
seriously on her pulse, which, though weak and variable,
was not empty and irregular; that, moreover, her counte
nance was not of that deadly, ghastly pallor, indicating
immediate danger, and now wore a more hopeful expres
sion; and that, finally, no other serious symptoms of ex
sanguination had manifested themselves, I concluded for
the present to remain an inactive spectator, and see what
nature with its own resources would do for the patient.
Meanwhile, some nourishing food, such as could be
readily obtained in the house, was given her in small
quantities and at short intervals, as well as a few teaspoon
fuls of whisky, whenever she complained of a feeling of
goneness and exhaustion. Besides, care was taken fre
quently to remove and renew the sheets which had been
spread under her, to receive the discharges of blood, and
in this way the loss of blood could be quantitively
estimated.
At midnight the dilatation of the os uteri was nearly
complete, and up to that time, the loss of blood not very
excessive; of the sack and foetus, however, there was as
little to be felt now, as on any of my previous examina~
. tions.
1374] A Case of Placenta Pneoia. 217
Singular and strange as this appeared to me, I still
hoped for a speedy change of things, when, shortly after
wards the pains became more expulsive, and apparently
took a firm hold of the fundus and main body of the uterus.
This hope was not realized, however, for, notwithstanding
all the powerful expulsive efforts of the womb for nearly
an hour, no perceptible change could be observed, except
an increase of haemorrhage, surely the least desirable of
all. The latter beginning to tell now very seriously on the
woman by unmistakable and dangerous symptoms of ex
sanguination, I did not dare to leave the care of the case
to nature any longer, and having placed the woman in the
position most convenient to the operator, at once began:
my work.
From my previous remarks, it is evident that the
method of piercing the placenta and ovulary sack, recently
recommended by some accoucheurs, was entirely impracti—
cable in this case. For this reason I concluded to follow
the old plan, and carefully moving my right hand through
the vagina, glided, (arrived at the os uteri), with thumb,
index and middle~finger, through the opening occasioned
by the placental detachment; but finding the space too
small to introduce the whole hand, I attempted by press~
ing the index and middle-finger firmly against the inner
uterine wall, and moving the thumb in semi-circular tours
around the right inner surface of the os internum, to stretch
the resisting muscular fibres sufficiently to admit the re
maining fingers. This being accomplished by the means
described, the hand in its onward move, detached enough
of the adhering placenta, to allow it to enter the uterine
cavity. These manipulations were accompanied by several
fearful gushes of blood, and caused the woman to lose her
consciousness, which was quickly restored, however, by
giving her a drink of whisky, to which, from eight to ten
drops of Sulplzuric Etlzer had beenadded, and which was
held in readiness for such an occurrence.
2
218 A Case of Plarenm Pm’vio. [Fen
Rapidly moving my hand upward now along the funis,
which was very tightly stretched and _hard,I was surprised
at the large empty space that Ihad to wander through
before reaching the foetus. The latter was found to be
firmly held in a transverse position in the upper part of the
womb, the foetal head pressing, face downward against the
left inner uterine wall, while the breech touched the op-.
posite side. But even here, there was no sack to be felt,
the ovulary membranes lying in close approximation to
the foetus, so as to render it somewhat difficult to raise
them up in a fold and rupture them. This being done, the
feet were grasped at once and speedly brought down into
the small pelvis, and it was not until then that the amniotic
fluid rushed over and past my hand. Assisted by strong
pains, the main body of the child soon descended, serving
at the same time as a plug to the bleeding surface that had
previously been compressed by my arm. The evolution of
the shoulders and head met with some difficulty at the
lower pelvic aperture which was soon overcome, however,
by patience and some manipulation. Shortly afterwards,
a full-grown, large but dead boy was born, weighing by
estimate, from nine to ten pounds, whose navel-string was
wound twice around his abdomen in the direction from the
left to the right side. This faét sufficiently accounted for
the tightly stretched and hard condition of the funis; the
. close approximation, anteriorly of the ovulary membranes
to the foetus; the bagging of the waters at the fundus
uteri; the empty space in the lower portion of the womb,
as well as the vain attempts of the latter by powerful ex
pulsive efforts, to place the one or the other part of the
foetus upon the upper pelvic aperture, and finally, the in—
crease of haemorrhage at this stage of labor.
The placenta found lying loose in the vagina was re
moved, and by a liberal allowance of a nutritive diet, the
woman so speedily recovered her strength, that, on the 9th
day after her confinement, I found her engaged in the
usual duties of her household. The only medicine given
1874.] Treatment of Sore Nipples. 219
her after delivery, consisted in a few drops of the tincture
of Arniea mixed with half a tumberful of water, of which,
for several ‘days, she took a teaspoonful at short intervals.
Now the question might be asked by some obstetri
cians, why, in this case I did not apply the tampon.
Without wishing to deny its partial usefulness in some
‘cases of this kind, I cannot but objeét to it, generally on
the following grounds:
I . It entirely obstrudts the field of our observations,
which here, if anywhere, always should be open to inspec
tion, in order to enable us to follow up the different stages
of labor, together with the changes and incidents depend
ing thereupon, and conneéted therewith.
' 2. Owing to the impossibility of carefully watching
and estimating the loss of blood after the introduction
of the tampon, and of deciding upon the proper time for
other operative interference, the golden moment for action
may be lost, and with it a human life. This has been ad—
mitted even by such an accoucheur as Osiander, In, who,
though rather favorable to its intelligent application, ex
pressly warns us against trusting to it too long and im
plicitly.
3. The pressure brought to bear by it upon the bleeding
surface of the uterus, at best, is so indiredt and incomplete
as not to be a safeguard against fatal haemorrhage, which
has been sufficiently proven by the late Prof. Joerg, of_
Leipzig, at his time one of the most experienced and skil
ful accoucheurs of Europe, and a bitter opponent to the
tampon, and is fully corroborated, moreover, by Madame
Lachapelle in her obstetrical memoirs.

TREATMENT OF SORE NIPPLES.


BY DR. FORDYCE BARKER.
In a recent clinical lecture on this subjeét, Dr. Barker
advises that the woman he allowed 'to completely recover
220 Treatment of Sure Nipples. [Feb

from the fatigue of confinement before applying the child


to the nipple.
The first stage of parturition is that of exhaustion. The
whole effort of the system has been used to accomplish
this result, and so complete is the exhaustion. that it is
very commonly manifested by nervous chills. If the
Woman is permitted to get a few hours of sleep, her ex
hausted nerve-power will be restored, and than is the time
to direét that the child should be placed to the breast.
The main reason for this is, the breast is not now dis
tended, and the nipple is easier drawn out. The traétion
excites the more rapid secretion from the breast, and the
first secretions from the breast are of great benefit to the
child as a laxative, being its first proper food. It is then
that the nipple can be more readily grasped by the child,
and properly formed. If, however, you wait until the
secretion of milk has taken place, and the breast has
become distended, before applying the child, the distension
itself causes obstruEtion to a free flow through the ducts,
and the nipple and breast may become a very great source
of irritation.
There are some cases in which the nipple congenitally
is so short that the child cannot get hold, and it must be
drawn out by some mechanical appliance. The most com
mon method resorted to for accomplishing this, is the old
fashioned application ofa bottle, which has been filled with
hot water and emptied, and the use of the breast-pump.
A few words with regard to breast-pumps. Most of
them are constructed upon principles utterly devoid of
common sense. Most of them have so small an opening
in the part applied to the breast that the nipple is constric
ted, and the milk cannot flow at all after the first two or
three exhaustions of the instrument.
The essential requisite for an efficient breast—pump is a
large bell-shaped extremity, so that the nipple is not at all
constricted by the narrow diameter which is applied over it.
The pump which meets the indications most satisfac
1874] Treatment of Sore Nipples. 221
torily, and which has come to my notice, is what is called
Mattson’s breast pump, and it is a most excellent instru
ment.
With regard to treatment of the sore nipples, the follow
ing are the rules which chiefly govern me in the manage
ment of these cases: If the nipple is inflamed, apply a
poultice until the inflammation is subdued, and then apply
a solution of nitrate of lead in glycerine, ten grains to the
ounce. This is also the most complete and perfect pro
phylactic against the occurrence of sore nipple that I know
of. This solution should be applied immediately after
nursing, having first washed the nipple perfectly clean.
The application must also be washed off every time
before the child nurses. It is almost a specific, when
properly used, against excoriations and ulcerations. If the
tendency is quite strong to sore nipples, the solution may
be used of the strength of 15 grs. to the ounce, or even
scruples, j; but as a rule the 10 gr. solution is sufficient.
Next, where the cuticle is denuded, and we have a raw
surface, or it becomes so irritated that there is a tendency
to an abrasion, the indication is to form an artificial cuticle,
which will entirely protect the parts, and yet permit the
milk to pass through it. I have used for this purpose, and
with the most satisfactory results, the compound tincture
of benzoin. Wipe the nipple dry after the child has nursed,
and with a camel's hair brush apply four or five coats of
this tincture.
The first application may produce some burning, but
once applied this will be entirely overlooked, and the
woman will desire its reapplication. This forms a most
excellent artificial cuticle, and at the same time permits the
flow of milk without obstruction. Cicatrization will take
place under this coating, and the patient will thank you
for the benefit received. When the fissure is at the base of
the nipple, very small it may be, but accompanied by the
most severe and agonizing pain, the most satisfaetory
method of management is to touch the fissure with a fine
222 Therapeutics of Uterine Discharges. [Feb
point of nitrate of silver, and apply over this the comp.
tinoture of benzoin as before.
When the inflammation and ulceration has gone on to
such an extent as to destroy the surface of the nipple, and
there is danger of the inflammation extending back to the
mammary gland, do not allow your patient to torture her
self by allowing the child to nurse. Remove the child
entirely, and empty the breasts by the breast-pump or by
rubbing—Medical Record.

:o:

THE

THERAPEUTICS OF UTERINE DISCHARGES.

BY HENRY Mm'rox, A. M., M.D.

CARBO VEGETABILIS.
Vegetable Charcoal.
Menstruation,—Premature and profuse, or too scanty,
with pale blood. The menstrual discharge is l/zie/e, am'd
corrosive, and has a strong smell.
Before Menstruation—Abdominal spasms; colic from
morning till night; headache; itching of the skin about
the neck and shoulders; leucorr/zwa and smarting at the
vulva.
During Menstruation.—Cutting pain in the abdomen,
drawing pain from the abdomen to the small of the back ;
pains in the back and all the bones, as if bruised ; vomiting.
Violent contraétive headache; colic especially when the
blood ceases to flow; burning in the hands and soles of
the feet; apthze at the pudendum. itching, owning sore
ness, and smarting at the vulva and anus; swelling of the
pudendum, red sore spots about the parts resembling little
ulcers, with much burning and itching; menstruation
accompanied with leucorrhoea ofa mucous, whitish, milky
or thick, yellowish discharge, Or it may be greenish, pro
$74,] Therapeutics of Uterine Discharges. 223
fuse, and excoriating. At the time the menses should
appear, violent itching of old tettery eruptions. Passive
metrorrhagia, with great itching at the anus and vulva.
Leucorrhma,——Morning leucorrhoea, discharge very
acrid, excoriating the parts; leucorrhoea before the men
ses, white leucorrhoea, corrosive, tliick, greenisli leucorrhoea,
or yellowish-white; leucorrhoea afler mic'iurition; discharge
of white mucus from the vagina; profuse leucorrhoea, milk
colored; excoriating the parts ; flowing only in the morning
when rising, disappearing during the remainder of the day;
oostinate leucorrhoea; oloody mucus from the vagina; sore
ness and rawness of the vulva during the leucorrhoea.
Concomitant5.—Angnisli and restlessness, especially in
the afternoon, from 4 to 6 P. M.; dread of ghosts; falls
asleep late, owing to restlessness of the body; very drowsy
in the day time. Great and sudden weakness of memory
periodically; slow ideas; extraordinary rush of voluptuous
thong/its; oppressive headache, spasmodic tension in the
brain ; heaviness as if a weight were on the eyes; vertigo
when moving the head quickly; sensitiveness of the scalp
to pressure; falling out of the hair; rush of blood to the
head. Drawing from the nape of the neck upwards and
forwards.
Greenis/i color, or great paleness of the face; cracked
lips ; chronic looseness of the teeth, gums recede from the ’
teeth and bleed easily. Bleeding of the nose from straining
at stool.
Desire for coffee; food has a saltish taste; aversion to
meat and fat things; weakness of digestion, the plainest
food distresses her; flatulent distension of the abdomen,
particularly after eating, as though it would burst.
Redness and burning, or rawness in the throat; profuse
and constant salivation ofstringy saliva ,- frequent and violent
eructations ; evening vomiting. Emissions of large quanti
ties offlatns, inodorous orpntrid. She eructates involunta
rily tough glairy mucus, which runs continually from the
mouth; contractive, or burning, aching, cardialgia; bruised
224 Therapeutic: 0f Uterine Discharges. [Feb
feeling in the hypochondria; stitching pain in the region
of the liver; pinching in the abdomen, shifting from the
left to the right side; flainlent colic; burning hemorrhoids ;
stinging, itching and burning at the anus; constipation,
with hard, tough, scanty stools.
Thin, pale-colored, or light-colored slimy stools; slimy
fecal diarrhoea in scrofulous persons; frequent and anxious
urgingr to pass urine; nocturnal emissions; urine dark-red,
as if mixed with blood. Varicose veins in the vulva, also
about the external genitals, itching, painless ulcers on the
pudendum.
Dry nasal catarrh; evening, fluent coryza; sneezing,
dyspnoea; laryngeal and tracheal phthisis; morning and
evening, hoarseness; cough in the evening wit/rout expec
toration ; sputa has an unpleasant odor, and a sour or salt
ish taste; cough, with greenish or purulent, sometimes
brownish expectoration in the morning; great and very
lasting lzaarseness; burning pressure and itching in the
chest; palpitation of the heart; feeble pulse; flashes ofheat;
rheumatic, drawing, tearing pains in the muscles of the
back and neck; burning pains in the limbs; tearing pains
in the forearm, wrist and fingers; icy cold fingers. Lame
drawing pains in the lower limbs; cramps in the legs, and
especially in the soles of the feet; numbness of the limbs;
the limbs go to sleep easily; great debility and weakness
from the least exertion. Lymphatic swellings, with sup
puration and burning pains.

CARBOLIC ACID.
Menstruation—Delayed and profuse, and the discharge
ofa darker color than usual.
After Menstruation—Great nervous irritability and
headache.
Leucorrhtea ——C0pious discharge of fetid, greenish,
acrid matter from the vagina, with uterine catarrh. Drag
18M] Therapeutics of Uterine Discharges. 225

ing sensation across the ldins and through the pelvis. Ex


coriating discharge, worse after the profuse menses.
Lochia. Profuse discharge offetid, acrid matter.
COHCOmitants.—Disinclination to work or study. A
sensation as ifa band were around the forehead. Soreness
of the cervical vertebrae. Heat in face. Frequent desire
to urinate, with burning in the urethra.
Itching of the skin of various parts of the body.

CASTOREUM.
Castor.

Menstruation—Premature, and attended with more or


less pain all over the body. Increase, 01 re-appearance of
the menses. Premature appearance of the menses, with
pain in the abdomen and small of the back.
During Menstruation—Ill humor; constant chilliness;
pressure in the forehead and vertex; angry exclamations
during sleep; pale appearance; smarting in the eyes; sore
ness in the abdomen, relieved by pressure; pain or press—
ing in both groins. Painful weariness in tlze middle of the
ting/ts, afterward extending all over the limbs. Pain in the
small of the back, as if beaten.
Leucorrhwa,—Thick, or watery, and burning.
Concomitants. —— Melancholy sadness; ill humor;
whining sensitiveness. Restless sleep, with anxious dreams
about murderers and robbers, with inability to move or cry
out. Hysterical nervous diseases.
Lacerating pain in t/zeforeltead; fullness in the forehead.
Heaviness in the head; burning in the eyes, with great sen
sitiveness to the light before the eyes. Watery coryza;
stoppage of the nose. Bad smellfrom the moat/z. Pain in
the teeth, which is aggravated by cold drinks, and relieved
by warm ones.
Unquenclcable thirst, especially in the afternoon, with fre
quent micturition; constant nausea. Feeling of fullness in
226 Therapeutics of Uterine Discharges. [Feb
the stomach and dust. Violent pain in the abdomen, filfle‘ll—
ing, lacerating in the whole abdomen. Stools watery and
whitish;
urine. hard stool, with burning at the anus. Diminished
I

Nightly cough, with burning in the throat. Heat in the


chest, just below the sternum. Painful pinchings in the
scapula. Violent drawing in the tendons of the nape of the
neck. Violent pain in the shoulders extending to the
elbows; drawing and tingling in the calves, as if occa
sioned by fatigue. Languor of the lower limos.
Especially adapted to females of a lymphatic tempera
ment, who, from the first, suffer from menstrual colic.
Most of the symptoms appear or are aggravated at each
menstrual period.

CAULOPHYLLUM THALICTROIDES.
Squaw Root.

Menstruation,—Too soon and too seemty; the flow is


retarded from a simple lack of excito-motor force in the
Fallopian tubes, or the parietes of the uterus.
Menstrual irregularities occurring subsequent to, and
consequent upon miscarriage, attended with spasmodic
bearing-down pains, with scanty flow, sympathetic pains in
the bladder, bowels and rectum.
During Menstruation—Painful contractions, conges
tion and irritability of the uterus; sympathetic cramps and
spasms in neighboring organs, as the bowels, reétum and
bladder; hysterical spasms of chest and larynx.
After Menstruation.—Passive haemorrhage, an oozing
from the lax uterine vessels, and especially after an abor
tion, with tremulous weakness of the whole body.
Leucorrhma.-—Profuse mucous discharges ; yellow spots
on the forehead, with patches.
LOChia.—Protra6ted lochia from atony of the uterus.
Concomitants.—Sensation of a comfortable languor,
and disposition to sleep; feels weak and nervous; inability
1874,] Therapeuties of Uterine Diselzarges. 227
to sleep from nervous weakness, or from rheumatic pains;
sensation of fullness in the head; swimming in the head;
spells of vertigo. ' Dryness of the mouth; empty eruéta
tions; gulping up of sour, bitter fluid. Distention of the
stomach and bowels, with drawing in right hypochondrium ;
copious emissions of pale, straw-colored urine. Hysterical
spasms of the chest and larynx; articular inflammation of
small joints; rheumatism of the wrist; rapidly shifting
pains in the arms and legs; restlessness and nervousness,
with hot and dry skin, aching or dragging pains in the
small of the back. Threatened abortion, with spasmodic
bearing-down pains and great vascular excitement.

CAUSTICUM.
Kali Causticum.

Menstruation—Delayed but profuse, with discharge of‘


large coagula; menses too feeble, and flow only during tlze
day ,' the menstrual blood smells badly, and excites an itch
ing in the vulva. ‘
Before Menstruation—Great melancholy and sadness,
she looks upon the dark side of everything; anxious
dreams; pains in the sides, and drawing colic. Colic wit/z
oztt diarrluea on the appearance of the menses.
During Menstruation—Great suffering, weariness and
ill humor ; vertigo, especially during motion; colic and
diarrhoea; pain in the abdomen as though the parts would
be torn, with lameness in the small of the back as from a
bruise, and discharge of large clots of blood. Cutting
joins, with tearing in the back and loins; pains in tlte back ,
stitches under the left breast. Yellow complexion; hyster
ical spasms, and pinching in the sacrum; cutting colic;
uterine colic; soreness of the parts, and between the thighs.
Difficult first menstruation.
After Menstruation—After the flow has virtually
ceased, it returns from time to time; it returns for several
days. Great aversion to an embrace.
228 Therapeutics of Uterine Discharges. [F611
Leucorrhqaa,—Profase leucorrhoea at night, the dis
charge smelling like the menses; leucorrhoea with colic,
burning in the parts, and between the thighs; leucorihoea
preceded by abdominal cramps, with emissions of flatus,
pulling and lameness in the small of the back, and flatulent
distention of the bowels; weakening leucorrhoea, with
scanty menses; leucorrhoea especially at night.
Concomitants.—Sadness and melancholy, as well as
anxiety and fear; weakness of memory; full of apprehen
sions in the evening; bad effects of grief; drowsiness and
weaiiness in the day time ,' sleeplessness at night; vexatious
dreams, full of disquiet and anxiety; tossing about when
asleep ; depression and languor on rising in the morning ;
weakness and trembling all over; very sensitive to a cur
rent of cold air; headache with vertigo, and a sensation of
falling to the left when looking up; dull, oppressive head
ache ; stitches in the temples; nightly headache, with noises
in the head; sensation when walking as of shaking of the
brain ; a feeling as though the scalp was too tight; the eye
lids feel weak and tired, she can hardly keep them open;
obscuration of sight; flitting before the eyes as of wavelets of
light; fiery sparks before the eyes; stitches of pain darting
into the head from around the eyes: hammering, roaring,
buzzing, and other noises in the ears and head, causing hard
ness of hearing.
Face of a yellowish, sickly appearance, with pale-bluish
lips. Sensation of tightness and pain in the jaws, rendering
it difficult for her to open her mouth; toothache aggravated
by both hot and cold substances; scorbutic affeétions of
the gums; frequent hawking up of mucus, which imme
diately re-accumulates; great aversion to sweet things ,' ap
petite vanishes as soon as she begins to eat; fresh meat
causes nausea and waterbrash; smoked meats agree.
Distention of the abdomen after eating; great apprehen
sion after breakfast; eru6tation of food a long while after
eating; vomiting followed by sour ernttations. Pain in the
abdomen; pressure and fullness in the abdomen as if it
/
1374-] Ahstrat? of Homoeopathic Literature. 229
would burst, aggravated by partaking of the least thing, or
tightening of her clothing. Obstinate constipation, with
varices in the anus; after stool, oppressive anxiety, with
palpitation of the heart and burning in-the anus.
Prolapsus of the bladder after accouchment; involuntary
emissions of urine when coughing, sneezing, blowing the
nose, or when walking.
Frequent, diflicult and painful urination; aqueous urine;
burning in the urethra when urinating.
Epileptic fits during the time of puberty. Sterility with
delayed menses. Weakness of the voice; chronic hoarse
ness; catarrhal aphonia; unceasing short, hollow cough,
with iuahility to expec'iorate what is raised, is obliged to
swallow it; nasal catarrh, at night, dry; in the daytime,
fluent. Palpitation of the heart; stitches in the region of
the heart; sensation in the chest as if the clothes were too
tight; spasmodic asthma.
Pain in the hips as if luxated ; painful stiffness in the hack ,'
aching pain in the small of the hack when sitting; drawing
and tearing pains in the arms and hands; heaviness of the
arms; spasmodic weakness and trembling of the hands;
rigid feeling in the joints of the legs and feet; cramps in
the feet ,' contraction in the hollow of the feet ; coldfeet.
Adapted to weak, scrofulous females with pale-yellow
complexions, and subject to diseases of the digestive and
respiratory organs.
10:

ABSTRACT OF HOMGEOPATHIC LITERATURE

BY B. FRANK BETTS, M.D.

[Medical Investigator, yanuaiyj


Hj/pfl’li’op/lj/ of the heart; Bromine—In treating heart
affeétions, Dr. D. Thayer, has found the greatest success,
follow the use of Bram, Ars., Slap/1., Cactus g., Dig,
Nztr._ac.
230 Abstraé? 0f Homaeopat/zie Literature. [Feb~
His method of administering Brain, for hypertrophy of
the heart, when it seems indicated, is to use the Ioc potency
once a day, till IO doses are taken; then every other day till
[0 doses are taken ; then every third day till 10 doses are
taken, then every fourth day until 10 doses are taken, etc.
He is accustomed to give C/zina for the radical cure of
gallstone disease in the same way; also Cale. a, and $27.,
for the cure of rachitis infantum, incurvation of the long
bones, enlargements of the ends of the long bones, and in
straightening the “bow legs of children.” He considers
the method of administration important.
Gelseminmn.—Frpm a study of this remedy read before
the Chicago Materia Medica Society, we extract the follow
ing: Persons poisoned by Gels., faint; everything looks
dark and dim. They have 1055 of vision; consciousness
retained as well as sense of hearing, but circulation slow
and feeble. Respiration, feeble; coldness of skin.
Complete loss of general muscular power and sensation.
Gels, aEts primarily, and eSpecially on motor nerves ; and
secondarily, on the nerves of sensation; adapted to nervous
excitable females ; to sensitive people. They think clearly,
but there is heaviness of mental function ; mental applica
tion difficult. Head full, heavy; dull pain commencing in
back of head or nape of neck, extending forwards over
whole head. Feeling as of a weight on the head at the
base ; vertigo, with chilliness. Feeling of tight band,
enclosing head; relieved by urinating freely, or by lying
with the head high; worse by noise, moving and st00ping.
(17041. has feeling of tight band, but worse by hot air.
Mere, worse at night, by heat in bed, not relieved by per
spiration. Platina.—VVith numb sensation in brain; worse
in morning, and when at rest; better by motion, and in
the open air; haughty disposition. Snlp/z.—Sensation as
from a band, with feeling as if the flesh were loose around
it; worse in wet, cold weather, and when at rest.)
Eyes.——Yellow, dull, heavy-looking; diplopia. Transient
blindness, (especially in pregnancy.) Eye‘oscillates. Double
1877.] .dbstract of Homoeopathic Literature. 231
vision controlled by the will; aversion to artificial light;
heaviness and drooping of the lids; strabismus. Paralysis
of motor oculi, hence dilatation of pupil.
Face—Dull, heavy, besotted look; yellow, leaden com
plexion; stiffness of jaw; dryness of mouth; yellowish
white tongue. Paralysis of tongue from large doses;
shooting pains in the throat; difficult deglutition. No
thirst.
Stools.--Cream-colored or dark, yellow; fecal. Difficult
discharge of soft stool, even; from paralysis of nerves of
motion.
Diarrhea—Aggravated from sudden bad news; depres
sing emotions; fright or grief. (Opium, Coloc., Plzos. ac.)
Difficult passage of stool as though sphinEter ani were
spasmodically closed, accompanied by drowsiness; little
or no thirst. (Colocynt/i, difficulty in retaining stool; colic,
sleeplessness, thirst; amelioration from coffee; pressure
on bending double, etc. P/zos.: painless, involuntary,
whitish, watery, no debility; pale, watery urine, forming
a cloud. Opium: dark stool, watery, frothy, oflensive,
scanty or suppressed urine. Convulsions, with sopor after.)
Urine—Profuse, with relief to her headache, etc. Paraly
sis of sphincter muscles of the bladder.
Genital Organs—Complete loss of power.
Chest—Soreness, constriction in lower part; stitches
from above downwards; sneezing. Respiration difficult;
long inspiration; short expiration. Cough, from dry
roughness of fauces. Burning in larynx, descending into
trachea. Hearts action slow, feeble, depressed. Pain in
rising from a seat; stitches in. A feeling as though the
heart would stop beating in a moment if she did not walk
incessantly, with a feeling of impending death.
(Cactus, sense of constriction, with palpitation ; worse by
walking; with attacks of suffocation; inability to lie down,
especially at night. Rheum—Violent palpitation ; fear of
moving.)
232 Ahstrat't of Homeopathic Literature. [Feb
Baeh.—-—Aching pains, worse in lumbar and sacral region ;
dull dragging pains worse in the neck. (Cimicifuga). Pain
under left scapula, (right, Chilidoniuin) Sleep unrefreshing.
Restless before midnight.

[Hahnemann Monthly, Yonuagn]


Observations on Solar and Lunar Influence, and its rela
tion to our Materia filedieez.—The indefatigable observer,
Dr. C. Hering, proposes to investigate this subject, or will
co-operate with other physicians in making the necessary
investigations.
We find the following notice published with the valuable '
paper upon the subject, which will explain itself.
“ May observations point to the faét that in some cases
where a medicine properly chosen was given, and did not
appear to act, the same medicine given in the same case,
at another hour of the same or next day, was followed by
favorable results. a
This could not be traced to the time of remission, or
aggravation in the symptoms peculiar to the patient, or to
that of the drug. From certain observed faéts, the inquiry
was started. Is it depending on the combined solar and
lunar influence ? In order that observations may be made,
relative to this point, tables have been prepared.”
These tables will be furnished monthly, upon application
sent to Dr. Hering, N0. 112 N. Twelfth Street.
Let all assist in making the observations necessary. The
doétor says : “It is only possible through a careful collec
tion of faéls to confirm the truth and rejeét the false. That
which cannot be substantiated dies off like a twig, to which
no sap is given. It is cut off, and the tree freed from a
useless member.”

