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+Project Gutenberg's An Epitome of Homeopathic Healing Art, by B. L. Hill
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever.  You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: An Epitome of Homeopathic Healing Art
+       Containing the New Discoveries and Improvements to the Present Time
+
+Author: B. L. Hill
+
+Release Date: June 4, 2008 [EBook #25692]
+
+Language: English
+
+Character set encoding: ISO-8859-1
+
+*** START OF THIS PROJECT GUTENBERG EBOOK EPITOME OF HOMEOPATHIC HEALING ART ***
+
+
+
+
+Produced by Bryan Ness and the Online Distributed
+Proofreading Team at https://www.pgdp.net
+
+
+
+
+
+
+
+
+
+
+
+AN EPITOME OF THE Homoeopathic Healing Art,
+
+CONTAINING THE NEW DISCOVERIES AND IMPROVEMENTS TO THE PRESENT TIME;
+
+DESIGNED
+
+FOR THE USE OF FAMILIES, FOR TRAVELERS ON THEIR JOURNEY,
+
+AND AS A POCKET COMPANION FOR THE PHYSICIAN.
+
+BY B. L. HILL, M. D.,
+
+Professor of General, Special, and Surgical Anatomy Late Professor of
+Surgery, Obstetrics, and Diseases Females and Children, in the W. H.
+College, Author of the "Homoeopathic Practice of Surgery," &c., &c.
+
+
+CLEVELAND, OHIO: JOHN HALL, 72 SUPERIOR STREET.
+
+CHICAGO, ILL. HALSEY & KING, 162 CLARK STREET.
+
+1859.
+
+
+Entered according to Act of Congress, in the year 1859,
+
+By B. L. HILL, M. D.,
+
+In the Clerk's office of the District Court in and for the Northern
+District of Ohio.
+
+PINKERTON & NEVINS' Print, Cleveland, O.
+
+
+       *       *       *       *       *
+
+
+TABLE OF REMEDIES.
+
+
+In this table I have affixed to the remedies figures designating the
+dilutions or the attenuations, at which, under ordinary circumstances, I
+would advise their use. The strongest, or mother tinctures, marked with
+an apha (0), the dilutions or triturations to be of the decimal degrees
+of attenuation, are marked 1, 2, 3, &c., to designate that they are to
+be used at 1-10th, 1-100th, 1-1000th, &c., the strength of the pure
+drugs.
+
+The list for a full FAMILY CASE contains all the remedies recommended in
+this book for diseases that may be safely trusted to unprofessional
+hands.
+
+The TRAVELER'S CASE needs only such medicines as are prescribed for the
+diseases which he would be most liable to contract on his journey;
+though I have put in the principal ones used in domestic practice, so
+that the Case will do for family use.
+
+The CHOLERA CASE is only supplied with such remedies as are particularly
+applicable to that disease; useful, however, for many other complaints.
+
+TRAVELER'S CASE.
+
+   1 Aconite                p 3|15 Hydrastus Can.          p 1
+   2 Apis Mellifica         p 3|16 Ipecac                  p 3
+   3 Arsenicum              p 3|17 Mercurius sol.          p 3
+   4 Arnica                tr 0|18 Mercurius cor.         tt 2
+   5 Arum triphyllum       tt 2|19 Macrotin               tt 1
+   6 Belladonna             p 3|20 Nux Vom.                p 3
+   7 Baptisia               p 1|21 Phosphorus              p 3
+   8 Bryonia                p 3|22 Phos. acid              p 3
+   9 Colocynth              p 3|23 Podophyllin             p 2
+   10 China Sul.           tt 1|24 Rhus toxicod.           p 3
+   11 Chamomilla            p 3|25 Secale                  p 3
+   12 Copaiva               p 2|26 Tartar emetic           p 3
+   13 Cuprum                p 3|27|Veratrum                p 3
+   14 Eupatorium Aro.       p 1|
+
+
+CHOLERA CASE.
+
+   1 Aconite                p 3|8 Laurocerasus             p 4
+   2 Arsenicum              p 3|9 Opium                    p 3
+   3 Belladonna             p 3|10 Merc. cor.              p 3
+   4 Camphor               tr 0|11 Phosphorus              p 3
+   5 Carbo Veg.             p 5|12 Phos. acid              p 3
+   6 Cuprum                 p 3|13 Secale                  p 3
+   7 Ipecac                 p 3|14 Veratrum                p 3
+
+FULL FAMILY CASE.
+
+   Tr. is used for tincture, Tt. trituration, P. pellets.
+
+   REMEDIES.                 |CONTRACTIONS.
+                             |
+    1 Aconitum.              |Aconite       Tr 0 1 p 3
+    2 Althæa.                |
+    3 Apis mellifica.        |Apis mel.        0 p 2 3
+    4 Arsenicum.             |Arsenicum          0 p 3
+    5 Arnica.                |Arnica,            0 p 3
+    6 Arum triphyllum.       |Arum triphyllum,  0 tt 2
+    7 Belladonna.            |Bell.           tr 1 p 4
+    8 Baptisia tinctoria.    |Baptisia,         tr 0 2
+    9 Bryonia.               |Bryonia,          tr p 3
+   10 Carbo. Vegetabilis.    |Carbo. Veg.       tr p 4
+   11 Cantharides.           |Cantharides,    tr 0 p 3
+   12 Colocynthis.           |Colocynth,     tr or p 3
+   13 China Sulphuricum.     |China Sul.          tt 1
+   14 Chamomilla.            |Chamomilla     tr or p 3
+   15 Copaiva.               |Copaiva         tr 1 p 2
+   16 Cauloph. Thalictroides.|Caulophyllum        tr 1
+   17 Cuprum.                |Cuprum,              p 3
+   18 Cuprum Aceticum.       |
+   19 Cornus Sericea.        |Cornus sericea, tr 0 p 2
+   20 Conium maculatum.      |Conium mac.     tr 0 p 3
+   21 Coffea.                |Coffea               p 4
+   22 Eryngium Aquaticum.    |Eryngium Aquaticum     2
+   23 Eupatorium aromaticum  |Eupatorium aro. tr 0 p 2
+   24 Hepar Sulphur.         |
+   25 Hydrastus Canadensis.  |Hydrastin       tr 0 p 2
+   26 Hamamelis Virginica.   |Hamamelis Vir.  tr 0 p 3
+   27 Ipecacuanha.           |Ipecac        tr 0 p 2 3
+   28 Laurocerasus.          |Laurocerasus         p 3
+   29 Mercurius solubilis.   |Merc.               tr 3
+   30 Mercurius corrosivus.  |Mercurius cor.  tt 2 p 3
+   31 Macrotys Racemosa.     |Macrotin,           tr 2
+   32 Nux Vomica.            |Nux                  p 3
+   33 Opium.                 |Opium                p 3
+   34 Phosphorus.            |Phosphorus,     tr 2 p 3
+   35 Phosphoric acid.       |Phos. acid,     tr 2 p 3
+   36 Podophyllum peltatum.  |Podophyllin,    tt 1 p 3
+   37 Pulsatilla.            |Pulsatilla             3
+   38 Rhus Toxicodendron.    |Rhus Tox.            p 3
+   39 Secale cornutum.       |Secale,         tr 1 p 3
+   40 Santonine.             |Santonine,          tr 1
+   41 Spongia.               |Spongia,             p 4
+   42 Tartar Emetic.         |Tartar emetic   tr 2 p 3
+   43 Thuya.                 |
+   44 Veratrum alba.         |Veratrum.            p 3
+
+
+
+
+AN EPITOME
+
+OF THE
+
+HOMOEOPATHIC HEALING ART.
+
+
+
+
+Introduction.
+
+
+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 country. The symptoms are given with sufficient
+minuteness and detail to enable any one of ordinary capacities of
+observation to distinguish the complaint; and the treatment is so
+_plainly_ laid down, that no one need make a mistake. If strictly
+followed, it will, in a very large proportion of cases, effect cures,
+even when administered by those unacquainted with the medical sciences
+generally. It has been written from necessity, to meet the demands of
+community for a more definite work in a concise form, that should
+contain remedies of the most reliable character, with such directions
+for their use as can be followed by the _traveler on his journey_, or by
+families at home, when no physician is at hand. It might seem to some
+preposterous to speak of a _demand_ for another _domestic_
+Homoeopathic Practice, when half a score or more of such works are now
+extant, some having come out within a very short time. The demand
+arises, not from the want of Books, but from the defects of those that
+exist. There is in most of them, too little point and definiteness in
+the prescriptions, and a kind of vague doubting recommendation
+noticeable to all, which carries the impression at once to every reader,
+of a want of _confidence_ by the author in his own directions.
+
+Again, in some of the works there is too much confusion, the symptoms
+not being laid down with sufficient clearness to indicate the best
+remedy. Some of the works are unnecessarily large and cumbersome, while
+the real amount of valuable practical matter is comparatively meager,
+obliging the reader to pay for paper and binding without the contained
+value of his money. I do not claim entire perfection for this work, yet
+I do claim it to be several steps in advance of the books now extant.
+
+       *       *       *       *       *
+
+This work is my own, being the result of my practical experience and
+observation. I have introduced several remedies that, though they are
+familiar to me, and have been used in my practice for many years, are,
+nevertheless, comparatively strange and new to most of the profession.
+Of some we have no extensive provings yet published, still the provings
+have been made, both upon the healthy and the sick. Their use, as
+directed in this work, is in strict accordance with their
+Homoeopathic relation to the symptoms for which they are prescribed.
+
+Some may object to my practice of giving several remedies in alternation
+or rotation and in quick succession. To such I would say, When you try
+this mode of practice and on comparing it with the opposite one of
+giving only one remedy, and that at long intervals between the doses,
+find my mode to be less successful than yours, _then_ it will be time
+for you to make your objections. _You_ may rely upon the vague
+hypotheses of the books, and give your high dilutions singly, at long
+intervals, and let your patients die for want of _real_ treatment, while
+I will use lower dilutions and give two or more remedies in quick
+succession and cure mine. I only speak what is in accordance with
+universal observation, where the two modes are compared on equal
+footing, when I affirm that, while the former _may_ effect some cures,
+_most_ of the recoveries under it, are spontaneous and unaided, the
+latter _does_ cure; the disease being arrested by the medicine, and the
+proportion of unfavorable terminations is much less under the latter
+than the former course. 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 remedies, all of whom still adhere to the low, while
+I have yet to hear of the man who has gone _back_ to high single
+remedies and long intervals. My reason then, for the course here laid
+down, is, that it will _cure_ with more promptness and certainty. If
+others are so prejudiced as not to _try it_, they will still remain in
+ignorance of the _best practice_, and their patients will be the
+sufferers.
+
+In reference to the fear that is expressed that if one medicine is given
+too soon after another, it will antidote the former, I have simply to
+say, I have no confidence in the hypothetic antidotal powers of the
+medicines one over another, as laid down in the books. It has not been
+verified by experience, and has no foundation in truth. It is true that
+one medicine will remove morbid symptoms that might be produced by an
+overdose of another; but both being given in the ordinary medicinal
+doses, neither of them to such an extent as to produce sensible
+symptoms, if given alone, would not, if given in quick succession,
+prevent each other from acting to remove their own peculiar symptoms
+that exist in the system at the time. So if we have the symptoms that
+are found in two or more different remedies present in the same attack,
+as is often the ease, we may give these several remedies one after
+another, with confidence in their curative effects for the symptoms they
+represent.
+
+This has been my practice, and it has been _eminently successful_, and
+therefore I commend it to others, treating with pity the infirmity of
+those who ignorantly condemn it, as "They know not what they do."
+
+
+
+
+ADMINISTRATION OF REMEDIES.
+
+
+The remedies are either in the form of tinctures saturated, more or less
+dilute, in Pellets or Powders. The _Pellets_ may be taken dry upon the
+tongue, allowed to dissolve and swallowed. The dose for an adult is from
+4 to 7; for an infant, from birth to one year old, 1 to 3; from one to
+three years, 2 to 4; from three to ten years, 3 to 5 pellets; after ten,
+same as an adult. 15 or 20 pellets may be dissolved in a gill of water,
+and a tea-spoonful dose given at a time, being particular to stir it
+until all are perfectly dissolved, stirring it each dose.
+
+_Powders_ may be taken in the same manner, upon the tongue, a dose when
+dry, being about the same bulk as of the pellets as nearly as
+practicable. If put into water, to a gill of water add of the powder
+about what would lie on a three cent piece. If the liquid medicine is
+used, add 1 drop to a gill of water, and use tea-spoonful doses as above
+directed. The length of time between the doses should be, in Dysentery
+and Diarrhoea, regulated by the frequency of the discharges, giving a
+dose as often as the evacuations occur. In acute and violent diseases,
+the doses should be repeated oftener than in milder cases--about once an
+hour as a general rule is often enough, though in some cases they should
+be given in half an hour or oftener. In mild cases, once in two or three
+hours is often enough, and in chronic cases, once or twice a day.
+
+
+Bathing.
+
+The surface of the body should be kept clean, as far as possible, and to
+this end, in summer, should be well bathed at least once a day. In
+winter, though useful, it is not so indispensable; still no one should
+neglect the bath more than a week, and all ought to bathe at least twice
+a week, if not oftener, even in winter.
+
+The bath should be of a temperature that is agreeable, and the room
+warm, especially for a feeble person. It should be so applied as not to
+give a general chill, as such shocks are always hurtful.
+
+The _teeth_ should be kept clean and free from tartar. They should be
+cleaned every morning and after each meal. The feet, legs and arms
+should be warmly clothed, especially the _arms_, as an exposure of them
+to cold is liable to induce affections of the lungs, and to aggravate
+any existing disease of those organs.
+
+By exposure of the feet and legs to cold, diseases and derangements of
+the female organs, even in young girls, are induced; and one prolific
+cause of female weakness is to be found in improper dressing of the feet
+and legs, while the _lung affections_ of females, now so fearfully
+prevalent, are traceable in a great degree to the fashion that has
+prevailed for a few years, of exposing the arms to cold.
+
+
+Diet.
+
+The diet of the sick should he nutricious, but at all times simple, free
+from greasy substances, and from all stimulating condiments whatsoever,
+as well as from vinegar, or food in which vinegar is used.
+
+In short, let the food be nutritious, easily digested, small or moderate
+in quantity, and free from all "seasoning," except salt or sugar; and if
+salt is used at all, let the quantity be very small, much less than
+would be used in health.
+
+
+Diarrhoea.
+
+This disease consists in a looseness of the bowels, generally
+accompanied with pain in the abdomen, more or less severe. It sometimes
+occurs without pain, but is _then_ attended with a sense of weakness,
+and a general feeling of uneasiness. It prevails mostly in the warm
+seasons, but may occur at any time. It is not usually considered a very
+dangerous affection, except during the prevalence of _Cholera_, or in
+children during hot weather.
+
+
+TREATMENT.
+
+_Veratrum_ and _Phos. acid_, given alternately, at intervals, as
+frequently as the discharges from the bowels occur, will generally be
+sufficient. If there is nausea or vomiting, or cramping pains in the
+bowels, give _Ipecac_ in alternation with one or both the former. If
+thirst and a burning of the stomach or bowels exist, use _Arsenicum._
+This last medicine may be given in alternation with either of the
+others, but is most frequently indicated in connection with _Veratrum._
+The intervals between the doses should be regulated by the frequency of
+the evacuations in all cases, lengthening them as the evacuations become
+less frequent, until they cease. In _children_, where the discharges are
+greenish or slimy, and contain undigested food, give _Chamomilla_ and
+_Ipecac_ alternately, as above directed. If the discharges are dark, or
+yellow, with distress in the stomach, give _Podophyllin._ The dose is
+from 3 to 6 pellets. In all cases of diarrhoea, adults should abstain
+from all kinds of food until cured, if possible, and eat but little at
+first, when food is taken. Children should be fed carefully, and but a
+small quantity at a time, being particular both for adults and children
+to use as little _liquid_ as possible; drink water in _small_
+quantities, not very cold. Avoid exercise, and lie on the back quietly,
+when that is practicable. In a large majority of cases, _Veratrum_, if
+given in the early stages of the disease, will arrest it at once, and in
+many chronic diarrhoeas of weeks or months standing, it is the surest
+remedy. In chronic diarrhoea of females, _Podophyllin_ should be used
+in alternation with _Veratrum_.
+
+
+Dysentery.
+
+This disease is caused by inflammation of the mucous membrane of the
+colon and rectum, (the large intestine) generally confined to the lower
+part of the bowel. It is always painful. There is griping and straining
+in the lower part of the abdomen, and generally great bearing down when
+at stool, with a peculiar distress after the evacuation, called tormina.
+
+The discharges often commence like a common diarrhoea, with copious
+liquid evacuations, but there is more or less griping pain, low down,
+from the beginning. The evacuations sooner or later become lessened,
+slimy or bloody, or both, the pain increasing accompanied with more or
+less fever, often quite severe. Sometimes the patient is costive, and
+has been so for several days, the dysentery coming on without being
+preceded by looseness. At others, especially in summer, when fevers are
+prevailing, the dysentery begins with a severe chill, followed by fever
+and the dysenteric symptoms above described.
+
+
+TREATMENT.
+
+If it begins with looseness without blood, give _Arsenicum_ and
+_Veratrum_ alternately, once an hour, or oftener if the evacuations are
+more frequent. If the discharges are bloody, use _Mercurius cor._ in
+place of the _Arsenicum_. If there is any sickness of the stomach, or
+the discharges are dark or yellow, use _Podophyllin_ with _Mercurius
+cor._ If there are colic pains in the bowels, use _Colocynthis_
+alternately with the others, giving it between them. If the patient was
+costive previous to the attack, and the dysentery came on without much
+looseness, _Nux Vomica_ should be given alternately with _Mercurius
+cor._ If the disease comes on with a chill, or a chill occurs at any
+time during the attack, followed by fever, _Aconite_, _Baptisia_ and
+_Podophyllin_ should be used in rotation half an hour apart until a free
+perspiration is produced, and the pain diminishes; or if bloody stools
+appear, use _Mercurius cor_, with the _Aconite_ and _Baptisia_. A large
+proportion of the dysenteries of hot weather in miasmatic regions, will
+be arrested in a few hours by these three or four remedies, especially
+if the patient keeps still, and generally even if he keeps about his
+business. In very bad cases, much benefit will be derived from
+injections of Gum Arabic water, or mucillage of Slippery Elm thrown into
+the bowel in quantities of a pint or more at a time, as warm as can
+possibly be endured. I have often relieved patients immediately with
+injections of a strong solution of Borax in Rice water, as hot as
+bearable. _Never apply cold water_ to _any_ inflamed surface, much less
+a _mucous_ surface. All food should be withheld as far as practicable
+and not starve, until the symptoms abate.
+
+
+Colic.
+
+The symptoms of this are cramping pains in the abdomen, without fever or
+looseness of the bowels. The colic sometimes occurs after the cessation
+of a diarrhoea that had been induced by severe cathartics. The pains
+are cutting and straining, drawing the bowels into knots, relieved
+temporarily by pressure.
+
+
+TREATMENT.
+
+For a male, _Nux Vom._, and for a female, _Pulsatilla_ will generally
+afford immediate relief. In children, especially, where diarrhoea
+exists, _Chamomilla_ should be used. If it is the result of severe
+cathartics, or if there is a soreness or a bruised feeling, _Colocynth_
+is the remedy. Hot injections into the rectum, and large quantities of
+warm water taken into the stomach, will often _cure colic_.
+
+
+Bilious Colic.
+
+This disease, in addition to the symptoms of cutting, cramping pains in
+the bowels, as in common colic, has great distress in the stomach, with
+nausea and vomiting, the bowels being costive, the feet and hands cold,
+sometimes cold sweats occur. There is also considerable fever, and
+frequently headache is present. The substance vomited is at first dark
+bilious matter, but if the case continues a long time, stercoraceous
+(fecal) matter will be thrown up.
+
+
+TREATMENT.
+
+_Colocynth_ is the most important remedy, and should be given early and
+constantly. _Podophyllin_ is next in importance, and it should be given
+in alternation with the former, the dose to be repeated as often as
+every half hour at first, and as the patient becomes easy, at longer
+intervals. In this, as in the former case, great benefit will be derived
+from large injections of quite warm water, and let it be taken into the
+stomach freely, as hot as can be safely swallowed. I have given a gallon
+of hot water in the course of two hours, to a patient suffering under
+this disease, the first half pint being rejected, but the balance
+remaining, perfect relief having been experienced. If fever continues
+after the colic and nausea cease, _Baptisia_ and _Aconite_ should be
+given alternately every hour until the fever subsides. If the patient
+is, and has been, for some time, costive, _Nux Vomica_ should be given
+once in six or eight hours until the bowels move. Injections may also be
+used.
+
+
+Cholera Morbus.
+
+This disease generally comes on at night, in hot weather, and is, in
+many cases, induced by over eating while the patient is suffering from
+diarrhoea and a deranged state of the liver. It is essentially of a
+bilious character. It sets in with great pain in the bowels, sickness at
+the stomach, and vomiting of large quantities of dark greenish bitter
+tasting substance. At first, the vomiting will seem to afford relief,
+but sooner or later the stomach and bowels cramp, and the cramping may
+extend to other parts of the body, the feet, hands, calves of the legs,
+and the arms, cold sweats come on, and death terminates his sufferings.
+
+
+TREATMENT.
+
+_Ipecac_ and _Colocynthis_ are to be given in alternation, and repeated
+as often as every 30 minutes, for the first three or four doses, then as
+the patient gets easier, at longer intervals. A dose every hour will
+suffice as soon as the symptoms begin to abate. The application of hot
+cloths or even mustard, over the abdomen, frequently palliates the
+sufferings, and does not interfere with the action of the medicines.
+Fever of a low typhoid type some times sets in after an attack of
+cholera morbus, and terminates fatally. This ought never to occur under
+Homoeopathic treatment. For such fever give _Baptisia_, a dose every
+hour until the fever subsides, which will occur generally in six or
+eight hours; if not, and the patient complains of headache, or is
+delirious, or dizzy, or feels a fullness in the head, give _Macrotin_ in
+alternation with the _Baptisia_. Keep the patient very quiet and free
+from noise, as far as possible. _Sleep_ is a great restorer in any case,
+but particularly so in this.
+
+
+FEVERS.
+
+Intermittent Fever, Ague or Chill Fever.
+
+This comes on with pains in the head and back, aching in the joints,
+yawning, followed by coldness of the hands and feet, blueness of the
+nails and skin of the hands, general chilliness, sometimes "shaking."
+This lasts from a few minutes in some cases, to several hours in others.
+The chill is followed by a fever, which is generally severe and long
+continued, in proportion to the length and severity of the chill. The
+fever is followed by free perspiration, when it subsides and leaves the
+patient in a comfortable condition. This state is called the
+_Intermission_. This continues from a few hours to twenty-four, or
+longer, when another chill comes on followed by fever and sweats as
+before. During the chill and fever, the patient often suffers great
+pain, and is sometimes delirious. Young children frequently have
+convulsions when the chill sets in. _These_ convulsions of children,
+though alarming, are not often dangerous.
+
+
+TREATMENT.
+
+As soon as the first symptoms of the chills appear, such as the
+headache, pain in the back and bones, coldness of the hands, nose and
+ears, give _Aconite_ and _Baptisia_ alternately, giving the first three
+doses every ten minutes, the next three doses every fifteen minutes, and
+then once in half an hour until the patient begins to sweat freely, when
+the medicines should be discontinued. If there is nausea or vomiting
+present, let the patient have lukewarm water freely in large draughts,
+until he vomits it up several times. As soon as the sweating commences,
+give _Arsenicum_ and _Macrotin_ alternately every hour during the
+intermission, except during sleeping time. On return of the chill,
+should it appear a second time, use the _Aconite_ and _Baptisia_ as
+before, and follow them with _Arsenicum_ and _Nux Vom._ every two hours.
+This course of treatment will cure a majority of cases, but some require
+_Cinchonia_. That Cinchonia is a specific for intermittent fevers in
+many of their forms, no one will deny. It is the Homoeopathic remedy
+for many cases, and should be prescribed. The injurious effects that are
+often attributed to Quinine, are, I have no doubt, attributable not to
+that remedy, but to the _drugs_ that are used prior to giving the
+_Chinium Sul_. I have used it in more than two thousand cases, and have
+never been able to see any evil consequences follow its _proper_ use. It
+should be given _from the beginning of the chill to the end_ of the
+paroxysm, and continued during the whole time of the intermission: _i.
+e._ until the time arrives for the next chill, _time_ being important in
+the use of this remedy. Use the first decimal trituration, and give
+grain doses (equal to 1-10th of a grain of the drug) every half hour
+till the time the next chill would occur, if it pursued its regular
+course, allowing the patient six or seven hours time in each
+twenty-four, for sleep.[1] Though from two to four grains of the pure
+_Chinium Sulphuricum_ is all the patient would get, very few cases that
+do not yield to a course of the former treatment here recommended, will
+have the third paroxysm after this _China_ treatment is commenced and
+pursued as here directed. For children the dose may be one-half or
+one-fourth that of the adults. If a trituration of the medicine cannot
+be got conveniently, four grains of the _Quinine_ may be put into a four
+ounce vial of water, shaken well every time, and a teaspoonful taken at
+a dose. Abstinence from food as far as practicable, and quiet is of much
+importance in this disease, but the patient may use water freely.
+
+[1] NOTE.--The Eclectic Physicians use equal parts of Quinine and
+Prussiate of Iron, with marked success in agues, giving from one to
+three grains of the mixture at a dose, every two hours, or oftener, for
+ten or twelve hours, and some times more, during the intermission. An
+intelligent Homoeopathic Physician informs me that he has used with
+_uniform_ success, a _trituration_ of this mixture of Quinine and
+Prussiate of Iron, in proportion of ten grains of the Sugar of Milk to
+one of the Mixture, giving the trituration in doses of about one grain
+every hour through the chill, fever and intermission. Very few cases had
+a second chill after taking the prescription. I have used this
+trituration successfully in a few cases.
+
+In some cases, the chill is irregular and indistinct, the patient is
+thirsty during the chill, and the cold stage is long in proportion to
+the length of the fever, the surface pale and more or less bloated.
+_Arsenicum_ is the remedy, and should be given from the commencement of
+the chill, and every hour until the fever subsides, then every three
+hours during the intermission. In chronic cases, where the patient has
+been drugged with mercurials and cathartics, together with larger doses
+of Quinine, and is still suffering under the disease, _Pulsatilla_ and
+_Macrotin_ in alternation, will, in nearly every case, effect a cure.
+
+
+Bilious Fever.
+
+This fever may be either intermittent, remitting, or continued, and
+typhoid. It is distinguished from common intermittent, by the great
+derangement of the stomach, as nausea and vomiting of bilious matter,
+yellow coated tongue, bitter taste in the mouth, foul breath, loss of
+appetite, high colored urine, and frequently distress and fullness in
+the right side, (though this last is not in every case present,) the
+skin and white of the eyes soon become yellowish, the chills are often
+imperfect, the fever being disproportionably long.
+
+
+TREATMENT.
+
+_Podophyllin_ and _Merc._ should be given in ease of intermittents of
+this character, during the paroxysm, and in rotation with the other
+remedies for intermittents, giving a dose every three hours during the
+intermission. It is well also to continue these remedies night and
+morning, alternately, for a week or so, after the cessation of the
+chills and fever, or until all bilious appearances cease.
+
+       *       *       *       *       *
+
+A REMITTING FEVER is one that goes nearly off, but not so entirely as an
+intermittent, returning again by a paroxysm of chill more or less
+distinct, sometimes hardly perceptible, and an increase of the fever
+following, from day to day, until arrested.
+
+       *       *       *       *       *
+
+CONTINUED FEVERS are generally of a Bilious character, except in winter,
+when they are more or less connected with irritation of the lungs, or
+with Rheumatic affections, when they are termed Catarrhal or Rheumatic
+Fevers. If the bilious symptoms prevail, give _Aconite_ and _Baptisia_
+during the chills and high febrile stage, at intervals of an hour, and
+during the declining stage of the fever, give _Podophyllin_ and
+_Mercurius_ until a perfect intermission is produced, when the same
+treatment should be adopted as in intermittents. But should it take the
+form of
+
+
+Catarrhal Fever,
+
+the head being "stuffed up," pain in the head, the lungs oppressed,
+cough and sneezing, the eyes and nose suffused with increased secretion
+of tears and mucus, pain in the back or loins, almost constant chilly
+sensations, use in rotation _Baptisia_, _Copaiva_ and _Phosphorus_,
+giving a dose every hour until the fever begins to abate and
+perspiration comes on, then leave off the _Baptisia_, and give in its
+stead _Macrotin_, lengthening the interval between the remedies to two
+hours or longer.
+
+For the _chronic cough_ that sometimes follows catarrhal fever,
+_Copaiva_, _Macrotin_ and _Phosphorus_ should be used morning, noon and
+night, in the order here named. Should the fever be a
+
+
+Rheumatic Fever,
+
+(_Rheumatism_,) the patient complaining of soreness of the muscles, of
+the chest, back and limbs, with or without lameness of the joints,
+_Aconite_, _Macrotin_ and _Nux Vom._ are the remedies for a male
+patient, and the two former, with _Pulsatilla_, for a female, (or for a
+_male_, of light hair, delicate skin, feminine voice and mild temper,)
+to be used in rotation one hour apart. These remedies are to be taken in
+a severe acute case, every half hour until the symptoms begin to abate;
+then every hour or two hours as the case progresses. _Baths_ properly
+administered, are of great importance in all forms of fever. The surface
+of the patient should be washed and thoroughly _rubbed_ in water quite
+warm, into which a sufficiency of the ley of wood ashes has been put to
+make it feel quite slippery. This should be done twice daily in all
+fevers. But in
+
+
+Rheumatism,
+
+In addition to the medicines directed under the head of _Rheumatic
+Fever_, the most decided benefit can be derived from _Alcoholic Vapor
+Baths_, which, while they do not in the least interfere with the action
+of the medicines, tend greatly to mitigate the pains, and produce an
+equal state of the circulation by stimulating the surface; abridging in
+many cases, the disease one-half the time it would run under the long
+interval treatment alone. This is to be applied by filling a tea cup
+with alcohol, placed in a saucer of water to insure against danger from
+an overflow while burning. Place both under a solid wood bottom chair,
+elevated about the thickness of a brick under each post, strip the
+patient naked, and after giving him the alkaline bath, and rubbing his
+surface dry, place him upon the chair, enveloping him completely, except
+his head, with a woollen sheet or blanket, (as there is no danger of
+the wool taking fire,) letting the blanket enclose also the chair and
+come down to the floor. Then set fire to the alcohol, and if the heat is
+too great, raise the edge of the blanket and let it become reduced.
+Continue this until he sweats freely, or becomes too much fatigued to
+sit longer. Let the patient often drink freely of cold water, during the
+process. Remove him from the chair to his bed and cover him warmly. It
+is well to place the feet in hot water during this process. This is a
+delightful operation for a rheumatic patient, and no one will object to
+a repetition of it. Whatever Physicians may think or say of this
+operation, I _know_ it is a most potent agent for the _cure_ of
+_inflammatory_ rheumatism, and is a valuable agent in the chronic form
+of this disease.
+
+
+Typhoid Fever.
+
+This is a dangerous, and with the ordinary allopathic treatment, a very
+fatal disease. It generally comes on insidiously, the patient feeling a
+dull head ache, more or less pain in his joints, back and shoulders,
+with loss of appetite, restless and disturbed sleep, slight chilly
+sensations, with a little fever, dry skin, and a general languid
+feeling. These symptoms continue from four or five days in some cases,
+to two or three weeks in others, gradually getting worse until the
+patient is prostrated, or if he takes no drugs, and keeps still,
+avoiding food as far as practicable, he may escape prostration, and
+after lingering for eight or ten days, and sometimes longer, just on the
+point of prostration, he begins slowly to get better, and recovers about
+as slowly and imperceptibly as he grew sick. This is in accordance with
+observation of cases under my own eye, and I have no doubt those cases
+of spontaneous recovery, had they taken a single dose of active
+cathartic medicine or any of the active drugs, they would have been
+immediately laid upon a bed of sickness from which a recovery would have
+been extremely doubtful. I believe that two-thirds of the deaths from
+typhoid fever are the direct results of medication, and that those who
+recover, do so in spite of the cathartics and the active drugs when such
+are used. Some cases, however, will not thus spontaneously recover, and
+require proper treatment; and it is safest to treat all cases, at as
+early a day as possible. Some cases come on more rapidly and run into
+the prostrating or critical stage, in a very few days. Delirium is a
+symptom that comes on early in these cases. When the disease is fully
+established, and even sometimes in the early stage, diarrhoea sets in
+and runs the patient down rapidly.
+
+
+TREATMENT.
+
+In the early stage, that which might be called premonitory, while the
+patient is yet able to be about his business, but is complaining of the
+symptoms above named, he should, as far as possible, abstain from
+exercise and food, and take of _Baptisia_ and _Phosphorus_ alternately,
+a dose once in three hours. These will almost invariably produce
+amendment in a few days, and as soon as he improves _any_, leave off the
+medicines. Should there be diarrhoea present, use _Phos. acid_ instead
+of Phosphorus. If the patient is delirious or has fullness and redness
+of the face, the eyes red, and headache, give _Belladonna_ in rotation
+with the other two. For the foul breath that comes on, use _Mercurius
+cor._, especially if the diarrhoea assumes a reddish tinge, like beef
+brine. Should the fever at any time rise high, the pulse being full and
+hard, give _Aconite_, but it rarely happens that Aconite is useful in
+the later stage. If the patient complains of pains in the back, and
+fullness of the head, give _Macrotin_. This is particularly useful for
+persons who have rheumatic pains in the limbs or back, during the fever.
+If the evacuations from the bowels are dark, or yellow and consistent,
+or there is bilious vomiting, _Podophyllin_ is the remedy. From some
+cause or other, to me wholly unaccountable, the writers generally have
+laid down _Rhus_ and _Bryonia_ as _the_ remedies in typhoid fever. I
+must confess I have no confidence in them for this fever as it prevails,
+and has for several years past, in this country. They have proved a
+failure, and I discard them altogether, as I am confident, from thorough
+trial, we have much more reliable remedies as a substitute for Rhus in
+the _Podophyllin_, and for Bryonia in the _Macrotin_. In the early
+stage, or at any time to arrest febrile and inflammatory symptoms, the
+_Baptisia_ is much more potent than Aconite, its symptoms corresponding
+peculiarly with typhoid fever. If the discharges become slimy or bloody,
+give _Leptandrin_ and _Nit. acid_. It is important to bathe in this
+disease.
+
+
+Scarlet Fever.--Scarlatina.
+
+This fever assumes two principal forms: Simple or mild, and Malignant.
+In the _Simple form_, there is great heat of the surface, extremely
+quick and frequent pulse, headache, and some sense of pain and soreness
+in the throat. After a day or two, there appears upon the surface,
+bright scarlet patches, in some cases extending over the whole limbs,
+the skin smooth and shining, and somewhat bloated or swollen; upon
+pressure with the finger, a white spot is seen, which soon disappears on
+removal of the pressure. As the disease subsides, the cuticle comes off
+(_desquamates_) in patches. In the simple form of this disease, the
+throat, though often more or less sore, does not ulcerate. In some
+cases, notwithstanding the fever is high, the pulse frequent, and the
+throat sore, there may be no external redness, but the mouth and tongue
+will have a scarlet hue, indicating the existence of disease more
+dangerous than when it appears externally. _In the malignant form_, the
+same symptoms are present, the patient suffers more pain in the head;
+the back and throat, root of the tongue, tonsils and soft palate become
+ulcerated, turn black, and sometimes gangrenous, proving fatal in a few
+days, or slough out in large portions, the ulcers destroying the parts
+extensively. The breath becomes foul and fetid, and the effluvia from
+the ulcerated surface, is very sickening to the patient and all around
+him. This disease rarely attacks adults, but occasionally, and for the
+last six or eight months, in one region where I am acquainted, where
+Scarlatina of a malignant type has prevailed among children, adults have
+been affected with an epidemic soreness of the mouth and throat,
+strongly resembling the worst form of the _angina_ in malignant
+Scarlatina, together with a low typhoid form of fever.
