,,an ,,epitome ,,of ,,the ,homoeopathic ,healing ,art1 ,,containing ,,the ,,new ,,discoveries ,,and ,,improvements ,,to ,,the ,,present ,,time2 ,,designed ,,for ,,the ,,use ,,of ,,families1 ,,for ,,travelers ,,on ,,their ,,journey1 ,,and ,,as ,a ,,pocket ,,companion ,,for ,,the ,,physician4 ,,by ,b4 ,l4 ,,hill1 ,m4 ,d41 ,professor of ,general1 ,special1 and ,surgical ,anatomy ,late ,professor of ,surgery1 ,obstetrics1 and ,diseases ,females and ,children1 in the ,w4 ,h4 ,college1 ,author of the ,homoeopathic ,practice of ,surgery1 c41 c4 ,,cleveland1 ,,ohio3 ,,john ,,hall1 #gb ,,superior ,,street4 ,,chicago1 ,,ill4 ,,halsey ,,king1 #afb ,,clark ,,street4 #ahei4 ,entered according to ,act of ,congress1 in the year #ahei1 ,by ,b4 ,l4 ,,hill1 ,m4 ,d41 ,in the ,clerk's office of the ,district ,court in and for the ,northern ,district of ,ohio4 ,,pinkerton ,,nevins' ,print1 ,cleveland1 ,o4 99 99 99 99 99 ,,table ,,of ,,remedies4 ,in this table ,i have affixed to the remedies figures designating the dilutions or the attenuations1 at which1 under ordinary circumstances1 ,i would advise their use4 ,the strongest1 or mother tinctures1 marked with an apha 7#j71 the dilutions or triturations to be of the decimal degrees of attenuation1 are marked #a1 #b1 #c1 c41 to designate that they are to be used at #a-ajth1 #a-ajjth1 #a-ajjjth1 c41 the strength of the pure drugs4 ,the list for a full ,,family ,,case contains all the remedies recommended in this book for diseases that may be safely trusted to unprofessional hands4 ,the ,,traveler',s ,,case needs only such medicines as are prescribed for the diseases which he would be most liable to contract on his journey2 though ,i have put in the principal ones used in domestic practice1 so that the ,case will do for family use4 ,the ,,cholera ,,case is only supplied with such remedies as are particularly applicable to that disease2 useful1 however1 for many other complaints4 ,,traveler',s ,,case4 #a ,aconite p #cae ,hydrastus ,can4 p #a #b ,apis ,mellifica p #caf ,ipecac p #c #c ,arsenicum p #cag ,mercurius sol4 p #c #d ,arnica tr #jah ,mercurius cor4 tt #b #e ,arum triphyllum tt #bai ,macrotin tt #a #f ,belladonna p #cbj ,nux ,vom4 p #c #g ,baptisia p #aba ,phosphorus p #c #h ,bryonia p #cbb ,phos4 acid p #c #i ,colocynth p #cbc ,podophyllin p #b #aj ,china ,sul4 tt #abd ,rhus toxicod4 p #c #aa ,chamomilla p #cbe ,secale p #c #ab ,copaiva p #bbf ,tartar emetic p #c #ac ,cuprum p #cbg,veratrum p #c #ad ,eupatorium ,aro4 p #a ,,cholera ,,case4 #a ,aconite p #ch ,laurocerasus p #d #b ,arsenicum p #ci ,opium p #c #c ,belladonna p #caj ,merc4 cor4 p #c #d ,camphor tr #jaa ,phosphorus p #c #e ,carbo ,veg4 p #eab ,phos4 acid p #c #f ,cuprum p #cac ,secale p #c #g ,ipecac p #cad ,veratrum p #c ,,full ,,family ,,case4 ,tr4 is used for tincture1 ,tt4 trituration1 ,p4 pellets4 ,,remedies4 ,,contractions4 #a ,aconitum4 ,aconite ,tr #j #a p #c #b ,altha4 #c ,apis mellifica4 ,apis mel4 #j p #b #c #d ,arsenicum4 ,arsenicum #j p #c #e ,arnica4 ,arnica1 #j p #c #f ,arum triphyllum4 ,arum triphyllum1 #j tt #b #g ,belladonna4 ,bell4 tr #a p #d #h ,baptisia tinctoria4 ,baptisia1 tr #j #b #i ,bryonia4 ,bryonia1 tr p #c #aj ,carbo4 ,vegetabilis4 ,carbo4 ,veg4 tr p #d #aa ,cantharides4 ,cantharides1 tr #j p #c #ab ,colocynthis4 ,colocynth1 tr or p #c #ac ,china ,sulphuricum4 ,china ,sul4 tt #a #ad ,chamomilla4 ,chamomilla tr or p #c #ae ,copaiva4 ,copaiva tr #a p #b #af ,cauloph4 ,thalictroides4,caulophyllum tr #a #ag ,cuprum4 ,cuprum1 p #c #ah ,cuprum ,aceticum4 #ai ,cornus ,sericea4 ,cornus sericea1 tr #j p #b #bj ,conium maculatum4 ,conium mac4 tr #j p #c #ba ,coffea4 ,coffea p #d #bb ,eryngium ,aquaticum4 ,eryngium ,aquaticum #b #bc ,eupatorium aromaticum ,eupatorium aro4 tr #j p #b #bd ,hepar ,sulphur4 #be ,hydrastus ,canadensis4 ,hydrastin tr #j p #b #bf ,hamamelis ,virginica4 ,hamamelis ,vir4 tr #j p #c #bg ,ipecacuanha4 ,ipecac tr #j p #b #c #bh ,laurocerasus4 ,laurocerasus p #c #bi ,mercurius solubilis4 ,merc4 tr #c #cj ,mercurius corrosivus4 ,mercurius cor4 tt #b p #c #ca ,macrotys ,racemosa4 ,macrotin1 tr #b #cb ,nux ,vomica4 ,nux p #c #cc ,opium4 ,opium p #c #cd ,phosphorus4 ,phosphorus1 tr #b p #c #ce ,phosphoric acid4 ,phos4 acid1 tr #b p #c #cf ,podophyllum peltatum4 ,podophyllin1 tt #a p #c #cg ,pulsatilla4 ,pulsatilla #c #ch ,rhus ,toxicodendron4 ,rhus ,tox4 p #c #ci ,secale cornutum4 ,secale1 tr #a p #c #dj ,santonine4 ,santonine1 tr #a #da ,spongia4 ,spongia1 p #d #db ,tartar ,emetic4 ,tartar emetic tr #b p #c #dc ,thuya4 #dd ,veratrum alba4 ,veratrum4 p #c ,,an ,,epitome ,,of ,,the ,,homoeopathic ,,healing ,,art4 ,introduction4 ,this work contains in a condensed form a very large portion of all that is practically useful in the treatment of the diseases ordinarily occurring in this country4 ,the symptoms are given with sufficient minuteness and detail to enable any one of ordinary capacities of observation to distinguish the complaint2 and the treatment is so plainly laid down1 that no one need make a mistake4 ,if strictly followed1 it will1 in a very large proportion of cases1 effect cures1 even when administered by those unacquainted with the medical sciences generally4 ,it has been written from necessity1 to meet the demands of community for a more definite work in a concise form1 that should contain remedies of the most reliable character1 with such directions for their use as can be followed by the traveler on his journey1 or by families at home1 when no physician is at hand4 ,it might seem to some preposterous to speak of a demand for another domestic ,homoeopathic ,practice1 when half a score or more of such works are now extant1 some having come out within a very short time4 ,the demand arises1 not from the want of ,books1 but from the defects of those that exist4 ,there is in most of them1 too little point and definiteness in the prescriptions1 and a kind of vague doubting recommendation noticeable to all1 which carries the impression at once to every reader1 of a want of confidence by the author in his own directions4 ,again1 in some of the works there is too much confusion1 the symptoms not being laid down with sufficient clearness to indicate the best remedy4 ,some of the works are unnecessarily large and cumbersome1 while the real amount of valuable practical matter is comparatively meager1 obliging the reader to pay for paper and binding without the contained value of his money4 ,i do not claim entire perfection for this work1 yet ,i do claim it to be several steps in advance of the books now extant4 99 99 99 99 99 ,this work is my own1 being the result of my practical experience and observation4 ,i have introduced several remedies that1 though they are familiar to me1 and have been used in my practice for many years1 are1 nevertheless1 comparatively strange and new to most of the profession4 ,of some we have no extensive provings yet published1 still the provings have been made1 both upon the healthy and the sick4 ,their use1 as directed in this work1 is in strict accordance with their ,homoeopathic relation to the symptoms for which they are prescribed4 ,some may object to my practice of giving several remedies in alternation or rotation and in quick succession4 ,to such ,i would say1 ,when you try this mode of practice and on comparing it with the opposite one of giving only one remedy1 and that at long intervals between the doses1 find my mode to be less successful than yours1 then it will be time for you to make your objections4 ,you may rely upon the vague hypotheses of the books1 and give your high dilutions singly1 at long intervals1 and let your patients die for want of real treatment1 while ,i will use lower dilutions and give two or more remedies in quick succession and cure mine4 ,i only speak what is in accordance with universal observation1 where the two modes are compared on equal footing1 when ,i affirm that1 while the former may effect some cures1 most of the recoveries under it1 are spontaneous and unaided1 the latter does cure2 the disease being arrested by the medicine1 and the proportion of unfavorable terminations is much less under the latter than the former course4 ,i know many learned and successful practitioners who have substituted low dilutions and the giving of several remedies in quick succession for the old mode of high attenuations and long intervals of single remedies1 all of whom still adhere to the low1 while ,i have yet to hear of the man who has gone back to high single remedies and long intervals4 ,my reason then1 for the course here laid down1 is1 that it will cure with more promptness and certainty4 ,if others are so prejudiced as not to try it1 they will still remain in ignorance of the best practice1 and their patients will be the sufferers4 ,in reference to the fear that is expressed that if one medicine is given too soon after another1 it will antidote the former1 ,i have simply to say1 ,i have no confidence in the hypothetic antidotal powers of the medicines one over another1 as laid down in the books4 ,it has not been verified by experience1 and has no foundation in truth4 ,it is true that one medicine will remove morbid symptoms that might be produced by an overdose of another2 but both being given in the ordinary medicinal doses1 neither of them to such an extent as to produce sensible symptoms1 if given alone1 would not1 if given in quick succession1 prevent each other from acting to remove their own peculiar symptoms that exist in the system at the time4 ,so if we have the symptoms that are found in two or more different remedies present in the same attack1 as is often the ease1 we may give these several remedies one after another1 with confidence in their curative effects for the symptoms they represent4 ,this has been my practice1 and it has been eminently successful1 and therefore ,i commend it to others1 treating with pity the infirmity of those who ignorantly condemn it1 as ,they know not what they do4 ,,administration ,,of ,,remedies4 ,the remedies are either in the form of tinctures saturated1 more or less dilute1 in ,pellets or ,powders4 ,the ,pellets may be taken dry upon the tongue1 allowed to dissolve and swallowed4 ,the dose for an adult is from #d to #g2 for an infant1 from birth to one year old1 #a to #c2 from one to three years1 #b to #d2 from three to ten years1 #c to #e pellets2 after ten1 same as an adult4 #ae or #bj pellets may be dissolved in a gill of water1 and a tea-spoonful dose given at a time1 being particular to stir it until all are perfectly dissolved1 stirring it each dose4 ,powders may be taken in the same manner1 upon the tongue1 a dose when dry1 being about the same bulk as of the pellets as nearly as practicable4 ,if put into water1 to a gill of water add of the powder about what would lie on a three cent piece4 ,if the liquid medicine is used1 add #a drop to a gill of water1 and use tea-spoonful doses as above directed4 ,the length of time between the doses should be1 in ,dysentery and ,diarrhoea1 regulated by the frequency of the discharges1 giving a dose as often as the evacuations occur4 ,in acute and violent diseases1 the doses should be repeated oftener than in milder cases--about once an hour as a general rule is often enough1 though in some cases they should be given in half an hour or oftener4 ,in mild cases1 once in two or three hours is often enough1 and in chronic cases1 once or twice a day4 ,bathing4 ,the surface of the body should be kept clean1 as far as possible1 and to this end1 in summer1 should be well bathed at least once a day4 ,in winter1 though useful1 it is not so indispensable2 still no one should neglect the bath more than a week1 and all ought to bathe at least twice a week1 if not oftener1 even in winter4 ,the bath should be of a temperature that is agreeable1 and the room warm1 especially for a feeble person4 ,it should be so applied as not to give a general chill1 as such shocks are always hurtful4 ,the teeth should be kept clean and free from tartar4 ,they should be cleaned every morning and after each meal4 ,the feet1 legs and arms should be warmly clothed1 especially the arms1 as an exposure of them to cold is liable to induce affections of the lungs1 and to aggravate any existing disease of those organs4 ,by exposure of the feet and legs to cold1 diseases and derangements of the female organs1 even in young girls1 are induced2 and one prolific cause of female weakness is to be found in improper dressing of the feet and legs1 while the lung affections of females1 now so fearfully prevalent1 are traceable in a great degree to the fashion that has prevailed for a few years1 of exposing the arms to cold4 ,diet4 ,the diet of the sick should he nutricious1 but at all times simple1 free from greasy substances1 and from all stimulating condiments whatsoever1 as well as from vinegar1 or food in which vinegar is used4 ,in short1 let the food be nutritious1 easily digested1 small or moderate in quantity1 and free from all seasoning1 except salt or sugar2 and if salt is used at all1 let the quantity be very small1 much less than would be used in health4 ,diarrhoea4 ,this disease consists in a looseness of the bowels1 generally accompanied with pain in the abdomen1 more or less severe4 ,it sometimes occurs without pain1 but is then attended with a sense of weakness1 and a general feeling of uneasiness4 ,it prevails mostly in the warm seasons1 but may occur at any time4 ,it is not usually considered a very dangerous affection1 except during the prevalence of ,cholera1 or in children during hot weather4 ,,treatment4 ,veratrum and ,phos4 acid1 given alternately1 at intervals1 as frequently as the discharges from the bowels occur1 will generally be sufficient4 ,if there is nausea or vomiting1 or cramping pains in the bowels1 give ,ipecac in alternation with one or both the former4 ,if thirst and a burning of the stomach or bowels exist1 use ,arsenicum4 ,this last medicine may be given in alternation with either of the others1 but is most frequently indicated in connection with ,veratrum4 ,the intervals between the doses should be regulated by the frequency of the evacuations in all cases1 lengthening them as the evacuations become less frequent1 until they cease4 ,in children1 where the discharges are greenish or slimy1 and contain undigested food1 give ,chamomilla and ,ipecac alternately1 as above directed4 ,if the discharges are dark1 or yellow1 with distress in the stomach1 give ,podophyllin4 ,the dose is from #c to #f pellets4 ,in all cases of diarrhoea1 adults should abstain from all kinds of food until cured1 if possible1 and eat but little at first1 when food is taken4 ,children should be fed carefully1 and but a small quantity at a time1 being particular both for adults and children to use as little liquid as possible2 drink water in small quantities1 not very cold4 ,avoid exercise1 and lie on the back quietly1 when that is practicable4 ,in a large majority of cases1 ,veratrum1 if given in the early stages of the disease1 will arrest it at once1 and in many chronic diarrhoeas of weeks or months standing1 it is the surest remedy4 ,in chronic diarrhoea of females1 ,podophyllin should be used in alternation with ,veratrum4 ,dysentery4 ,this disease is caused by inflammation of the mucous membrane of the colon and rectum1 7the large intestine7 generally confined to the lower part of the bowel4 ,it is always painful4 ,there is griping and straining in the lower part of the abdomen1 and generally great bearing down when at stool1 with a peculiar distress after the evacuation1 called tormina4 ,the discharges often commence like a common diarrhoea1 with copious liquid evacuations1 but there is more or less griping pain1 low down1 from the beginning4 ,the evacuations sooner or later become lessened1 slimy or bloody1 or both1 the pain increasing accompanied with more or less fever1 often quite severe4 ,sometimes the patient is costive1 and has been so for several days1 the dysentery coming on without being preceded by looseness4 ,at others1 especially in summer1 when fevers are prevailing1 the dysentery begins with a severe chill1 followed by fever and the dysenteric symptoms above described4 ,,treatment4 ,if it begins with looseness without blood1 give ,arsenicum and ,veratrum alternately1 once an hour1 or oftener if the evacuations are more frequent4 ,if the discharges are bloody1 use ,mercurius cor4 in place of the ,arsenicum4 ,if there is any sickness of the stomach1 or the discharges are dark or yellow1 use ,podophyllin with ,mercurius cor4 ,if there are colic pains in the bowels1 use ,colocynthis alternately with the others1 giving it between them4 ,if the patient was costive previous to the attack1 and the dysentery came on without much looseness1 ,nux ,vomica should be given alternately with ,mercurius cor4 ,if the disease comes on with a chill1 or a chill occurs at any time during the attack1 followed by fever1 ,aconite1 ,baptisia and ,podophyllin should be used in rotation half an hour apart until a free perspiration is produced1 and the pain diminishes2 or if bloody stools appear1 use ,mercurius cor1 with the ,aconite and ,baptisia4 ,a large proportion of the dysenteries of hot weather in miasmatic regions1 will be arrested in a few hours by these three or four remedies1 especially if the patient keeps still1 and generally even if he keeps about his business4 ,in very bad cases1 much benefit will be derived from injections of ,gum ,arabic water1 or mucillage of ,slippery ,elm thrown into the bowel in quantities of a pint or more at a time1 as warm as can possibly be endured4 ,i have often relieved patients immediately with injections of a strong solution of ,borax in ,rice water1 as hot as bearable4 ,never apply cold water to any inflamed surface1 much less a mucous surface4 ,all food should be withheld as far as practicable and not starve1 until the symptoms abate4 ,colic4 ,the symptoms of this are cramping pains in the abdomen1 without fever or looseness of the bowels4 ,the colic sometimes occurs after the cessation of a diarrhoea that had been induced by severe cathartics4 ,the pains are cutting and straining1 drawing the bowels into knots1 relieved temporarily by pressure4 ,,treatment4 ,for a male1 ,nux ,vom41 and for a female1 ,pulsatilla will generally afford immediate relief4 ,in children1 especially1 where diarrhoea exists1 ,chamomilla should be used4 ,if it is the result of severe cathartics1 or if there is a soreness or a bruised feeling1 ,colocynth is the remedy4 ,hot injections into the rectum1 and large quantities of warm water taken into the stomach1 will often cure colic4 ,bilious ,colic4 ,this disease1 in addition to the symptoms of cutting1 cramping pains in the bowels1 as in common colic1 has great distress in the stomach1 with nausea and vomiting1 the bowels being costive1 the feet and hands cold1 sometimes cold sweats occur4 ,there is also considerable fever1 and frequently headache is present4 ,the substance vomited is at first dark bilious matter1 but if the case continues a long time1 stercoraceous 7fecal7 matter will be thrown up4 ,,treatment4 ,colocynth is the most important remedy1 and should be given early and constantly4 ,podophyllin is next in importance1 and it should be given in alternation with the former1 the dose to be repeated as often as every half hour at first1 and as the patient becomes easy1 at longer intervals4 ,in this1 as in the former case1 great benefit will be derived from large injections of quite warm water1 and let it be taken into the stomach freely1 as hot as can be safely swallowed4 ,i have given a gallon of hot water in the course of two hours1 to a patient suffering under this disease1 the first half pint being rejected1 but the balance remaining1 perfect relief having been experienced4 ,if fever continues after the colic and nausea cease1 ,baptisia and ,aconite should be given alternately every hour until the fever subsides4 ,if the patient is1 and has been1 for some time1 costive1 ,nux ,vomica should be given once in six or eight hours until the bowels move4 ,injections may also be used4 ,cholera ,morbus4 ,this disease generally comes on at night1 in hot weather1 and is1 in many cases1 induced by over eating while the patient is suffering from diarrhoea and a deranged state of the liver4 ,it is essentially of a bilious character4 ,it sets in with great pain in the bowels1 sickness at the stomach1 and vomiting of large quantities of dark greenish bitter tasting substance4 ,at first1 the vomiting will seem to afford relief1 but sooner or later the stomach and bowels cramp1 and the cramping may extend to other parts of the body1 the feet1 hands1 calves of the legs1 and the arms1 cold sweats come on1 and death terminates his sufferings4 ,,treatment4 ,ipecac and ,colocynthis are to be given in alternation1 and repeated as often as every #cj minutes1 for the first three or four doses1 then as the patient gets easier1 at longer intervals4 ,a dose every hour will suffice as soon as the symptoms begin to abate4 ,the application of hot cloths or even mustard1 over the abdomen1 frequently palliates the sufferings1 and does not interfere with the action of the medicines4 ,fever of a low typhoid type some times sets in after an attack of cholera morbus1 and terminates fatally4 ,this ought never to occur under ,homoeopathic treatment4 ,for such fever give ,baptisia1 a dose every hour until the fever subsides1 which will occur generally in six or eight hours2 if not1 and the patient complains of headache1 or is delirious1 or dizzy1 or feels a fullness in the head1 give ,macrotin in alternation with the ,baptisia4 ,keep the patient very quiet and free from noise1 as far as possible4 ,sleep is a great restorer in any case1 but particularly so in this4 ,,fevers4 ,intermittent ,fever1 ,ague or ,chill ,fever4 ,this comes on with pains in the head and back1 aching in the joints1 yawning1 followed by coldness of the hands and feet1 blueness of the nails and skin of the hands1 general chilliness1 sometimes shaking4 ,this lasts from a few minutes in some cases1 to several hours in others4 ,the chill is followed by a fever1 which is generally severe and long continued1 in proportion to the length and severity of the chill4 ,the fever is followed by free perspiration1 when it subsides and leaves