PHYSICIANS must discover the weaknesses of the human


mind, and even condescend to humor them, or they will
never be called in to cure the infirmities of the hody.
1874,] Book Notices. 233
BOOK NOTICES.
A SYSTEM OF SURGERY.-By \Vm. Tod Helmuth, M.D., Pro
fessor of Surgery in the New York Homoeopathic Medical College.
New York : Carle & Grener, I873.
The issue of Prof. Helmuth’s work has been for some
time awaited with earnest expeétation. Beside the au~
thor’s fine reputation, his first edition (if we may so say)
published many years ago, although of small size, gave in
dication of the great ability to be looked for in a more elab
orate and complete treatise. This expedtation isjustified
by the volume before us. It is a good sized oétavo (of 1228
pages), and covers most of the domain of theoretical and
praétical surgery. ,
The typography is clear and good; many of the wood»
cuts (of which there are 57l,)'are also excellent. We wish
it might be said of all, but the artist should be compelled?
to reproduce more than one. We think, moreover, that in
so important a work, the compositor should have taken
more pains in proof-reading than appears in certainpas
sages. And lastly, we are of opinion that, as was the case
with Dr. Franklin’s book, the binders have scarcely done
as well as the author had a right to expect.
With the courtesy which characterizes him, Dr. Hel
muth, in his Preface, gives full credit to all who have aided‘
him, and in the body of the work, to those of our own.a.s
well as of the allopathic school, whose; writings he has
made available.
Forty-five Chapters embrace the. followingltopics: Gen,
eral Remarks; Minor Surgery; Use of the Thermometer
—Ele6tricity—Disinfe6tants; Anksthesia, Surgical Fever,
Inflammation, Suppuration and Abscess, Ulceration and
Sloughing, Gangrene and Mortification, Tumors, The Mic
roscope, Scrofula, Venereal Disease, (three Chapters),
Wounds, Haemorrhage, Amputations, Injuries and Dis
eases of the Cellular Tissue, Injuries and Diseases of
Muscles, Tendons and Bursze, Injuries and Diseases of the
Arteries, Ligation of Arteries, Injuries and Diseases of the
Veins, Diseases of the Capillaries, The Nervous System
after Injuries and Operations, Injuries and Diseases of the
Bones, Fraétures, Injuries and Diseases of the joints, Dis
locations or Luxations, Injuries and Diseases ofthe Spine,
Excision of Bones and joints, Injuries and Diseases of the
Head, Injuries and Diseases of the Nose, of the Mouth
3
234 - Book Notices. [Feb.
and Throat, of the jaws, of the Neck. of the Thorax, of
the Abdomen, Hernia, Diseases of the ReEtum and Anus,
Injuries and Diseases of the Male Bladder and Urethra,
Diseases of the Male Genital Organs, Injuries and Diseases
of the Female Genital Organs.
Ophthalmology, Otology, and Odontology, having
become specialties, and being well discussed in elaborate
works devoted exclusively to them are omitted from the
author's plan; whilst of fradtures, etc., he has given the
fullest account known to us as found in any work on
general surgery. This department is, indeed, almost
cyclopmdic.
In therapeutics, he is notably concise, but usually defi
nite, praetical, and often full. With Gilchrist, this portion
of the book may be sometimes supplemented to the advan
tage of the student and praétitioner.
Taken in detail, it requires extensive reading, and is a
monument of great labor and research, guided by enthu
siastic love of his subjetft.
Two points, one negative, the other positive, we specifi
cally notice as calling for criticism. In the first place, we
think secondary hemorrhage deserves, if not a chapter, at
least a large section, and in that conneEtion, or some other,
Guthrie’s rules for treating wounded arteries, modified by
more recent experience, should be given. We have not suc
ceeded in finding the latter, and secondary haemorrhage is
dismissed in a few lines. Those who have had charge of
military hospitals, and been often called from bed at night
to arrest the life-current in its outward flow, will under
stand our intensity of interest in this subjeét. Indeed,
taken together with degbneracy of wounds, which we have
always found associated with the genuine thing, we regard
this as one of the most commanding topics in surgery——
for, to control these is to be “a good healer”——and this, to
the mass of praétitioners, is more essential than being “ a
good operator.”
The other point which we think it necessary to particular
ize at this time, is contained in the chapter on “Surgical
Fever.” One hardly knows what to think of Sir james Y.
Simpson’s application of this term to the well-known bane of
surgery, (directly concerned, by the way, with degeneracy
of wounds,) called Pyaemia. After him, others have done
the same; and as the natural result, we in this country are
led often to confound this formidable affection with the
1374,] Book Notices. 235
ordinary traumatic inflammatory fever, so commonly seen
after reaftion from serious wounds, and which is really but
a mark of vital power, so long as it remains moderate.
Such is the case in the chapter alluded to.
On pages 90 to 92, we read under the heading “Surgical
Fever,” a good account of what is really Pyaemia, and
again, on pages 127 to 131, we have another, equally good,
of what is clearly the same thing. Hence, the mortality
and danger of surgical fever, as here stated, must be very
largely qualified. It seems to us that the author, in his
desire to give full weight to the surgical literature of the
day, has overlooked the undoubtedly extensive results of
his own experience, which he modestly records in a few
lines concerning the efficacy of Aconite in real traumatic
fever.
By the way, it seems to the writer that the chronic
miasms of Hahnemann, (psora, syphilis, and sycosis,) on
which he makes chronic diseases to depend, may be after all
but chronic pyrzmia in divers forms; real, abiding, formida
ble, but curable by metamorphic drugs, (“alteratives,” of
the old school, antipsorics, etc., of the new); and the
remedies for the chronic may also serve to cure the acute
forms of pyamia. This idea gains support from the view
recently broached, that gonorrhea] rheumatism is itself a
mild form of acute pyaemia. A cure of the latter by gels:
minum, followed by sulphur, effected by Dr. Kenyon, is
recorded on page 271.
In this connection, some members of our school will
doubtless take exception to the prescriptions given on
page 260 and elsewhere, as savoring of allopathy. We
wish the author could have given us so satisfactory a plan
of treatment as to obviate the need of recommending
astringent injections in gonorrhoea. We recognize the
difficulty of practising pure homoeopathy in this disease;
yet the degree of success obtained shows, as in intermittent
fever, that the deficiencies belong to the physician, not to
his medicines, or to the law of similars. Imperfect selec
tion, or any potency exclusively used, will disappoint him
not unfrequently; but we ought not to 'be conquered by
these. Perhaps if we recognize the pyaemic theory in
obstinate gonorrhoeal troubles, we may better see our way
through the treatment of the occasional inveterate cases;
and on the other hand, may derive benefit in ordinary
pyaemia, from drugs here found useful, as Avon, Gz/sem"
0
236 Book Notieer. |Feb,
T[in/a, Copaina, Sulphur, Terebint/zina, Plumbum aeet,
Natrzmz or Kali earb. etc.
On page 327, we observe the word “ serrefines,” (or
rather, serresfines, to give the plural correftly), spelled
“ serrafines ”
The article on Poisoned Wounds, we notice, is full, and
particularly interesting. Indeed, wounds of all kinds are
discussed with marked clearness and ability; as, indeed,
are most of the subjeéts treated of; the exceptions which,
in scanning the book, we have observed, having been
already alluded to.
We are disposed to agree with the author’s favorable
estimate of acupressure, as compared with the ligature,
despite the contrary views inculcated in certain quarters.
In surgical diagnosis, we find Dr. Helmuth particularly
careful; which is a great recommendation of any work
intended, as is this, for the general praEtitioner and student.
This is conspicuous in the chapter on Hernia.
In illustrations of surgical instruments and appliances, it
excels any work within our knowledge. The hints derived
from some of these are of decided importance and value to
all, whilst they will serve a better purpose than paragraphs
of explanation to many an isolated practitioner; enabling
him to apply without direEt consultation some of the best
mechanism of the day to the treatment of surgical maladies.
We take it for granted that the demand for this work will be
coextensive with the homoeopathic school; as the use of
it must give a strong impulse to homoeopathic surgery,
everywhere. I. 4
I
SIXTH ANNUAL REPORT OF THE HOMGIOPATHIC
Mutual Life Insurance C0., of New York.
Notwithstanding the financial troubles and business de
pression of 1873, the Homoeopathic Mutual Life Insurance
Company has, during the past year, increased its net and
gross cash receipts, its surplus to policy holders, its number
of members, and the amount of its insurance in force; and
has decreased the expenses of its management; thus show
ing a substantial gain in both direétions.
The mortuary experience of the Company from its
organization to the present time, is as follows: Number of
policies issued to homoeopathists, 4,470; to non-homoeopa
thists, 1437; .deaths of former, 32; of latter, 37; showing
thus a very large percentage in favor of the homoeopathic
praffice.
TH E AMERICAN jOURNAL
OF

Homceopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.


Philadelphia, February I, 1874.

fiBmEF practical articles, Reports of Societies, Medical news, etc., etc.,


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper.
flThe Editors assume no responsibility for sentiments or statements made
over the names of correspondents.
A. B. THOMAS, M. D., General Editor.

THE MICHIGAN UNIVERSITY.


The case of the “ People vs. the Regents," involving the appoint
ment of homoeopathic professors, came up duly in the Circuit Court,
and at once a new issue was sprung. The Regents' attorney argued
that the Circuit Court had no jurisdiftion in the way of mandamus,
save and except to enforce its own decrees, and to control inferior
courts. Dismissing the former, the latter did not include the Regents,
who are no court. And further, as the Supreme Court had divided
opinions on this University question, this court might follow prece
dents wherein Circuit courts have refused to issue any writ, on that
ground.
On the other hand, the counsel for the people set forth Seftion 8
of Article VII., of the State Constitution, giving the court original
jurisdiction in all cases, civil and criminal, not accepted by the Con
stitution, and prohibited by law. Further, that the law required the
Regents to do the act for which a mandamus was asked—the ap
pointment of two homoeopathic professors; that their negleft went
far to vitiate the grant of land from the United States, which
stipulates that the legislature shall always have control of the
University; and that the validity of the afts of the legislature in all
other respeéts, had always been recognized by the Regents them
selves—properly estopping their claim of independence of the legis
lative control. The pretext made by them, also, that the law inter
feres with their right to give direétion* to the University interest fund
was also refuted. After arguments of the principal counsel, the re
‘Tha Regents should certainly not use the money of the University for the maintenance
of these suits—so, at least, it seems to us.
. 231
238 _ Miseellaneous Items. [Feb'

maining briefs were, on motion, submitted to the Court for decision.


The judge decided that he was without jurisdiftion, and dismissed
the case; whereupon, an appeal was taken to the Supreme Court, on
the question ofjurisdiétion, as we understand. ***
Poucs SURGEONS.—Am0ng the many monopolies of the old
school, may be mentioned that of holding the positions of Police
Surgeons in all the large cities. The appointing power in these
cases being with the Mayor—the Chief of the Police—witha little
organized effort on the part of homoeopathic physicians, this, proba
bly might be very different; A movement has recently been made
in Brooklyn, supported by some of the leading citizens, and led by
Henry Ward Beecher, with the view of influencing the Mayor to
make appointments from among the homoeopaths, Dr. E. J. Whitney
being a candidate for such a position. What the result is to be, we
have yet to learn.
In our own city, Mayor Stokely, appreciating our rights in these
matters, and without external influence, has recently appointed Dr.
J. A. Bullard, of the Homceopathic Hospital, surgeon to the Twentieth
Police Distri6t, Station at Sixteenth and Filbert; a very judicious ap
pointment, and one, which we have no doubt will be ably and satis
faétorily filled by Dr. Bullard.

MISCELLANEOUS ITEMS.
DR. Lrvmosrone.—News said to be authentic, has been received
of the death of this celebrated African traveler.
THE SIAMESE TWINS—Th6 bodies of these twins have been brought
to this city, and the mystery of their peculiar union will soon be
solved by a post-mortem examination.
Tue MEDICAL UNION commences its second volume, with new
type and paper, making a decided improvement in its appearance.
The name of H. M. Paine, M.D., appears also added to the corps of
editors.
NORTHEASTERN HOMCEOPATHIC DISPENSARY.—-This institution
makes the following report for the first three months of its opera
tions: Number of patients, 850. Prescriptions, 1,867. Out-door
visits, 180.
WEIGHT or Brutus—The brain of Prof. Agassiz, was found to
weigh fifty-three and one-quarter ounces; Cuvier's, weighed sixty
four ounces; Dr. Abercrombie’s, sixty-three; and Dupaytren's, the
great French Surgeon, sixty-two and-a-half ounces.
BUTTERMILK.—-A paper was recently read before the French
academy extolling the virtues of buttermilk. It claims for this article
a good share of the acid which destroys the incrustations which form
on the arteries, cartilages and valves of the heart, and believes a
constant use of buttermilk will free the system from troubles which
inevitably cause death between the seventy-fifth and one hundredth
years of man‘s life.
1374-] Persona/s, Etc. 239
OVARIOTOMY BY ENUCLEATION.—Pr0f. R. Ludlam, in the January
number of the U. 5. Medical and Surgical Yournal, reports a suc
cessful removal of an ovarian tumor, by this method. The patient
was twenty-two years old and a mother of one child. Upon opening
the abdominal cavity, adhesions were found of so extensive a char
acter, as to preclude the removal by the usual method. A slight
opening was made through the peritoneal covering of the tumor,
when, by a careful use of the handle of the scalpel and the fingers,
the cyst was finally turned out of its bed without the use of a single
ligature, or the loss of any blood. The patient made a good re
covery.
THE DRY EARTH METHOD OF TREATING EXCRETA.——Dr. Cun
ningham has proved the existence in cholera excreta of an animal
cule termed eug/enia, which is developed in countless myriads in
putrcfying cholera material. The most efficient of all agents in the
development and multiplication of euglenia is, undoubtedly, wet or
water sewage in hot climates. The real destroyer will be the system
of dry sewage. Dry earth, with the aid of vegetation, prevents all
further chemical change of an injurious nature. Our experience in
Lower Bengal proves the resultant to be a valuable manure, and the
same experience shows that in some jails which were formerly de
cimated by cholera the disease is now nearly unknown.-—-SAMUEL
LEAVITT, T/ze Sanz'larz'an, for February.
THE EFFICIENCY OF ENEMATA.—Gustav Simon ha! succeeded in
demonstrating that a stream of water forced into the reftum by means
of a syringe may be made to penetrate the entire length of the large
intestine, and possibly extend also into the small intestine. His ex
periments were performed upon two separate patients, each of whom
happened to have a fistulous opening in the ascending colon, near
its junction with the cacum.—Arc/zz'1/furKlzhzlrr/ze Chirurgie; from
Boston Medical and Surgical journal.
CASE OF NEURALGIA OF THE TESTES CURED BY ELECTRICITY.—
A young man free from all syphilitic disease experienced such intense
pain in the testes that he urgently asked Dr. Felippi to perform cas
tration. The case was carefully made out to be neuralgia, inde en
dent of any affection of the testicle or of any accumulation of ecal
matter, and in five sittings the patient was entirely cured. Dr. Felippi
made use of a weak and direct constant current.—-L‘1m;>arzz'ale, No.
16, 1873.

PERSONAL.
We would feel obliged lf our subscribers would send III for insertion, under this head, notices of removal:
marriage! or death: of Hmuoplthlc Physlclms.

DR. Tnos. MOORE, has removed from 110 Tulpahocken St., to N.


E. cor. W. Walnut Lane and Green St., Germantown, Pa.

DR. 1. C. HUNTER, from Dunkirk, N. Y., to Maumee City, Ohio.


DR. B. L. CLEVELAND, a homoeopathic physician,_of Flint, Michi
gan, has been appointed by the Governor of that state, a commis
sioner for obtaining statistics in Europe, relating to the treatment and
care of inebriates.
240 Personal. [Feb-1 1874

D‘R. J. A. BULLARD, resident physician and surgeon of the Hom


ceopathic Hospital, has been appointed by the Mayor of this city,
police surgeon for the twentieth distrift.

m
OBITUARY.
Isaac JAMES, M.D.--This venerable and much esteemed member
of our profession has been taken away. He attained a ripe old age,
and was adtive, both in his profession and in the work of evangeliza
tion, until within a few years, when the infirmities of age made it no
longer possible for him to work. Even after he was obliged to re
linquish these aftive duties, he always had a cheerful word for all he
knew and saw, and never missed an Opportunity for droppinga
warning word to the careless, or an encouraging one to the well
doer.
The editor of the Hahnemannian Monthly, who is intimate with
the family, says : " Departed this life at his late residence in Bustle
ton, Philadelphia, on Thursday, January 22d, 1874., the Rev. Isaac
James, M.D., in the ninty-seventh year of his age. Dr. Isaac James,
was born at Radnor, Delaware County, Pennsylvania, at the ‘Old
Mansion Holise,‘ the home of his ancestors for three generations.
He graduated in medicine at the University of New York, in 1825,
and commenced the praétice of HomoeOpathy in 1844. He became
a member of the American Institute of Homoeopathy in 1846. Dr.
James had the honor of being up to the time of his decease, ‘the
oldest methodist in the world,’ having joined that religious body in
1790. He was licensed to preach in 1800, and was therefore one of
the oldest ministers of that denomination. Dr. James was well and
hearty, and in possession of all his faculties, up to the age of ninety
four. From that time onward, he gradually failed in health and
strength, although he was about the house as usual, up to within a
few weeks of his death. He was a man of great aétivity of mind and
body, quick of thought and of remarkably rapid utterance. Dr.
‘James had a large family of children, sons and daughters; of the
former, were the late Dr. David James, Thos. P. James, now of '
Boston, one of the most celebrated botanists in the United States,
specially famous for his knowledge of lichens and mosses ; the late
John F. James, for more than a quarter of a. century, the arftuary of
the Girard Life, Annuity and Trust Company of Philadelphia, and
Samuel N. James, formerly a druggist of Philadelphia. Dr. Isaac
James, was the grand-father of Drs. Bushrod N. and John E. James,
of Philadelphia."
He leaves a widow, his second wife to whom he was married for
over thirty years, and who carefully watched over him during the
period of his adolescence.
During the last few weeks of his life, his memory at times became
unusually acute, and he conversed freely with his family about
scenes, incidents and individuals, that were familiar to him in his
early manhood days, retaining a wonderful memory of circumstances
whicdh it was thought had been entirely obliterated by age from his
min .
The American Journal
0}.“

i G} ' I I

@nmmnpaflpr Warmer Warm

RECORD OF MEDICAL SCIENCE.


_/
New Series. M A R C H, l 87 {Wuobzgovhxxlx
Von. 3. No. 1.}
, /\/\ r

SARTOR RESARTUS.
BY WM. H. BIGLER, M. D., ofPkz'lade/filzia.

To all those who have been sighing for the deliverance


of Homoeopathy from the bondage ofa “ dreary trading in
symptoms,” the plea for a recognition of Pathology, offered
in the December, 1873, number of this journal, by one of
our oldest and most successful practitioners, must have
proved most welcome. It was to be expected, however,
that the views there advanced would not meet with the
approval of that class of physicians who find it more
easy to memorize symptoms than to study and keep pace
with the advance of medical science. This disapproval
found vent in two papers, both under the same caption,
Tolle Causam, and both the same author, the one ap~
pearing in the Medical Investigator, for January, the other
in the Hahnemannian Monthly, for February. Fortunately
for our temper, it does not concer'n us to notice the ungen
tlemanly and insolent tone which marks both these pecus
liar productions ; we have only to examine, as impartially
as may be, the validity of the arguments brought fdrward,
if they can be dignified by that title. But let us first clear.
away matter which really has nothing to do with the paper
criticized, but upon which our author, captivated no doubt
by the novel sight of the Latin words, layswery great stress.
In the Investigator he says : “We are further informed that
VOL. VII.-No. 7.
242 Sartor Resartas. |Mar.,
‘even as homoeopathic physicians, the Tolle Cansam has to
be still our motto.’ Our learned author evidently seeks to
point to the prima causa uzorbi.” Having thus set up his
man of straw, he proceeds very learnedly, and towards the
close, even with an attempt at facetiousness, thoroughly to
demolish it. It is evident to any candid reader that the
author of the obnoxious article did not seek to point to the
prima causa uzarbz', and made not the remotest allusion to
that unknown factor. Before using the words quoted
above, and in immediate connection with them, he speaks
of the “pathological cause for the varying symptoms,” and
“rational speculations about the cause qf the symptoms.”
For a discriminating reader to confound this with the prima
cansa MORBI shows a want of fairness, or “a voidness of
common sense,” and a “ being off the track” on the part of
some one or other, and the whole rodomontade which
closes the article falls away as serving merely to display
the learning and animus of the critic.
All that is brought forward against the views really ex
pressed in the paper in question, resolves itself into:
I. (.Miralzile ditizt!) An appeal to the views of “pro
gressive men of the allopathic school.”
2. An impeachment of the testimony offered in support
of the views advanced:
3. An appeal to the diéta 0f Hahnemann; where the
author finds opportunity to make'his favorite reference to
Cullen’s Materia Medica and Peruvian bark—which may
:be new to some of his readers.

I. An appeal to the opinions of allopathists, even if they


'be progressive men, comes with a very poor grace from the
same pen that declares inadmissible the testimony of reli
able witnesses, merely because they are not true homoeo
pathicians according to the restricted standard of the writer.
Were we inclined to be as one-sided, we might follow his
example and not attempt to answer his forcible illustra
tions from advanced allopathic views, but simply declare
18741 Sartar Remrtus. 243
them inadmissible. Being more charitable we will weigh
the force of his appeal. The learned critic must have mis
laid his vaunted discrimination and acumen when he says
in the Ha/memanm'an .- “ The progressive men of the allo
pathic school no longer generalize—they individualize and
treat the symptoms of the patient just as we prqfess t0 do”
(the italics are ours); and when he implies the same in the
Investigator, in giving with approval what he supposes to
be the teachings “of Prof. S., of the old University of
Pennsylvania.” Does the doctor really think, or does he
only wish us to think, that by the word “symptom,” as
used by the allopaths, the same thing is meant as when it
is used by himself? \Vhen did an allopath ever take into
account such a symptom as “The more he thinks about it,
the worse he feels?” When they employ the word they
understand the objective or subjective sign plus the morbid
state or condition that produces it; when he uses it, it
means merely the sign mz'mls everything else. That this
difference is real, and not imputed only for the sake of ar
gument, every one will acknowledge who has listened to
or read the reports of clinical lectures of allopathic pro
fessors.
An appeal, therefore, to the views of “ the progressive
men of the allopathic school,” as confirming or supporting
the progressivcness of his own views, must be in the highest
degree illogical and-:we are compelled to say it—absurd.
2. He impeaches the testimony offered, saying it “is not
admissible,” as coming from “persons who have always
rejected Hahnemann’s teachings.” The author offered
first of all his own testimony, which most physicians would
consider equally as reliable as any his critic could offer,
and then, as confirmatory, that of other homoeopathic phy
sicians here and in Europe. The testimony is as to fatts,
and may not be rejected except by impeaching the veracity
of the witnesses, and, in spite of the general tone of his
articles, we do not think our critic would wish to go to
such lengths.
244 Sartor Resartus. [Mar.,
3. The appeal to the diéta of Hahnemann, even did the
views advanced differ from his teachings, we regard as
simply no argument at all. The identity of Hahnemann
ianism and homoeopathy cannot be taken for granted until
it be proved that Hahnemann and his “principles” are
infallible. The fact that a physician does not implicitly
believe in the correctness of all the theories of Hahnemann,
or that he does not blindly follow him in all the minutiae
of his pra6tice, ought certainly not to deprive him of the
right to call himself and to be regarded as a homoeopathic
physician, although it may rob him of the fair title of
Hahnemannian. We can find no warrant for including all
the teachings of Hahnemann under the title of “ principles,"
and decrying any departure from them or attempt at im
provement. Are the Hahnemannians themselves consist
ent? Did Hahnemann ever use the e. m. tincture (as our
critic once wrote it)? Do they all accept his theory in
regard to the mode of aétion of homoeopathic remedies ?
Have they attempted no improvements to answer the re
quirements of the progress of knowledge? If not, then are
they drones and sluggards; if they have, then they must
accord to others the same right they themselv s exercise.
This everlasting cry of anti-Hahnemannian is the utterance
ofa shameful bigotry, and is a disgrace to those that raise
it. Did Hahnemann exhaust all possibilities P
Our critic in his zeal seems entirely to confound the
ability to form a diagnosis and to base a treatment upon
a recognized pathological state, with the treatment of a
disease according to its name. While we confess that the
, first may lead to the latter, we maintain that it does not of
necessity do so, as is clearly seen in the very paper our
critic reviewed.
Were the symptotnists (?) to try to understand the views
of those they denounce, they might discover that the main
objeétsiof the “pathological movement” is to obtain a re
liable basis for our art,* to sift our Materia Medica, and to
* The reliable (?) state of its present basis is clearly placed before
us in Dr. Dake’s article, Verifieation of Drug Symptoms in the Hah
nemannian Monthly, of February.
1374,] Clinical Cases. 245
seek to bring order and harmony out of chaos. It is not
to substitute a knowledge of Pathology for a knowledge of
our Materia Medica, but to combine the two, in order that
our art may be founded upon a science, and thereby be
come positive and trustworthy.

CLINICAL CASES

CHRONIC OSTEO-ARTHRITIS.
BY F. E. HARPEI., M. D., ofDanw'llz, Pa.

On the morning of the 9th of May, 1873, Mr. D


called at my office and desired me to go and see his oldest
son, aged about 16 years, who was suffering from a very
severe attack of what the previous attending physician (allo
path.) had pronounced articular rheumatism.
Ifound the patient in a deplorable condition. He was
swung in a hammock of stout canvas, which, by heavy
strips of the same material, was fastened to two long
wooden rollers, which, in turn, were supported by an up
right framework.
By this apparatus (which was construéted by the in
genuity of the father, who by occupation is a carpenter),
the boy could be raised or lowered, as necessity might
require. ‘
The poor boy suffered the most intense and excruciating
pain both day and night—though worse at night—which
‘ at times extorted the most terrible and heart-rending cries.
He was very much emaciated; had previously suffered
from several large, deep bed-sores, some of which had
healed, while others were healing. His left hip, thigh,
and knee were enormously swollen, hot, red, very hard and
painful to touch, and an attempt to move either the hip or
knee would produce intense pain.
246 Clinfcal CaJeJ. [ M ar.,

There was considerable shortening of the leg, and the


hip was misshapen, and appeared as if the shaft of the
femur, immediately below the trochanters, had been bent
outward, while the knee was partially flexed, and stiff.
He had to lie on his back, partial/y turned to his right
side, continually, and when it was necessary to move him,
it was done only by the aid of the rollers, for he could
not bear to be moved or lifted by the hand, and for this
reason there was a circular opening in the canvas for the
act of defecation.
He had been taking from one to three powders of mor
phia daily, to lull the pain, which generally was highest at
night.
From the circumstances gleaned, it appeared the pri
mary cause of the trouble was exposure during the previous
fall and winter. From this fact, as well as from the symp
toms present, I gave R/ms tax. 1st (pellet form), a powder.
every two hours.
Since he had been using the morphia, and the pain was
so severe, I allowed, as a paliative, an occasional powder
as necessity might require.
May 14th. Found him better; had not suffered such in
tense pain.
After more. careful examination, it was evident to me
that there was some constitutional dyscrasia present,
and that exposure had only rouSed it to action,.as it after
wards proved to be. The patient was of a psoric taint,
there was a peculiar color of the skin, and although he
never had any eruption of any kind, the skin was very
rough, dry and harsh. His feet were always cold, and the
skin thereof rough and scaly.
The color of his hair and eyes corresponded to Su/p/z.,
and in fact, the more I looked at him, the plainerI saw
sulphur written on every feature.
Although there were no other prominent sulphur symp
toms present, I concluded to give Snip/1.30112, pellet form..
Since he had improved under Rims 10%., I gave the two in
1874.] Clinical Cases. '

alternation; but at the next visit discontinued the R/ms and


gave the Sulp/z. only (although some time after this, I
again, for a short time, used the two in alternation).
He continued to improve from time to time (all morphia
being discontinued). The pain became less severe, he
could rest better at night, could bear moving better, his
appetite improved, his skin became more natural, and con
stitutionally he was steadily improving.
After some time the hammock was dispensed with, and
he could rest in an ordinary bed, and even sit in a chair,
if the limb were raised in a horizontal position, and after
some time had elapsed, with his limb thus raised, he could
ride in a wagon several miles at a time without inconve
nience, and gradually he accustomed his leg to hang down.
On the 29th of July, a small place on the hip pointed
and broke, and from a small opening there oozed a yellow,
slightly corrosive matter. I then gave Sz'lz'c. let/z, under
which he continued to improve, the discharge becoming
less and more healthy. Several months after this the knee
pointed and broke in the same manner, but from the nature
of the discharge, which was clear and gelatinous, it was
evident that it proceeded from the joint, and that there was
an admixture of synovia. Sz'lz'c. 12th was continued, under
which he steadily improved.
Gradually he was able to bear his weight upon that leg,
and if supported could walk a little on crutches; and now,
with the aid of crutches, is able wit/tout support, to go all
about, both in and out of the house, and thinks that with
an addition to his shoe, he can dispense altogether with
the crutches. The knee is slightly flexed, and ankylosis
has taken place. The last remedy given was Sulp/z. 6m.
At this time he is hale and hearty; his skin is clear, soft
and natural; in fact, he is a new boy.
The principal remedies used were R/zus tom, Sulp/z. and
Silic, although sulphur proved to be the constitutional
remedy.
248 - Clinical Cases. [Mar.,

INTERMITTENT FEVER.