+
+
+TREATMENT.
+
+In simple scarlatina, all that is necessary is to keep the child quiet,
+in a room of uniform temperature, as far as practicable; let it drink
+cold water only, and give _Aconite_, _Belladonna_ and _Pulsatilla_ in
+rotation, a dose every hour until the fever subsides. If any soreness of
+the throat remains, give a few doses of _Mercurius_. If the fever
+subsides, and the soreness remain, _Hydrastin_ or _Eupatorium arom._
+will soon complete the cure. In the _malignant_ form, with ulcerated,
+dark colored, or red and purulent throat, and typhoid form of fever,
+give _Aconite_ and _Belladonna_ in alternation, every hour, and, at the
+same time, gargle the throat freely with _Hydrastin_. Some of the
+tincture may be put in water, about in the proportion of ten drops to a
+teaspoonful, or a warm infusion of the crude medicine may be used. This
+can be applied with a camel's hair pencil, or a swab, to the parts
+affected, once in two hours, and will soon bring about such a state as
+will result in speedy recovery. After the active fever has subsided, the
+_Aconite_ and _Bell._ may be discontinued, and _Eupatorium arom._ used
+instead, once in three hours until convalescence is complete.
+
+I would remark that, with these remedies applied as here recommended, my
+brother, Dr. G. S. HILL, of Erie County, Ohio, has, during the last four
+months, treated a large number of those malignant sore-throats, (the
+"Black tongue Erysipelas,") and been universally successful, relieving
+them in a few hours, when the symptoms were of the most alarming
+character, and the disease in some cases, so far advanced that the
+patients were considered by their friends and attendants, "at the point
+of death."
+
+The _Hydrastin_ is a most potent remedy in putrid ulcerations of the
+mucous surfaces, and much the same may be said of _Eupatorium
+aromaticum_.
+
+
+Yellow Fever.
+
+[As I have never practiced farther South than Cincinnati, and have seen
+but few cases of this disease, my experience with it has not been
+sufficient to be relied upon as authority. Therefore, I shall give a
+brief description of the disease, with the proper and _successful
+treatment_, furnished me by A. H. BURRETT, M. D., of New Orleans, who is
+not only a Physician of more than ordinary learning and skill in his
+profession generally, but is one who has spent his time in New Orleans
+among the sick of Yellow Fever, through three of the most fatal
+epidemics that ever scourged any city. He is a man for the times, a man
+of resources, who draws useful lessons from experience and observation.
+Hence he has been able to select such remedies as have enabled him to
+cope most successfully with the pestilence, saving nearly all his
+patients, while, under other treatment, a majority have died. I
+therefore, attach great value to his treatment, and recommend its
+adoption with the most implicit confidence.]
+
+       *       *       *       *       *
+
+When this Fever prevails as an epidemic, as it usually does, in the
+southern part of the United States, it is a disease of the most
+malignant character. The proportion of _fatal_ cases under the
+Allopathic course of treatment, has been equal to, and, in some places,
+as in New Orleans, and some Towns in Virginia, has exceeded that of
+_Asiatic_ Cholera. It is almost entirely confined to Southern regions,
+and only prevails in hot weather, after the continuance of extreme heat
+for some weeks.
+
+It usually begins with premonitory symptoms somewhat like those of
+ordinary fever, but with this difference: the patient, instead of losing
+his appetite, has often a morbidly increased desire for food. He
+complains of severe pains in the back, and more or less headache. Both
+the head and backache are of a peculiar character: the pains resembling
+rheumatic pains, the head feeling full and too large, the eyes early
+turn red, almost bloodshot and watery, a chill comes on, which may be
+distinct and quite severe, lasting for an hour or more, or, it may be
+slight, and hardly perceptible. The chill is followed by high fever, the
+pain in the head and back increasing, the eyes becoming more red and
+suffused, the forehead and face extremely red and hot, and the heat of
+the whole surface very great, the carotids beat violently, the pulse
+very frequent, and usually, at first, full and strong, though sometimes
+it is feeble from the beginning. However the pulse may be in the
+beginning, it very soon becomes small, but continues to be frequent. The
+tongue is at first covered with a white paste-like coating, which
+afterwards gives place to redness of the edges and tip, with a dark or
+yellow streak in the center. The stomach is very irritable, rejecting
+every kind of food, and all drinks, except, perhaps, a few drops of ice
+water. There is a peculiar distressed feeling in the stomach, often a
+burning sensation, so that, if suffered to do so, he would take large
+quantities of ice or water. One remarkable feature of the cases noticed
+in the epidemic, as it existed in New Orleans the past season, was, that
+the patients had a great desire for food, notwithstanding the nausea and
+distress at the stomach.
+
+Sooner or later, varying from a few hours to several days, in the
+ordinary course of the disease, the fever subsides. From this time the
+patient may recover without any further symptoms, but this is, by no
+means, the usual result. If the subsidence of the fever is accompanied
+by natural pulse, a free, but not profuse or prostrating perspiration,
+a genial warmth of the surface, natural appearance of the countenance,
+eyes, and tongue, with little or no soreness on pressure over the
+stomach, we may safely look for a speedy recovery. But if, on the
+contrary, the eyes, face, and tongue, become yellow, or orange-colored,
+the epigastrium is tender to pressure, the urine has a yellow tinge, the
+pulse becomes unnaturally slow, with the least degree of mental stupor,
+we have reason to know, full well, that the lull of the fever is only
+the calm preceding a more destructive storm. The fever has subsided,
+only because exhausted nature could re-act no longer. It may be in a few
+hours, or not until twelve or twenty-four have elapsed, the pulse
+becomes quickened, even to the frequency of 120 to 140 in a minute, but
+very feeble, the extremities of the fingers and toes turn purple or
+dark, the tongue becomes brown and dry, or is clean, red, and cracked,
+sordes may be on the teeth, the stomach become more irritable, nausea
+and vomiting are extreme, the substances vomited being, at first,
+reddish, afterwards watery, containing floculæ, like soot, or coffee
+grounds; the breath becomes foul, and the whole surface emits a
+sickening odor. The pulse becomes very small, though the carotid and
+temporal arteries beat violently. The urine fails to be secreted, and
+later, blood is discharged from the mucous surfaces, involuntary
+discharges from the bowels, clammy sweats; and death follows.
+
+The disease runs its course in from three to seven days, sometimes
+proves fatal in less than a day, and at others, assumes a typhoid form,
+and runs for weeks. Occasionally it sets in without any of the
+premonitory symptoms, the chill being first, the fever following,
+succeeded immediately by the black vomit, going through all the stages
+in a single day, or two days.
+
+Again, it sometimes begins with the black vomit, the patient being
+immediately prostrated. In all cases, however it may begin, the peculiar
+head-ache and back-ache as described in the beginning, as well as the
+extreme heat of the head and face, redness of the eyes, the gnawing
+sensation at the stomach, and peculiar nausea are present. These seem to
+be characteristic symptoms that mark the Yellow Fever, and those which
+should guide in the search for the proper remedies.
+
+
+TREATMENT.
+
+The remedies that proved successful in arresting the disease during the
+early or forming stage, before the chill or fever had set in, while the
+symptoms were pain, fullness, and throbbing of the head, with more or
+less dizziness, rheumatic pains in the back, and redness of the eyes,
+were _Aconite_ and _Bell._, at low attenuations, once in two to four
+hours, according to the violence of the symptoms. For the fullness of
+the head, pressing outwards, as though it would split, with pains of a
+rheumatic character, _Macrotin_ 1st, given in one grain doses, every
+hour or two hours, proved specific.
+
+These three remedies, _Aconite, Bell._ and _Macrotin_,
+would, in nearly all cases, arrest the disease in the forming stage, so
+that no chill or fever would occur, or, if fever did come on after this
+treatment, it was mild.
+
+When the fever sets in, and the pain in the head and back increases, the
+eyes, forehead and face are extremely red, or purple and hot, the pulse
+frequent and full, the tongue coated white, _Aconite_, _Belladonna_ and
+_Macrotin_ are still to be relied upon, but they should be given every
+half hour, in rotation, at low attenuations. If the tongue is red, in
+the early stage, use _Bryonia_ in place of the _Belladonna_. In a later
+stage, when sickness or distress at the stomach had become prominent,
+with the quick pulse, and hot skin, _Ipecac_ and _Aconite_, both at the
+1st attenuation, a dose given every half hour alternately, generally
+arrested the symptoms, and brought on perspiration of a healthful
+character, followed by subsidence of the fever and convalescence. Sponge
+baths, with half an ounce of _Tr. Ipecac_ in two quarts of tepid water,
+applied to the whole surface freely, under the bed clothes, so as not to
+expose him to the air, contributed much towards bringing on perspiration
+and subduing the fever, as well as allaying the nausea.
+
+When called to patients in the stage of _Black Vomit_, whether that came
+on as an early symptom, or at a later stage, _Nit. acid_, _Veratrum
+virid._ and _Baptisia_, all at the first dilution, were administered
+every hour, in rotation, with great success, the symptoms yielding in a
+few hours. For the great oppression, as of a load, in the stomach,
+without vomiting, _Nux_ was found sufficient. In the later stage, when
+there seemed to be no secretion of urine, _Canabis_ and _Apis mel._,
+gave relief.
+
+The remedies most successful for the cases that assumed a typhoid
+character, with dry, cracked tongue, sordes on the teeth, and low
+sluggish pulse, were _Baptisia_ and _Bryonia_, given every two hours,
+alternately. _Nitric acid_ given internally and injected into the
+rectum, when bloody discharges appear, is generally quite successful.
+
+Good nursing is of the utmost importance, and the patient should be
+visited frequently by his Physician, as great changes may occur in a
+short time. Three times a day is none too often to see the patient. As
+soon as the fever comes on, the patient should be stripped of his
+clothes, and dressed in such garments as he is to wear in bed through
+the attack. He should be put to bed and lightly covered, but have
+sufficient to protect him from any sudden changes in the atmosphere, and
+the room should be well ventillated all the time. The baths should
+always be applied under the bed clothes.
+
+The diet should be very spare and light, after the fever subsides, and
+while the fever exists no food should be taken. Thin gruel, in
+teaspoonful doses, once in half an hour, is best. After a day or two,
+the juice of beef steak may be given in small quantities but give none
+of the meat. No "hearty food" should be allowed for eight or ten days
+after recovery. A relapse is most surely fatal.
+
+As _Prophylactics_ (_preventives_) of the fever, _Macrotin_, _Bell._ and
+_Aconite_ should be taken, a dose every eight to twelve hours, by every
+one that is exposed. These will, no doubt, often prevent an attack, and
+if they do not, they will so modify it, that it will be very mild, of
+short duration, and very easily arrested.
+
+Pregnant females, and young children were sure to die if attacked, when
+treated by the Allopathic medication; but, by the use of these remedies
+as _preventives_, their attacks were rendered so mild as to be amenable
+to remedies, and all recovered.
+
+
+Pleurisy--Pleuritis.
+
+This is inflammation of the Pleura of one or both lungs, generally
+confined to one side. It is known by sharp pain in the side of the
+chest, increased by taking a long breath, or coughing, or by pressing
+between the ribs. The cough is dry and painful, the patient makes an
+effort to suppress it, from the pain it gives him; the fever is of a
+high grade, the pulse full, hard and frequent, with more or less pain in
+the head.
+
+
+TREATMENT.
+
+_Aconite_ is a sovereign remedy. It should be given at intervals
+proportionate to the severity of the disease, once in half an hour, for
+about three doses, then every hour until the patient is easy and
+perspires freely. This is the course I have generally pursued, and
+scarce ever failed of relieving in a few hours. Other means may often be
+used with advantage at the same time, and not interfere with the action
+of the medicine. Put the feet and _hands_ into water as hot as it can be
+endured, and apply to the affected side very hot cloths, hot bags of
+salt, or mustard. There is no harm in this, and it relieves the pain.
+Let the patient drink freely of _hot_ water, into which you may put milk
+and sugar to render it palatable. If the case seems to linger, and
+perspiration is tardy in appearing, give, in alternation with _Aconite_,
+_Eupatorium arom._ This will soon relieve.
+
+
+Inflammation of the Lungs--Pneumonia.
+
+This disease is often connected with Pleurisy, and consists of
+inflammation of the substance of the lungs. As in the former case, it
+may attack only one, but may exist in both sides at the same time. If
+the pleura is also affected, there will be all the symptoms of pleurisy,
+together with those peculiar to inflammation of the lungs proper. They
+are, pain in the lungs, oppressed breathing, cough, causing great
+distress on account of the soreness of the affected parts: at first,
+expectoration from the lungs is nearly wanting, the cough being dry, but
+after a time, there is a rattling sound on coughing, and more or less
+mucous substance is with difficulty raised. This is, at first, white or
+brownish, but soon becomes reddish and frothy, tinged with blood. The
+patient lies on the affected side, and cannot rest on the sound side.
+The pulse is full, hard and frequent, the fever high, pain in the head,
+and sometimes delirium. If the disease is not arrested, the patient
+generally dies from suffocation, by the lungs filling up, hepatized, or
+abscess and ulceration come on, and then what is called "quick
+Consumption" carries him off.
+
+
+TREATMENT.
+
+In the early stage, _Aconite_ and _Phosphorus_ should be used at
+intervals of from half an hour to one hour, in alternation, until the
+fever abates, and the oppression in the chest is relieved. If, however,
+there is bloody expectoration, _Bryonia_ may be used in place _of
+Phosphorus_, though I prefer to use it in rotation with the two others.
+These will soon, in all ordinary cases, subdue the most distressing
+symptoms, and effect a perfect cure in a day or two. _Belladonna_ should
+be used, when there is much delirium, or great pain in the head.
+Occasionally, the cough from the beginning, is apparently loose; there
+being a rattling sound, but the expectoration is difficult, the fever
+high, with some chilly sensations, or at least, coldness of the knees,
+feet and hands, a white or brownish fur upon the tongue, and pain in the
+bowels, For such symptoms, especially with the pain in the bowels, as
+though a diarrhoea would come on, give _Tartar emet._ It is often one
+of the best remedies in this disease, affording relief when others have
+failed.
+
+After subduing the high febrile symptoms, if there remains cough,
+indicating much irritation, or inflammation of the lungs, _Macrotin_
+should be used in place of Aconite, with _Phosphorus_ and _Copaiva_, the
+three in rotation, two hours between doses.
+
+
+Acute Bronchitis,
+
+_Inflammation of the Bronchial Tubes._
+
+This is attended with distressing cough, profuse expectoration,
+oppressed breathing, pain in the forehead, and general catarrhal
+symptoms. _Baptisia_, _Copaiva_ and _Eupatorium arom._ given every hour,
+in rotation, will, in general, relieve from the acute affection in a
+short time; but the
+
+
+Chronic Bronchitis
+
+requires the use of _Copaiva_, _Macrotin_ and _Arum triphyllum_, to be
+taken morning, noon, and night, in the order named; or, if the cough be
+severe, they should be used every three hours. These will be sufficient
+to effect a cure.
+
+
+Coughs
+
+Generally, unless they arise from consumption, yield readily to the
+alternate use of _Copaiva_, _Phosphorus_ and _Macrotin_, a dose given
+once in from three to six hours. If, however, there is soreness of the
+throat, redness and soreness of the tonsils, palate, and fauces, or
+soreness of the larynx, with hoarseness, _Arum triphyllum_ and
+_Hydrastus Can._ are the surest remedies. They rarely ever fail of
+effecting a complete cure in a few days. They should be used three or
+four times a day. They may be used with the other medicines recommended
+for coughs. In acute
+
+
+Sore Throat,
+
+arising from sudden cold, _Arum triphyllum_ and _Eupatorium aromaticum_
+are the remedies to be relied upon. If the tonsils seem to be mainly
+involved, constituting
+
+Quinsy--Tonsilitis,
+
+
+_Belladonna_ and _Aconite_ should be given, while there is high fever,
+then substitute for them, _Arum tri._ and _Phosphorus_; or, these may be
+used in rotation with the former, a dose every hour or oftener.
+
+
+Inflammation of the Bowels.--Enteritis.
+
+This consists in inflammation of the muscular and peritoneal coats of
+the intestines, sometimes also involving the mucous coat.
+
+The pain in the abdomen is constant, intense and burning in its
+character, felt most at the navel; the abdomen is extremely tender to
+pressure, and often bloated or tympanetic.
+
+Thirst is intense, but cold drinks distress and vomit the patient. The
+pulse is small, feeble and frequent, and the bowels costive. This is a
+very dangerous disease. It is sometimes connected with inflammation of
+the stomach, then called gastro-enteritis. The tongue is then red and
+pointed, the nausea and vomiting are more violent and constant, the
+thirst burning and insatiable.
+
+
+TREATMENT.
+
+The same medicines are applicable to both _Gastritis_ and _Enteritis_.
+
+_Aconite_, _Arsenicum_ and _Baptisia_ should be used one following the
+other every half hour until the symptoms begin to subside, then let the
+intervals be lengthened.
+
+In addition to these remedies, I allow the patient to drink often and
+freely of hot water, as hot as can be swallowed, and though it is at
+first almost instantly rejected by the stomach, by repeating it in a few
+minutes in moderate quantities, it gives relief and will soon so allay
+the irritation as to remain. In some cases the vomiting is severe, the
+bowels are loose, and pain burning. For such, _Tart. Emet._ is the
+proper remedy. Cold drinks should not be taken.
+
+Cloths wet in cold water, ice water if it is at hand, and wrung out so
+as not to drip, should be laid over the whole abdomen and instantly
+covered with two or three thicknesses of warm dry flannel, and the
+patient's feet kept warm. This may be considered harsh treatment, but
+there is no danger in it; on the contrary I have, in the worst and most
+alarming cases of _gastritis_ and _peritonitis_, made such applications,
+and in less than an hour have seen my patient easy and beginning to
+perspire freely, all danger having passed. It always affords more or
+less relief and is never attended with danger. Covering the wet cloths
+immediately with plenty of dry ones is very essential.
+
+After the acute inflammation has subsided, it is well to have the bowels
+moved, but don't give drastic cathartics. _Nux Vomica_ given at night
+and repeated morning and noon, will generally serve to cause an
+evacuation. Injections may be used.
+
+
+Croup.
+
+This is a disease of children. Comes on in consequence of a sudden cold.
+Children suffering from Hooping Cough are more subject to it. The cough
+is of a peculiar whistling kind, like the crowing of a young chicken,
+with rattling in the throat and difficult breathing, fever is present,
+and often very violent. It is properly an inflammation of the Larynx,
+but the inflammation may also exist in the Pharynx, the tonsils may be
+involved, and it may extend to the trachia, (wind pipe). A false
+membrane forms in the larynx if the disease is not arrested, and so
+obstructs the breathing as to cause death from suffocation.
+
+
+TREATMENT.
+
+Give at first _Aconite_, _Phosphoric Acid_, and _Spongia_, giving them
+in the order here named once in ten minutes in a very violent case, and
+as the patient improves at intervals of half an hour, and then an hour.
+
+Should the fever subside, and still the tightness in the throat and
+cough continue to be troublesome, give _Ipecac_ in place of Aconite. And
+when the cough seems to be deep seated use _Bryonia_ instead of spongia.
+
+The patient should be kept in a warm room, and free from exposure to
+currents of cold air. The application of a cloth wrung out of cold or
+ice water to the throat, covered immediately with dry warm flannels so
+as to exclude the air from the wet cloth, will often exert a decidedly
+beneficial effect, and there is no danger if managed as here directed.
+The feet should be kept warm and the head cool, but _don't_ put _cold_
+water on a child's head.
+
+
+Asthma.
+
+If an attack comes on from sudden cold, take _Aconite_ and _Ipecac_
+every hour for a day, and if any symptoms remain, in place of the
+Aconite use _Copaiva_, _Arsenicum_ and _Phos. Acid_ with the _Ipecac_,
+giving them in rotation, a dose every hour.
+
+In _Chronic Asthma_, where the patient is liable to an attack at any
+time, great benefit will be derived from taking these four in rotation
+about two hours apart for a day or two, at any time when symptoms of an
+attack begin to appear.
+
+I have recently succeeded in alleviating several bad cases, at once, by
+these four remedies in succession as here recommended, on whom (some of
+them) I had at various times tried all of them, as well as other
+medicines, singly at longer intervals, as directed in the Books, without
+any decided benefit. After trying these in succession, as here directed,
+I found no trouble in arresting the paroxysm in a few hours, and I am
+strong in the faith that with some, at least, I have effected _cures_.
+It is worth much to _arrest_ the _paroxysm_ if no more.
+
+
+Hooping Cough.
+
+According to my experience, though this disease may not be entirely
+arrested in its course, and not generally much abridged in its duration,
+still the use of appropriate medicines will greatly modify it, and
+render it a comparatively trifling affection.
+
+In treatment, give at the commencement of the attack _Bell._ and _Phos.
+acid_ alternately every twelve hours for a week, then once in six hours,
+and if the child should take cold so as to bring on fever, give one
+every hour. Continue these, as above directed, for the first two or
+three weeks, then, in their stead, after the cough becomes loose, and
+the patient vomits easily, give _Copaiva and Ipecac_ in the same manner
+as directed, for the two former remedies.
+
+
+Dyspepsia.
+
+This term is applied so loosely and so indiscriminately to all chronic
+derangements of the stomach, that it is difficult to define it. I shall
+therefore point out some of the more common ailments of the stomach and
+their proper remedies.
+
+For sour eructations with hot, burning, scalding fluid rising up in the
+throat, with or without food, give _Phos. acid and Pulsatilla_ in
+alternation every half hour, until the stomach is easy. For a feeling of
+weight and pain in the stomach, with dull pain in the head, with or
+without dizziness, give _Nux. Vom._ every hour until it relieves. If
+there is a _burning_ feeling in the stomach as well as the heavy load,
+_without_ eructations and rising of fluid, _Arsenicum_ should be
+alternated with the _Nux. Vom._, at intervals of two hours. There are
+persons who, from imprudence in eating or drinking or both, or which is
+more frequent, from _harsh drug medication_, have so enfeebled their
+stomachs, that, though by care in selecting their food, and prudence in
+taking it, they may suffer but little, are, nevertheless, when from home
+or on special occasions, liable to overeat or take the wrong kind of
+food, from which unfortunate circumstance they are made to suffer the
+most tormenting and intolerable distress in the stomach and bowels,
+which may last, more or less severe, for several days. Soon after the
+unfortunate meal, perhaps the next morning, or, it may be, in a few
+hours, the stomach begins to bloat, by accumulating gas within, which is
+belched up every few minutes in large quantities; the stomach and bowels
+are racked with the most torturing pains; cold sweat stands on the brow,
+and he is the very picture of misery. Thus he may roll and tumble all
+night, and remain in misery the next day and several days longer, before
+the food will digest. It often passes from the stomach without
+digestion, and on its way through the bowels inflicts constant pain. If
+he does not take some emetic substance, he is not apt to vomit, his
+stomach cramping so as to prevent it.
+
+I have here described one of the bad cases, but bad as it is they are by
+no means _very_ rare. There are such cases in abundance, of all grades
+from the one here described down to a slight derangement. They all
+require a similar course of _treatment_.
+
+It is useful for such patients to take at once large quantities of
+lukewarm water, and repeat the draught every ten to fifteen minutes,
+until free and thorough vomiting is induced, so as to throw off all the
+food from the stomach.
+
+But even this does not often cure these bad cases. If it did, it is not
+always convenient to do it. The medicine that is quite certain to afford
+relief at once is _Podophyllin_. Let it be given, and the dose repeated
+in an hour. A third dose is rarely necessary. After relief from this
+attack, the medicine should be taken night and morning for a month or
+more until the stomach is restored. In the meantime care should be taken
+not to overload the stomach.
+
+
+Constipation.
+
+The medicine for this affection is _Nux vom._, to be taken at night on
+retiring. If there is fulness and pain in the head from costiveness,
+_Bell._ should be used in the morning, and at noon. Let the patient
+contract a habit of drinking _cold water_ freely on rising in the
+morning, at least half an hour before eating. The patient _should not
+take physic_.
+
+For constipation of children, _Nux_ and _Bryonia_ are to be given Nux at
+night and Bryonia in the morning. _Opium_ is useful.
+
+Much needless alarm is often felt by persons on account of a costive
+state of the bowels. If no pain is felt from it, there is no cause for
+alarm.
+
+
+"Heartburn."
+
+This peculiar burning and distressed feeling at the stomach depends on
+imperfect digestion, but is _not_ ordinarily, as is generally supposed,
+connected with a sour or acid state of the fluids in the stomach. The
+condition of the fluids is alkaline, in most cases, though it is
+sometimes acid. If it depends upon biliary derangement, _Nux Vomica_ and
+_Podophyllin_ are the remedies for a male; _Pulsatilla_ and
+_Podophyllin_ for a female.
+
+
+Erysipelas.
+
+This is a disease of the skin, producing redness, burning and itching
+pains, appearing in patches, in adults, most apt to appear about the
+head and face, but in children, upon the limbs, or in very young
+children, beginning at the umbilicus. It sometimes begins at one point,
+and continues to spread for a time, then suddenly disappears, and
+reappears at some other point.
+
+_Simple Erysipelas_ only affects the surface, with redness and smarting.
+_Vessicular_, produces vessicular eruption, or blisters filled with a
+limpid fluid, somewhat like the blisters from a burn.
+
+The _Phlegmonous Erysipelas_ affects the whole thickness of the skin and
+cellular tissues beneath it, producing swelling, and not unfrequently,
+resulting in suppuration, ulceration or gangrene and sloughing of the
+parts. It is a dangerous disease, especially when on the head.
+
+
+TREATMENT.
+
+For the simple kind, _Bell._ is all that will be needed, unless there
+should be considerable fever, when _Aconite_ should be alternated with
+the _Bell._ For the _vessicular_ kind, where there are blisters, _Rhus
+tox._ should be used with _Bell_. For the _Phlegmonous_, with deep
+seated swellings, _Apis mel_ is the most important remedy. I prefer to
+use three of these remedies, giving them in rotation, beginning with the
+_Bell._, followed with _Rhus_, and then by _Apis mel._ giving them one
+hour apart. In a mild case, or after the patient begins to recover, give
+them at longer intervals. The _Apis_ alone will often be sufficient.
+During the whole time, the affected parts should be kept covered with
+dry, superfine flour, some say Buckwheat flour acts most favorably. The
+diet should be very spare. Eat as little as possible, until the disease
+begins to subside.
+
+A very important part of the treatment of this affection is to keep the
+patient in a room that is comfortably warm, say at a temperature of from
+65 to 75°, and keep the temperature _uniformly the same_, as nearly as
+possible, night and day. Do not, by any means, expose him suddenly to
+cold air, or a cold breeze, as on going into a cold room, going out into
+cold air, or undressing or dressing in a cold room. Uniformly warm
+temperature is of great importance.
+
+
+Burns and Scalds.
+
+No matter what the nature and extent of the burn may be, the very best
+of all medicines of which I have any knowledge, is _Soap_. If the parts
+affected, are immediately immersed or enveloped in Soft Soap, the pain
+will be greatly lessened, and the inflammation that would otherwise
+follow, will be essentially modified, if not entirely prevented. It acts
+like magic; no one who has never tried it can have any idea of its
+potency for the relief of pain, together with the prevention of bad
+consequences following severe burning. Under the influence of the _Soap_
+applications, burns and scalds will often be rendered comparatively
+insignificant injuries. Instead of endangering the life of the sufferer
+from the excessive pain, or the ulceration, or gangrene and sloughing
+that would follow if the pain in the first instance does not destroy
+life, the pain ceases, or becomes bearable in a short time, and either
+little or no suppuration or sloughing takes place, or the sore assumes
+the appearance of healthy suppuration, and heals kindly--avoiding those
+unsightly deformities that so commonly follow severe burning. If
+practicable, the soap, as before suggested, should be applied
+immediately after the burn, the sooner the better. The part may be put
+into soft soap, or cloths saturated with it can be wrapped around or
+covered over the affected surface, to any desirable extent. The parts
+should not be exposed to the air for a single moment, when possible to
+prevent it. During the first two or three days, dressings need not be
+removed, unless they cause irritation after the first severe pain has
+subsided. They should be kept all of the time moist, and as far as
+practicable, in a condition to be impervious to the air.
+
+When it is necessary to remove them, let the affected surface be
+immersed in strong soap suds, at a temperature of about 75 or 80°, and
+the dressing removed while it is under water, and others applied while
+in the same situation. In ordinary cases, however, even of extensive
+burns, after the fever consequent upon it has subsided, and the part is
+tolerably free from pain and smarting, the dressings may be removed in
+the air, but others should be in readiness and applied as speedily as
+possible. 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 sore.
+
+After the first few days, or in case of a slight burn at the beginning,
+an excellent mode of applying the soap, is to make a strong thick
+"_Lather_" with soft water and good soap, such as Castile, or any other
+good hard soap, as a barber would for shaving, and apply that to the
+affected part with a soft shaving brush; apply it as carefully as
+possible, so as to cover every part of the surface, and go over it
+several times, letting the former coat dry a little before applying
+another, forming a thick crust impervious to the air. In small burns,
+and even in pretty extensive and severe ones, this is the best mode of
+application, and the only one necessary.
+
+In many cases of very severe and dangerous burns, under the influence of
+this application, the inflammation subsides, and after a week or more,
+the crust of lather comes off, exposing the surface smooth and well.
+Although it is important to apply the _soap_ early, and the case does
+much better if that has been done, still I have found it the best remedy
+even as late as the second or third day. In such a case, the _lather_
+application is the best.
+
+For the fever and general nervous disturbance, _Aconite_ and _Bell._
+should be given alternately, as often as every half hour, and the
+_Aconite_ should be given in appreciable doses; it acts powerfully as an
+anodyne. The soap treatment, or at least, the mode of applying it was
+first suggested to me by Dr. J. TIFFT, of Norwalk, Ohio, some six or
+seven years ago, since which time I have had opportunities of testing
+its virtues in all forms of burns and scalds, some of which were of the
+severest and most dangerous character, and I am quite sure in several
+cases, no other remedy or process known to the medical profession, could
+have relieved and restored as this did.
+
+The application of finely pulverized common salt, triturated with an
+equal part of superfine flour, acts very beneficially on burns. It seems
+to have the specific effect to "extract the heat," literally putting out
+the fire. It is particularly useful for deep burns where the surface is
+abraded. Some may suppose this would be severe and cause too much pain
+when applied to a raw surface, but so far from that being the case, it
+is a most soothing application. It often so changes the condition of
+even the severest burns, in a short time, as to render them of no more
+importance and no more dangerous than ordinary abrasions to the same
+extent, by causes unconnected with heat. _Urtica urens_ is directed for
+burns, and is useful, but the _Urtica dioica_ is better. For
+
+
+Chilblains,
+
+That follow freezing or chilling the feet, causing most distressing
+uneasiness and itching of the feet and toes, take these remedies, _Rhus_
+and _Apis_, the former at night and the latter in the morning. In bad
+cases, they should be used once in six hours. Applications of _Oil of
+Arnica_ to the affected parts at night, warming them before a fire, will
+serve greatly to palliate the sufferings, and frequently effect a
+perfect cure. The _Urtica Dioica_ will relieve recent cases,
+immediately, and is one of the best remedies for the chronic affection.
+It should be taken at the 2d dilution, and the tincture applied to the
+affected part every night.
+
+
+Hoarseness.
+
+This arises generally, from inflammation of the mucous membrane of the
+_Larynx_, in ordinary cases but slight. It is a frequent accompaniment
+of Bronchitis.
+
+The remedies most useful, and those which will, in almost all ordinary
+cases, remove this affection at once, are _Arum tri._ and _Copaiva_, to
+be taken a dose every three hours in alternation.
+
+If there is present a dry hacking cough, it will be well to take _Bell._
+in the interval between the other medicines, for a day, or until the
+cough is relieved, or changed to a moist condition.
+
+
+Inflammation of the Brain.
+
+_Brain Fever._
+
+Though this affection is not strictly what is called "brain fever," it
+is attended with more or less general fever, while in what is called
+"Brain fever," there is great irritation of the brain, requiring in many
+respects similar treatment. As the treatment proper for inflammation of
+the brain, with some slight modifications in relation to the existing
+fever, will be applicable to both, I shall treat of them under one head.
+
+Some of the principal symptoms are delirium and drowsiness, fullness of
+the blood vessels of the head, beating of the temporal arteries, redness
+and fullness of the face, the pupils dilated, (though in the very early
+stage they may be contracted.) If the membranes of the brain be the seat
+of the disease, the pain is more intense, and frequently the limbs are
+in a palsied state. The patient sometimes vomits immoderately, and the
+pulse is slow and irregular, but full. The breathing becomes stertorous.
+The fever is very considerable, and the head hot.
+
+
+TREATMENT.
+
+_Aconite_, _Belladonna_ and _Bryonia_ should be given in rotation, one
+dose every hour in a violent case, lengthening the intervals as the
+symptoms abate. Applying _hot cloths_ to the head, removing them
+occasionally to let the water evaporate, will greatly palliate and will
+not in the least, interrupt the action of the medicines. Never apply
+cold to the head of any person, when hot or inflamed, much less to that
+of a child. Children are often killed by the application of ice to the
+head, producing congestion and paralysis of the brain. Hot applications
+are Homoeopathic to the state then existing, and always beneficial.
+The feet may also be placed in hot water, but children should never be
+put into a hot or warm bath when sick, so as to cover more than the
+lower extremities.
+
+
+Convulsions of Children--Fits.
+
+These generally occur, either from the irritation of worms, or as
+precursors of ague, or they may arise from diarrhoeal irritation,
+affecting the brain. They sometimes occur in hooping cough.
+
+If convulsions occur from worms, the child appearing to be choked, give
+at once some salt and water, and as soon as the first paroxysm is over,
+give a dose of _Bell._, and after an hour a dose of _Santonine_. If they
+come on at the commencement of an ague chill, give _Aconite_ and _Bell._
+every half hour for three or four doses alternately, then leave off the
+_Bell._ and give _Baptisia_. If diarrhoea is the cause, give _Bell._
+and _Cham omilla_. If from hooping cough, _Bell._ alone should be used.
+
+
+Measles.
+
+This is a contagious disease, and always begins with symptoms like a
+cold, with high fever, and a severe dry cough, thirst and restlessness.
+_Pulsatilla_ is the proper medicine to palliate and regulate the
+symptoms. If the fever is high, _Aconite_ should be used every two hours
+alternately with _Puls._ Should the eruption subside suddenly, give
+_Bryonia_ with _Pulsatilla_ until it reappears.
+
+Let the child drink freely of cold water, and avoid stimulants of every
+kind. If the eruption is tardy in its appearance, a hot bath may be
+administered, being careful to have the room quite warm, and to rub the
+patient dry, very suddenly after the bath. Frictions by the healthy hand
+over the surface, will do much towards bringing out measles. After the
+eruption is out, quiet, freedom from sudden exposure to cold, cold water
+and light diet is all that is necessary. In some of the most obstinate
+cases, where the eruptions failed to appear in the proper time, as well
+as where they had receded too soon, I have been able to bring them out
+in a short time with an infusion of Sassafras root, sweetened and taken
+quite warm, in doses of half an ounce in fifteen to thirty minutes. It
+is a remedy for measles well worth attention.