the patient in a comfortable condition4 ,this state is called the ,intermission4 ,this continues from a few hours to twenty-four1 or longer1 when another chill comes on followed by fever and sweats as before4 ,during the chill and fever1 the patient often suffers great pain1 and is sometimes delirious4 ,young children frequently have convulsions when the chill sets in4 ,these convulsions of children1 though alarming1 are not often dangerous4 ,,treatment4 ,as soon as the first symptoms of the chills appear1 such as the headache1 pain in the back and bones1 coldness of the hands1 nose and ears1 give ,aconite and ,baptisia alternately1 giving the first three doses every ten minutes1 the next three doses every fifteen minutes1 and then once in half an hour until the patient begins to sweat freely1 when the medicines should be discontinued4 ,if there is nausea or vomiting present1 let the patient have lukewarm water freely in large draughts1 until he vomits it up several times4 ,as soon as the sweating commences1 give ,arsenicum and ,macrotin alternately every hour during the intermission1 except during sleeping time4 ,on return of the chill1 should it appear a second time1 use the ,aconite and ,baptisia as before1 and follow them with ,arsenicum and ,nux ,vom4 every two hours4 ,this course of treatment will cure a majority of cases1 but some require ,cinchonia4 ,that ,cinchonia is a specific for intermittent fevers in many of their forms1 no one will deny4 ,it is the ,homoeopathic remedy for many cases1 and should be prescribed4 ,the injurious effects that are often attributed to ,quinine1 are1 ,i have no doubt1 attributable not to that remedy1 but to the drugs that are used prior to giving the ,chinium ,sul4 ,i have used it in more than two thousand cases1 and have never been able to see any evil consequences follow its proper use4 ,it should be given from the beginning of the chill to the end of the paroxysm1 and continued during the whole time of the intermission3 i4 e4 until the time arrives for the next chill1 time being important in the use of this remedy4 ,use the first decimal trituration1 and give grain doses 7equal to #a-ajth of a grain of the drug7 every half hour till the time the next chill would occur1 if it pursued its regular course1 allowing the patient six or seven hours time in each twenty-four1 for sleep4#a ,though from two to four grains of the pure ,chinium ,sulphuricum is all the patient would get1 very few cases that do not yield to a course of the former treatment here recommended1 will have the third paroxysm after this ,china treatment is commenced and pursued as here directed4 ,for children the dose may be one-half or one-fourth that of the adults4 ,if a trituration of the medicine cannot be got conveniently1 four grains of the ,quinine may be put into a four ounce vial of water1 shaken well every time1 and a teaspoonful taken at a dose4 ,abstinence from food as far as practicable1 and quiet is of much importance in this disease1 but the patient may use water freely4 #a ,,note4--,the ,eclectic ,physicians use equal parts of ,quinine and ,prussiate of ,iron1 with marked success in agues1 giving from one to three grains of the mixture at a dose1 every two hours1 or oftener1 for ten or twelve hours1 and some times more1 during the intermission4 ,an intelligent ,homoeopathic ,physician informs me that he has used with uniform success1 a trituration of this mixture of ,quinine and ,prussiate of ,iron1 in proportion of ten grains of the ,sugar of ,milk to one of the ,mixture1 giving the trituration in doses of about one grain every hour through the chill1 fever and intermission4 ,very few cases had a second chill after taking the prescription4 ,i have used this trituration successfully in a few cases4 ,in some cases1 the chill is irregular and indistinct1 the patient is thirsty during the chill1 and the cold stage is long in proportion to the length of the fever1 the surface pale and more or less bloated4 ,arsenicum is the remedy1 and should be given from the commencement of the chill1 and every hour until the fever subsides1 then every three hours during the intermission4 ,in chronic cases1 where the patient has been drugged with mercurials and cathartics1 together with larger doses of ,quinine1 and is still suffering under the disease1 ,pulsatilla and ,macrotin in alternation1 will1 in nearly every case1 effect a cure4 ,bilious ,fever4 ,this fever may be either intermittent1 remitting1 or continued1 and typhoid4 ,it is distinguished from common intermittent1 by the great derangement of the stomach1 as nausea and vomiting of bilious matter1 yellow coated tongue1 bitter taste in the mouth1 foul breath1 loss of appetite1 high colored urine1 and frequently distress and fullness in the right side1 7though this last is not in every case present17 the skin and white of the eyes soon become yellowish1 the chills are often imperfect1 the fever being disproportionably long4 ,,treatment4 ,podophyllin and ,merc4 should be given in ease of intermittents of this character1 during the paroxysm1 and in rotation with the other remedies for intermittents1 giving a dose every three hours during the intermission4 ,it is well also to continue these remedies night and morning1 alternately1 for a week or so1 after the cessation of the chills and fever1 or until all bilious appearances cease4 99 99 99 99 99 ,a ,,remitting ,,fever is one that goes nearly off1 but not so entirely as an intermittent1 returning again by a paroxysm of chill more or less distinct1 sometimes hardly perceptible1 and an increase of the fever following1 from day to day1 until arrested4 99 99 99 99 99 ,,continued ,,fevers are generally of a ,bilious character1 except in winter1 when they are more or less connected with irritation of the lungs1 or with ,rheumatic affections1 when they are termed ,catarrhal or ,rheumatic ,fevers4 ,if the bilious symptoms prevail1 give ,aconite and ,baptisia during the chills and high febrile stage1 at intervals of an hour1 and during the declining stage of the fever1 give ,podophyllin and ,mercurius until a perfect intermission is produced1 when the same treatment should be adopted as in intermittents4 ,but should it take the form of ,catarrhal ,fever1 the head being stuffed up1 pain in the head1 the lungs oppressed1 cough and sneezing1 the eyes and nose suffused with increased secretion of tears and mucus1 pain in the back or loins1 almost constant chilly sensations1 use in rotation ,baptisia1 ,copaiva and ,phosphorus1 giving a dose every hour until the fever begins to abate and perspiration comes on1 then leave off the ,baptisia1 and give in its stead ,macrotin1 lengthening the interval between the remedies to two hours or longer4 ,for the chronic cough that sometimes follows catarrhal fever1 ,copaiva1 ,macrotin and ,phosphorus should be used morning1 noon and night1 in the order here named4 ,should the fever be a ,rheumatic ,fever1 7,rheumatism17 the patient complaining of soreness of the muscles1 of the chest1 back and limbs1 with or without lameness of the joints1 ,aconite1 ,macrotin and ,nux ,vom4 are the remedies for a male patient1 and the two former1 with ,pulsatilla1 for a female1 7or for a male1 of light hair1 delicate skin1 feminine voice and mild temper17 to be used in rotation one hour apart4 ,these remedies are to be taken in a severe acute case1 every half hour until the symptoms begin to abate2 then every hour or two hours as the case progresses4 ,baths properly administered1 are of great importance in all forms of fever4 ,the surface of the patient should be washed and thoroughly rubbed in water quite warm1 into which a sufficiency of the ley of wood ashes has been put to make it feel quite slippery4 ,this should be done twice daily in all fevers4 ,but in ,rheumatism1 ,in addition to the medicines directed under the head of ,rheumatic ,fever1 the most decided benefit can be derived from ,alcoholic ,vapor ,baths1 which1 while they do not in the least interfere with the action of the medicines1 tend greatly to mitigate the pains1 and produce an equal state of the circulation by stimulating the surface2 abridging in many cases1 the disease one-half the time it would run under the long interval treatment alone4 ,this is to be applied by filling a tea cup with alcohol1 placed in a saucer of water to insure against danger from an overflow while burning4 ,place both under a solid wood bottom chair1 elevated about the thickness of a brick under each post1 strip the patient naked1 and after giving him the alkaline bath1 and rubbing his surface dry1 place him upon the chair1 enveloping him completely1 except his head1 with a woollen sheet or blanket1 7as there is no danger of the wool taking fire17 letting the blanket enclose also the chair and come down to the floor4 ,then set fire to the alcohol1 and if the heat is too great1 raise the edge of the blanket and let it become reduced4 ,continue this until he sweats freely1 or becomes too much fatigued to sit longer4 ,let the patient often drink freely of cold water1 during the process4 ,remove him from the chair to his bed and cover him warmly4 ,it is well to place the feet in hot water during this process4 ,this is a delightful operation for a rheumatic patient1 and no one will object to a repetition of it4 ,whatever ,physicians may think or say of this operation1 ,i know it is a most potent agent for the cure of inflammatory rheumatism1 and is a valuable agent in the chronic form of this disease4 ,typhoid ,fever4 ,this is a dangerous1 and with the ordinary allopathic treatment1 a very fatal disease4 ,it generally comes on insidiously1 the patient feeling a dull head ache1 more or less pain in his joints1 back and shoulders1 with loss of appetite1 restless and disturbed sleep1 slight chilly sensations1 with a little fever1 dry skin1 and a general languid feeling4 ,these symptoms continue from four or five days in some cases1 to two or three weeks in others1 gradually getting worse until the patient is prostrated1 or if he takes no drugs1 and keeps still1 avoiding food as far as practicable1 he may escape prostration1 and after lingering for eight or ten days1 and sometimes longer1 just on the point of prostration1 he begins slowly to get better1 and recovers about as slowly and imperceptibly as he grew sick4 ,this is in accordance with observation of cases under my own eye1 and ,i have no doubt those cases of spontaneous recovery1 had they taken a single dose of active cathartic medicine or any of the active drugs1 they would have been immediately laid upon a bed of sickness from which a recovery would have been extremely doubtful4 ,i believe that two-thirds of the deaths from typhoid fever are the direct results of medication1 and that those who recover1 do so in spite of the cathartics and the active drugs when such are used4 ,some cases1 however1 will not thus spontaneously recover1 and require proper treatment2 and it is safest to treat all cases1 at as early a day as possible4 ,some cases come on more rapidly and run into the prostrating or critical stage1 in a very few days4 ,delirium is a symptom that comes on early in these cases4 ,when the disease is fully established1 and even sometimes in the early stage1 diarrhoea sets in and runs the patient down rapidly4 ,,treatment4 ,in the early stage1 that which might be called premonitory1 while the patient is yet able to be about his business1 but is complaining of the symptoms above named1 he should1 as far as possible1 abstain from exercise and food1 and take of ,baptisia and ,phosphorus alternately1 a dose once in three hours4 ,these will almost invariably produce amendment in a few days1 and as soon as he improves any1 leave off the medicines4 ,should there be diarrhoea present1 use ,phos4 acid instead of ,phosphorus4 ,if the patient is delirious or has fullness and redness of the face1 the eyes red1 and headache1 give ,belladonna in rotation with the other two4 ,for the foul breath that comes on1 use ,mercurius cor41 especially if the diarrhoea assumes a reddish tinge1 like beef brine4 ,should the fever at any time rise high1 the pulse being full and hard1 give ,aconite1 but it rarely happens that ,aconite is useful in the later stage4 ,if the patient complains of pains in the back1 and fullness of the head1 give ,macrotin4 ,this is particularly useful for persons who have rheumatic pains in the limbs or back1 during the fever4 ,if the evacuations from the bowels are dark1 or yellow and consistent1 or there is bilious vomiting1 ,podophyllin is the remedy4 ,from some cause or other1 to me wholly unaccountable1 the writers generally have laid down ,rhus and ,bryonia as the remedies in typhoid fever4 ,i must confess ,i have no confidence in them for this fever as it prevails1 and has for several years past1 in this country4 ,they have proved a failure1 and ,i discard them altogether1 as ,i am confident1 from thorough trial1 we have much more reliable remedies as a substitute for ,rhus in the ,podophyllin1 and for ,bryonia in the ,macrotin4 ,in the early stage1 or at any time to arrest febrile and inflammatory symptoms1 the ,baptisia is much more potent than ,aconite1 its symptoms corresponding peculiarly with typhoid fever4 ,if the discharges become slimy or bloody1 give ,leptandrin and ,nit4 acid4 ,it is important to bathe in this disease4 ,scarlet ,fever4--,scarlatina4 ,this fever assumes two principal forms3 ,simple or mild1 and ,malignant4 ,in the ,simple form1 there is great heat of the surface1 extremely quick and frequent pulse1 headache1 and some sense of pain and soreness in the throat4 ,after a day or two1 there appears upon the surface1 bright scarlet patches1 in some cases extending over the whole limbs1 the skin smooth and shining1 and somewhat bloated or swollen2 upon pressure with the finger1 a white spot is seen1 which soon disappears on removal of the pressure4 ,as the disease subsides1 the cuticle comes off 7desquamates7 in patches4 ,in the simple form of this disease1 the throat1 though often more or less sore1 does not ulcerate4 ,in some cases1 notwithstanding the fever is high1 the pulse frequent1 and the throat sore1 there may be no external redness1 but the mouth and tongue will have a scarlet hue1 indicating the existence of disease more dangerous than when it appears externally4 ,in the malignant form1 the same symptoms are present1 the patient suffers more pain in the head2 the back and throat1 root of the tongue1 tonsils and soft palate become ulcerated1 turn black1 and sometimes gangrenous1 proving fatal in a few days1 or slough out in large portions1 the ulcers destroying the parts extensively4 ,the breath becomes foul and fetid1 and the effluvia from the ulcerated surface1 is very sickening to the patient and all around him4 ,this disease rarely attacks adults1 but occasionally1 and for the last six or eight months1 in one region where ,i am acquainted1 where ,scarlatina of a malignant type has prevailed among children1 adults have been affected with an epidemic soreness of the mouth and throat1 strongly resembling the worst form of the angina in malignant ,scarlatina1 together with a low typhoid form of fever4 ,,treatment4 ,in simple scarlatina1 all that is necessary is to keep the child quiet1 in a room of uniform temperature1 as far as practicable2 let it drink cold water only1 and give ,aconite1 ,belladonna and ,pulsatilla in rotation1 a dose every hour until the fever subsides4 ,if any soreness of the throat remains1 give a few doses of ,mercurius4 ,if the fever subsides1 and the soreness remain1 ,hydrastin or ,eupatorium arom4 will soon complete the cure4 ,in the malignant form1 with ulcerated1 dark colored1 or red and purulent throat1 and typhoid form of fever1 give ,aconite and ,belladonna in alternation1 every hour1 and1 at the same time1 gargle the throat freely with ,hydrastin4 ,some of the tincture may be put in water1 about in the proportion of ten drops to a teaspoonful1 or a warm infusion of the crude medicine may be used4 ,this can be applied with a camel's hair pencil1 or a swab1 to the parts affected1 once in two hours1 and will soon bring about such a state as will result in speedy recovery4 ,after the active fever has subsided1 the ,aconite and ,bell4 may be discontinued1 and ,eupatorium arom4 used instead1 once in three hours until convalescence is complete4 ,i would remark that1 with these remedies applied as here recommended1 my brother1 ,dr4 ,g4 ,s4 ,,hill1 of ,erie ,county1 ,ohio1 has1 during the last four months1 treated a large number of those malignant sore-throats1 7the ,black tongue ,erysipelas17 and been universally successful1 relieving them in a few hours1 when the symptoms were of the most alarming character1 and the disease in some cases1 so far advanced that the patients were considered by their friends and attendants1 at the point of death4 ,the ,hydrastin is a most potent remedy in putrid ulcerations of the mucous surfaces1 and much the same may be said of ,eupatorium aromaticum4 ,yellow ,fever4 ,as ,i have never practiced farther ,south than ,cincinnati1 and have seen but few cases of this disease1 my experience with it has not been sufficient to be relied upon as authority4 ,therefore1 ,i shall give a brief description of the disease1 with the proper and successful treatment1 furnished me by ,a4 ,h4 ,,burrett1 ,m4 ,d41 of ,new ,orleans1 who is not only a ,physician of more than ordinary learning and skill in his profession generally1 but is one who has spent his time in ,new ,orleans among the sick of ,yellow ,fever1 through three of the most fatal epidemics that ever scourged any city4 ,he is a man for the times1 a man of resources1 who draws useful lessons from experience and observation4 ,hence he has been able to select such remedies as have enabled him to cope most successfully with the pestilence1 saving nearly all his patients1 while1 under other treatment1 a majority have died4 ,i therefore1 attach great value to his treatment1 and recommend its adoption with the most implicit confidence4 99 99 99 99 99 ,when this ,fever prevails as an epidemic1 as it usually does1 in the southern part of the ,united ,states1 it is a disease of the most malignant character4 ,the proportion of fatal cases under the ,allopathic course of treatment1 has been equal to1 and1 in some places1 as in ,new ,orleans1 and some ,towns in ,virginia1 has exceeded that of ,asiatic ,cholera4 ,it is almost entirely confined to ,southern regions1 and only prevails in hot weather1 after the continuance of extreme heat for some weeks4 ,it usually begins with premonitory symptoms somewhat like those of ordinary fever1 but with this difference3 the patient1 instead of losing his appetite1 has often a morbidly increased desire for food4 ,he complains of severe pains in the back1 and more or less headache4 ,both the head and backache are of a peculiar character3 the pains resembling rheumatic pains1 the head feeling full and too large1 the eyes early turn red1 almost bloodshot and watery1 a chill comes on1 which may be distinct and quite severe1 lasting for an hour or more1 or1 it may be slight1 and hardly perceptible4 ,the chill is followed by high fever1 the pain in the head and back increasing1 the eyes becoming more red and suffused1 the forehead and face extremely red and hot1 and the heat of the whole surface very great1 the carotids beat violently1 the pulse very frequent1 and usually1 at first1 full and strong1 though sometimes it is feeble from the beginning4 ,however the pulse may be in the beginning1 it very soon becomes small1 but continues to be frequent4 ,the tongue is at first covered with a white paste-like coating1 which afterwards gives place to redness of the edges and tip1 with a dark or yellow streak in the center4 ,the stomach is very irritable1 rejecting every kind of food1 and all drinks1 except1 perhaps1 a few drops of ice water4 ,there is a peculiar distressed feeling in the stomach1 often a burning sensation1 so that1 if suffered to do so1 he would take large quantities of ice or water4 ,one remarkable feature of the cases noticed in the epidemic1 as it existed in ,new ,orleans the past season1 was1 that the patients had a great desire for food1 notwithstanding the nausea and distress at the stomach4 ,sooner or later1 varying from a few hours to several days1 in the ordinary course of the disease1 the fever subsides4 ,from this time the patient may recover without any further symptoms1 but this is1 by no means1 the usual result4 ,if the subsidence of the fever is accompanied by natural pulse1 a free1 but not profuse or prostrating perspiration1 a genial warmth of the surface1 natural appearance of the countenance1 eyes1 and tongue1 with little or no soreness on pressure over the stomach1 we may safely look for a speedy recovery4 ,but if1 on the contrary1 the eyes1 face1 and tongue1 become yellow1 or orange-colored1 the epigastrium is tender to pressure1 the urine has a yellow tinge1 the pulse becomes unnaturally slow1 with the least degree of mental stupor1 we have reason to know1 full well1 that the lull of the fever is only the calm preceding a more destructive storm4 ,the fever has subsided1 only because exhausted nature could re-act no longer4 ,it may be in a few hours1 or not until twelve or twenty-four have elapsed1 the pulse becomes quickened1 even to the frequency of #abj to #adj in a minute1 but very feeble1 the extremities of the fingers and toes turn purple or dark1 the tongue becomes brown and dry1 or is clean1 red1 and cracked1 sordes may be on the teeth1 the stomach become more irritable1 nausea and vomiting are extreme1 the substances vomited being1 at first1 reddish1 afterwards watery1 containing flocul1 like soot1 or coffee grounds2 the breath becomes foul1 and the whole surface emits a sickening odor4 ,the pulse becomes very small1 though the carotid and temporal arteries beat violently4 ,the urine fails to be secreted1 and later1 blood is discharged from the mucous surfaces1 involuntary discharges from the bowels1 clammy sweats2 and death follows4 ,the disease runs its course in from three to seven days1 sometimes proves fatal in less than a day1 and at others1 assumes a typhoid form1 and runs for weeks4 ,occasionally it sets in without any of the premonitory symptoms1 the