ELKHART, Inn, FEB. 16, 1874.

Dear Prof. Morgan :--In answer to your questions re


garding my practice of administering drugs in intermittent
fever, I will say, to first question, I generally repeat the
200th, every three hours; let the type be quotidian, tertian
or quartan. Although I know this is generally unnecessary,
yet patients must he swallowing something, and I have yet
to see any ill results from such rapid repetition. When I
had ague, the type was tertian, and the paroxysm very
severe and long-lasting. I took Natr.1nur., 200, barely
three doses, and have seen no return yet, now over eighteen
months. i
As for the administration during the paroxysin,—gener
ally, I give only during the apyrexia. But there are times
when the drug may be indicated and used successfully
during paroxysm. A case. Mr. S had a severe chill
followed by fever with thirst; wants to lie perfectly still, for
least motion causes chilly sensation, etc.; and he had been
vomiting and retching for two hours when I arrived; had
vomited bloody matter several times. I gave him Nux
210112., 200, repeated every half-hour. He did not vomit
again, and the same medicine, in same potency, was con
tinued during the day following, every three hours. He
had no more chills. Several such cases have occured with
me. Sometimes it is necessary to palliate severe symptoms
of the paroxysm. For general congestions, Aconite rad., I-Io,
drop doses every half-hour, works well. The higher dilu
tions do nothing at such times. Verat. viride, 1-10, also
works well when indicated by cephalic congestion and vom
iting. Eupatorium perfol. is a drug that may often be ad
ministered in paroxysm with good result, and continued
next day. Its symptoms are well known.
Who knows whether Nat. mar. has relief of headache,
or, aggravation during the sweating stage? Good author
ities differ.
1874-] Obstetrits in the Vienna Hospital. 249
I believe that neither is truly characteristic in intermit
tents, but in other headaches, relief with sweat seems to be
characteristic.
Cir/rem. isa drug that I use very much for headaches
occurring in latter part of winter and spring. The patients
complain of a dull, Item/y pain in éack 15f lzead, and (rt/ting
in the ilé‘tk. During the prevalence of cerebro—spinal men~
ingitis, we meet these headaches very often, and Gelsem. 2's
sprrzfir. Many cases of nervous headache, in Male of lzmd
with great disinclination to work, or, even weakness, are
relieved by Gels.
Very Truly, Yours,
A. L. FrsnER.

101

OBSTETRICS AND GYNZECOLOGY.

OBSTETRICS IN THE VIENNA HOSPITAL.


BY M. C. BRAGDON, A. M., M. D., E'z/anston, Ill.
During my short stay in Vienna last spring and summer,
I devoted my time almost exclusively to the obstetrical
wards in the general hospital there. At no other place in
the world is there such an opportunity for observation in
this department of medical science. There are, on an
average, 7,000 births annually, as I learned from the phy
sician who has charge of the reports of the obstetrical
wards. As there are but 365 days in the year, and as
childbirth is limited to no particular month of the year,
or day of the week, it naturally happens that one cannot be
a great while in these wards and not see something come
to pass.
The reason that business of this nature is so brisk here, ,
and that so many Women are gladly confined within these
walls, may be found in the peculiar style of ethics in vogue.
Supported by, and under the patronage of the govern—
ment, it is an institution the tendency of which is plainly
2
250 Obstetrics in the Vienna Hospital. may“

to promote prostitution. Here is an asylum for fallen


women of every rank and condition. All are received with
open arms; questions of nativity, age, rank or wealth being
entirely ignored. Those who are able, are expeéted, and
compelled to pay about thirty cents a day during their
sojourn, while those whose funds will not admit of such a.
drain are obliged to act in the capacity of nurse for several
months after their own confinement. There is no other
hospital on the Continent where such advantages to women
about to undergo the perils of child-birth are offered, and
as a consequence we find those of every nationality in the
wards. Very frequently the attending physician is obliged
to converse with his patient through an interpreter. ‘
The obstetrical department of the hospital is under the
immediate supervision of two men, Professors Brawn and
Spaet. Each of these professors has a “ reception" every
other day. At four o'clock in the afternoon all applicants for
admission,who have arrived dtiring the preceding twenty-four
hours, are ushered into an apartment where all are obliged
to strip, and each is assigned to a bed. On some days there
are but three/or four applicants, on others as many as
thirty or forty. A medical attendant then makes a thorough
examination, determining the stage ofpregnancy the woman
is in, the position of her child, the dimensions of the pelvis,
the prospects for twins or triplets, and the general condi
tion of the woman. These faéts are all noted on her ad
mission card. No patient is received before the eighth
month of pregnancy, unless there is good reason to suspect
a premature delivery.
It is unnecessary to say that the great majority of those
who avail themselves of the privileges of the hospital are
from the lower walks oflife. Most of them are untidy and
uncleanly, some carrying with them when they take their
departure, the same loads of dirt and filth they brought in,
besides a few additional layers obtained during their stay.
But there are exceptions. Occasionally are seen neat, tidy,
bright-eyed, rosy-checked girls, whose presence here indi
137M Obstetrics in the Vienna Hospital. 251

4 cates that they are endeavoring to hide their shame from


their friends, and whose stories, if told, would doubtless
tarnish the names of many men in prominent positions.
The neatly-plaited hair and fancifully trimmed wardrobes
from time to time seen here, tell that their owners move in
the better circles of society.
I was very much astonished to learn that of all this army
of children born here every year, only about two out of
every hundred are legitimate. »
When a child'is ten days old it is taken from its mother
(unless she desires to leave and take it with her) and sent
to what is called the Fz'ndzl-Halls, where but about tlzrae
out of every hundred manage to survive. This Fz'ndaLHaus
is a kind of foundling home, if the word home may be
used in connection with an institute so destitute of every
thing which that word suggests. At the expiration of ten -
years, unless the children are taken out by their parents or
adopted by some charitably disposed old couple, the girls
are put out to service, while the boys enter upon a military
career,‘and are trained for the army.
During the ten days the babes are in the hospital, they
are done up papoose style, so that they could be tossed
about like sticks of wood, while a fancy little crocheted
hood adorns their heads. How many little heads each of
these hoods cover before it is worn out, would be an in
teresting query.
The nurses are a reckless, rollicking, laughing set. Some
are old, most are young. Some are permanent, most stay
but a few months. Some are neat and tidy, others slip
shod and uncouth. But few of them are preposessing in
their appearance. In Prof. Spaet’s .wards, as the attending
physician makes his daily rounds, the nurses form them
selves into a'mob and follow him from one room to another,
making noisy demonstrations and laughing when some
unfortunate patient makes a ludicrous answer. The pa
tients are aftually afraid to make any complaint in regard
to their nurses, as was apparent in several instances.
252 Oéstetric: in the Vienna Hospital. [Mam
\

Unless there is some unusual development in a case, the


nurses take complete charge of it from the time it enters
the hospital until its final discharge. Only when labor is
unnatural, or there is some malformation of the parts, pro
lapsed cord, or complicated presentations, are the services
of the medical attendant called into requisition.
Just here I want to speak of a practice, so barbarous that
one can scarcely believe it could actually occur in this en
lightened age. On three separate occasions I saw the hos- _
pital physician run the blade ofa knife into the vagina and
cut the orifice of that organ. When I asked him why he
performed such an operation, he said, “ It is too tiresome
to wait so long, and it facilitates the labor very much.
The only reason is to hasten the labor.” It struck me as
a phase of practice most peculiar, and one which it would
hardly do to imitate outside of the Vienna Hospital. If a
physician of any school should be caughtcutting such a caper
in America, it is to be hoped he would meet his just deserts._
And yet, alas, we find men standing high in the medical
profession making use every day of a practice far more
injurious than inflicting mere temporary wounds, which
will speedily heal!
For lubricating purposes in making eXaminations, both
for the hands and instruments, glycerin is used, and is
thought far preferable to lard.
Isaw it stated in this journal, a few months ago, that
bandages were not used in the Vienna Hospital. I do not
know how it may be in Prof. Braun’s department, but in
Prof. Spaet's every woman wears a bandage, heavy and
strong. Though I believe they will continue to be used
less and less, and I am no advocate of their use, yet I wish
to make this correftion.
The thermometer plays an important part in making the
diagnosis. When anything seems amiss with a woman,
a thermometer is immediately inserted into her vagina, and
the tale it tells carefully noted. Then it will be wonderful
if a Isa/lumu/zlng (a cold bandage) is not ordered to be
1374;] Obstetric: in the Vienna Hospital. 253

applied. _ It is truly marvelous to see what faith is reposed


in these cold bandages, and the frequency with which they
are employed, and also the variety of complaints it is sup
posed they will alleviate.
The courses of lectures on all the specialties continue but
from four to six weeks. There is then a little intermission,
and another course is started by the same professor. On
the walls under the archway leading into the hospital court
may be seen the notices of the different professors, as to
when they will begin a course, its duration, where held, at
what hour, and the price of instruétion. So that let a man
enter the hospital when he will, he may be confident of
finding some professor in each department just entering
upon a course of lectures. Each professor is independent
of every other. A student devotes his attention to what—
ever branches he may desire, and also consults his own
preference as to who shall instrué't him in these particular
branches, as there is more than one leéturer in almost every
department.
These are some of the advantages to be obtained there;
then another great benefit to the student arises from the
fadt that so little regard is paid to the personal feelings and
desires of the patients. Modesty is unknown, and any dis~
play of delicacy is as foreign to those wards as the language
they speak is to an American car. It is av 'common thing
for thirty or forty students to make a digital examination I
of a woman while she may be writhing with pain. While
this feature of their hospital must be not only disagreeable,
but absolutely revolting to those patients of refined sensi
bilities, yet to the student of medicine it affords opportuni
ties for knowledge, surpassing, as must be admitted by all,
‘the hospitals of our own country, where more humanity is
shown in the treatment of patients. . .
just a word about the hospital. It is an old two~story '
building in the shape of a huge square, having two con
netting links running from side to side, thus transforming
what would be one court into three. The grounds of the
\
Q54 Therapeutic: of Uterine Discharges. [Marv

principal of these courts are handsomely laid out. Grav


elled walks, beautifully shaded by maples with grateful
foliage, lead to fountains of sparkling water, or quiet nooks
where the afliieted may sit and dream of rosy health. The
margins of these walks are lined with benches, which on
sunny days are filled with the lame, the halt, the blind, and
those suffering from innumerable maladies. Most of these
are arrayed in the hospital uniform furnished to the indi
gent, made up from a cloth strongly resembling our bed
ticking. Many, who are not able to walk out themselves,
are brought here by friends, and stretched out on the set
tees. The female portion of these loungers will probably
be employed with their knitting, while the men pass their
time smoking, talking, and strolling through the grounds.
Neatly trimmed shrubbery adorns all parts of the court,
while tastily arranged beds of flowers are scattered here
and there. This feature of this hospital—having these,
shady walks, cooling fountains, pleasant spots and beauti
ful flowers, where they may be enjoyed by those who, of
all others, need and appreciate them most—cannot be too
enthusiastically commended. It would certainly be a grand
thing for our sick if, in this respect, we were to imitate the
Germans a little more closely.

101

THE '
THERAPEUTICS OF UTERINE DISCHARGES
BY HENRY Mln'rou, A. M., M.D.

CHAMOMILLA.
Common Chamomile.

Menatruation,~—Too early and too profuse, with dark


and coagulated, and sometimes, ofensive hlood.
Before Menstruation.—- Very irritable and peevish,
maps at everybody, can scarcely keep her temper. Cutting
colic and drawing in the thighs. Abdominal spasms.
13”] Therapeutics of Uterine Discharges. 255
During Menstruation.—~Great irascibility. She is
disposed to be quarrelsome, and flares up upon the least
occasion. Has fainting fits, cold feet, much thirst, and
pale, wan face. Cram/t] colic ,' acute pain in the sides.
Labor-like pressingfrom the small of the back to the genitals.
Profuse, discharge of clotted blood having an oflensive odor.
Frequent paroxysmal discharges of dark coagulatca' blood,
with violent tearing pains in the veins of the legs, and labor
lihe pressing in the uterus. Squeezing and pinching in the
uterus; eruetations and desire to vomit ; yellowish coated
tongue; greenish or watery diarrhoea.
Suppressed Menstruation. —— In consequence of
checked perspiration, or on account of a fit of anger, with
crampy colic; peevish mood; yellowish complexion, reds
ness of one cheek and paleness of the other; distress in the
sides; fainting turns; swelling of the abdomen, and emis
sions of large quantities of colorless urine.
After Menstruation—Colic, with great sensitiveness
of the abdomen to contaét, as if all inside were ulcerated.
Pressure on the parts like labor-pains, with frequent urging
to urinate. Smarting and burning in the vagina as if ex
coriated. Yellowish, smarting, or acrid watery leucorrhoea.
Leucorrhwa,— Yellowish, smarting, corrosive leucor
rhoea; burning in the vagina as if excoriated; acrid watery
discharge from the vagina after a meal.
L00hia..——Suppressed, and followed by various aches
and pains, and hysterical symptoms.
Concomitantg,—Vexed, whining mood, with crying
frequently on account of a former or imaginary insult. Is
snappish and short-spoken; becomes almost furious about
her pains. No matter how amiable her general disposition,
during her menstrual period she can hardly speak a pleasant
word, or give a civil answer.
Semi-lateral drawing and tearing headache. Pain in the
head as though it would burst; headache felt even during
sleep. Pulsating headache, usually on one side, with one
red cheek; worse at night, and in the open air; better
256 Therapeutics of Uterine Discharges. [Mar-
afte1 sweating, on rising, and when walking about. Twitch
ing of the eyes and lids. Convulsive movements of the
facial muscles. Pale face, one cheeh pale and the other red.
Twitching of the lips.
Dry, hacking cough, worse at night even in sleep.
Cough with expefitoration in the daytime, without expec
toration at night. Wheezing and rattling of mucus in the
trachea. Catarrhal hoarseness. , .
Pain in the throat when swallowing as from a plug.
Toothache, worse after war/n drinks. Aversion to food;
bitter taste in the inouth in the morning; desire for coffee.
Sour eruc‘tations. The existing pains are aggravated by
eruc‘tation. Inclination to vomit, especially early in the
morning. Vomiting of sour food, or of bilious matters
Painful distention'of the abdomen, with a sensation as though
the contents were being pressed up into the chest. Severe
colic, with distended abdomen; flatus passes off only in
small quantities. Continued lacerating colic in the side of
the abdomen. Aching pain in the pit of the stomach, as
from a'stone, after every meal. Abdominal pain, with fre
quent emissions of large quantities of pale urine. Colic
after anger; colic with green stools. Green, vmtery, oflen
sir/e stools, with colic, thirst, bitter taste, or bitter eruéta
tion. »
Drawing pains in the small of the hack. Furious pains
from the back into the thighs. The arms go to sleep, and
feel Sl‘tfi when tahing hold of anything. The hands bloat ;
nightly lame pain in the arms. Crane/)yfleling in the calves,
especially at night. P-uts her feet out of bed on account of
the burning in the soles. Violent rheumatic pains drive
her out of bed at night and compel her to walk about.
Great prostration as soon as the pain begins. Affeftions
' of the mammae. -
Sleep full of vivid, fanciful dreams; restless sleep with '
tossing about; drowsiness with sleeplessness. Sour smell
ing sweat during sleep, especially about the neck and head,
“574,1 Therapeutics of Uterine Discharges. 257
CHELIDONIUM MAjUS.
Greater Celandlue.

Menstruation.-—-Too late, too profuse, and of too long ~


duration. .
During Menstruation.— Constant pain under the inner
and lower angle of the right shoulder blade.
Goneomitants.;Low spirited and desponding, anxiety
for the present and future. Great drowsiness and laziness;
sleeplessness with sleepiness. Perspiration during the
morning sleep. ‘ Starting when falling asleep, followed by
headache. - Sensation of coldness ,in the oeeiput ascending
from the nape of the, neck. Dull headache, with throbbing
. in the temples. Orbital neuralgia of the right eye; sallow,
jaundiced complexion. Co/zstrz'fi‘ion of t/zefaz/ees‘.
Choking in the throat, as from hasty swallowing; a sen
sation as if the throat were tied round at the larynx with a
napkin. Larynx feels as if pressed back against the oeso- '
phagus, impeding deglutition. Bitter taste in the mouth;
longing for milk, which agrees; tongue coated yellow or
white; gnawing in the stomach, which is relieved by eating.
Colic, with spasmodic retrae‘tion of the navel, and nausea.
Constipation, stools like sheep dung; noéttirnal mucus
diarrhoea; thin, bright yellow stool; pale or reddish urine,
or urine deeply tinged with green.
Paroxysms of violent dry, hollow cough, excited by
heat in the trachea. Stitches in left chest during an inspi
ration, when bending forward or backward. Pressure,
with laceration in the lumbar vertebrae, extending toI the
iliac bones.

Great debility and lassitude after eating or walking;


aggravation in the morning and from motion.

CHINA.
Cinchona Ofl‘lcinnlis.

Menstruation—Too early and too profuse, with dis


charge of dark, coagulated blood, or watery, pale blood with
258 Therapeutic: 0f Uterine Due/larger. lMar»
coagula. Profuse menstruation with a sensation of great
distention of the abdomen.
Before Menstruation—Painful pressure in the groins
and anus. Congestion of bl aod to the uterus, with a feel
ing of fullness and painful pressing to the genital organs,
and especially when walking. Leucorrhoea with fetid, or
purulent discharge.
During Menstruation—Abdominal cramps; spasms
in the chest; crampy contractions in the inner parts. Con—
gestion of Mood to tlze uterus, with a sense of fullness and
painful pressing to and a sense of heaviness of the genital
organs, especially when walking; urging desire to urinate ;
coldness and blueness of the skin; 'twitching of single
muscles,- congestion of blood to the head, with throbbing
of the carotids; puffed face; protruded eyes; lacrymation ;
twitching of the eyelids; loss of consciousness; convul
sions; suppression from chagrin.
After Menstruation—Great weakness; trembling de
bility; ringing in the ears, and fainting fits.
Metrorrhagia.——From abuse of chamomilla,with uterine
cramps, colic, and urging to urinate, and discharge of dark
clots from the vagina. \Vatery or pale blood with coagula
Discharge of blood at intervals, accompanied with uterine
cramps, colic, and painful distention the of abdomen.
Hemorrhage.——After miscarriage or labor, or at any
other time where there is great exhaustion from loss of blood,
with heaviness of the head, vertigo, dullness of the senses,
coldness of the extremities, ringing in the ears, loss of
sight, pale face, fainting turns, and convulsive startings.
The most desperate cases of this type often yield to a few
doses of china.
Leucorrhma,—Before the menses with painful pressure
towards the groins and anus. Bloody leucorrlzaea with dis
charge of small black fetid coagula, or purulent matter,
with distressing itching and painful contractions of the
inner parts. Leucorrhoea superseding the menses. Dis
charge of bloody serum alternating with discharges of pus.
13744 Therapeatics of Uterine Discharges. 259
Concomitants.—Sadness, indifference and apathy. Dis
position to be alone; fitful mood; nervous irritation, with
slow train of ideas; full of fears and apprehensions ; incon
solahle anguish. She thinks she is very unfortunate, and
constantly harassed by enemies; nervous/debility.
Full ofplans and projects, especially at night. Long-lasting
congestive headache, affeeting the whole brain. Heaviness
in the head, with loss of sight, fainting and ringing in the
ears. Intense throbbing headache after excessive hemor
rhage. Pressure in the head from within outward; pres
sure as if the head would burst; the headache is aggravated
by a draft of air, in the open air, and from the slightest
contact, and relieved by firm pressure and by moving the
head up and down.
Neuralgia- ofa periodical nature in any part of the body
aggravated by touching the affected parts; the slightest con
tac‘? causes darting, tearing pains. ' I
Humming in the ears; hardness of hearing ; suppressed
coryza, with headache; frequent bleeding from the nose.
Pale, sickly countenance, as after excesses. Gray-yellow
complexion. Face pale and sunken, nose pointed, eyes
surrounded by blue margins. Face bloated and red, lips
dry, coated black, wrinkled and chapped. Salivation day
and night, with great weakness, especially of the stomach.
Every/thing tastes hitter; bitter taste in the back part of
the throat; every kind of beverage has a bitter taste. In—
difference to food; ravenous appetite; she craves dainties,
but hardly knows what. Violent thirst for cold water, drinks
little at a time, but “wants that little often.” Strong de
sire for wine or sour things. Tongue coated white or
yellow.
Erue'lations, especially after a meal. Abdomen jeelsful/
and tight, as if stzgfled ; eructations give no relief; einissz'ons
of large quantities offlatus. Colic every afternoon as if
a diarrhoea would come on.
Diarrhoea ofyellow, watery, undigested stools, with much
flatulence and no pain; undigested stools after eating fruit,
sometimes involuntary.
260 r Therapeutics of Uterine Discharges. [Mar.,

Frequent urination, scanty urine, greenish yellow or dark


colored, with hrichdnst sediment. Oppression of the chest.
Cough, with a granular cxjfiefioration during the day or even
ing; not at night or in the morning. Nymphomania.
Backache like a cramp, aggravated by the least motion.
She often feels a sensation as if her garters were too tight,
and loosens them, and as if the clothes about her waist were
too tight, and she has to loosen them. Sweat hreahing out
on the least exertion; very dehilitating morning and night
sweats. Debility and other complaints after loss of blood
or other fluids. ‘
Congestion ,of any part of the body, with well‘marked
periodicity. Heat over the whole body, with the veins
greatly enlarged.
China is especially adapted to all affections occasioned
by or connected with great loss of the animal fluids, and
for all diseases attended by a marked periodicity.

CICUTA VIROSO.
Water Hemlock.

Menstruation—Delayed.
During Menstruation.~—Tearing and Jerking in the os
cocc)/gis.
Concomitants.—Excessive moaning and howling; she
‘ does rash and absurd things ; she is violent in all her afiions,
and has strange desires. She gets excited and apprehensive
about the future. Wants to be entirely alone. She con
founds the present with the past; thinks she is a child
again.
, Epilepsy and catalepsy, where the attacks are very vio
lent. Spasms of pregnant or parturient women; eclampsia;
hysteric spasms. She lies in a state of weakness and in
sensibility like one dead. Lascivious dreams. Repeated
movements of the head, such as twitching, jerkings, and
throwing the head backward ; violent jerkings of the mus
1374,] Therapeutics of Uterine Discharges. 261
cles ; all motion is convulsive. Violent shocks through the
head, arms and legs, which causes them to jerk suddenly.
Semi-lateral headache; heaviness of the brain; violent
vertigo, so that she falls down; contraftions 0f the pupils,
followed by considerable dilatation ; she sees things double.
Deadly paleness of the face; grinding of the teeth; ina
bility to swallow, the throat seems to be closed. Perverted
taste, she desires to eat coal and chalk. Burning pressure
at the stomach. Frequent emissions of urine, propelled
. with force.

CIMICIFUGA RACEMOSA.
Black Snake'root.

Menstruation—Too soon and too abundant; retarded


' or suppressed.
Before Menstruation—Tenderness of the hypogas
tric region, with severe, spasmodic, intermittent uterine
contractions. Pressive, heavy headache.
During Menstruation—Severe pain in the back, ex
tending to the thighs; a sensation of weight and bearing
down in the uterine region. with a feeling of weight and
torpor in the lower extremities; cramps and tenderness in
the hypogastric region. Profuse flow of a passive charac
ter, blood dark and coagulated; great nervous and mental
irritability; low spirited. Pain commencing with the flow,
and increasing with the menses till they. get to their height,
and then suddenly stopping; the pain is in the region of
the uterus, and is of a griping, spasmodic nature, doubles
the ‘patient up, almost throws them into convulsions.
Leucorrhwa.—-Vaginal and cervical leucorrhoea, with
out ulceration, with bearing-down pains; uterine inertia;
prolapsus uteri, from deficient innervation; sterility; leu
corrhoea in hysterical and rheumatic females.
L00hia.—-—Suppression of, from cold or othei causes,
with febrile symptoms, and rheumatic pains in all the
limbs.'
262 A Correttien. 1M“,
A CORRECTION.
BY C. HERING.