+
+
+Mumps.
+
+This is a contagious disease, consisting in an inflammation of the
+Parotid gland. There is, at first, a sense of stiffness and soreness on
+moving the jaw, soon after the gland begins to swell, and continues to
+be sore and painful, with more or less headache, and general fever for
+from six to eight days. It is not ordinarily a dangerous disease, unless
+translated to some other part. It may remove from the original seat to
+the brain, the testicles, or in females to the breasts.
+
+
+TREATMENT.
+
+_Mercurius_ should be given three times a day during the attack. If the
+brain becomes affected, use _Bell._ and _Apis mel._ in alternation.
+Should it recede to the testicles, or to the female breasts, _Apis mel._
+is _the_ remedy. _Mercurius_ may be used in connection with the _Apis_
+as soon as the violent symptoms have subsided, in order to prevent
+permanent glandular swellings.
+
+
+Stings of Insects.
+
+The effect produced by the sting of Bees, Wasps, and Hornets of all
+kinds, is so nearly, if not quite identical, that I shall make no
+distinction between them. There are very few, if any persons, who do not
+know the symptoms, at least the local effects of the Bee sting. Pungent,
+stinging, aching pain, redness and swelling of the part. The wound has
+at first, and for some time, a white spot or point where the sting
+entered, surrounded by an areola of bright scarlet, growing fainter and
+paler as it recedes. The swelling is not pointed, but a rounded
+elevation, with a feeling of hardness. If upon the face, it not
+unfrequently causes the whole face to swell so as to nearly if not
+entirely close the eyes. In some instances, the brain becomes affected
+and death ensues.
+
+
+TREATMENT.
+
+I have for many years, used but _one remedy_, and that has in all cases,
+and under all circumstances, when applied at any stage of the affection,
+produced prompt and perfect relief; therefore I shall recommend no
+other. It is the common garden _Onion_, (_Allium cepa_) applied to the
+spot where the sting entered. I cut the fresh Onion and apply the raw
+surface to the spot, changing it for a fresh piece every ten to fifteen
+minutes, until the pain and swelling, and all disagreeable symptoms
+disappear. If it is applied immediately after the stinging, the first
+application will afford perfect relief in a few minutes, and no further
+effect from it will be experienced. Applied later, it must be continued
+longer, and this may be done one or two days after the stinging, with
+just as much certainty of removing whatever symptoms may still exist.
+
+I treated one case when three days had elapsed, the patient (a young
+lady) was delirious and speechless, the whole face was so swollen as to
+entirely disfigure her features, raising the cheeks to a level with the
+nose, and closing the eyes. Her life was almost despaired of. The
+surface of a freshly cut onion was applied to the point where the sting
+entered, and changed about once an hour for a fresh piece. In a few
+hours consciousness returned, and a rapid recovery followed. All the
+swelling and disagreeable symptoms were gone in three days.
+
+_Ledum_ is highly recommended by some Physicians, and is doubtless of
+some value, but it is not to be compared with the _Allium_.
+
+The most potent and certain remedy for the poison caused by the
+
+
+Bite of the Rattlesnake
+
+is _Alcohol_, in the ordinary form, or in common Whisky, Brandy, Rum or
+Gin. Let the patient drink it freely, a gill or more at a time, once in
+fifteen to twenty minutes, until some symptoms of intoxication are
+experienced, then cease using it. The cure will be complete as soon as
+enough has been taken to produce even slight symptoms of intoxication.
+It is remarkable how much alcohol a patient suffering from the poison
+of the Rattlesnake will bear.
+
+An intelligent medical friend of mine in Kanawha County, Virginia, gave
+a little girl of ten years, who had been bitten by a Rattlesnake, over
+three quarts of good strong Whisky, in less than a day, when but slight
+symptoms of intoxication were produced, and that seemed to arise
+entirely from the last drink. She recovered from the intoxication in a
+few hours, and suffered no more from the poison of the serpent.
+
+Instances of cures with whisky are numerous, and I have never heard of a
+failure, when it was used as here directed. I presume it will do the
+same for the poison of other serpents.
+
+
+Headache.
+
+This symptom or affection, (if it can be classed as a disease) may
+depend upon so many causes, and be so very different in its effects,
+degrees of intensity, and the kind of pain or sensation attending it,
+that one will find it very difficult to mark out any definite treatment.
+I shall, therefore, only point out some of the more frequent cases, and
+the indications for certain remedies.
+
+What is called "_sick headache_," or "nervous headache," begins by a
+sense of blindness or blur, before the eyes, of green or purple colors,
+dazzling or swimming in the head, without, for some time at first, any
+positive aching or pain. In the course of an hour, a longer or shorter
+time, the dimness of vision goes off, and the head begins to ache. This
+may or may not be accompanied with nausea and vomiting. Some persons are
+always more or less sick at the stomach, when these "nervous headaches"
+come on, others are not thus affected.
+
+
+TREATMENT.
+
+If taken as soon as the first blur before the eyes is noticed, or before
+any pain is felt in the head, _Nux Vomica_ will, in nearly all cases,
+arrest the disease at once. It may be necessary to take two or three
+doses at intervals of an hour. Later in the case, though _Nux_ may
+palliate, it will not cure.
+
+If headache with sickness comes on, _Macrotin_ and _Podoph._ should be
+given in alternation, every half hour, if the symptoms are very severe,
+and the nausea great; but in a mild case, give it once an hour,
+lengthening the interval as the symptoms abate.
+
+If the feet are cold, as is often the case, putting them into hot water
+will palliate the symptoms, and not interfere with the medicines.
+
+If the head feels hot, apply _hot_ water to it. Never apply cold to the
+head, when there are any symptoms of congestion, as of fullness of the
+blood vessels. For
+
+
+Common Headache,
+
+If the face is red, and the arteries of the neck and temples throb
+violently, give _Bell._ If there is paleness and faintness, _Pulsatilla_
+is the remedy, especially if the forehead is principally affected. If
+the pain is mostly in the back of the head, _Nux_ is to be used; if in
+the front, and is sharp, affecting the eyes, _Aconite_; if at the angles
+of the forehead, with a sense of pinching, _Arnica_; if a sense of
+fullness and pressing outwards, or with an enlarged feeling, _Macrotin_;
+if intermitting or remitting, _Mercurius_; if there is ringing in the
+ears, _China_. Headache from fright should have _Aconite_.
+
+For that kind of _headache_ that often occurs during the prevalence of
+fevers, and is not unfrequently a premonitory symptom of an attack of
+fever, I have found _Baptisia_ and _Podophyllin_ to be specifics. I give
+them alternately, every two hours a dose, until the headache ceases. It
+often subsides in a few minutes after the first dose of either, though I
+have sometimes failed with one alone and succeeded in the same cases
+afterwards with both in alternation. _I have no doubt_ but that they act
+in many cases, as _Prophylactics_, entirely warding off and preventing
+fevers, or at least arresting them at the premonitory stage.
+_Podophyllin_ is a most valuable remedy for headache.
+
+
+Nose Bleed--Epistaxis.
+
+If it arises from fullness of the vessels of the head, with throbbing of
+the temples, redness of the face and eyes, _Belladonna_ is the remedy.
+If fever is present, _Aconite_ must be alternated with _Bell._
+
+In females or children who have habitual nose-bleed, _Pulsatilla_ and
+_Podophyllin_ are to be used alternately, night and morning. During the
+paroxysm of bleeding, _Arnica_ should be used, one dose repeated in a
+half hour if it continues.
+
+If it is produced by over-exertion, _Rhus_ is the proper remedy. If it
+occurs in the _early stage_ of fever, _Aconite_ and _Bell._; in the
+latter stage, _Rhus_ and _Phos._ are to be used. _Hamamelis_ will
+frequently arrest nose-bleed _immediately_ after one or two doses.
+
+
+Worms.
+
+It is difficult to determine the presence of _worms_ in children, much
+more in adults, yet both are affected by them occasionally. In children,
+there is more or less fever and restlessness, screaming out in sleep,
+starting, pain in the bowels, vomiting, choking, diarrhoea, picking at
+the nose, fetid breath, voracious and variable appetite.
+
+
+TREATMENT.
+
+_Santonine_ is a remedy which I have used for years, and I have treated
+many hundreds of cases, with such unvariable success, that I feel
+disinclined to use or to recommend any other. It brings away the worms
+entire, and relieves the patient of all morbid symptoms immediately, or
+in much less time than any other remedy of which I have any knowledge.
+It seems to act specifically upon the worms, causing them to leave the
+bowels by being evacuated with the feces, without producing any sensible
+impression upon the bowels, the evacuations remaining natural, if they
+were so, or becoming so, if deranged, and the worms coming away not
+quite lifeless.
+
+I have often prescribed this remedy for children suffering under
+intermittent or remitting, and even typhoid fever, in the summer season,
+when there were not present any well defined symptoms of worms, and yet
+the fever would soon abate, and in due time worms appear in the fecal
+evacuations. It often arrests entirely intermittent fever, when worms
+are present, and are the probable cause of the fever.
+
+I give either the crude salt in from one-fourth to one-half grain doses,
+or a trituration of one grain to four of sugar, giving in the latter
+case, from one to two grains of the trituration. Give one dose at
+bed-time, or in an urgent case at any other time, but never repeat the
+dose under thirty-six hours, and in an ordinary case, under forty-eight
+hours.
+
+This is _the_ medicine _par excellence_ for worms. It may be repeated
+once a week, when there is a tendency in the patient to the development
+of worm symptoms, or, in other words, the breeding of worms. The idea
+held out by some that it is hurtful, or unimportant to remove the worms,
+in itself considered, is simply _nonsense_, and _worse_, for children
+are sometimes sacrificed to this idea.
+
+
+Earache--Otalgia.
+
+This may arise from various causes, but a common one is sudden cold. If
+it arises from cold, and there is general fever, or if the ear is red,
+or the side of the head and ear hot, _Bell._ and _Baptisia_ should be
+given in alternation, every hour, or in a violent case, more frequently.
+These remedies will soon relieve such cases. Cloths wrung out of hot
+water should be laid over the ear, or the side of the head steamed, or
+it may be laid into water quite warm, with good effect.
+
+Where the disease is a chronic affection, and the patient is subject to
+frequent attacks of pain in the ear, especially on a change of the
+weather, from dry to moist, _Mercurius_ is the proper remedy, especially
+if it is worse at night, when warm in bed.
+
+If it arises from a shock or blow, _Arn_. is to be used. In scrofulous
+persons, whether there is ulceration or not, _Phosphorus_ and
+_Pulsatilla_ are the remedies.
+
+Children and even adults, not unfrequently suffer from earache, without
+any known cause sufficient to account for it. On examination into the
+ear you will often find either the cavity filled or nearly so, with a
+hard black substance, (the inspissated "earwax") almost as hard as horn,
+or else the ear will be quite empty, and the sides of the cavity _dry_
+and red, though perhaps not properly in a state of inflammation.
+
+The natural condition of the cavity as it can be seen by straining the
+ear outwards and backwards a little in a strong sun light, is moist, the
+surface covered slightly with a yellowish, greasy, soft substance (the
+cerumen) "earwax." When this is wanting or in excess, or its character
+changed, it is evidence of disease, and pain is likely to occur. The
+
+
+TREATMENT
+
+for this condition is to remove the accumulation when that exists, as
+the first step. But this must be first softened by pouring some warm
+oil, pure olive oil, or good pure sperm oil, into the ear, and repeat it
+two or three times a day for several days, until it is so far softened
+as to be easily removed with the probe end of common small tweezers,
+having a spoon-bowl point.
+
+When there is dryness, moisten the surface with oil. In either case, it
+is best, for a while, to protect the delicate surface from the air, by
+putting oiled wool into the external ear.
+
+If the ear was filled, give _Mercurius_ once a day until there appears a
+natural secretion. If dry, use _Belladonna_.
+
+
+Toothache.
+
+It is difficult to determine the cause of toothache, and more difficult
+to select the remedy. It often depends upon decay of the tooth, and
+exposure of the nerve to air, and contact with food or drinks, or even
+saliva, which irritate and produce pain.
+
+_Pulsatilla_ will as often relieve such cases as any other remedy, yet
+if it has been aggravated by a recent cold, _Bell._ and _Nux V._ may be
+better. If the nerve is not exposed, and there is a disposition to a
+return of the pain on exposure to cold air, or a change of weather, the
+pain being of a _rheumatic_ character, give _Rhus_ and _Macrotin_ in
+alternation. These will relieve many cases. For decayed teeth, the pain
+being dull aching, with soreness, use _Chamomilla_. The body of the
+tooth, that is the dentine, sometimes becomes very sensitive when there
+is no decay or cavity, the pain being experienced when some hard
+substance hits, or the air or water, either cold or hot, comes in
+contact with the tooth. The temporary pain will generally yield to
+_Arnica_, and in most instances, the daily use of _Arnica_ at the first
+decimal dilution, applied to the surface, and upon the jaws, will effect
+a cure.
+
+The _chloride of Zinc_ applied to the surface of such teeth for a few
+moments will destroy the sensitiveness of the dentine.
+
+Teeth that are ulcerated at the roots, or have ulcerated gums around
+them, the teeth being decayed, should be extracted at once, for, besides
+the pain and inconvenience they cause, they are a _very prolific_ source
+of _disturbance_ to the digestive organs, from the positive poison
+generated by the decaying process.
+
+If people will use soft brushes upon the teeth with soap and water,
+followed by rinsing with simple water only, after each meal, brushing
+both inside and out and crossways, so as to clean between them, they
+will be saved much pain and decay, and disease of other parts, arising
+from foul and diseased teeth.
+
+
+Teething of Children.
+
+Affections arising from teething of children, are often of a serious
+character. The most prominent of which is _Diarrhoea_. _Fever_
+frequently accompanies the diarrhoea, and _convulsions_ occasionally
+occur. _Aconite_ and _Chamomilla_ should be used in alternation, every
+one or two hours, according to the violence of the fever, and if
+convulsions occur, or are threatened, as will be known by twitching,
+starting, and screaming, use _Nux_ and _Bell_. These may be given in
+rotation with the others, following the remedies, one after the other,
+every hour. I have relieved the most alarming cases in a day by this
+method of procedure, that had not yielded to either of the single
+remedies for several days, given as directed in the books; the patient
+growing worse continually. If the gums over the teeth look white and the
+teeth, (one or more,) are near the surface, the gums should, by all
+means, be cut. Press the point of a lancet or penknife down upon the top
+of the gum, until the tooth is plainly felt, and be sure to make the cut
+as wide as the tooth. Rub the gums with _Arnicated water_ once or twice
+a day. _Pulsatilla_ should be given at night and _Chamomilla_ in the
+morning, during the whole summer while the child is teething, as a
+prophylactic against the fever and diarrhoea that is likely to occur.
+It will generally save all trouble.
+
+If the diarrhoea is profuse, watery and light colored or brown, give
+_Phos. acid_ and _Veratrum_ alternately, as often as the discharges
+occur. For the restlessness of infants at night, _Coffea_ is the
+specific.
+
+
+Apthæ--Thrush.
+
+This is a disease peculiar to nursing children. The mouth becomes sore,
+and the tongue, lips, and fauces are covered with a white crust, looking
+like milk curds, which, when removed, leaves the surface red, inflamed
+and very tender. It sooner or later, extends to the stomach and bowels,
+producing severe and dangerous diarrhoea.
+
+
+TREATMENT.
+
+Of all the medicines known to our Materia Medica, none, according to my
+experience, will in the least, compare with the _Eupatorium aromaticum_.
+It is almost, if not quite certain to relieve speedily in all cases. I
+say this, not only from my own experience and observation, but from the
+testimony of several other Homoeopathic Physicians, who have, within
+the last year, used it.
+
+It should be given at the first or second dilution, once in four or six
+hours, and three or four drops of the tincture put into a teaspoonful of
+water, and the mouth occasionally washed with the mixture.
+
+In summer, where agues prevail, and the child is feverish and restless,
+_China_ will aid in the cure, to be given once in six hours between the
+doses of the _Eupatorium_. If the diarrhoea is obstinate, the
+discharges colored, and the child is sick at the stomach, give
+_Podophyllin_ with the other remedies.
+
+
+Inflammation of the Eyes--Ophthalmia.
+
+For common Ophthalmia, in the early stages, while there is more or less
+fever and headache, with flushed face, bloodshot eyes and throbbing of
+the temporal arteries, _Bell._ and _Aconite_ should be used alternately
+every two hours, and a wash made with ten drops of tincture of Aconite
+to one gill of pure water, applied to the eyes as hot as the patient can
+bear. This application should be repeated every two hours, in a violent
+case, until the eyes are easy, and then about twice a day until all
+inflammation and redness pass off. This will relieve a large proportion
+of cases in from one to four days.
+
+If, however, the case continues obstinate for a longer time, or has been
+of a week or more standing before the treatment is commenced, in the
+place of Bell., or after using it one or two days, use _Hydrastus_ with
+the _Aconite_, giving them alternately at intervals of two to six hours,
+according to the stage of the case--more frequently as the symptoms are
+more urgent, using washes prepared of each separately, as directed for
+Aconite, except that the Hydrastus wash may be twice as strong; and
+apply each about half as often as the same medicine is taken internally.
+The wash should, in all cases of acute inflammation of the eyes, be as
+hot as it can be borne. Let it be put into the eyes so as to come
+directly in contact with the inflamed surface.
+
+Simple hot water applied to inflamed eyes for hours together, allowing
+short intervals between the applications, will often cure most painful
+cases.
+
+_Never apply cold_ to inflamed eyes. It always aggravates. When the
+inflammation is in a scrofulous person, especially in infants, it
+assumes a purulent character, and may leave the cornea in clouded
+(nebulous) condition, and the sight more or less obliterated. For this
+condition use _Conium_ first, and apply it _in tinct._, half water, to
+the eyes every four hours.
+
+
+Wounds and Bruises.
+
+On this subject, I must necessarily be very brief. When a wound is
+inflicted, the first and most important thing to be done is to _arrest
+the flow of blood_. Every one should know how to do this. The bleeding
+is to be stopped, and the wounded vessels to be secured, so that no
+further flow can take place.
+
+First, then, to stop the bleeding, _pressure_ is to be made upon the
+artery leading to the wound. If the wound is in the leg or foot,
+pressure is to be made, either on the vessel above and near the wound,
+or, where that cannot be easily found and compressed, make firm pressure
+with the thumb or some hard substance, in the groin, about two and a
+half inches at one side of the center of the pelvis, (wounded side) just
+below the lower margin of the belly, towards the inner side of the
+thigh, where the great artery (Femoral artery) can be felt pulsating. By
+pressing firmly upon this artery, the blood is arrested in its flow into
+the limb, and of course the bleeding from the wound soon ceases. If the
+wound is in the arm or hand, _pressure_ is to be made, either just above
+the wound, or on the inside of the arm, about one-third of the way from
+the shoulder to the elbow, where the artery (Brachial) can be felt. To
+secure the parts from further bleeding, the wounded artery must be taken
+up and tied. Let it be seized by forceps, or the point of a needle may
+be thrust into it, and the vessel stretched out a little, a thread put
+round it and tied; cut off one end of the tie, and let the other hang
+out of the wound, until it comes out by the vessel sloughing off. Bring
+the lips of the wound together, and if it is large, put in stitches
+enough to hold them, and put on an adhesive plaster, compress of cloths,
+and bandages to keep it from straining the stitches, and protect it from
+the air. The _Arnica_ plaster, made by JOHN HALL, of Cleveland, is the
+best adhesive plaster of which I have any knowledge. Give the patient
+_Aconite_ once in two hours, for a day after the accident.
+
+_Slight Cuts_ about the joints, especially the knee, are dangerous, from
+their liability to affect the ligaments, inflame, and produce _Lockjaw_.
+Therefore, such wounds, ever so slight, are of great importance. They
+should be at once closed up, whether they bleed or not, and covered with
+an adhesive plaster, (Arnica plaster is the best) a bandage, and the
+knee should not be bent, even when walking or sitting, until the wound
+is healed. It is best to apply a splint from the hip to the heel, and
+bandage the limb to it, so as to prevent bending of the joint.
+
+_Bruises_ are to be treated with _Arnica_, applied to the part affected,
+by putting twenty drops of the tincture into a gill of water, if the
+skin is _not_ ruptured, or three drops into the same if it is, and
+bathing freely. The _Arnica_ is to be taken internally at a higher
+dilution. Keep the parts covered with cloths and wet in _Arnica_ water.
+
+If a blow is received upon the head, by a fall, or in any other way,
+producing a "stunning" effect, (concussion of the brain) so that the
+patient appears lifeless for a time, and delirious when he begins to
+come to, there is great danger of inflammation of the brain, and death
+from the re-action, or in some cases, the shock is so great that the
+patient will never revive unless he has the proper aid.
+
+_Arnica_ is the great remedy to bring on reaction, arouse the patient,
+and prevent _dangerous_ inflammation or congestion of the brain.
+
+When a patient is "stunned" by a blow or fall, he should be conveyed
+soon as possible, to some _quiet_ place, and as little noise as
+practicable made about him, and the room kept darkened. _Arnica_ 3d
+should be given immediately, and the nostrils wet with strongly
+arnicated water.
+
+If fever arise after he comes to, _Aconite_ should be given with
+_Arnica_, and if the head aches, or becomes hot, _Bell._ is to be used.
+This will prevent or arrest all symptoms of inflammation.
+
+_Torn and Mangled_ wounds should not be handled much. If they bleed, the
+blood must be stopped as in any other case. If they are dirty, warm
+water may be gently applied to cleanse them. The wound should be covered
+with some soft cloths, and kept constantly wet in Arnicated water of the
+strength of four drops of the _tincture_ to a pint of water.
+
+
+Piles--Hemorrhoids.
+
+One important matter in all cases of habitual piles, is, to keep the
+bowels regular. Much can be done for this purpose by diet and regimen.
+On rising from bed in the morning drink freely, from a gill to half a
+pint of cold water, at least half an hour before breakfast; use such
+diet as is easily digested, and drink no alcoholic beverages. To relieve
+the bowels when costive, take a dose of _Nux Vomica_ at night, and
+_Podophyllin_ in the morning. This may be repeated from day to day until
+the proper effect is produced.
+
+To relieve from a severe attack of Piles, use _Bell._ and _Podophyllin_
+in alternation every four hours, and apply to the tumors when inflamed,
+cloths wrung out of hot water, or sit in hot water for a time.
+
+A poultice made of fine-cut _Tobacco_ wet in hot water and crowded
+firmly up against the pile-tumors, secured by a T bandage, will relieve
+the most desperate cases for the time, and is attended with no danger or
+disagreeable symptoms except in rare cases, when it produces sickness at
+the stomach, which soon subsides on the poultice being removed. _Oil of
+Arnica_ is an excellent application for inflamed Piles.
+
+A most important point in the management of Piles, and one often
+neglected, is to replace the prolapsed tumors. The tumors will be
+protruded from within the anus by the act of evacuating, and if left in
+that condition, will be pressed upon by the external parts, chafed and
+inflamed. In all such cases, the patient should take particular pains to
+return the tumors into the rectum; and to aid in that process a little
+oil may be applied when they will be easily pushed back, and the
+sphincter of the bowel will close below them, preventing any chafing,
+and the consequent inflammation.
+
+For _Bleeding Piles_, _Ipecac_ and _Bell_. are very efficient remedies.
+They may be alternated every half hour, or oftener if the bleeding is
+severe, or at longer intervals when it is only slight.
+
+_Hamamelis V._, (Witch Hazel,) will in nearly all cases arrest the
+bleeding at once. It should be applied to the parts and taken internally
+at the same time. Drop doses to be put on the tongue once in fifteen or
+twenty minutes.
+
+An infusion of the _Hamamelis_ may be taken internally in doses of half
+a teaspoonful, and the same injected into the bowel with excellent
+effect.
+
+The most effectual way, and the best for obtaining permanent relief from
+Piles when the tumors have become hard, and remain all the time so as to
+pass out of the anus at every evacuation, being constantly more or less
+tender and painful, and often becoming inflamed, is to have them taken
+off. But never let that be done with a knife. The bleeding would, in
+such a case, be very excessive, and most likely fatal. The history of
+knife operations for the excision of Pile tumors is written in blood,
+and the tombstone stands as a monument of condemnation of the practice.
+No trustworthy surgeon will at this day attempt it.
+
+But however dangerous may be the knife operation, there is no danger at
+all to be apprehended from removing the tumors by a _ligature_. To
+accomplish this, take a soft cork about three-fourths of an inch in
+diameter, and one inch long--make a hole through the center from end to
+end, about one-eighth of an inch in diameter--cut crucial grooves in the
+top of the cork about an eighth of an inch deep, bevel down the lower
+end nearly to an edge, make a cord of saddler's silk, three fold twisted
+together and waxed, about eight or ten inches long, double this in the
+middle and pass the loop down through the cork out at the sharp end, the
+two loose ends of the string being out at the grooved end. Make a strong
+hickory stick about three-sixteenths of an inch in diameter, and just
+long enough to pass across the square end of the cork. Now have the
+patient protrude the Pile tumors as far out as possible, being placed on
+his knees with the head bent to the floor, pressing out firmly as if to
+evacuate the bowels. Let the tumors be dried as much as possible by
+gently pressing a soft, dry cloth to them; then let the loop of the
+string projecting from the flattened end of the cork, be pushed on over
+the largest tumor, and held down at its base, while an assistant places
+the stick in one of the grooves, ties the two ends of the cord firmly
+down over the stick, or _toggle_, by a square bow knot; then turn the
+stick round once, twice, or more, until the pressure upon the tumor is
+sufficient to strangulate it perfectly, and prevent the string from
+slipping off. Care should be taken to keep the cord down to the base of
+the tumor while it is being tied and tightened, as in many cases the
+base is much the larger part of the tumor, and the cord tends to slip
+up. After the ligature is applied and tightened, apply arnicated water
+to the parts, and a large, warm poultice of superfine slippery elm bark,
+wet so as not to be too soft and slippery, on the face of which Arnica
+may be put. Keep it on with a T bandage. The patient must be put to bed
+and kept quiet until the ligature and tumor come off, which will be in
+about six or seven days, sometimes sooner. Once a day the "toggle" must
+be turned part, or the whole of a circle or more, to tighten the cord as
+the patient can bear. This will be very painful from beginning to end of
+the ligating, but any, even the most sensitive, patient can bear it. The
+patient must have quite warm hip baths two, three, or more, times a day,
+or as often as the pain is severe, the poultice being replaced after
+each bath, and kept constantly on.
+
+If there are several tumors protruding, apply ligatures to two of the
+largest, when these are removed, the others will disappear.
+
+Injections of mucillage of slippery elm should be carefully used to move
+the bowels daily, or at least once in two days. Let the diet be of corn
+or oat meal mush, or rice. As the tumor gradually sloughs off, the
+surface heals, so that, though the base where the ligature was applied,
+may have been an inch or more across it, there will not be a raw surface
+of over an eighth of an inch in diameter, to which _Calendula Cerate_
+should be applied. The patient must keep quiet for a few days longer.
+Though this is a painful operation, it is not in the slightest degree
+dangerous. I have effected complete and permanent cures by this mode in
+numerous instances.
+
+
+Sea-Sickness.
+
+_Nux Vomica_ should be used once in about four hours, for twelve hours
+before sailing, as a preventive to sea-sickness.
+
+If, however, symptoms, such as dizziness or blur before the eyes, and
+headache, begin to come on, a dose of _Nux_ should be taken, followed in
+an hour with _Pulsatilla_.
+
+If the nausea comes on, _Ipecac_ and _Arsenicum_ should be taken
+alternately between the paroxysms of vomiting, should that symptom
+appear.
+
+If practicable, the patient should lay still upon the back until the
+sickness passes off. I have removed sea-sickness immediately in several
+instances with _Pulsatilla_ alone, and the last time I had an
+opportunity to prescribe for this affection I gave _Podophyllin_. It
+removed all the symptoms in a few minutes. That is the only time I ever
+tried it, but from the provings I am satisfied it is one of the best
+remedies.
+
+
+Asiatic Cholera.
+
+I was practicing in Cincinnati during the prevalence of Cholera in the
+years 1849, and 1850, and in Northern Ohio in 1854, and had abundant
+opportunity to observe and treat it. The disease generally begins with a
+diarrhoea, which may continue for several days, or only a few hours
+before other symptoms set in, such as vomiting, then cramping in the
+stomach and muscles of the legs, arms, hands and feet, followed by cold
+sweats, great prostration, restlessness, excessive and burning thirst,
+drinks being immediately rejected. These symptoms continue, the patient
+sinking rapidly into _collapse_, when the skin looks blue and shriveled,
+the eyes sunken, the surface covered with a cold, clammy sweat, the
+extremities, nose, ears, tongue and breath cold, the voice hollow and
+unnatural. This condition continues from two to eight or ten hours, the
+patient regularly failing, sometimes becoming delirious before he dies.
+
+In some cases the vomiting and diarrhoea set in simultaneously, and
+the other symptoms follow, as above described, in rapid succession. In
+others the cramping may be the first symptom, the others following it.
+
+In a large proportion of cases, the disease takes the course first
+described above, the diarrhoea, called the _premonitory symptoms_, or
+sometimes _cholerine_, coming on several hours, if not a day or more,
+before any other symptoms.
+
+The diarrhoea is not usually painful, hence the patient may not be
+alarmed so as to attend to it until the more dangerous symptoms appear.
+It begins in some cases with pain and some griping, the discharges
+rather consistent, having a bilious appearance, so that the patient
+supposes it to be an ordinary bilious diarrhoea, which is not
+dangerous, his fears being thus quieted. But however the diarrhoea
+begins, it becomes sooner or later, copious, watery, and light colored,
+(rice water) painless but rapidly prostrating.
+
+
+TREATMENT.
+
+In the early stages of the diarrhoea, _Veratrum_, taken about twice as
+often as the evacuations occur, will frequently arrest it in a few
+hours, especially if the patient lies down and keeps quiet. But if not,
+and it increases in frequency, or becomes more copious, or any sickness
+is felt at the stomach, the patient should, at once, be laid upon a bed
+and _strong tincture of Camphor_ should be given in drop doses, once in
+five minutes, for one hour or more, and as the symptoms abate, once in
+ten, fifteen or twenty minutes, for six or eight hours.
+
+A teaspoonful of the _Camphor tincture_ may be put into a tumbler of
+cold water, ice water if at hand, and the water agitated until it
+becomes clear, giving a teaspoonful of this camphorated _cold_ water as
+a dose, stirring the water each time. I think this is better than to
+give the pure tincture. After the patient becomes quiet and easy,
+_Veratrum_ should be given in alternation with Camphor, a dose in four
+to six hours for several days, or oftener if he feels any symptoms like
+a threatened return of the disease. These two medicines serve as
+_prophylactics_ (preventives) of Cholera.
+
+If, however, the disease continues in spite of the Camphor and Veratrum,
+in the first instance, or later, (as the Camphor may be given in many
+cases with success in the advance stage,) you must resort to other
+remedies.
+
+If vomiting comes on with burning in the stomach give _Ipecac_ and
+_Arsenicum_ in alternation as often as the vomiting occurs, and if the
+diarrhoea continues give _Veratrum_ between the doses of the other
+two, in a violent case, as often as every ten to fifteen minutes, and at
+longer intervals when the disease is slow in its progress. If the
+vomiting and diarrhoea, or either, occur with a kind of explosion, the
+vomiting ceasing suddenly for the time, after the first _gush_, or the
+discharges from the bowels are involuntary, _Secale_ is the specific
+remedy.
+
+For the cramping, _Cuprum_ and _Veratrum_ are the remedies to be given
+alternately.
+
+If, however, the _cramping_ comes on as the first symptom, which is
+sometimes the case, the patient being suddenly seized with it before any
+other alarming symptoms occur, _Camphor_ is _the great remedy_, and in
+this case it may be given in doses of double or treble the quantity
+before directed.
+
+If he sinks into the _collapse_ and lies quiet, indifferent to
+everything, the pulse sinking, or he is pulseless, _Carbo Veg._ will
+sometimes arouse and restore him, hopeless as the case appears. It
+should be given once in half an hour until the pulse begins to rise. If,
+however, instead of being quiet he is restless and thirsty, give
+_Arsenicum_ in alternation with _Carbo Veg._, repeating the dose as
+above directed. In some cases, after all the active symptoms cease, the
+patient will become quiet and drop to sleep, and instead of the pulse
+rising, as it will if he is recovering, it sinks, or does not appear if
+he has been pulseless, and the breathing becomes irregular and
+feeble--he is sinking. If aroused, he sinks back into the stupor in a
+few moments as before. _Laurocerasus_ is a specific for this condition.
+It should be given once an hour until he is aroused.
+
+If, however, besides the stupor, the head is hot, the face red, the
+breathing oppressed, the pulse slow and sluggish, _Opium_ is to be
+used, and may be given in alternation with _Laurocerasus_.
+
+For the irritation of the brain, and furious delirium that sometimes
+sets in after the cessation of cholera symptoms, _Secale_ and
+_Belladonna_ in alternation will prove specific.
+
+Let the patient have warm or cold drink as he prefers, and let his
+covering be light or plentiful as is most agreeable. As soon as he gets
+easy, and the vomiting and purging cease, and his pulse begins to
+return, keep him quiet as possible, let the room be darkened and
+everything still, so that he may go to sleep, which he is inclined to
+do, this being the surest restorer. I am quite sure I have known several
+patients carried off by a return of the disease, after it had been
+effectually arrested, in consequence of sleep being prevented by the
+rejoicing officiousness and congratulations of friends, disturbing and
+preventing that early and quiet slumber which nature so much needs, and
+must have, or hopelessly sink. The diet for two or three days after
+recovery, should be a little oat meal gruel or rice.
+
+
+Small Pox--Variola.
+
+This disease begins with pain in the head and back, chilly sensations,
+followed by a high fever, so similar in all respects to a severe attack
+of Bilious or "winter" fever, that it is difficult or impossible to
+distinguish it with certainty, as Small Pox. The fact of the prevalence
+of the disease at the time, and the exposure of the patient, may lead
+the Physician and friends to suspect Small Pox. There is one very
+striking symptom of Small Pox, however, that exists from the beginning,
+which, though it may be present in fever simply, is not uniformly so.
+This is a severe and constant aching _pain in the small of the back_.
+The headache is also constant.
+
+The Small Pox is of two varieties or degrees, _distinct_ and
+_confluent_. The _distinct_ is when the pustules are separated from each
+other, each one a distinct elevation, with more or less space between
+them not affected by the eruption.
+
+The _confluent_ is where the pustules spread out from their sides and
+run together, covering the whole surface as one sore.
+
+It may be distinct on some parts, as on the body, and confluent on
+others, as the arms, face, and parts most exposed to the air.
+
+In the _Distinct_ variety the fever continues without abatement until
+the eruption appears, when it entirely subsides, and that quite
+suddenly. The eruption comes out about the third day of the attack,
+sometimes not discoverable until the end of the third or beginning of
+the fourth day. The eruption is at first very slight, beginning with
+small red pimples on the forehead, upper part of the cheeks, neck and
+upper part of the breast, extending by degrees to the arms, and other
+parts of the body and limbs. About the end of the fourth or forepart of
+the fifth day, the eruption is complete.
+
+There is a symptom, not mentioned in the books, which will often
+determine the disease before the occurrence of any eruption. It is the
+appearance of hard shot-like pimples, to be _felt under the skin_ in the
+palms of the hands, while there is, as yet, no trace of eruption to be
+seen upon the surface.