chill being first1 the fever following1 succeeded immediately by the black vomit1 going through all the stages in a single day1 or two days4 ,again1 it sometimes begins with the black vomit1 the patient being immediately prostrated4 ,in all cases1 however it may begin1 the peculiar head-ache and back-ache as described in the beginning1 as well as the extreme heat of the head and face1 redness of the eyes1 the gnawing sensation at the stomach1 and peculiar nausea are present4 ,these seem to be characteristic symptoms that mark the ,yellow ,fever1 and those which should guide in the search for the proper remedies4 ,,treatment4 ,the remedies that proved successful in arresting the disease during the early or forming stage1 before the chill or fever had set in1 while the symptoms were pain1 fullness1 and throbbing of the head1 with more or less dizziness1 rheumatic pains in the back1 and redness of the eyes1 were ,aconite and ,bell41 at low attenuations1 once in two to four hours1 according to the violence of the symptoms4 ,for the fullness of the head1 pressing outwards1 as though it would split1 with pains of a rheumatic character1 ,macrotin #ast1 given in one grain doses1 every hour or two hours1 proved specific4 ,these three remedies1 ,aconite1 ,bell4 and ,macrotin1 would1 in nearly all cases1 arrest the disease in the forming stage1 so that no chill or fever would occur1 or1 if fever did come on after this treatment1 it was mild4 ,when the fever sets in1 and the pain in the head and back increases1 the eyes1 forehead and face are extremely red1 or purple and hot1 the pulse frequent and full1 the tongue coated white1 ,aconite1 ,belladonna and ,macrotin are still to be relied upon1 but they should be given every half hour1 in rotation1 at low attenuations4 ,if the tongue is red1 in the early stage1 use ,bryonia in place of the ,belladonna4 ,in a later stage1 when sickness or distress at the stomach had become prominent1 with the quick pulse1 and hot skin1 ,ipecac and ,aconite1 both at the #ast attenuation1 a dose given every half hour alternately1 generally arrested the symptoms1 and brought on perspiration of a healthful character1 followed by subsidence of the fever and convalescence4 ,sponge baths1 with half an ounce of ,tr4 ,ipecac in two quarts of tepid water1 applied to the whole surface freely1 under the bed clothes1 so as not to expose him to the air1 contributed much towards bringing on perspiration and subduing the fever1 as well as allaying the nausea4 ,when called to patients in the stage of ,black ,vomit1 whether that came on as an early symptom1 or at a later stage1 ,nit4 acid1 ,veratrum virid4 and ,baptisia1 all at the first dilution1 were administered every hour1 in rotation1 with great success1 the symptoms yielding in a few hours4 ,for the great oppression1 as of a load1 in the stomach1 without vomiting1 ,nux was found sufficient4 ,in the later stage1 when there seemed to be no secretion of urine1 ,canabis and ,apis mel41 gave relief4 ,the remedies most successful for the cases that assumed a typhoid character1 with dry1 cracked tongue1 sordes on the teeth1 and low sluggish pulse1 were ,baptisia and ,bryonia1 given every two hours1 alternately4 ,nitric acid given internally and injected into the rectum1 when bloody discharges appear1 is generally quite successful4 ,good nursing is of the utmost importance1 and the patient should be visited frequently by his ,physician1 as great changes may occur in a short time4 ,three times a day is none too often to see the patient4 ,as soon as the fever comes on1 the patient should be stripped of his clothes1 and dressed in such garments as he is to wear in bed through the attack4 ,he should be put to bed and lightly covered1 but have sufficient to protect him from any sudden changes in the atmosphere1 and the room should be well ventillated all the time4 ,the baths should always be applied under the bed clothes4 ,the diet should be very spare and light1 after the fever subsides1 and while the fever exists no food should be taken4 ,thin gruel1 in teaspoonful doses1 once in half an hour1 is best4 ,after a day or two1 the juice of beef steak may be given in small quantities but give none of the meat4 ,no hearty food should be allowed for eight or ten days after recovery4 ,a relapse is most surely fatal4 ,as ,prophylactics 7preventives7 of the fever1 ,macrotin1 ,bell4 and ,aconite should be taken1 a dose every eight to twelve hours1 by every one that is exposed4 ,these will1 no doubt1 often prevent an attack1 and if they do not1 they will so modify it1 that it will be very mild1 of short duration1 and very easily arrested4 ,pregnant females1 and young children were sure to die if attacked1 when treated by the ,allopathic medication2 but1 by the use of these remedies as preventives1 their attacks were rendered so mild as to be amenable to remedies1 and all recovered4 ,pleurisy--,pleuritis4 ,this is inflammation of the ,pleura of one or both lungs1 generally confined to one side4 ,it is known by sharp pain in the side of the chest1 increased by taking a long breath1 or coughing1 or by pressing between the ribs4 ,the cough is dry and painful1 the patient makes an effort to suppress it1 from the pain it gives him2 the fever is of a high grade1 the pulse full1 hard and frequent1 with more or less pain in the head4 ,,treatment4 ,aconite is a sovereign remedy4 ,it should be given at intervals proportionate to the severity of the disease1 once in half an hour1 for about three doses1 then every hour until the patient is easy and perspires freely4 ,this is the course ,i have generally pursued1 and scarce ever failed of relieving in a few hours4 ,other means may often be used with advantage at the same time1 and not interfere with the action of the medicine4 ,put the feet and hands into water as hot as it can be endured1 and apply to the affected side very hot cloths1 hot bags of salt1 or mustard4 ,there is no harm in this1 and it relieves the pain4 ,let the patient drink freely of hot water1 into which you may put milk and sugar to render it palatable4 ,if the case seems to linger1 and perspiration is tardy in appearing1 give1 in alternation with ,aconite1 ,eupatorium arom4 ,this will soon relieve4 ,inflammation of the ,lungs--,pneumonia4 ,this disease is often connected with ,pleurisy1 and consists of inflammation of the substance of the lungs4 ,as in the former case1 it may attack only one1 but may exist in both sides at the same time4 ,if the pleura is also affected1 there will be all the symptoms of pleurisy1 together with those peculiar to inflammation of the lungs proper4 ,they are1 pain in the lungs1 oppressed breathing1 cough1 causing great distress on account of the soreness of the affected parts3 at first1 expectoration from the lungs is nearly wanting1 the cough being dry1 but after a time1 there is a rattling sound on coughing1 and more or less mucous substance is with difficulty raised4 ,this is1 at first1 white or brownish1 but soon becomes reddish and frothy1 tinged with blood4 ,the patient lies on the affected side1 and cannot rest on the sound side4 ,the pulse is full1 hard and frequent1 the fever high1 pain in the head1 and sometimes delirium4 ,if the disease is not arrested1 the patient generally dies from suffocation1 by the lungs filling up1 hepatized1 or abscess and ulceration come on1 and then what is called quick ,consumption carries him off4 ,,treatment4 ,in the early stage1 ,aconite and ,phosphorus should be used at intervals of from half an hour to one hour1 in alternation1 until the fever abates1 and the oppression in the chest is relieved4 ,if1 however1 there is bloody expectoration1 ,bryonia may be used in place of ,phosphorus1 though ,i prefer to use it in rotation with the two others4 ,these will soon1 in all ordinary cases1 subdue the most distressing symptoms1 and effect a perfect cure in a day or two4 ,belladonna should be used1 when there is much delirium1 or great pain in the head4 ,occasionally1 the cough from the beginning1 is apparently loose2 there being a rattling sound1 but the expectoration is difficult1 the fever high1 with some chilly sensations1 or at least1 coldness of the knees1 feet and hands1 a white or brownish fur upon the tongue1 and pain in the bowels1 ,for such symptoms1 especially with the pain in the bowels1 as though a diarrhoea would come on1 give ,tartar emet4 ,it is often one of the best remedies in this disease1 affording relief when others have failed4 ,after subduing the high febrile symptoms1 if there remains cough1 indicating much irritation1 or inflammation of the lungs1 ,macrotin should be used in place of ,aconite1 with ,phosphorus and ,copaiva1 the three in rotation1 two hours between doses4 ,acute ,bronchitis1 ,inflammation of the ,bronchial ,tubes4 ,this is attended with distressing cough1 profuse expectoration1 oppressed breathing1 pain in the forehead1 and general catarrhal symptoms4 ,baptisia1 ,copaiva and ,eupatorium arom4 given every hour1 in rotation1 will1 in general1 relieve from the acute affection in a short time2 but the ,chronic ,bronchitis requires the use of ,copaiva1 ,macrotin and ,arum triphyllum1 to be taken morning1 noon1 and night1 in the order named2 or1 if the cough be severe1 they should be used every three hours4 ,these will be sufficient to effect a cure4 ,coughs ,generally1 unless they arise from consumption1 yield readily to the alternate use of ,copaiva1 ,phosphorus and ,macrotin1 a dose given once in from three to six hours4 ,if1 however1 there is soreness of the throat1 redness and soreness of the tonsils1 palate1 and fauces1 or soreness of the larynx1 with hoarseness1 ,arum triphyllum and ,hydrastus ,can4 are the surest remedies4 ,they rarely ever fail of effecting a complete cure in a few days4 ,they should be used three or four times a day4 ,they may be used with the other medicines recommended for coughs4 ,in acute ,sore ,throat1 arising from sudden cold1 ,arum triphyllum and ,eupatorium aromaticum are the remedies to be relied upon4 ,if the tonsils seem to be mainly involved1 constituting ,quinsy--,tonsilitis1 ,belladonna and ,aconite should be given1 while there is high fever1 then substitute for them1 ,arum tri4 and ,phosphorus2 or1 these may be used in rotation with the former1 a dose every hour or oftener4 ,inflammation of the ,bowels4--,enteritis4 ,this consists in inflammation of the muscular and peritoneal coats of the intestines1 sometimes also involving the mucous coat4 ,the pain in the abdomen is constant1 intense and burning in its character1 felt most at the navel2 the abdomen is extremely tender to pressure1 and often bloated or tympanetic4 ,thirst is intense1 but cold drinks distress and vomit the patient4 ,the pulse is small1 feeble and frequent1 and the bowels costive4 ,this is a very dangerous disease4 ,it is sometimes connected with inflammation of the stomach1 then called gastro-enteritis4 ,the tongue is then red and pointed1 the nausea and vomiting are more violent and constant1 the thirst burning and insatiable4 ,,treatment4 ,the same medicines are applicable to both ,gastritis and ,enteritis4 ,aconite1 ,arsenicum and ,baptisia should be used one following the other every half hour until the symptoms begin to subside1 then let the intervals be lengthened4 ,in addition to these remedies1 ,i allow the patient to drink often and freely of hot water1 as hot as can be swallowed1 and though it is at first almost instantly rejected by the stomach1 by repeating it in a few minutes in moderate quantities1 it gives relief and will soon so allay the irritation as to remain4 ,in some cases the vomiting is severe1 the bowels are loose1 and pain burning4 ,for such1 ,tart4 ,emet4 is the proper remedy4 ,cold drinks should not be taken4 ,cloths wet in cold water1 ice water if it is at hand1 and wrung out so as not to drip1 should be laid over the whole abdomen and instantly covered with two or three thicknesses of warm dry flannel1 and the patient's feet kept warm4 ,this may be considered harsh treatment1 but there is no danger in it2 on the contrary ,i have1 in the worst and most alarming cases of gastritis and peritonitis1 made such applications1 and in less than an hour have seen my patient easy and beginning to perspire freely1 all danger having passed4 ,it always affords more or less relief and is never attended with danger4 ,covering the wet cloths immediately with plenty of dry ones is very essential4 ,after the acute inflammation has subsided1 it is well to have the bowels moved1 but don't give drastic cathartics4 ,nux ,vomica given at night and repeated morning and noon1 will generally serve to cause an evacuation4 ,injections may be used4 ,croup4 ,this is a disease of children4 ,comes on in consequence of a sudden cold4 ,children suffering from ,hooping ,cough are more subject to it4 ,the cough is of a peculiar whistling kind1 like the crowing of a young chicken1 with rattling in the throat and difficult breathing1 fever is present1 and often very violent4 ,it is properly an inflammation of the ,larynx1 but the inflammation may also exist in the ,pharynx1 the tonsils may be involved1 and it may extend to the trachia1 7wind pipe74 ,a false membrane forms in the larynx if the disease is not arrested1 and so obstructs the breathing as to cause death from suffocation4 ,,treatment4 ,give at first ,aconite1 ,phosphoric ,acid1 and ,spongia1 giving them in the order here named once in ten minutes in a very violent case1 and as the patient improves at intervals of half an hour1 and then an hour4 ,should the fever subside1 and still the tightness in the throat and cough continue to be troublesome1 give ,ipecac in place of ,aconite4 ,and when the cough seems to be deep seated use ,bryonia instead of spongia4 ,the patient should be kept in a warm room1 and free from exposure to currents of cold air4 ,the application of a cloth wrung out of cold or ice water to the throat1 covered immediately with dry warm flannels so as to exclude the air from the wet cloth1 will often exert a decidedly beneficial effect1 and there is no danger if managed as here directed4 ,the feet should be kept warm and the head cool1 but don't put cold water on a child's head4 ,asthma4 ,if an attack comes on from sudden cold1 take ,aconite and ,ipecac every hour for a day1 and if any symptoms remain1 in place of the ,aconite use ,copaiva1 ,arsenicum and ,phos4 ,acid with the ,ipecac1 giving them in rotation1 a dose every hour4 ,in ,chronic ,asthma1 where the patient is liable to an attack at any time1 great benefit will be derived from taking these four in rotation about two hours apart for a day or two1 at any time when symptoms of an attack begin to appear4 ,i have recently succeeded in alleviating several bad cases1 at once1 by these four remedies in succession as here recommended1 on whom 7some of them7 ,i had at various times tried all of them1 as well as other medicines1 singly at longer intervals1 as directed in the ,books1 without any decided benefit4 ,after trying these in succession1 as here directed1 ,i found no trouble in arresting the paroxysm in a few hours1 and ,i am strong in the faith that with some1 at least1 ,i have effected cures4 ,it is worth much to arrest the paroxysm if no more4 ,hooping ,cough4 ,according to my experience1 though this disease may not be entirely arrested in its course1 and not generally much abridged in its duration1 still the use of appropriate medicines will greatly modify it1 and render it a comparatively trifling affection4 ,in treatment1 give at the commencement of the attack ,bell4 and ,phos4 acid alternately every twelve hours for a week1 then once in six hours1 and if the child should take cold so as to bring on fever1 give one every hour4 ,continue these1 as above directed1 for the first two or three weeks1 then1 in their stead1 after the cough becomes loose1 and the patient vomits easily1 give ,copaiva and ,ipecac in the same manner as directed1 for the two former remedies4 ,dyspepsia4 ,this term is applied so loosely and so indiscriminately to all chronic derangements of the stomach1 that it is difficult to define it4 ,i shall therefore point out some of the more common ailments of the stomach and their proper remedies4 ,for sour eructations with hot1 burning1 scalding fluid rising up in the throat1 with or without food1 give ,phos4 acid and ,pulsatilla in alternation every half hour1 until the stomach is easy4 ,for a feeling of weight and pain in the stomach1 with dull pain in the head1 with or without dizziness1 give ,nux4 ,vom4 every hour until it relieves4 ,if there is a burning feeling in the stomach as well as the heavy load1 without eructations and rising of fluid1 ,arsenicum should be alternated with the ,nux4 ,vom41 at intervals of two hours4 ,there are persons who1 from imprudence in eating or drinking or both1 or which is more frequent1 from harsh drug medication1 have so enfeebled their stomachs1 that1 though by care in selecting their food1 and prudence in taking it1 they may suffer but little1 are1 nevertheless1 when from home or on special occasions1 liable to overeat or take the wrong kind of food1 from which unfortunate circumstance they are made to suffer the most tormenting and intolerable distress in the stomach and bowels1 which may last1 more or less severe1 for several days4 ,soon after the unfortunate meal1 perhaps the next morning1 or1 it may be1 in a few hours1 the stomach begins to bloat1 by accumulating gas within1 which is belched up every few minutes in large quantities2 the stomach and bowels are racked with the most torturing pains2 cold sweat stands on the brow1 and he is the very picture of misery4 ,thus he may roll and tumble all night1 and remain in misery the next day and several days longer1 before the food will digest4 ,it often passes from the stomach without digestion1 and on its way through the bowels inflicts constant pain4 ,if he does not take some emetic substance1 he is not apt to vomit1 his stomach cramping so as to prevent it4 ,i have here described one of the bad cases1 but bad as it is they are by no means very rare4 ,there are such cases in abundance1 of all grades from the one here described down to a slight derangement4 ,they all require a similar course of treatment4 ,it is useful for such patients to take at once large quantities of lukewarm water1 and repeat the draught every ten to fifteen minutes1 until free and thorough vomiting is induced1 so as to throw off all the food from the stomach4 ,but even this does not often cure these bad cases4 ,if it did1 it is not always convenient to do it4 ,the medicine that is quite certain to afford relief at once is ,podophyllin4 ,let it be given1 and the dose repeated in an hour4 ,a third dose is rarely necessary4 ,after relief from this attack1 the medicine should be taken night and morning for a month or more until the stomach is restored4 ,in the meantime care should be taken not to overload the stomach4 ,constipation4 ,the medicine for this affection is ,nux vom41 to be taken at night on retiring4 ,if there is fulness and pain in the head from costiveness1 ,bell4 should be used in the morning1 and at noon4 ,let the patient contract a habit of drinking cold water freely on rising in the morning1 at least half an hour before eating4 ,the patient should not take physic4 ,for constipation of children1 ,nux and ,bryonia are to be given ,nux at night and ,bryonia in the morning4 ,opium is useful4 ,much needless alarm is often felt by persons on account of a costive state of the bowels4 ,if no pain is felt from it1 there is no cause for alarm4 ,heartburn4 ,this peculiar burning and distressed feeling at the stomach depends on imperfect digestion1 but is not ordinarily1 as is generally supposed1 connected with a sour or acid state of the fluids in the stomach4 ,the condition of the fluids is alkaline1 in most cases1 though it is sometimes acid4 ,if it depends upon biliary derangement1 ,nux ,vomica and ,podophyllin are the remedies for a male2 ,pulsatilla and ,podophyllin for a female4 ,erysipelas4 ,this is a disease of the skin1 producing redness1 burning and itching pains1 appearing in patches1 in adults1 most apt to appear about the head and face1 but in children1 upon the limbs1 or in very young children1 beginning at the umbilicus4 ,it sometimes begins at one point1 and continues to spread for a time1 then suddenly disappears1 and reappears at some other point4 ,simple ,erysipelas only affects the surface1 with redness and smarting4 ,vessicular1 produces vessicular eruption1 or blisters filled with a limpid fluid1 somewhat like the blisters from a burn4 ,the ,phlegmonous ,erysipelas affects the whole thickness of the skin and cellular tissues beneath it1 producing swelling1 and not unfrequently1 resulting in suppuration1 ulceration or gangrene and sloughing of the parts4 ,it is a dangerous disease1 especially when on the head4 ,,treatment4 ,for the simple kind1 ,bell4 is all that will be needed1 unless there should be considerable fever1 when ,aconite should be alternated with the ,bell4 ,for the vessicular kind1 where there are blisters1 ,rhus tox4 should be used with ,bell4 ,for the ,phlegmonous1 with deep seated swellings1 ,apis mel is the most important remedy4 ,i prefer to use three of these remedies1 giving them in rotation1 beginning with the ,bell41 followed with ,rhus1 and then by ,apis mel4 giving them one hour apart4 ,in a mild case1 or after the patient begins to recover1 give them at longer intervals4 ,the ,apis alone will often be sufficient4 ,during the whole time1 the affected parts should be kept covered with dry1 superfine flour1 some say ,buckwheat flour acts most favorably4 ,the diet should be very spare4 ,eat as little as possible1 until the disease begins to subside4 ,a very important part of the treatment of this affection is to keep the patient in a room that is comfortably warm1 say at a temperature of from #fe to #ge1 and keep the temperature uniformly the same1 as nearly as possible1 night and day4 ,do not1 by any means1 expose him suddenly to cold air1 or a cold breeze1 as on going into a cold room1 going out into cold air1 or undressing or dressing in a cold room4 ,uniformly warm temperature is of great importance4 ,burns and ,scalds4 ,no matter what the nature and extent of the