In the London .Monthly [fomaeopathic Ree-dew, February I,


1874, pp. 97, 98, it is said of C. Hg: “a pupil of that distin
guished physician (Hahnemann l), he has striven earnestly
for the ipsissiina e'erha of his master! All that Hahnemann
taught is, or at any rate appears to be, according to Hering,
necessarily true.”
C. Hg. was never a pupil of Hahnemann, never saw him
except at a distance, never spoke to him. . He exchanged '
a few very important letters with him, of which nearly all
passed long ago into other hands.
C. Hg. has also to decline the commendation, as if it
were HE who spread homoeopathy in the United States.
He found when he arrived, already " five points” here where
it had been received. - .
The great extension of homoeopathy in this country in
so _short a time, C. Hg. himself has explained in A. H. 2.,
vol. 75, No. 16 and 17.
C. Hg. was educated a mathematician, and was trained
to think. He was the first one who asked the important
question, already in 1822, “ What do you mean by similar?”
but did not publish it until he thought he could answer it.
Not one among all the shallow learned opponents of Hahne‘
mann had sense enough to ask it, before they found it in
Staff’s Archives, in 1834.. He was the first among the
homoeopathicians who disapproved of all of Hahnemann’s
theories, and declared it openly and candidly during the
lifetime of the master. See preface to the Organon. Allen
town, 1836, and Staff’s Archives XVI, 3, p. 87, 1837. So
very little was he inclined to swear to the words of the
master, so very little afraid to reétify the theories of Hahne
mann, that he was the first who attacked the doétrine of
primary-and secondary effects. Hahnemann had said in the
Organon, “medicines proved produced, in the secondary
effects, something opposite to the primary.” In opposition
1.874.] A ‘Corretiion. 263

to this view he said: “ Sneezing is a common primary


symptom. What is opposite to it a" Sneezing is a sudden
forcing out of air in the upper part of the body and in front;
would not sudden forcing gas out below and back he the
very opposite? The reviewers in the Review would call
such a query “indecent.”
Hahnemann had declared all secondary symptoms to be
useleSs in praftice. C. Hg. had, based on fails and con
sidering homoeopathic cures as analogous to the interfe
rence of light, declared the secondary effedts to be the most
important, and had the satisfaétion of knowing that Hahne
mann adopted it in his Chronic Diseases, by dropping the
remarks about itin Conium. Boenninghausen acknowledged
it in a treatise in A. H. 2., 1856, vol. 53. p. 60. C. Hg. was
the first who openly defended the Pathology to" our days
against Hahnemann’s views, and obtained his sanction to
teach it in the Allentown College. ’
C. Hg. was the first to propose triturations and dilutions
in the decimal scale, instead of the centesimal scale of
Hahnemann; but, of course, for scientific reasons, not with
the absurd idea that the close would be increased.
C. Hg, in 1823, was the first who proved Plumbum, not
withstanding Hahnemann had written to Stapf that it ought
not to be proved then. His proving was left in the fall of
1826 with Hartlaub, Sr., who increased it, and had it pub
' lished, so that it became one of our best provings, in spite
of the slanders in Roth’s Razzia. In faét, C. Hg. never in
all his life, did stvear to the words of any master; always
was entirely and altogether independent. He has always
defended Hahnemann's induftive method, as found in Law
bert's Organon.
C. Hg. aimed to make Materia Medica a natural science,
and has had pupils who will finish his work.
\Vhat can be expeéted from a reviewer who commences
his criticism with such mistakes? What value has it if he
afterwards dishes up old, stale slanders, and fills four
pages of his Review with words and phrases often repeated
264 A' Garret-tion. [Mar.,

for forty years, but not even followed by anything new,


nor the shadow ofa scientific proof?
All turns around the question: How provings on the
healthy should be made useful in healing the sick ?_ This
question, we of course allow, is an open one. But Why can
it not be treated in a fair way?
As we let our highly esteemed Drysdale, unmolested,
come out with his thin quartos, framed according to his
views, why should we not dare to come out with our thick
oc'tavos, made up' in another way? ' '
The anti-Hahnemannian homoeopathicians seem to have
altogether forgotten that t/zey are the aggressors, and we the
defenders! They have said very little that Was original, '
mostly they have repeated what opponents of Hahnemann
had first said, and after they repeated it, of course without
the least proof, they finally declared it had been proved
long ago! Read A. H. Z., vol 82, No. 9, Feb. 27,_ 1871.
And if we laugh at such trash, they call it “ scurrilous,”
and if we follow Hahnemann’s advice, because we have
been convinced of their truth by careful experiments and
facts, they say that we did swear to z'psz'ssz'ma verlza; and if
we try to defend his rules, they call it "indecent attacks.”
Have they been able to say a single word against the de—
fence in zlfaterz'a .Meelz'ca, vol. I, pp. 39, 40? added only be
cause there was a space left for it. Could any one invali
date the conclusions in the pamphlet “ Gottlieb Juntz, the
glassblower,” mentioned on p. 402, etc.? They could not
Have the words “ scurrilous lampoon” any scientific weight ?
They will glitter on the title page of a new edition. The
meanest of all the critic’s tricks in a dispute is to talk about
something else, not about that which had been attacked.
C. Hg. never attacked any man ‘; never Noack, only ridi~
culed his impudent and clumsy imitation of Hahnemann’s
masterly generalities of mental dispositions of some of our
medicines; and never Trinks, only his ignorant phrases
and his malicious attacks upon others; not Roth, in Paris,
but his boasting attempts to destroy our Mat. Med; and
r. 874,] I 1- Correction. 265

still less theZmuch admired author of Organopathy, “ for a


Sixpence." \Vhere is the code of ethics to call this inde
cent ? '
We had in old Germany, in the Germany of times past,
little books with full instructions how to make the neces~
sary compliments and the decent phrases in company;
they were sold at the corners for less than a Sixpence,
called “ Complimentir biichlein." We cannot be ruled by
such bygone customs. Our aim is too great, our cause too
holy to be defended by such old fashioned ceremonies.
See Archives, 1833, X111, 3, p. 83, and following pages.
\Vhy does our critic make his list of indecently attacked
great men so very short? He does not mention Hirschel,
the one who treated the sick, as he said himself, “ in all
parts of our globe." Hirschel was twice, more severely
attacked, than any of the rest; once on account of the mis~
representations in his manufactured history, once on ac
count ofa boasting necrology of our great Boenninghausen.
The other historian of our schools, the scribbler.Kleinert,
who really intended to play in our art “a role," as the Ger—
man strawy phrase would express it, was also twice
attacked. \IVhy not to say a word about I. S. P. Lord's
malaria-fjbook, puffed in Great Britain, but really criticized
in A. H. 2., 84, pp. 6, I3, I66, 175, 183.191. The last
pages as if written for the reviewers in the Review.
As the reviewer pretends to know something about the
“indecent attacks,” the chess moves against Roth, why
does he not know something of two other essays in the
same Quarterly .of C. Miiller, the one a defence of the
name of Homoeopathy against Grauvogl, the other an
answer to Hoppe’s question, “Where is the proof?" Hoppe
made a polite reply, and commenced to study logic.
Grauvogl kept: our old name thereafter, and wrote a ne w
text-book.
There are still some in our school who hold our cause
dear before, their eyes, according to their best judg
ment, and never care about “persons,” not even their own;
u
266 American nstitute of Homa‘opathy. [Manr
and C. Hg. may say it himself, he is “one of them."
These views he tried to express in the words: “ One is hut
nothing; for each man err: in a difk'rent pathway." See
Trostelegie, 18 58, p. 18, verse 429 ; or, New York Quarterly,
i873, Aug, p. 224, v. 57.

AMERICAN INSTITUTE OF HOMCEOPATHY.


Bureau of [Materia Medica, 1873-4.

The following programme has been adopted for the next


meeting of the Institute:
1st, A Proving; 2d, Verifications of a Proving; 3d, A
Therapeutic Discussion.
I. Physostigma Venenosum (Calabar Bean) has been se
lcéted. The Bureau solicit provings with different prepar
ations from the whole profession ; especially do they desire
class provings, male and female, conducted under the direc
tion of the professors of Materia Medica or Physiology.
One season of earnest combined work on this drug will
‘furnish us with one of the most valuable remedies in the
vegetable kingdom.
II. Verifications of Lilium Tigrinum. The provings of
this valuable drug have been already placed before the
Institute by Dr. Payne, large numbers of observations have
been made. It is important that these scattered observa
tions should be colleéted and recorded, The members of
the Institute are requested to forward their experiences to
Prof. H. H. Baxter, Cleveland, O. Every fragment will be
acceptable.
III. " The significance of primary and secondary symp_
toms" has been seleited. In discussing this subject it is
suggested that well proven and frequently prescribed drugs
be selefted as examples, etc., etc.
[874.] Correspondence. 26"!
All papers should be handed to the Chairman of the
Bureau before the meeting of the Institute.
The provings of Physostigma should be sent in during,
or before, the month of April, so that they may be arranged.
The Chairman of the Bureau will supply Calabar Beans
and its different preparations, to any desiring to prove.
T. F. ALLEN, M. D., 3 East 33d .57., New York.
H. H. BAXTER, M. D., Cleveland, Ohio.
WALLACE McGEORGE, M. D., Woodbury, N. :7.
\VM. E. PAYNE, M. D., Bath, Me. '
E. M. HALE, M. D., Chicago, Ills.
O. P. BAER., M. D., Richmond, 1nd.
I. P. DAKE, M. D., Nashville, Tenn.
C. HERING, M. D., Philadelphia, Pa.

CORRESPONDENCE.

Editor Yournal of Materia Medica .


The January number of your journal contains a paper
remarkable for its kind, and which for the sake of homoeo
pathy at large and those of the profession most intimately
concerned, I propose briefly to review. I refer to the report
of the semi-annual meeting of the Indiana Institute of Ho~
moeopathy, by W. Eggert, M. D.
I am glad to affirm that the meeting was well attended ;
that there was a general and lively participation in the
discussions, which, though animated, did not evince bad
blood; that professional regard had not before attained a
standard so high in our midst; and that the earnest for the
future, as evinced by this meeting was most flattering.
Since then this unanimity had been constantly increasing,
and all the disciples of our truth here had come to regard the
time of the meeting as the birthtime of united homoeopathy
268 Correspondence. Um“,I
in Indiana, where, hitherto had prevailed only discord and
sedition.
The receipt of your Journal containing the report has
startled those who were present not a little. Wilful, or
otherwise, it is calculated to mislead the fraternity at large
with regard to the standing of our profession in this State ;
for while some are there made to assume undue promi—
nence, others are placed in false and damaging positions,
and yet others deserving conspicuous mention have no
place at all.
It is our purpose to notice but a few of these inaccuracies,
' for we have not the time, neither is it necessary to enter
therein more in detail. We desire simply to deal “justice
to whom justice is due."
The first under the scalpel of this bungling and unjust
manipulator was the President, Dr. J. B. Hunt. The report
of his case is so briefly and illiterally rendered, that none can
gain an adequate conception of the merits of his case from
it. To make it plain, he has kindly furnished me a copy,
which, though prepared hastily, and not at all with a view
to the press, is offered verbatim, as read:
Puerperal Eclanzpsia Case—Mrs. B' , age 30, very
short in stature, full habit, nervo-bilious temperament
Had reached the eighth month of her fourth gestation.
During this, as in; each of her previous gestations, had
been much troubled with congestive headache, but for
which she had never received treatment. Her appetite for
food had been, for months, ravenous and fully gratified.
At four o’clock one morning I was aroused to prescribe for
a “ full, throbbing, dizzy headache ;” no other symptoms.
Gave Bell. 3d, to be taken every half hour till relieved.
Two hours later was summoned to see her; no better;
throbbing, frontal headache ,' partially blind; could not see
me. Gave Bell.30. Was called again hurriedly an hour
later; had had one or two violent convulsions ; all the
symptoms greatly aggravated; gave Bell. 200. From this
time the case had my constant attention. Convulsions
1374,] Correspondence. ‘269
were repeated every twenty minutes to half hour; facial
expression demoniacal; entire loss of consciousness during
the interval. The case proceeded from bad to worse with
out any response whatever to the'indicated and selected
remedy. At about II A. M., decision was made to effect
artificial delivery, which thus far nature had made no effort
to do—no relaxation or dilatation or abnormal condition
of the parts. This was accomplished at I P. M., with safety
to the child, which still lives. There was only slight
hemorrhage attending the expulsion of child and placenta.
Convulsions now ceased for the space of an hour and a
half, and the patient had quiet and conscious rest. But at
the end of this time they returned with more violence than
ever.
The pulse, which up to the present had remained at 90,
full and regular, now became agitated, frequent and remit
tent, reaching 130 per minute. The dOwnward tendency
was now most rapid and alarming.
The interval between the ‘paroxysms grew shorter and
less marked till it was scarcely recognizable. Further on,
the face grew hippocratic, sunken and blue; life’s energies
were fast waning, and all was supposed to be lost! At
this most trying and hopeless moment—~6 P. M.—-a pint
of blood was drawn from the left basilic vein, and this dur—
ing the most prominent expression of the convulsive action.
The pulse grew slower, and improved in character; the
convulsion gradually died away; and the patient entered a
restful and refreshing sleep, which was interrupted at the
end of forty minutes by a very slight convulsion. But this
was the “drop of the curtain"—-the finale. There was no
more eclampsia ; the forces of life returned, and convales <
cence was rapid and highly satisfactory. The remedies
exhibited during the progress of the case were: Bell"
Cimz'czf, Straw, and Verat. 11., in varying potency, from
the Ist to the 200th.
For the remarks of Dr. Eggert on this paper, I refer the
reader mainly to his report as published, and I sincerely
270 Correspondence. [Mar..

hope, also, that the reader will compare what is there im


puted toothers, with what follows. .
For a moment let us dwell on his prescription for this
case. He thought Aeonz'te, instead of Belladonna, should
have been the remedy; because, he says, “ we frequently.
find such convulsions preceded by great anguish and anx
iety ; fear of death; tossing about, and dryness and heat of
vagina." Admitted; but. what has that to do with the
remedy in this case, where no such conditions prevailed ?'
The better way in prescribing is to find a drag-pié't‘uresimi
lar to a dz'seasefz'fiure; and not permit the imagination to
construct a disease-picture to match a given remedy.
q
Dr. Haggart said, we must admit that Dr. Hunt has the
advantage of us, inasmuch as he cured his patient. The
situation was a most trying one; his remedies had met
with no response ; the time for further trial was evidently
expended, and death seemed inevitable. I think under
these circumstances the Dr. deserves great praise, rather“
than any censure, for this presence of mind in calling into
use an expedient, homoeopathic or otherwise, which saved
a human life.
Dr. Runnels' remarks are given in such a distorted, dis
jointed, and incomplete manner that he is made to say in
some particulars exactly what he did not say. He said as
follows : Homoeopathy is not as yet a perfeét science; we
don’t know exaétly its full curative 'scope ; the pathogenesis
of our drugs, as given to us, are incomplete, and loaded
with much that is unsatisfactory and unreliable. There is
yet very much for us to do in building up this weak point.
In view of this, when we have used our best judgment, and
failed, we are fully justified in making any resort that will
save our patient. The measure here employed is neither
homoeopathy or allopathy, but common sense. Through
out her gestation she had gorged with hearty food; her
system was loaded with unused and _uneliminated material,
and general plethora prevailed, as her whole appearance
and continual headache testified. She had too much blood;
' 1 374,] Correspondence. 2"! 1
the brain was subject to undue pressure, and the convul
sions were the result. To relieve this condition the blood
was taken, &c. '
The following remarkable opinion was then expressed:
Dr. Eggert “ thinks, to listen to the teachings of the eigh
teenth century, ‘ men having too much blood,’ is an asser
tion made by a medical man in 1873, and this in the face
of all the teachings of modern physiology !"
Mr. Editor, can you tell what that means? I’ve read it
forward and backward, up and down, and with the eye of
an analyst, but must give it up. Some suppose it to be a
compound of English and German, and possibly French.
[s it P ‘ .
Finally, he said: “The doétor ought to know that by
recent authors it was generally accepted that area in the
blood was the cause of eclampsia, which was the faét in this
case."
Dr. Hoyt did not feel like censuring Dr. Hunt for resort—
ing to this measure. When one has exhausted his legiti_
mate resources, he should resort to any measure that
promises relief; would have given Bell. 3d at the start.
Dr. Haynes thought Bell. low, had produced the aggra
vations in the case; Bell. 200 should have been given at
first. ‘ '
We should be glad to give the dofitor’s speech entire.
He was present throughout, and partook largely in all the
exercises. .
Dr. Hunt said he did not present this case to demonstrate
any “ opathy." It was simply the record of a case in which
he had been pushed to extremity. Had never before in
his experience found such resort necessary; had promptly
succeeded always in allaying such convulsive a€tion by the
indicated remedy; did not say that he advocated the treat
ment, but if it should ever be his misfortune to be placed
in like circumstances, he should not hesitate to make use
of the same adjuvant.‘ The convulsions, which.by his best
.direéted efforts he had failed to control, were undoubtedly
272 Car! espondmce. [Marnie
caused by congestion, and were as undoubtedly cured by'
the veneseétion; this relieved the pressure and was a me~
chanical measure entirely.
We have been thus explicit with regard to what was said
about this paper, that some impressions extant might be
correéted. We should delight to proceed to the end of
the report, and continue to speak for those who have not
been spoken for. Enough, however, has been said to show.
that, in the main, the report is the doings of one man at
‘ the Institute.
A few words now, regarding the extreme modesty of
the report. Can the records of any society, County, State,
or National, produce a like document?
Seven-sixteenths, or one-half of the entire report (ex
cluding appointments of bureaus) was, the secretary tells
us, what Dr. Eggert said and did.
No word uttered by lzz'msrlf (one exception) is Onlillt'd,‘
no word, [lower/er trivial, uttered by another in his favor, 2':
forgottm. His extreme diffidence forbade him even to
make mention of many things of merit which occurred,
and which he did not say; and the humble fear that he
would be too prolix for the press (I make no other guess)
emboldened him to torture much that was said by others,
into such unintelligible brevity that the man who gave it
utterance appeared like a ninny.
The members of the Institute would not have complained.
of an afirz'dgad repart, or even of a very meagre one, but
they do think it a little unfair for a member to make such
use of his position as secretary as to give himself a ver~
batim report, while all others are greatly abridged.
O. S RUNNELS.
PHYTOLACCA~ACHING OF THE HEELS.
A man subjeét to rheumatism had such an (tr/ling 2'12 t/ze
lzeels of a dull, wearing charaéter, that it made life intoler
able. The only relief obtained was by elevating the feet
higher than the body. After several .weeks’ trial of other
remedies, Phytolacca 2 x cured him in two days.
E. M HALE, M. D.
1374,] Book Notices. 2'13
EIGHTH ANNUAL REPORT OF THE ATLANTIC MUTUAL
Life Insurance Co., of Albany, New York.
In comparing this, with the previous report of this Com
pany, welare impressed with the indications of prosperity,
and with the evidences _of the prudence and economy in
its management, and consequently with the security which
it offers to its policy holders. Its assets have increased
during the year from $l,028,715.00 to $1,!59,187.69, and
its surplus from $161,411 to $202,489.69. _ \
It will be remembered that this Company classifies all
its Policies as Allopathic or Homoeopathic, keeping two
sets of accounts, for the purpose of accurately and equita
bly apportioning the dividends as indicated by the ratio of
mortality in each class of insurants.
The experience ofthis Company has been similar to that
of the Homoeopathic Mutual. Prior to the first ofJuly,
1873, there had been issued 11,100 policies, 5,531 were
homoeopathic and 5,569 were allopathic. There had been
191 losses, three only by accident. Of the 188 dEaths by
disease. 82 were homoeopathic, and 106 allopathic, show
ing thus a result greatly in favor of the homceopathic treat
ment of disease.

THE SPHYGMOGRAPH: Its Physiological and Pathological


Indications. Two hundred and ninety Illustrations. By Edgar
Holden, A. M., M. D., Philadelphia: Lindsay & Blackiston, 1874.
8vo., pp. 169. Price, $3.00

The invention of the stethescope by Lcennec, some fifty


years ago, and adaptation of the same to the study of
diseases of the chest, formed a new era in the history of
medicine.‘ Since that time various instruments have been
invented for aiding in the diagnosis of disease, and the
study of the funétions of organs and tissues, one of the
most recent of which is the Sphygmograph, or pulse indi
cator.
The volume before us, a handsome octavo of 169 pages,
is divided into three parts. Part I. being devoted to a
history of this instrument, with a description of Professor
Marley's and the author's improvements, and to a careful
examination of the working of the instrument, with the
significance of the tracings recorded upon the paper.
Part II. is devoted to the practical application of the.
instrument, and a description of the tracings recorded in
274 Book Notices. lMar.
health and in various diseases, including diseases of the
heart, lungs, nervous system, etc.
Part III. contains interesting sp/g'gmographic provings,
.as we might term them, of several remedies. These ex
periments were all made upon the person of the author;
the administration of the drug being followed by a careful
record of the symptoms induced, with the peculiar tracings
given by the sphygmograph, which, in most cases were
quite peculiar and charaéteristic, but which it would be
impossible to explain without the aid of the tracings them
selves. Four remedies were thus experimented with:
Cannabis Indica, Gelscnzinmn semperw'rens, Aconite and
Quz'nz'ne.

TWENTY;SECOND ANNUAL REPORT OF THE DIRECTORS


of the New York Ophthalmic Hospital.

From this Report, it is evident that this institution is in


a most prosperous condition. With a good hospital build
ing, and a large endowment fund, the institution is accom
plishing a great amount of good. During the year just
closed, 1855 cases were treated. These are presented in a
tabulated form in the report, the results of the treatment,
however, not being given.
The attending surgeons are T. F. Allen, M. D., C. A.
Bacon, M. D., C. H. Liebold, M. D., and A. R. Hills, M. D.
Aural Surgeon, Henry C. Houghton, M. D.

BOOKS RECEIVED—From Lindsay 8: Blackiston, “ Clini


cal Uses cf EleEtricity," by 1. Russell Reynolds, M. D.,
“ Clinical ElerEtro-Therapeutics," by Allan McLane Ham
ilton, M. D., “ Physician’s Dose and Symptom Book," by
j. H. Wythes, M. D., “ Catalogue of the Surgeon-General’s
Office, U. S. Army, 3 Vols, “ Sex in Education ; or, a Fair
Chance for the Girls," by Edward H. Clark, M. D. “ No
Sex in Education; or, an Equal Chance for both Girls
and Boys,” by Mrs. E. B. Duffy. “ The Curopathist," In
dianapolis, Indiana, Detember, i873.
TH E AMERICAN jOURNAL
OF

Hornteopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.


Philadelphia, February l, 1874.

winter practical articles, Reports of Societies, Medical news, etc., etc.


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper. _
flThe Editors assume no responsibility for sentiments or statements made
over the names of correspondents.
A. R. THOMAS, M. D., General Editor.

A NEW HOMGEOPATHIC HOSPITAL.


A movement has been in progress for several months past in this
city, for the purpose of organizing an independent Homoeopathic
Hospital. By the untiring energy of A. B. Reynell. Esq., a board
of thirty corporators has been formed, which includes many of the
most wealthy citizens of Philadelphia and neighboring towns ; a
charter has been obtained; the active good-will of the professiori in
the city secured, and the matter brought to a stage of progress calcu
lated to insure its final success. -It is intended to raise so large a.
fund as to place the hospital on a permanent foundation, and to give
it rank with the best institutions of the kind in the city.

ANNUAL COMMENCEMENT.
The Twenty-sixth Annual Commencement of the Hahnemann
Medical College of Philadelphia, was held at the Academy of Music,
on the 10th of March, at 12 o'clock, M. This immense building, as
usual on such occasions, was crowded in every part. Hassler‘s Or
chestra entertained the audience with an excellent selection of music
for a. half hour previous to the entrance of the Trustees, Faculty and
students at 12 o'clock.
After the overture of "P_oet and Peasant," by the orchestra, the
exercises were opened by prayer, by the Rev. H. W. Warren, D. D. ;
when, after another piece of music, Prof. J. C. Morgan proceeded to
give the Valedictory address which accompanies the present number
of' the Journal, and which will be found to contain much valuable
statistical matter, besides sound advice to the graduates.
275
276 Editorial Department. [iviar..
Following the address, the orchestra gave a grand selection from
“ W'z'llz'am D11,” when the President of the College, Howard Mal
colm, l).D., L.L. D., proceeded to confer the degree upon the fol
lowing candidates :

NAME. unsinsscn. Tnnsis.


Buhrenburg, Wm. NHL... . . .. .Si. Louis, Mo.... . “Glaciers. I
Baynuln, Wm. Robert. .. . . . . . . . . . . . . . . .Dcxter, Me . . . . . . . . .The Child’s Doctor.
Blinn, Elmer Philo.. . . .Spnrtn, 0... .Entozoa.
Olii't, Walter Davis ..... . . . .. . . . . . . . . . . .Sessafrits, Md .... . .The True Physician.
Gomstock, Gates Samuel, B. P.. . . . . . . .Hnmilton, N. Y... . .The Brain.
Cornelius, Robert Wm. . . . . ......Onm<len, N.'J .... ..Menstruation.
vl'lngel, Adolph Otto...... . .. . . . . . . . . . . . .Beriin, Prussia. . . z 013;?“ Themwm"
Fegeiy, Malarius B. . .. . . . . . . . . .... . .Pottstown, Pa... .. TM Skin and What u
. Suggests in Disease.
Fuerbrlnger, Gustavus Herman, A.M., Saginaw, Mich... . ..1)e Lnryngoscopio.
Humbright, Edwin Atlee. . . . . . . .....Phlludelphill, Pit. g Mafilfl‘x‘lfit‘fihogfnzf'
Hutch, Louis Gene... . . . . . . . . . . . . . . .. . . .Minneapolis Minn.. Cholera Infantum.
'Humes, James Randolph . . . . . . . . . . .. . ..Tarentum, Pn.... . .Scarintina. P
Hutchinson, Henry. . . . . . . . . . . . . . . . . . . . . .Northtleid, Minn. . . Institutes.
Kersner, Charles Waugh, M. D. . . .Phiiadelphia, Pm...Duty.
Keller, John DnvLd. . . .. . . .. . . . . . . . . . .Hetricks, Pa . . . . . . ..Oxygen Gas.
Kenyon, William Benhem... . . . . . . . ..Bufl‘nlo, N. Y. . . .Crural Phlebitis.
Kern, William Henry H... . . . . . . . . . .. . .McKeesport, Pa... Tifyliygfiigégmu
Kirby, Edmund Wesley. . . . . . . . . ........Philadelphin. Pm. .Scarletinn.
Kistler, William Franklin . . . . . . . . . . . . ..Kutztown, Pa......Diphtheria.
Mills, James Porter . . . . . . . . . . . . . . . .. . . .Ohicego, Ill....... goEisge‘ivaum‘s in Pmc'
Peokham, John Jay... ..Enston, N. . . .The Tongue.
Rush, Stephen Yangon... . .. . . . . . . . .Phl-ladelphin, Pu... .Seariet Fever.
Rutter, Everett Webster .... . . . . . . . . . . .Bloomsburg, Pn. . . .Theses Medici.
Stewart, Ben Byram... . .New Albany, Ind...Pleurisy. I

Townsend, John Shotwell...... . . ......Ba-ltimore, Md.... ..Meesies.


Van Artsdalen, Christopher, Jr..... . . . Feasterville, Pa....Rup1-oduetion.
Ovule and Cor us
Wright, Albert..... . . . . . .... . .Philmielphla. Pa. Leuteum of en
strustion.
Owing to the increased number of students taking a three years’
course of study, the class of graduates is smaller than that of last
year. '
In the evening the usual banquet in honor of the graduates came
off at the Continental Hotel. After partaking ofa sumptuous repast,
sentiments were offered and speeches made as follows:
First sentiment: “ Samuel Hahnemann." This was received stand
ing and in silence.
Second sentiment: “Homoeopathya Progressive Science." Re
sponse by J. T. Pratt, Esq., Leéturer on Forensic Medicine.
l
1374, ] Editorial Department. 2 77
Third sentiment: “ The Graduating Class." Response was made
by G. S. Comstock, B. P., M. D., of New York, as follows :

In responding to this sentiment there comes before me a panorama. of the


past two years; years filled with sacred memories; years dedicated to arduous and
almost unremitting study and research: years in which the silken cord of friend
ship has been wound around many hearts.
During these years there has been a looking forward to the time when our
labors should be rewarded by a public avowal of our having attained a degree of
proficiency which' entitles us to a diploma.
It is hardly osslbic for us to over-estimate the honors thus conferred, and it
is ‘ quit?i impossi 1e for us to over-estimate the responsibilities which we have
assume . . . . . . . . . . . . . . . . .
The system of medicine which we have chosen and are to represent is one of
progression, it keeps step with the advancing progress of the a 0, each succeeding
year brings with it. provings of valuable drugs, the symptoms 0 which ever remain
potent to destroy similar diseased states.
How marked is the contrast when we compare with aliopathv. Consisting as
it does of a. mass of receipts which from worthless soon becomes obsolete, these in
turn are succeeded by others equally as useless, the whole consisting of a con‘
glomerate mass without law or order.
Opposed to this is Homoeopathy with its over occuring and never falling law of
cure: “ Simiiin Simllibus Ourantur.” This together with the exhibition ofthe single
remedy gives us an unchangcablc foundation on which we plant our feet to do
battle with the manifold pathological conditions which arise for treatment. Having
this law for a basis, complying with its conditions, and improving by the experi
ence of our able teachers, we may go forth with the pros cct ofa rlliinnt future.
Many and pleasant will be the memories connocter with our Alma. Mater
' p easant because ofthe associations formed, pleasant because ofdutics im oscd and
cocssfully executed, pleasant because of the instruction given which iiclped to
make us what we are. . . . . . . . .
As the bri htcst day is not without its clouds, so this day and this hour is not
one of unmixcgjoy. One whom we all admired and loved, one who a few days ago
looked forward to this day and hour with as much eagerness as any of us, has
been called away.
It. is fit we pause a moment in this hour of rosperity and waft a. sorrowful
thought to our departed and esteemed friend, )r. L. G. Hatch. In tho vigor of
manhood, gifted with more than ordinary intelligence, possessing that force of
character and untirlng perseverance which characterizes thc successful hysician,
a brilliant future up cared to be his. But the messenger of death W 11011 waits
for no one called, &Dt he was removed home. Yes as we meet to-night, one chair
is vacant, one pleasant face, one happy heart that beat in sympathy with hi8
classmates, is missed. We wish that he could meet us here, but. let us hope to meet
him bye and bye.
Gentlemen of the Faculty! You will permit me to say to you in behalf of the
Class I am proud to represent, that your labors during our puplla e have filled
our hearts with gratitude. We have experienced from you, and one of you, that
attention which we shall ever recall as only less than parental. 'i‘hc memorv of
y/pur fidelity will inspire in us a. desire to do all we canto fill the halls of our Alma
atcr with earnest men, who desire a thorough equipment for the duties of the
medical profession.
This last opportunity which you have so generously given us of meeting
together in a. purely social and friendly convocation will cover this brightest- da of
our student life with a peculiar glory, like that which the departing sun 0 ton
sheds upon the landscape are it covers its beauty from our sight.
Even so, ore we separate, you have called us to other. Here we meet each
other, and you, for an hour around this bountiful card, not as students and
professors, but upon the same professional plane, as medical brethren.
We are proud and happy so to meet you ere we leave each for his own home.
Our he arts are full ofjoy and gladness, and we trust your benediction may follow
us and. ever rest. upon us. We shall endeavor to work out our future by a strict
adherence to the maxims and principles which you have given us, and we trust
you may never have occasion to blush for any of the graduates of 1874.