+
+On the eighth or ninth day, the eruptions become vessicular, have
+flattened tops, and contain a limpid fluid. The parts continue to
+swell, the eruptions to enlarge, and become filled with purulent matter,
+having a dark color at the top, up to about the fourteenth or fifteenth
+day, when they begin to flat down, to dry up, and some of the scabs
+become loose. At this time, some fever arises, often quite severe, with
+headache and other inflammatory symptoms. If the eruption is very
+severe, fever will be of corresponding violence, and lighter or wanting
+when the eruption is mild. This fever rarely lasts more than twenty-four
+hours, from which time the patient rapidly recovers.
+
+In the _Confluent_ variety, all the symptoms are more violent, the fever
+continuing after the eruption begins. The pustules burst early, and run
+into each other, covering nearly or quite the whole skin; the surface
+swells and turns black or dark brown, the lungs are more or less
+irritated, producing cough, and not unfrequently the stomach is
+nauseated, and vomiting ensues.
+
+If the patient survives the irritation up to the fifteenth or sixteenth
+day, when the _secondary fever_ sets in, he is liable to be taken off
+by an affection of the brain or lungs, during this fever. If he
+recovers, his whole surface, especially that part exposed to air, is
+deeply pitted.
+
+
+TREATMENT.
+
+As it is not often known for a certainty, in the early febrile stage,
+that it is the small pox, the treatment will be first adopted that would
+be proper for a like fever arising from other causes. But in all my
+observations in this disease, and they extend to several hundred cases,
+I have not found in a single instance, any of the ordinary fever
+remedies, such as _Aconite_ and _Bell._, which would be applicable for
+such symptoms in an ordinary case, to do any good in small pox. They are
+directed, however, for these symptoms by the authorities, in the febrile
+stage of the small pox; but I am quite sure they are not the proper
+remedies.
+
+From the great similarity, the almost absolute identity of small pox
+_headache_ and _backache_, with the same symptoms developed by the
+_Macrotys racem._ as well as the nausea and restlessness produced by the
+drug, I was led several years ago to the conclusion that this, or the
+_Macrotin_ was valuable in small pox. Not only so, but during the
+prevalence of small pox in Cincinnati, to an extraordinary degree in the
+winter of 1849-50, I treated about one hundred cases, including both
+sexes, and all ages, from infants a few weeks old, to very old persons,
+giving the _Macrotin_ to all, and had the good fortune to see _all_ my
+patients recover. Since that time I have prescribed it for every case
+successfully.
+
+Having then, been entirely successful in so many cases, with this
+medicine, I am not inclined at this time to give any other the
+preference. I must admit, however, that though my patients all
+recovered, I was not able to greatly abridge the duration of the
+disease, nor to prevent the development of all the stages in their
+proper order, as is _claimed_ by M. TESTE, for his use of _Mercurius
+cor._ and _Causticum_. I was satisfied with so far modifying the
+symptoms, as to enable my patients to live through, and come _out well
+in the end_. I would then direct, if small pox is suspected, the patient
+having been exposed to contract it, or from the peculiarity of the
+symptoms, in the early stage, or when the disease is discovered after
+the eruption, to give _Macrotin_ at the first trituration, in one grain
+doses, once in two hours, while the fever, headache and backache
+continue, after which, during the whole course of the disease, give it
+three times a day. This will prevent the development of a dangerous
+secondary fever, as well as irritation of the lungs, stomach or bowels.
+In addition to this medicine I give the patients daily, from half an
+ounce to two ounces of _pure_ (_unrancid_) _Olive oil_. This serves to
+prevent the development of pustules in the throat, lungs and stomach; is
+more or less nutritious, and keeps the bowels in a healthy condition.
+Wash the surface once a day in weak soap suds, following it with a bath
+of milk and water, and keep cloths moistened with warm milk and water,
+constantly upon all parts that are exposed to the air, lubricating the
+surface with _Olive oil_ after the bath of milk and water. This keeps
+the surface quite comfortable.
+
+The best diet is corn or oat meal mush and molasses, to be taken in
+small quantities. Cold water is the proper drink, though it should not
+be very cold.
+
+The room should, at all times, be well ventillated, but in cold or cool
+weather, sufficient fire must be kept up, to keep the room warm and dry.
+A temperature of about 65° is the best. Hardly any thing can be worse
+for a small pox patient than to be in a cold or damp room, and to
+breathe _cold_ air. Uniform temperature is important.
+
+If the eruption is tardy about appearing, or after it is out, a
+recession takes place, the Alcoholic Vapor bath will soon bring it out.
+(See Rheumatism **p. 30).
+
+Occasionally the feet and limbs below the knees, will swell
+prodigiously, and become extremely painful, causing the principal
+suffering. For this, wrap the feet and legs in cloths wet in a strong
+solution of Epsom salts, quite warm, and cover with flannels so as to
+keep them warm. This will afford immediate relief, and reduce the
+swelling in a day or two. The finely pulverized Epsom salts, dry,
+sprinkled on the pustules, will very often prevent pitting. It is the
+safest and surest remedy of which I have any knowledge.
+
+
+Varioloid
+
+is small pox modified by vaccination. It is to be treated as a mild case
+of small pox. The _Macrotin_ has been used with apparent success as a
+prophylactic (preventive) to small pox, taken three times daily.
+
+
+Painful Urination, Incontinence of Urine,
+
+_Involuntary Urination._
+
+Where the discharge of urine produces smarting and burning of the
+urethra, _Cantharis_ is the remedy. Where there seems to be an over
+secretion of acrid urine, producing inflammation of the neck of the
+bladder, known by pain in the glans penis, _Copaiva_, and _Apis mel._
+are the remedies. If there appears to be a partial palsy of the neck of
+the bladder, the discharge taking place in sleep, _Podophyllin_ is the
+surest remedy. I have cured some bad cases by the use of these three
+remedies, given in rotation three or four hours apart.
+
+Injections of a solution of borax into the bladder, have, in several
+cases, been sufficient to effect a perfect cure, without any other
+remedy. This may be used in connection with the other remedies. For
+painful urination with a distressed feeling in the neck of the bladder,
+causing a constant disposition to evacuate urine, the _Althoea
+Officinalis_ is a certain remedy; it acts like a charm. It is an
+important remedy for inflammation of the bladder. A good mode of using
+it is in form of a warm infusion in doses of a table spoonful every half
+hour or hour, according to the urgency of the symptoms. The _Althoea
+Rosa_ (Hollyhock) may be used as a substitute, though it is not as good.
+Every family should cultivate the _Althoea Officinalis_ (Marsh
+Mallow), so that the fresh green root, which is the best, can be
+procured at any time. I have been able to relieve patients with it,
+especially females, when all other remedies seemed unavailing. It is
+particularly useful for urinary difficulties of pregnant females.
+
+
+Neuralgia.
+
+_Aconite_ and _Bell._ are two important remedies in this affection. If
+given low, and applied directly along the course of the affected nerves,
+at full strength of the tincture, they will almost always effect a
+cure. The proper way to use them is to give them internally at the
+second dilution, at intervals of fifteen to thirty minutes, when the
+pain is severe and nearly constant, and apply _Aconite tincture_ as hot
+as practicable over the course of the nerve, by means of wet cloths, for
+an hour or two hours, and if the pain has not subsided use _Bell._
+locally in the same manner.
+
+If the Neuralgia is periodical, coming on at regular intervals,
+_Arsenicum_ and _China_ are the remedies, and they should be used
+externally as directed for the others, both at the first dilution, and
+given internally at intervals, in proportion to the violence of the
+symptoms, the _Arsen._ at the 3d and the _China_ at the first dilution.
+If the patient has used alcoholic drinks to excess, _Nux_ is to be used
+in place of Arsenicum.
+
+_Periodical Neuralgia_ generally requires the same treatment as ague. In
+females when there is uterine disease, _Pulsatilla_ and _Macrotin_ are
+the remedies to be used, as directed above.
+
+
+Jaundice.
+
+This disease depends upon derangement of the liver. The skin and whites
+of the eyes become yellow; the patient grows weak, loses his appetite,
+is dull and sluggish in all his actions, melancholly and discouraged in
+his moods.
+
+
+TREATMENT.
+
+_Mercurius_ and _Podophyllin_ given in alternation, each twice a day,
+will nearly always effect a cure. If the patient is costive, _Nux_
+should be taken at night, until his bowels become regular.
+
+Bathing the surface daily, or oftener, is a very important measure in
+the treatment of this affection. As often as once in two or three days,
+an alkaline bath should be taken. If the patient has fever every day, or
+once in two days, ever so slight, _China_ should be used with
+_Podophyllin_. If he has been drugged with Mercury in any form, in large
+doses, even six months or a year before, give _Hydrastin_ in place of
+Mercurius.
+
+
+Itch.
+
+I shall say but little about this very common and very obstinate
+affection. Everybody has a "cure for itch" yet nobody cures it short of
+the use of _Sulphur_ in some form. Though the attenuations of Sulphur
+may sometimes cure itch, it must be acknowledged that such cures are so
+rare in this country, and the time requisite to accomplish it is so
+long, as a general rule, that few will trust them.
+
+The most successful remedy, and the one that will always cure quickly,
+if at all, is _Hepar Sulphurus Potassium_, the common Hepar Sulphur
+(sulphuret of Potassa) of the shops. To succeed with it most certainly,
+let the patient be thoroughly bathed with warm soap suds, _quite
+strong_, in a room at the temperature of 90 to 100°, continuing the
+bathing and _rubbing_ for an hour or more, then dry off the surface with
+soft cloths, and apply the _Hepar sul._ with water, at the strength of
+thirty drops of the strong alcoholic solution, with a gill of water,
+wetting every eruption on the whole surface and let it dry on. This
+causes some smarting, but it is effectual; it kills the _acarus_, (itch
+animalcule) and in a few days the sores heal, the itching all subsides
+immediately. If every pustule has not been touched, those left may
+continue to itch, in which case, a second application is necessary.
+_Hepar Sul._ should be given internally at the third dilution, for a
+month, once a day, after the baths. Avoid greasy food. For the
+
+
+Scald Head
+
+of children, where there is a discharge of yellow and watery pus from
+the sores, and the eruption extends to the ears or face, like the
+disease called the _crusta lactea_ (milk crust), the same washes as for
+itch, are the most effectual, while at the same time, and for a month or
+two, the child should have _Hepar Sul._ 5th at night, and _Petroleum_ 3d
+in the morning. Daily ablutions of the head with warm soap suds, and
+keeping it covered, are absolutely essential.
+
+
+Carbuncle.
+
+This affection, though it somewhat resembles a common boil, and is by
+some writers considered only such, in an overgrown state, is,
+nevertheless, far from being identical with it.
+
+While a _boil_ is only a sanitive effort of nature to eliminate the
+cause of a morbid process, and tends to a spontaneous, healthy
+termination, the _carbuncle_, on the contrary, is the very essence of
+disease; its constant tendency being towards the dissemination of
+diseased action, causing destruction of the parts affected. It, in fact,
+appears like a parasite, living by the destruction of surrounding
+tissues, literally absorbing them and "thriving on death." It begins
+with a red, livid color, slight aching and burning pains, the part
+swells and is elevated some like a boil, except that it does not
+"point," but has a broad base rising like a cone and flattened at the
+top. It feels soft and spongy, and will appear to fluctuate, but if
+punctured, blood only flows. The pain and burning increases rapidly, and
+sooner or later several openings appear upon the top, varying from three
+or four to half a dozen or more, looking like the holes in a sponge, out
+of which issues a fluid like thin gruel. Instead of becoming easier
+after the suppuration begins, as is the case with a boil, the burning
+increases to an alarming and unbearable extent; cold chills, loss of
+appetite, great depression of spirits, general nervous and muscular
+debility come on. The tumor continues to discharge, turns purple;
+gangrene beginning in the carbuncle extends to other parts and death
+follows.
+
+The disease is nearly always confined to quite feeble persons and those
+past the meridian of life; but I have seen it on younger though feeble
+patients. It is generally located on the back, occasionally on the head,
+where it is very dangerous from its liability to affect the brain.
+
+
+TREATMENT.
+
+If treated very early, _strong tincture of Arnica_ applied to the
+surface of the carbuncle, by cloths wet and laid over the tumor, will
+often arrest it so that the swelling will not be developed to the
+suppurative stage. However, to reap any benefit from _Arnica_, it must
+be applied while the pain is not severe, and the parts only feel bruised
+and tender to pressure, like a common bruise.
+
+After the ulceration occurs, _Arsenicum_ is the great remedy to be
+relied on. It should be given at the second or third attenuation as
+often as every three hours, when the pain is severe, and applied to the
+surface of the carbuncle freely by cloths laid over it, wet in the
+first dilution, or by sprinkling the first trituration of the oxyde
+(1-10) freely upon the open surfaces, so that it may penetrate into the
+open mouths or orifices. Over this powder apply an emolient poultice, or
+soft cloths wet in water hot as can be endured. This will soon allay or
+greatly lessen the pain. It should be repeated as often as any of the
+burning pain peculiar to the carbuncle returns, until the tumor
+suppurates in a tolerably healthy manner; then lessen the strength of
+the _Ars._ applications, and continue them until it has the appearance
+of a healthy abscess, when only simple dressings are necessary. Some may
+suppose such strong applications injurious, but I can assure them from
+abundant experience, that there is not the slightest danger. The
+carbuncle should _never be punctured_ or _cut into_. Such operations
+always make them worse, and induce a more rapid approach to gangrene.
+
+The patient should have nourishing food, and good native wine may be
+taken in moderate quantities, by a very feeble person, with decided
+advantage.
+
+Though the knife operations for the removal of carbuncle are always
+injurious, the chemical effect of _Potash_ is frequently most
+beneficial. I have, in repeated instances, applied to the ulcerated
+surface, _caustic potash_ freely, allowing the dissolved caustic to
+penetrate to the very "core" by running into the orifices. At first it
+would produce some smarting, but the pain is different from that of the
+carbuncle, and the change is agreeable rather than otherwise. Soon after
+the application all pain ceases, and the tumor, under the use of a
+poultice, begins to slough off in a few days, leaving a raw surface,
+disposed to heal kindly. Occasionally, however, the healing process is
+tardy, when _Arsenicum_, at the third, applied and taken internally,
+will soon effect a cure.
+
+I have occasionally used _Hepar Sul._ with good effect in the latter
+stage.
+
+
+Felon--Whitlow.
+
+For this disease, in the early stage, when the sensation is that of
+sharp, sticking pain, feeling as though a brier or thistle was in the
+finger, immerse the part in water as hot as possible, into which put
+common salt as long as it will dissolve; hold it in this _hot_ salt bath
+for an hour or more at a time, and when removed, apply finely pulverized
+salt, wet in _Spirits of Turpentine_; bind on the salt with several
+thicknesses, and keep it constantly wet with the sp'ts turpt. for
+twenty-four hours, when, if all symptoms of felon are gone, no further
+treatment is necessary. As a general rule, the hot bath should be
+repeated three times a day, especially if the symptoms have existed for
+several days and there is much pain or swelling, and the dressings
+should be kept on as above directed for several days, more or less,
+until all symptoms disappear.
+
+I am quite confident that a large majority, if not all, of the cases if
+thus treated at any time before pus is formed, will be discussed and
+cured. If pus has begun to form before the treatment is commenced, this
+will not _cure_ the felon, but it is good treatment, especially the hot
+bath, as it will greatly lessen the pain.
+
+By holding it in hot water for an hour or two each day, the suppurative
+process will be hastened, and as soon as the pus can be felt at any
+point, fluctuating, puncture and let it out; then continue the hot bath,
+with _Calendula_ (_Marygold_) flowers in the water, keeping the part all
+the time warm and moist.
+
+For the restless and nervous irritability that frequently occurs,
+especially in females, _Aconite is the best remedy_. It should be given,
+one drop of the tincture to a gill of water, in teaspoonful doses, once
+in one or two hours, and the same applied to the sore.
+
+
+
+
+DISEASES OF FEMALES
+
+Suppression of the Menses, (Amenorrhoea.)
+
+
+For sudden suppression from taking cold, as by wetting the feet, there
+being headache, more or less fever, the pulse frequent and variable,
+pains in the small of the back and cramp like pains in the pelvic
+region, give, in alternation, _Aconite_ and _Pulsatilla_, as often as
+every fifteen or twenty minutes in a violent case, and at longer
+intervals as the patient begins to get easy. Putting the feet into hot
+water, or taking a hot Sitz bath is very useful. If the patient is sick
+at the stomach, as is often the case, give lukewarm water freely and let
+her vomit; after which let her drink freely of water as hot as it can be
+safely swallowed, adding milk and sugar to make it palatable. The good
+effects that are often attributed to and experienced from the use of
+various hot teas in this affection, are, in my opinion, attributable
+more to the hot fluid alone than to any specific medicinal virtue in the
+substance of which tea is made. At all events, very _hot_ drink with
+nothing but water, milk and sugar, is equally efficacious, and my
+medicine (a few grains of sugar of milk) put into the hot water,
+seasoned as above, has often obtained great credit, when the _hot water_
+was alone worthy. Rubbing the loins and abdomen briskly downwards with
+the hands of a healthy and vigorous nurse, will often excite the
+menstrual flow after a sudden suppression. If the head is hot, the face
+full and red, and the arteries of the neck and temples beat violently,
+give _Bell._ with _Pulsatilla_, and if the lungs are oppressed, use also
+_Bryonia_, giving the three in rotation. If, after the menstrual flow
+begins, there is still much pain in the pelvic region, give
+_Caulophyllin_, which will immediately afford relief.
+
+_Apis mel._ is very servicable in suppressed menses of several days, or
+even weeks duration, where there is fever, redness of the face, and pain
+in the head, and pains in the hips extending to the limbs, especially if
+there is any tendency to bloating of the abdomen and swelling of the
+limbs or feet. It acts _promptly_ and _efficiently_.
+
+If the suppression has been caused by sudden fright or any strong mental
+emotion, _Veratrum_ should be given in connection with the two former
+medicines. Should there be great fullness of the vessels of the head, or
+bleeding at the nose, _Bryonia_ with _Pulsatilla_ are to be used.
+_Bell._ is also useful in this case if the pain in the head is
+throbbing, especially if any delirium is present.
+
+For suppression in young females, of several months duration, I have
+used, with much success, _Podophyllin_ and _Macrotin_, one at night, the
+other in the morning, giving them for two or three weeks before the
+proper time for a return, and a day or two prior to the time, give also
+_Pulsatilla_, and give the three in rotation, a dose every six hours.
+
+This practice has been successful with me in cases of long standing and
+apparently obstinate character. Where there is other disease, as an
+affection of the liver, lungs or stomach, this must be treated and
+cured, or the menses will not probably return. Great care should be
+exercised to keep the patient's feet and limbs warm, as upon this may
+depend her future health.
+
+
+Dysmenorrhoea.--Painful Menstruation.
+
+For this disorder, I know of no one remedy so valuable as the
+_Caulophyllin_, but _Pulsatilla_ in many cases is efficacious, and as
+they do not prevent each other's action, I prescribe them in
+alternation, giving a dose every half hour, for a short time during the
+paroxysm, or until the pain abates to some extent, then every hour.
+
+If there is pain in the head, sickness at the stomach, a kind of sick
+headache, as is often the case, with painful menstruation, _Macrotin_
+should be used with the others; _Ipecac_ is the _Specific_ for an
+excessive flow of the menses with great pain, especially if the stomach
+is nauseated. It should be given as low as the first dilution, and the
+tincture, in water, in the proportion of thirty drops to half a pint,
+injected into the vagina quite warm.
+
+The application of extract of _Belladonna_ to the neck of the uterus
+will often produce immediate and perfect relief. After the patient is
+relieved from the painful paroxysm, she should be treated so as to
+prevent a return of the pains at the next monthly period. _Pulsatilla_,
+_Caulophyllin_ and _Podophyllin_ are the three medicines that are most
+certain to effect this object. They are to be given, one medicine each
+day, a dose at night for three weeks, then morning, noon and night,
+until the time for the return of the menses, when they should be used
+oftener if there is pain. If the patient is inclined to be costive,
+_Nux_ should be given at night for a few days before the menstrual
+period, in place of _Pulsatilla_.
+
+
+Menorrhagia--Profuse Menses--Flowing.
+
+For this affection, _Ipecac_ and _Hamamelis_ are the specifics. They
+should be taken alternately, at intervals of from half an hour to two
+hours apart, according to the urgency of the symptoms, and the
+_Hamamelis_ injected into the vagina. These will nearly always arrest
+the flooding immediately. _Secale_ should be used either alone or with
+the above medicines, if there are bearing down pains like labor pains,
+and sickness at the stomach in spite of the Ipecac. _Ipecac_ alone is
+often sufficient.
+
+
+Nursing Sore Mouth.
+
+Sore mouth of nursing women, as the name of the disease indicates, is
+peculiar to women who are suckling children. It is an inflammation of
+the mouth, tongue and fauces, which sometimes comes on during pregnancy,
+several months or but a few days before the birth of the child. It
+generally, however, makes its first appearance when the child is a few
+weeks old, and sometimes not till after the lapse of several months. In
+some cases the tongue and inside of the mouth ulcerate, and the
+irritation extends to the stomach and bowels, producing distressing and
+dangerous inflammation of these parts, with severe and obstinate
+diarrhoea.
+
+For the sore mouth, before diarrhoea begins, give _Eupatorium Aro._
+and _Hydrastin_, in alternation, a dose once in three hours, and wash
+the mouth with the same, each time. After the diarrhoea occurs, use
+_Podophyllin_ with the other medicines, giving them in rotation, three
+hours apart. It is best to give a dose of _Podophyllin_ night and
+morning.
+
+I have treated very bad cases of this disease that had been running for
+more than a year, and been treated with the ordinary remedies directed
+in the Homoeopathic authorities without any permanent benefit, curing
+them perfectly in ten days with _Podophyllin_ and _Leptandrin_, giving
+them in alternation at the 1st attenuation in half grain doses, at
+intervals of from four to eight hours according to the frequency of the
+evacuations. These two remedies are almost certain to arrest _Chronic
+Dysentery_ where there is ulceration of the lower portion of the rectum,
+a peculiar distress felt at the stomach just before stool, with _sudden_
+rush of the evacuations and inability to control the inclination even
+for a few minutes, with a feeling of faintness after the stool.
+
+_Leptandrin_ is the specific for the Dysentery that often succeeds
+cholera, and these two, _Pod._ and _Lept._, are almost certain to
+relieve the "Mexican Diarrhoea," as well as that connected with the
+fevers along the Mississippi river.
+
+
+Mammary Abscess,
+
+(_Ague in the breast--Inflamed breast_.)
+
+This is a disease peculiar to nursing women. The first symptom is a
+slight pain or soreness in some part of the "breast," which continues to
+increase for a day or two, when a chill, more or less severe, sets in,
+followed by high fever and quick pulse, headache and great restlessness.
+The gland swells and becomes very painful. This is generally a disease
+of rather slow progress, running eight or ten days and sometimes two or
+three weeks before abscess forms and "points" to the surface.
+
+
+TREATMENT.
+
+_Phosphorus_ is to be taken internally, and the first dilution put in
+water, twenty drops to one gill, and applied to the surface by means of
+cloths wet in the mixture, as hot as it can be borne, and laid over the
+whole breast. If this is done and the medicine given internally every
+hour, as early as the first and frequently as late as the second or
+third day, it is quite sure to remove the disease and prevent an
+abscess. It is best to use it even much later. In fact it often succeeds
+as late as the fifth or sixth day, and if it does not prevent the
+abscess, it so far palliates the severe symptoms as to render the pain
+but slight and keep the patient comfortable.
+
+An application of the Tincture of Cantharides diluted with water and
+applied to the breast by cloths wet in it, to the extent of producing
+considerable redness and even eruptions, and the second dilution of the
+same taken in drop doses every three hours, has proved successful in
+subduing the inflammation after _Phos._ had failed, and it was supposed
+an abscess would form in spite of any treatment.
+
+I recently succeeded in giving perfect relief with _Apis Mel._
+internally, applying it externally after the pain and swelling was very
+great. I am of opinion that the _Apis_ is a valuable remedy.
+
+_After abscess forms_ as soon as the pus can be felt at any point, soft
+and fluctuating under the skin, _puncture_ and let it out, then poultice
+it for a few days until it heals, giving _Phosphorus_ and applying it to
+the sore. In _puncturing_, always be _very particular_ to have the
+lancet or knife enter so that the edge will look towards the point of
+the nipple, so as not to cut _across_ the milk ducts, which all run
+toward that point, and if cut off will close up so that the milk which
+may be secreted at any future time cannot get out, and swelling, pain
+and severe inflammation, abscess and ulceration will be the consequence;
+whereas, if the cut is made lengthwise of the ducts, very few, if any
+will be cut off, and all future danger will be avoided. Apply an elm
+poultice from the beginning to the end of treatment. For malignant
+ulcers of the breasts, the _Cornus Sericea_ is a most potent remedy. It
+is to be taken internally at the first dilution, and applied in strong
+infusion or diluted _Tr._ of the bark to the sore.
+
+
+Sore Nipples.
+
+This affection of nursing women frequently comes on before the birth of
+the child, but generally does not make its appearance until after the
+suckling has continued for a week or more. It seems in some cases to be
+connected with the aphthæ (sore mouth) of the child, or at least to be
+aggravated by contact with the sore mouth; on the other hand it
+sometimes seems as though the sore nipples produced the sore mouth of
+the child.
+
+
+TREATMENT.
+
+I treat both the nipple and the child's mouth with the same remedy
+_Eupatorium aro._, applied at the strength of 6 drops of the tincture,
+to a teaspoonful of water, the application being made by a soft cloth,
+wet and laid over the nipple; give drop doses of the same strength
+internally every three hours, which will, in nearly all cases effect a
+cure in one or two days. The child's mouth should be wet with the same
+each time just before nursing. The oil from the pit of the butter nut,
+(Juglan's Cinerea,) obtained by heating the pit and pressing out the
+oil, applied to the nipple, will generally cure it after 3 or 4
+applications about six hours apart. The child may take hold when the oil
+is on, without danger. This remedy is sufficient in nearly all cases.
+
+
+Leucorrhoea and Prolapsus Uteri--Whites, Female Weakness.
+
+The disease depends in all cases upon _inflammation_ of the uterus, or
+vagina, or both.
+
+The inflammation may be simply in the neck of the uterus extending to
+the posterior surface of the vagina, or the latter may not be affected;
+or it may extend to the whole internal surface of the uterus, producing
+swelling of that organ, both the fundus and neck.
+
+The swelling may be confined mostly to the fundus, causing it to be too
+large for the space it ordinarily fills, hence there will be more or
+less _displacement_ of the womb, and crowding upon other parts, as the
+bladder or rectum. In some cases, the swelling is more on one side than
+on the other, so that it will be crowded over to the opposite side.
+These displacements are often called _prolapsus uteri_, or "_falling of
+the womb_," carrying the idea that the difficulty depends upon a morbid
+relaxation of the ligaments that support the organ. Not one case in a
+hundred is of this latter character, but nearly, if not all, depend upon
+the inflammation and swelling above mentioned. How futile then, not to
+say _hurtful_, must be all instruments for, and all attempts at
+replacing and supporting it by _force_! All such mechanical meddling is
+injurious, and should, with all the "supporters," be condemned and
+discarded.
+
+They may afford temporary relief, but this is at the expense of future
+health. Cure the disease, relieve the inflammation, and nature will
+replace the organ. Leucorrhoea is always present where there is
+ulceration of the neck of the womb, and this ulcerated condition exists
+to a greater or less extent, in many cases where it is not suspected by
+the patient. It is vastly more prevalent than is generally supposed. The
+_symptoms_ are numerous. Among the more prominent are a sense of weight
+and bearing down in the pelvis, pains extending down the limbs, aching
+and weakness of the small of the back, headache, more or less gastric
+disturbance, dyspepsia, the food souring on the stomach. There is often,
+especially when there are ulcers on the parts, a distressing sense of
+heat or a smarting sensation. The menstrual function is frequently
+deranged, the bowels costive, the urethra, by being pressed, becomes
+irritable and burns and smarts whenever the urine is evacuated. The
+sleep is disturbed and unrefreshing, and the whole nervous system is
+unstrung.
+
+The discharge from the diseased surfaces, in an ordinary case without
+ulceration, is of a mucous or muco-purulent character, not unlike an
+ordinary catarrhal secretion. When ulceration exists it is dark, fetid
+or bloody, or sanious and purulent, sometimes it is acrid, excoriating
+the parts.
+
+
+TREATMENT.
+
+Inflammation or ulceration, either acute or chronic, in these parts does
+not differ essentially in its characteristics from the same affection in
+other mucous surfaces.
+
+The proper treatment for a catarrh of other mucous surfaces will be
+applicable to these, though there is no doubt but that some medicines
+are more specifically adapted to these than to other organs.
+
+In the early stage of the complaint, while the inflammation is acute, or
+sub-acute, the discharge thin or white, _Copaiva_ and _Macrotin_ are to
+be given once in 6 hours alternately. During the same time let
+injections into the vagina of warm soap and water be used twice a day,
+to cleanse the parts of the secretion, followed in half an hour by a
+wash of warm water, into which _tr. of Macrotys_ has been put in
+proportion of 40 drops to half a pint. The application should be made
+with an 8 ounce or at least 6 ounce curved pipe syringe, so as to throw
+it with considerable force. If there is a burning sensation, use the
+washes quite warm, until the heat of the parts is allayed. Avoid the use
+of _cold_ injections as long as any inflammation exists. If the bearing
+down is present with burning in the parts, _Bell._ is to be used in
+rotation with the two former remedies. If the sensation is that of
+smarting, _Cantharis_ is to be used in place of Bell.
+
+Where the disease comes on soon after child-birth, _Podophyllin is the
+Specific_. It is to be given at the first attenuation three times daily
+in half gr. doses of the trituration. In this case let the parts be
+freely washed daily with a solution of borax, quite warm. In the
+_chronic_ form of the disease, especially where _barrenness_ exists,
+_Macrotin_, _Podophyllin_ and _Hydrastin_, given morning, noon and
+night, in the order named, will, in nearly all cases, afford relief.
+
+For females who have never borne children, give _Phos. acid_, 2d and
+_Eryrgium Aquaticum_ 1, night and morning for a week, and then give them
+at the 3d dilution until the symptoms subside. If there are headache and
+derangement of the stomach, _Macrotin_ and _Podophyllin_ should be
+used, each once a day, between the latter remedies. When the discharge
+is colored and the pains darting, cutting or smarting, indicating
+ulceration, or if ulceration is discovered by examination, use
+_Macrotin_ and _Hydrastin_ internally, injecting the latter upon the
+affected parts freely. The ulcerated surfaces should be well washed off
+every day with soap and water, or a solution of borax, and the medicine
+(_Hydrastin_) in form of infusion, used half an hour after the other
+wash. If the neck of the womb looks dark, and is ulcerated, or is hard
+and painful to the touch, especially on probing the cavity, _Cornus
+Sericea_ must be used both as a wash to the parts, and at the first
+dilution internally, using them twice a day. This remedy will often cure
+malignant cases.
+
+It takes a long time in some instances to cure a chronic case, but if
+persevered in, these remedies will not be likely to fail.[2]
+
+
+[2] NOTE.--The late Prof. Morrow was remarkably successful, and became
+justly celebrated for curing hard cases of Leucorrhoea ulceration and
+"Prolapsus uteri."
+
+Almost his entire reliance in their treatment were the _Macrotys_ and
+_Caulophyllum_, given internally and by injection upon the parts. 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
+day, using the Caulophyllum in the meantime in small doses. He rarely if
+ever failed.
+
+
+Morning Sickness of Pregnant Females.
+
+The most efficient and certain remedy for this symptom is _Macrotin_. It
+should be taken at the first attenuation, a dose before rising in the
+morning, and one every six hours during the day, as long as the sickness
+is troublesome. It will generally relieve in a few days. If the stomach
+is sour use _Pulsatilla_ with the _Macrotin_.
+
+As a _preparation for labor_, a dose (one grain) of _Macrotin_ at the
+first attenuation given in the morning, and the same of _Caulophyllin_
+at evening, is of great service.
+
+Whatever others may think or say in relation to any preparatory
+treatment for labor, I have reason to know as well as anything in
+medicine be known, that patients treated as here directed, pass through
+labor much quicker, frequently in one-fourth the usual time. Their
+sufferings are comparatively trifling, and the length of time for
+recovery to ordinary health after labor is abridged from three-fourths
+to nine-tenths that of former labors. I am quite confident that the
+medicines produced this difference.
+
+For _irregularity of labor pains_, and for distressing _after pains_,
+the _Caulophyllin_ is specific.
+
+During labor it should be given at the 2d attentuation in about half
+grain doses, every half hour, until the pains are regular. Two or three
+doses at most, and generally one will suffice.
+
+For the after pains it may be given in alternation with _Ipecac_ or
+_Aconite_ if there is flooding, or with _Pulsatilla_ when the flooding
+is not troublesome, a dose once in half an hour, until the pains are
+checked.
+
+For _Rigidity_ of the soft parts and severe, _retarded and long
+protracted labor_, where the pains are strong and irregular, and great
+pain and exhaustion is experienced on account of the unyielding
+condition of the parts, _Lobelia Inflata_ given in drop doses of the tr.
+in water, once in twenty minutes, in alternation with _Caulophyllin_ as
+above directed, will in a short time produce the proper condition of the
+parts, while they render the pains stronger, regular and progressive.
+
+In urgent cases I have given the medicines every 5 or 10 minutes, with
+decided benefit.
+
+
+A Useful Hint to Mothers.
+
+Children push beans, peas, corn, &c., into the nose and ear, causing
+much alarm. To remove such a body take a syringe that works tightly, put
+the end of the pipe against the bean, shot, or other substance, draw
+back the piston so as to _suck_ up the article firmly as the pipe is
+withdrawn from the cavity.
+
+
+LOCAL APPLICATIONS.
+
+That medicines act locally, that is, manifest their symptoms by peculiar
+derangement or disturbance of some particular part of the system, more
+prominently than of any other part, for the time, no one will deny. That
+each one has some particular locality or tissue upon which its action is
+more perceptible than anywhere else, is equally undeniable, and that the
+prominent symptoms are often external and local, is also true. Yet, with
+these truths clearly demonstrated, there are those of our school who
+discard the external or local application of all remedies except
+_Arnica_.
+
+Why this is done, is difficult to determine, 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
+Homoeopathy," and abjure all possibility of _improvement_ in our
+practice.
+
+That nearly if not all medicines, may be applied externally with
+advantage, when there are local manifestations similar to those produced
+by the drugs, there can be no doubt in the mind of any sensible man.
+That they will act favorably when so used is _reasonable_, as a matter
+of theory, and that they do, as a matter of fact, has been _proven_ to
+my mind, by abundant experience in their use. Therefore, I hesitate not
+to recommend the practice to others. Medicines must act either by
+combination with the affected part, or by _Catalysis_, changing the
+molecular action of the living tissues. In either case, they must come
+directly in contact with the part to be affected. This _must_ be done
+through the circulation, when taken internally, or it _may_ be done by
+direct application of the remedy to the diseased tissue, when that is so
+situated as to be reached. The difference is greatly in favor of the
+latter mode when that is practicable, from the greater certainty of its
+results. This assertion is based, not upon vague hypothesis, but upon
+_actual practice_.
+
+Entertaining these views, however heretical they may be pronounced, I
+shall proceed to mention some of the remedies I have learned to use
+thus, and the cases for which they are prescribed. I would remark that,
+in selecting a remedy, it must be done with as much certainty of its
+homoeopathic relation to the local or general symptoms for external as
+for internal use. I have found, however, that much lower attenuations
+are requisite and admissible.