burn may be1 the very best of all medicines of which ,i have any knowledge1 is ,soap4 ,if the parts affected1 are immediately immersed or enveloped in ,soft ,soap1 the pain will be greatly lessened1 and the inflammation that would otherwise follow1 will be essentially modified1 if not entirely prevented4 ,it acts like magic2 no one who has never tried it can have any idea of its potency for the relief of pain1 together with the prevention of bad consequences following severe burning4 ,under the influence of the ,soap applications1 burns and scalds will often be rendered comparatively insignificant injuries4 ,instead of endangering the life of the sufferer from the excessive pain1 or the ulceration1 or gangrene and sloughing that would follow if the pain in the first instance does not destroy life1 the pain ceases1 or becomes bearable in a short time1 and either little or no suppuration or sloughing takes place1 or the sore assumes the appearance of healthy suppuration1 and heals kindly--avoiding those unsightly deformities that so commonly follow severe burning4 ,if practicable1 the soap1 as before suggested1 should be applied immediately after the burn1 the sooner the better4 ,the part may be put into soft soap1 or cloths saturated with it can be wrapped around or covered over the affected surface1 to any desirable extent4 ,the parts should not be exposed to the air for a single moment1 when possible to prevent it4 ,during the first two or three days1 dressings need not be removed1 unless they cause irritation after the first severe pain has subsided4 ,they should be kept all of the time moist1 and as far as practicable1 in a condition to be impervious to the air4 ,when it is necessary to remove them1 let the affected surface be immersed in strong soap suds1 at a temperature of about #ge or #hj1 and the dressing removed while it is under water1 and others applied while in the same situation4 ,in ordinary cases1 however1 even of extensive burns1 after the fever consequent upon it has subsided1 and the part is tolerably free from pain and smarting1 the dressings may be removed in the air1 but others should be in readiness and applied as speedily as possible4 ,the soap dressings are to be continued from the beginning until the inflammation has subsided and the sore has lost all symptoms that distinguish it from an ordinary healthy suppurating sore4 ,after the first few days1 or in case of a slight burn at the beginning1 an excellent mode of applying the soap1 is to make a strong thick ,lather with soft water and good soap1 such as ,castile1 or any other good hard soap1 as a barber would for shaving1 and apply that to the affected part with a soft shaving brush2 apply it as carefully as possible1 so as to cover every part of the surface1 and go over it several times1 letting the former coat dry a little before applying another1 forming a thick crust impervious to the air4 ,in small burns1 and even in pretty extensive and severe ones1 this is the best mode of application1 and the only one necessary4 ,in many cases of very severe and dangerous burns1 under the influence of this application1 the inflammation subsides1 and after a week or more1 the crust of lather comes off1 exposing the surface smooth and well4 ,although it is important to apply the soap early1 and the case does much better if that has been done1 still ,i have found it the best remedy even as late as the second or third day4 ,in such a case1 the lather application is the best4 ,for the fever and general nervous disturbance1 ,aconite and ,bell4 should be given alternately1 as often as every half hour1 and the ,aconite should be given in appreciable doses2 it acts powerfully as an anodyne4 ,the soap treatment1 or at least1 the mode of applying it was first suggested to me by ,dr4 ,j4 ,,tifft1 of ,norwalk1 ,ohio1 some six or seven years ago1 since which time ,i have had opportunities of testing its virtues in all forms of burns and scalds1 some of which were of the severest and most dangerous character1 and ,i am quite sure in several cases1 no other remedy or process known to the medical profession1 could have relieved and restored as this did4 ,the application of finely pulverized common salt1 triturated with an equal part of superfine flour1 acts very beneficially on burns4 ,it seems to have the specific effect to extract the heat1 literally putting out the fire4 ,it is particularly useful for deep burns where the surface is abraded4 ,some may suppose this would be severe and cause too much pain when applied to a raw surface1 but so far from that being the case1 it is a most soothing application4 ,it often so changes the condition of even the severest burns1 in a short time1 as to render them of no more importance and no more dangerous than ordinary abrasions to the same extent1 by causes unconnected with heat4 ,urtica urens is directed for burns1 and is useful1 but the ,urtica dioica is better4 ,for ,chilblains1 ,that follow freezing or chilling the feet1 causing most distressing uneasiness and itching of the feet and toes1 take these remedies1 ,rhus and ,apis1 the former at night and the latter in the morning4 ,in bad cases1 they should be used once in six hours4 ,applications of ,oil of ,arnica to the affected parts at night1 warming them before a fire1 will serve greatly to palliate the sufferings1 and frequently effect a perfect cure4 ,the ,urtica ,dioica will relieve recent cases1 immediately1 and is one of the best remedies for the chronic affection4 ,it should be taken at the #b;d dilution1 and the tincture applied to the affected part every night4 ,hoarseness4 ,this arises generally1 from inflammation of the mucous membrane of the ,larynx1 in ordinary cases but slight4 ,it is a frequent accompaniment of ,bronchitis4 ,the remedies most useful1 and those which will1 in almost all ordinary cases1 remove this affection at once1 are ,arum tri4 and ,copaiva1 to be taken a dose every three hours in alternation4 ,if there is present a dry hacking cough1 it will be well to take ,bell4 in the interval between the other medicines1 for a day1 or until the cough is relieved1 or changed to a moist condition4 ,inflammation of the ,brain4 ,brain ,fever4 ,though this affection is not strictly what is called brain fever1 it is attended with more or less general fever1 while in what is called ,brain fever1 there is great irritation of the brain1 requiring in many respects similar treatment4 ,as the treatment proper for inflammation of the brain1 with some slight modifications in relation to the existing fever1 will be applicable to both1 ,i shall treat of them under one head4 ,some of the principal symptoms are delirium and drowsiness1 fullness of the blood vessels of the head1 beating of the temporal arteries1 redness and fullness of the face1 the pupils dilated1 7though in the very early stage they may be contracted47 ,if the membranes of the brain be the seat of the disease1 the pain is more intense1 and frequently the limbs are in a palsied state4 ,the patient sometimes vomits immoderately1 and the pulse is slow and irregular1 but full4 ,the breathing becomes stertorous4 ,the fever is very considerable1 and the head hot4 ,,treatment4 ,aconite1 ,belladonna and ,bryonia should be given in rotation1 one dose every hour in a violent case1 lengthening the intervals as the symptoms abate4 ,applying hot cloths to the head1 removing them occasionally to let the water evaporate1 will greatly palliate and will not in the least1 interrupt the action of the medicines4 ,never apply cold to the head of any person1 when hot or inflamed1 much less to that of a child4 ,children are often killed by the application of ice to the head1 producing congestion and paralysis of the brain4 ,hot applications are ,homoeopathic to the state then existing1 and always beneficial4 ,the feet may also be placed in hot water1 but children should never be put into a hot or warm bath when sick1 so as to cover more than the lower extremities4 ,convulsions of ,children--,fits4 ,these generally occur1 either from the irritation of worms1 or as precursors of ague1 or they may arise from diarrhoeal irritation1 affecting the brain4 ,they sometimes occur in hooping cough4 ,if convulsions occur from worms1 the child appearing to be choked1 give at once some salt and water1 and as soon as the first paroxysm is over1 give a dose of ,bell41 and after an hour a dose of ,santonine4 ,if they come on at the commencement of an ague chill1 give ,aconite and ,bell4 every half hour for three or four doses alternately1 then leave off the ,bell4 and give ,baptisia4 ,if diarrhoea is the cause1 give ,bell4 and ,cham omilla4 ,if from hooping cough1 ,bell4 alone should be used4 ,measles4 ,this is a contagious disease1 and always begins with symptoms like a cold1 with high fever1 and a severe dry cough1 thirst and restlessness4 ,pulsatilla is the proper medicine to palliate and regulate the symptoms4 ,if the fever is high1 ,aconite should be used every two hours alternately with ,puls4 ,should the eruption subside suddenly1 give ,bryonia with ,pulsatilla until it reappears4 ,let the child drink freely of cold water1 and avoid stimulants of every kind4 ,if the eruption is tardy in its appearance1 a hot bath may be administered1 being careful to have the room quite warm1 and to rub the patient dry1 very suddenly after the bath4 ,frictions by the healthy hand over the surface1 will do much towards bringing out measles4 ,after the eruption is out1 quiet1 freedom from sudden exposure to cold1 cold water and light diet is all that is necessary4 ,in some of the most obstinate cases1 where the eruptions failed to appear in the proper time1 as well as where they had receded too soon1 ,i have been able to bring them out in a short time with an infusion of ,sassafras root1 sweetened and taken quite warm1 in doses of half an ounce in fifteen to thirty minutes4 ,it is a remedy for measles well worth attention4 ,mumps4 ,this is a contagious disease1 consisting in an inflammation of the ,parotid gland4 ,there is1 at first1 a sense of stiffness and soreness on moving the jaw1 soon after the gland begins to swell1 and continues to be sore and painful1 with more or less headache1 and general fever for from six to eight days4 ,it is not ordinarily a dangerous disease1 unless translated to some other part4 ,it may remove from the original seat to the brain1 the testicles1 or in females to the breasts4 ,,treatment4 ,mercurius should be given three times a day during the attack4 ,if the brain becomes affected1 use ,bell4 and ,apis mel4 in alternation4 ,should it recede to the testicles1 or to the female breasts1 ,apis mel4 is the remedy4 ,mercurius may be used in connection with the ,apis as soon as the violent symptoms have subsided1 in order to prevent permanent glandular swellings4 ,stings of ,insects4 ,the effect produced by the sting of ,bees1 ,wasps1 and ,hornets of all kinds1 is so nearly1 if not quite identical1 that ,i shall make no distinction between them4 ,there are very few1 if any persons1 who do not know the symptoms1 at least the local effects of the ,bee sting4 ,pungent1 stinging1 aching pain1 redness and swelling of the part4 ,the wound has at first1 and for some time1 a white spot or point where the sting entered1 surrounded by an areola of bright scarlet1 growing fainter and paler as it recedes4 ,the swelling is not pointed1 but a rounded elevation1 with a feeling of hardness4 ,if upon the face1 it not unfrequently causes the whole face to swell so as to nearly if not entirely close the eyes4 ,in some instances1 the brain becomes affected and death ensues4 ,,treatment4 ,i have for many years1 used but one remedy1 and that has in all cases1 and under all circumstances1 when applied at any stage of the affection1 produced prompt and perfect relief2 therefore ,i shall recommend no other4 ,it is the common garden ,onion1 7,allium cepa7 applied to the spot where the sting entered4 ,i cut the fresh ,onion and apply the raw surface to the spot1 changing it for a fresh piece every ten to fifteen minutes1 until the pain and swelling1 and all disagreeable symptoms disappear4 ,if it is applied immediately after the stinging1 the first application will afford perfect relief in a few minutes1 and no further effect from it will be experienced4 ,applied later1 it must be continued longer1 and this may be done one or two days after the stinging1 with just as much certainty of removing whatever symptoms may still exist4 ,i treated one case when three days had elapsed1 the patient 7a young lady7 was delirious and speechless1 the whole face was so swollen as to entirely disfigure her features1 raising the cheeks to a level with the nose1 and closing the eyes4 ,her life was almost despaired of4 ,the surface of a freshly cut onion was applied to the point where the sting entered1 and changed about once an hour for a fresh piece4 ,in a few hours consciousness returned1 and a rapid recovery followed4 ,all the swelling and disagreeable symptoms were gone in three days4 ,ledum is highly recommended by some ,physicians1 and is doubtless of some value1 but it is not to be compared with the ,allium4 ,the most potent and certain remedy for the poison caused by the ,bite of the ,rattlesnake is ,alcohol1 in the ordinary form1 or in common ,whisky1 ,brandy1 ,rum or ,gin4 ,let the patient drink it freely1 a gill or more at a time1 once in fifteen to twenty minutes1 until some symptoms of intoxication are experienced1 then cease using it4 ,the cure will be complete as soon as enough has been taken to produce even slight symptoms of intoxication4 ,it is remarkable how much alcohol a patient suffering from the poison of the ,rattlesnake will bear4 ,an intelligent medical friend of mine in ,kanawha ,county1 ,virginia1 gave a little girl of ten years1 who had been bitten by a ,rattlesnake1 over three quarts of good strong ,whisky1 in less than a day1 when but slight symptoms of intoxication were produced1 and that seemed to arise entirely from the last drink4 ,she recovered from the intoxication in a few hours1 and suffered no more from the poison of the serpent4 ,instances of cures with whisky are numerous1 and ,i have never heard of a failure1 when it was used as here directed4 ,i presume it will do the same for the poison of other serpents4 ,headache4 ,this symptom or affection1 7if it can be classed as a disease7 may depend upon so many causes1 and be so very different in its effects1 degrees of intensity1 and the kind of pain or sensation attending it1 that one will find it very difficult to mark out any definite treatment4 ,i shall1 therefore1 only point out some of the more frequent cases1 and the indications for certain remedies4 ,what is called sick headache1 or nervous headache1 begins by a sense of blindness or blur1 before the eyes1 of green or purple colors1 dazzling or swimming in the head1 without1 for some time at first1 any positive aching or pain4 ,in the course of an hour1 a longer or shorter time1 the dimness of vision goes off1 and the head begins to ache4 ,this may or may not be accompanied with nausea and vomiting4 ,some persons are always more or less sick at the stomach1 when these nervous headaches come on1 others are not thus affected4 ,,treatment4 ,if taken as soon as the first blur before the eyes is noticed1 or before any pain is felt in the head1 ,nux ,vomica will1 in nearly all cases1 arrest the disease at once4 ,it may be necessary to take two or three doses at intervals of an hour4 ,later in the case1 though ,nux may palliate1 it will not cure4 ,if headache with sickness comes on1 ,macrotin and ,podoph4 should be given in alternation1 every half hour1 if the symptoms are very severe1 and the nausea great2 but in a mild case1 give it once an hour1 lengthening the interval as the symptoms abate4 ,if the feet are cold1 as is often the case1 putting them into hot water will palliate the symptoms1 and not interfere with the medicines4 ,if the head feels hot1 apply hot water to it4 ,never apply cold to the head1 when there are any symptoms of congestion1 as of fullness of the blood vessels4 ,for ,common ,headache1 ,if the face is red1 and the arteries of the neck and temples throb violently1 give ,bell4 ,if there is paleness and faintness1 ,pulsatilla is the remedy1 especially if the forehead is principally affected4 ,if the pain is mostly in the back of the head1 ,nux is to be used2 if in the front1 and is sharp1 affecting the eyes1 ,aconite2 if at the angles of the forehead1 with a sense of pinching1 ,arnica2 if a sense of fullness and pressing outwards1 or with an enlarged feeling1 ,macrotin2 if intermitting or remitting1 ,mercurius2 if there is ringing in the ears1 ,china4 ,headache from fright should have ,aconite4 ,for that kind of headache that often occurs during the prevalence of fevers1 and is not unfrequently a premonitory symptom of an attack of fever1 ,i have found ,baptisia and ,podophyllin to be specifics4 ,i give them alternately1 every two hours a dose1 until the headache ceases4 ,it often subsides in a few minutes after the first dose of either1 though ,i have sometimes failed with one alone and succeeded in the same cases afterwards with both in alternation4 ,i have no doubt but that they act in many cases1 as ,prophylactics1 entirely warding off and preventing fevers1 or at least arresting them at the premonitory stage4 ,podophyllin is a most valuable remedy for headache4 ,nose ,bleed--,epistaxis4 ,if it arises from fullness of the vessels of the head1 with throbbing of the temples1 redness of the face and eyes1 ,belladonna is the remedy4 ,if fever is present1 ,aconite must be alternated with ,bell4 ,in females or children who have habitual nose-bleed1 ,pulsatilla and ,podophyllin are to be used alternately1 night and morning4 ,during the paroxysm of bleeding1 ,arnica should be used1 one dose repeated in a half hour if it continues4 ,if it is produced by over-exertion1 ,rhus is the proper remedy4 ,if it occurs in the early stage of fever1 ,aconite and ,bell42 in the latter stage1 ,rhus and ,phos4 are to be used4 ,hamamelis will frequently arrest nose-bleed immediately after one or two doses4 ,worms4 ,it is difficult to determine the presence of worms in children1 much more in adults1 yet both are affected by them occasionally4 ,in children1 there is more or less fever and restlessness1 screaming out in sleep1 starting1 pain in the bowels1 vomiting1 choking1 diarrhoea1 picking at the nose1 fetid breath1 voracious and variable appetite4 ,,treatment4 ,santonine is a remedy which ,i have used for years1 and ,i have treated many hundreds of cases1 with such unvariable success1 that ,i feel disinclined to use or to recommend any other4 ,it brings away the worms entire1 and relieves the patient of all morbid symptoms immediately1 or in much less time than any other remedy of which ,i have any knowledge4 ,it seems to act specifically upon the worms1 causing them to leave the bowels by being evacuated with the feces1 without producing any sensible impression upon the bowels1 the evacuations remaining natural1 if they were so1 or becoming so1 if deranged1 and the worms coming away not quite lifeless4 ,i have often prescribed this remedy for children suffering under intermittent or remitting1 and even typhoid fever1 in the summer season1 when there were not present any well defined symptoms of worms1 and yet the fever would soon abate1 and in due time worms appear in the fecal evacuations4 ,it often arrests entirely intermittent fever1 when worms are present1 and are the probable cause of the fever4 ,i give either the crude salt in from one-fourth to one-half grain doses1 or a trituration of one grain to four of sugar1 giving in the latter case1 from one to two grains of the trituration4 ,give one dose at bed-time1 or in an urgent case at any other time1 but never repeat the dose under thirty-six hours1 and in an ordinary case1 under forty-eight hours4 ,this is the medicine par excellence for worms4 ,it may be repeated once a week1 when there is a tendency in the patient to the development of worm symptoms1 or1 in other words1 the breeding of worms4 ,the idea held out by some that it is hurtful1 or unimportant to remove the worms1 in itself considered1 is simply nonsense1 and worse1 for children are sometimes sacrificed to this idea4 ,earache--,otalgia4 ,this may arise from various causes1 but a common one is sudden cold4 ,if it arises from cold1 and there is general fever1 or if the ear is red1 or the side of the head and ear hot1 ,bell4 and ,baptisia should be given in alternation1 every hour1 or in a violent case1 more frequently4 ,these remedies will soon relieve such cases4 ,cloths wrung out of hot water should be laid over the ear1 or the side of the head steamed1 or it may be laid into water quite warm1 with good effect4 ,where the disease is a chronic affection1 and the patient is subject to frequent attacks of pain in the ear1 especially on a change of the weather1 from dry to moist1 ,mercurius is the proper remedy1 especially if it is worse at night1 when warm in bed4 ,if it arises from a shock or blow1 ,arn4 is to be used4 ,in scrofulous persons1 whether there is ulceration or not1 ,phosphorus and ,pulsatilla are the remedies4 ,children and even adults1 not unfrequently suffer from earache1 without any known cause sufficient to account for it4 ,on examination into the ear you will often find either the cavity filled or nearly so1 with a hard black substance1 7the inspissated earwax7 almost as hard as horn1 or else the ear will be quite empty1 and the sides of the cavity dry and red1 though perhaps not properly in a state of inflammation4 ,the natural condition of the cavity as it can be seen by straining the ear outwards and backwards a little in a strong sun light1 is moist1 the surface covered slightly with a yellowish1 greasy1 soft substance 7the cerumen7 earwax4 ,when this is wanting or in excess1 or its character changed1 it is evidence of disease1 and pain is likely to occur4 ,the ,,treatment for this condition is to remove the accumulation when that exists1 as the first step4 ,but this must be first softened by pouring some warm oil1 pure olive oil1 or good pure sperm oil1 into the ear1 and repeat it two or three times a day for several days1 until it is so far