Fourth sentiment: “ Our Alumni." Dr. J. N. Mitchell, of Philadel


phia, responded in a few appropriate and well-chosen remarks.
Fifth sentiment: " Homoeopathic Literature." In reply to this
sentiment, Dr. A. R. Thomas introduced some faéls and figures re~
lating to our literature, going to show its rapid increase, its past and
present condition, and its influence upon the entire medical profession.
-278 Miscellaneous Itemr. [Man
Sixth sentiment: “Philadelphia and her Scientific Institutions."
Response was made to this sentiment by Prof. S. M. Cleveland, of
the University of Pennsylvania (Literary Department), in his pecu
liarly chaste and eloquent language.
Seventh sentiment: “The Press." Mr. Francis Wells, of the
Evening Bulletin, responded to this sentiment in his usual vein of
humor; and thus closed the last scene in the college life of the c lassv
of 1874.
4

v MISCELLANEOUS ITEMS.

THE AMERICAN INSTITUTE OF HOMGZOPATHY.—-The twenty-seventh


session of this organization will be held at Niagara Falls, N.Y., com
mencing Tuesday, June 9th, and continuing four days.
PULMONIC CANDLEs.-Candles have been invented. containing,
certain balsams and resins, which when burned, it is said render the
air fragrant and soothing to the lungs of sufferers from chronic bron
chitis and similar maladies.
HowitEOPATnIc STATE LUNATIC ASYLUM.—A bill will be presented
to the Legislature of this State during its present session, providing,
for the establishment of a State Lunatic Asylum, where the patients
shall have hommopathic treatment.
THE SIAMESE Twrxs.—-The result of the recent post-mortem ex
amination of these world-renowned twins, established the faét of the
union of the livers of the two individuals, by a narrow commissure of
liver tissue, extending through the bond of union, and of such peri
toneal prolongations into the same, as would have made the separa
tion of the bond during life extremely hazardous, if not fatal to both.

DEFECTIVE DRAINAGE.—- Tile Sam'larz'an for March contains the


most important paper'on this subject ever brought before the Ameri
can public. Indeed it is the first time the subjeét of defeétive drain
age, in its terrible mortal efi'ee‘ts to the people of New York and
Brooklyn, particularly, has been authoritatively presented. Accord
ing to it, probably not less than one~sixth of all the sickness in New
York and Brooklyn is due to this cause. Unhealthy situations are
illustrated by maps, and all who would avoid them should consult
this number of 7112 Sanifarz'an.
COLORADO FOR CoxsUMP'rIVEs.—Dr. M. Mayer-Marix, of Denver
Col., who for several years had suffered from bronchitis and incipient
phthisis, and finally entirely recovered, after three years residence in
Colorado, says: " Since my residence here I have seen so many re
coveries of patients, who, in a different climate would certainly have
succumbed to the disease, that I am firmly persuaded of the superi
ority of Colorado as a place of residence for invalids; suffering as I
did. This opinion has been confirmed by the climatological obser~
vations forwarded to me each month by the members of the Commit
1374] Persona/s, Etc. _ 279
tee on climatology of the American Institute of Hornteopathy, and by
observers throughout the United States."
Dr. Mayer-Marix will correspond with physicians or patients dc
siring particulars in regard to that climate and its influence upon
consumptives.
Tm: POST-MORTEM EXAMINATION of the body of Senator Sumner,
gave the following results :
“ The left coronary artery in a considerable portionof its length was
so much ossified, that its calibre was diminished at least one-half.
The right coronary artery was slightly atheromatous and considerably
enlarged. The cavities of the heart were dilated, especially the low
er third of the left ventricle. The walls of the ventricle were gener
ally thinner than usual, especially so at a point an inch‘and-a-half
from the apex, over a space two-thirds of an inch in diameter.
" In the vicinity of this were several small clots of blood, some of
which had probably formed before death. Nothing abnormal was
found in the brain or other organs."
Dr. Brown-Sequard says no traces of the assault committed by
Brooks, were discovered in the brain.

PERSONALS.
We would (eel obliged if our subscribers would send us for insertion, under this hull. lotlcu at remavnll
marriage! or death: of Homoeopathic Pb; sicians.

THE undersigned desires to acknowledge, with thanks, his obliga


tions to Drs. Kellogg and H. M. Smith. of New York; T. S. Hoyne,
of Chicago; Pemberton Dudley, of Philadelphia, and other gentle
men who have kindly furnished material for the statistical summary
contained in his Valediftory of March ioth. JOHN C. MORGAN.
DR. E. LXPPENCOTT has removed from 205 Catherine Street, Phi1~
adelphia, to 320 West Broad Street, Hazleton, Pa.

DR. B. W. JAMES, from 1821 Green Street, to N. E. corner of Eigh


teenth and Green Streets, Philadelphia.
DR. W. M. WILLIAMSON, from 29 N. Eleventh Street, to 2005 C0
lumbia Avenue, Philadelphia.

MARRIED.—CRATER—KING.——-At the residence of the bride’s


father, near Red Bank, N. 1., on Thursday evening, Feb. 12, by the
Rev. W. S. McCowan, Dr. Henry Crater, of Somerville, N. 1., to
Miss Libbie, daughter of Joseph W. King, Esq.
Dr. Henry Crater, of the class of 1872, has permanently settled in
Somerville, N. 1., having purchased the house and office, together
with the library, surgical and other instruments, etc., of the estate of
the late Dr. M. W. Wallens.
SPRENGER~HARnv.—On Nov. 25th, 1873, Charles H. Sprenger,
M. D., to Addell, eldest daughter of Preston R. Harry, D. D. 5., at
Salem, Fauquier Co., Va.
280 Personal:, Err. ‘ [Mar., 1874.
THATCHER—BLAKELY.-—At Quakertown, Pa., Feb. 12th, 1874. Dr.
I, \V. Thatcher to Elizabeth S. Blakely, all of Bucks Co., Pa. Dr.
Thatcher graduated with the class of 187i.

_ OBITUARY.
MILES W. WALLENS, M. D., died at Somerville, N. 1., of pulmon
ary consumption, Jan. 4th, 1874. Dr. Wallens graduated from the
Homoeopathic College of Pennsylvania, in the Spring of 1862, and
soon after settled in practice at Woodstown, N. 1., where he was held
in great esteem for his many sterling qualities of head and heart, In
manners he was unobtrusive and modest, qualities which not unfre
quently indicate real excellence. For several years past it had been
too evident to his friends that his health was declining. He removed
from \Voodstown to Somerville in the hopes of improved health, but
the change, if at_ all beneficial, was of brief duration. He lived long
enough to endear himself to quite a large circle of friends in his new
home, who will greatly miss his gentle but faithful ministrations.
Dr. Louis G. HATCH, of Minneapolis, Minn., died at Philadelphia,
March 61h, 1874, of angina maligna, aged 22. Dr. Hatch was the only
son of Dr. P. L. Hatch, of Minnesota. He attended his first course of
lectures in the Hahnemann Medical College, of this city, duringr the
winter of {871-2. The next year he spent in California in the study and
praftice of his profession, and returned to this city for his second course
in Otftober last. In the last week of the course he was suddenly
seized with an attack of malignant angina. The disease appearing
to be checked, he too early and imprudently resumed attendance
upon lectures. A relapse, with greatly aggravated symptoms fol
lowed; extensive sloughing took place; he became unable to swal
low or speak. Although nourished by enemata, great debility and
rapid prostration followed; hemorrhage set in, and nature succumbed.
Dr. Hatch was, by universal consent, acknowledged one of the
best students of his class. His superior scholarship, with his uniform
gentlemanly and high-toned conduct, won for him the respect and
esteem of every one with whom he came in contact, and his sad fate
touched deeply both his instructors and classmates, and cast a gloom
over the otherwise happy occasion of the annual commencement.
At a special meeting of tho Hahnemann Medical Institute, held in the lecture
room of the College building, Philadelphia, March 9, 1874, the following resolu~
tions were unanimously arlo ted:
Whereas, It has pleased ad, in His infinite wisdom, to remove from our midst
Louis GENE Haroa, of Minneapolis, Minn., our friend and fellow student; and
Whereas, We desire to ex ress our esteem for our departed classmate, who
both b gpneral conduct, an careful attention to ins duties while amongst us,
securei t e respect and approbation of all ; therefore \
Resolved, That we tender our every symp thy to the family who have been so
suddenly bereft of a. son and brother. -
Resolved, That we individually wear at. the College Uommencement, on March
10, 1874, a small bouquet draped in mourning, as a token of our loss.
Resolved, That the Secretary is hereby instructed to enter these resolutions
upon the records of the Society, to transmit a copy of the same to the family of
the deceased, and also to have them printed in the College Journal, the Minna
spells, and San Jose, 02.1., papers.
By order of the Society.
a. snowman rownsun'n, no.
JAMES R. nouns, PENN’A. ('ommitlee.
ous'ravus n. runs-Barnum, mon.
The American Iournal

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RECORD OF MEDICAL SCIENCE.


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SC'HUSSLER‘S TWELVE REMEDIES.*


BY A. FARRINGTON, M. I).

AMONG the many methods suggested for abridging the


Materia Medica is one proposed by a Dr. Schusslem" He
says: “ A year ago I began to study ifit were not possible
to cure all curable diseases with such inorganic substances
as are natural, i. at, physiological functional remedies of
the organism. These are Calm, Mzgn., Ka/iumi, Natrum,
and Fi’rmm, in their combinations with Acid-sulp/z., Acid
phos., Chloride and_Fluor., and Silz'cea."
The twelve combinations he uses are Mag. plum, Nair.
sulplz., Natr. 1mm, Kalz'uw all/02¢, Cale. plum, Cale. sill/711.,
Silicea, and F/aor. calc. '
To apply nutrition remedies to their respective tissues,
is certainly admissible, if, according to our method, their I
action, hence their function, is known. Both Hering and
Grauvogl have long since given ample facts to demon
strate the truth of the law which Schussler attempts to
apply. Without denying the existence of such a law, we

Dr. Hering has introduced these remedies for trial. Recog


nizing a law, he advocates it. but deprecates the manner in which it
is expounded. By his request the above article is offered as a caveat.
1* For an English synopsis, see Med. [III/55., Vol. X, p. 267. See
also Dr. Hering's Pamphlet, giving the article in full, with some
addenda.
Von. VIL—No. 8.
282 Schussler': Twelve Remedies. . [ApriL
cannot but protest against the hasty and forced conclusions, .
which Schussler too often draws.
We were wont to attribute earnest, untiring thought to
the German mind. Precipitation We deemed an Ameri
can failing, and it was a pet theory with us that in the
future of our country, German thinking and American
energy would mingle in one promising medium of intellil
gent power. But here, comes a scion, who, in one short
year, elaborates a theory, which we break-neck Americans
would not promulgate in less than a decade of experience!
An insuperable objeelion to the tissue theory, as illus
trated by Dr. Schussler, is the faél: that quantity does not
imply activity. A tissue exhibiting say, three distinct
chemical ingredients, may become diseased by irregulari
ties in the supply of that ingredient, whose proportion is
infinitessimal compared with the others. Liebig, though
no homoeopathist, has left in his analytical labors evidences
of the truth of our law, evidences which show how closely
he approximated to our science, and how prejudice blinded
him even at the first bright gleam of the truth.
Speaking of Nitrate of Soda and Chloride of Sodium
dissolving the earthy phosphates, he concludes, “the quan
tity ofthe earthy phosphates which is taken up by the above
mentioned solutions, does not increase proportionally with
the saline contents of the fluid; it seems, on the contrary,
to dissolve proportionally more of it, the more attenuated
t/leflm'd z's."—Lz'ebz;g, Chemical Letters.
Now the doctor acknowledges this, at least tacitly, in
his selection of the dose, but forgets it in his choice of
tissue-remedies. The first remedy, Mag. p/zos., is proposed
as a nervine. Magnesia exists in that compound in the
urine known as the earthy phosphates. So far as our
limited knowledge extends, it is by no means an essential
ingredient of nerve-tissue, but appears in the urine in
states of nervous exhaustion, because of co-existing mus
cular waste; for it is an important element, combined with
18744 vtS‘elzusJ/er's Twel'ue Remedies. 283

lime, in the juices ofthe muscle. Still we must acknowledge


many nerve-symptoms in our magnesia provings.
It is a foreed conclusion to assert that salts always present
a combination of the symptoms of their component parts.
It cannot be asserted that Kali pleas, for instance, depresses
the action of the nerves and decomposes the blood, oeeause
these properties belong to its constituents respectively.
Some symptoms in the proving of a salt, are identical in
both compound and parts; some disappear in the salt;
some favor only one element of the compound; some are
entirely new. Coming together 'like two forces, some of
the movements of the combining substances are identical,
and seem to become sironger; others, meeting in opposite
directions, are neutralized; still others, finding no counter
acting force, remain; and lastly, new movements are
initiated, the offspring, as it were, of the union. Thus, in
the new field of action, the salt may affect very different
tissues, or the same tissues quite diversely from either of its
elements, acting separately.
On this same guess-work plan, we find medicines given
for identical symptoms, when a careful study of their path0~
genesis, would show great dissimilarities. Side by side in
the books we see Kali lzyd. and Iodine for glandular dis
eases, and yet their actions in many instances are altogether
different, even opposite.
If, by way of illustration, we review the pathogeneses of
Natriuin, Illur. acid and Nalrum. mun, we shall find that
somnambulism, chorea, want of animal heat. acrid tears,
cataraét, emaciation of the neck, fluttering of the heart, &c.,
appear as new symptoms in Not. 1mm, belonging neither
to the soda nor the acid. Again, we find that Kali liyd.
gives us atrophy of the testes, mammae, &c.; a state found
in Iodine but not in the Kali. Anxiety when hungry, im
portant pathologically as well as therapeutically, appears
in Kali and Iodine but not in Kali lzyd.
So without provings, the doctor cannot assert so posi
tivelylfaets, which may require years to substantiate. At
least a year’s (ll experience is not sufficient.
284 Schuu/er's Twelve Remedies. [ApriL
Further, until careful trial proves that Kali Chlorate can
cure such. hyperfibrinous diseases as articular rheumatism,
pneumonia, pleurisy with exudation, &c., we must enter
protest against its recommendation. All provings of 6711011,
Alma Acid, singly and combined, exhibit symptoms point
ing to aphthous, diphtheritic, rgfiI/rz'noz/s states, rather than
to croupous, to fibrinous.
Calr. plans. is recommended in the treatment of Chlorosis.
We presume that Virchow.'s remarks led to this conclusion.
He supposes that chlorotics are poorly developed in every
organ. But Virchow also suggests that both the red and
the white corpuscles of the blood are brought from the
spleen and lymphatic glands (Cellular Pat/101., p. 261).
Does Calap/ws. act nutritively in blood-cell making? Or
does he suppose that by furthering development the lime
would promote blood-growth P This cannot be answered
until‘ it is known whether the blood is poor, because the
blood~making glands are imperfectly developed, or whether
the glands are poorly developed because of lack of mate
rial with which to elaborate blood~cells, and by which to
naturally incite to functional action, and hence to growth.
Following the doctor through his study, one cannot but
admire the ingenious manner in which he proceeds. Much
may be learned from his method. For instance, Natr.
war. he gives for catarrhs of any mucous membrane with
clear, transparent mucus. This he deduces from the known
presence of salt in mucus. Now the same is true of Kali,
but here the mucus is always mixed with pus globules.
Again, he recommends salt for the corpus vitrium, be
cause it contains so much of it; but here he seems to slight
the aqueous humor, containing only three parts less, and
the crystalline lens,_which, in frogs, Kunde has shown be
comes opaque from injections of salt. Again he is too >
exclusive, for other nutritive substances play just as' im
portant a part. .
Acknowledging, then, that there is something in his
theory, we cannot but caution against accepting untried, a
1874.] A Call. 255

system promulgated in such a hap‘hazard way, but little


proved, everything asserted. Let physiologists define more
accurately the funetions of nutritive proximate principles;
let them decide what chemical changes occur in the system ;
let these nutritive medicines be thoroughly proved, and
then we may call what is now guess-work, a trustworthy
system.

101

A CALL
Upon all Homwopatlzic Physicians for f/reir Ca-opzra/fnu in tile
Proving of [Medicinal Subslances upon Healthy
Human Beings and Anz'ma/s.*
Homoeopathy can accomplish its task, to cure human
beings and animals of their diseases,- only in the measure
in which it has more or less exhaustively completed the
provings of medicinal substances upon the healthy organ—
ism, as regards the diseases artificially produced by them.
Homoeopathy is founded exclusively upon the ground of
these provings, and with their scarcity or discontinuance,
its further healthy development is arrested.
How could one even think of attempting to cure homoe
opathically, in all those cases for which the diseases, similar
thereto, [law not éem produced as yet'arlgficz'all] by means of
dnrg-pro'z/z'ugs either on lzealtlzy animals ar/mma/z wings ?
Thus, how could one, in case of the return of certain
diseases, such as Asiatic cholera, for instance, entertain
any hope of mastering that malady more and more surely,
if by provings he has not elaborated the more and moré
sharply defined characters of our present cholera- remedies
and their analogues.
However, what does it imply, by provings to elaborate
the more sharply defined charaéters of a remedy?

* The Editors of all American Horn. Journals are requested to


publish this “ Call" unabridged in their columns.
'l‘mz PROVERS' COMMITTEE.
A Call. [April'

The means of estimating almost all the phenomena of


diseases have increased with the progress of natural sciences.
None of them ought to be neglected, or even insufi‘iciently
applied in our drug~provings. Thus
I. All methods of physical examination (e.g. ausculta
tion, percussion, laryngoscopy, &c.) must be used as aids
with the greatest accuracy and precision.
2. All chemical examinations of organic substances,
pathologically changed, must be made with the assistance
of all the methods which the progress in chemistry has
placed at our command, and which strive for the most pre
cise determination of their inner chemical constitution.
3. Pathologico-anatomical neoplasmata must be exam
ined and determined macroscopically and microscopically
with the utmost care.
The highest mark which any prover of a certain medi
cinal substance can aim at, is the produétion of a well
defined pathological process in its totality, by virtue of the
action of this substance upon his healthy body, or if he
should not be in perfect health himself, or too feeble for
such a task, upon another healthy person* under his im
mediate control, or, at least, upon a healthy animal. But
even single pathological phenomena (in case a prover could
obtain only such), if only well marked, are welcome as
fragments, which others will readily seize upon with a full
appreciation of their value for the completion of the arti
ficial pathological piéture.
At Vienna the medicinal substances seleéted for experi
.mentation are proved upon animals at different localities.
Zoologists, physiologists, chemists, histologists, etc., of
repute have promised their counsel and assistance for these
experiments, which will be carried on by experienced drug
provers.
Whoever should wish personally to witness the method
of producing artificial diseases by means of certain drugs
* Here it is desirable to include especially single and married
women as well as children.
1874.] A Call. 287
upon healthy animals, or take part in these experiments,
at least as observer or relator of all pathological data found
upon animals selected for such experiments, will find op
portunity for it at the University of Pesth, in the Homce
opathic Institute devoted to the production of artificial
diseases.
The advices to provers with regard to the diseases occa
sioned by drugs, which have been collected and summed
up by the Committee, selected by the Society, from the
exceedingly valuable results of the drug-provings of the
'Provers' Union, of Vienna, may be found in Vol. I of the
“Zeitsc/zrgft a’es Vt’rez'ns Ham. Aerzte Oastt'rrez'c/zs," edited
by Dr. J. O. Muller (Vienna, 1857). We recommend them
to the attentive perusal of all those who, for the first time,
enter upon the task of undertaking the physiological prov
ing of a certain medicinal substance upon themselves,
others, or animals.
In view of all that has come to notice of Asiatic cholera
within the current year in Europe, we propose to select the
Metallic Copper as the first medicinal substance for re
proving. >
On closing its pathogenesis, we shall take up the proving
of Capri/m aceticum, Cupr. sulphurlczmz and Cupr. arseni
cosum in the order given, and at suitable longer or shorter
intervals, continually compare the results obtained with
those of the proving of the metallic copper.
The centesimal triturations of the metallic copper will
be microscopically examined immediately after their pre
paration, and previous to their distribution among the
provers as to the quantity as well as minuteness of the
copper-particles divided by trituration with milk-sugar, and
the result represented by illustrations, to~ be annexed to
the printed report of the proving. In the same manner,
the copper-solutions will also be first examined microscopi
cally, and by the aid of the spectrum analysis, in case the
microscope should fail to demonstrate the presence of cop
per-particles, and the result of these researches published
288 Surgical Cares. [ApriL
afterwards with the addition of faithful and well-executed
illustrations. _
The medicinal substances selected for the proving, to
gether with the most accurate description of the manner of
their preparation, will be sent to every prover at the expense
of the Society, or if it be his desire, at standard rates, from
Dr. Willmar Schwabe’s Homoeopathic Central Pharmacy
“ zum Samuel Hahnemann,” at Leipzig.
The respective remedy, selefited for the proving by the
Central Society, will be kept on hand at the above-named
establishment in all decimal triturations and dilutions,
ready to order, according to the individual choice of the
prover.
The result of the provings must be sent to Dr. Clotar
Muller, Chief Editor of the Internationale Ham. Presse,
No. 5 Rudolphstrasse, Leipzig.
By order of the Meeting of the Central Society of the
Homoeopathic Physicians of Germany.*
DR. ERNEST HILARIUS FROLICH, of Vienna.
PROF. DR. FRANCIS HAUSMANN, ofPest/z.

IO:

ESMARCH’S BANDAGE IN AMPUTATION.


BY J. W. METCALF, Medieal Student.
During our weekly visits to 'the Pennsylvania Hospital
we often meet with improvements in surgery. It seems to
be the policy there to use all the newest and best appliances
in all branches of this art. I shall here confine myself to
an account of Esmarch's Bandage, which, it seems to me,
is one of the greatest triumphs of modern surgery. By its
use amputations are performed in a manner almost abso
lutely bloodless, which is often a matter of great importance
in a system low, weak, or already depleted.
" Teale’s flat" operation was performed by Dr. Morton,
on a recent occasion, at the lower third of the leg. A,
'i'Translattd by Emil Tietze, M.D., from the Internationale Homa~
opal/15" l‘rvrn. Ycl. lV., N0. 1. I
1374, 1 Surgical Carer. 289
napkin spread under the limb to determine if any blood
escaped, did not show, after the limb was off, enough to
fill the smallest teaspoon; a little escaping from a few mus—
cular branches of the tibial arteries, and only manifested at
the removal of the ligature around the thigh. Not a drop
escaped from the anterior or posterior tibial arteries during
the operation.
This bandage is only a simple roll of India rubber, about
three inches wide, perhaps three yards long, rolled pre
cisely as the common bandage. The application was thus
made: The limb elevated by an assistant, the end of the
bandage was placed on the toes, and turn after turn made
up the limb, omitting the reverse turns, and kept constantly
slretelzed as the turns proceeded upward; thus most effec
tually squeezing before it, the blood of the limb. .After
going to the usual location of the tourniquet, that can be
applied, or, as was here done, a tight rubber ligature was
applied, made of a piece of common quarter-inch rubber
gas tubing, about two yards long, and fastened at the ends
when exhausted. The flat bandage was then removed,
and the amputation performed.
Having witnessed operations in most of our principal
cities, and the application of many improvements, including
the elevation of the limb, and the application, tightly, of
the common roller bandage, as recommended by Gross as
early as 1859, and which was very good, I must say this
method excels every other of which I have any knowledge.

MODIFICATION OF ESMARCl-I’S ELASTIC


BANDAGE.
BY W. H. CRIPPS, M. D. .
Esmarch’s admirable suggestion of using an elastic band
age to exclude the blood before operating on limbs, and
the complete success attending it, are now probably well
known. The following is a simple modification of his ar
rangement, by which many yards of elastic bandage may
be dispensed with, and it can be easily and quickly applied
290 Surgical Cases. [ApriL
A short India rubber tube is used, not only to prevent
the blood from returning to the limb, but also for the pur
pose of removing it in the first place. The two ends of an
India rubber tube, twenty-one inches in length and about
three~eighths of an inch thick, are bound together with a
piece of twine, the whole forming an elastic ring seven
inches in diameter. A grooved wheel revolving between a
double handle completes the necessary apparatus.
To apply this to the arm, three or four complete turns
of the elastic ring are wound tightly round the hand in
such a manner as to include the fingers and thumb, care
being taken that the turns lie even and do not cross one
another. The reel is then put under the free portion of the
ring connecting the upper and lower coil. The reel is
passed round and round the limb in an upward direction :
thus each coil is unwound from below as another is added
above. In this way four tight coils of India rubber are
carried up the limb to any distance required. The degree
of tightness can be regulated with the greatest nicety by
the distance the reel is drawn from the limb by the band
ager.
This method of driving blood from the I limb answers

perfectly in the arm and in the lower part of the leg; but
in carrying the bandage over the popliteal space the flexor
tendons prevent the artery being effectually compressed.
A firm pad in the space would probably answer the pur
pose.
To remove the bandage, it may either be unrolled by re
versing the action of the reel, or the twine connecting its
two ends may be cut with scissors—Lancet.

NEW METHOD OF OPERATING IN CERTAIN


CASES OF STRANGULATED HERNIA.
BY THOMAS ANNANDALE, M. D.
The principle of this method consists in making a small
incision through the abdominal walls, and opening the
abdominal cavity near the hernia, instead of cutting into
1874,] Surgical Cas“. 291
the hernial sac itself, or exposing it. One or more fingers
are then to be inserted into the abdominal cavity, and the
protruded structures contained in the hernial sac drawn
back from within.
The chief objeétions which may be reasonably urged
against this proceeding are: Ist, the risks likely to follow
opening into the peritoneal cavity; and, 2d, that certain
conditions of the hernial contents, such as gangrene, or
firm adhesions, would prevent the operation being suc
cessfully carried out.
The first of these objections is not, in my opinion, very
serious, but the latter is so, and therefore I would advise
the method only in certain cases of strangulated or ob—
struéted hernia.
The cases which appear to me to be most suitable for
this operation are:
l. Umbilical hernia: in the adult, especially if the cover
ings of the hernia are thin or ulcerated, or the hernia large.
' 2. Large inguinal or scrotal herniae, which have been
recently reducible.
3. Hernia in other regions in which, owing to special
conditions, the usual operation cannot satisfaétorily be per~
formed.
This operation is, however, only suggested when in these
forms of hernim the condition of strangulation or obstruc
tion gives rise to symptoms which absolutely necessitate
_operative interference, and when signs of gangrene or a
history of old standing irreducibility are absent.
The incision into the abdominal cavity does not require
to be more than from one to two inches in length, and it
is quite possible, as I found in the case related, to examine
the condition of the intestine contained in the sac, by care
fully drawing it, bit by bit, through such a wound. If
thought right, ~it is also quite practicable and safe to divide,
subcutaneously through the same wound, any constricting
band or agent which may be felt after the hernial sac has
been emptied of its contents—Edinémg/z filed. Your/ml.
292 Diuases of- the Ears, Etc. [Aimr
DISEASES OF THE EARS.
(,‘lzaraflenktin: of a few of .t/ze Principal Remedies.
BY F. R. MOORE, M. D., 5!. Louis“, Ala.
Graph—At every step a feeling in the right ear as if a
valve was'closing and opening.
Compare Acorn, Arn, Cain n, 0116. veg, Lyn, N. 110m,
Phon, Si].
Sakai—Painful boring in the parotid and submaxiliary
glands.
’ Compare Bell., Lyn, Mern, Nat. mun, Sap, N. van,
Slap/n, Sulp/l.
Pulsatz'lla.—Rush of blood to the ears, and pain in the
ears, as if something would press out.
Compare Agar., Ann, Am‘. :11, Aur. "2., Cola/1., Cup,
COIL, Ferri, [gn., 11)., Lyn, Lac/1., Rims. t., 501)., Snip/l.
Berl}. vul.-——Pressing pain, with stitches in the ear, as if
the parts were being dug up by something; also drawing
pains in the ears, terminating in severe stitches.
Compare Alon, Cal. n, C/zajn., China, Lyn, Nat. m.,
I’ll/3., Nit. a. .
Belladonna—Hardness of hearing from a cold after hav
ing the hair cut.
Compare Acorn, Ann, Arn, Aux, Bary. n, Cal. n, Causl.
Chaim, Corn, Du/n, Lac/2., 517., &c.
Strum—Complete deafness.
Compare Acorn, 82/1,, Hyos., [War n, Nux. 21., Verat.a.