+
+ARNICA is highly applicable to _bruises_, and is valuable also when
+applied to lacerated or mangled surfaces, to the surface of the limb
+where a bone is fractured, also about the joint when it has been
+dislocated. It is to be used in the form of _Arnicated water_, by
+putting one or two drops to a gill of water for application where the
+skin is ruptured or the surface raw, and ten to twenty drops to the
+gill, upon parts where the skin is sound. It is useful also, for
+_boils_, and _carbuncles_ in the _early stage_, the _strong tincture_ to
+be applied when the surface is sound, and (to boils) when the surface is
+open, one drop to a gill of water.
+
+
+Aconite
+
+Is applicable to inflamed eyes, in the early stage, where the disease is
+in the conjunctiva, (that portion which lines the lids and covers the
+front of the ball), especially if there is a sense of scratching, as
+though some foreign substance is in the eye, great intolerance of light,
+chilly sensations, with more or less fever, and quick pulse. Put three
+or four drops to a gill of warm water, and apply it freely.
+
+It is also very valuable for _Neuralgia_, applied strong and warm, along
+the course, or at the origin of the affected nerve. In neuralgia of the
+face, apply it upon the side of the face, also just behind and below the
+ear of the affected side.
+
+It is of much value as a remedy for neuralgic affections of the womb. I
+have relieved the most distressing symptoms of neuralgia of the womb, in
+a few minutes, by injecting warm water containing twenty to forty drops
+of _tr. Aconite_ to the pint. By repeating this application at every
+paroxysm, patients recover rapidly, each succeeding attack being
+lighter, and the interval between being longer, until they cease
+entirely. It may be used with much benefit in the same manner, for
+_Hysteritis_, as well as recent cases of _Leucorrhoea_. It is the most
+valuable remedy applied to the _Eye_ for a _wound_ of that organ.
+
+In _Gonorrhoea_, it is more valuable as a local remedy, than most of
+those now in use. It will frequently cure alone. In this case, it is to
+be used with an equal part of the _tr_. and warm water.
+
+
+Belladonna
+
+has great power as a local remedy in _Erysipelas_, to be applied with
+water in proportion of ten drops of the _tr._ to a gill of warm water.
+It is also of much value applied to the surface of inflamed breasts;
+also injected when there is inflammation of the _uterus_, with pressing
+pains as though the bowels would be pressed out. _Very valuable_ in
+parturition where there is rigidity of the _os uteri_, with fullness of
+the head and throbbing of the temples. It has the specific power to
+relax circular fibres without affecting the longitudinal.
+
+
+Calendula,
+
+is applied to wounds, _incised_ and _lacerated_, promoting healing by
+the first intention. It is a valuable application for wounds in
+scrofulous persons, which tend to suppurate rather than heal by the
+first intention. It is also useful in old sores.
+
+The _Calendula Cerate_ is one of the best of dressings for any abraded
+surface.
+
+
+Conium
+
+is valuable as a _palliative_ upon cancerous tumors. As a _curative
+remedy_ it is useful in chronic ophthalmia, especially the purulent of
+children; useful also for _indurated_ swellings.
+
+
+Thuya
+
+is a specific when locally used for _Sycosis_, also for fungoid
+cancerous tumors. I have cured well-marked cases of _Fungus Hæmatodes_
+with the tinct. Thuya applied to the surface of the tumor.
+
+The _Thuja Cerate_ is a valuable application for malignant ulcers.
+
+
+Cornus Sericea
+
+will often cure malignant ulcers both of the breast and uterus, used as
+a wash.
+
+
+Arsenicum
+
+acts favorably on cancers, and is a specific when applied to the surface
+of _carbuncle_.
+
+
+Ipecac
+
+acts very beneficially when applied to the surface where there is high
+fever, with nausea and vomiting. Half an ounce of _tr._ Ipecac to two
+quarts of tepid water, applied with a sponge to the whole surface, acts
+like magic in yellow fever, allaying the nausea, producing free and
+health-restoring perspiration.
+
+
+Rhus Tox,
+
+applied, with water at the strength of thirty drops of the _tr._ to a
+gill, to parts affected with _Rheumatism_, acts very beneficially. It is
+also a most valuable application at half the above strength upon parts
+affected with Erysipelas, when the surface is swollen, and there are
+vessicles filled with fluid like a blister in burns.
+
+It is also useful for sores that exist as the chronic effects of burns
+when the proper treatment had not been used in the beginning, and the
+healing process was never perfected.
+
+_Rhus Cerate_ is a very useful application to irritable ulcers.
+
+
+Hepar Sulphur
+
+is a specific for _Itch and Scald Head,_ applied in form of a wash with
+twenty to thirty drops of _tr. Hepar Sul._ to a gill of water. Also for
+ill-conditioned scrofulous ulcers, generally.
+
+
+Cuprum Aceticum.
+
+(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers of the
+face, _Lupus_ or _Noli-me-tangere_, in the early stage, will in most
+cases effect a perfect cure, especially if for a week previously the
+part has been wet daily with _tr. Thuja_. The best mode of applying the
+_acetate_ is to mix the impalpable powder, as prepared for paint, with
+some substance to form a cerate, as equal parts of bees-wax and mutton
+suet, with 1-50 to 1-100 part of the pure _acetate_ as found in the
+bottom of the can, when prepared in oil for paint; heat all together and
+stir until cool. This forms a good plaster for covering and shielding
+the sore while its medicinal property is in the _Cuprum Aceticum_
+diluted as above. It is quite useful for any ill conditioned ulcer.
+
+
+Acetic Acid
+
+is a most efficient remedy applied to old irritable _varicose ulcers_ on
+the limbs of females who have suffered from _Phlegmasia Dolens_, (milk
+leg.)
+
+It may be applied as a wash to the part once or twice a day at the
+strength of 1-20th of the acid with water, or in the form of good cider
+vinegar.
+
+The manufactured vinegar of the cities does _not_ usually contain acetic
+acid.
+
+ARUM TRIPHYLLUM is a specific to allay the inflammation and excessive
+pain in _scrofulous swellings_ of the neck, (_Kings Evil_.) The pure
+drug in powder, wet with warm water, or the green root bruised so as to
+form a poultice, is to be applied over the swelling. It soon discusses
+the swelling, or if pus has already formed, allays the the pain, and
+brings the pus to the surface, and if continued, disposes it to heal
+rapidly.
+
+BAPTISIA TINCTORIA applied as a poultice either in the powdered drug, or
+with some other substance wet with the infusion or _tr._, _arrests
+gangrene_ in a short time. It is especially useful for threatened or
+actual gangrene arising from _lacerated_ wounds or scalds with wounds,
+as in accidents connected with the explosion of steam boilers; when we
+often have scalds and lacerations in the same wound.
+
+HYDRASTUS CANADENSIS used as a gargler in a putrid state of the throat
+in malignant _Scarlet fever_, arrests the destructive process _at once_.
+
+It is also a most excellent application for inflamed eyes in the second
+or sub-acute stage.
+
+
+       *       *       *       *       *
+
+PROPHYLACTICS.
+
+(_Preventives of Disease._)
+
+TO PREVENT SCARLET FEVER
+
+Give Belladonna at the 3d attenuation, three to six pellets, according
+to the age of the child, every morning, during the prevalence of the
+epidemic. This is for the common or mild form of the disease. If the
+prevailing epidemic is of the _malignant_ kind, producing fatal
+ulcerations of the throat, give _Bell._ once in two days and _Mercurius
+Corrosivus_ at the 3d attenuation on the alternate day.
+
+While _Bell._ is a very certain preventive of the common eruptive
+Scarlatina, it is not as certain to prevent the _malignant_ form. Though
+it renders the latter much more mild, the _Merc. Cor._ is necessary to
+ward it off entirely, or so modify as to divest it of the dangerous
+features.
+
+
+TO PREVENT YELLOW FEVER
+
+Take _Aconite_, _Belladonna_ and _Macrotin_, 1st in rotation one dose a
+day. If there is any headache, or pains occur in other parts of the
+body, or a languid feeling, take a dose twice or three times a day in
+rotation.
+
+
+TO PREVENT BILIOUS FEVER OR AGUE
+
+Take _Podophyllin_, _Baptisia_ and _Gelseminum_ 1st in rotation, one
+dose at night, and if symptoms of fever, as headache and loss of
+appetite, or bad taste in the mouth in the morning appear, take a dose
+three times a day, and refrain entirely from food for one or two days.
+
+
+TO PREVENT TYPHOID FEVER
+
+When exposed, as in nursing the sick, take _Baptisia_ 2d, and _Macrotin_
+2d, a dose three times a day.
+
+
+TO PREVENT SMALL-POX
+
+Use _Macrotin_ 1st night and morning, and if nursing or exposed
+frequently, use it every four hours.
+
+
+TO PREVENT CHOLERA.
+
+_Camphor_ (_pellets medicated_ with the pure tincture) _Veratrum_ 3d,
+and _Arsenicum_ 3d, should be taken in rotation--a dose morning, noon
+and night, in the order named; so as to take a dose of each every
+twenty-four hours. If any sense of weakness or trembling comes on, use
+the _Camphor_ oftener; if pain or uneasiness in the bowels threatening
+diarrhoea, use the _Veratrum_, and for increased thirst with
+uneasiness at the stomach _Arsenicum_ more frequently.
+
+
+TO PREVENT DIARRHOEA
+
+Where it is prevailing as an _epidemic_, _Ipecac_ at night, and
+_Veratrum_ in the morning will often _suffice_. For _teething children_
+give _Ipecac_ and _Chamomilla_ in the same manner.
+
+
+TO PREVENT DYSENTERY
+
+In hot weather when bilious diseases prevail, use _Mercurius_ 3d,
+_Podophyllin_ 2d, and _Leptandrin_ 1st in rotation, giving one dose a
+day.
+
+In the winter, or when _Typhoid fevers_ prevail, use _Mercurius_ and
+_Rhus_ tox. alternately a dose every day.
+
+
+TO PREVENT ITCH.
+
+A dose of _Sulphur_, or rubbing a little flour of sulphur on the hands,
+will generally suffice.
+
+
+TO PREVENT COLDS
+
+Keep the _arms_, _hands_ and _chest_ well clothed and warm.
+_Affecting_ the _head_ as _catarrh_, or the pelvic regions keep the
+_feet and ankles warm and dry_. Affecting joints and muscles as
+Rheumatism--protect the _Spine_ (back) from colds and currents of air.
+
+After an accidental exposure as by getting the feet wet, or being caught
+in a shower, drink _bountifully_ of cold water, and take a dose of
+_Nux_; followed in an hour by _Aconite_, if any chilliness is felt, or
+_Copaiva_ if the head is "stuffed up."
+
+In winter and spring when the weather is mild, but there is snow, or the
+ground is damp, more clothes are necessary than when it is freezing hard
+and the air is dry.
+
+       *       *       *       *       *
+
+PREPARATION OF MEDICINE.
+
+As it often becomes necessary for the practitioner to make more or less
+of his own dilutions and attenuations, some brief instructions
+especially to new beginners, may not come amiss.
+
+Medicine is prepared by mixing it with distilled water, or purified 98
+per cent. Alcohol; or if solid and dry, by reducing it to powder and
+triturating (rubbing) it in a mortar with pure sugar or Sugar of Milk.
+The liquid is called _dilution_, the powder _trituration_. The
+attenuations are mostly made at the decimal (1-10,) or centecimal
+(1-100) ratio and numbered 1, 2, 3, &c., by putting ten drops of the
+liquid with ninety drops of Alcohol, or ten grains of the powder with
+ninety grains of Sugar for the 1st, and ten grains or drops of the 1st
+with ninety more of Alcohol or Sugar, as the case may be, for the 2nd,
+and so on to any desirable extent.
+
+If the centecimal attenuation is adopted, one grain or drop is used
+instead of ten, as in the decimal.
+
+I prefer the decimal to the centecimal ratio. Not that there can
+possibly be any difference in the action of the medicines, at the same
+attenuation, whether it was brought to that state through a series of
+1-10, or 1-100; the 3d at the 1-100 ratio of dilution being _precisely
+the same_ as the 6th at 1-10. My preference for the decimal ratio is
+based upon the greater convenience and accuracy of measuring larger
+quantities.
+
+_Accuracy_ is very desirable, but the practice of _guessing_ at the
+amount as pursued by some, is anything but accurate. When one makes his
+dilutions by putting the fluid into a vial and "_pouring it all out_,"
+_guessing_ that he has a _drop_ left which is to medicate the
+ninety-nine drops of Alcohol or water, he may put in by guess, I am
+inclined to _guess_ that he knows nothing, _accurately_ as to what
+dilution he is making. (See Hull's Laura, introduction, also Jahr &
+Possart's Pharmacopoeia and Posology.) For if the vial is small and
+quite smooth there may not be a drop left, or if it is rough, there may
+be several drops.
+
+Yet some physicians make their dilutions thus, and insist upon the
+superiority of the centecimal over the decimal attenuations.
+
+Whatever ratio is adopted, should be _accurately_ followed. Have true
+scales for weighing solids, and a graduated measure marked from ten
+drops up to one hundred for liquids; then _always_ weigh or measure
+_accurately_ the medicine, as well as the substance with which it is to
+be attenuated.
+
+The measure and mortar, after using them for one medicine, can be
+cleaned preparatory for another, with scalding water, rinsing them with
+purified Alcohol, then drying.
+
+Never smoke or chew Tobacco in any place, but if you are such a _slave_
+to habit, that you must do it despite your good sense and better
+judgment, never do either, or have tobacco or any other odoriferous
+substance about your person when you are preparing medicines, or they
+are exposed to the air. Keep the medicines excluded from the light and
+air as far as practicable.
+
+Triturate the powders thoroughly for an hour or more upon each, and
+shake the dilution from fifty to one hundred times, more for the higher
+attenuations.
+
+It is better to medicate pellets in large bottles, filling them half or
+two-thirds full, put in just liquid enough to wet every one, but not so
+as to dissolve any. Shake them until all are equally wet, and let them
+stand for four or five days, if practicable, shaking them up two or
+three times a day until all are dry.
+
+
+
+
+INDEX.
+
+
+   Administration of Remedies, 11
+
+   Ague, 22
+
+   Ague, preventive treatment of, 153
+
+   Asthma, 57
+
+   Aphthæ, 90
+
+   Asiatic Cholera, 104
+
+   Amenorrhoea, 129
+
+   Ague in the breast, 135
+
+   Attenuation of medicines, 151
+
+
+   Bathing, 12
+
+   Bilious Fever, 26
+     Preventive treatment of, 153
+
+   Bronchitis, 51
+
+   Burns and Scalds, 64
+
+   Bilious Colic, 19
+
+   Brain Fever, 70
+
+   Bee stings, 75
+
+   Bite of Rattlesnake, 77
+
+   Bruises, 95
+
+
+   Cholera Case, 3
+
+   Colic, 18
+
+   Colic, Bilious, 19
+
+   Cholera Morbus, 21
+
+   Cholera, Asiatic, 104
+     Preventive treatment of, 153
+
+   Chill Fever, 22
+
+   Continued Fever, 28
+
+   Catarrhal Fever, 28
+
+   Cough, 52
+
+   Colds, 57
+
+   Colds, Preventive treatment of, 154
+
+   Croup, 55
+
+   Constipation, 62
+
+   Chilblains, 69
+
+   Convulsions of Children, 72
+
+   Crusta Lactea, 122
+
+   Carbuncle, 122
+
+
+   Diarrhoea, 14
+     Preventive treatment of, 154
+
+   Dysentery, 16
+     Preventive treatment of, 154
+
+   Diet, Rules for, 13
+
+   Dyspepsia, 58
+
+   Diseases of Females, 129
+
+   Dysmenorrhoea, 131
+
+
+   Enteritis, 53
+
+   Erysipelas, 62
+
+   Epistaxis, 81
+
+   Earache, 84
+
+
+   Foreign Substances in the Ear or Nose, 144
+
+   Fevers, 22
+     Intermittent, 22
+     Chill, 22
+
+   Fits of Children, 72
+
+   Felon, 126
+
+   Flowing, 132
+
+   Female weakness, 198
+
+
+   Gastritis, 54
+
+
+   Hooping Cough, 58
+
+   Heartburn, 62
+
+   Hoarseness, 70
+
+   Headache, 78
+     Sick, 80
+
+
+   Introduction, 5
+
+   Intermittent Fever, Ague, 22
+
+   Inflammation of the Lungs, 49
+
+   Inflammation of the Brain, 70
+
+   Inflammation of the Bowels, 53
+
+   Inflamed Eyes, 91
+
+   Incontinence of Urine, 117
+
+   Involuntary urination (nightly), 117
+
+   Itch, 120
+
+   Itch, preventive treatment of, 154
+
+   Inflamed Breast, 135
+
+   Inflammation of the Uterus, 140
+
+
+   Jaundice, 120
+
+
+   Local application of Remedies, 145
+
+   Leucorrhoea, 138
+
+
+   Mammary Abscess, 135
+
+   Menorrhagia, 132
+
+   Measles, 73
+
+   Mumps, 74
+
+   Morning sickness of pregnant females, 143
+
+
+   Nursing Sore-mouth, 133
+
+   Nosebleed, 81
+
+   Neuralgia, 118
+
+   Nightly urination of Children, 117
+
+
+   Otalgia, 84
+
+   Ophthalmia, 91
+
+   Preparation of medicine, 155
+
+   Pleurisy, 48
+
+   Prolapsus Uteri, 138
+
+   Pneumonia, 49
+
+   Piles, 97
+
+   Painful urination, 117
+
+   Painful menstruation, 131
+
+   Profuse menstruation, 132
+
+   Preventives of Disease, 151
+
+
+   Quinsy, 53
+
+
+   Rheumatism, 30
+
+   Rheumatic Fever, 29
+
+   Remitting Fever, 27
+
+   Rattlesnake bite, 77
+
+
+   Scarlet Fever, 35
+     Preventive treatment of, 151
+
+   Sore Throat, 52
+
+   Scalds, 64
+
+   Stings of Insects, 75
+
+   Sick Headache, 79
+
+   Sore-mouth of Children, 90
+
+   Sea Sickness, 103
+
+   Small-Pox, 110
+     Preventive treatment of, 153
+
+   Scald Head, 122
+
+   Suppression of the menses, 129
+
+   Sore Nipples, 139
+
+
+   Table of Remedies, 3
+
+   Traveler's Case, 3
+
+   Typhoid Fever, 31
+
+   Tonsillitis, 53
+
+   Toothache, 86
+
+   Teething of children, 88
+
+   Thrush, 90
+
+
+   Ulceration of the Uterus, 140
+
+   Urination painful, 117
+
+   Urination, Involuntary, 110
+
+
+   Variola, 117
+
+   Varioloid, 117
+
+
+   Worms, 82
+
+   Wounds, 93
+
+   Whitlow, 126
+
+
+   Yellow Fever, 38
+     Preventive treatment of, 153
+
+
+
+
+APPENDIX
+
+ON THE USE OF GELSEMINUM SEMP. IN FEVERS. BY J. S. DOUGLAS, A. M., M.
+D., Prof. of Mat. Med. and Special Pathology, in the Western
+Homoepathic College, Cleveland; author of "Treatment of
+Intermittents," &c.
+
+
+Such has been the general result of the treatment of the fevers of this
+country, that most Homoeopathic physicians deny the possibility of
+_breaking up_ a fever when once established.
+
+Those who labor under this impression, will be soon convinced of the
+error by properly employing the _Gelseminum semper virens_, or yellow
+Jasmine. Having proved this drug repeatedly on myself and seven or eight
+others, it was impossible to avoid the conviction that it would be
+homoeopathic to the ordinary fevers of this country.
+
+The pathogenetic symptoms, almost uniformly experienced, are the
+following, the dose being from one to five drops:
+
+Within a few minutes, sometimes within two or three, a marked depression
+of pulse, which becomes 10, 15 or 20 beats less in the minute, if quiet,
+but greatly disturbed by movement. Chilliness, especially along the
+back, pressive pain of the head, most generally of the temples,
+sometimes in the occiput, at others, over the head. The chilliness is
+soon followed by a glow of heat and prickling of the skin, and quickly
+succeeded by perspiration which is sometimes profuse and disposed to be
+persistent, continuing from twelve to twenty-four hours. As soon as the
+re-action takes place after the chill, the pulse rises as much above the
+normal standard, as it was before depressed below it. With these
+symptoms is a puffy, swollen look and feeling of the eye-lids, slimy and
+disagreeable or bitter taste in the mouth, languid feeling of the back
+and limbs, and sleepiness.
+
+As example affords the best illustration, we will give one to illustrate
+the usual action of this drug in fevers:
+
+P. W., aged 21, sanguine temperament, had been complaining of languor,
+and want of appetite for three weeks. For a week has been unable to
+attend to business. Took a cathartic, and was, of course, worse. For the
+last thirty-six hours had been seriously sick. June 30, 1858, had the
+following symptoms: Pulse rather full, but weak and vascillating, about
+100 per minute. Tongue red and dry; hands tremulous when extending them;
+tongue trembles when protruded; the mind wanders; he reaches after
+imaginary objects; lips dry and parched; he is uneasy, restless. Now
+this, all will recognize as a case which had been long in coming on,
+and was fairly established, and was not likely to be _broken up_ by
+ordinary means. He took one drop of _Gelseminum tincture_ to be repeated
+every hour, if needed. The next morning he reported that he had been in
+a perspiration ever since fifteen minutes after taking the first dose,
+had slept quietly during the night, the tongue and lips were moist, mind
+clear, pulse 80, and steady. The next day I found him dressed and down
+stairs, with good appetite and free from disease. I could give sixty
+cases of equally prompt results from this precious drug, in fevers which
+make their attack rather suddenly, whether from cold or otherwise, and
+attended with chilliness, pain in the limbs, head and back, variously
+disordered taste of the mouth, with great restlessness. The almost
+uniform effect, in these cases is, a cessation of the chills, within
+from two to five minutes, quickly followed by a glow of heat and
+prickling of the surface; and within from five to twenty minutes,
+perspiration with progressive abatement of all the pains and
+restlessness. The patient falls asleep, and after a longer or shorter
+time, wakes with a consciousness that his disease is _broken up_--and
+this proves to be the truth. Like all other drugs, the dose must be
+various, generally one drop repeated every half hour, till the desired
+effect is produced repeated afterwards as occasion may require.
+
+In simple cases of fever, I regard it as _the_ remedy, not only, but
+_the only_ remedy required. There are, of course, many cases of fever,
+with local complications, as inflammation of the liver, &c., &c., where
+other remedies will be necessary. Half a drop, or even a quarter, is
+often sufficient. The largest I have yet given is five drops, and this
+in only one case.
+
+Several Homoeopathic physicians to whom I have recommended it, have
+made equally favorable reports of it.
+
+My experience has been, that not a few of our Western fevers, especially
+if neglected beyond the incipient stages, are accompanied by such
+gastric and bilious disorder, as to require _Mercurius_, _China_, or
+_Podophyllin_, after the general febrile symptoms are removed by _Gels._
+But at an early stage, the _Gels._ alone will prevent the development of
+these complications.
+
+The drug seems to me to act specifically and energetically, not only
+upon the circulatory system, but equally so upon the nervous system,
+allaying nervous irritability more effectually in fevers, than _Coff._,
+_Cham._, _Bell._, _Nux_, or any other drug we possess. As it acts very
+quickly, the first dose may be soon repeated and increased, if no effect
+is observed.
+
++---------------------------------------------------------------+
+|Transcriber's note:                                            |
+|                                                               |
+|Inconsistent punctuation in headings in this book are as in the|
+|original.                                                      |
+|                                                               |
++---------------------------------------------------------------+
+
+
+
+
+
+
+End of the Project Gutenberg EBook of An Epitome of Homeopathic Healing Art, by 
+B. L. Hill
+
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+    "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
+
+<html xmlns="http://www.w3.org/1999/xhtml">
+  <head>
+    <meta http-equiv="Content-Type" content="text/html;charset=iso-8859-1" />
+    <title>
+      The Project Gutenberg eBook of An Epitome Of The Hom&oelig;opathic Healing Art, by B. L. Hill, M. D.,.
+    </title>
+    <style type="text/css">
+/*<![CDATA[  XML blockout */
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+    .pagenum  { /* uncomment the next line for invisible page numbers */
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+
+<pre>
+
+Project Gutenberg's An Epitome of Homeopathic Healing Art, by B. L. Hill
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever.  You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: An Epitome of Homeopathic Healing Art
+       Containing the New Discoveries and Improvements to the Present Time
+
+Author: B. L. Hill
+
+Release Date: June 4, 2008 [EBook #25692]
+
+Language: English
+
+Character set encoding: ISO-8859-1
+
+*** START OF THIS PROJECT GUTENBERG EBOOK EPITOME OF HOMEOPATHIC HEALING ART ***
+
+
+
+
+Produced by Bryan Ness and the Online Distributed
+Proofreading Team at https://www.pgdp.net
+
+
+
+
+
+
+</pre>
+
+
+
+
+
+<p><span class='pagenum'><a name="Page_1" id="Page_1">[Pg 1]</a></span></p>
+
+
+
+
+
+<h2>AN</h2>
+
+ <h1>EPITOME</h1>
+
+ <h4>OF THE</h4>
+
+ <h1>Hom&oelig;opathic Healing Art,</h1>
+
+<h4>CONTAINING</h4>
+
+
+ <h3>THE NEW DISCOVERIES AND IMPROVEMENTS TO THE PRESENT TIME;</h3>
+
+<h4>DESIGNED</h4>
+
+<h3>FOR THE USE OF FAMILIES, FOR TRAVELERS ON THEIR JOURNEY,</h3>
+
+<h3>AND AS A POCKET COMPANION FOR THE PHYSICIAN.</h3>
+
+<h2>BY B. L. HILL, M. D.,</h2>
+
+<p class="center">Professor of General, Special, and Surgical Anatomy,<br />Late Professor of
+Surgery, Obstetrics, and Diseases Females and Children, in the W. H.
+College,<br />Author of the "Hom&oelig;opathic Practice of Surgery," &amp;c., &amp;c.</p>
+
+
+<p class="center">CLEVELAND, OHIO: JOHN HALL, 72 SUPERIOR STREET.<br />
+CHICAGO, ILL. HALSEY &amp; KING, 162 CLARK STREET.<br />
+
+1859.<span class='pagenum'><a name="Page_2" id="Page_2">[Pg 2]</a></span></p>
+
+
+<p class="center">Entered according to Act of Congress, in the year 1859,<br />
+
+By B. L. HILL, M. D.,<br />
+
+In the Clerk's office of the District Court in and for the Northern
+District of Ohio.<br /><br />
+
+
+<span class="smcap">Pinkerton &amp; Nevins</span>' Print, Cleveland, O.<span class='pagenum'><a name="Page_3" id="Page_3">[Pg 3]</a></span></p>
+
+<hr style="width: 65%;" />
+
+<h2>CONTENTS</h2>
+<div class='centered'>
+<table border="0" cellpadding="4" cellspacing="0" summary="CONTENTS">
+<tr><td align='left'><a href="#AN_EPITOME">AN EPITOME OF THE HOM&OElig;PATHIC HEALING ART. </a></td></tr>
+<tr><td align='left'><a href="#Introduction"> INTRODUCTION. </a></td></tr>
+<tr><td align='left'><a href="#ADMINISTRATION_OF_REMEDIES"> ADMINISTRATION OF REMEDIES. </a></td></tr>
+<tr><td align='left'><a href="#DISEASES_OF_FEMALES"> DISEASES OF FEMALES </a></td></tr>
+<tr><td align='left'><a href="#INDEX"> INDEX. </a></td></tr>
+<tr><td align='left'><a href="#APPENDIX"> APPENDIX </a></td></tr>
+</table></div>
+
+
+
+<hr style="width: 65%;" />
+
+<h2>TABLE OF REMEDIES.</h2>
+
+
+<p>In this table I have affixed to the remedies figures designating the
+dilutions or the attenuations, at which, under ordinary circumstances, I
+would advise their use. The strongest, or mother tinctures, marked with
+an apha (0), the dilutions or triturations to be of the decimal degrees
+of attenuation, are marked 1, 2, 3, &amp;c., to designate that they are to
+be used at 1-10th, 1-100th, 1-1000th, &amp;c., the strength of the pure
+drugs.</p>
+
+<p>The list for a full <span class="smcap">Family Case</span> contains all the remedies recommended in
+this book for diseases that may be safely trusted to unprofessional
+hands.</p>
+
+<p>The <span class="smcap">Traveler's Case</span> needs only such medicines as are prescribed for the
+diseases which he would be most liable to contract on his journey;
+though I have put in the principal ones used in domestic practice, so
+that the Case will do for family use.</p>
+
+<p>The <span class="smcap">Cholera Case</span> is only supplied with such remedies as are particularly
+applicable to that disease; useful, however, for many other complaints.</p>
+
+<h4>TRAVELER'S CASE.</h4>
+
+
+
+<div class='centered'>
+<table border="0" cellpadding="2" width="65%" cellspacing="0" summary="TRAVELER'S CASE">
+<tr><td align='left'>1 Aconite</td><td align='left'>p 3</td><td align='left'>15 Hydrastus Can.</td><td align='left'>p 1</td></tr>
+<tr><td align='left'>2 Apis Mellifica</td><td align='left'>p 3</td><td align='left'>16 Ipecac</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>3 Arsenicum</td><td align='left'>p 3</td><td align='left'>17 Mercurius sol.</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>4 Arnica</td><td align='left'>tr 0</td><td align='left'>18 Mercurius cor.</td><td align='left'>tt 2</td></tr>
+<tr><td align='left'>5 Arum triphyllum</td><td align='left'>tt 2</td><td align='left'>19 Macrotin</td><td align='left'>tt 1</td></tr>
+<tr><td align='left'>6 Belladonna</td><td align='left'>p 3</td><td align='left'>20 Nux Vom.</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>7 Baptisia</td><td align='left'>p 1</td><td align='left'>21 Phosphorus</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>8 Bryonia</td><td align='left'>p 3</td><td align='left'>22 Phos. acid</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>9 Colocynth</td><td align='left'>p 3</td><td align='left'>23 Podophyllin</td><td align='left'>p 2</td></tr>
+<tr><td align='left'>10 China Sul.</td><td align='left'>tt 1</td><td align='left'>24 Rhus toxicod.</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>11 Chamomilla</td><td align='left'>p 3</td><td align='left'>25 Secale</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>12 Copaiva</td><td align='left'>p 2</td><td align='left'>26 Tartar emetic</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>13 Cuprum</td><td align='left'>p 3</td><td align='left'>27 Veratrum</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>14 Eupatorium Aro.</td><td align='left'>p 1</td></tr>
+</table></div>
+
+
+
+<h4>CHOLERA CASE.</h4>
+
+
+
+<div class='centered'>
+<table border="0" cellpadding="2" width="65%" cellspacing="0" summary="CHOLERA CASE">
+<tr><td align='left'>1 Aconite</td><td align='left'>p 3</td><td align='left'>8 Laurocerasus</td><td align='left'>p 4</td></tr>
+<tr><td align='left'>2 Arsenicum</td><td align='left'>p 3</td><td align='left'>9 Opium</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>3 Belladonna</td><td align='left'>p 3</td><td align='left'>10 Merc. cor.</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>4 Camphor</td><td align='left'>tr 0</td><td align='left'>11 Phosphorus</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>5 Carbo Veg.</td><td align='left'>p 5</td><td align='left'>12 Phos. acid</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>6 Cuprum</td><td align='left'>p 3</td><td align='left'>13 Secale</td><td align='left'>p 3</td></tr>
+<tr><td align='left'>7 Ipecac</td><td align='left'>p 3</td><td align='left'>14 Veratrum</td><td align='left'>p 3</td></tr>
+</table></div>
+
+<p><span class='pagenum'><a name="Page_4" id="Page_4">[Pg 4]</a></span></p>
+
+<h4>FULL FAMILY CASE.</h4>
+
+<p class="center">Tr. is used for tincture, Tt. trituration, P. pellets.</p>
+
+
+
+<div class='centered'>
+<table border="0" cellpadding="2" width="65%" cellspacing="0" summary="FULL FAMILY CASE">
+<tr><td align='left'>REMEDIES.</td><td align='center' colspan="2">CONTRACTIONS.</td></tr>
+<tr><td align='left'> 1 Aconitum.</td><td align='left'>Aconite</td><td align='right'>  Tr 0 1 p 3</td></tr>
+<tr><td align='left'> 2 Alth&aelig;a.</td><td align='left'>&nbsp;</td><td align='right'>  &nbsp;</td></tr>
+<tr><td align='left'> 3 Apis mellifica.</td><td align='left'>Apis mel.</td><td align='right'>  0 p 2 3</td></tr>
+<tr><td align='left'> 4 Arsenicum.</td><td align='left'>Arsenicum</td><td align='right'>  0 p 3</td></tr>
+<tr><td align='left'> 5 Arnica.</td><td align='left'>Arnica,</td><td align='right'>  0 p 3</td></tr>
+<tr><td align='left'> 6 Arum triphyllum.</td><td align='left'>Arum triphyllum,</td><td align='right'>  0 tt 2</td></tr>
+<tr><td align='left'> 7 Belladonna.</td><td align='left'>Bell.</td><td align='right'>  tr 1 p 4</td></tr>
+<tr><td align='left'> 8 Baptisia tinctoria.</td><td align='left'>Baptisia,</td><td align='right'>  tr 0 2</td></tr>
+<tr><td align='left'> 9 Bryonia.</td><td align='left'>Bryonia,</td><td align='right'>  tr p 3</td></tr>
+<tr><td align='left'>10 Carbo. Vegetabilis.</td><td align='left'>Carbo. Veg.</td><td align='right'>  tr p 4</td></tr>
+<tr><td align='left'>11 Cantharides.</td><td align='left'>Cantharides,</td><td align='right'>  tr 0 p 3</td></tr>
+<tr><td align='left'>12 Colocynthis.</td><td align='left'>Colocynth,</td><td align='right'>  tr or p 3</td></tr>
+<tr><td align='left'>13 China Sulphuricum.</td><td align='left'>China Sul.</td><td align='right'>  tt 1</td></tr>
+<tr><td align='left'>14 Chamomilla.</td><td align='left'>Chamomilla</td><td align='right'>  tr or p 3</td></tr>
+<tr><td align='left'>15 Copaiva.</td><td align='left'>Copaiva</td><td align='right'>  tr 1 p 2</td></tr>
+<tr><td align='left'>16 Cauloph. Thalictroides.</td><td align='left'>Caulophyllum</td><td align='right'>  tr 1</td></tr>
+<tr><td align='left'>17 Cuprum.</td><td align='left'>Cuprum,</td><td align='right'>  p 3</td></tr>
+<tr><td align='left'>18 Cuprum Aceticum.</td><td align='left'>&nbsp;</td><td align='right'>  &nbsp;</td></tr>
+<tr><td align='left'>19 Cornus Sericea.</td><td align='left'>Cornus sericea, tr 0 p 2</td></tr>
+<tr><td align='left'>20 Conium maculatum.</td><td align='left'>Conium mac.</td><td align='right'>  0 p 3</td></tr>
+<tr><td align='left'>21 Coffea.</td><td align='left'>Coffea</td><td align='right'>  p 4</td></tr>
+<tr><td align='left'>22 Eryngium Aquaticum.</td><td align='left'>Eryngium Aquaticum</td><td align='right'>  2</td></tr>
+<tr><td align='left'>23 Eupatorium aromaticum</td><td align='left'>Eupatorium aro. tr 0 p 2</td></tr>
+<tr><td align='left'>24 Hepar Sulphur.</td><td align='left'>&nbsp;</td><td align='left'>&nbsp;</td></tr>
+<tr><td align='left'>25 Hydrastus Canadensis.</td><td align='left'>Hydrastin</td><td align='right'>  tr 0 p 2</td></tr>
+<tr><td align='left'>26 Hamamelis Virginica.</td><td align='left'>Hamamelis Vir.</td><td align='right'>  tr 0 p 3</td></tr>
+<tr><td align='left'>27 Ipecacuanha.</td><td align='left'>Ipecac</td><td align='right'>  tr 0 p 2 3</td></tr>
+<tr><td align='left'>28 Laurocerasus.</td><td align='left'>Laurocerasus</td><td align='right'>  p 3</td></tr>
+<tr><td align='left'>29 Mercurius solubilis.</td><td align='left'>Merc.</td><td align='right'>  tr 3</td></tr>
+<tr><td align='left'>30 Mercurius corrosivus.</td><td align='left'>Mercurius cor.</td><td align='right'>  tt 2 p 3</td></tr>
+<tr><td align='left'>31 Macrotys Racemosa.</td><td align='left'>Macrotin,</td><td align='right'>  tr 2</td></tr>
+<tr><td align='left'>32 Nux Vomica.</td><td align='left'>Nux</td><td align='right'>  p 3</td></tr>
+<tr><td align='left'>33 Opium.</td><td align='left'>Opium</td><td align='right'>  p 3</td></tr>
+<tr><td align='left'>34 Phosphorus.</td><td align='left'>Phosphorus,</td><td align='right'>  tr 2 p 3</td></tr>
+<tr><td align='left'>35 Phosphoric acid.</td><td align='left'>Phos. acid,</td><td align='right'>  tr 2 p 3</td></tr>
+<tr><td align='left'>36 Podophyllum peltatum.</td><td align='left'>Podophyllin,</td><td align='right'>  tt 1 p 3</td></tr>
+<tr><td align='left'>37 Pulsatilla.</td><td align='left'>Pulsatilla</td><td align='right'>  3</td></tr>
+<tr><td align='left'>38 Rhus Toxicodendron.</td><td align='left'>Rhus Tox.</td><td align='right'>  p 3</td></tr>
+<tr><td align='left'>39 Secale cornutum.</td><td align='left'>Secale,</td><td align='right'>  tr 1 p 3</td></tr>
+<tr><td align='left'>40 Santonine.</td><td align='left'>Santonine,</td><td align='right'>  tr 1</td></tr>
+<tr><td align='left'>41 Spongia.</td><td align='left'>Spongia,</td><td align='right'>  p 4</td></tr>
+<tr><td align='left'>42 Tartar Emetic.</td><td align='left'>Tartar emetic</td><td align='right'>  tr 2 p 3</td></tr>
+<tr><td align='left'>43 Thuya.</td><td align='left'>&nbsp;</td><td align='right'>  &nbsp;</td></tr>
+<tr><td align='left'>44 Veratrum alba.</td><td align='left'>Veratrum.</td><td align='right'>  p 3</td></tr>
+</table></div>
+<p><span class='pagenum'><a name="Page_5" id="Page_5">[Pg 5]</a></span></p>
+
+
+
+<hr style="width: 65%;" />
+<h2><br /><br /><a name="AN_EPITOME" id="AN_EPITOME"></a>AN EPITOME</h2>
+
+<h4>OF THE</h4>
+
+<h2>HOM&OElig;OPATHIC HEALING ART.<br /><br /></h2>
+
+
+
+<hr style="width: 65%;" />
+<h2><a name="Introduction" id="Introduction"></a>Introduction.</h2>
+
+
+<p>This work contains in a <i>condensed form</i> a very large portion of all
+that is practically useful in the treatment of the diseases ordinarily
+occurring in this country. The symptoms are given with sufficient
+minuteness and detail to enable any one of ordinary capacities of
+observation to distinguish the complaint; and the treatment is so
+<i>plainly</i> laid down, that no one need make a mistake. If strictly
+followed,<span class='pagenum'><a name="Page_6" id="Page_6">[Pg 6]</a></span> it will, in a very large proportion of cases, effect cures,
+even when administered by those unacquainted with the medical sciences
+generally. It has been written from necessity, to meet the demands of
+community for a more definite work in a concise form, that should
+contain remedies of the most reliable character, with such directions
+for their use as can be followed by the <i>traveler on his journey</i>, or by
+families at home, when no physician is at hand. It might seem to some
+preposterous to speak of a <i>demand</i> for another <i>domestic</i>
+Hom&oelig;opathic Practice, when half a score or more of such works are now
+extant, some having come out within a very short time. The demand
+arises, not from the want of Books, but from the defects of those that
+exist. There is in most of them, too little point and definiteness in
+the prescriptions, and a kind of vague doubting recommendation
+noticeable to all, which carries the impression at once to every reader,
+of a want of <i>confidence</i> by the author in his own directions.<span class='pagenum'><a name="Page_7" id="Page_7">[Pg 7]</a></span></p>
+
+<p>Again, in some of the works there is too much confusion, the symptoms
+not being laid down with sufficient clearness to indicate the best
+remedy. Some of the works are unnecessarily large and cumbersome, while
+the real amount of valuable practical matter is comparatively meager,
+obliging the reader to pay for paper and binding without the contained
+value of his money. I do not claim entire perfection for this work, yet
+I do claim it to be several steps in advance of the books now extant.</p>
+
+<hr style='width: 45%;' />
+
+<p>This work is my own, being the result of my practical experience and
+observation. I have introduced several remedies that, though they are
+familiar to me, and have been used in my practice for many years, are,
+nevertheless, comparatively strange and new to most of the profession.