softened as to be easily removed with the probe end of common small tweezers1 having a spoon-bowl point4 ,when there is dryness1 moisten the surface with oil4 ,in either case1 it is best1 for a while1 to protect the delicate surface from the air1 by putting oiled wool into the external ear4 ,if the ear was filled1 give ,mercurius once a day until there appears a natural secretion4 ,if dry1 use ,belladonna4 ,toothache4 ,it is difficult to determine the cause of toothache1 and more difficult to select the remedy4 ,it often depends upon decay of the tooth1 and exposure of the nerve to air1 and contact with food or drinks1 or even saliva1 which irritate and produce pain4 ,pulsatilla will as often relieve such cases as any other remedy1 yet if it has been aggravated by a recent cold1 ,bell4 and ,nux ,v4 may be better4 ,if the nerve is not exposed1 and there is a disposition to a return of the pain on exposure to cold air1 or a change of weather1 the pain being of a rheumatic character1 give ,rhus and ,macrotin in alternation4 ,these will relieve many cases4 ,for decayed teeth1 the pain being dull aching1 with soreness1 use ,chamomilla4 ,the body of the tooth1 that is the dentine1 sometimes becomes very sensitive when there is no decay or cavity1 the pain being experienced when some hard substance hits1 or the air or water1 either cold or hot1 comes in contact with the tooth4 ,the temporary pain will generally yield to ,arnica1 and in most instances1 the daily use of ,arnica at the first decimal dilution1 applied to the surface1 and upon the jaws1 will effect a cure4 ,the chloride of ,zinc applied to the surface of such teeth for a few moments will destroy the sensitiveness of the dentine4 ,teeth that are ulcerated at the roots1 or have ulcerated gums around them1 the teeth being decayed1 should be extracted at once1 for1 besides the pain and inconvenience they cause1 they are a very prolific source of disturbance to the digestive organs1 from the positive poison generated by the decaying process4 ,if people will use soft brushes upon the teeth with soap and water1 followed by rinsing with simple water only1 after each meal1 brushing both inside and out and crossways1 so as to clean between them1 they will be saved much pain and decay1 and disease of other parts1 arising from foul and diseased teeth4 ,teething of ,children4 ,affections arising from teething of children1 are often of a serious character4 ,the most prominent of which is ,diarrhoea4 ,fever frequently accompanies the diarrhoea1 and convulsions occasionally occur4 ,aconite and ,chamomilla should be used in alternation1 every one or two hours1 according to the violence of the fever1 and if convulsions occur1 or are threatened1 as will be known by twitching1 starting1 and screaming1 use ,nux and ,bell4 ,these may be given in rotation with the others1 following the remedies1 one after the other1 every hour4 ,i have relieved the most alarming cases in a day by this method of procedure1 that had not yielded to either of the single remedies for several days1 given as directed in the books2 the patient growing worse continually4 ,if the gums over the teeth look white and the teeth1 7one or more17 are near the surface1 the gums should1 by all means1 be cut4 ,press the point of a lancet or penknife down upon the top of the gum1 until the tooth is plainly felt1 and be sure to make the cut as wide as the tooth4 ,rub the gums with ,arnicated water once or twice a day4 ,pulsatilla should be given at night and ,chamomilla in the morning1 during the whole summer while the child is teething1 as a prophylactic against the fever and diarrhoea that is likely to occur4 ,it will generally save all trouble4 ,if the diarrhoea is profuse1 watery and light colored or brown1 give ,phos4 acid and ,veratrum alternately1 as often as the discharges occur4 ,for the restlessness of infants at night1 ,coffea is the specific4 ,apth--,thrush4 ,this is a disease peculiar to nursing children4 ,the mouth becomes sore1 and the tongue1 lips1 and fauces are covered with a white crust1 looking like milk curds1 which1 when removed1 leaves the surface red1 inflamed and very tender4 ,it sooner or later1 extends to the stomach and bowels1 producing severe and dangerous diarrhoea4 ,,treatment4 ,of all the medicines known to our ,materia ,medica1 none1 according to my experience1 will in the least1 compare with the ,eupatorium aromaticum4 ,it is almost1 if not quite certain to relieve speedily in all cases4 ,i say this1 not only from my own experience and observation1 but from the testimony of several other ,homoeopathic ,physicians1 who have1 within the last year1 used it4 ,it should be given at the first or second dilution1 once in four or six hours1 and three or four drops of the tincture put into a teaspoonful of water1 and the mouth occasionally washed with the mixture4 ,in summer1 where agues prevail1 and the child is feverish and restless1 ,china will aid in the cure1 to be given once in six hours between the doses of the ,eupatorium4 ,if the diarrhoea is obstinate1 the discharges colored1 and the child is sick at the stomach1 give ,podophyllin with the other remedies4 ,inflammation of the ,eyes--,ophthalmia4 ,for common ,ophthalmia1 in the early stages1 while there is more or less fever and headache1 with flushed face1 bloodshot eyes and throbbing of the temporal arteries1 ,bell4 and ,aconite should be used alternately every two hours1 and a wash made with ten drops of tincture of ,aconite to one gill of pure water1 applied to the eyes as hot as the patient can bear4 ,this application should be repeated every two hours1 in a violent case1 until the eyes are easy1 and then about twice a day until all inflammation and redness pass off4 ,this will relieve a large proportion of cases in from one to four days4 ,if1 however1 the case continues obstinate for a longer time1 or has been of a week or more standing before the treatment is commenced1 in the place of ,bell41 or after using it one or two days1 use ,hydrastus with the ,aconite1 giving them alternately at intervals of two to six hours1 according to the stage of the case--more frequently as the symptoms are more urgent1 using washes prepared of each separately1 as directed for ,aconite1 except that the ,hydrastus wash may be twice as strong2 and apply each about half as often as the same medicine is taken internally4 ,the wash should1 in all cases of acute inflammation of the eyes1 be as hot as it can be borne4 ,let it be put into the eyes so as to come directly in contact with the inflamed surface4 ,simple hot water applied to inflamed eyes for hours together1 allowing short intervals between the applications1 will often cure most painful cases4 ,never apply cold to inflamed eyes4 ,it always aggravates4 ,when the inflammation is in a scrofulous person1 especially in infants1 it assumes a purulent character1 and may leave the cornea in clouded 7nebulous7 condition1 and the sight more or less obliterated4 ,for this condition use ,conium first1 and apply it in tinct41 half water1 to the eyes every four hours4 ,wounds and ,bruises4 ,on this subject1 ,i must necessarily be very brief4 ,when a wound is inflicted1 the first and most important thing to be done is to arrest the flow of blood4 ,every one should know how to do this4 ,the bleeding is to be stopped1 and the wounded vessels to be secured1 so that no further flow can take place4 ,first1 then1 to stop the bleeding1 pressure is to be made upon the artery leading to the wound4 ,if the wound is in the leg or foot1 pressure is to be made1 either on the vessel above and near the wound1 or1 where that cannot be easily found and compressed1 make firm pressure with the thumb or some hard substance1 in the groin1 about two and a half inches at one side of the center of the pelvis1 7wounded side7 just below the lower margin of the belly1 towards the inner side of the thigh1 where the great artery 7,femoral artery7 can be felt pulsating4 ,by pressing firmly upon this artery1 the blood is arrested in its flow into the limb1 and of course the bleeding from the wound soon ceases4 ,if the wound is in the arm or hand1 pressure is to be made1 either just above the wound1 or on the inside of the arm1 about one-third of the way from the shoulder to the elbow1 where the artery 7,brachial7 can be felt4 ,to secure the parts from further bleeding1 the wounded artery must be taken up and tied4 ,let it be seized by forceps1 or the point of a needle may be thrust into it1 and the vessel stretched out a little1 a thread put round it and tied2 cut off one end of the tie1 and let the other hang out of the wound1 until it comes out by the vessel sloughing off4 ,bring the lips of the wound together1 and if it is large1 put in stitches enough to hold them1 and put on an adhesive plaster1 compress of cloths1 and bandages to keep it from straining the stitches1 and protect it from the air4 ,the ,arnica plaster1 made by ,,john ,,hall1 of ,cleveland1 is the best adhesive plaster of which ,i have any knowledge4 ,give the patient ,aconite once in two hours1 for a day after the accident4 ,slight ,cuts about the joints1 especially the knee1 are dangerous1 from their liability to affect the ligaments1 inflame1 and produce ,lockjaw4 ,therefore1 such wounds1 ever so slight1 are of great importance4 ,they should be at once closed up1 whether they bleed or not1 and covered with an adhesive plaster1 7,arnica plaster is the best7 a bandage1 and the knee should not be bent1 even when walking or sitting1 until the wound is healed4 ,it is best to apply a splint from the hip to the heel1 and bandage the limb to it1 so as to prevent bending of the joint4 ,bruises are to be treated with ,arnica1 applied to the part affected1 by putting twenty drops of the tincture into a gill of water1 if the skin is not ruptured1 or three drops into the same if it is1 and bathing freely4 ,the ,arnica is to be taken internally at a higher dilution4 ,keep the parts covered with cloths and wet in ,arnica water4 ,if a blow is received upon the head1 by a fall1 or in any other way1 producing a stunning effect1 7concussion of the brain7 so that the patient appears lifeless for a time1 and delirious when he begins to come to1 there is great danger of inflammation of the brain1 and death from the re-action1 or in some cases1 the shock is so great that the patient will never revive unless he has the proper aid4 ,arnica is the great remedy to bring on reaction1 arouse the patient1 and prevent dangerous inflammation or congestion of the brain4 ,when a patient is stunned by a blow or fall1 he should be conveyed soon as possible1 to some quiet place1 and as little noise as practicable made about him1 and the room kept darkened4 ,arnica #c;d should be given immediately1 and the nostrils wet with strongly arnicated water4 ,if fever arise after he comes to1 ,aconite should be given with ,arnica1 and if the head aches1 or becomes hot1 ,bell4 is to be used4 ,this will prevent or arrest all symptoms of inflammation4 ,torn and ,mangled wounds should not be handled much4 ,if they bleed1 the blood must be stopped as in any other case4 ,if they are dirty1 warm water may be gently applied to cleanse them4 ,the wound should be covered with some soft cloths1 and kept constantly wet in ,arnicated water of the strength of four drops of the tincture to a pint of water4 ,piles--,hemorrhoids4 ,one important matter in all cases of habitual piles1 is1 to keep the bowels regular4 ,much can be done for this purpose by diet and regimen4 ,on rising from bed in the morning drink freely1 from a gill to half a pint of cold water1 at least half an hour before breakfast2 use such diet as is easily digested1 and drink no alcoholic beverages4 ,to relieve the bowels when costive1 take a dose of ,nux ,vomica at night1 and ,podophyllin in the morning4 ,this may be repeated from day to day until the proper effect is produced4 ,to relieve from a severe attack of ,piles1 use ,bell4 and ,podophyllin in alternation every four hours1 and apply to the tumors when inflamed1 cloths wrung out of hot water1 or sit in hot water for a time4 ,a poultice made of fine-cut ,tobacco wet in hot water and crowded firmly up against the pile-tumors1 secured by a ,t bandage1 will relieve the most desperate cases for the time1 and is attended with no danger or disagreeable symptoms except in rare cases1 when it produces sickness at the stomach1 which soon subsides on the poultice being removed4 ,oil of ,arnica is an excellent application for inflamed ,piles4 ,a most important point in the management of ,piles1 and one often neglected1 is to replace the prolapsed tumors4 ,the tumors will be protruded from within the anus by the act of evacuating1 and if left in that condition1 will be pressed upon by the external parts1 chafed and inflamed4 ,in all such cases1 the patient should take particular pains to return the tumors into the rectum2 and to aid in that process a little oil may be applied when they will be easily pushed back1 and the sphincter of the bowel will close below them1 preventing any chafing1 and the consequent inflammation4 ,for ,bleeding ,piles1 ,ipecac and ,bell4 are very efficient remedies4 ,they may be alternated every half hour1 or oftener if the bleeding is severe1 or at longer intervals when it is only slight4 ,hamamelis ,v41 7,witch ,hazel17 will in nearly all cases arrest the bleeding at once4 ,it should be applied to the parts and taken internally at the same time4 ,drop doses to be put on the tongue once in fifteen or twenty minutes4 ,an infusion of the ,hamamelis may be taken internally in doses of half a teaspoonful1 and the same injected into the bowel with excellent effect4 ,the most effectual way1 and the best for obtaining permanent relief from ,piles when the tumors have become hard1 and remain all the time so as to pass out of the anus at every evacuation1 being constantly more or less tender and painful1 and often becoming inflamed1 is to have them taken off4 ,but never let that be done with a knife4 ,the bleeding would1 in such a case1 be very excessive1 and most likely fatal4 ,the history of knife operations for the excision of ,pile tumors is written in blood1 and the tombstone stands as a monument of condemnation of the practice4 ,no trustworthy surgeon will at this day attempt it4 ,but however dangerous may be the knife operation1 there is no danger at all to be apprehended from removing the tumors by a ligature4 ,to accomplish this1 take a soft cork about three-fourths of an inch in diameter1 and one inch long--make a hole through the center from end to end1 about one-eighth of an inch in diameter--cut crucial grooves in the top of the cork about an eighth of an inch deep1 bevel down the lower end nearly to an edge1 make a cord of saddler's silk1 three fold twisted together and waxed1 about eight or ten inches long1 double this in the middle and pass the loop down through the cork out at the sharp end1 the two loose ends of the string being out at the grooved end4 ,make a strong hickory stick about three-sixteenths of an inch in diameter1 and just long enough to pass across the square end of the cork4 ,now have the patient protrude the ,pile tumors as far out as possible1 being placed on his knees with the head bent to the floor1 pressing out firmly as if to evacuate the bowels4 ,let the tumors be dried as much as possible by gently pressing a soft1 dry cloth to them2 then let the loop of the string projecting from the flattened end of the cork1 be pushed on over the largest tumor1 and held down at its base1 while an assistant places the stick in one of the grooves1 ties the two ends of the cord firmly down over the stick1 or toggle1 by a square bow knot2 then turn the stick round once1 twice1 or more1 until the pressure upon the tumor is sufficient to strangulate it perfectly1 and prevent the string from slipping off4 ,care should be taken to keep the cord down to the base of the tumor while it is being tied and tightened1 as in many cases the base is much the larger part of the tumor1 and the cord tends to slip up4 ,after the ligature is applied and tightened1 apply arnicated water to the parts1 and a large1 warm poultice of superfine slippery elm bark1 wet so as not to be too soft and slippery1 on the face of which ,arnica may be put4 ,keep it on with a ,t bandage4 ,the patient must be put to bed and kept quiet until the ligature and tumor come off1 which will be in about six or seven days1 sometimes sooner4 ,once a day the toggle must be turned part1 or the whole of a circle or more1 to tighten the cord as the patient can bear4 ,this will be very painful from beginning to end of the ligating1 but any1 even the most sensitive1 patient can bear it4 ,the patient must have quite warm hip baths two1 three1 or more1 times a day1 or as often as the pain is severe1 the poultice being replaced after each bath1 and kept constantly on4 ,if there are several tumors protruding1 apply ligatures to two of the largest1 when these are removed1 the others will disappear4 ,injections of mucillage of slippery elm should be carefully used to move the bowels daily1 or at least once in two days4 ,let the diet be of corn or oat meal mush1 or rice4 ,as the tumor gradually sloughs off1 the surface heals1 so that1 though the base where the ligature was applied1 may have been an inch or more across it1 there will not be a raw surface of over an eighth of an inch in diameter1 to which ,calendula ,cerate should be applied4 ,the patient must keep quiet for a few days longer4 ,though this is a painful operation1 it is not in the slightest degree dangerous4 ,i have effected complete and permanent cures by this mode in numerous instances4 ,sea-,sickness4 ,nux ,vomica should be used once in about four hours1 for twelve hours before sailing1 as a preventive to sea-sickness4 ,if1 however1 symptoms1 such as dizziness or blur before the eyes1 and headache1 begin to come on1 a dose of ,nux should be taken1 followed in an hour with ,pulsatilla4 ,if the nausea comes on1 ,ipecac and ,arsenicum should be taken alternately between the paroxysms of vomiting1 should that symptom appear4 ,if practicable1 the patient should lay still upon the back until the sickness passes off4 ,i have removed sea-sickness immediately in several instances with ,pulsatilla alone1 and the last time ,i had an opportunity to prescribe for this affection ,i gave ,podophyllin4 ,it removed all the symptoms in a few minutes4 ,that is the only time ,i ever tried it1 but from the provings ,i am satisfied it is one of the best remedies4 ,asiatic ,cholera4 ,i was practicing in ,cincinnati during the prevalence of ,cholera in the years #ahdi1 and #ahej1 and in ,northern ,ohio in #ahed1 and had abundant opportunity to observe and treat it4 ,the disease generally begins with a diarrhoea1 which may continue for several days1 or only a few hours before other symptoms set in1 such as vomiting1 then cramping in the stomach and muscles of the legs1 arms1 hands and feet1 followed by cold sweats1 great prostration1 restlessness1 excessive and burning thirst1 drinks being immediately rejected4 ,these symptoms continue1 the patient sinking rapidly into collapse1 when the skin looks blue and shriveled1 the eyes sunken1 the surface covered with a cold1 clammy sweat1 the extremities1 nose1 ears1 tongue and breath cold1 the voice hollow and unnatural4 ,this condition continues from two to eight or ten hours1 the patient regularly failing1 sometimes becoming delirious before he dies4 ,in some cases the vomiting and diarrhoea set in simultaneously1 and the other symptoms follow1 as above described1 in rapid succession4 ,in others the cramping may be the first symptom1 the others following it4 ,in a large proportion of cases1 the disease takes the course first described above1 the diarrhoea1 called the premonitory symptoms1 or sometimes cholerine1 coming on several hours1 if not a day or more1 before any other symptoms4 ,the diarrhoea is not usually painful1 hence the patient may not be alarmed so as to attend to it until the more dangerous symptoms appear4 ,it begins in some cases with pain and some griping1 the discharges rather consistent1 having a bilious appearance1 so that the patient supposes it to be an ordinary bilious diarrhoea1 which is not dangerous1 his fears being thus quieted4 ,but however the diarrhoea begins1 it becomes sooner or later1 copious1 watery1 and light colored1 7rice water7 painless but rapidly prostrating4 ,,treatment4 ,in the early stages of the diarrhoea1 ,veratrum1 taken about twice as often as the evacuations occur1 will frequently arrest it in a few hours1 especially if the patient lies down and keeps quiet4 ,but if not1 and it increases in frequency1 or becomes more copious1 or any sickness is felt at the stomach1 the patient should1 at once1 be laid upon a bed and strong tincture of ,camphor should be given in drop doses1 once in five minutes1 for one hour or more1 and as the symptoms abate1 once in ten1 fifteen or twenty minutes1 for six or eight hours4 ,a teaspoonful of the ,camphor tincture may be put into a tumbler of cold water1 ice water if at hand1 and the water agitated until it becomes clear1 giving a teaspoonful of this camphorated cold water as a dose1 stirring the water each time4 ,i think this is better than to give the pure tincture4 ,after the patient becomes quiet and easy1 ,veratrum should be given in alternation with ,camphor1 a dose in four to six hours for several days1 or oftener if he feels any symptoms like a threatened return of the disease4 ,these two medicines serve as prophylactics 7preventives7 of ,cholera4 ,if1 however1 the disease continues in spite of the ,camphor and ,veratrum1 in the first instance1 or later1 7as the ,camphor may be given in many cases with success in the advance stage17 you must resort to other remedies4 ,if vomiting comes on with burning in the stomach give ,ipecac and ,arsenicum in alternation as often as the vomiting occurs1 and if the diarrhoea continues give ,veratrum between the doses of the other two1 in a violent case1 as often as every ten to fifteen minutes1 and at longer intervals when the disease is slow in its progress4 ,if the vomiting and diarrhoea1 or either1 occur with a kind of explosion1 the vomiting ceasing suddenly for the time1 after the