ZOZ .

PECULIARITIES OF HEADACHES.
BY D. S. KIMBALL, M. D., qf Sacketts Harbor, N. 1’.
Cup" Coccul., Hyos., 1gn., and Tart. amen, give involun
tary nodding, shaking, or trembling of the head.
Cup—The head inclines to bend forward.
Cin, Cup, Dzlg‘itq Hell, Hep, Ign. and Sambun—The
head is bent backward.
.3744 Therapeutics zy‘ Uterine Discharges. 293
Cina. and Sgt—The head falls to the side and is jerked
backward.
Caulk—Burning in the sides ascending from the neck.
C/zelid.—Cola'ness in the occiput, ascending from the}
:neck.
Cuprzmz.-—Drawing from one side to the other.
Ferr.--Sensation-of drawing to the right side.
Bell, 119., Gels, Glam, Sang, Verat. win—Give headache
ascending from the neck upward into the brain.
Verat. al.—Headache, with stiffness of the neck.
Cz'mz'c. rac.—-—Fullness in the vertex, throat, and stiffness
of the neck.
Benz. ac.—Gives pressure on the vertex, extending to
the spine. .
Phyto. den—Pain in back of head and neck; pain in the
back of neck, running down the spine.
ingOleum. {lg—Headache
a strange, extending down the neck, leav~I
muddled feeling.

IOI

THE
THERAPEUTICS OF UTERINE DISCHARGES.
BY HENRY Mmrox, A. M., M. D.

CIMICIFUGA RACEMOSA.—Continuea'."
Black Snakeroot.

COBOOmitantS.——Great melancholy, with sleeplessness.


Sensation as if a heavy black cloud had settled all over her
and enveloped her head, so that all was darkness and con
fusion, while at the same time it weighed like lead upon
her heart. Great wakefulness, imagining strange objects
in the room and on her bed; with dilated pupils; tremor
of the limbs. Incessant talking; roaring' in the head.
Sensation as if the top of the head would fly off, with a
sensation as if the cerebrum was too large for the skull.
All the pains in the head are from within outward. Pains
over the eyes, and in the eyes, extending along the base of
the skull to the occiput.
294 Therapeutic: Qf Uterine Discharges. [APriL
Intense and persistent pain in the eyeballs, of a dull,
aching, sore nature.
Dry cough from irritation and tickling at the lower part
ofthe larynx. Dry pharynx, with dysphagia and frequent
inclination to swallow. Faintness and emptiness in the
epigastrium almost constant. Nausea and vomiting. Neu
ralgic pains in the stomach. Frequent urination, with'
increased flow. Rheumatic affections of the chest and
heart. Palpitation of the heart. Rheumatic affections of
the uterus. Nervous irritation of the ovaries, producing
amenorrhoea, dysmenorrhoea, and menorrhagia, in females
with a rheumatic tendency. Lumbago, spinal myalp'a.
Rheumatic or neuralgic‘irritation of the ligaments in the
lumbar region.
Chorea from suppressed menstruation. Threatened
abortion in rheumatic hysterical females, with leucorrhoea.
Especially adapted to delicate, hysterical rheumatic
females, who are affiidted with derangements of the genera~
tive apparatus.

C I N A.
, Wormseed.

Menstruation—Too early and too profuse.


Before Menstruation.-—Laéor-lzke, frequently reeum'ng
pains in tlze aaa’omen as tlzouglz t/ze menses would appear.
Leucorrhwa..,—Rroduced by ascarides' crawling into
the vagina, especially in children.
Concomitafits.——Piteous complaints and weeping. Ob
scuration of sight; headache increased by reading and
refleétion,'and when walking in the open air. Weariness
of the eyes, early' in the morning. Epilepsy with con
sciousness. Rigidity 0f the body. Paleness of the face,
and sickly appearance around the eyes.
Frequent swallowing, as if to swallow something down
the throat.
Frequent desire to urinate, with copious emissions. 17w
mine turns milky after standing a little. filly-lila- urine.
1374,] Therapeutic: of Uterine Discharges. 295
Diarrhoea always after eating, stools greenish, slimy. Bil
ious mucous. Irritating pain in the small of the back, as
from a bruise, not increased by motion. Drawing, lacerating
pain along the whole spinal column.

C I N N A B A R I S.
Red Sulphuret of Mercury.

Menstruation,—Delayed and painful.


Before Menstruation—Intense headache; she cannot
‘raise her head from the pillow. Shooting pain in the left
side of the head, with increase of saliva and great flow of
urine. Sensation of weakness in the eyes. \ Aching in the
small of the back as if bruised; rending in the spine.
Cramps in the bowels, with diarrhoea and great prostration.
Leucorrhma,—Attended during its discharge with
severe pressing in the vagina. Ichorus, purulent and
bloody discharges from red and fiery'looking ulcer about
the 0s, and sides of the vagina.
Congomitants,—Indisposition for mental labor. De
sires to be alone. Congested.sensation over the whole
head, principally the forehead. Weakness of the eyes.
Dryness of the throat at night. Fullness in the throat,
producing a constant desire to swallow. Nausea, alleviated
by eruétations. Frequent and increased emissions of
watery urine. Pain all over the back down to the loins.
Sudden waking after midnight, as from a dream, with want
of breath, like nightmare.

CINNAMON.
Cussiae Cortex.

Menstruation,- Too early and too profuse.


Metrorrhagia..-—-Threatening or following a miscar
riage, especially if the exciting cause he a strain in the
loins, or a false step, and the chief symptoms is a profuse
flow of red blood. '
296 Therapeutics gr” Uterine Discharges. - [April

Post-Partum Hemorrhage.—Cinnamon is the best


general remedyl know of for this form of hemorrhage,
especially if the flow be sudden, profuse, and of a (mg/n red
eolor.
Concomitants.—She is constantly tossing about, even
during sleep, Troublesome itching of the nose. Diar
rhoea always worse after drinking. Much flatulence.

COCCULUS.
0
Indian Cockel.

Menstruation—4‘00 early, and attended with cramp]


colic. T00 s'eanty, the discharge consisting of only a few '
drops of black coagulatea’ blood Suppression with oppres
' sive ahdamz'nal spasms. Menses inegular and seanty;
retarded and painful. p ~
Before Menstruation—Great weakness, pain in the
back, cram/11' eolz'e, flatulence, spasms in the chest, nausea and
various strongly marked hysterical symptoms. Leueor
rha’a in place of the menses. Feeling as if it were impos
sible to make the least exertion. Pain in the back, as if
the menses would come on.
During Menstruation—She is searcely able to raise
herself in the bed from nausea and inclination to vomit.
Dzlvtentz'on of the ahdomen with contraétive colic, sharp cut—
ting pains in the abdomen, as if from sharp stones, increased
by every movement. Paralytie pain in the bark, and great
weakness in the lower cxtremities.‘ Contractions in the
rectum, convulsions; nausea unto fainting, spasms of the
chest, jaftitation of the limbs. Discharge fitful, scanty and
irregular. Cloudy and confused feeling in the head.
After Menstruation.-—Ham0rrhoz'rls, uterine cramps
from the least menstrual irregularity. Discharge of bloody
mucous from the vagina during pregnancy.
Leucorrhma.——Leueorrh¢za in place of the menses, or
between the periods. Flesh colored leucorrhoea; leucor
rhoea resembling serum, mixed with purulent, ichorous
1374,] Therapeutics of Uterine Discharges. 297
fluid. Leucorrhoea looking like the washings of meat;
hloody discharge. Leucorrhoea gushing out on bending or
squatting down. Discharge of bloody mucous from the
uterus during pregnancy.
Concomitants.—She sits as if wrapped in deep, sad
thoughts. Anxiety, as if she had committed some great
crime. Stupid feeling in the head. Violent headache
unable to lie on the back of the head, is forced to lie on
the side; cloudiness in the head. Painful concussions in
the brain when walking, when moving the head, Head
ache as if the eyes would he torn out. Headache is aggra
vated after sleeping, eating or drinking, in the open air,
while riding in a carriage, and is relieved in a warm room,
or when becoming warm in bed. Face and head, hot;
feet and hands, cold. Choking constriction in the fances,
with difficult breathing and irritable cough. Dryness in
the oesophagus, with a sensation of hnrning. Taste of sul
phur in the mouth. Tightness and constriétion on the
right side of the chest. [{ysteric spasm of the chest. Pal
pitation of the heart. Dry fatiguing cough, owing to the
dyspnoea that accompanies it. Irritation and dryness of
the larynx, with dry cough.
Excessive repugnance to food. Nausea resembling sea-i
sickness as if the stomach heaved up and down. Paroxysm
of nausea with an inclination to vomit. On sitting up, objects
seem to move up and down Sick headache, excessive nausea
when becoming cold, when riding in a carriage and on sitting
up. Violent spasms in the stomach during and after a meal,
with griping, lacerating, tearing pains. Flatnlent colic at
midnight. Ahdonzenfnll and distended. Diarrhoea only in
the day time; stools yellow, soft, fecal. After stool violent
tenesmus, even unto fainting. Urine scanty and pale with
frequent desire to urinate. Severe spasmodic pain in the
neck of the uterus.
Paralytic pain in the small of the back. Bones in the
small of the hack feel hrnised.
2
298 Therapeutic: 0f Uterine Discharges. [April
Especially adapted to light-haired females of a lively turn
of mind, and troubled with imaginary fear, as well as those
who are subjeét to spasmodic, uterine, and hysterical
complaints.

COCCUS CA'CTI
Menstruation—Too early and too profuse discharge
of dark thick blood.
During Menstruation—A sensation of constriction
and tension about the abdomen, and of something ascend
ing toward the stomach, which makes her think she will
vomit.
Leucorrhma.——Consisting ofm ucous, preceded by draw
ing, thrusting pain in the inguinal, vesical and pubic.
region.
Concomitan s .Irritable,ill-humored,giddiness. Sweet
ish metallic taste in the mouth. Canine hunger; dry,
brown-coated tongue. A sensation as if a plug were
lodged in the throat. Spasmodic, empty eruEtations; a
sensation as if something indigestible were lying in the
stomach. Frequent miéturition. Sediment in urine like
brick dust.
. Morning cough, at first dry, then followed by expeéto
ration of viscid mucus. Frequent waking during the
night with great excitement. Vivid dreams. 7

DOUBLE Momma—Another remarkable double mon


ster, has appeared in France, in the case of a young girl
now‘aged fourteen, named Blanche Dumas, whose body
from the waist downwards is double. The two legs used
for walking belong each to a different trunk, while a third
is quite insensible to pain.—-Lancez‘.
ABSTRACT OF HOMCEOPATHIC LITERATURE.
FOR APRIL.

BY B. FRANK BETTS, M.D.

[North American Youmal of Homwopa't/zy, Feéruazy]


Cholera—Although buta few months have elapsed since
our medical journals seemed almost overburdened with
communications from various sources upon the subject of
cholera, the article of Prof. Buchner, M. D., in the last
(February) number of the North American contains so
much that is valuable that no physician can afford to be
without it. '
The subject is exhaustively considered under the follow
ing headings, viz: History, fEtiology, Pathological Anat
omy, Symptoms and Course of the Disease, Diagnosis,
Prevention, Therapy, Posology, Diet, &c.
As prophylaétics the disinfectants take a high rank.
Carbolic ac., hOWever, failed in gaining any reputation in
Vienna; Acetic acid is injurious. Those mostly recom
mended are Ferrous Sulphate (Green Vitriol), or Cupric
Sulphate. (Blue Vitriol). The latter is better, but dearer
than the former. Either may be used to disinfect the de
jeéta and water-closets, but for the disinfection of linen the
Zinc Sulphate (White Vitriol) must be used, as the other
stains. ‘
Copper has been worn on the back, in the form of metal
leaf or medallion. It is a well-known faét that copper
mining districts have never been visited by cholera.
As remedies, we find the attention called to Phos. an,
1pm, and Verat. a16., for Clio/Wine. To Camp/L, Cupr.
acetic, Cupmm, Arnmoniato-szlébkllnkzlm, Verat. a115,, and
1pm, for C/zo/era. To Nicotine for C/zolera Paralytz'ca. To
Acidum Nim‘. for Typhoid ex Dzpktkerz'tz'de, and to Arum,
Cuprum acet, and P/zosp/wr. for Typ/wz'a' ex Morao Brig/zz‘z'z'.
299
300 Austral? of Homeopathic Literature. [ApriL
Indications for these remedies are given, of which we
can only call attention to those under Nicotine, which has
depression, and eventually perfeét paralysis of the Ganglion
Solare, followed by paralysis of several abdominal ganglia,
so-that there is no vomiting, and with the extension of the
paralysis, no discharge downwards. There is often an icy
cold forehead in these cases which would always terminate
in death without Nieotine.
The difference between Cuprum and Nicotine is in pro
portion as spasm to paralysis—stimulus to torpor.
In embolism after Cholera, Calmria Arsenieosa is the re
medy indicated, of which we mayustly expect great service.
The Cuprum Ammoniato-Sulphuricum is preferred for
prevailing vomiting uhich can hardly be stopped.
Lac Defloratum.—Dr. A. M. Piersons reports three cases
of what might be termed “ Bilious Sick Headache,” coming
on periodically, described as bursting and blinding, gener
ally frontal, attended with nausea, sometimes vomiting and
constipation, with coated tongue. Lac Defloratum, I m.,
cured all the cases, although of long standing.
Congenital Hydrocephalus; Bell, 900.—-Dr. Mercy B.
Jackson reports two cases: the first a male child ten days
old, when first seen, had a large head; fontanell'e hard and
elevated; sutures all open; eyes turned inward; pupils
dilated; idiotic expression; muscles of extremities con
traft and indicate spasms. Bell. soon produced ameliora
tion, although febrile attacks occurred until the child was a
year old. Neither Calc. c. or Sulph. seemed to have any
influence, but under Bell. the child has grown to a bright
and healthy boy of 15 years. The second case, presenting
a still more hopeless picture at. first, was cured with the
same remedy in two months.
Fungus Heematoa'es; Lacie—The same writer reports a
case of fungus haematodes affe6ting the left mamma,
from which hemorrhages occurred about every fortnight.
Lac/2.,30, in water, arrested one of the most profuse of these
~
1374,] Abstrafl of Homoeopathic Literature. 301
hemorrhages promptly. The fungus itself gradually be
came less protuberant, until there was nothing left but a
flat ulcer, which, however, never healed, the case coming
under other modes of treatment, and terminating fatally.
Baptisia.—Dr. Hale calls attention to some of the symp
toms observed by Dr. E. A. Wallace when proving this
remedy, and points to its homoeopathicity in certain forms
of paralysis. We find burning and prickling of the left
side of the face and head; numbness of the left hand and
fore-arm with prickling. Left foot and leg prickly, and
can move but little.
Paralysis of whole left side; left hand and arm entirely
numb and powerless. '

[Monthly Homoeopathic Review]


Protosulpliide: of Mercury in Typhoid Fever.—Dr. Von
Tunzelmann also reports cases of typhoid fever, in which
the protosulphide seemed to be of great use in bringing
about a rapid recovery. “The place of this remedy,” he
says, “is between Baptisia and Arsenicum, in cases where
Baptisicz has not been able to arrest the progress of the
disease, or where‘the case has not been seen within the
first ten days, and the local lesion in the solitary and
agminated glands of the ilium has had time to become
distinEtly developed; at the same time there is an absence of
marked diarrhoea, showing that no great amount of
ulceration of the mucus membrane, at the seat of the
inflamed glands, has taken place.”

[Ha/tncmannion Monthly/.1
' Skin grafling.——Dr. J. C. Burgher has successfully trans
- planted portions of skin from the arm ofa white person to
that of a negro, who by an accident had a large portion of
the arm stripped of its integument, and by the aid of a
current of eleétricity, induced by placing a. piece of zinc on
302 Abstratt of Homaopathic Literature. [Apr-fl,
the healthy skin and a similar piece of sheet silver on the
grafts, then connecting them with isolated copper-wire, had
a variagated cuticle produced with beautiful white patches
surrounded by dark integument. “The smaller the pieces
used for skin grafting the more satisfactory the process."

[New York 9010'nal 0f Honueapathyj


Chloral.—F. G. Oehme, M. D., publishes the following
symptoms of a proving of chloral, indicating its homoeo
pathicity in some cases of enuresis nocturna. A healthy
man took 5 grs. of Chloral in water for toothache, at 4 A. M.
About 7 A. M., he suddenly awoke just after having passed
a large quantity of urine in bed while asleep, although he
had urinated three hours before, or when he took the
drug. A little boy of ten years had to get up to urinate
more frequently than usual after taking about 2 grs. of
chloral in water for the cure of enuresis nocturna, and still
wet the bed towards morning while asleep ; afterwards he
neither rose nights nor wet the bed for over a week, when
he was again obliged to get up once nightly. Chloral % gr.
stopped this at once, and permanently.
Ulcers qf the Cornea—Dr. George 5. Norton furnishes
indications for about thirty remedies, used for the cure of
ulcerations of the cornea; of these remedies Cale. c., Cam,
Hepar, Kali M., Mere, and Sulph, are most frequently
required; whilst Acme, Arsen., Alg-M'L, Cz'nnaharz's, Euph.,
Graph, Nur, Rhus., and Sz'lz'cea, are important but less
frequently employed.
Besides remedies homoeopathically indicated, much
depends on local and dietetic treatment. Bandaging is
important. A protective bandage of linen or flannel, hold
ing in place a quantity of lint placed upon the affected eye,
should be immediately applied in all cases where the ulcer
is at all deep or obstinate.
{374,1 Ahstratt of Homoeopathic Literature. 303
Atropine in weak solution (I/fi to I gr. to the ounce),
should be employed when the ulcer is central, and has a
tendency to perforate or iritis is an accompaniment.
In obstinate cases, and in Ulcus Cornae Serpens, (spread
ing ulcer), Seamisch’s operation has been successfully
employed. This consists in cutting through the ulcer into
the anterior chamber with a Graefe's cataract knife, which
is entered in the healthy tissue on one side and brought
out in the healthy tissue on the other side of the ulcera
tion, which is then divided by a 'sawing movement of the
knife; treated subsequently with Atropine and a pressure
bandage, observing to keep the wounds open for a few
days with a spatula or Davie’s spoon.
Chlorine water diluted one-half, has proven itself to be a
beneficial application in some cases of ulceration of the
cornea.

[Medical Investigator]
Experience with Potencies and Doses—Dr. A. L. Fisher,
says of the following remedies :—
Actea race/nosa failed in the 200th to benefit cases of
cerebro-spinal meningitis, given on account of the severe
jerking pain in the back of the head and neck with opis
thotonus, when the 2d X cured promptly. In all cases
where symptoms are reflex from uterine irritation the
200th is preferable, .
Cannahis sat—After repeated failures to cure gonorrhoea
with a dilution of the remedy, he finds one to five drops of
the tincture every four to eight hours to be nearly specific.
Kreosotmnjd, has stopped obstinate vomituritu in a child
suffering with cholera-infantum, and cured the case; whilst
in other similar cases the higher do no good.
Gelsenzinuin He gives low in cerebro-spinal meningitis,
high in intermittents, and in involuntary seminal emissions.
304 N. T. State Homeopathic Med. Soniely. [Aprir

N. Y. STATE HOMCEOPATHIC MED. SOCIETY.


The New York State Homoeopathic Medical Society
convened at the Common Council Chamber, at Albany,
W'ednesday, February 10th, for its twenty-third annual
session, and was called to order by the President, Dr. E.
D. Jones, of Albany.
The remaining officers were also present.
The President, Dr. Jones, on taking the Chair, made the
Annual address.*
The following nominees for permanent membership were
then balloted for and eleEted:
E'rst Distrifi—A. P. Throop and S. P. Burdick, New
York.
Second Distriéi—A. E. Sumner, Brooklyn; Benjamin
Lansing, Rhinebeck.
T/n'rd Distrifi—E. S. Coburn, Troy; S. H. Carroll, Al
ban . '
Fifi/z Distric‘i—Seldon F. Talcott, VVaterville.
Sez'entlz Distrifl—B. F. Grant, Bath, Steuben County.
Eight/z Distrié'l—Levi Shafer, Kingston, Ulster County.
The annual report of the Treasurer was received and
referred to a committee consisting of Drs. Waldo, Dow
and Platt.
Dr. Gray stated a proposition to the Society, to establish
a series of prizes for students in medicine in the New York
State University, who excel in their studies. The offer
was unanimously accepted.
The prizes are to be distributed as follows:
First—The sum of $50 to be given to the first candidate
who successfully passes his examination before the State
Board of Medical Examiners.
Second—The sum of $50 to be given yearly, in perpetuo,
to that candidate who attains the highest degree of merit.
Third—The sum of $50 each year to that candidate who
shall have educated himself solely by his own efforts, with
out having received any pecuniary aid.
Fourt/z—The sum of $50 to any candidate from any col
lege in the State of New York, who shall have been ex
amined by the faculty of that college by papers derived
from the Regents of the University upon the conditions
prescribed by them.
*The Crowded state of our pages will not permit of the publication
of the address this month.
\
1874,] N. T. State Homoeopathic Med. Sociezjy. 305
Fifth—The sum of $50 to any candidate who shall have
acquired, during his pupilage, a thorough knowledge of
the German language.
On motion, Drs. Paine, Gregg, and Guernsey were ap
pointed a Committee on Invitations to the Legislature.
Drs. Fisk, Hurd, and Brown were appointed a Commit
tee on Business.
Dr. Styles read a paper in relation to the Homoeopathic
Insane Asylum at Middletown, and announced to the So
ciety that a portion of it was so nearly completed that it
would shortly be opened for the reception of patients.
A paper on the comparative mortality statistics of Brook
lyn, was read by Dr. Searles.
Dr. Searles also read a paper entitled “A Case of Trans
verse presentation.”
The deaths of Dr. Alford H. Gray, of Milwaukee,'an
'honorary member of the Society, and -of John Starr, of
Brooklyn, were announced, and obituary notices read.
The Society then took a recess.
AFTERNOON SESSION

The Society again met at three o’clock, President Jones


in the chair. I
The President then appointed the following committee
to wait on the printing committee of the Legislature, rela
tive to printing the Society’s transaétions: Drs. Hand,
Cook and Haswell. Dr. Brown in the Chair.
Notice was given that at the next annual meeting of the
Society a resolution would be offered to amend article
three of the Constitution, relative to officers.
The following resolution was then offered:
Resolved, That the duties of the Treasurer shall be per
formed by the Recording Secretary this year.
Carried.
Dr. H. R. Stiles, of Middletown, moved that the thanks
of the Society be tendered to Dr. John F. Gray for his
liberality in establishing prizes for medical students, etc.
Carried unanimously. '
Dr. Watson rose and said: Mr. President, we have
among us to-day a physician who is the oldest Homoe
opathic praétitioner in the State, probably in the United
States, and possibly in the world—Dr. Leveritt Bish0p, of
306 N. 2". State Homoeopathic Med. Society. [April,
Sauquoit. I therefore move, sir, that he be eleéted an
honorary member of this Society. The motion was unani
mously- carried.
Dr. Bishop, in a few feeling remarks, thanked the Society
for the honor conferred. >
Considerable immaterial discussion then took place.
Dr. Gregg then delivered a leéture on Tuberculosis,
illustrating his subjeét with handsomely prepared charts.
He took occasion to advance the theQry that tubercles
arose from degenerating red blood globules, as after the red
blood corpuscles had commenced retrograding they were
similar in all the stages of metamorphosis to the tubercles.
Both cells he claimed were similar in every particular, and
were aéted upon homologously by other agents; hence, he
argues, they must be identically the same. He considered
the-loss of albumen as the cause of the sad train of symp
toms which charaéterize phthisis. _
' The loss of one ounce of albumen, he said, destroyed
nearly one pound of blood for all purposes of healthy nu
trition. Its loss caused an excess of the other constituents
of the blood, which then played the part of foreign bodies.
Upon this view he explained many of the symptoms, as for
example, the night sweats, from the excess of water in the
blood.
The Dodtor seemed very earnest in the presentation of
his subject, and quoted extensively from Carpenter and
Virchow in sustaining his theories.
The theories which the Doctor advanced as to the origin
of the tubercle cell were warmly discussed, and Dr. Samuel
Jones completely refuted them, saying, that so far as is known
the red blood globule has nothing whatever to do with the
formation of tubercles, and sustained his position by quot
ing largely from the recent works of German pathologists.
The attention of the Society was then devoted to miscel
laneous business, after the transaction of which it took a
recess till eight o’clock.
EVENING SESSION.
The Society met in the Assembly Chamber at eight
o’clock, and was called to order by President jones.
The annual address was then delivered by Professor T.
F. Allen, M. D., of New York City. The address was a
finished produétion, and was listened to with marked atten
tion throughout.
1374,] N. 1". State Homoeopathic Med. Society. 307
sncono DAY'S PROCEEDINGS.
The Society convened in the Common Council Chamber
at nine o’clock. President Jones in the Chair.
Dr. Allen presented an official report of the status of the
New York College of Homoeopathy, communicated by Dr.
Dowling.
A report of the condition of the New York Homoeopa
thic Ophthalmic Hospital was given by Dr. Allen. The
Hospital has received an addition to its building, and has
now increased facilities for boarding patients. The wards
are full of patients, and its dispensary crowded with appli
cants for treatment.
Dr. Gray took occasion to inform the Society that an
application for examination before the State Board has
been received by the Regents from a physician who gradu
ated in a German university, and is now practicing in
Australia. Although a graduate, he had never applied for
a license to praétice when in Germany, and consequently
desires another diploma. Dr. Waldo read a paper upon
“ Membranous Dysmenorrhea,” and gave the history of an
interesting case which occurred in his own practice. He
entered quite extensively into the etiology of this affection,
giving a highly entertaining dissertation upon it.
A paper upon “The Actual Causes of Pelvic Hyper
aemia,” and cases illustrating a method of cure, communi
cated by Dr. Geo. H. Taylor, was then read.
Dr. \/V. N. Guernsey read a paper upon “ Proliferous
Catarrhal Inflammation of the Middle Ear,” which was
followed by an article upon the “Remote Results of Aural
Diseases in Children,” by Dr. Houghton, giving a lucid
expose of the course ,of chronic aural affections in children.
The Doctor took occasion to call the attention of the
Society to the evil consequences which may arise from
negleét of treatment, and quoted extensively from Roosa
to endorse his views. The remedies which he preferred in
these cases were Kali iod., iod., Mew, Vin, a‘nd Sulp/z.
The galvanic current was a great adjuvant in the treat
ment, as it produced disintegration and absorption of the
plastic matter. The Doctor gave numerous cases of cure
from its use.
Dr. Throop showed to the Society a new instrument
which was intended as a substitute for Sims' clamp, inven
308 N. T. State Homeopathic Med. Society. [Aprfl’
ted by Dr. Sims. A new vaginal dilator, by Dr. Moore,
was also exhibited.
An article communicated by Dr. P. C. Dunning on
“Calendula vs. Carbolic Acid,” was read.
Dr. Searl read a paper giving the history of a case of
Retinitis Pigmentosa, which occurred under the care of Dr.
Gorton, of Brooklyn, that was greatly relieved by the use
ofphosphorus 30. He considered it an almost unparalleled
case, as the disease is ordinarily supposed to be incurable.
Dr. Minor, upon request, described Esmarch’s operation,
and reported cases where he had practiced this method.
Dr. Searl reported a case of supposed spasm of the ten
sor tympani muscle. The symptoms were crackling sounds
in the ear, which were audible at a distance of one inch.
The patient was debilitated and suffering from nervous
depression.
Dr. Cornell reported several cases of Pterygium, which
were cured by the administration of sulphur.
The Society then proceeded to the eleétion of officers
for the ensuing year, with the following result:
President—L. M. Kenyon, M. D., of Buffalo.
R'rst Vice-President—A. E. Sumner, M. D., of Brooklyn.
Second Vice-President.—-S. C. Knickerbocker, M. D., of
Watertown.
Third Vice-President.—Henry Sayles, M. D., of Elmira,
Recording Secretary and Treasurer.-—Frank L. Vincent.
M. D., of Troy.
Corresponding Secretary—L. M. Pratt, M. D., of Albany.
Censors—Northern District—Drs. George W. Little,
Fort Edward; H. D. Brown, Pottsdam ; S. J. Pearsall,
Saratoga Springs. Southern District—Drs. ]. Franklin
Smith, New York; H. G. Morrell, Brooklyn; R. C. Mof
fatt, Brooklyn. Middle District—Drs. S. C. M’arren, Jor
dan; A. E. Wallace, Oneida; C. E. Swift, Auburn. Wes
tern DistriEt—Drs. T. C. White, Rochester; W. B. Brown,
Palmyra; H. S. Hutchings, Batavia.
CHAIRMEN OF BUREAUS

Materia Medica, James M. Cadmus, of NVaverly; Clinical


blea’icine, H. V. Miller, Syracuse; Ophthalmo/ogr , C. T.
Libold, New York; Surgery, W. L. Fiske, Brooklyn;
Obstetrics, T. C. White, Rochester; Gynwcology, W. N.
Guernsey, N. Y., Piedology, T. L. Brown, Binghampton,
Histology, Samuel Jones, New York; C/iuzatologr , L, B_
18744 Chrresponaknce. 309
‘Waldo, Lansingsburg ; Vital Statistics, H. M. Paine, Al
bany; Vaccination, F. L. Vincent, Troy; Medical Educa
tion, John F. Gray, New York; Statistics qf Medical Socie
ties, and Institutions, E. M. Kellogg.
Resolutions of thanks to the Legislature and Common
Council, and to the retiring officers of the Society, were
adopted.
On motion, the question of where the semi-annual meet
ing should be held was left to the Executive Committee.
The Society then adjourned sine die. '

201

CORRESPONDENCE.
Boston, March 30th, 1874.
DEAR JOURNAL :-—-Called here on professional business,
I have “interviewed” a number of our professional brethren,
and sisters, too. At Dr. Talbot’sI met Drs. Woodbury
and Bell, of Maine; called on Dr. David Thayer, (by the
the way, I hope our doétors will use his remedies for
organic heart disease, [Bram] and for gall-stone [China]).
Had the pleasure of becoming acquainted with Mrs. Mercy
B. Jackson, M. D., and Mrs. Mary J. Safford Blake, M. D.,
both of whom seem to be well patronized, and deservedly.
Visited the college; saw two gentlemen disseéting at one
table, and two ladies at another, with nothing but science
between them. And all their leétures are listened to in
common, with, as, friend Talbot says, the best efi'eét.
‘ Their session has, all say, been marked by perfeé’t
harmony and satisfaétion throughout. I did not think to
ask for the museum. Twenty-three leéturers attended the
Faculty meeting on Wednesday evening, including those
from abroad. The New England students have largely
come here, the past winter. I suppose as is the case with
allopaths everywhere, some will want to spend a winter at
least of their time, in Philadelphia.
Plans for a hospital building are drawn, and the fund is
to be increased by means of a “calico-party,” next Monday
310 Correspondence. I [April,

evening. College hOSpitals are now the order of the day.