+Of some we have no extensive provings yet published, still the provings
+have been made, both upon the healthy and the sick. Their use, as
+directed in this work, is in strict accordance with their
+Hom&oelig;opathic<span class='pagenum'><a name="Page_8" id="Page_8">[Pg 8]</a></span> relation to the symptoms for which they are prescribed.</p>
+
+<p>Some may object to my practice of giving several remedies in alternation
+or rotation and in quick succession. To such I would say, When you try
+this mode of practice and on comparing it with the opposite one of
+giving only one remedy, and that at long intervals between the doses,
+find my mode to be less successful than yours, <i>then</i> it will be time
+for you to make your objections. <i>You</i> may rely upon the vague
+hypotheses of the books, and give your high dilutions singly, at long
+intervals, and let your patients die for want of <i>real</i> treatment, while
+I will use lower dilutions and give two or more remedies in quick
+succession and cure mine. I only speak what is in accordance with
+universal observation, where the two modes are compared on equal
+footing, when I affirm that, while the former <i>may</i> effect some cures,
+<i>most</i> of the recoveries under it, are spontaneous and unaided, the
+latter <i>does</i> cure; the disease being arrested by the medicine, and the
+proportion of unfavorable term<span class='pagenum'><a name="Page_9" id="Page_9">[Pg 9]</a></span>inations is much less under the latter
+than the former course. 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 remedies, all of whom still adhere to the low, while
+I have yet to hear of the man who has gone <i>back</i> to high single
+remedies and long intervals. My reason then, for the course here laid
+down, is, that it will <i>cure</i> with more promptness and certainty. If
+others are so prejudiced as not to <i>try it</i>, they will still remain in
+ignorance of the <i>best practice</i>, and their patients will be the
+sufferers.</p>
+
+<p>In reference to the fear that is expressed that if one medicine is given
+too soon after another, it will antidote the former, I have simply to
+say, I have no confidence in the hypothetic antidotal powers of the
+medicines one over another, as laid down in the books. It has not been
+verified by experience, and has no foundation in truth. It is true that
+one medicine will remove morbid symptoms that might be<span class='pagenum'><a name="Page_10" id="Page_10">[Pg 10]</a></span> produced by an
+overdose of another; but both being given in the ordinary medicinal
+doses, neither of them to such an extent as to produce sensible
+symptoms, if given alone, would not, if given in quick succession,
+prevent each other from acting to remove their own peculiar symptoms
+that exist in the system at the time. So if we have the symptoms that
+are found in two or more different remedies present in the same attack,
+as is often the ease, we may give these several remedies one after
+another, with confidence in their curative effects for the symptoms they
+represent.</p>
+
+<p>This has been my practice, and it has been <i>eminently successful</i>, and
+therefore I commend it to others, treating with pity the infirmity of
+those who ignorantly condemn it, as "They know not what they do."<span class='pagenum'><a name="Page_11" id="Page_11">[Pg 11]</a></span></p>
+
+
+
+<hr style="width: 65%;" />
+<h2><a name="ADMINISTRATION_OF_REMEDIES" id="ADMINISTRATION_OF_REMEDIES"></a>ADMINISTRATION OF REMEDIES.</h2>
+
+
+<p>The remedies are either in the form of tinctures saturated, more or less
+dilute, in Pellets or Powders. The <i>Pellets</i> may be taken dry upon the
+tongue, allowed to dissolve and swallowed. The dose for an adult is from
+4 to 7; for an infant, from birth to one year old, 1 to 3; from one to
+three years, 2 to 4; from three to ten years, 3 to 5 pellets; after ten,
+same as an adult. 15 or 20 pellets may be dissolved in a gill of water,
+and a tea-spoonful dose given at a time, being particular to stir it
+until all are perfectly dissolved, stirring it each dose.</p>
+
+<p><i>Powders</i> may be taken in the same manner, upon the tongue, a dose when
+dry, being about the same bulk as of the pellets as nearly as
+practicable. If put into water, to a gill of water add of the powder
+about what would lie on a three cent piece. If the liquid me<span class='pagenum'><a name="Page_12" id="Page_12">[Pg 12]</a></span>dicine is
+used, add 1 drop to a gill of water, and use tea-spoonful doses as above
+directed. The length of time between the doses should be, in Dysentery
+and Diarrh&oelig;a, regulated by the frequency of the discharges, giving a
+dose as often as the evacuations occur. In acute and violent diseases,
+the doses should be repeated oftener than in milder cases&mdash;about once an
+hour as a general rule is often enough, though in some cases they should
+be given in half an hour or oftener. In mild cases, once in two or three
+hours is often enough, and in chronic cases, once or twice a day.</p>
+
+
+<h4>Bathing.</h4>
+
+<p>The surface of the body should be kept clean, as far as possible, and to
+this end, in summer, should be well bathed at least once a day. In
+winter, though useful, it is not so indispensable; still no one should
+neglect the bath more than a week, and all ought to bathe at least twice
+a week, if not oftener, even in winter.</p>
+
+<p>The bath should be of a temperature that is agreeable, and the room
+warm, especially for a feeble person. It should be so applied<span class='pagenum'><a name="Page_13" id="Page_13">[Pg 13]</a></span> as not to
+give a general chill, as such shocks are always hurtful.</p>
+
+<p>The <i>teeth</i> should be kept clean and free from tartar. They should be
+cleaned every morning and after each meal. The feet, legs and arms
+should be warmly clothed, especially the <i>arms</i>, as an exposure of them
+to cold is liable to induce affections of the lungs, and to aggravate
+any existing disease of those organs.</p>
+
+<p>By exposure of the feet and legs to cold, diseases and derangements of
+the female organs, even in young girls, are induced; and one prolific
+cause of female weakness is to be found in improper dressing of the feet
+and legs, while the <i>lung affections</i> of females, now so fearfully
+prevalent, are traceable in a great degree to the fashion that has
+prevailed for a few years, of exposing the arms to cold.</p>
+
+
+<h4>Diet.</h4>
+
+<p>The diet of the sick should he nutricious, but at all times simple, free
+from greasy substances, and from all stimulating condiments whatsoever,
+as well as from vinegar, or food in which vinegar is used.<span class='pagenum'><a name="Page_14" id="Page_14">[Pg 14]</a></span></p>
+
+<p>In short, let the food be nutritious, easily digested, small or moderate
+in quantity, and free from all "seasoning," except salt or sugar; and if
+salt is used at all, let the quantity be very small, much less than
+would be used in health.</p>
+
+
+<h4>Diarrh&oelig;a.</h4>
+
+<p>This disease consists in a looseness of the bowels, generally
+accompanied with pain in the abdomen, more or less severe. It sometimes
+occurs without pain, but is <i>then</i> attended with a sense of weakness,
+and a general feeling of uneasiness. It prevails mostly in the warm
+seasons, but may occur at any time. It is not usually considered a very
+dangerous affection, except during the prevalence of <i>Cholera</i>, or in
+children during hot weather.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Veratrum</i> and <i>Phos. acid</i>, given alternately, at intervals, as
+frequently as the discharges from the bowels occur, will generally be
+sufficient. If there is nausea or vomiting, or cramping pains in the
+bowels, give <i>Ipecac</i> in alternation with one or both the former. If
+thirst and a burning of the stomach or bow<span class='pagenum'><a name="Page_15" id="Page_15">[Pg 15]</a></span>els exist, use <i>Arsenicum.</i>
+This last medicine may be given in alternation with either of the
+others, but is most frequently indicated in connection with <i>Veratrum.</i>
+The intervals between the doses should be regulated by the frequency of
+the evacuations in all cases, lengthening them as the evacuations become
+less frequent, until they cease. In <i>children</i>, where the discharges are
+greenish or slimy, and contain undigested food, give <i>Chamomilla</i> and
+<i>Ipecac</i> alternately, as above directed. If the discharges are dark, or
+yellow, with distress in the stomach, give <i>Podophyllin.</i> The dose is
+from 3 to 6 pellets. In all cases of diarrh&oelig;a, adults should abstain
+from all kinds of food until cured, if possible, and eat but little at
+first, when food is taken. Children should be fed carefully, and but a
+small quantity at a time, being particular both for adults and children
+to use as little <i>liquid</i> as possible; drink water in <i>small</i>
+quantities, not very cold. Avoid exercise, and lie on the back quietly,
+when that is practicable. In a large majority of cases, <i>Veratrum</i>, if
+given in the early stages of the disease, will arrest it at once, and in
+many<span class='pagenum'><a name="Page_16" id="Page_16">[Pg 16]</a></span> chronic diarrh&oelig;as of weeks or months standing, it is the surest
+remedy. In chronic diarrh&oelig;a of females, <i>Podophyllin</i> should be used
+in alternation with <i>Veratrum</i>.</p>
+
+
+<h4>Dysentery.</h4>
+
+<p>This disease is caused by inflammation of the mucous membrane of the
+colon and rectum, (the large intestine) generally confined to the lower
+part of the bowel. It is always painful. There is griping and straining
+in the lower part of the abdomen, and generally great bearing down when
+at stool, with a peculiar distress after the evacuation, called tormina.</p>
+
+<p>The discharges often commence like a common diarrh&oelig;a, with copious
+liquid evacuations, but there is more or less griping pain, low down,
+from the beginning. The evacuations sooner or later become lessened,
+slimy or bloody, or both, the pain increasing accompanied with more or
+less fever, often quite severe. Sometimes the patient is costive, and
+has been so for several days, the dysentery coming on without being
+preceded by looseness. At others, especially in summer, when fevers are
+prevailing, the dysen<span class='pagenum'><a name="Page_17" id="Page_17">[Pg 17]</a></span>tery begins with a severe chill, followed by fever
+and the dysenteric symptoms above described.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>If it begins with looseness without blood, give <i>Arsenicum</i> and
+<i>Veratrum</i> alternately, once an hour, or oftener if the evacuations are
+more frequent. If the discharges are bloody, use <i>Mercurius cor.</i> in
+place of the <i>Arsenicum</i>. If there is any sickness of the stomach, or
+the discharges are dark or yellow, use <i>Podophyllin</i> with <i>Mercurius
+cor.</i> If there are colic pains in the bowels, use <i>Colocynthis</i>
+alternately with the others, giving it between them. If the patient was
+costive previous to the attack, and the dysentery came on without much
+looseness, <i>Nux Vomica</i> should be given alternately with <i>Mercurius
+cor.</i> If the disease comes on with a chill, or a chill occurs at any
+time during the attack, followed by fever, <i>Aconite</i>, <i>Baptisia</i> and
+<i>Podophyllin</i> should be used in rotation half an hour apart until a free
+perspiration is produced, and the pain diminishes; or if bloody stools
+appear, use <i>Mer<span class='pagenum'><a name="Page_18" id="Page_18">[Pg 18]</a></span>curius cor</i>, with the <i>Aconite</i> and <i>Baptisia</i>. A large
+proportion of the dysenteries of hot weather in miasmatic regions, will
+be arrested in a few hours by these three or four remedies, especially
+if the patient keeps still, and generally even if he keeps about his
+business. In very bad cases, much benefit will be derived from
+injections of Gum Arabic water, or mucillage of Slippery Elm thrown into
+the bowel in quantities of a pint or more at a time, as warm as can
+possibly be endured. I have often relieved patients immediately with
+injections of a strong solution of Borax in Rice water, as hot as
+bearable. <i>Never apply cold water</i> to <i>any</i> inflamed surface, much less
+a <i>mucous</i> surface. All food should be withheld as far as practicable
+and not starve, until the symptoms abate.</p>
+
+
+<h4>Colic.</h4>
+
+<p>The symptoms of this are cramping pains in the abdomen, without fever or
+looseness of the bowels. The colic sometimes occurs after the cessation
+of a diarrh&oelig;a that had been induced by severe cathartics. The<span class='pagenum'><a name="Page_19" id="Page_19">[Pg 19]</a></span> pains
+are cutting and straining, drawing the bowels into knots, relieved
+temporarily by pressure.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>For a male, <i>Nux Vom.</i>, and for a female, <i>Pulsatilla</i> will generally
+afford immediate relief. In children, especially, where diarrh&oelig;a
+exists, <i>Chamomilla</i> should be used. If it is the result of severe
+cathartics, or if there is a soreness or a bruised feeling, <i>Colocynth</i>
+is the remedy. Hot injections into the rectum, and large quantities of
+warm water taken into the stomach, will often <i>cure colic</i>.</p>
+
+
+<h4>Bilious Colic.</h4>
+
+<p>This disease, in addition to the symptoms of cutting, cramping pains in
+the bowels, as in common colic, has great distress in the stomach, with
+nausea and vomiting, the bowels being costive, the feet and hands cold,
+sometimes cold sweats occur. There is also considerable fever, and
+frequently headache is present. The substance vomited is at first dark
+bilious matter, but if the case continues a long time, stercoraceous
+(fecal) matter will be thrown up.<span class='pagenum'><a name="Page_20" id="Page_20">[Pg 20]</a></span></p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Colocynth</i> is the most important remedy, and should be given early and
+constantly. <i>Podophyllin</i> is next in importance, and it should be given
+in alternation with the former, the dose to be repeated as often as
+every half hour at first, and as the patient becomes easy, at longer
+intervals. In this, as in the former case, great benefit will be derived
+from large injections of quite warm water, and let it be taken into the
+stomach freely, as hot as can be safely swallowed. I have given a gallon
+of hot water in the course of two hours, to a patient suffering under
+this disease, the first half pint being rejected, but the balance
+remaining, perfect relief having been experienced. If fever continues
+after the colic and nausea cease, <i>Baptisia</i> and <i>Aconite</i> should be
+given alternately every hour until the fever subsides. If the patient
+is, and has been, for some time, costive, <i>Nux Vomica</i> should be given
+once in six or eight hours until the bowels move. Injections may also be
+used.<span class='pagenum'><a name="Page_21" id="Page_21">[Pg 21]</a></span></p>
+
+
+<h4>Cholera Morbus.</h4>
+
+<p>This disease generally comes on at night, in hot weather, and is, in
+many cases, induced by over eating while the patient is suffering from
+diarrh&oelig;a and a deranged state of the liver. It is essentially of a
+bilious character. It sets in with great pain in the bowels, sickness at
+the stomach, and vomiting of large quantities of dark greenish bitter
+tasting substance. At first, the vomiting will seem to afford relief,
+but sooner or later the stomach and bowels cramp, and the cramping may
+extend to other parts of the body, the feet, hands, calves of the legs,
+and the arms, cold sweats come on, and death terminates his sufferings.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Ipecac</i> and <i>Colocynthis</i> are to be given in alternation, and repeated
+as often as every 30 minutes, for the first three or four doses, then as
+the patient gets easier, at longer intervals. A dose every hour will
+suffice as soon as the symptoms begin to abate. The application of hot
+cloths or even mustard, over the abdomen, frequently palliates the
+sufferings, and does not interfere with the action of the me<span class='pagenum'><a name="Page_22" id="Page_22">[Pg 22]</a></span>dicines.
+Fever of a low typhoid type some times sets in after an attack of
+cholera morbus, and terminates fatally. This ought never to occur under
+Hom&oelig;opathic treatment. For such fever give <i>Baptisia</i>, a dose every
+hour until the fever subsides, which will occur generally in six or
+eight hours; if not, and the patient complains of headache, or is
+delirious, or dizzy, or feels a fullness in the head, give <i>Macrotin</i> in
+alternation with the <i>Baptisia</i>. Keep the patient very quiet and free
+from noise, as far as possible. <i>Sleep</i> is a great restorer in any case,
+but particularly so in this.</p>
+
+
+<h3>FEVERS.</h3>
+
+<h4>Intermittent Fever, Ague or Chill Fever.</h4>
+
+<p>This comes on with pains in the head and back, aching in the joints,
+yawning, followed by coldness of the hands and feet, blueness of the
+nails and skin of the hands, general chilliness, sometimes "shaking."
+This lasts from a few minutes in some cases, to several hours in others.
+The chill is followed by a fever, which is generally severe and long
+continued, in proportion to the length and<span class='pagenum'><a name="Page_23" id="Page_23">[Pg 23]</a></span> severity of the chill. The
+fever is followed by free perspiration, when it subsides and leaves the
+patient in a comfortable condition. This state is called the
+<i>Intermission</i>. This continues from a few hours to twenty-four, or
+longer, when another chill comes on followed by fever and sweats as
+before. During the chill and fever, the patient often suffers great
+pain, and is sometimes delirious. Young children frequently have
+convulsions when the chill sets in. <i>These</i> convulsions of children,
+though alarming, are not often dangerous.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>As soon as the first symptoms of the chills appear, such as the
+headache, pain in the back and bones, coldness of the hands, nose and
+ears, give <i>Aconite</i> and <i>Baptisia</i> alternately, giving the first three
+doses every ten minutes, the next three doses every fifteen minutes, and
+then once in half an hour until the patient begins to sweat freely, when
+the medicines should be discontinued. If there is nausea or vomiting
+present, let the patient have lukewarm water freely in large draughts,
+until he vomits it up several times.<span class='pagenum'><a name="Page_24" id="Page_24">[Pg 24]</a></span> As soon as the sweating commences,
+give <i>Arsenicum</i> and <i>Macrotin</i> alternately every hour during the
+intermission, except during sleeping time. On return of the chill,
+should it appear a second time, use the <i>Aconite</i> and <i>Baptisia</i> as
+before, and follow them with <i>Arsenicum</i> and <i>Nux Vom.</i> every two hours.
+This course of treatment will cure a majority of cases, but some require
+<i>Cinchonia</i>. That Cinchonia is a specific for intermittent fevers in
+many of their forms, no one will deny. It is the Hom&oelig;opathic remedy
+for many cases, and should be prescribed. The injurious effects that are
+often attributed to Quinine, are, I have no doubt, attributable not to
+that remedy, but to the <i>drugs</i> that are used prior to giving the
+<i>Chinium Sul</i>. I have used it in more than two thousand cases, and have
+never been able to see any evil consequences follow its <i>proper</i> use. It
+should be given <i>from the beginning of the chill to the end</i> of the
+paroxysm, and continued during the whole time of the intermission: <i>i.
+e.</i> until the time arrives for the next chill, <i>time</i> being important in
+the use of this remedy. Use the first decimal tritu<span class='pagenum'><a name="Page_25" id="Page_25">[Pg 25]</a></span>ration, and give
+grain doses (equal to 1-10th of a grain of the drug) every half hour
+till the time the next chill would occur, if it pursued its regular
+course, allowing the patient six or seven hours time in each
+twenty-four, for sleep.<a name="FNanchor_1_1" id="FNanchor_1_1"></a><a href="#Footnote_1_1" class="fnanchor">[1]</a> Though from two to four grains of the pure
+<i>Chinium Sulphuricum</i> is all the patient would get, very few cases that
+do not yield to a course of the former treatment here recommended, will
+have the third paroxysm after this <i>China</i> treatment is commenced and
+pursued as here directed. For children the dose may be one-half or
+one-fourth that of the adults. If a trituration<span class='pagenum'><a name="Page_26" id="Page_26">[Pg 26]</a></span> of the medicine cannot
+be got conveniently, four grains of the <i>Quinine</i> may be put into a four
+ounce vial of water, shaken well every time, and a teaspoonful taken at
+a dose. Abstinence from food as far as practicable, and quiet is of much
+importance in this disease, but the patient may use water freely.</p>
+
+
+
+<p>In some cases, the chill is irregular and indistinct, the patient is
+thirsty during the chill, and the cold stage is long in proportion to
+the length of the fever, the surface pale and more or less bloated.
+<i>Arsenicum</i> is the remedy, and should be given from the commencement of
+the chill, and every hour until the fever subsides, then every three
+hours during the intermission. In chronic cases, where the patient has
+been drugged with mercurials and cathartics, together with larger doses
+of Quinine, and is still suffering under the disease, <i>Pulsatilla</i> and
+<i>Macrotin</i> in alternation, will, in nearly every case, effect a cure.</p>
+
+
+<h4>Bilious Fever.</h4>
+
+<p>This fever may be either intermittent, remitting, or continued, and
+typhoid. It is distinguished from common intermittent, by<span class='pagenum'><a name="Page_27" id="Page_27">[Pg 27]</a></span> the great
+derangement of the stomach, as nausea and vomiting of bilious matter,
+yellow coated tongue, bitter taste in the mouth, foul breath, loss of
+appetite, high colored urine, and frequently distress and fullness in
+the right side, (though this last is not in every case present,) the
+skin and white of the eyes soon become yellowish, the chills are often
+imperfect, the fever being disproportionably long.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Podophyllin</i> and <i>Merc.</i> should be given in ease of intermittents of
+this character, during the paroxysm, and in rotation with the other
+remedies for intermittents, giving a dose every three hours during the
+intermission. It is well also to continue these remedies night and
+morning, alternately, for a week or so, after the cessation of the
+chills and fever, or until all bilious appearances cease.</p>
+
+<hr style='width: 45%;' />
+
+<p><span class="smcap">A Remitting Fever</span> is one that goes nearly off, but not so entirely as an
+intermittent, returning again by a paroxysm of chill more or less
+distinct, sometimes hardly<span class='pagenum'><a name="Page_28" id="Page_28">[Pg 28]</a></span> perceptible, and an increase of the fever
+following, from day to day, until arrested.</p>
+
+<hr style='width: 45%;' />
+
+<p><span class="smcap">Continued Fevers</span> are generally of a Bilious character, except in winter,
+when they are more or less connected with irritation of the lungs, or
+with Rheumatic affections, when they are termed Catarrhal or Rheumatic
+Fevers. If the bilious symptoms prevail, give <i>Aconite</i> and <i>Baptisia</i>
+during the chills and high febrile stage, at intervals of an hour, and
+during the declining stage of the fever, give <i>Podophyllin</i> and
+<i>Mercurius</i> until a perfect intermission is produced, when the same
+treatment should be adopted as in intermittents. But should it take the
+form of</p>
+
+
+<h4>Catarrhal Fever,</h4>
+
+<p>the head being "stuffed up," pain in the head, the lungs oppressed,
+cough and sneezing, the eyes and nose suffused with increased secretion
+of tears and mucus, pain in the back or loins, almost constant chilly
+sensations, use in rotation <i>Baptisia</i>, <i>Copaiva</i> and <i>Phosphorus</i>,
+giving a dose every hour until the fever begins to abate and
+perspiration comes<span class='pagenum'><a name="Page_29" id="Page_29">[Pg 29]</a></span> on, then leave off the <i>Baptisia</i>, and give in its
+stead <i>Macrotin</i>, lengthening the interval between the remedies to two
+hours or longer.</p>
+
+<p>For the <i>chronic cough</i> that sometimes follows catarrhal fever,
+<i>Copaiva</i>, <i>Macrotin</i> and <i>Phosphorus</i> should be used morning, noon and
+night, in the order here named. Should the fever be a</p>
+
+
+<h4>Rheumatic Fever,</h4>
+
+<p>(<i>Rheumatism</i>,) the patient complaining of soreness of the muscles, of
+the chest, back and limbs, with or without lameness of the joints,
+<i>Aconite</i>, <i>Macrotin</i> and <i>Nux Vom.</i> are the remedies for a male
+patient, and the two former, with <i>Pulsatilla</i>, for a female, (or for a
+<i>male</i>, of light hair, delicate skin, feminine voice and mild temper,)
+to be used in rotation one hour apart. These remedies are to be taken in
+a severe acute case, every half hour until the symptoms begin to abate;
+then every hour or two hours as the case progresses. <i>Baths</i> properly
+administered, are of great importance in all forms of fever. The surface
+of the patient should be washed and thoroughly <i>rubbed</i> in water quite
+warm, into<span class='pagenum'><a name="Page_30" id="Page_30">[Pg 30]</a></span> which a sufficiency of the ley of wood ashes has been put to
+make it feel quite slippery. This should be done twice daily in all
+fevers. But in</p>
+
+
+<h4>Rheumatism,</h4>
+
+<p>In addition to the medicines directed under the head of <i>Rheumatic
+Fever</i>, the most decided benefit can be derived from <i>Alcoholic Vapor
+Baths</i>, which, while they do not in the least interfere with the action
+of the medicines, tend greatly to mitigate the pains, and produce an
+equal state of the circulation by stimulating the surface; abridging in
+many cases, the disease one-half the time it would run under the long
+interval treatment alone. This is to be applied by filling a tea cup
+with alcohol, placed in a saucer of water to insure against danger from
+an overflow while burning. Place both under a solid wood bottom chair,
+elevated about the thickness of a brick under each post, strip the
+patient naked, and after giving him the alkaline bath, and rubbing his
+surface dry, place him upon the chair, enveloping him completely, except
+his head, with a woollen sheet or blanket,<span class='pagenum'><a name="Page_31" id="Page_31">[Pg 31]</a></span> (as there is no danger of
+the wool taking fire,) letting the blanket enclose also the chair and
+come down to the floor. Then set fire to the alcohol, and if the heat is
+too great, raise the edge of the blanket and let it become reduced.
+Continue this until he sweats freely, or becomes too much fatigued to
+sit longer. Let the patient often drink freely of cold water, during the
+process. Remove him from the chair to his bed and cover him warmly. It
+is well to place the feet in hot water during this process. This is a
+delightful operation for a rheumatic patient, and no one will object to
+a repetition of it. Whatever Physicians may think or say of this
+operation, I <i>know</i> it is a most potent agent for the <i>cure</i> of
+<i>inflammatory</i> rheumatism, and is a valuable agent in the chronic form
+of this disease.</p>
+
+
+<h4>Typhoid Fever.</h4>
+
+<p>This is a dangerous, and with the ordinary allopathic treatment, a very
+fatal disease. It generally comes on insidiously, the patient feeling a
+dull head ache, more or less pain in his joints, back and shoulders,
+with loss<span class='pagenum'><a name="Page_32" id="Page_32">[Pg 32]</a></span> of appetite, restless and disturbed sleep, slight chilly
+sensations, with a little fever, dry skin, and a general languid
+feeling. These symptoms continue from four or five days in some cases,
+to two or three weeks in others, gradually getting worse until the
+patient is prostrated, or if he takes no drugs, and keeps still,
+avoiding food as far as practicable, he may escape prostration, and
+after lingering for eight or ten days, and sometimes longer, just on the
+point of prostration, he begins slowly to get better, and recovers about
+as slowly and imperceptibly as he grew sick. This is in accordance with
+observation of cases under my own eye, and I have no doubt those cases
+of spontaneous recovery, had they taken a single dose of active
+cathartic medicine or any of the active drugs, they would have been
+immediately laid upon a bed of sickness from which a recovery would have
+been extremely doubtful. I believe that two-thirds of the deaths from
+typhoid fever are the direct results of medication, and that those who
+recover, do so in spite of the cathartics and the active drugs when such
+are used. Some cases, however,<span class='pagenum'><a name="Page_33" id="Page_33">[Pg 33]</a></span> will not thus spontaneously recover, and
+require proper treatment; and it is safest to treat all cases, at as
+early a day as possible. Some cases come on more rapidly and run into
+the prostrating or critical stage, in a very few days. Delirium is a
+symptom that comes on early in these cases. When the disease is fully
+established, and even sometimes in the early stage, diarrh&oelig;a sets in
+and runs the patient down rapidly.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>In the early stage, that which might be called premonitory, while the
+patient is yet able to be about his business, but is complaining of the
+symptoms above named, he should, as far as possible, abstain from
+exercise and food, and take of <i>Baptisia</i> and <i>Phosphorus</i> alternately,
+a dose once in three hours. These will almost invariably produce
+amendment in a few days, and as soon as he improves <i>any</i>, leave off the
+medicines. Should there be diarrh&oelig;a present, use <i>Phos. acid</i> instead
+of Phosphorus. If the patient is delirious or has fullness and redness
+of the face, the eyes red, and headache, give <i>Bella<span class='pagenum'><a name="Page_34" id="Page_34">[Pg 34]</a></span>donna</i> in rotation
+with the other two. For the foul breath that comes on, use <i>Mercurius
+cor.</i>, especially if the diarrh&oelig;a assumes a reddish tinge, like beef
+brine. Should the fever at any time rise high, the pulse being full and
+hard, give <i>Aconite</i>, but it rarely happens that Aconite is useful in
+the later stage. If the patient complains of pains in the back, and
+fullness of the head, give <i>Macrotin</i>. This is particularly useful for
+persons who have rheumatic pains in the limbs or back, during the fever.
+If the evacuations from the bowels are dark, or yellow and consistent,
+or there is bilious vomiting, <i>Podophyllin</i> is the remedy. From some
+cause or other, to me wholly unaccountable, the writers generally have
+laid down <i>Rhus</i> and <i>Bryonia</i> as <i>the</i> remedies in typhoid fever. I
+must confess I have no confidence in them for this fever as it prevails,
+and has for several years past, in this country. They have proved a
+failure, and I discard them altogether, as I am confident, from thorough
+trial, we have much more reliable remedies as a substitute for Rhus in
+the <i>Podophyllin</i>, and for Bryonia in the <i>Macrotin</i>. In the<span class='pagenum'><a name="Page_35" id="Page_35">[Pg 35]</a></span> early
+stage, or at any time to arrest febrile and inflammatory symptoms, the
+<i>Baptisia</i> is much more potent than Aconite, its symptoms corresponding
+peculiarly with typhoid fever. If the discharges become slimy or bloody,
+give <i>Leptandrin</i> and <i>Nit. acid</i>. It is important to bathe in this
+disease.</p>
+
+
+<h4>Scarlet Fever.&mdash;Scarlatina.</h4>
+
+<p>This fever assumes two principal forms: Simple or mild, and Malignant.