first gush1 or the discharges from the bowels are involuntary1 ,secale is the specific remedy4 ,for the cramping1 ,cuprum and ,veratrum are the remedies to be given alternately4 ,if1 however1 the cramping comes on as the first symptom1 which is sometimes the case1 the patient being suddenly seized with it before any other alarming symptoms occur1 ,camphor is the great remedy1 and in this case it may be given in doses of double or treble the quantity before directed4 ,if he sinks into the collapse and lies quiet1 indifferent to everything1 the pulse sinking1 or he is pulseless1 ,carbo ,veg4 will sometimes arouse and restore him1 hopeless as the case appears4 ,it should be given once in half an hour until the pulse begins to rise4 ,if1 however1 instead of being quiet he is restless and thirsty1 give ,arsenicum in alternation with ,carbo ,veg41 repeating the dose as above directed4 ,in some cases1 after all the active symptoms cease1 the patient will become quiet and drop to sleep1 and instead of the pulse rising1 as it will if he is recovering1 it sinks1 or does not appear if he has been pulseless1 and the breathing becomes irregular and feeble--he is sinking4 ,if aroused1 he sinks back into the stupor in a few moments as before4 ,laurocerasus is a specific for this condition4 ,it should be given once an hour until he is aroused4 ,if1 however1 besides the stupor1 the head is hot1 the face red1 the breathing oppressed1 the pulse slow and sluggish1 ,opium is to be used1 and may be given in alternation with ,laurocerasus4 ,for the irritation of the brain1 and furious delirium that sometimes sets in after the cessation of cholera symptoms1 ,secale and ,belladonna in alternation will prove specific4 ,let the patient have warm or cold drink as he prefers1 and let his covering be light or plentiful as is most agreeable4 ,as soon as he gets easy1 and the vomiting and purging cease1 and his pulse begins to return1 keep him quiet as possible1 let the room be darkened and everything still1 so that he may go to sleep1 which he is inclined to do1 this being the surest restorer4 ,i am quite sure ,i have known several patients carried off by a return of the disease1 after it had been effectually arrested1 in consequence of sleep being prevented by the rejoicing officiousness and congratulations of friends1 disturbing and preventing that early and quiet slumber which nature so much needs1 and must have1 or hopelessly sink4 ,the diet for two or three days after recovery1 should be a little oat meal gruel or rice4 ,small ,pox--,variola4 ,this disease begins with pain in the head and back1 chilly sensations1 followed by a high fever1 so similar in all respects to a severe attack of ,bilious or winter fever1 that it is difficult or impossible to distinguish it with certainty1 as ,small ,pox4 ,the fact of the prevalence of the disease at the time1 and the exposure of the patient1 may lead the ,physician and friends to suspect ,small ,pox4 ,there is one very striking symptom of ,small ,pox1 however1 that exists from the beginning1 which1 though it may be present in fever simply1 is not uniformly so4 ,this is a severe and constant aching pain in the small of the back4 ,the headache is also constant4 ,the ,small ,pox is of two varieties or degrees1 distinct and confluent4 ,the distinct is when the pustules are separated from each other1 each one a distinct elevation1 with more or less space between them not affected by the eruption4 ,the confluent is where the pustules spread out from their sides and run together1 covering the whole surface as one sore4 ,it may be distinct on some parts1 as on the body1 and confluent on others1 as the arms1 face1 and parts most exposed to the air4 ,in the ,distinct variety the fever continues without abatement until the eruption appears1 when it entirely subsides1 and that quite suddenly4 ,the eruption comes out about the third day of the attack1 sometimes not discoverable until the end of the third or beginning of the fourth day4 ,the eruption is at first very slight1 beginning with small red pimples on the forehead1 upper part of the cheeks1 neck and upper part of the breast1 extending by degrees to the arms1 and other parts of the body and limbs4 ,about the end of the fourth or forepart of the fifth day1 the eruption is complete4 ,there is a symptom1 not mentioned in the books1 which will often determine the disease before the occurrence of any eruption4 ,it is the appearance of hard shot-like pimples1 to be felt under the skin in the palms of the hands1 while there is1 as yet1 no trace of eruption to be seen upon the surface4 ,on the eighth or ninth day1 the eruptions become vessicular1 have flattened tops1 and contain a limpid fluid4 ,the parts continue to swell1 the eruptions to enlarge1 and become filled with purulent matter1 having a dark color at the top1 up to about the fourteenth or fifteenth day1 when they begin to flat down1 to dry up1 and some of the scabs become loose4 ,at this time1 some fever arises1 often quite severe1 with headache and other inflammatory symptoms4 ,if the eruption is very severe1 fever will be of corresponding violence1 and lighter or wanting when the eruption is mild4 ,this fever rarely lasts more than twenty-four hours1 from which time the patient rapidly recovers4 ,in the ,confluent variety1 all the symptoms are more violent1 the fever continuing after the eruption begins4 ,the pustules burst early1 and run into each other1 covering nearly or quite the whole skin2 the surface swells and turns black or dark brown1 the lungs are more or less irritated1 producing cough1 and not unfrequently the stomach is nauseated1 and vomiting ensues4 ,if the patient survives the irritation up to the fifteenth or sixteenth day1 when the secondary fever sets in1 he is liable to be taken off by an affection of the brain or lungs1 during this fever4 ,if he recovers1 his whole surface1 especially that part exposed to air1 is deeply pitted4 ,,treatment4 ,as it is not often known for a certainty1 in the early febrile stage1 that it is the small pox1 the treatment will be first adopted that would be proper for a like fever arising from other causes4 ,but in all my observations in this disease1 and they extend to several hundred cases1 ,i have not found in a single instance1 any of the ordinary fever remedies1 such as ,aconite and ,bell41 which would be applicable for such symptoms in an ordinary case1 to do any good in small pox4 ,they are directed1 however1 for these symptoms by the authorities1 in the febrile stage of the small pox2 but ,i am quite sure they are not the proper remedies4 ,from the great similarity1 the almost absolute identity of small pox headache and backache1 with the same symptoms developed by the ,macrotys racem4 as well as the nausea and restlessness produced by the drug1 ,i was led several years ago to the conclusion that this1 or the ,macrotin was valuable in small pox4 ,not only so1 but during the prevalence of small pox in ,cincinnati1 to an extraordinary degree in the winter of #ahdi-ej1 ,i treated about one hundred cases1 including both sexes1 and all ages1 from infants a few weeks old1 to very old persons1 giving the ,macrotin to all1 and had the good fortune to see all my patients recover4 ,since that time ,i have prescribed it for every case successfully4 ,having then1 been entirely successful in so many cases1 with this medicine1 ,i am not inclined at this time to give any other the preference4 ,i must admit1 however1 that though my patients all recovered1 ,i was not able to greatly abridge the duration of the disease1 nor to prevent the development of all the stages in their proper order1 as is claimed by ,m4 ,,teste1 for his use of ,mercurius cor4 and ,causticum4 ,i was satisfied with so far modifying the symptoms1 as to enable my patients to live through1 and come out well in the end4 ,i would then direct1 if small pox is suspected1 the patient having been exposed to contract it1 or from the peculiarity of the symptoms1 in the early stage1 or when the disease is discovered after the eruption1 to give ,macrotin at the first trituration1 in one grain doses1 once in two hours1 while the fever1 headache and backache continue1 after which1 during the whole course of the disease1 give it three times a day4 ,this will prevent the development of a dangerous secondary fever1 as well as irritation of the lungs1 stomach or bowels4 ,in addition to this medicine ,i give the patients daily1 from half an ounce to two ounces of pure 7unrancid7 ,olive oil4 ,this serves to prevent the development of pustules in the throat1 lungs and stomach2 is more or less nutritious1 and keeps the bowels in a healthy condition4 ,wash the surface once a day in weak soap suds1 following it with a bath of milk and water1 and keep cloths moistened with warm milk and water1 constantly upon all parts that are exposed to the air1 lubricating the surface with ,olive oil after the bath of milk and water4 ,this keeps the surface quite comfortable4 ,the best diet is corn or oat meal mush and molasses1 to be taken in small quantities4 ,cold water is the proper drink1 though it should not be very cold4 ,the room should1 at all times1 be well ventillated1 but in cold or cool weather1 sufficient fire must be kept up1 to keep the room warm and dry4 ,a temperature of about #fe is the best4 ,hardly any thing can be worse for a small pox patient than to be in a cold or damp room1 and to breathe cold air4 ,uniform temperature is important4 ,if the eruption is tardy about appearing1 or after it is out1 a recession takes place1 the ,alcoholic ,vapor bath will soon bring it out4 7,see ,rheumatism 9999p4 #cj74 ,occasionally the feet and limbs below the knees1 will swell prodigiously1 and become extremely painful1 causing the principal suffering4 ,for this1 wrap the feet and legs in cloths wet in a strong solution of ,epsom salts1 quite warm1 and cover with flannels so as to keep them warm4 ,this will afford immediate relief1 and reduce the swelling in a day or two4 ,the finely pulverized ,epsom salts1 dry1 sprinkled on the pustules1 will very often prevent pitting4 ,it is the safest and surest remedy of which ,i have any knowledge4 ,varioloid is small pox modified by vaccination4 ,it is to be treated as a mild case of small pox4 ,the ,macrotin has been used with apparent success as a prophylactic 7preventive7 to small pox1 taken three times daily4 ,painful ,urination1 ,incontinence of ,urine1 ,involuntary ,urination4 ,where the discharge of urine produces smarting and burning of the urethra1 ,cantharis is the remedy4 ,where there seems to be an over secretion of acrid urine1 producing inflammation of the neck of the bladder1 known by pain in the glans penis1 ,copaiva1 and ,apis mel4 are the remedies4 ,if there appears to be a partial palsy of the neck of the bladder1 the discharge taking place in sleep1 ,podophyllin is the surest remedy4 ,i have cured some bad cases by the use of these three remedies1 given in rotation three or four hours apart4 ,injections of a solution of borax into the bladder1 have1 in several cases1 been sufficient to effect a perfect cure1 without any other remedy4 ,this may be used in connection with the other remedies4 ,for painful urination with a distressed feeling in the neck of the bladder1 causing a constant disposition to evacuate urine1 the ,althoea ,officinalis is a certain remedy2 it acts like a charm4 ,it is an important remedy for inflammation of the bladder4 ,a good mode of using it is in form of a warm infusion in doses of a table spoonful every half hour or hour1 according to the urgency of the symptoms4 ,the ,althoea ,rosa 7,hollyhock7 may be used as a substitute1 though it is not as good4 ,every family should cultivate the ,althoea ,officinalis 7,marsh ,mallow71 so that the fresh green root1 which is the best1 can be procured at any time4 ,i have been able to relieve patients with it1 especially females1 when all other remedies seemed unavailing4 ,it is particularly useful for urinary difficulties of pregnant females4 ,neuralgia4 ,aconite and ,bell4 are two important remedies in this affection4 ,if given low1 and applied directly along the course of the affected nerves1 at full strength of the tincture1 they will almost always effect a cure4 ,the proper way to use them is to give them internally at the second dilution1 at intervals of fifteen to thirty minutes1 when the pain is severe and nearly constant1 and apply ,aconite tincture as hot as practicable over the course of the nerve1 by means of wet cloths1 for an hour or two hours1 and if the pain has not subsided use ,bell4 locally in the same manner4 ,if the ,neuralgia is periodical1 coming on at regular intervals1 ,arsenicum and ,china are the remedies1 and they should be used externally as directed for the others1 both at the first dilution1 and given internally at intervals1 in proportion to the violence of the symptoms1 the ,arsen4 at the #c;d and the ,china at the first dilution4 ,if the patient has used alcoholic drinks to excess1 ,nux is to be used in place of ,arsenicum4 ,periodical ,neuralgia generally requires the same treatment as ague4 ,in females when there is uterine disease1 ,pulsatilla and ,macrotin are the remedies to be used1 as directed above4 ,jaundice4 ,this disease depends upon derangement of the liver4 ,the skin and whites of the eyes become yellow2 the patient grows weak1 loses his appetite1 is dull and sluggish in all his actions1 melancholly and discouraged in his moods4 ,,treatment4 ,mercurius and ,podophyllin given in alternation1 each twice a day1 will nearly always effect a cure4 ,if the patient is costive1 ,nux should be taken at night1 until his bowels become regular4 ,bathing the surface daily1 or oftener1 is a very important measure in the treatment of this affection4 ,as often as once in two or three days1 an alkaline bath should be taken4 ,if the patient has fever every day1 or once in two days1 ever so slight1 ,china should be used with ,podophyllin4 ,if he has been drugged with ,mercury in any form1 in large doses1 even six months or a year before1 give ,hydrastin in place of ,mercurius4 ,itch4 ,i shall say but little about this very common and very obstinate affection4 ,everybody has a cure for itch yet nobody cures it short of the use of ,sulphur in some form4 ,though the attenuations of ,sulphur may sometimes cure itch1 it must be acknowledged that such cures are so rare in this country1 and the time requisite to accomplish it is so long1 as a general rule1 that few will trust them4 ,the most successful remedy1 and the one that will always cure quickly1 if at all1 is ,hepar ,sulphurus ,potassium1 the common ,hepar ,sulphur 7sulphuret of ,potassa7 of the shops4 ,to succeed with it most certainly1 let the patient be thoroughly bathed with warm soap suds1 quite strong1 in a room at the temperature of #ij to #ajj1 continuing the bathing and rubbing for an hour or more1 then dry off the surface with soft cloths1 and apply the ,hepar sul4 with water1 at the strength of thirty drops of the strong alcoholic solution1 with a gill of water1 wetting every eruption on the whole surface and let it dry on4 ,this causes some smarting1 but it is effectual2 it kills the acarus1 7itch animalcule7 and in a few days the sores heal1 the itching all subsides immediately4 ,if every pustule has not been touched1 those left may continue to itch1 in which case1 a second application is necessary4 ,hepar ,sul4 should be given internally at the third dilution1 for a month1 once a day1 after the baths4 ,avoid greasy food4 ,for the ,scald ,head of children1 where there is a discharge of yellow and watery pus from the sores1 and the eruption extends to the ears or face1 like the disease called the crusta lactea 7milk crust71 the same washes as for itch1 are the most effectual1 while at the same time1 and for a month or two1 the child should have ,hepar ,sul4 #eth at night1 and ,petroleum #c;d in the morning4 ,daily ablutions of the head with warm soap suds1 and keeping it covered1 are absolutely essential4 ,carbuncle4 ,this affection1 though it somewhat resembles a common boil1 and is by some writers considered only such1 in an overgrown state1 is1 nevertheless1 far from being identical with it4 ,while a boil is only a sanitive effort of nature to eliminate the cause of a morbid process1 and tends to a spontaneous1 healthy termination1 the carbuncle1 on the contrary1 is the very essence of disease2 its constant tendency being towards the dissemination of diseased action1 causing destruction of the parts affected4 ,it1 in fact1 appears like a parasite1 living by the destruction of surrounding tissues1 literally absorbing them and thriving on death4 ,it begins with a red1 livid color1 slight aching and burning pains1 the part swells and is elevated some like a boil1 except that it does not point1 but has a broad base rising like a cone and flattened at the top4 ,it feels soft and spongy1 and will appear to fluctuate1 but if punctured1 blood only flows4 ,the pain and burning increases rapidly1 and sooner or later several openings appear upon the top1 varying from three or four to half a dozen or more1 looking like the holes in a sponge1 out of which issues a fluid like thin gruel4 ,instead of becoming easier after the suppuration begins1 as is the case with a boil1 the burning increases to an alarming and unbearable extent2 cold chills1 loss of appetite1 great depression of spirits1 general nervous and muscular debility come on4 ,the tumor continues to discharge1 turns purple2 gangrene beginning in the carbuncle extends to other parts and death follows4 ,the disease is nearly always confined to quite feeble persons and those past the meridian of life2 but ,i have seen it on younger though feeble patients4 ,it is generally located on the back1 occasionally on the head1 where it is very dangerous from its liability to affect the brain4 ,,treatment4 ,if treated very early1 strong tincture of ,arnica applied to the surface of the carbuncle1 by cloths wet and laid over the tumor1 will often arrest it so that the swelling will not be developed to the suppurative stage4 ,however1 to reap any benefit from ,arnica1 it must be applied while the pain is not severe1 and the parts only feel bruised and tender to pressure1 like a common bruise4 ,after the ulceration occurs1 ,arsenicum is the great remedy to be relied on4 ,it should be given at the second or third attenuation as often as every three hours1 when the pain is severe1 and applied to the surface of the carbuncle freely by cloths laid over it1 wet in the first dilution1 or by sprinkling the first trituration of the oxyde 7#a-aj7 freely upon the open surfaces1 so that it may penetrate into the open mouths or orifices4 ,over this powder apply an emolient poultice1 or soft cloths wet in water hot as can be endured4 ,this will soon allay or greatly lessen the pain4 ,it should be repeated as often as any of the burning pain peculiar to the carbuncle returns1 until the tumor suppurates in a tolerably healthy manner2 then lessen the strength of the ,ars4 applications1 and continue them until it has the appearance of a healthy abscess1 when only simple dressings are necessary4 ,some may suppose such strong applications injurious1 but ,i can assure them from abundant experience1 that there is not the slightest danger4 ,the carbuncle should never be punctured or cut into4 ,such operations always make them worse1 and induce a more rapid approach to gangrene4 ,the patient should have nourishing food1 and good native wine may be taken in moderate quantities1 by a very feeble person1 with decided advantage4 ,though the knife operations for the removal of carbuncle are always injurious1 the chemical effect of ,potash is frequently most beneficial4 ,i have1 in repeated instances1 applied to the ulcerated surface1 caustic potash freely1 allowing the dissolved caustic to penetrate to the very core by running into the orifices4 ,at first it would produce some smarting1 but the pain is different from that of the carbuncle1 and the change is agreeable rather than otherwise4 ,soon after the application all pain ceases1 and the tumor1 under the use of a poultice1 begins to slough off in a few days1 leaving a raw surface1 disposed to heal kindly4 ,occasionally1 however1 the healing process is tardy1 when ,arsenicum1 at the third1 applied and taken internally1 will soon effect a cure4 ,i have occasionally used ,hepar ,sul4 with good effect in the latter stage4 ,felon--,whitlow4 ,for this disease1 in the early stage1 when the sensation is that of sharp1 sticking pain1 feeling as though a brier or thistle was in the finger1 immerse the part in water as hot as possible1 into which put common salt as long as it will dissolve2 hold it in this hot salt bath for an hour or more at a time1 and when removed1 apply finely pulverized salt1 wet in ,spirits of ,turpentine2 bind on the salt with several thicknesses1 and keep it constantly wet with the sp'ts turpt4 for twenty-four hours1 when1 if all symptoms of felon are gone1 no further treatment is necessary4 ,as a general rule1 the hot bath should be repeated three times a day1 especially if the symptoms have existed for several days and there is much pain or swelling1 and the dressings should be kept on as above directed for several days1 more or less1 until all symptoms disappear4 ,i am quite confident that a large majority1 if not all1 of the cases if thus treated at any time before pus is formed1 will be discussed and cured4 ,if pus has begun to form before the treatment is commenced1 this will not cure the felon1 but it is good treatment1 especially the hot bath1 as it will greatly lessen the pain4 ,by holding it in hot water for an hour or two each day1 the suppurative process will be hastened1 and as soon as the pus can be felt at any point1 fluctuating1 puncture and let it out2 then continue the hot bath1 with ,calendula 7,marygold7 flowers in the water1 keeping the part all the time warm and moist4 ,for the restless and nervous irritability that frequently occurs1 especially in females1 ,aconite is the best remedy4 ,it should be given1 one drop of the tincture to a gill of water1 in teaspoonful doses1 once in one or two hours1 and the same applied to the sore4 ,,diseases ,,of ,,females ,suppression