This one is to be erected on the College land. The college
building is a two-story brick, with Mansard roof. The
amphitheatre is a_superior thing in its way.
But of all things connected with the homoeopathic pro
fession in Boston, I must say that the work of Dr. Charles
Cullis is, to me, the most intensely interesting.
Many of your readers have doubtless heard of the simi
lar, but enormous work of George Miiller, of Bristol, Eng,
who sustains 1200 orphans, a number of missionaries, bible
and publication operations, sunday and day schools, etc. etc.,
for which, since I835, he has received donations amounting
to about a million and a half of dollars; all, in answer to
prayer, and without the solicitation of a penny from any
human being. Some graceless folks think it is only a
shrewd way of advertising; but the question is pertinent,
“ Why, then, do not such do likewise ?”
But what of Dr. Cullis and his work ? Some eight years
ago, more or less, seeing that the Massachusetts General
Hospital refused incurable cases of phthisis, he was led to
assume the responsibility of caring for some such himself.
He trusted in the promises of God for means, and was not
confounded. He rented a house, accommodated more;
then another; ~then purchased one suited to his purpose,
obtaining the means in like manner; this, some sixteen
months after the commencement of the work. This pur
chase and its objeét, was now noticed by the papers; being
the first publication concerning it. Rev. Bishop Hunting
ton was then the doctor’s pastor, and was asked by him to
unite with some other ministers of various denominations,
in dedication services; which he did. The papers noticed
the occurrence, making the second publication. Since
then, the annual reports inform donors by their initials or
by their residence, simply without compliment of the
receipt of their gifts. These reports are given away or
sold at the price of twenty-five cents. It will be worth any
one’s while to send to Dr. Cullis for one at 16 Somerset
1874, ] Correspondence. 31 1
Street. Since the time named, Grove Hall estate has been
bought for $90,000; $20,000 has been paid on_this; and
some fifty patients are accommodated. A good man has
given $8,000 recently, (un501icited), to build a new wing,
which is nearly finished, increasing the capacity of this
“ Consumptives’ Home” to one hundred. It is heated very,
comfortably by steam, consuming about a ton of coal per
day in very cold weather. From the boiler, pipes also run
underground to a little chapel at the roadside, where the
doctor ministers to a considerable congregation regardless
of see‘Z; there being no other church within a mile and a
half.
Conneéted with the home is a deaconess’ house, where
good women live who are fitting themselves for good
works of various kinds; a Children’s Home (for the orphans
of deceased patients,) to which is to be added acancer
home; another chapel, with training college, is in course
of incubation; and so on—all supported through faith in
God. ' '
Now, what sort of mental photograph do you get of the
doctor himself, from this account? A grave, reverend,
even severe-looking puritan, or Protestant monk? Not
much; but a manly, joyous, genial little fellow, tender and
loving, and at his own table, where it was my privilege to
sit, as jolly as anybody can wish; to quote his own words,
“the happiest man in the world.” And why not, in such a
service, for such a master; nay, in the bosom of such a
friend P
But time and space would fail me to tell all; and perhaps
the pages ofa medical journal would scarcely be the right
medium; but most certainly, the cause of homoeopathy,
and the medical profession in general, can receive nothing
but honor from the morale of the work to which Dr. Cul
lis is called.
During my exploration of the premises of the home, in
which were a number of consumptives, I was surprised in
not hearing a single patient cough. And. on my‘alluding
312 Book Notiees. [April,
to the fact, the doétor answered, “ Oh, what the Lord has
shown me about such matters!” In cases just from allo
pathic hands, he gives Kali air/z. 3, as an antidote to the
morphia, etc., with good effect; and in profuse expeiftora
tion, Cale-kypoplzos. I leave tonight for Philadelphia.
Yours, J. c. M.

BOOK NOTICES.
NO SEX IN EDUCATION: OR, AN EQUAL CHANCE FOR
Both Girls and Boys. Being a Review of Dr. E. H. Clarkfs
“Sex in Education." By Mrs. E. B. Duffey. Philadelphia:
J. M. Stoddart 8: C0.
Seldom has a work, prepared with so much care. and
containing upon first view, so many plausible arguments
for sustaining the peculiar theories of the author, been so
vigorously assailed, and so thoroughly demolished, as that
of “ Sex in Education,” by Dr. Clark of Boston. Starting
with the assumption that, as woman has a physical, (sexual)
organization different from man, her early training, both
mental and physical, must be different from his, and that
her invalidism is largely the result of attempts to give her
a man’s education, he labors to sustain this view by an
array of faéts, arguments and illustrations, many of which
have been turned against him with telling force, and others
easily shown to have no relevancy to the case.
One of the most effeétive protests to the views of Dr.
Clark, we find in the volume with the above title. Mrs.
Duffey, the author, wields a ready and effeétive pen, and,
taking a position direétly the opposite of that of Dr.
Clark—that the defeEtive health of our women is rather the
result of her receiving a different training, both physical and
intelleétual, from boys—in this review, she has,in our'opin
ion, fairly sustained her position, and shown that if “ a boy's
way of study means a limited number ofhours per day devot—
ed to lessons, these hours well divided by opportunities for
rest and recreation, if he is permitted and encouraged to“
strengthen his muscular system by frequent and vigorous
exercise in the open air—if his dress serves the purpose of
warmth and covering, and nowhere cramps and pinches,
nor by its fineness and flimsiness of texture and liability to
1874,] 800k N0ll6'85.

become soiled, hinders or impedes him in any way in his


healthful play—if he is given plain. nutritious food at
proper hours and allowed sufficient sleep—then, if this is a
boy’s education, by all means let us allow our girls an
equal opportunity with him. No one can doubt that this
is the best possible method of educating a boy. Will any
one, will even Dr. Clark, doubt this is the best possible
method for the girl also ?”
'The closing chapter is devoted to “ Testimony in favor
of Identical and Co-Education,” in which she collates the
evidence in favor of a co-education of the sexes, as given"
by teachers and the Presidents of colleges and universities
where the experiment is being tried, and from other sources,
all supporting her view that, whatever system of education
is best for boys, is best also for girls.
All interested in the future of our race, as well as in the
health and happiness of our daughters, should peruse
“ No Sex in Education."

A HAND-BOOK OF MEDICAL ELECTRICITY. By Herbert


Tibbits, M. D. Lindsay & Blakiston.
LECTURES ON THE CLINICAL USES OF ELECTRICITY.
By J. Russell Reynolds, M. D., F. R. 5. Lindsay & Blakiston.
CLINICAL-ELECTRO-THERAPEUTICS. MEDICAL AND SUR
gical. By Allan McLane Hamilton, M.D. D. Appleton & Co.,
New York. '
GALVANO-THERAPEUTICS. By Dr. Prince, of Illinois. Lindsay
& Blakiston.
A NEW PATH IN ELECTRO-THERAPEUTICS. By Dr. Elizaq
beth J. French.
The subject of cure by electricity is at this day, one ofsuch
undoubted importance and universal interest, that no apol
ogy need be offered for discussing it in the literature of any
medical school. The multiplication of recent works is
something notable in itself; and whosoever is indifferent
or hostile to it will do well to consider afresh his reasons
therefor.
Hahnemann includes it amongst homoeopathic remedies;
and Boenninghausen’s Repertory includes the poles of the
magnet under nearly every rubric. Our duty is plain ;
not to ignore their legacy, but to put it to usury and
increase, so well as we may. The great drawback to our
school in the use of this agent; has been imperfect provings
and uncertain indications; besides those obstacles common
3
314 Book Notices. [[.pril,
to both schools, especially the variety and doubtful proper
ties of the instruments in use.
Now, however, thanks to the investigations of Remak,
Duchenne, and a small army of other observers, something
tangible may be had concerning all these points; and on
our own part, it remains only to adapt the eleétric currents
of various character to the cure of suitable cases, by means
both of provings and of clinical observation,just as with
any other remedy, new or old.
“Electricity _is eleétricity,” we hear, and so it is; but
under this head, there are as many different agencies as
there are modifying factors. Not only have we the voltaic,
or primary current, (often called galvanic), and the fara
daic, or secondary, or induced current, with their markedly
diverse properties, in paralysis, etc; but also, the frank
linic, or frietion-eleétricity, with its individualized powers,
and the magnetic-eleétro current, also with known vir
tues; not only have we sparks and currents in variety;
but as well, voltaic and franklinic “positive and negative
I charges;" ascending and descending currents, simple and
compound currents, generalized and localized currents,
etc., etc., etc., which go to show that we have here to do
with a something which is quite different from electricity as
prescribed one hundred years ago by the Rev.]ohn Wesley,
or by Hahnemann himself. -
The books whose titles stand at the head of this article
are an evidence that no physician can longer neglect the
subject with either honor to himself or loyalty to the sick.
In paralysis, neuralgia, and some other affections, very
definite indications give assurance of positive results.
The first named (Tibbits), is 'a good introduétion to the
study, with a number of illuStrative details, from an English
point of view, Like others, it contains some necessary
wood-cuts. It is readable and intelligible.
Similar remarks apply to Reynold’s lectures, which are
withal rather more sprightly.
Dr. Hamilton's book is more extended, is sufficiently
full for ordinary'purposes, and very practical.
Dr. Prince’s little work is after Remak’s manner; being
devoted almost exclusively to the uses of the primary
current, of which he gives an interesting account. His
suggestions as to extemporizing electrodes are to our mind.
The great obstacle however to the use of this current is
that the physician must be fitted out with jars enough for
an eleetric telegraph cable, in order to obtain the required
1874.] Book Notices. 315
results in many cases, especially in electrolysis of tumors,
etc. This book sets forth this department well.
The work of Mrs. French is intended for popular use;
but treats of at least one point which no physician can
pass with indifference, viz: Cranial Eleétric Diagnosis.
The experiments conduéted in the old world by Dr. Fer
rier, with a physiological and anatomical purpose, were
years ago anticipated, it would seem, for a diagnostic pur
pose by an American lady physician, who has made her
discoveries the basis of a highly successful practice for a
long period. On many occasions she has divulged her .
knowledge, but to a great extent, to unappreciative ears.
An article, prepared with care, several years ago was,
as we learn, sent to a number of leading medical journals,
and declined by all; her work, as so often has happened
in like cases, was condemned a prioli and her good sense
impugned. The labors of Dr. Ferrier have now rendered
plausible, at least, the fundamental idea of her system of
eleétric diagnostics, viz: the palpable relation existing be
tween the various parts of the brain, and other organs of the
body, in virtue of nervous conneétion and sympathy.
We saw a curious illustration of this only a few days
ago. The region held by her to be related to the left lung,
was touched in apatient, by a finger carrying positive elec
tricity. The peculiar pain produced announced “organic
lung disease." The patient had before had hemoptysis,
and on the following day, an attack occured. Auscultation
was not, as it happened, convenient, and was not used on
this occasion.
It is to be hoped that the author, who, by the way, is a
homoeopath. will, under the proteétion of a copyright, pub
lish in full and without delay, the results of her undoubt
edly numerous observations. It is, we understand, her
intention to do so. '
The literature of electro-therapeutics is yet in its infancy,
especially in the old school, and in old England; the first
named books being witnesses. ' But many facts are in pos
session of praEtitioners of the art, which thoughtlessness,
or professional dignity, has debarred from the knowledge of
book writers. Scientific curiosity and humility, not dignity
or fiippancy, must be the key to unlock the treasures of
truth, here as elsewhere. But such as they are, these
books are just what the novice requires in entering on
this necessary research; and hence deserve his careful
study. J. c. M,
316 Book Notices. [ApriL
A MANUAL OF TOXICOLOGY: Including the Consideration ofthe
Nature, Properties, Effects and Means of Detection of Poisons,
' more especially in their Medico-Legal Relations. By John J.
Reese, M. D., Professor ofMcdical Jurisprudence and Toxicology
in the University of Pennsylvania, etc., etc. Philadelphia: J. B.
Lippincott & Co.', 1874. pp. 507. 8vo.
Although Professor Reese in his preface, makes a modest
apology for offering a new volume upon toxicology while
there are so many excellent works upon this subject, already
in the market, we can but feel that he has done a valuable
service to the profession, and that his book is destined to
become a standard authority on the subjeét upon which it
treats, and a general favorite with the student and praEti
tioner. Clear and concise in his statements, he condenses
into a small compass, everything important relating to this
subject, while the systematic arrangement and copious index
will render it a work of convenient and ready refer
ence. In no single volume, will be found collected, reports
of so many of the important cases of poisoning that have
occurred in this and other countries, cases that will for a
long time be referred to from some important medico-legal
or toxicological interest.
The first nine chapters of the book are devoted to the
consideration of certain general principals of toxicology,
and the medico-legal questions involved in cases of poison
ing. Thus, he gives a definition of a poison; their mode
of aEtion on the animal economy; circumstances which
modify the adtion of poisons; evidences of poisoning as
derived from symptoms during, life, from post-mortem
appearance, from chemical analysis, and from experiments
on the lower animals. Here also he gives careful directions
for conduéting 'the chemical examination of suspeéted
substances, and in conneétion with various medic0~legal
questions, treats of medical experts, their duties, privileges,
compensation, etc.
Chapter tenth gives a classification of poisons, and the
remaining eighteen chapters are devoted to the considera
tion of the individual substances, in which he treats of the
symptoms, fatal period, fatal dose, treatment, post-mortem
appearances, chemical analysis, etc. In this manner is
noticed nearly every substance known as a poison, par
ticular attention being given to the more common ones,
as arsenic, phosphorus, opium, strychnine, etc.
As a work upon this subjeéi: should be on the shelves of
every physician, we unhesitatingly recommend this, as one
that will be sure to give satisfaction.
0
TH E AMERICAN JOURNAL

OF

Homoeopathic Materia Medica


AND

RECORD OF MEDICAL SCIENCE.

Philadelphia, April I, 1874.

with"!!! practical. articles, Reports of Societies, Medical news, etc., etc.


are respectfully solicited. All Articles should be carefully written, and on one side
only of the paper.
fiThe Editors assume no responsibility for sentiments or statements made
over the names of correspondents.
A. R. THOMAS, M. D., General Editor.

OUR ANNUAL RECRUITS.

Our Colleges having all had their annual commencements, we find


our ranks increased by one hundred and eighty-three young recruitsl
all of whom, no doubt, are ambitious to at once settle in practice,
and to win for themselves honor and emolument. We wish them a
hearty God-speed.
By contrasting the number of graduates with that of last year, we
notice a considerable falling off. The numbers stand as follows:
for 1873, 203; for 1874, 183. It is not diflicult, however, to trace the
causes that have led to these results. The hard times of course, have
afi'e6ted all the schools alike, but, by comparing the classes of the
several colleges for the two years, it will be seen that the falling off
has been alone with those schools which have elevated their standard
by adopting the three years' graded course, while those schools with
low fees, and the old standard, have made a slight gain.
Although the graded course‘has not been made obligatory in any
of the schools, the inducement of lower fees for this course, with an
increased disposition on the part of students to take more time, and
thus better prepare themselves for the duties of the profession, have
been sufficient to influence such a number to adopt the extended
course of study, as to tell plainly upon the size of the graduating
classes, while the average of attendance has been well preserved.
Improvement of the qualify of our graduates being the great con
sideration, if we attain this, we must expect a i reduétion of the
- number.

317
318 Editorial Department. [April,
GILcnRIsr's SURGICAL DISEASEs.—We learn that the sale of this
work has been such as to demand a new issue. We need scarcely
say that for all reasons we are glad of it. We hope it will not be a
mere reprint. Some time has elapsed since some of the matter was
written, and some matter of great importance we fail to find at all; all
ofwhich, it is due to say, ought to be brought up to date, in justice to
the demands of our cause, and the needs ofbusy men. Let us have
a reconstrufted and perfetted edition. Perfeftion! perfection! that
is what we want everywhere. M.

“ THE GREAT PYRAMID."-Our attention has been called to afar


sz'mz'le in plaster, of one ofthe wonders of the world, at the establish
ment of Mr. Wm. H. French, I735 Chestnut St., in this city, viz. : a
model of the Great Pyramid at Gizeh, Egypt; (called Che'ops).
This cast is from a model which is an exact counterpart of one in
the British Museum, both being made from a stone taken from the
Great Pyramid and cut by the same artist. These were designed
from accurate measurements, taken by a corps of engineers sent
there by the British Government. They are the only'two models
known to have been made from stone of tlze Pyramid itrelf. The
American model was executed for Dr. Huffnagle, formerly Consul
to Cairo, and is now in possession of the Pennsylvania Hospital for
the Insane.
The size of the Pyramid when in its perfeft condition was, base,
Seven hundred and sixty-four feet square ; height, four hundred and
eighty feet; covering an area of thirteen acres, one mod and three
perches; containing eighty-five million cubic feet. Age of the Pyra
mid uncertain, supposed to be six thousand years.
This model is 1-33 of an inch to the foot, and shows accurately
every stone of the exterior of the Pyramid, the weather and water
marks also.
IEAll the casings and a large quantity of other stone have been
taken from it to build up Cairo and other cities. It was formerly
cased with a finer quality of stone, and presented a uniform smooth
surface from base to apex. The size ofthe present base is seven hun
dred and forty-six feet square ; height, four hundred and fifty feet; apex,
twenty feet square ; courses of stone,two hundred and eight in number
covering an area of twelve acres, three mods and twenty-two perches.
Copies of this model in plaster, tinted like the original stone, can
be had for $10. M.

WANTED.—F0r the purpose of completing the series in the library


of the Hahnemann Medical College, copies of the proceedipgs of The
American Institute of Homoeopathy, for the following years are
18744 Cleaning: from Exchanger. 319
earnestly desired. Any one sending either of these will confer agreat
favor, and receive acknowledgment in this Journal : 184.7. 1849,
1854, 1857.

GLEANINGS FROM EXCHANGES.

PERSISTENCE on THE Hyman—A number of cases are related by


Dr. Gray, of Glasgow, which prove that persistence of the hymen is
compatible with the wedded state, that destruction of it does not
necessarily follow even the calling of a prostitute, and hence, that its
persistence after attempted rape must not be relied upon solely as
evidence sufficient to disprove the charge—Glasgow Med. Yournal.

INDUCTION OF PREMATURE Larson BY ELECTRICITY.——Th6 induc


tion of premature labor may be easily and safely effefted in the fol
lowing manner: Pass within the 05 a metallic sound covered, except
at the point, with a non-condufling material; this is made to form
one pole of a galvanic machine, the other being placed upon the
abdomen. A current of electricity, continuous or interrupted, is to
be passed through the parts for about ten minutes, and the process
repeated daily until the expulsive action ofthe uterus is induced. A
little dilatation of the 05 is generally the first effect, and it is well then
to substitute a larger conical point—British Medical Yournal. .

POST-PARTUM HEMonnnAcn.—Antzczpatzon of—When the pains


during labor are strong and quick, ceasing almost suddenly, and the
intervals 'between them long in proportion to the length of the pains,
post-partum hemorrhage is almost sure to occur. The uterus in these
cases contrafls sharply, and then becomes fully relaxed, and the same
tendency continues after the birth of the child. Being able in this
way to foretell the occurrence of flooding, it becomes easy to prevent
it byj'giving ergot at the proper period before the birth of the child,
so as to alter the charac'ter of the pains and make them longer, and
the intervals between them shorten-British Medical Yournal.

Naw MIDWIFERY Foncnrs.—Dr. Lowenthal, of‘ New York, de


scribes a midwifery forceps used by him, which possesses some pecu
liarities worthy of note. Like those described by ourselves (Eds. of
Retrospect) in 1869, the principle of it is the passage of the two blades,
as one, into the hollow of the sacrum. For this purpose the con
vexity of one blade fits into the concavity of the other. When intro
duced the blades are separated, and are glided round the head of the
320 Personals, Etc. [April, 1874.
child in opposite directions. The difference betWeen the two instru
ments is that, whereas in our instrument the blades and handles are
completely separable, in this instrument thEy are joined at the lock,
which at the same time is so construfted as to admit Of the blades
revolving round the child's head—New York Medical Record.

PERSONALS.
We would feel obliged if our unbucrlbers would and n! for insertion, under this head, notloos of removals .
marriage! or death: of Homoeopathic Physicians.

- DR. W. A. LEVANWAY, has removed from Dixon, 111., to Oakland,


California. , .
DR. M. J. RHEES, from Hollidaysburg, Pa., to Newtonville, Mass.,
where he succeeds Dr. C. W. Taylor. ‘
‘ DR. N. C. RICARDO, of Passaic, N. 1., has removed to Boston}
Mass., and takes the pradtice of Dr. Cross. .
DR. E. H. PHILLIPS, of Cape May, N. 1., has removed to Passaic,
and takes the place of Dr. Ricardo. '
DR. GEO. W. WILSON, of Philadelphia, takes the place of Dr. Phil
lips at Cape May.
DR. 105. E. JONEs has removed to his new residence, No. 39 South
High Street, one square below the Court House, West Chester, Pa.
' DR. L. HOOPES, has returned from Avondale to Pottstown, Pa., his
former residence. °
DR. Luctus D. MORSE has removed from £9 West Court Street, to
260 Second Street, opposite Court Square, Memphis, Tenn.
DR. ROBERT W. B. CORNELIUS, of the class of ‘74, settles in
praétice at Paterson, N. J. ‘
DR. S. Y. RUSH has settled at Bedford, Bedford County, Pa.
DR. WM. F. KISTLER has located at Muncy, Lycoming C0., Pa.
DRs. C. S. MIDDLETON and J. N. MITCHELL of this city, have closed
their business conneftion, Dr. Mitchell has opened an office at 654
North
I DR. Twelfth Street, Philadelphia.
M. B. TULLER, of the class of '73, enters into. copartnership
with his father, at Vineland, N. J.
DR. E. E. SNYDER of Candor, Tioga C0., N. Y., goes to Europe in'
a. short time to spend two or three years. . -
MARRIED.—WALRER—M0RTON.—Oétober 8th, 187 3, at Salmon
Falls, N. H., by Rev. Selah Merril, of Andover, Mass., C. E. Walker,
M. D., Of Natick, Mass., and Miss Lizzy A. Morton, of Salmon Falls:

we THE REGULAR ANNUAL MEETING of the Nebraska State


Homceopathic Medical Association, convenes in Omaha on Tuesday
morning, May‘Igth, 1874. The profession are cordially invited to
participate. A. C. COWPERTHWAIT, M. D., Secretary.
The American Journal
OF

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@UIHIBHPMIZIII Qijlilatma: WEBER
AD

RECORD OF MEDICAL SCIENCE.


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SOME REMARKS UPON THE TREATMENT OF


A FEW CUTANEOUS DISEASES*
BY DR. CLOTAR MiiLLER, of Lenny.