+In the <i>Simple form</i>, there is great heat of the surface, extremely
+quick and frequent pulse, headache, and some sense of pain and soreness
+in the throat. After a day or two, there appears upon the surface,
+bright scarlet patches, in some cases extending over the whole limbs,
+the skin smooth and shining, and somewhat bloated or swollen; upon
+pressure with the finger, a white spot is seen, which soon disappears on
+removal of the pressure. As the disease subsides, the cuticle comes off
+(<i>desquamates</i>) in patches. In the simple form of this disease, the
+throat, though often more or less sore, does not ulcerate. In some
+cases, notwithstanding the fever is high, the pulse frequent, and the<span class='pagenum'><a name="Page_36" id="Page_36">[Pg 36]</a></span>
+throat sore, there may be no external redness, but the mouth and tongue
+will have a scarlet hue, indicating the existence of disease more
+dangerous than when it appears externally. <i>In the malignant form</i>, the
+same symptoms are present, the patient suffers more pain in the head;
+the back and throat, root of the tongue, tonsils and soft palate become
+ulcerated, turn black, and sometimes gangrenous, proving fatal in a few
+days, or slough out in large portions, the ulcers destroying the parts
+extensively. The breath becomes foul and fetid, and the effluvia from
+the ulcerated surface, is very sickening to the patient and all around
+him. This disease rarely attacks adults, but occasionally, and for the
+last six or eight months, in one region where I am acquainted, where
+Scarlatina of a malignant type has prevailed among children, adults have
+been affected with an epidemic soreness of the mouth and throat,
+strongly resembling the worst form of the <i>angina</i> in malignant
+Scarlatina, together with a low typhoid form of fever.<span class='pagenum'><a name="Page_37" id="Page_37">[Pg 37]</a></span></p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>In simple scarlatina, all that is necessary is to keep the child quiet,
+in a room of uniform temperature, as far as practicable; let it drink
+cold water only, and give <i>Aconite</i>, <i>Belladonna</i> and <i>Pulsatilla</i> in
+rotation, a dose every hour until the fever subsides. If any soreness of
+the throat remains, give a few doses of <i>Mercurius</i>. If the fever
+subsides, and the soreness remain, <i>Hydrastin</i> or <i>Eupatorium arom.</i>
+will soon complete the cure. In the <i>malignant</i> form, with ulcerated,
+dark colored, or red and purulent throat, and typhoid form of fever,
+give <i>Aconite</i> and <i>Belladonna</i> in alternation, every hour, and, at the
+same time, gargle the throat freely with <i>Hydrastin</i>. Some of the
+tincture may be put in water, about in the proportion of ten drops to a
+teaspoonful, or a warm infusion of the crude medicine may be used. This
+can be applied with a camel's hair pencil, or a swab, to the parts
+affected, once in two hours, and will soon bring about such a state as
+will result in speedy recovery. After the active fever has subsided, the
+<i>Aconite</i> and <i>Bell.</i> may be discontinued, and <i>Eupatorium</i><span class='pagenum'><a name="Page_38" id="Page_38">[Pg 38]</a></span> <i>arom.</i> used
+instead, once in three hours until convalescence is complete.</p>
+
+<p>I would remark that, with these remedies applied as here recommended, my
+brother, Dr. <span class="smcap">G. S. Hill</span>, of Erie County, Ohio, has, during the last four
+months, treated a large number of those malignant sore-throats, (the
+"Black tongue Erysipelas,") and been universally successful, relieving
+them in a few hours, when the symptoms were of the most alarming
+character, and the disease in some cases, so far advanced that the
+patients were considered by their friends and attendants, "at the point
+of death."</p>
+
+<p>The <i>Hydrastin</i> is a most potent remedy in putrid ulcerations of the
+mucous surfaces, and much the same may be said of <i>Eupatorium
+aromaticum</i>.</p>
+
+
+<h4>Yellow Fever.</h4>
+
+<p>[As I have never practiced farther South than Cincinnati, and have seen
+but few cases of this disease, my experience with it has not been
+sufficient to be relied upon as authority. Therefore, I shall give a
+brief description of the disease, with the proper<span class='pagenum'><a name="Page_39" id="Page_39">[Pg 39]</a></span> and <i>successful
+treatment</i>, furnished me by <span class="smcap">A. H. Burrett</span>, M. D., of New Orleans, who is
+not only a Physician of more than ordinary learning and skill in his
+profession generally, but is one who has spent his time in New Orleans
+among the sick of Yellow Fever, through three of the most fatal
+epidemics that ever scourged any city. He is a man for the times, a man
+of resources, who draws useful lessons from experience and observation.
+Hence he has been able to select such remedies as have enabled him to
+cope most successfully with the pestilence, saving nearly all his
+patients, while, under other treatment, a majority have died. I
+therefore, attach great value to his treatment, and recommend its
+adoption with the most implicit confidence.]</p>
+
+<hr style='width: 45%;' />
+
+<p>When this Fever prevails as an epidemic, as it usually does, in the
+southern part of the United States, it is a disease of the most
+malignant character. The proportion of <i>fatal</i> cases under the
+Allopathic course of treatment, has been equal to, and, in some places,
+as in New Orleans, and some Towns<span class='pagenum'><a name="Page_40" id="Page_40">[Pg 40]</a></span> in Virginia, has exceeded that of
+<i>Asiatic</i> Cholera. It is almost entirely confined to Southern regions,
+and only prevails in hot weather, after the continuance of extreme heat
+for some weeks.</p>
+
+<p>It usually begins with premonitory symptoms somewhat like those of
+ordinary fever, but with this difference: the patient, instead of losing
+his appetite, has often a morbidly increased desire for food. He
+complains of severe pains in the back, and more or less headache. Both
+the head and backache are of a peculiar character: the pains resembling
+rheumatic pains, the head feeling full and too large, the eyes early
+turn red, almost bloodshot and watery, a chill comes on, which may be
+distinct and quite severe, lasting for an hour or more, or, it may be
+slight, and hardly perceptible. The chill is followed by high fever, the
+pain in the head and back increasing, the eyes becoming more red and
+suffused, the forehead and face extremely red and hot, and the heat of
+the whole surface very great, the carotids beat violently, the pulse
+very frequent, and usually, at first, full and strong, though some<span class='pagenum'><a name="Page_41" id="Page_41">[Pg 41]</a></span>times
+it is feeble from the beginning. However the pulse may be in the
+beginning, it very soon becomes small, but continues to be frequent. The
+tongue is at first covered with a white paste-like coating, which
+afterwards gives place to redness of the edges and tip, with a dark or
+yellow streak in the center. The stomach is very irritable, rejecting
+every kind of food, and all drinks, except, perhaps, a few drops of ice
+water. There is a peculiar distressed feeling in the stomach, often a
+burning sensation, so that, if suffered to do so, he would take large
+quantities of ice or water. One remarkable feature of the cases noticed
+in the epidemic, as it existed in New Orleans the past season, was, that
+the patients had a great desire for food, notwithstanding the nausea and
+distress at the stomach.</p>
+
+<p>Sooner or later, varying from a few hours to several days, in the
+ordinary course of the disease, the fever subsides. From this time the
+patient may recover without any further symptoms, but this is, by no
+means, the usual result. If the subsidence of the fever is accompanied
+by natural pulse, a free, but<span class='pagenum'><a name="Page_42" id="Page_42">[Pg 42]</a></span> not profuse or prostrating perspiration,
+a genial warmth of the surface, natural appearance of the countenance,
+eyes, and tongue, with little or no soreness on pressure over the
+stomach, we may safely look for a speedy recovery. But if, on the
+contrary, the eyes, face, and tongue, become yellow, or orange-colored,
+the epigastrium is tender to pressure, the urine has a yellow tinge, the
+pulse becomes unnaturally slow, with the least degree of mental stupor,
+we have reason to know, full well, that the lull of the fever is only
+the calm preceding a more destructive storm. The fever has subsided,
+only because exhausted nature could re-act no longer. It may be in a few
+hours, or not until twelve or twenty-four have elapsed, the pulse
+becomes quickened, even to the frequency of 120 to 140 in a minute, but
+very feeble, the extremities of the fingers and toes turn purple or
+dark, the tongue becomes brown and dry, or is clean, red, and cracked,
+sordes may be on the teeth, the stomach become more irritable, nausea
+and vomiting are extreme, the substances vomited being, at first,
+reddish, afterwards watery, containing flocul&aelig;, like<span class='pagenum'><a name="Page_43" id="Page_43">[Pg 43]</a></span> soot, or coffee
+grounds; the breath becomes foul, and the whole surface emits a
+sickening odor. The pulse becomes very small, though the carotid and
+temporal arteries beat violently. The urine fails to be secreted, and
+later, blood is discharged from the mucous surfaces, involuntary
+discharges from the bowels, clammy sweats; and death follows.</p>
+
+<p>The disease runs its course in from three to seven days, sometimes
+proves fatal in less than a day, and at others, assumes a typhoid form,
+and runs for weeks. Occasionally it sets in without any of the
+premonitory symptoms, the chill being first, the fever following,
+succeeded immediately by the black vomit, going through all the stages
+in a single day, or two days.</p>
+
+<p>Again, it sometimes begins with the black vomit, the patient being
+immediately prostrated. In all cases, however it may begin, the peculiar
+head-ache and back-ache as described in the beginning, as well as the
+extreme heat of the head and face, redness of the eyes, the gnawing
+sensation at the stomach, and peculiar nausea are present. These seem to
+be characteristic symptoms that<span class='pagenum'><a name="Page_44" id="Page_44">[Pg 44]</a></span> mark the Yellow Fever, and those which
+should guide in the search for the proper remedies.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>The remedies that proved successful in arresting the disease during the
+early or forming stage, before the chill or fever had set in, while the
+symptoms were pain, fullness, and throbbing of the head, with more or
+less dizziness, rheumatic pains in the back, and redness of the eyes,
+were <i>Aconite</i> and <i>Bell.</i>, at low attenuations, once in two to four
+hours, according to the violence of the symptoms. For the fullness of
+the head, pressing outwards, as though it would split, with pains of a
+rheumatic character, <i>Macrotin</i> 1st, given in one grain doses, every
+hour or two hours, proved specific.</p>
+
+<p>These three remedies, <i>Aconite, Bell.</i> and <i>Macrotin</i>,
+would, in nearly all cases, arrest the disease in the forming stage, so
+that no chill or fever would occur, or, if fever did come on after this
+treatment, it was mild.</p>
+
+<p>When the fever sets in, and the pain in the head and back increases, the
+eyes, forehead and face are extremely red, or purple<span class='pagenum'><a name="Page_45" id="Page_45">[Pg 45]</a></span> and hot, the pulse
+frequent and full, the tongue coated white, <i>Aconite</i>, <i>Belladonna</i> and
+<i>Macrotin</i> are still to be relied upon, but they should be given every
+half hour, in rotation, at low attenuations. If the tongue is red, in
+the early stage, use <i>Bryonia</i> in place of the <i>Belladonna</i>. In a later
+stage, when sickness or distress at the stomach had become prominent,
+with the quick pulse, and hot skin, <i>Ipecac</i> and <i>Aconite</i>, both at the
+1st attenuation, a dose given every half hour alternately, generally
+arrested the symptoms, and brought on perspiration of a healthful
+character, followed by subsidence of the fever and convalescence. Sponge
+baths, with half an ounce of <i>Tr. Ipecac</i> in two quarts of tepid water,
+applied to the whole surface freely, under the bed clothes, so as not to
+expose him to the air, contributed much towards bringing on perspiration
+and subduing the fever, as well as allaying the nausea.</p>
+
+<p>When called to patients in the stage of <i>Black Vomit</i>, whether that came
+on as an early symptom, or at a later stage, <i>Nit. acid</i>, <i>Veratrum
+virid.</i> and <i>Baptisia</i>, all at the first dilution, were administered
+every hour, in<span class='pagenum'><a name="Page_46" id="Page_46">[Pg 46]</a></span> rotation, with great success, the symptoms yielding in a
+few hours. For the great oppression, as of a load, in the stomach,
+without vomiting, <i>Nux</i> was found sufficient. In the later stage, when
+there seemed to be no secretion of urine, <i>Canabis</i> and <i>Apis mel.</i>,
+gave relief.</p>
+
+<p>The remedies most successful for the cases that assumed a typhoid
+character, with dry, cracked tongue, sordes on the teeth, and low
+sluggish pulse, were <i>Baptisia</i> and <i>Bryonia</i>, given every two hours,
+alternately. <i>Nitric acid</i> given internally and injected into the
+rectum, when bloody discharges appear, is generally quite successful.</p>
+
+<p>Good nursing is of the utmost importance, and the patient should be
+visited frequently by his Physician, as great changes may occur in a
+short time. Three times a day is none too often to see the patient. As
+soon as the fever comes on, the patient should be stripped of his
+clothes, and dressed in such garments as he is to wear in bed through
+the attack. He should be put to bed and lightly covered, but have
+sufficient to protect him from any sudden changes in the atmosphere, and
+the<span class='pagenum'><a name="Page_47" id="Page_47">[Pg 47]</a></span> room should be well ventillated all the time. The baths should
+always be applied under the bed clothes.</p>
+
+<p>The diet should be very spare and light, after the fever subsides, and
+while the fever exists no food should be taken. Thin gruel, in
+teaspoonful doses, once in half an hour, is best. After a day or two,
+the juice of beef steak may be given in small quantities but give none
+of the meat. No "hearty food" should be allowed for eight or ten days
+after recovery. A relapse is most surely fatal.</p>
+
+<p>As <i>Prophylactics</i> (<i>preventives</i>) of the fever, <i>Macrotin</i>, <i>Bell.</i> and
+<i>Aconite</i> should be taken, a dose every eight to twelve hours, by every
+one that is exposed. These will, no doubt, often prevent an attack, and
+if they do not, they will so modify it, that it will be very mild, of
+short duration, and very easily arrested.</p>
+
+<p>Pregnant females, and young children were sure to die if attacked, when
+treated by the Allopathic medication; but, by the use of these remedies
+as <i>preventives</i>, their attacks were rendered so mild as to be amenable
+to remedies, and all recovered.<span class='pagenum'><a name="Page_48" id="Page_48">[Pg 48]</a></span></p>
+
+
+<h4>Pleurisy&mdash;Pleuritis.</h4>
+
+<p>This is inflammation of the Pleura of one or both lungs, generally
+confined to one side. It is known by sharp pain in the side of the
+chest, increased by taking a long breath, or coughing, or by pressing
+between the ribs. The cough is dry and painful, the patient makes an
+effort to suppress it, from the pain it gives him; the fever is of a
+high grade, the pulse full, hard and frequent, with more or less pain in
+the head.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Aconite</i> is a sovereign remedy. It should be given at intervals
+proportionate to the severity of the disease, once in half an hour, for
+about three doses, then every hour until the patient is easy and
+perspires freely. This is the course I have generally pursued, and
+scarce ever failed of relieving in a few hours. Other means may often be
+used with advantage at the same time, and not interfere with the action
+of the medicine. Put the feet and <i>hands</i> into water as hot as it can be
+endured, and apply to the affected side very hot cloths, hot bags of
+salt, or mustard. There is no<span class='pagenum'><a name="Page_49" id="Page_49">[Pg 49]</a></span> harm in this, and it relieves the pain.
+Let the patient drink freely of <i>hot</i> water, into which you may put milk
+and sugar to render it palatable. If the case seems to linger, and
+perspiration is tardy in appearing, give, in alternation with <i>Aconite</i>,
+<i>Eupatorium arom.</i> This will soon relieve.</p>
+
+
+<h4>Inflammation of the Lungs&mdash;Pneumonia.</h4>
+
+<p>This disease is often connected with Pleurisy, and consists of
+inflammation of the substance of the lungs. As in the former case, it
+may attack only one, but may exist in both sides at the same time. If
+the pleura is also affected, there will be all the symptoms of pleurisy,
+together with those peculiar to inflammation of the lungs proper. They
+are, pain in the lungs, oppressed breathing, cough, causing great
+distress on account of the soreness of the affected parts: at first,
+expectoration from the lungs is nearly wanting, the cough being dry, but
+after a time, there is a rattling sound on coughing, and more or less
+mucous substance is with difficulty raised. This is, at first, white or
+brownish, but soon becomes reddish and frothy, tinged with<span class='pagenum'><a name="Page_50" id="Page_50">[Pg 50]</a></span> blood. The
+patient lies on the affected side, and cannot rest on the sound side.
+The pulse is full, hard and frequent, the fever high, pain in the head,
+and sometimes delirium. If the disease is not arrested, the patient
+generally dies from suffocation, by the lungs filling up, hepatized, or
+abscess and ulceration come on, and then what is called "quick
+Consumption" carries him off.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>In the early stage, <i>Aconite</i> and <i>Phosphorus</i> should be used at
+intervals of from half an hour to one hour, in alternation, until the
+fever abates, and the oppression in the chest is relieved. If, however,
+there is bloody expectoration, <i>Bryonia</i> may be used in place <i>of
+Phosphorus</i>, though I prefer to use it in rotation with the two others.
+These will soon, in all ordinary cases, subdue the most distressing
+symptoms, and effect a perfect cure in a day or two. <i>Belladonna</i> should
+be used, when there is much delirium, or great pain in the head.
+Occasionally, the cough from the beginning, is apparently loose; there
+being a rattling sound, but the expectoration<span class='pagenum'><a name="Page_51" id="Page_51">[Pg 51]</a></span> is difficult, the fever
+high, with some chilly sensations, or at least, coldness of the knees,
+feet and hands, a white or brownish fur upon the tongue, and pain in the
+bowels, For such symptoms, especially with the pain in the bowels, as
+though a diarrh&oelig;a would come on, give <i>Tartar emet.</i> It is often one
+of the best remedies in this disease, affording relief when others have
+failed.</p>
+
+<p>After subduing the high febrile symptoms, if there remains cough,
+indicating much irritation, or inflammation of the lungs, <i>Macrotin</i>
+should be used in place of Aconite, with <i>Phosphorus</i> and <i>Copaiva</i>, the
+three in rotation, two hours between doses.</p>
+
+
+<h4>Acute Bronchitis,</h4>
+
+<p class="center"><i>Inflammation of the Bronchial Tubes.</i></p>
+
+<p>This is attended with distressing cough, profuse expectoration,
+oppressed breathing, pain in the forehead, and general catarrhal
+symptoms. <i>Baptisia</i>, <i>Copaiva</i> and <i>Eupatorium arom.</i> given every hour,
+in rotation, will, in general, relieve from the acute affection in a
+short time; but the<span class='pagenum'><a name="Page_52" id="Page_52">[Pg 52]</a></span></p>
+
+
+<h4>Chronic Bronchitis</h4>
+
+<p>requires the use of <i>Copaiva</i>, <i>Macrotin</i> and <i>Arum triphyllum</i>, to be
+taken morning, noon, and night, in the order named; or, if the cough be
+severe, they should be used every three hours. These will be sufficient
+to effect a cure.</p>
+
+
+<h4>Coughs</h4>
+
+<p>Generally, unless they arise from consumption, yield readily to the
+alternate use of <i>Copaiva</i>, <i>Phosphorus</i> and <i>Macrotin</i>, a dose given
+once in from three to six hours. If, however, there is soreness of the
+throat, redness and soreness of the tonsils, palate, and fauces, or
+soreness of the larynx, with hoarseness, <i>Arum triphyllum</i> and
+<i>Hydrastus Can.</i> are the surest remedies. They rarely ever fail of
+effecting a complete cure in a few days. They should be used three or
+four times a day. They may be used with the other medicines recommended
+for coughs. In acute</p>
+
+
+<h4>Sore Throat,</h4>
+
+<p>arising from sudden cold, <i>Arum triphyllum</i> and <i>Eupatorium aromaticum</i>
+are the reme<span class='pagenum'><a name="Page_53" id="Page_53">[Pg 53]</a></span>dies to be relied upon. If the tonsils seem to be mainly
+involved, constituting</p>
+
+<h4>Quinsy&mdash;Tonsilitis,</h4>
+
+
+<p><i>Belladonna</i> and <i>Aconite</i> should be given, while there is high fever,
+then substitute for them, <i>Arum tri.</i> and <i>Phosphorus</i>; or, these may be
+used in rotation with the former, a dose every hour or oftener.</p>
+
+
+<h4>Inflammation of the Bowels.&mdash;Enteritis.</h4>
+
+<p>This consists in inflammation of the muscular and peritoneal coats of
+the intestines, sometimes also involving the mucous coat.</p>
+
+<p>The pain in the abdomen is constant, intense and burning in its
+character, felt most at the navel; the abdomen is extremely tender to
+pressure, and often bloated or tympanetic.</p>
+
+<p>Thirst is intense, but cold drinks distress and vomit the patient. The
+pulse is small, feeble and frequent, and the bowels costive. This is a
+very dangerous disease. It is sometimes connected with inflammation of
+the stomach, then called gastro-enteritis. The tongue is then red and
+pointed, the nausea and vomiting are more violent and constant, the
+thirst burning and insatiable.<span class='pagenum'><a name="Page_54" id="Page_54">[Pg 54]</a></span></p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>The same medicines are applicable to both <i>Gastritis</i> and <i>Enteritis</i>.</p>
+
+<p><i>Aconite</i>, <i>Arsenicum</i> and <i>Baptisia</i> should be used one following the
+other every half hour until the symptoms begin to subside, then let the
+intervals be lengthened.</p>
+
+<p>In addition to these remedies, I allow the patient to drink often and
+freely of hot water, as hot as can be swallowed, and though it is at
+first almost instantly rejected by the stomach, by repeating it in a few
+minutes in moderate quantities, it gives relief and will soon so allay
+the irritation as to remain. In some cases the vomiting is severe, the
+bowels are loose, and pain burning. For such, <i>Tart. Emet.</i> is the
+proper remedy. Cold drinks should not be taken.</p>
+
+<p>Cloths wet in cold water, ice water if it is at hand, and wrung out so
+as not to drip, should be laid over the whole abdomen and instantly
+covered with two or three thicknesses of warm dry flannel, and the
+patient's feet kept warm. This may be considered harsh treatment, but
+there is no danger in it; on the contrary I have, in the worst and<span class='pagenum'><a name="Page_55" id="Page_55">[Pg 55]</a></span> most
+alarming cases of <i>gastritis</i> and <i>peritonitis</i>, made such applications,
+and in less than an hour have seen my patient easy and beginning to
+perspire freely, all danger having passed. It always affords more or
+less relief and is never attended with danger. Covering the wet cloths
+immediately with plenty of dry ones is very essential.</p>
+
+<p>After the acute inflammation has subsided, it is well to have the bowels
+moved, but don't give drastic cathartics. <i>Nux Vomica</i> given at night
+and repeated morning and noon, will generally serve to cause an
+evacuation. Injections may be used.</p>
+
+
+<h4>Croup.</h4>
+
+<p>This is a disease of children. Comes on in consequence of a sudden cold.
+Children suffering from Hooping Cough are more subject to it. The cough
+is of a peculiar whistling kind, like the crowing of a young chicken,
+with rattling in the throat and difficult breathing, fever is present,
+and often very violent. It is properly an inflammation of the Larynx,
+but the inflammation may also exist in the Pharynx, the tonsils may be
+involved, and it may extend to the trachia,<span class='pagenum'><a name="Page_56" id="Page_56">[Pg 56]</a></span> (wind pipe). A false
+membrane forms in the larynx if the disease is not arrested, and so
+obstructs the breathing as to cause death from suffocation.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>Give at first <i>Aconite</i>, <i>Phosphoric Acid</i>, and <i>Spongia</i>, giving them
+in the order here named once in ten minutes in a very violent case, and
+as the patient improves at intervals of half an hour, and then an hour.</p>
+
+<p>Should the fever subside, and still the tightness in the throat and
+cough continue to be troublesome, give <i>Ipecac</i> in place of Aconite. And
+when the cough seems to be deep seated use <i>Bryonia</i> instead of spongia.</p>
+
+<p>The patient should be kept in a warm room, and free from exposure to
+currents of cold air. The application of a cloth wrung out of cold or
+ice water to the throat, covered immediately with dry warm flannels so
+as to exclude the air from the wet cloth, will often exert a decidedly
+beneficial effect, and there is no danger if managed as here directed.
+The feet should be kept warm and the head cool, but <i>don't</i> put <i>cold</i>
+water on a child's head.<span class='pagenum'><a name="Page_57" id="Page_57">[Pg 57]</a></span></p>
+
+
+<h4>Asthma.</h4>
+
+<p>If an attack comes on from sudden cold, take <i>Aconite</i> and <i>Ipecac</i>
+every hour for a day, and if any symptoms remain, in place of the
+Aconite use <i>Copaiva</i>, <i>Arsenicum</i> and <i>Phos. Acid</i> with the <i>Ipecac</i>,
+giving them in rotation, a dose every hour.</p>
+
+<p>In <i>Chronic Asthma</i>, where the patient is liable to an attack at any
+time, great benefit will be derived from taking these four in rotation
+about two hours apart for a day or two, at any time when symptoms of an
+attack begin to appear.</p>
+
+<p>I have recently succeeded in alleviating several bad cases, at once, by
+these four remedies in succession as here recommended, on whom (some of
+them) I had at various times tried all of them, as well as other
+medicines, singly at longer intervals, as directed in the Books, without
+any decided benefit. After trying these in succession, as here directed,
+I found no trouble in arresting the paroxysm in a few hours, and I am
+strong in the faith that with some, at least, I have effected <i>cures</i>.
+It is worth much to <i>arrest</i> the <i>paroxysm</i> if no more.<span class='pagenum'><a name="Page_58" id="Page_58">[Pg 58]</a></span></p>
+
+
+<h4>Hooping Cough.</h4>
+
+<p>According to my experience, though this disease may not be entirely
+arrested in its course, and not generally much abridged in its duration,
+still the use of appropriate medicines will greatly modify it, and
+render it a comparatively trifling affection.</p>
+
+<p>In treatment, give at the commencement of the attack <i>Bell.</i> and <i>Phos.
+acid</i> alternately every twelve hours for a week, then once in six hours,
+and if the child should take cold so as to bring on fever, give one
+every hour. Continue these, as above directed, for the first two or
+three weeks, then, in their stead, after the cough becomes loose, and
+the patient vomits easily, give <i>Copaiva and Ipecac</i> in the same manner
+as directed, for the two former remedies.</p>
+
+
+<h4>Dyspepsia.</h4>
+
+<p>This term is applied so loosely and so indiscriminately to all chronic
+derangements of the stomach, that it is difficult to define it. I shall
+therefore point out some of the more common ailments of the stomach and
+their proper remedies.<span class='pagenum'><a name="Page_59" id="Page_59">[Pg 59]</a></span></p>
+
+<p>For sour eructations with hot, burning, scalding fluid rising up in the
+throat, with or without food, give <i>Phos. acid and Pulsatilla</i> in
+alternation every half hour, until the stomach is easy. For a feeling of
+weight and pain in the stomach, with dull pain in the head, with or
+without dizziness, give <i>Nux. Vom.</i> every hour until it relieves. If
+there is a <i>burning</i> feeling in the stomach as well as the heavy load,
+<i>without</i> eructations and rising of fluid, <i>Arsenicum</i> should be
+alternated with the <i>Nux. Vom.</i>, at intervals of two hours. There are
+persons who, from imprudence in eating or drinking or both, or which is
+more frequent, from <i>harsh drug medication</i>, have so enfeebled their
+stomachs, that, though by care in selecting their food, and prudence in
+taking it, they may suffer but little, are, nevertheless, when from home
+or on special occasions, liable to overeat or take the wrong kind of
+food, from which unfortunate circumstance they are made to suffer the
+most tormenting and intolerable distress in the stomach and bowels,
+which may last, more or less severe, for several days. Soon after the
+unfortunate<span class='pagenum'><a name="Page_60" id="Page_60">[Pg 60]</a></span> meal, perhaps the next morning, or, it may be, in a few
+hours, the stomach begins to bloat, by accumulating gas within, which is
+belched up every few minutes in large quantities; the stomach and bowels
+are racked with the most torturing pains; cold sweat stands on the brow,
+and he is the very picture of misery. Thus he may roll and tumble all
+night, and remain in misery the next day and several days longer, before
+the food will digest. It often passes from the stomach without
+digestion, and on its way through the bowels inflicts constant pain. If
+he does not take some emetic substance, he is not apt to vomit, his
+stomach cramping so as to prevent it.</p>
+
+<p>I have here described one of the bad cases, but bad as it is they are by
+no means <i>very</i> rare. There are such cases in abundance, of all grades
+from the one here described down to a slight derangement. They all
+require a similar course of <i>treatment</i>.</p>
+
+<p>It is useful for such patients to take at once large quantities of
+lukewarm water, and repeat the draught every ten to fifteen minutes,
+until free and thorough vomiting is induced,<span class='pagenum'><a name="Page_61" id="Page_61">[Pg 61]</a></span> so as to throw off all the
+food from the stomach.</p>
+
+<p>But even this does not often cure these bad cases. If it did, it is not
+always convenient to do it. The medicine that is quite certain to afford
+relief at once is <i>Podophyllin</i>. Let it be given, and the dose repeated
+in an hour. A third dose is rarely necessary. After relief from this
+attack, the medicine should be taken night and morning for a month or
+more until the stomach is restored. In the meantime care should be taken
+not to overload the stomach.</p>
+
+
+<h4>Constipation.</h4>
+
+<p>The medicine for this affection is <i>Nux vom.</i>, to be taken at night on
+retiring. If there is fulness and pain in the head from costiveness,
+<i>Bell.</i> should be used in the morning, and at noon. Let the patient
+contract a habit of drinking <i>cold water</i> freely on rising in the
+morning, at least half an hour before eating. The patient <i>should not
+take physic</i>.</p>
+
+<p>For constipation of children, <i>Nux</i> and <i>Bryonia</i> are to be given Nux at
+night and Bryonia in the morning. <i>Opium</i> is useful.<span class='pagenum'><a name="Page_62" id="Page_62">[Pg 62]</a></span></p>
+
+<p>Much needless alarm is often felt by persons on account of a costive
+state of the bowels. If no pain is felt from it, there is no cause for
+alarm.</p>
+
+
+<h4>"Heartburn."</h4>
+
+<p>This peculiar burning and distressed feeling at the stomach depends on
+imperfect digestion, but is <i>not</i> ordinarily, as is generally supposed,
+connected with a sour or acid state of the fluids in the stomach. The
+condition of the fluids is alkaline, in most cases, though it is
+sometimes acid. If it depends upon biliary derangement, <i>Nux Vomica</i> and
+<i>Podophyllin</i> are the remedies for a male; <i>Pulsatilla</i> and
+<i>Podophyllin</i> for a female.</p>
+
+
+<h4>Erysipelas.</h4>
+
+<p>This is a disease of the skin, producing redness, burning and itching
+pains, appearing in patches, in adults, most apt to appear about the
+head and face, but in children, upon the limbs, or in very young
+children, beginning at the umbilicus. It sometimes begins at one point,
+and continues to spread for a time, then suddenly disappears, and
+reappears at some other point.<span class='pagenum'><a name="Page_63" id="Page_63">[Pg 63]</a></span></p>
+
+<p><i>Simple Erysipelas</i> only affects the surface, with redness and smarting.
+<i>Vessicular</i>, produces vessicular eruption, or blisters filled with a
+limpid fluid, somewhat like the blisters from a burn.</p>
+
+<p>The <i>Phlegmonous Erysipelas</i> affects the whole thickness of the skin and
+cellular tissues beneath it, producing swelling, and not unfrequently,
+resulting in suppuration, ulceration or gangrene and sloughing of the
+parts. It is a dangerous disease, especially when on the head.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>For the simple kind, <i>Bell.</i> is all that will be needed, unless there
+should be considerable fever, when <i>Aconite</i> should be alternated with
+the <i>Bell.</i> For the <i>vessicular</i> kind, where there are blisters, <i>Rhus
+tox.</i> should be used with <i>Bell</i>. For the <i>Phlegmonous</i>, with deep
+seated swellings, <i>Apis mel</i> is the most important remedy. I prefer to
+use three of these remedies, giving them in rotation, beginning with the
+<i>Bell.</i>, followed with <i>Rhus</i>, and then by <i>Apis mel.</i> giving them one
+hour apart. In a mild case, or after the patient begins to recover, give
+them at longer inter<span class='pagenum'><a name="Page_64" id="Page_64">[Pg 64]</a></span>vals. The <i>Apis</i> alone will often be sufficient.
+During the whole time, the affected parts should be kept covered with
+dry, superfine flour, some say Buckwheat flour acts most favorably. The
+diet should be very spare. Eat as little as possible, until the disease
+begins to subside.</p>
+
+<p>A very important part of the treatment of this affection is to keep the
+patient in a room that is comfortably warm, say at a temperature of from
+65 to 75&deg;, and keep the temperature <i>uniformly the same</i>, as nearly as
+possible, night and day. Do not, by any means, expose him suddenly to
+cold air, or a cold breeze, as on going into a cold room, going out into
+cold air, or undressing or dressing in a cold room. Uniformly warm
+temperature is of great importance.</p>
+
+
+<h4>Burns and Scalds.</h4>
+
+<p>No matter what the nature and extent of the burn may be, the very best
+of all medicines of which I have any knowledge, is <i>Soap</i>. If the parts
+affected, are immediately immersed or enveloped in Soft Soap, the pain
+will be greatly lessened, and the inflam<span class='pagenum'><a name="Page_65" id="Page_65">[Pg 65]</a></span>mation that would otherwise
+follow, will be essentially modified, if not entirely prevented. It acts
+like magic; no one who has never tried it can have any idea of its
+potency for the relief of pain, together with the prevention of bad
+consequences following severe burning. Under the influence of the <i>Soap</i>
+applications, burns and scalds will often be rendered comparatively
+insignificant injuries. Instead of endangering the life of the sufferer
+from the excessive pain, or the ulceration, or gangrene and sloughing
+that would follow if the pain in the first instance does not destroy
+life, the pain ceases, or becomes bearable in a short time, and either
+little or no suppuration or sloughing takes place, or the sore assumes
+the appearance of healthy suppuration, and heals kindly&mdash;avoiding those
+unsightly deformities that so commonly follow severe burning. If
+practicable, the soap, as before suggested, should be applied
+immediately after the burn, the sooner the better. The part may be put
+into soft soap, or cloths saturated with it can be wrapped around or
+covered over the affected surface, to any desirable<span class='pagenum'><a name="Page_66" id="Page_66">[Pg 66]</a></span> extent. The parts
+should not be exposed to the air for a single moment, when possible to
+prevent it. During the first two or three days, dressings need not be
+removed, unless they cause irritation after the first severe pain has
+subsided. They should be kept all of the time moist, and as far as
+practicable, in a condition to be impervious to the air.</p>
+
+<p>When it is necessary to remove them, let the affected surface be
+immersed in strong soap suds, at a temperature of about 75 or 80&deg;, and
+the dressing removed while it is under water, and others applied while
+in the same situation. In ordinary cases, however, even of extensive
+burns, after the fever consequent upon it has subsided, and the part is
+tolerably free from pain and smarting, the dressings may be removed in
+the air, but others should be in readiness and applied as speedily as
+possible. 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 sore.<span class='pagenum'><a name="Page_67" id="Page_67">[Pg 67]</a></span></p>
+
+<p>After the first few days, or in case of a slight burn at the beginning,
+an excellent mode of applying the soap, is to make a strong thick
+"<i>Lather</i>" with soft water and good soap, such as Castile, or any other
+good hard soap, as a barber would for shaving, and apply that to the
+affected part with a soft shaving brush; apply it as carefully as
+possible, so as to cover every part of the surface, and go over it
+several times, letting the former coat dry a little before applying
+another, forming a thick crust impervious to the air. In small burns,
+and even in pretty extensive and severe ones, this is the best mode of
+application, and the only one necessary.</p>
+
+<p>In many cases of very severe and dangerous burns, under the influence of
+this application, the inflammation subsides, and after a week or more,
+the crust of lather comes off, exposing the surface smooth and well.