of the ,menses1 7,amenorrhoea47 ,for sudden suppression from taking cold1 as by wetting the feet1 there being headache1 more or less fever1 the pulse frequent and variable1 pains in the small of the back and cramp like pains in the pelvic region1 give1 in alternation1 ,aconite and ,pulsatilla1 as often as every fifteen or twenty minutes in a violent case1 and at longer intervals as the patient begins to get easy4 ,putting the feet into hot water1 or taking a hot ,sitz bath is very useful4 ,if the patient is sick at the stomach1 as is often the case1 give lukewarm water freely and let her vomit2 after which let her drink freely of water as hot as it can be safely swallowed1 adding milk and sugar to make it palatable4 ,the good effects that are often attributed to and experienced from the use of various hot teas in this affection1 are1 in my opinion1 attributable more to the hot fluid alone than to any specific medicinal virtue in the substance of which tea is made4 ,at all events1 very hot drink with nothing but water1 milk and sugar1 is equally efficacious1 and my medicine 7a few grains of sugar of milk7 put into the hot water1 seasoned as above1 has often obtained great credit1 when the hot water was alone worthy4 ,rubbing the loins and abdomen briskly downwards with the hands of a healthy and vigorous nurse1 will often excite the menstrual flow after a sudden suppression4 ,if the head is hot1 the face full and red1 and the arteries of the neck and temples beat violently1 give ,bell4 with ,pulsatilla1 and if the lungs are oppressed1 use also ,bryonia1 giving the three in rotation4 ,if1 after the menstrual flow begins1 there is still much pain in the pelvic region1 give ,caulophyllin1 which will immediately afford relief4 ,apis mel4 is very servicable in suppressed menses of several days1 or even weeks duration1 where there is fever1 redness of the face1 and pain in the head1 and pains in the hips extending to the limbs1 especially if there is any tendency to bloating of the abdomen and swelling of the limbs or feet4 ,it acts promptly and efficiently4 ,if the suppression has been caused by sudden fright or any strong mental emotion1 ,veratrum should be given in connection with the two former medicines4 ,should there be great fullness of the vessels of the head1 or bleeding at the nose1 ,bryonia with ,pulsatilla are to be used4 ,bell4 is also useful in this case if the pain in the head is throbbing1 especially if any delirium is present4 ,for suppression in young females1 of several months duration1 ,i have used1 with much success1 ,podophyllin and ,macrotin1 one at night1 the other in the morning1 giving them for two or three weeks before the proper time for a return1 and a day or two prior to the time1 give also ,pulsatilla1 and give the three in rotation1 a dose every six hours4 ,this practice has been successful with me in cases of long standing and apparently obstinate character4 ,where there is other disease1 as an affection of the liver1 lungs or stomach1 this must be treated and cured1 or the menses will not probably return4 ,great care should be exercised to keep the patient's feet and limbs warm1 as upon this may depend her future health4 ,dysmenorrhoea4--,painful ,menstruation4 ,for this disorder1 ,i know of no one remedy so valuable as the ,caulophyllin1 but ,pulsatilla in many cases is efficacious1 and as they do not prevent each other's action1 ,i prescribe them in alternation1 giving a dose every half hour1 for a short time during the paroxysm1 or until the pain abates to some extent1 then every hour4 ,if there is pain in the head1 sickness at the stomach1 a kind of sick headache1 as is often the case1 with painful menstruation1 ,macrotin should be used with the others2 ,ipecac is the ,specific for an excessive flow of the menses with great pain1 especially if the stomach is nauseated4 ,it should be given as low as the first dilution1 and the tincture1 in water1 in the proportion of thirty drops to half a pint1 injected into the vagina quite warm4 ,the application of extract of ,belladonna to the neck of the uterus will often produce immediate and perfect relief4 ,after the patient is relieved from the painful paroxysm1 she should be treated so as to prevent a return of the pains at the next monthly period4 ,pulsatilla1 ,caulophyllin and ,podophyllin are the three medicines that are most certain to effect this object4 ,they are to be given1 one medicine each day1 a dose at night for three weeks1 then morning1 noon and night1 until the time for the return of the menses1 when they should be used oftener if there is pain4 ,if the patient is inclined to be costive1 ,nux should be given at night for a few days before the menstrual period1 in place of ,pulsatilla4 ,menorrhagia--,profuse ,menses--,flowing4 ,for this affection1 ,ipecac and ,hamamelis are the specifics4 ,they should be taken alternately1 at intervals of from half an hour to two hours apart1 according to the urgency of the symptoms1 and the ,hamamelis injected into the vagina4 ,these will nearly always arrest the flooding immediately4 ,secale should be used either alone or with the above medicines1 if there are bearing down pains like labor pains1 and sickness at the stomach in spite of the ,ipecac4 ,ipecac alone is often sufficient4 ,nursing ,sore ,mouth4 ,sore mouth of nursing women1 as the name of the disease indicates1 is peculiar to women who are suckling children4 ,it is an inflammation of the mouth1 tongue and fauces1 which sometimes comes on during pregnancy1 several months or but a few days before the birth of the child4 ,it generally1 however1 makes its first appearance when the child is a few weeks old1 and sometimes not till after the lapse of several months4 ,in some cases the tongue and inside of the mouth ulcerate1 and the irritation extends to the stomach and bowels1 producing distressing and dangerous inflammation of these parts1 with severe and obstinate diarrhoea4 ,for the sore mouth1 before diarrhoea begins1 give ,eupatorium ,aro4 and ,hydrastin1 in alternation1 a dose once in three hours1 and wash the mouth with the same1 each time4 ,after the diarrhoea occurs1 use ,podophyllin with the other medicines1 giving them in rotation1 three hours apart4 ,it is best to give a dose of ,podophyllin night and morning4 ,i have treated very bad cases of this disease that had been running for more than a year1 and been treated with the ordinary remedies directed in the ,homoeopathic authorities without any permanent benefit1 curing them perfectly in ten days with ,podophyllin and ,leptandrin1 giving them in alternation at the #ast attenuation in half grain doses1 at intervals of from four to eight hours according to the frequency of the evacuations4 ,these two remedies are almost certain to arrest ,chronic ,dysentery where there is ulceration of the lower portion of the rectum1 a peculiar distress felt at the stomach just before stool1 with sudden rush of the evacuations and inability to control the inclination even for a few minutes1 with a feeling of faintness after the stool4 ,leptandrin is the specific for the ,dysentery that often succeeds cholera1 and these two1 ,pod4 and ,lept41 are almost certain to relieve the ,mexican ,diarrhoea1 as well as that connected with the fevers along the ,mississippi river4 ,mammary ,abscess1 7,ague in the breast--,inflamed breast47 ,this is a disease peculiar to nursing women4 ,the first symptom is a slight pain or soreness in some part of the breast1 which continues to increase for a day or two1 when a chill1 more or less severe1 sets in1 followed by high fever and quick pulse1 headache and great restlessness4 ,the gland swells and becomes very painful4 ,this is generally a disease of rather slow progress1 running eight or ten days and sometimes two or three weeks before abscess forms and points to the surface4 ,,treatment4 ,phosphorus is to be taken internally1 and the first dilution put in water1 twenty drops to one gill1 and applied to the surface by means of cloths wet in the mixture1 as hot as it can be borne1 and laid over the whole breast4 ,if this is done and the medicine given internally every hour1 as early as the first and frequently as late as the second or third day1 it is quite sure to remove the disease and prevent an abscess4 ,it is best to use it even much later4 ,in fact it often succeeds as late as the fifth or sixth day1 and if it does not prevent the abscess1 it so far palliates the severe symptoms as to render the pain but slight and keep the patient comfortable4 ,an application of the ,tincture of ,cantharides diluted with water and applied to the breast by cloths wet in it1 to the extent of producing considerable redness and even eruptions1 and the second dilution of the same taken in drop doses every three hours1 has proved successful in subduing the inflammation after ,phos4 had failed1 and it was supposed an abscess would form in spite of any treatment4 ,i recently succeeded in giving perfect relief with ,apis ,mel4 internally1 applying it externally after the pain and swelling was very great4 ,i am of opinion that the ,apis is a valuable remedy4 ,after abscess forms as soon as the pus can be felt at any point1 soft and fluctuating under the skin1 puncture and let it out1 then poultice it for a few days until it heals1 giving ,phosphorus and applying it to the sore4 ,in puncturing1 always be very particular to have the lancet or knife enter so that the edge will look towards the point of the nipple1 so as not to cut across the milk ducts1 which all run toward that point1 and if cut off will close up so that the milk which may be secreted at any future time cannot get out1 and swelling1 pain and severe inflammation1 abscess and ulceration will be the consequence2 whereas1 if the cut is made lengthwise of the ducts1 very few1 if any will be cut off1 and all future danger will be avoided4 ,apply an elm poultice from the beginning to the end of treatment4 ,for malignant ulcers of the breasts1 the ,cornus ,sericea is a most potent remedy4 ,it is to be taken internally at the first dilution1 and applied in strong infusion or diluted ,tr4 of the bark to the sore4 ,sore ,nipples4 ,this affection of nursing women frequently comes on before the birth of the child1 but generally does not make its appearance until after the suckling has continued for a week or more4 ,it seems in some cases to be connected with the aphth 7sore mouth7 of the child1 or at least to be aggravated by contact with the sore mouth2 on the other hand it sometimes seems as though the sore nipples produced the sore mouth of the child4 ,,treatment4 ,i treat both the nipple and the child's mouth with the same remedy ,eupatorium aro41 applied at the strength of #f drops of the tincture1 to a teaspoonful of water1 the application being made by a soft cloth1 wet and laid over the nipple2 give drop doses of the same strength internally every three hours1 which will1 in nearly all cases effect a cure in one or two days4 ,the child's mouth should be wet with the same each time just before nursing4 ,the oil from the pit of the butter nut1 7,juglan's ,cinerea17 obtained by heating the pit and pressing out the oil1 applied to the nipple1 will generally cure it after #c or #d applications about six hours apart4 ,the child may take hold when the oil is on1 without danger4 ,this remedy is sufficient in nearly all cases4 ,leucorrhoea and ,prolapsus ,uteri--,whites1 ,female ,weakness4 ,the disease depends in all cases upon inflammation of the uterus1 or vagina1 or both4 ,the inflammation may be simply in the neck of the uterus extending to the posterior surface of the vagina1 or the latter may not be affected2 or it may extend to the whole internal surface of the uterus1 producing swelling of that organ1 both the fundus and neck4 ,the swelling may be confined mostly to the fundus1 causing it to be too large for the space it ordinarily fills1 hence there will be more or less displacement of the womb1 and crowding upon other parts1 as the bladder or rectum4 ,in some cases1 the swelling is more on one side than on the other1 so that it will be crowded over to the opposite side4 ,these displacements are often called prolapsus uteri1 or falling of the womb1 carrying the idea that the difficulty depends upon a morbid relaxation of the ligaments that support the organ4 ,not one case in a hundred is of this latter character1 but nearly1 if not all1 depend upon the inflammation and swelling above mentioned4 ,how futile then1 not to say hurtful1 must be all instruments for1 and all attempts at replacing and supporting it by force6 ,all such mechanical meddling is injurious1 and should1 with all the supporters1 be condemned and discarded4 ,they may afford temporary relief1 but this is at the expense of future health4 ,cure the disease1 relieve the inflammation1 and nature will replace the organ4 ,leucorrhoea is always present where there is ulceration of the neck of the womb1 and this ulcerated condition exists to a greater or less extent1 in many cases where it is not suspected by the patient4 ,it is vastly more prevalent than is generally supposed4 ,the symptoms are numerous4 ,among the more prominent are a sense of weight and bearing down in the pelvis1 pains extending down the limbs1 aching and weakness of the small of the back1 headache1 more or less gastric disturbance1 dyspepsia1 the food souring on the stomach4 ,there is often1 especially when there are ulcers on the parts1 a distressing sense of heat or a smarting sensation4 ,the menstrual function is frequently deranged1 the bowels costive1 the urethra1 by being pressed1 becomes irritable and burns and smarts whenever the urine is evacuated4 ,the sleep is disturbed and unrefreshing1 and the whole nervous system is unstrung4 ,the discharge from the diseased surfaces1 in an ordinary case without ulceration1 is of a mucous or muco-purulent character1 not unlike an ordinary catarrhal secretion4 ,when ulceration exists it is dark1 fetid or bloody1 or sanious and purulent1 sometimes it is acrid1 excoriating the parts4 ,,treatment4 ,inflammation or ulceration1 either acute or chronic1 in these parts does not differ essentially in its characteristics from the same affection in other mucous surfaces4 ,the proper treatment for a catarrh of other mucous surfaces will be applicable to these1 though there is no doubt but that some medicines are more specifically adapted to these than to other organs4 ,in the early stage of the complaint1 while the inflammation is acute1 or sub-acute1 the discharge thin or white1 ,copaiva and ,macrotin are to be given once in #f hours alternately4 ,during the same time let injections into the vagina of warm soap and water be used twice a day1 to cleanse the parts of the secretion1 followed in half an hour by a wash of warm water1 into which tr4 of ,macrotys has been put in proportion of #dj drops to half a pint4 ,the application should be made with an #h ounce or at least #f ounce curved pipe syringe1 so as to throw it with considerable force4 ,if there is a burning sensation1 use the washes quite warm1 until the heat of the parts is allayed4 ,avoid the use of cold injections as long as any inflammation exists4 ,if the bearing down is present with burning in the parts1 ,bell4 is to be used in rotation with the two former remedies4 ,if the sensation is that of smarting1 ,cantharis is to be used in place of ,bell4 ,where the disease comes on soon after child-birth1 ,podophyllin is the ,specific4 ,it is to be given at the first attenuation three times daily in half gr4 doses of the trituration4 ,in this case let the parts be freely washed daily with a solution of borax1 quite warm4 ,in the chronic form of the disease1 especially where barrenness exists1 ,macrotin1 ,podophyllin and ,hydrastin1 given morning1 noon and night1 in the order named1 will1 in nearly all cases1 afford relief4 ,for females who have never borne children1 give ,phos4 acid1 #b;d and ,eryrgium ,aquaticum #a1 night and morning for a week1 and then give them at the #c;d dilution until the symptoms subside4 ,if there are headache and derangement of the stomach1 ,macrotin and ,podophyllin should be used1 each once a day1 between the latter remedies4 ,when the discharge is colored and the pains darting1 cutting or smarting1 indicating ulceration1 or if ulceration is discovered by examination1 use ,macrotin and ,hydrastin internally1 injecting the latter upon the affected parts freely4 ,the ulcerated surfaces should be well washed off every day with soap and water1 or a solution of borax1 and the medicine 7,hydrastin7 in form of infusion1 used half an hour after the other wash4 ,if the neck of the womb looks dark1 and is ulcerated1 or is hard and painful to the touch1 especially on probing the cavity1 ,cornus ,sericea must be used both as a wash to the parts1 and at the first dilution internally1 using them twice a day4 ,this remedy will often cure malignant cases4 ,it takes a long time in some instances to cure a chronic case1 but if persevered in1 these remedies will not be likely to fail4#b #b ,,note4--,the late ,prof4 ,morrow was remarkably successful1 and became justly celebrated for curing hard cases of ,leucorrhoea ulceration and ,prolapsus uteri4 ,almost his entire reliance in their treatment were the ,macrotys and ,caulophyllum1 given internally and by injection upon the parts4 ,he gave the ,macrotys in the form of tincture every day to the extent of producing specific head symptoms when he discontinued it till the next day1 using the ,caulophyllum in the meantime in small doses4 ,he rarely if ever failed4 ,morning ,sickness of ,pregnant ,females4 ,the most efficient and certain remedy for this symptom is ,macrotin4 ,it should be taken at the first attenuation1 a dose before rising in the morning1 and one every six hours during the day1 as long as the sickness is troublesome4 ,it will generally relieve in a few days4 ,if the stomach is sour use ,pulsatilla with the ,macrotin4 ,as a preparation for labor1 a dose 7one grain7 of ,macrotin at the first attenuation given in the morning1 and the same of ,caulophyllin at evening1 is of great service4 ,whatever others may think or say in relation to any preparatory treatment for labor1 ,i have reason to know as well as anything in medicine be known1 that patients treated as here directed1 pass through labor much quicker1 frequently in one-fourth the usual time4 ,their sufferings are comparatively trifling1 and the length of time for recovery to ordinary health after labor is abridged from three-fourths to nine-tenths that of former labors4 ,i am quite confident that the medicines produced this difference4 ,for irregularity of labor pains1 and for distressing after pains1 the ,caulophyllin is specific4 ,during labor it should be given at the #b;d attentuation in about half grain doses1 every half hour1 until the pains are regular4 ,two or three doses at most1 and generally one will suffice4 ,for the after pains it may be given in alternation with ,ipecac or ,aconite if there is flooding1 or with ,pulsatilla when the flooding is not troublesome1 a dose once in half an hour1 until the pains are checked4 ,for ,rigidity of the soft parts and severe1 retarded and long protracted labor1 where the pains are strong and irregular1 and great pain and exhaustion is experienced on account of the unyielding condition of the parts1 ,lobelia ,inflata given in drop doses of the tr4 in water1 once in twenty minutes1 in alternation with ,caulophyllin as above directed1 will in a short time produce the proper condition of the parts1 while they render the pains stronger1 regular and progressive4 ,in urgent cases ,i have given the medicines every #e or #aj minutes1 with decided benefit4 ,a ,useful ,hint to ,mothers4 ,children push beans1 peas1 corn1 c41 into the nose and ear1 causing much alarm4 ,to remove such a body take a syringe that works tightly1 put the end of the pipe against the bean1 shot1 or other substance1 draw back the piston so as to suck up the article firmly as the pipe is withdrawn from the cavity4 ,,local ,,applications4 ,that medicines act locally1 that is1 manifest their symptoms by peculiar derangement or disturbance of some particular part of the system1 more prominently than of any other part1 for the time1 no one will deny4 ,that each one has some particular locality or tissue upon which its action is more perceptible than anywhere else1 is equally undeniable1 and that the prominent symptoms are often external and local1 is also true4 ,yet1 with these truths clearly demonstrated1 there are those of our school who discard the external or local application of all remedies except ,arnica4 ,why this is done1 is difficult to determine1 unless we can believe that such physicians suppose it to be heresy to make use of any remedy in a different manner from what was recommended by the ,father of ,homoeopathy1 and abjure all possibility of improvement in our practice4 ,that nearly if not all medicines1 may be applied externally with advantage1 when there are local manifestations similar to those produced by the drugs1 there can be no doubt in the mind of any sensible man4 ,that they will act favorably when so used is reasonable1 as a matter of theory1 and that they do1 as a matter of fact1 has been proven to my mind1 by abundant experience in their use4 ,therefore1 ,i hesitate not to recommend the practice to others4 ,medicines must act either by combination with the affected part1 or by ,catalysis1 changing the molecular action of the living tissues4 ,in either case1 they must come directly in contact with the part to be affected4 ,this must be done through the circulation1 when taken internally1 or it may be done by direct application of the remedy to the diseased tissue1 when that is so situated as to be reached4 ,the difference is greatly in favor of the latter mode when that is practicable1 from the greater certainty of its results4 ,this assertion is based1 not upon vague hypothesis1 but upon actual practice4 ,entertaining these views1 however heretical they may be pronounced1 ,i shall proceed to mention some of the remedies ,i have learned to use thus1 and the cases for which they are prescribed4 ,i would remark that1 in selecting a remedy1 it must be done with as much certainty of its homoeopathic relation