THE Homoeopathic City Dispensary at Leipsig, the at


tending physician to which institution I have now been
for many years, has offered me comparatively so rich a
material for the observation of Exanthematic Diseases,
that I believe I have witneSsed, in the frequent treatment
of a few forms, a certain stability of certain results. For
this reason I do not hesitate to sum up the report of my
observations, and to present the same in these pages with
the addition of a few conclusions, arrived at with the
greatest possible caution. '
However, these communications of mine must be con
siderably restriéted, in order to keep within the limits
which, in this instance, appear to me absolutely necessary.
Not that the number of well-established cures has been so
very small, although it must be called apparently small, in
proportion to the number of cases treated, on account of
the difficulty of controlling dispensary patients. But, in
view of the special aim of these communications, I must
lose sight here of all those curative results, most remarka
ble and positive though they be, which were obtained only
*Internat. Ham. Presse, Ill., 1, 4. Translated by E. Tietze, M.D.
Von. VIL—No. 9.
3'22 Treatment of Cutaneous Diseases. Way,
in single cases, and did not find additional confirmation on
the return of similar conditions. Moreover, no regard can
be paid here to all those cures in which the curative remedy
was not exclusively or principally selected in view of the
exanthematic symptoms, but in consideration of the general
pathological phenomena, no matter whether the latter
were the cause or effect of the cutaneous affection. Be
cause, in consideration of the great variety of these general
pathological phenomena, which may be present alike in
cutaneous disease-forms of the most different chara6ter;
these cutaneous symptoms have but little, or no weight at
all, in the seleftion of the remedy, and the inference would
be by no means justified, that the same remedy must again
prove itself curative in the same cutaneous disease-form,
even in absence of the same general pathological symp
toms that decided its seleétion in a former case. In these
brief reports, allow me kindly to repeat it, reference is had
only to those few, constant curative results which were
obtained in certain cutaneous diseases; in which, conse
quently, the momenta, decisive for the selection of the
remedy. were exclusively found in the cutaneous symp
toms, and, in view of which, I was permitted to make
repeated attempts at curing the sames cases of exanthe
matic diseases with the same remedies, and now to submit
the same to the test of others.
In consideration of the restridtions in my task, it is cer
tainly not the place here to agitate the question as to the
constitutional or local nature of cutaneous diseases, and as
to the full recognition, modification, or rejeEtion of Hahn
eman’s psora-theory. Notwithstanding, however, I beg to
be permitted a few general remarks upon these points,
which are partially evoked by the utterances of Dr. Siiss
Hahnemann, made at the close of his report upon the
paper, read by Dr. E. Blake. lnternat. Ham. Preese, 1,_
326.)
Whether Hahnemann, if the existence of the acarus had
been known to him, would have treated scabies with‘exter
1374,] Treatment of Cutaneous Diseases. 323

nal remedies, cannot be inferred with certainty from the


views laid down by him in his writings with regard to
other parasitic diseases; therein I fully agree with his
grand-son. Besides, this question seems to me one of very
little importance. But the knowledge of the acarus would
surely have induced the founder of the psora-theory, to
modify it, especially as regards the designation of those
skin-diseases which he deemed himself obliged to point
out as the prominent charaéteristics and essential symp
toms of the psora-dyscrasia. If among them he counts,
above all, the itch, and frequently and direétly applies the
terms “ psora" and “ ite/t," as synonymes, he would now,
by the aid of a clear insight into the nature of the acarus
itch, remove the latter at once from the psoric symptoms,
or, at least, admit it only conditionally. This, however,
would surely not prove anything against the psora-theory
itself, or even against its doctrine, that the cutaneous dis
eases are of a constitutional and not of a local nature.
Because the acarus-itch, in a certain, strictly scientific
sense of the word, does not belong among the skin-dis
eases, or even among the exanthemata, but may only de
velop into these affections by neglect or long duration, in
the same manner as cutaneous eruptions, may result from
the presence of pediculi. If, in view of our present know
ledge of the acarus, we would accustom ourselves entirely
to separate the idea of the acarus-itch from-that of psora,
and substitute for the latter a dyscrasia, such as scrofu
losis, for instance, which is more in harmony with our
present pathological views; then scarcely any serious
objeétions would be raised against Hahnemann’s psora
theory, and its principal tenets. For no one can deny, that
cutaneous eruptions among the scrofulous are always of
a constitutional charaéter, and that their imprudent sup
pression by means of external, exsiccating remedies is
frequently enough fraught with danger, though ineffectual
as regards the cure of the dyscrasia itself. Here we must
also remember that the scrofula-dyscrasia, as is well
324 Treatment of Cutaneour Dimmer. Way,
known, principally recruits itself among the children or
the grand-children of syphilitic parents, and, consequently,
may be regarded as a variety of syphilis at a certain stage
of its development, a view which, moreover, corresponds
with Hahnemann’s doctrine of the three sources of all
chronic diseases.
If, therefore, on the one hand, we are by no means justi
fied in casting away, without much ado, Hahnemann's
psora-theory among the abandoned views, or even absurdi
ties, and in maintaining that homoeopathy does no longer
recognize this doétrine at the present day; then, the ortho
dox representatives of the Hahnemannian homoeopathy, on
the other hand, must beware of asserting too much, and of
obstinately clinging to the dead letter. I shall, moreover,
not speak here of the horror that some display at the local
treatment of the acarus-itch, i. e., at the destruction of the
cutaneous parasites, by means of drugs directly applied;
for such partiality and obstinacy, indeed can only be ex
plained by a willful closing of the eyes to indubitable facts.
However, we plainly observe, aside from the acarus-itch,
some other cutaneous eruptions which, at least at their
commencement, and if not of too long duration, are of a
purely local nature, and surely may be removed by exter
nal remedies, or by the knife, without any evil consequences.
And here I refer not only to warts, callus, clavus, cornua,
certain tumors, &c., but also to genuine exanthemata in the
strictest sense of the word. Some cutaneous affections,
such as favus, condylomata, prurigo, lupus, &c., are hardly
ever removed, radically and permanently, without the aid
of external remedies, and the danger of inviting by such
cures internal affections of a more serious character, is
either exaggerated, if not altogether pretended ; or, in cases
in which such a danger really exists, as in all constitutional
cutaneous eruptions, especially those of profuse secretion,
dependent upon other causes and processes. Because in
all those cases in which, after the sudden disappearance of
an eruption, other disturbances of health manifest them
1374_| Treatment 0f Cutaneous Diseases. 325
selves, it does not follow, as some adherents to the psora
theory assert, that now the former disturbance, pretendedly
of a constitutional character, has been transferred to another
organ, and seriously increased in danger; for even in such
cases in which the later affeetion really has a casual rela
tion to the suppressed eruption, the casual connection
nevertheless almost always confines itself only to the im
prudent and sudden suppression of a secretion to which
the organism has been accustomed. For the sake of illus
tration, I will remind you here only of the caution prac
ticed in former days, in allowing old, profusely discharging
issues to heal, for fear of the serious results that had been
observed, too frequently only, after the sudden arrest of a
Wonted suppuration. No one would wish, however, to
assert in good faith, that the suppuration artificially pro
duced by the pea, had been a constitutional (psoric) affec
tion which, after its suppression at the arm, was now
violently breaking out,>in a more malignant form, in another
internal organ. Nearly the same holds good in many so
called 'metastases after the removal of cutaneous diseases.
From these remarks of mine which, however, I do not
consider final, it follows, that it is exceedingly irrational
and venturesome, speedily to remove cutaneous eruptions,
especially those of profuse secretion, even if they are only
of a local nature, by external, exsiccating remedies; but
by no means, that diseases, subsequently manifesting them
selves, must be direct metastases, i. e., new and dangerous
forms of the dyscrasia previously confined to the skin.
And yet, I would not wish too much to restrict. by the
above remarksfthe number of cutaneous diseases, based
upon constitutional dyscrasia, and by no means venture to
explain the danger of speedy cures by the mere suppres
sion of a wonted secretion; since I do not doubt in the
least that even, aside from scrofulous and syphilitic ex
anthemata, many constitutional cutaneous affections exist,
the appearance and disappearance of which have the most
intimate causal connection with internal diseases endanger
326 Treatment qf Cutaneaus Diseases. may,
ing life. Of these we must mention even eruptive forms,
apparently of little importance, and free from all secretion,
such as Herpes luz’morr/zoz'dalz's am', for instance, an almost
always dry and insignificant looking affection. I only
maintain that even here, as everywhere else in medicine,
we must distinguish, and not estimate every eruption by
the same standard. Indeed, it is for the very reason, that
I desire to see Hahnemann’s psora-theory preserved, and
would very much regret to have it sacrificed to the hyper-v
materialism now in vogue, that I feel interested in its correct
interpretation and reduction to proper dimensions. And
to contribute my trifle toward this end, is the modest aim
of these communications.
SCABIES AND PRURIGO.

These» two exanthemata are by no means identical, yet


they not only frequently appear simultaneously side by
side each other, but have also the peculiarity in common,
that they are both occasioned almost always, by e>iternal
local causes affecting the skin ; scabies by the acarus, and
prurigo mainly by uncleanliness, pediculi, muco-purulent
discharges, scratching, dust and other sources of cutaneous
irritation. The treatment of both affections will, therefore,
be the same in many cases ; because even the acarus itch
subsequently to the destruction of the parasites, in the ma
jority of cases still requires an especial after-treatment ;
since even upon those cutaneous regions on which the
acarus (which predominantly inhabits the skin between the
fingers and at the wrist-joints,) cannot be found, a secondary
eruption (papular, vesiculae or prurigo) is apt to develop
itself.
For the destruction of the acarus, I principally employ
the green soap, (sapowhkz'z's) which, at least for three sue-
cessive evenings, I order to be vigorously rubbed into all
parts affected, and to be washed off the following morning.
If this does not prove sufficient, I prescribe an aqueous
solution of Styrax, (a cheap remedy which neither leaves a
187+] Treatment of Cutaneous Diseases. 327

penetrant smell nor soils the linen,) to be used in the same


manner. In exceedingly obstinate cases, these applications
must be repeated in from 8 to I4 days, mainly for the reason
that they have not been made with proper energy at first.
Simultaneously I administer Sulphur or Mercurius inter
nally. The choice between these two remedies is often
difficult; for the distinction that the eruption, characteristic
of Sulphur, is papulous, while that of Mercurius is vesicu
lar, does not always suffice; since in very many cases both
eruptive forms appear in combination, and besides them,
not unfrequently pustules at the same time, upon one and
the same patient. Moreover, the external form of the local
eruption alone, dependent as it often is upon external
causes and mere accidents, is not decisive either in scabies
or prurigo, and Hebra is not so very wrong in remarking
that “ the form of the scabious eruption very much depends
upon the length of the finger nails.” In most cases of
scabies, especially the inveterate and negleéted, I begin the
treatment with Sulphur, usually administering from 3 to 5
drops of the tinEture, morning and evening. If within the
course of 10 days; hence, 7 days after the last external
application, no amelioration of the eruption, and especially
of the itching manifests itself, I prescribe of .Mercu. soluh.,
3 trit., as much as will lie on the point of a penknife, morn
ing and evening, and in case the acari do not seem to have
been all destroyed, order three more applications of the
soap or styrax. If the eruption is preponderantly vesicular
from the beginning, or studded with numerous pimples and
pustules; or if sulphur ointment and sulphur baths have
already been lavishly employed, I give lllercnrins at once.
I much regret, however, my inability of establishing a re
liable differential diagnosis between Sulphnr and Mercurius,
such as would be basqd upon the essential differences be~
tween the local and general symptoms of these two reme
dies; for both of them exhibit the principal charaéteristics
of scabies in the same degree. Among these I count
aside from the local peculiaritiesof the eruption, above all,
328 Treatment cy‘ Cutaneous Diseases. {Ma},
the aggravation of the itching at night and in the warmth
of the bed, as well as the general irritability of the skin,
which by scratching a single spot, transplants itself almost
over the entire surface of the body, and thus increases to
its greatest height.
Under this treatment a tolerably large number of cases
are cured, rapidly and surely, and I have never had_an op
portunity of observing immediately or subsequently among
those cured, the appearance of so called metastases and
obnoxious consequences. Notwithstanding, however, a
good many cases remain unimproved after this treatment
of shorter or longer duration. But this result I am obliged
to attribute more to the unfavorable conditions of dispensary
patients, than to the insufficiency of the curative method
employed. For, aside from the fact, that the external
treatment is mostly carried out very carelessly and insuffi
ciently, it is especially the cohabitation of many families
within a small space, and above all, the sleeping together
of many children among themselves or with the mother,
which furnish a continual source of new infection by the
acari, so that the child, freed from the parasites by external
means, is again infected, probably as early as in a few days,
by the bed-cloths or linen. Moreover, we must also take
into account here the usual number of those, who either
cured or not cured, remain absent without informing us of v

the result of the treatment. These are the disadvantages


which sufficiently explain, why the percentage of cures,
especially among the scabies patients, is so very small, and
why the curative method employed yields results apparently
unfavorable. In view of these fac'ts, I have frequently taken
it into serious consideration, whether it would not be better,
to turn away all scabies patients from the dispensary, and
send them to the scabies ward of the city hospital; since
by the isolation of such patients in that institution, any
further dissemination of the disease and the infection of
other members of the family, would most surely be pre
vented.
{3744 '1 reatment of Cutaneous Dzseases. 329
The treatment of Prurz'go among all cutaneous eruptions
is one of the most unpromising and unsatisfaétory, since
.this affection is very obstinate, and we find it moreover, very
difficult, if not altogether impossible to remove the major
ity of causes producing, or at least supporting it, among
dispensary patients. Great cleanliness, and the most careful
culture of the skin, constitute especially in this trouble, the
principal condition for a cure. Sulphuris the main remedy
even in this affeétion, Crap/lites being preferable only when
as it frequently happens among children, we observe that
larger portions of the skin are sore and deprived of epider
mis. If prurigo is complicated with eczema, impetigo or
ecthyma, I employ [Werenrt'us or Antim. erud. Aside from
these remedies, Croton has been especially recommended,
though its aCtion seems to me to be more confined to
pru'ritis. In 1); urzlgo anz', if it is not occasioned by ascarides,
Lycopodiunz is indicated, in prurigo genitalium, Mercurz'us
and Antz'mon. If the eruption at the anus is produced by
ascarides, [gnatz'a often proves very efficacious, at least
against the violent itching which deprives children of sleep.
For a permanent cure of the itching as well as the eruption,
the simultaneous removal of the ascarides from the reétum
by means of injeétions, is demanded in all cases. I have
recently used for this purpose very successfully, a decoétion
of walnut leaves, which is not so disagreeable as are the
disgusting onion or garlic enemata, and produces the same
result.
Against Pruiz'tns (cutaneous hyperaesthesia which, no
doubt, in many cases is owing to local disturbances of the
skin,) I employ internally nearly the same remedies as
against prurigo; preferring, however, in such cases the higher
sulphur dilutions (30th). I have also seen several times,
good effeéts from Arsen. and Croton in this trouble, though
they were mostly but temporary; as in pruritz's senilz's for
instance, a very obstinate affeétionf Proper 'culture of the
skin, and the removal of the cause oeeasz'onales are of the
greatest importance even in this disease.
2
330 Clinical Cases. lMay,
Finally, I will yet direét the attention to Chzlz'rlanium
which presents several characteristic indications in its path
ogenesis, as a remedy against pruritus of patients suffering
by icterus.
[TO BE conrmuan.}

IO:

UTERINE HEMORRHAGE FOLLOWING


ABORTION.
BY E. E. HARPEL, M. D., 0f Danw'lle, Pa.

In the evening of December 29th, 1873, was called upon


to see Mrs. R , a small spare woman who was flood
ing. She had reached her third month of pregnancy, and
aborted from exposure and over-exertion; the embryo
being expelled about II A. M_. of the same day. From
that time until the time I reached the house in the even
ing—they having neglected sending until then—she had
been flowing profusely.
During the early part of the afternoon she had lain on
a lounge, and the blood had flowed so freely, that it had
soaked through the lounge, and formed a pool on the floor
underneath. She had been removed after this to a bed in
the second-story of the house, the hazmorrhage still con
tinuing, and by the time I reached there, it had soaked
through the mattress, and again formed a pool on the
floor. I found the woman very weak, raising her head
the least, would produce syncope; the uterus was soft and
flabby. It was evident no time was to be lost; remedies
which seemed indicated, failed to produce any effect. I
- then determined to try Dr. T. H. Mann’s (of Rock Island,
R. I.) plan; ordered a basin of hot water to be brought,
and injected about a pint—not particularly into the uterus,
though probably someof the water found its way partially
within. The flooding ceased. but after some time re
commenced, though only at times; hot water was again
and for the last time injected, though at this time about a
1374,] Clinical Cases. 331
Eluart ; this immediately produced uterine contraétions and
the flowing ceased. -
The next morning found the patient doing well, no
return of the haemorrhage; recovery was rapid. If called
Upon in future to any severe uterine haemorrhage, I would
not hesitate to use the hot water, nay, not in any stage of
labor. But in using hot water as a styptic, I would agree
with Dr. Mann, that the two following rules be carefully
adhered to, viz. :
I. Never stop with any less than one (ull quart, thrown
in as continuous a stream as Davidson’s syringe will admit
of.
2. Use it as hot as can be borne by the patient without
scalding, though not quite so hot as can be borne by the
hand. ‘

FRACTURE OF BA‘SE OF SKULL—DEATH.


BY CnARpEs W. KARSNER, M. D.

John V. Reardon, aged forty-five years, married, livery


stable keeper, rather celebrated for his powers as a horse
tamer; on Thursday, March 26th, 1874, was thrown
from a carriage and dragged by a horse for about half of a
square. I saw him at 2 P. M., found him much prostrated,
in a semi-conscious state, and continually crying for help
and assistance, (no doubt, still imagining that he was in the
power of the horse) ; breathing heavy ;‘ respiration 16,
pulse 48; skin cold; face pinched, apparently no paraly
sis, as on pulling off his boots, exertion on his part was
noticed quite distinctly. He complained of great pain in
the cervical region; slightest motion would give most ex
cruciating pain, causing him to cry out ; blood in consider
able quantities was oozing from his right ear; right side
of the face much bruised, and a small scalp wound on the
top of the head. On examination, could detect no trouble
with the cervical vertebrae.
Used stimulants internally, with an external application
'of Amim. Saw him at 5 P. M., pulse 60, weak and tremu
332 Clinical Cases. [May
lous; semi-conscious, but would answer questions when
roused. Suffered great pain in the cervical region, could
not bear the slightest movement. Respiration 20, still
heavy; had had some bleeding at the nose but slight, both
limbs completely paralyzed; right ear still bleeding. Stopped
the stimulants and gave C/zz‘na internally, using Amica in
water externally. Saw him again at midnight, respiration
24, but labored; pulse 60; skin on upper part of the body
and face hot, and very red, entirely unconscious. The
family informed ‘me that he recovered consciousness at
about 7 o’clock P. M., which lasted about half an hour,
duringr which time he talked quite rationally, but could
not be moved on account of the pain in the cervical region,
and expressed a desire to know what I thought of his case,
and when info'rmed that he could not live, again relapsed
slowly into the unconscious condition. At this visit I in
troduced a catheter and drew'bff about halfpint of dark
cloudy urine. '
Was called to see him at 5 A. M., Friday morning, and
found the pulse 60; respiration [6, very heavy; uncon
scious; a quantity of serous fluid apparently issuing from
his nose and mouth at every expiration ; this fluid seemed
to come in quite considerable quantities, and in the course
of about five minutes, sufficient to wet at least two napkins.
The family informed me that this had been discharging
for about an hour, and deeming it a matter of interest, I
dispatched a messenger for Prof. A. R. Thomas, who
promptly came, but arrived just as the patient died. ‘ The
heart ceased to beat in just four minutes by my watch,
after respiration ceased. '
Post-marten: eramz'natz'om—On Monday the 30th, eighty
hours after death, Prof. A. R. Thomas, assisted by Drs. R.
B. Weaver, J. N. Mitchell and myself, made a 'post-mortem
examination, with the following results: Contusion of
scalp in the occipital region, with small amount of blood
effused in surrounding tissues; calvarium uninjured. Upon
exposure of brain and membranes, found moderate conges
,374_J ' Therapeutics of Uterine Discharges. 333
tion of latter. On lifting brain from its bed, found a
large amount of bloody serum in subaraclmoid space, at
base of brain and in spinal canal. Disseétion of brain
showed no rupture of vessels or injury of its substance.
Upon tearing the dura mater from base of skull, found a
fraEture of the petrous portion of the right temporal bone,
opening into the tympanum, and involving the internal,
auditory meatus, the cavity of tympanum being filled with
coagulated blood.
Upon the removal of the apex of the petrous portion of
the bone, a probe was passed without resistance, from the
tympanic cavity through the auditory canal, and out of the
external meatus, showing rupture of the membrana tym
pani.
From the result of the examination, it was evident that
death fesulted from pressure upon the medulla oblong
ata—the point of origin of the nerves controlling the
aétion of the heart and lungs—from the effused blood and
serum from the point of fraEture; the paralysis which pre
ceded death being also from the same cause.

IO:

THE

THERAPEUTICS OF UTERINE DISCHARGES.


BY HENRY Mm'ron, A.M., M.D.

COFFEA CRUDA.
Crude Cofl‘ea.

Menstruation—Too profuse, with excessive sensitive


ness of the sexual organs, and voluptuous itching.
During MenstruatiOn.—Great restlessness, nervous
ness, toothache; pruritis vulva. She wants to scratch,
but the parts are too sensitive. Wants. to be constantly
changing her position. Pain so distressing as to drive her
to desperation. Fullness and pressure in the abdomen, as if
it would burst. Abdominal cramps ascending to the chest.
834 Therapeutics of Uterine Discharges. Way,
Continuous pinching pain in the iliac region. Excessive
sexual excitement.
-Leucorrhcea..—Profuse discharge of mucus, and some
times of blood from the genital organs, with itching and
excitement of the parts. Great sensitiveness of the genital
organs; she cannot bear to have them touched, they are
so sensitive.
Lochia.—The discharge too profuse with great exalta
tion of all the senses, and excitement.
Concomitants.—-The mental conditions are most char
aEteristic. Hyperaesthesia of all the senses; hearing, taste,
smell, sight and touch, most acute. Painful perception of
slight motion. The motion of rocking makes her dizzy,
the motion seems gigantic. Sentimental ecstacy ; increased
power to think; excited imagination; full of ideas; quick to
aét. Inflammations excited by excessive joy. The phy
sical system seems exalted and almost transported by the
mental exaltation. Sleeplessness from over excitability of
mind and body, sleeplessness of lying-in women. Head
ache as if the brain were being torn. Headache as if a nail
were driven into the brain, worse in the open air. Head
ache, as if the head would fly to pieces; aggravated by
noise and light. The head feels too small. I Toothache,
especially at night, relieved by cold applications. Exces
sive dryness of the mouth at night. Diminished appetite.
Loss of taste. Sensation of rawness in the windpipe.
Oppression of the chest; she is obliged to take short inspi
rations. Continued inclination to cough; turns of short
cough in quick succession; dry-hacking cough with con
stant tickling in the larynx. Asthma at night. Burning
sour eructations. Violent spasmodic eruftations. Tension
in the epigastric region, with sensitiveness to the touch.
Colic as if the abdomen would burst; colic so painful as to
drive her wild. A sensation as though the stomach was
overloaded. Alternations of constipation and diarrhoea.
Tenesmus, with burning and itching in the anus. Trema
1374,] Therapeutits of Uterine Discharges. 335
ling of the hands, with great weakness in the arms. Sleep
lessness in general. Measly spots on the skin. ‘
Great excitement of the genital organs. Voluptuous
dreams. Aversion to sexual intercourse, on account of
the great sensitiveness of the genital organs.
Affecftions after sudden emotions, particularly pleasant
surprises. Adapted to women of a nervous sanguine tem
perament, who suffer greatly from nervous diseases, espe
cially when such complaints are caused by, or aggravated
by, pleasurable excitement, excessive joy, etc.

COLCHIUM. '
Meadow Saflron.

Menstruation—Too early.
During Menstruation—Snppression of the menses
which have just made their appearance, with dropsy of the
uterus, and sudden sinking of the vital forces.
Concomitants_-—Peevish ; absent‘minded. Disgust of
the smell of cooking meat Painful lacerating drawing in
the left side ofthe head. Bleeding of the nose. Great heat
of the body at night. Loss of appetite. [nereased secretion
of saliva, often profuse. Aversion to the smell offood. Great
thirst. Nausea with inclination to vomit. Burning in the
stomach, or icy coldness. Flatulent distension of the
stomach. Stools watery, jelly-like mucous, or bloody and
mingled with a stringy substance. Arthritic pains in the
joints. Gout. Urine dark and scanty, discharged in drops,
and despositing a whitish sediment.

COLLINSONIA CANADENSIS.
. Stone Root.

Uterine complaints in general dependant upon diseases


of the rectum and bowels.
Amenorrhqaa.—From congestion of the uterus, and
pelvic viscera.
336 Therapeutici of Uterine Dix/zarges. [May'
Dysmenorrhrea.—With menstrual convulsions. Dys
mennorrhoea complicated with haemorrhoids, obstinate
constipation, pruritis and prolapsus uteri.
Leucorrhma,-— In connection with pruritis obstinate
constipation and dysmenorrhoea.
Concomitants.—Dull frontal headache, with lassitude
and desire to sleep. Tongue coated yellow; bitter taste
in the mouth. Flatulence and spasms of the stomach.
Severe colicky pains in the hypogastrium every few
minutes, with fainting; has to sit down to get relief.
Severe weight in the rectum, with an intense irritation,
itching, and a sensation as if sticks, sand, or gravel were
lodged in the reEtum. Obstinate and habitual constipa
tion. associated with haemorrhoids. Chronic haemor—
rhoids always attended by constipation, bleeding or not.
Chronic diarrhoea after accouchment; stools of mucus and
black foecal matter, with colic and tenesmus.
Haemorrhages, blood dark and tough, enveloped in
viscid phlegm, previous discharge of blood per anum, sub
sequent costiveness. '
Pruritis in pregnant women, violent itching of the geni
tals, parts badly swollen, dark red and protruding; she
cannot lie down. '

COLOCYNTl-IIS.
Bitter Cucumber.

Menstruation—Returning sooner than usual.


During Menstruation.~—Severe crampy pains in the
uterine region, bending her double, causing her to draw
her lower limbs up to the abdomen, with great restlessness,
moaning, and lamenting.
Amennorhma.—In those cases of suppression of the
menses, where severe chagrin or vexation has been the
exciting cause.
L00hia..—Suppression of the lochia from anger or vexa
tion, with violent colic, tympanitic swelling of the abdomen
and diarrhoea.
1374,] Therapeutics of Uterine Discharges. 337
Concomitants,——Deje6tion of spirits; aversion to talk
or seeing friends; out of humor. Great anguish. Semi
lateral headache. Pressing pain in the forehead, aggravated
when stooping or lying upon the back. Rushing in the
ears. Beating in the ears. Facial neuralgia. Burning at
the tip of the tongue. Great thirst. Bitter taste in the
mouth. Nausea lasting until falling asleep, and returns
on awakening. Severe colicky pains, mostly around the
navel, has to bend double, being worse in any other position,
worse at intervals. Feeling in the whale abdomen as if the
intestines were being squeezed between stones. Colic and
diarrhoea after taking the least nourishment; constant heat
and dragging in the vagina, with swelling of the labia.
Intense boring or tensive pain in the ovary, causing her to
bend double with much restlessness and moaning. Diar
rhoea after r/exation, imagination, or from ill treatment.
Diarrhoea stools, are first watery and mucous, then bilions
and lastly bloody.
Urinate small quantities, with frequent urging; fetid,
viscid, jelly-like urine.
Oppression of the chest.' Palpitation of the heart. Draw
ing pain in the back. Rawness in the right shoulder blade
during repose. Pulsati've pains in the loins. Tension in
right fore-arm. Paralytic pain in the arms. The lower
limbs feel hear/y. Cramp-like drawing in the internal femo
ral region throughout its whole extent. Varicose veins.
Painful nodosities in the breasts.

CONIUM MACULATUM
Spotted Hemlock.

Menstruation—Too early and too feeble, or too late and


too scanty. The discharge consisting of brownish colored
blood.
Before Menstruation—The breasts swell, become hard
and painful. Hysterical symptoms are excited, great
anxiety about every trifle. Weeping mood, restlessness,
338 Therapeutics (ff Uterine Discharges. [It/lay,
anxious dreams. Vertigo when lying down, especiallyv
when an attempt is made to turn over. Tired feeling in
the limbs. Dry heat in the body, without thirst. Stitches
in the region of the liver, especially when lying down, or
when drawing a long breath. The urine intermits in its
flow.
During Menstruation—Browns}: Mood appears instead
of the menses. Uterine cramps. Painful! uterine spasms.
Pressure from above downward, and drawing pains in the
legs. Contraétive pain in the hypogastrium relieved by
walking in the open air. Painful sensitiveness of the
breasts, which swell and become hard. Tearing pains in
the legs. Shooting pains in the left side of the chest.
Stitches up to the left side of the chest. Vertigo when in
the recumbent position, and especially when an attempt is
made to turn over.
Intermitting flow during miéturition.
Incisive pain between the labia when urinating. Pimples
at the pubes, sensitive and painful. Leueorr/uea. lie/ting
at the vulva, and in the vagina ; downward pressure in the
uterus. Stitches in the labia and vagina. Burning sore,
aching pains in the region of the uterus. Aching pains
about the heart during painful menstruation.
Amenorrhcea.-—Suppressian of the menses with chlo
rotic symptoms and hysteria. Weakness with involuntary
laughing and weeping. Anxiety and sadness. Flabby
shriveled breasts, with increased sexual desire. Exhaus
tion after the shortest walk, or slightest exertion. Nervous
prostration. Distention of the bowels. Abdominal and
uterine cramps, with lancinating pains. Stinging pains in
the uterus. Induration of the cervix uteri. Itching of the
vulva. Leueorr/iwa wit/i uterine cramps. Eruptions on the
vulva, with stitches through it. Praia/mus uteri. Wrtigo
when in a reenmbent positian an effort is made to turn aver.
Urination intermittent, the flow of urine suddenly stops,
and after a short interruption flows again.
1374,] Therapeutics of Uterine Discharges. 339
Leucorrhwa,—Acrid, smarting, excoriating leucorrhaea.
Discharge of white acrid mucous from the vagina, causing
a hmigzg or smarting sensation. Thick, 1nzlh~coloreddis
charge, with contraftive labor-like colic from both sides of
the abdomen. 'Leucorrhoea setting in a few days after
menstruation; stopping suddenly and soon flowing again.
Leucorrhoea with discharge of bloody mucous. Before the
discharge, pinching colic in the abdomen, and lameness inthe
small of the back. Afterwards, lassitude and hoarseness,
with cough and expeétoration.
Lochia,—Profuse discharge of white mucous, or acrid
water.
Concomitants,—lzfi/poc/coiidn'a, depression of spirits,
and hysteria from Suppression of, or from too free indul
gence in the se