to the local or general symptoms for external as for internal use4 ,i have found1 however1 that much lower attenuations are requisite and admissible4 ,,arnica is highly applicable to bruises1 and is valuable also when applied to lacerated or mangled surfaces1 to the surface of the limb where a bone is fractured1 also about the joint when it has been dislocated4 ,it is to be used in the form of ,arnicated water1 by putting one or two drops to a gill of water for application where the skin is ruptured or the surface raw1 and ten to twenty drops to the gill1 upon parts where the skin is sound4 ,it is useful also1 for boils1 and carbuncles in the early stage1 the strong tincture to be applied when the surface is sound1 and 7to boils7 when the surface is open1 one drop to a gill of water4 ,aconite ,is applicable to inflamed eyes1 in the early stage1 where the disease is in the conjunctiva1 7that portion which lines the lids and covers the front of the ball71 especially if there is a sense of scratching1 as though some foreign substance is in the eye1 great intolerance of light1 chilly sensations1 with more or less fever1 and quick pulse4 ,put three or four drops to a gill of warm water1 and apply it freely4 ,it is also very valuable for ,neuralgia1 applied strong and warm1 along the course1 or at the origin of the affected nerve4 ,in neuralgia of the face1 apply it upon the side of the face1 also just behind and below the ear of the affected side4 ,it is of much value as a remedy for neuralgic affections of the womb4 ,i have relieved the most distressing symptoms of neuralgia of the womb1 in a few minutes1 by injecting warm water containing twenty to forty drops of tr4 ,aconite to the pint4 ,by repeating this application at every paroxysm1 patients recover rapidly1 each succeeding attack being lighter1 and the interval between being longer1 until they cease entirely4 ,it may be used with much benefit in the same manner1 for ,hysteritis1 as well as recent cases of ,leucorrhoea4 ,it is the most valuable remedy applied to the ,eye for a wound of that organ4 ,in ,gonorrhoea1 it is more valuable as a local remedy1 than most of those now in use4 ,it will frequently cure alone4 ,in this case1 it is to be used with an equal part of the tr4 and warm water4 ,belladonna has great power as a local remedy in ,erysipelas1 to be applied with water in proportion of ten drops of the tr4 to a gill of warm water4 ,it is also of much value applied to the surface of inflamed breasts2 also injected when there is inflammation of the uterus1 with pressing pains as though the bowels would be pressed out4 ,very valuable in parturition where there is rigidity of the os uteri1 with fullness of the head and throbbing of the temples4 ,it has the specific power to relax circular fibres without affecting the longitudinal4 ,calendula1 is applied to wounds1 incised and lacerated1 promoting healing by the first intention4 ,it is a valuable application for wounds in scrofulous persons1 which tend to suppurate rather than heal by the first intention4 ,it is also useful in old sores4 ,the ,calendula ,cerate is one of the best of dressings for any abraded surface4 ,conium is valuable as a palliative upon cancerous tumors4 ,as a curative remedy it is useful in chronic ophthalmia1 especially the purulent of children2 useful also for indurated swellings4 ,thuya is a specific when locally used for ,sycosis1 also for fungoid cancerous tumors4 ,i have cured well-marked cases of ,fungus ,hmatodes with the tinct4 ,thuya applied to the surface of the tumor4 ,the ,thuja ,cerate is a valuable application for malignant ulcers4 ,cornus ,sericea will often cure malignant ulcers both of the breast and uterus1 used as a wash4 ,arsenicum acts favorably on cancers1 and is a specific when applied to the surface of carbuncle4 ,ipecac acts very beneficially when applied to the surface where there is high fever1 with nausea and vomiting4 ,half an ounce of tr4 ,ipecac to two quarts of tepid water1 applied with a sponge to the whole surface1 acts like magic in yellow fever1 allaying the nausea1 producing free and health-restoring perspiration4 ,rhus ,tox1 applied1 with water at the strength of thirty drops of the tr4 to a gill1 to parts affected with ,rheumatism1 acts very beneficially4 ,it is also a most valuable application at half the above strength upon parts affected with ,erysipelas1 when the surface is swollen1 and there are vessicles filled with fluid like a blister in burns4 ,it is also useful for sores that exist as the chronic effects of burns when the proper treatment had not been used in the beginning1 and the healing process was never perfected4 ,rhus ,cerate is a very useful application to irritable ulcers4 ,hepar ,sulphur is a specific for ,itch and ,scald ,head1 applied in form of a wash with twenty to thirty drops of tr4 ,hepar ,sul4 to a gill of water4 ,also for ill-conditioned scrofulous ulcers1 generally4 ,cuprum ,aceticum4 7,acetate of ,copper ,verdigris7 applied to ,cancerous ulcers of the face1 ,lupus or ,noli-me-tangere1 in the early stage1 will in most cases effect a perfect cure1 especially if for a week previously the part has been wet daily with tr4 ,thuja4 ,the best mode of applying the acetate is to mix the impalpable powder1 as prepared for paint1 with some substance to form a cerate1 as equal parts of bees-wax and mutton suet1 with #a-ej to #a-ajj part of the pure acetate as found in the bottom of the can1 when prepared in oil for paint2 heat all together and stir until cool4 ,this forms a good plaster for covering and shielding the sore while its medicinal property is in the ,cuprum ,aceticum diluted as above4 ,it is quite useful for any ill conditioned ulcer4 ,acetic ,acid is a most efficient remedy applied to old irritable varicose ulcers on the limbs of females who have suffered from ,phlegmasia ,dolens1 7milk leg47 ,it may be applied as a wash to the part once or twice a day at the strength of #a-bjth of the acid with water1 or in the form of good cider vinegar4 ,the manufactured vinegar of the cities does not usually contain acetic acid4 ,,arum ,,triphyllum is a specific to allay the inflammation and excessive pain in scrofulous swellings of the neck1 7,kings ,evil47 ,the pure drug in powder1 wet with warm water1 or the green root bruised so as to form a poultice1 is to be applied over the swelling4 ,it soon discusses the swelling1 or if pus has already formed1 allays the the pain1 and brings the pus to the surface1 and if continued1 disposes it to heal rapidly4 ,,baptisia ,,tinctoria applied as a poultice either in the powdered drug1 or with some other substance wet with the infusion or tr41 arrests gangrene in a short time4 ,it is especially useful for threatened or actual gangrene arising from lacerated wounds or scalds with wounds1 as in accidents connected with the explosion of steam boilers2 when we often have scalds and lacerations in the same wound4 ,,hydrastus ,,canadensis used as a gargler in a putrid state of the throat in malignant ,scarlet fever1 arrests the destructive process at once4 ,it is also a most excellent application for inflamed eyes in the second or sub-acute stage4 99 99 99 99 99 ,,prophylactics4 7,preventives of ,disease47 ,,to ,,prevent ,,scarlet ,,fever ,give ,belladonna at the #c;d attenuation1 three to six pellets1 according to the age of the child1 every morning1 during the prevalence of the epidemic4 ,this is for the common or mild form of the disease4 ,if the prevailing epidemic is of the malignant kind1 producing fatal ulcerations of the throat1 give ,bell4 once in two days and ,mercurius ,corrosivus at the #c;d attenuation on the alternate day4 ,while ,bell4 is a very certain preventive of the common eruptive ,scarlatina1 it is not as certain to prevent the malignant form4 ,though it renders the latter much more mild1 the ,merc4 ,cor4 is necessary to ward it off entirely1 or so modify as to divest it of the dangerous features4 ,,to ,,prevent ,,yellow ,,fever ,take ,aconite1 ,belladonna and ,macrotin1 #ast in rotation one dose a day4 ,if there is any headache1 or pains occur in other parts of the body1 or a languid feeling1 take a dose twice or three times a day in rotation4 ,,to ,,prevent ,,bilious ,,fever ,,or ,,ague ,take ,podophyllin1 ,baptisia and ,gelseminum #ast in rotation1 one dose at night1 and if symptoms of fever1 as headache and loss of appetite1 or bad taste in the mouth in the morning appear1 take a dose three times a day1 and refrain entirely from food for one or two days4 ,,to ,,prevent ,,typhoid ,,fever ,when exposed1 as in nursing the sick1 take ,baptisia #b;d1 and ,macrotin #b;d1 a dose three times a day4 ,,to ,,prevent ,,small-,,pox ,use ,macrotin #ast night and morning1 and if nursing or exposed frequently1 use it every four hours4 ,,to ,,prevent ,,cholera4 ,camphor 7pellets medicated with the pure tincture7 ,veratrum #c;d1 and ,arsenicum #c;d1 should be taken in rotation--a dose morning1 noon and night1 in the order named2 so as to take a dose of each every twenty-four hours4 ,if any sense of weakness or trembling comes on1 use the ,camphor oftener2 if pain or uneasiness in the bowels threatening diarrhoea1 use the ,veratrum1 and for increased thirst with uneasiness at the stomach ,arsenicum more frequently4 ,,to ,,prevent ,,diarrhoea ,where it is prevailing as an epidemic1 ,ipecac at night1 and ,veratrum in the morning will often suffice4 ,for teething children give ,ipecac and ,chamomilla in the same manner4 ,,to ,,prevent ,,dysentery ,in hot weather when bilious diseases prevail1 use ,mercurius #c;d1 ,podophyllin #b;d1 and ,leptandrin #ast in rotation1 giving one dose a day4 ,in the winter1 or when ,typhoid fevers prevail1 use ,mercurius and ,rhus tox4 alternately a dose every day4 ,,to ,,prevent ,,itch4 ,a dose of ,sulphur1 or rubbing a little flour of sulphur on the hands1 will generally suffice4 ,,to ,,prevent ,,colds ,keep the arms1 hands and chest well clothed and warm4 ,affecting the head as catarrh1 or the pelvic regions keep the feet and ankles warm and dry4 ,affecting joints and muscles as ,rheumatism--protect the ,spine 7back7 from colds and currents of air4 ,after an accidental exposure as by getting the feet wet1 or being caught in a shower1 drink bountifully of cold water1 and take a dose of ,nux2 followed in an hour by ,aconite1 if any chilliness is felt1 or ,copaiva if the head is stuffed up4 ,in winter and spring when the weather is mild1 but there is snow1 or the ground is damp1 more clothes are necessary than when it is freezing hard and the air is dry4 99 99 99 99 99 ,,preparation ,,of ,,medicine4 ,as it often becomes necessary for the practitioner to make more or less of his own dilutions and attenuations1 some brief instructions especially to new beginners1 may not come amiss4 ,medicine is prepared by mixing it with distilled water1 or purified #ih per cent4 ,alcohol2 or if solid and dry1 by reducing it to powder and triturating 7rubbing7 it in a mortar with pure sugar or ,sugar of ,milk4 ,the liquid is called dilution1 the powder trituration4 ,the attenuations are mostly made at the decimal 7#a-aj17 or centecimal 7#a-ajj7 ratio and numbered #a1 #b1 #c1 c41 by putting ten drops of the liquid with ninety drops of ,alcohol1 or ten grains of the powder with ninety grains of ,sugar for the #ast1 and ten grains or drops of the #ast with ninety more of ,alcohol or ,sugar1 as the case may be1 for the #bnd1 and so on to any desirable extent4 ,if the centecimal attenuation is adopted1 one grain or drop is used instead of ten1 as in the decimal4 ,i prefer the decimal to the centecimal ratio4 ,not that there can possibly be any difference in the action of the medicines1 at the same attenuation1 whether it was brought to that state through a series of #a-aj1 or #a-ajj2 the #c;d at the #a-ajj ratio of dilution being precisely the same as the #fth at #a-aj4 ,my preference for the decimal ratio is based upon the greater convenience and accuracy of measuring larger quantities4 ,accuracy is very desirable1 but the practice of guessing at the amount as pursued by some1 is anything but accurate4 ,when one makes his dilutions by putting the fluid into a vial and pouring it all out1 guessing that he has a drop left which is to medicate the ninety-nine drops of ,alcohol or water1 he may put in by guess1 ,i am inclined to guess that he knows nothing1 accurately as to what dilution he is making4 7,see ,hull's ,laura1 introduction1 also ,jahr ,possart's ,pharmacopoeia and ,posology47 ,for if the vial is small and quite smooth there may not be a drop left1 or if it is rough1 there may be several drops4 ,yet some physicians make their dilutions thus1 and insist upon the superiority of the centecimal over the decimal attenuations4 ,whatever ratio is adopted1 should be accurately followed4 ,have true scales for weighing solids1 and a graduated measure marked from ten drops up to one hundred for liquids2 then always weigh or measure accurately the medicine1 as well as the substance with which it is to be attenuated4 ,the measure and mortar1 after using them for one medicine1 can be cleaned preparatory for another1 with scalding water1 rinsing them with purified ,alcohol1 then drying4 ,never smoke or chew ,tobacco in any place1 but if you are such a slave to habit1 that you must do it despite your good sense and better judgment1 never do either1 or have tobacco or any other odoriferous substance about your person when you are preparing medicines1 or they are exposed to the air4 ,keep the medicines excluded from the light and air as far as practicable4 ,triturate the powders thoroughly for an hour or more upon each1 and shake the dilution from fifty to one hundred times1 more for the higher attenuations4 ,it is better to medicate pellets in large bottles1 filling them half or two-thirds full1 put in just liquid enough to wet every one1 but not so as to dissolve any4 ,shake them until all are equally wet1 and let them stand for four or five days1 if practicable1 shaking them up two or three times a day until all are dry4 ,,index4 ,administration of ,remedies1 #aa ,ague1 #bb ,ague1 preventive treatment of1 #aec ,asthma1 #eg ,aphth1 #ij ,asiatic ,cholera1 #ajd ,amenorrhoea1 #abi ,ague in the breast1 #ace ,attenuation of medicines1 #aea ,bathing1 #ab ,bilious ,fever1 #bf ,preventive treatment of1 #aec ,bronchitis1 #ea ,burns and ,scalds1 #fd ,bilious ,colic1 #ai ,brain ,fever1 #gj ,bee stings1 #ge ,bite of ,rattlesnake1 #gg ,bruises1 #ie ,cholera ,case1 #c ,colic1 #ah ,colic1 ,bilious1 #ai ,cholera ,morbus1 #ba ,cholera1 ,asiatic1 #ajd ,preventive treatment of1 #aec ,chill ,fever1 #bb ,continued ,fever1 #bh ,catarrhal ,fever1 #bh ,cough1 #eb ,colds1 #eg ,colds1 ,preventive treatment of1 #aed ,croup1 #ee ,constipation1 #fb ,chilblains1 #fi ,convulsions of ,children1 #gb ,crusta ,lactea1 #abb ,carbuncle1 #abb ,diarrhoea1 #ad ,preventive treatment of1 #aed ,dysentery1 #af ,preventive treatment of1 #aed ,diet1 ,rules for1 #ac ,dyspepsia1 #eh ,diseases of ,females1 #abi ,dysmenorrhoea1 #aca ,enteritis1 #ec ,erysipelas1 #fb ,epistaxis1 #ha ,earache1 #hd ,foreign ,substances in the ,ear or ,nose1 #add ,fevers1 #bb ,intermittent1 #bb ,chill1 #bb ,fits of ,children1 #gb ,felon1 #abf ,flowing1 #acb ,female weakness1 #aih ,gastritis1 #ed ,hooping ,cough1 #eh ,heartburn1 #fb ,hoarseness1 #gj ,headache1 #gh ,sick1 #hj ,introduction1 #e ,intermittent ,fever1 ,ague1 #bb ,inflammation of the ,lungs1 #di ,inflammation of the ,brain1 #gj ,inflammation of the ,bowels1 #ec ,inflamed ,eyes1 #ia ,incontinence of ,urine1 #aag ,involuntary urination 7nightly71 #aag ,itch1 #abj ,itch1 preventive treatment of1 #aed ,inflamed ,breast1 #ace ,inflammation of the ,uterus1 #adj ,jaundice1 #abj ,local application of ,remedies1 #ade ,leucorrhoea1 #ach ,mammary ,abscess1 #ace ,menorrhagia1 #acb ,measles1 #gc ,mumps1 #gd ,morning sickness of pregnant females1 #adc ,nursing ,sore-mouth1 #acc ,nosebleed1 #ha ,neuralgia1 #aah ,nightly urination of ,children1 #aag ,otalgia1 #hd ,ophthalmia1 #ia ,preparation of medicine1 #aee ,pleurisy1 #dh ,prolapsus ,uteri1 #ach ,pneumonia1 #di ,piles1 #ig ,painful urination1 #aag ,painful menstruation1 #aca ,profuse menstruation1 #acb ,preventives of ,disease1 #aea ,quinsy1 #ec ,rheumatism1 #cj ,rheumatic ,fever1 #bi ,remitting ,fever1 #bg ,rattlesnake bite1 #gg ,scarlet ,fever1 #ce ,preventive treatment of1 #aea ,sore ,throat1 #eb ,scalds1 #fd ,stings of ,insects1 #ge ,sick ,headache1 #gi ,sore-mouth of ,children1 #ij ,sea ,sickness1 #ajc ,small-,pox1 #aaj ,preventive treatment of1 #aec ,scald ,head1 #abb ,suppression of the menses1 #abi ,sore ,nipples1 #aci ,table of ,remedies1 #c ,traveler's ,case1 #c ,typhoid ,fever1 #ca ,tonsillitis1 #ec ,toothache1 #hf ,teething of children1 #hh ,thrush1 #ij ,ulceration of the ,uterus1 #adj ,urination painful1 #aag ,urination1 ,involuntary1 #aaj ,variola1 #aag ,varioloid1 #aag ,worms1 #hb ,wounds1 #ic ,whitlow1 #abf ,yellow ,fever1 #ch ,preventive treatment of1 #aec ,,appendix ,,on ,,the ,,use ,,of ,,gelseminum ,,semp4 ,,in ,,fevers4 ,,by ,j4 ,s4 ,,douglas1 ,a4 ,m41 ,m4 ,d41 ,prof4 of ,mat4 ,med4 and ,special ,pathology1 in the ,western ,homoepathic ,college1 ,cleveland2 author of ,treatment of ,intermittents1 c4 ,such has been the general result of the treatment of the fevers of this country1 that most ,homoeopathic physicians deny the possibility of breaking up a fever when once established4 ,those who labor under this impression1 will be soon convinced of the error by properly employing the ,gelseminum semper virens1 or yellow ,jasmine4 ,having proved this drug repeatedly on myself and seven or eight others1 it was impossible to avoid the conviction that it would be homoeopathic to the ordinary fevers of this country4 ,the pathogenetic symptoms1 almost uniformly experienced1 are the following1 the dose being from one to five drops3 ,within a few minutes1 sometimes within two or three1 a marked depression of pulse1 which becomes #aj1 #ae or #bj beats less in the minute1 if quiet1 but greatly disturbed by movement4 ,chilliness1 especially along the back1 pressive pain of the head1 most generally of the temples1 sometimes in the occiput1 at others1 over the head4 ,the chilliness is soon followed by a glow of heat and prickling of the skin1 and quickly succeeded by perspiration which is sometimes profuse and disposed to be persistent1 continuing from twelve to twenty-four hours4 ,as soon as the re-action takes place after the chill1 the pulse rises as much above the normal standard1 as it was before depressed below it4 ,with these symptoms is a puffy1 swollen look and feeling of the eye-lids1 slimy and disagreeable or bitter taste in the mouth1 languid feeling of the back and limbs1 and sleepiness4 ,as example affords the best illustration1 we will give one to illustrate the usual action of this drug in fevers3 ,p4 ,w41 aged #ba1 sanguine temperament1 had been complaining of languor1 and want of appetite for three weeks4 ,for a week has been unable to attend to business4 ,took a cathartic1 and was1 of course1 worse4 ,for the last thirty-six hours had been seriously sick4 ,june #cj1 #aheh1 had the following symptoms3 ,pulse rather full1 but weak and vascillating1 about #ajj per minute4 ,tongue red and dry2 hands tremulous when extending them2 tongue trembles when protruded2 the mind wanders2 he reaches after imaginary objects2 lips dry and parched2 he is uneasy1 restless4 ,now this1 all will recognize as a case which had been long in coming on1 and was fairly established1 and was not likely to be broken up by ordinary means4 ,he took one drop of ,gelseminum tincture to be repeated every hour1 if needed4 ,the next morning he reported that he had been in a perspiration ever since fifteen minutes after taking the first dose1 had slept quietly during the night1 the tongue and lips were moist1 mind clear1 pulse #hj1 and steady4 ,the next day ,i found him dressed and down stairs1 with good appetite and free from disease4 ,i could give sixty cases of equally prompt results from this precious drug1 in fevers which make their attack rather suddenly1 whether from cold or otherwise1 and attended with chilliness1 pain in the limbs1 head and back1 variously disordered taste of the mouth1 with great restlessness4 ,the almost uniform effect1 in these cases is1 a cessation of the chills1 within from two to five minutes1 quickly followed by a glow of heat and prickling of the surface2 and within from five to twenty minutes1 perspiration with progressive abatement of all the pains and restlessness4 ,the patient falls asleep1 and after a longer or shorter time1 wakes with a consciousness that his disease is broken up--and this proves to be the truth4 ,like all other drugs1 the dose must be various1 generally one drop repeated every half hour1 till the desired effect is produced repeated afterwards as occasion may require4 ,in simple cases of fever1 ,i regard it as the remedy1 not only1 but the only remedy required4 ,there are1 of course1 many cases of fever1 with local complications1 as inflammation of the liver1 c41 c41 where other remedies will be necessary4 ,half a drop1 or even a quarter1 is often sufficient4 ,the largest ,i have yet given is five drops1 and this in only one case4 ,several ,homoeopathic physicians to whom ,i have recommended it1 have made equally favorable reports of it4 ,my experience has been1 that not a few of our ,western fevers1 especially if neglected beyond the incipient stages1 are accompanied by such gastric and bilious disorder1 as to require ,mercurius1 ,china1 or ,podophyllin1 after the general febrile symptoms are removed by ,gels4 ,but at an early stage1 the ,gels4 alone will prevent the development of these complications4 ,the drug seems to me to act specifically and energetically1 not only upon the circulatory system1 but equally so upon the nervous system1 allaying nervous irritability more effectually in fevers1 than ,coff41 ,cham41 ,bell41 ,nux1 or any other drug we possess4 ,as it acts very quickly1 the first dose may be soon repeated and increased1 if no effect is observed4 ---------------------------------------- ----------------------- ,transcriber's note3 ,inconsistent punctuation in headings in this book are as in the original4 ---------------------------------------- -----------------------