+Although it is important to apply the <i>soap</i> early, and the case does
+much better if that has been done, still I have found it the best remedy
+even as late as the second or third day. In such a case, the <i>lather</i>
+application is the best.<span class='pagenum'><a name="Page_68" id="Page_68">[Pg 68]</a></span></p>
+
+<p>For the fever and general nervous disturbance, <i>Aconite</i> and <i>Bell.</i>
+should be given alternately, as often as every half hour, and the
+<i>Aconite</i> should be given in appreciable doses; it acts powerfully as an
+anodyne. The soap treatment, or at least, the mode of applying it was
+first suggested to me by Dr. <span class="smcap">J. Tifft</span>, of Norwalk, Ohio, some six or
+seven years ago, since which time I have had opportunities of testing
+its virtues in all forms of burns and scalds, some of which were of the
+severest and most dangerous character, and I am quite sure in several
+cases, no other remedy or process known to the medical profession, could
+have relieved and restored as this did.</p>
+
+<p>The application of finely pulverized common salt, triturated with an
+equal part of superfine flour, acts very beneficially on burns. It seems
+to have the specific effect to "extract the heat," literally putting out
+the fire. It is particularly useful for deep burns where the surface is
+abraded. Some may suppose this would be severe and cause too much pain
+when applied to a raw surface, but so far from that being the case,<span class='pagenum'><a name="Page_69" id="Page_69">[Pg 69]</a></span> it
+is a most soothing application. It often so changes the condition of
+even the severest burns, in a short time, as to render them of no more
+importance and no more dangerous than ordinary abrasions to the same
+extent, by causes unconnected with heat. <i>Urtica urens</i> is directed for
+burns, and is useful, but the <i>Urtica dioica</i> is better. For</p>
+
+
+<h4>Chilblains,</h4>
+
+<p>That follow freezing or chilling the feet, causing most distressing
+uneasiness and itching of the feet and toes, take these remedies, <i>Rhus</i>
+and <i>Apis</i>, the former at night and the latter in the morning. In bad
+cases, they should be used once in six hours. Applications of <i>Oil of
+Arnica</i> to the affected parts at night, warming them before a fire, will
+serve greatly to palliate the sufferings, and frequently effect a
+perfect cure. The <i>Urtica Dioica</i> will relieve recent cases,
+immediately, and is one of the best remedies for the chronic affection.
+It should be taken at the 2d dilution, and the tincture applied to the
+affected part every night.<span class='pagenum'><a name="Page_70" id="Page_70">[Pg 70]</a></span></p>
+
+
+<h4>Hoarseness.</h4>
+
+<p>This arises generally, from inflammation of the mucous membrane of the
+<i>Larynx</i>, in ordinary cases but slight. It is a frequent accompaniment
+of Bronchitis.</p>
+
+<p>The remedies most useful, and those which will, in almost all ordinary
+cases, remove this affection at once, are <i>Arum tri.</i> and <i>Copaiva</i>, to
+be taken a dose every three hours in alternation.</p>
+
+<p>If there is present a dry hacking cough, it will be well to take <i>Bell.</i>
+in the interval between the other medicines, for a day, or until the
+cough is relieved, or changed to a moist condition.</p>
+
+
+<h4>Inflammation of the Brain.</h4>
+
+<p class="center"><i>Brain Fever.</i></p>
+
+<p>Though this affection is not strictly what is called "brain fever," it
+is attended with more or less general fever, while in what is called
+"Brain fever," there is great irritation of the brain, requiring in many
+respects similar treatment. As the treatment proper for inflammation of
+the brain, with some slight modifications in relation to the exist<span class='pagenum'><a name="Page_71" id="Page_71">[Pg 71]</a></span>ing
+fever, will be applicable to both, I shall treat of them under one head.</p>
+
+<p>Some of the principal symptoms are delirium and drowsiness, fullness of
+the blood vessels of the head, beating of the temporal arteries, redness
+and fullness of the face, the pupils dilated, (though in the very early
+stage they may be contracted.) If the membranes of the brain be the seat
+of the disease, the pain is more intense, and frequently the limbs are
+in a palsied state. The patient sometimes vomits immoderately, and the
+pulse is slow and irregular, but full. The breathing becomes stertorous.
+The fever is very considerable, and the head hot.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Aconite</i>, <i>Belladonna</i> and <i>Bryonia</i> should be given in rotation, one
+dose every hour in a violent case, lengthening the intervals as the
+symptoms abate. Applying <i>hot cloths</i> to the head, removing them
+occasionally to let the water evaporate, will greatly palliate and will
+not in the least, interrupt the action of the medicines. Never apply
+cold to the head of any person, when hot or inflamed,<span class='pagenum'><a name="Page_72" id="Page_72">[Pg 72]</a></span> much less to that
+of a child. Children are often killed by the application of ice to the
+head, producing congestion and paralysis of the brain. Hot applications
+are Hom&oelig;opathic to the state then existing, and always beneficial.
+The feet may also be placed in hot water, but children should never be
+put into a hot or warm bath when sick, so as to cover more than the
+lower extremities.</p>
+
+
+<h4>Convulsions of Children&mdash;Fits.</h4>
+
+<p>These generally occur, either from the irritation of worms, or as
+precursors of ague, or they may arise from diarrh&oelig;al irritation,
+affecting the brain. They sometimes occur in hooping cough.</p>
+
+<p>If convulsions occur from worms, the child appearing to be choked, give
+at once some salt and water, and as soon as the first paroxysm is over,
+give a dose of <i>Bell.</i>, and after an hour a dose of <i>Santonine</i>. If they
+come on at the commencement of an ague chill, give <i>Aconite</i> and <i>Bell.</i>
+every half hour for three or four doses alternately, then leave off the
+<i>Bell.</i> and give <i>Baptisia</i>. If diarrh&oelig;a is the cause, give <i>Bell.</i>
+and <i>Cham</i><span class='pagenum'><a name="Page_73" id="Page_73">[Pg 73]</a></span> <i>omilla</i>. If from hooping cough, <i>Bell.</i> alone should be used.</p>
+
+
+<h4>Measles.</h4>
+
+<p>This is a contagious disease, and always begins with symptoms like a
+cold, with high fever, and a severe dry cough, thirst and restlessness.
+<i>Pulsatilla</i> is the proper medicine to palliate and regulate the
+symptoms. If the fever is high, <i>Aconite</i> should be used every two hours
+alternately with <i>Puls.</i> Should the eruption subside suddenly, give
+<i>Bryonia</i> with <i>Pulsatilla</i> until it reappears.</p>
+
+<p>Let the child drink freely of cold water, and avoid stimulants of every
+kind. If the eruption is tardy in its appearance, a hot bath may be
+administered, being careful to have the room quite warm, and to rub the
+patient dry, very suddenly after the bath. Frictions by the healthy hand
+over the surface, will do much towards bringing out measles. After the
+eruption is out, quiet, freedom from sudden exposure to cold, cold water
+and light diet is all that is necessary. In some of the most obstinate
+cases, where<span class='pagenum'><a name="Page_74" id="Page_74">[Pg 74]</a></span> the eruptions failed to appear in the proper time, as well
+as where they had receded too soon, I have been able to bring them out
+in a short time with an infusion of Sassafras root, sweetened and taken
+quite warm, in doses of half an ounce in fifteen to thirty minutes. It
+is a remedy for measles well worth attention.</p>
+
+
+<h4>Mumps.</h4>
+
+<p>This is a contagious disease, consisting in an inflammation of the
+Parotid gland. There is, at first, a sense of stiffness and soreness on
+moving the jaw, soon after the gland begins to swell, and continues to
+be sore and painful, with more or less headache, and general fever for
+from six to eight days. It is not ordinarily a dangerous disease, unless
+translated to some other part. It may remove from the original seat to
+the brain, the testicles, or in females to the breasts.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Mercurius</i> should be given three times a day during the attack. If the
+brain becomes affected, use <i>Bell.</i> and <i>Apis mel.</i> in<span class='pagenum'><a name="Page_75" id="Page_75">[Pg 75]</a></span> alternation.
+Should it recede to the testicles, or to the female breasts, <i>Apis mel.</i>
+is <i>the</i> remedy. <i>Mercurius</i> may be used in connection with the <i>Apis</i>
+as soon as the violent symptoms have subsided, in order to prevent
+permanent glandular swellings.</p>
+
+
+<h4>Stings of Insects.</h4>
+
+<p>The effect produced by the sting of Bees, Wasps, and Hornets of all
+kinds, is so nearly, if not quite identical, that I shall make no
+distinction between them. There are very few, if any persons, who do not
+know the symptoms, at least the local effects of the Bee sting. Pungent,
+stinging, aching pain, redness and swelling of the part. The wound has
+at first, and for some time, a white spot or point where the sting
+entered, surrounded by an areola of bright scarlet, growing fainter and
+paler as it recedes. The swelling is not pointed, but a rounded
+elevation, with a feeling of hardness. If upon the face, it not
+unfrequently causes the whole face to swell so as to nearly if not
+entirely close the eyes. In some instances, the brain becomes affected
+and death ensues.<span class='pagenum'><a name="Page_76" id="Page_76">[Pg 76]</a></span></p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>I have for many years, used but <i>one remedy</i>, and that has in all cases,
+and under all circumstances, when applied at any stage of the affection,
+produced prompt and perfect relief; therefore I shall recommend no
+other. It is the common garden <i>Onion</i>, (<i>Allium cepa</i>) applied to the
+spot where the sting entered. I cut the fresh Onion and apply the raw
+surface to the spot, changing it for a fresh piece every ten to fifteen
+minutes, until the pain and swelling, and all disagreeable symptoms
+disappear. If it is applied immediately after the stinging, the first
+application will afford perfect relief in a few minutes, and no further
+effect from it will be experienced. Applied later, it must be continued
+longer, and this may be done one or two days after the stinging, with
+just as much certainty of removing whatever symptoms may still exist.</p>
+
+<p>I treated one case when three days had elapsed, the patient (a young
+lady) was delirious and speechless, the whole face was so swollen as to
+entirely disfigure her features, raising the cheeks to a level with the<span class='pagenum'><a name="Page_77" id="Page_77">[Pg 77]</a></span>
+nose, and closing the eyes. Her life was almost despaired of. The
+surface of a freshly cut onion was applied to the point where the sting
+entered, and changed about once an hour for a fresh piece. In a few
+hours consciousness returned, and a rapid recovery followed. All the
+swelling and disagreeable symptoms were gone in three days.</p>
+
+<p><i>Ledum</i> is highly recommended by some Physicians, and is doubtless of
+some value, but it is not to be compared with the <i>Allium</i>.</p>
+
+<p>The most potent and certain remedy for the poison caused by the</p>
+
+
+<h4>Bite of the Rattlesnake</h4>
+
+<p>is <i>Alcohol</i>, in the ordinary form, or in common Whisky, Brandy, Rum or
+Gin. Let the patient drink it freely, a gill or more at a time, once in
+fifteen to twenty minutes, until some symptoms of intoxication are
+experienced, then cease using it. The cure will be complete as soon as
+enough has been taken to produce even slight symptoms of intoxication.
+It is remarkable how much<span class='pagenum'><a name="Page_78" id="Page_78">[Pg 78]</a></span> alcohol a patient suffering from the poison
+of the Rattlesnake will bear.</p>
+
+<p>An intelligent medical friend of mine in Kanawha County, Virginia, gave
+a little girl of ten years, who had been bitten by a Rattlesnake, over
+three quarts of good strong Whisky, in less than a day, when but slight
+symptoms of intoxication were produced, and that seemed to arise
+entirely from the last drink. She recovered from the intoxication in a
+few hours, and suffered no more from the poison of the serpent.</p>
+
+<p>Instances of cures with whisky are numerous, and I have never heard of a
+failure, when it was used as here directed. I presume it will do the
+same for the poison of other serpents.</p>
+
+
+<h4>Headache.</h4>
+
+<p>This symptom or affection, (if it can be classed as a disease) may
+depend upon so many causes, and be so very different in its effects,
+degrees of intensity, and the kind of pain or sensation attending it,
+that one will find it very difficult to mark out any definite treatment.
+I shall, therefore, only point<span class='pagenum'><a name="Page_79" id="Page_79">[Pg 79]</a></span> out some of the more frequent cases, and
+the indications for certain remedies.</p>
+
+<p>What is called "<i>sick headache</i>," or "nervous headache," begins by a
+sense of blindness or blur, before the eyes, of green or purple colors,
+dazzling or swimming in the head, without, for some time at first, any
+positive aching or pain. In the course of an hour, a longer or shorter
+time, the dimness of vision goes off, and the head begins to ache. This
+may or may not be accompanied with nausea and vomiting. Some persons are
+always more or less sick at the stomach, when these "nervous headaches"
+come on, others are not thus affected.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>If taken as soon as the first blur before the eyes is noticed, or before
+any pain is felt in the head, <i>Nux Vomica</i> will, in nearly all cases,
+arrest the disease at once. It may be necessary to take two or three
+doses at intervals of an hour. Later in the case, though <i>Nux</i> may
+palliate, it will not cure.</p>
+
+<p>If headache with sickness comes on, <i>Macrotin</i> and <i>Podoph.</i> should be
+given in alterna<span class='pagenum'><a name="Page_80" id="Page_80">[Pg 80]</a></span>tion, every half hour, if the symptoms are very severe,
+and the nausea great; but in a mild case, give it once an hour,
+lengthening the interval as the symptoms abate.</p>
+
+<p>If the feet are cold, as is often the case, putting them into hot water
+will palliate the symptoms, and not interfere with the medicines.</p>
+
+<p>If the head feels hot, apply <i>hot</i> water to it. Never apply cold to the
+head, when there are any symptoms of congestion, as of fullness of the
+blood vessels. For</p>
+
+
+<h4>Common Headache,</h4>
+
+<p>If the face is red, and the arteries of the neck and temples throb
+violently, give <i>Bell.</i> If there is paleness and faintness, <i>Pulsatilla</i>
+is the remedy, especially if the forehead is principally affected. If
+the pain is mostly in the back of the head, <i>Nux</i> is to be used; if in
+the front, and is sharp, affecting the eyes, <i>Aconite</i>; if at the angles
+of the forehead, with a sense of pinching, <i>Arnica</i>; if a sense of
+fullness and pressing outwards, or with an enlarged feeling, <i>Macrotin</i>;
+if intermitting or remitting, <i>Mercurius</i>; if there is ringing<span class='pagenum'><a name="Page_81" id="Page_81">[Pg 81]</a></span> in the
+ears, <i>China</i>. Headache from fright should have <i>Aconite</i>.</p>
+
+<p>For that kind of <i>headache</i> that often occurs during the prevalence of
+fevers, and is not unfrequently a premonitory symptom of an attack of
+fever, I have found <i>Baptisia</i> and <i>Podophyllin</i> to be specifics. I give
+them alternately, every two hours a dose, until the headache ceases. It
+often subsides in a few minutes after the first dose of either, though I
+have sometimes failed with one alone and succeeded in the same cases
+afterwards with both in alternation. <i>I have no doubt</i> but that they act
+in many cases, as <i>Prophylactics</i>, entirely warding off and preventing
+fevers, or at least arresting them at the premonitory stage.
+<i>Podophyllin</i> is a most valuable remedy for headache.</p>
+
+
+<h4>Nose Bleed&mdash;Epistaxis.</h4>
+
+<p>If it arises from fullness of the vessels of the head, with throbbing of
+the temples, redness of the face and eyes, <i>Belladonna</i> is the remedy.
+If fever is present, <i>Aconite</i> must be alternated with <i>Bell.</i></p>
+
+<p>In females or children who have habitual<span class='pagenum'><a name="Page_82" id="Page_82">[Pg 82]</a></span> nose-bleed, <i>Pulsatilla</i> and
+<i>Podophyllin</i> are to be used alternately, night and morning. During the
+paroxysm of bleeding, <i>Arnica</i> should be used, one dose repeated in a
+half hour if it continues.</p>
+
+<p>If it is produced by over-exertion, <i>Rhus</i> is the proper remedy. If it
+occurs in the <i>early stage</i> of fever, <i>Aconite</i> and <i>Bell.</i>; in the
+latter stage, <i>Rhus</i> and <i>Phos.</i> are to be used. <i>Hamamelis</i> will
+frequently arrest nose-bleed <i>immediately</i> after one or two doses.</p>
+
+
+<h4>Worms.</h4>
+
+<p>It is difficult to determine the presence of <i>worms</i> in children, much
+more in adults, yet both are affected by them occasionally. In children,
+there is more or less fever and restlessness, screaming out in sleep,
+starting, pain in the bowels, vomiting, choking, diarrh&oelig;a, picking at
+the nose, fetid breath, voracious and variable appetite.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Santonine</i> is a remedy which I have used for years, and I have treated
+many hundreds of cases, with such unvariable success, that I feel
+disinclined to use or to recommend<span class='pagenum'><a name="Page_83" id="Page_83">[Pg 83]</a></span> any other. It brings away the worms
+entire, and relieves the patient of all morbid symptoms immediately, or
+in much less time than any other remedy of which I have any knowledge.
+It seems to act specifically upon the worms, causing them to leave the
+bowels by being evacuated with the feces, without producing any sensible
+impression upon the bowels, the evacuations remaining natural, if they
+were so, or becoming so, if deranged, and the worms coming away not
+quite lifeless.</p>
+
+<p>I have often prescribed this remedy for children suffering under
+intermittent or remitting, and even typhoid fever, in the summer season,
+when there were not present any well defined symptoms of worms, and yet
+the fever would soon abate, and in due time worms appear in the fecal
+evacuations. It often arrests entirely intermittent fever, when worms
+are present, and are the probable cause of the fever.</p>
+
+<p>I give either the crude salt in from one-fourth to one-half grain doses,
+or a trituration of one grain to four of sugar, giving in the latter
+case, from one to two grains of the tritu<span class='pagenum'><a name="Page_84" id="Page_84">[Pg 84]</a></span>ration. Give one dose at
+bed-time, or in an urgent case at any other time, but never repeat the
+dose under thirty-six hours, and in an ordinary case, under forty-eight
+hours.</p>
+
+<p>This is <i>the</i> medicine <i>par excellence</i> for worms. It may be repeated
+once a week, when there is a tendency in the patient to the development
+of worm symptoms, or, in other words, the breeding of worms. The idea
+held out by some that it is hurtful, or unimportant to remove the worms,
+in itself considered, is simply <i>nonsense</i>, and <i>worse</i>, for children
+are sometimes sacrificed to this idea.</p>
+
+
+<h4>Earache&mdash;Otalgia.</h4>
+
+<p>This may arise from various causes, but a common one is sudden cold. If
+it arises from cold, and there is general fever, or if the ear is red,
+or the side of the head and ear hot, <i>Bell.</i> and <i>Baptisia</i> should be
+given in alternation, every hour, or in a violent case, more
+frequently. These remedies will soon relieve
+such cases. Cloths wrung out of hot water should be laid over the ear,
+or the side of the head steamed, or it may be laid into water quite
+warm, with good effect.<span class='pagenum'><a name="Page_85" id="Page_85">[Pg 85]</a></span></p>
+
+<p>Where the disease is a chronic affection, and the patient is subject to
+frequent attacks of pain in the ear, especially on a change of the
+weather, from dry to moist, <i>Mercurius</i> is the proper remedy, especially
+if it is worse at night, when warm in bed.</p>
+
+<p>If it arises from a shock or blow, <i>Arn</i>. is to be used. In scrofulous
+persons, whether there is ulceration or not, <i>Phosphorus</i> and
+<i>Pulsatilla</i> are the remedies.</p>
+
+<p>Children and even adults, not unfrequently suffer from earache, without
+any known cause sufficient to account for it. On examination into the
+ear you will often find either the cavity filled or nearly so, with a
+hard black substance, (the inspissated "earwax") almost as hard as horn,
+or else the ear will be quite empty, and the sides of the cavity <i>dry</i>
+and red, though perhaps not properly in a state of inflammation.</p>
+
+<p>The natural condition of the cavity as it can be seen by straining the
+ear outwards and backwards a little in a strong sun light, is moist, the
+surface covered slightly with a yellowish, greasy, soft substance (the
+cerumen) "earwax." When this is wanting or<span class='pagenum'><a name="Page_86" id="Page_86">[Pg 86]</a></span> in excess, or its character
+changed, it is evidence of disease, and pain is likely to occur. The</p>
+
+
+<h3>TREATMENT</h3>
+
+<p>for this condition is to remove the accumulation when that exists, as
+the first step. But this must be first softened by pouring some warm
+oil, pure olive oil, or good pure sperm oil, into the ear, and repeat it
+two or three times a day for several days, until it is so far softened
+as to be easily removed with the probe end of common small tweezers,
+having a spoon-bowl point.</p>
+
+<p>When there is dryness, moisten the surface with oil. In either case, it
+is best, for a while, to protect the delicate surface from the air, by
+putting oiled wool into the external ear.</p>
+
+<p>If the ear was filled, give <i>Mercurius</i> once a day until there appears a
+natural secretion. If dry, use <i>Belladonna</i>.</p>
+
+
+<h4>Toothache.</h4>
+
+<p>It is difficult to determine the cause of toothache, and more difficult
+to select the remedy. It often depends upon decay of<span class='pagenum'><a name="Page_87" id="Page_87">[Pg 87]</a></span> the tooth, and
+exposure of the nerve to air, and contact with food or drinks, or even
+saliva, which irritate and produce pain.</p>
+
+<p><i>Pulsatilla</i> will as often relieve such cases as any other remedy, yet
+if it has been aggravated by a recent cold, <i>Bell.</i> and <i>Nux V.</i> may be
+better. If the nerve is not exposed, and there is a disposition to a
+return of the pain on exposure to cold air, or a change of weather, the
+pain being of a <i>rheumatic</i> character, give <i>Rhus</i> and <i>Macrotin</i> in
+alternation. These will relieve many cases. For decayed teeth, the pain
+being dull aching, with soreness, use <i>Chamomilla</i>. The body of the
+tooth, that is the dentine, sometimes becomes very sensitive when there
+is no decay or cavity, the pain being experienced when some hard
+substance hits, or the air or water, either cold or hot, comes in
+contact with the tooth. The temporary pain will generally yield to
+<i>Arnica</i>, and in most instances, the daily use of <i>Arnica</i> at the first
+decimal dilution, applied to the surface, and upon the jaws, will effect
+a cure.</p>
+
+<p>The <i>chloride of Zinc</i> applied to the surface of such teeth for a few
+moments will<span class='pagenum'><a name="Page_88" id="Page_88">[Pg 88]</a></span> destroy the sensitiveness of the dentine.</p>
+
+<p>Teeth that are ulcerated at the roots, or have ulcerated gums around
+them, the teeth being decayed, should be extracted at once, for, besides
+the pain and inconvenience they cause, they are a <i>very prolific</i> source
+of <i>disturbance</i> to the digestive organs, from the positive poison
+generated by the decaying process.</p>
+
+<p>If people will use soft brushes upon the teeth with soap and water,
+followed by rinsing with simple water only, after each meal, brushing
+both inside and out and crossways, so as to clean between them, they
+will be saved much pain and decay, and disease of other parts, arising
+from foul and diseased teeth.</p>
+
+
+<h4>Teething of Children.</h4>
+
+<p>Affections arising from teething of children, are often of a serious
+character. The most prominent of which is <i>Diarrh&oelig;a</i>. <i>Fever</i>
+frequently accompanies the diarrh&oelig;a, and <i>convulsions</i> occasionally
+occur. <i>Aconite</i> and <i>Chamomilla</i> should be used in alternation, every
+one or two hours, according to<span class='pagenum'><a name="Page_89" id="Page_89">[Pg 89]</a></span> the violence of the fever, and if
+convulsions occur, or are threatened, as will be known by twitching,
+starting, and screaming, use <i>Nux</i> and <i>Bell</i>. These may be given in
+rotation with the others, following the remedies, one after the other,
+every hour. I have relieved the most alarming cases in a day by this
+method of procedure, that had not yielded to either of the single
+remedies for several days, given as directed in the books; the patient
+growing worse continually. If the gums over the teeth look white and the
+teeth, (one or more,) are near the surface, the gums should, by all
+means, be cut. Press the point of a lancet or penknife down upon the top
+of the gum, until the tooth is plainly felt, and be sure to make the cut
+as wide as the tooth. Rub the gums with <i>Arnicated water</i> once or twice
+a day. <i>Pulsatilla</i> should be given at night and <i>Chamomilla</i> in the
+morning, during the whole summer while the child is teething, as a
+prophylactic against the fever and diarrh&oelig;a that is likely to occur.
+It will generally save all trouble.<span class='pagenum'><a name="Page_90" id="Page_90">[Pg 90]</a></span></p>
+
+<p>If the diarrh&oelig;a is profuse, watery and light colored or brown, give
+<i>Phos. acid</i> and <i>Veratrum</i> alternately, as often as the discharges
+occur. For the restlessness of infants at night, <i>Coffea</i> is the
+specific.</p>
+
+
+<h4>Apth&aelig;&mdash;Thrush.</h4>
+
+<p>This is a disease peculiar to nursing children. The mouth becomes sore,
+and the tongue, lips, and fauces are covered with a white crust, looking
+like milk curds, which, when removed, leaves the surface red, inflamed
+and very tender. It sooner or later, extends to the stomach and bowels,
+producing severe and dangerous diarrh&oelig;a.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>Of all the medicines known to our Materia Medica, none, according to my
+experience, will in the least, compare with the <i>Eupatorium aromaticum</i>.
+It is almost, if not quite certain to relieve speedily in all cases. I
+say this, not only from my own experience and observation, but from the
+testimony of several other Hom&oelig;opathic Physicians, who have, within
+the last year, used it.<span class='pagenum'><a name="Page_91" id="Page_91">[Pg 91]</a></span></p>
+
+<p>It should be given at the first or second dilution, once in four or six
+hours, and three or four drops of the tincture put into a teaspoonful of
+water, and the mouth occasionally washed with the mixture.</p>
+
+<p>In summer, where agues prevail, and the child is feverish and restless,
+<i>China</i> will aid in the cure, to be given once in six hours between the
+doses of the <i>Eupatorium</i>. If the diarrh&oelig;a is obstinate, the
+discharges colored, and the child is sick at the stomach, give
+<i>Podophyllin</i> with the other remedies.</p>
+
+
+<h4>Inflammation of the Eyes&mdash;Ophthalmia.</h4>
+
+<p>For common Ophthalmia, in the early stages, while there is more or less
+fever and headache, with flushed face, bloodshot eyes and throbbing of
+the temporal arteries, <i>Bell.</i> and <i>Aconite</i> should be used alternately
+every two hours, and a wash made with ten drops of tincture of Aconite
+to one gill of pure water, applied to the eyes as hot as the patient can
+bear. This application should be repeated every two hours, in a violent
+case, until the eyes are easy, and then about twice a day until all
+inflammation and red<span class='pagenum'><a name="Page_92" id="Page_92">[Pg 92]</a></span>ness pass off. This will relieve a large proportion
+of cases in from one to four days.</p>
+
+<p>If, however, the case continues obstinate for a longer time, or has been
+of a week or more standing before the treatment is commenced, in the
+place of Bell., or after using it one or two days, use <i>Hydrastus</i> with
+the <i>Aconite</i>, giving them alternately at intervals of two to six hours,
+according to the stage of the case&mdash;more frequently as the symptoms are
+more urgent, using washes prepared of each separately, as directed for
+Aconite, except that the Hydrastus wash may be twice as strong; and
+apply each about half as often as the same medicine is taken internally.
+The wash should, in all cases of acute inflammation of the eyes, be as
+hot as it can be borne. Let it be put into the eyes so as to come
+directly in contact with the inflamed surface.</p>
+
+<p>Simple hot water applied to inflamed eyes for hours together, allowing
+short intervals between the applications, will often cure most painful
+cases.</p>
+
+<p><i>Never apply cold</i> to inflamed eyes. It always aggravates. When the
+inflammation<span class='pagenum'><a name="Page_93" id="Page_93">[Pg 93]</a></span> is in a scrofulous person, especially in infants, it
+assumes a purulent character, and may leave the cornea in clouded
+(nebulous) condition, and the sight more or less obliterated. For this
+condition use <i>Conium</i> first, and apply it <i>in tinct.</i>, half water, to
+the eyes every four hours.</p>
+
+
+<h4>Wounds and Bruises.</h4>
+
+<p>On this subject, I must necessarily be very brief. When a wound is
+inflicted, the first and most important thing to be done is to <i>arrest
+the flow of blood</i>. Every one should know how to do this. The bleeding
+is to be stopped, and the wounded vessels to be secured, so that no
+further flow can take place.</p>
+
+<p>First, then, to stop the bleeding, <i>pressure</i> is to be made upon the
+artery leading to the wound. If the wound is in the leg or foot,
+pressure is to be made, either on the vessel above and near the wound,
+or, where that cannot be easily found and compressed, make firm pressure
+with the thumb or some hard substance, in the groin, about two and a
+half inches at one side of the center of the pelvis, (wounded side) just
+below the lower<span class='pagenum'><a name="Page_94" id="Page_94">[Pg 94]</a></span> margin of the belly, towards the inner side of the
+thigh, where the great artery (Femoral artery) can be felt pulsating. By
+pressing firmly upon this artery, the blood is arrested in its flow into
+the limb, and of course the bleeding from the wound soon ceases. If the
+wound is in the arm or hand, <i>pressure</i> is to be made, either just above
+the wound, or on the inside of the arm, about one-third of the way from
+the shoulder to the elbow, where the artery (Brachial) can be felt. To
+secure the parts from further bleeding, the wounded artery must be taken
+up and tied. Let it be seized by forceps, or the point of a needle may
+be thrust into it, and the vessel stretched out a little, a thread put
+round it and tied; cut off one end of the tie, and let the other hang
+out of the wound, until it comes out by the vessel sloughing off. Bring
+the lips of the wound together, and if it is large, put in stitches
+enough to hold them, and put on an adhesive plaster, compress of cloths,
+and bandages to keep it from straining the stitches, and protect it from
+the air. The <i>Arnica</i> plaster, made by <span class="smcap">John Hall</span>, of Cleveland, is the
+best adhesive plaster of<span class='pagenum'><a name="Page_95" id="Page_95">[Pg 95]</a></span> which I have any knowledge. Give the patient
+<i>Aconite</i> once in two hours, for a day after the accident.</p>
+
+<p><i>Slight Cuts</i> about the joints, especially the knee, are dangerous, from
+their liability to affect the ligaments, inflame, and produce <i>Lockjaw</i>.
+Therefore, such wounds, ever so slight, are of great importance. They
+should be at once closed up, whether they bleed or not, and covered with
+an adhesive plaster, (Arnica plaster is the best) a bandage, and the
+knee should not be bent, even when walking or sitting, until the wound
+is healed. It is best to apply a splint from the hip to the heel, and
+bandage the limb to it, so as to prevent bending of the joint.</p>
+
+<p><i>Bruises</i> are to be treated with <i>Arnica</i>, applied to the part affected,
+by putting twenty drops of the tincture into a gill of water, if the
+skin is <i>not</i> ruptured, or three drops into the same if it is, and
+bathing freely. The <i>Arnica</i> is to be taken internally at a higher
+dilution. Keep the parts covered with cloths and wet in <i>Arnica</i> water.<span class='pagenum'><a name="Page_96" id="Page_96">[Pg 96]</a></span></p>
+
+<p>If a blow is received upon the head, by a fall, or in any other way,
+producing a "stunning" effect, (concussion of the brain) so that the
+patient appears lifeless for a time, and delirious when he begins to
+come to, there is great danger of inflammation of the brain, and death
+from the re-action, or in some cases, the shock is so great that the
+patient will never revive unless he has the proper aid.</p>
+
+<p><i>Arnica</i> is the great remedy to bring on reaction, arouse the patient,
+and prevent <i>dangerous</i> inflammation or congestion of the brain.</p>
+
+<p>When a patient is "stunned" by a blow or fall, he should be conveyed
+soon as possible, to some <i>quiet</i> place, and as little noise as
+practicable made about him, and the room kept darkened. <i>Arnica</i> 3d
+should be given immediately, and the nostrils wet with strongly
+arnicated water.</p>
+
+<p>If fever arise after he comes to, <i>Aconite</i> should be given with
+<i>Arnica</i>, and if the head aches, or becomes hot, <i>Bell.</i> is to be used.
+This will prevent or arrest all symptoms of inflammation.<span class='pagenum'><a name="Page_97" id="Page_97">[Pg 97]</a></span></p>
+
+<p><i>Torn and Mangled</i> wounds should not be handled much. If they bleed, the
+blood must be stopped as in any other case. If they are dirty, warm
+water may be gently applied to cleanse them. The wound should be covered
+with some soft cloths, and kept constantly wet in Arnicated water of the
+strength of four drops of the <i>tincture</i> to a pint of water.</p>
+
+
+<h4>Piles&mdash;Hemorrhoids.</h4>
+
+<p>One important matter in all cases of habitual piles, is, to keep the
+bowels regular. Much can be done for this purpose by diet and regimen.
+On rising from bed in the morning drink freely, from a gill to half a
+pint of cold water, at least half an hour before breakfast; use such
+diet as is easily digested, and drink no alcoholic beverages. To relieve
+the bowels when costive, take a dose of <i>Nux Vomica</i> at night, and
+<i>Podophyllin</i> in the morning. This may be repeated from day to day until
+the proper effect is produced.</p>
+
+<p>To relieve from a severe attack of Piles, use <i>Bell.</i> and <i>Podophyllin</i>
+in alternation<span class='pagenum'><a name="Page_98" id="Page_98">[Pg 98]</a></span> every four hours, and apply to the tumors when inflamed,
+cloths wrung out of hot water, or sit in hot water for a time.</p>
+
+<p>A poultice made of fine-cut <i>Tobacco</i> wet in hot water and crowded
+firmly up against the pile-tumors, secured by a T bandage, will relieve
+the most desperate cases for the time, and is attended with no danger or
+disagreeable symptoms except in rare cases, when it produces sickness at
+the stomach, which soon subsides on the poultice being removed. <i>Oil of
+Arnica</i> is an excellent application for inflamed Piles.</p>
+
+<p>A most important point in the management of Piles, and one often
+neglected, is to replace the prolapsed tumors. The tumors will be
+protruded from within the anus by the act of evacuating, and if left in
+that condition, will be pressed upon by the external parts, chafed and
+inflamed. In all such cases, the patient should take particular pains to
+return the tumors into the rectum; and to aid in that process a little
+oil may be applied when they will be easily pushed back, and the
+sphincter of the bowel will close below<span class='pagenum'><a name="Page_99" id="Page_99">[Pg 99]</a></span> them, preventing any chafing,
+and the consequent inflammation.</p>
+
+<p>For <i>Bleeding Piles</i>, <i>Ipecac</i> and <i>Bell</i>. are very efficient remedies.
+They may be alternated every half hour, or oftener if the bleeding is
+severe, or at longer intervals when it is only slight.</p>
+
+<p><i>Hamamelis V.</i>, (Witch Hazel,) will in nearly all cases arrest the
+bleeding at once. It should be applied to the parts and taken internally
+at the same time. Drop doses to be put on the tongue once in fifteen or
+twenty minutes.</p>
+
+<p>An infusion of the <i>Hamamelis</i> may be taken internally in doses of half
+a teaspoonful, and the same injected into the bowel with excellent
+effect.</p>
+
+<p>The most effectual way, and the best for obtaining permanent relief from
+Piles when the tumors have become hard, and remain all the time so as to
+pass out of the anus at every evacuation, being constantly more or less
+tender and painful, and often becoming inflamed, is to have them taken
+off. But never let that be done with a knife. The bleeding would, in
+such a case, be very<span class='pagenum'><a name="Page_100" id="Page_100">[Pg 100]</a></span> excessive, and most likely fatal. The history of
+knife operations for the excision of Pile tumors is written in blood,
+and the tombstone stands as a monument of condemnation of the practice.
+No trustworthy surgeon will at this day attempt it.</p>
+
+<p>But however dangerous may be the knife operation, there is no danger at
+all to be apprehended from removing the tumors by a <i>ligature</i>. To
+accomplish this, take a soft cork about three-fourths of an inch in
+diameter, and one inch long&mdash;make a hole through the center from end to
+end, about one-eighth of an inch in diameter&mdash;cut crucial grooves in the
+top of the cork about an eighth of an inch deep, bevel down the lower
+end nearly to an edge, make a cord of saddler's silk, three fold twisted
+together and waxed, about eight or ten inches long, double this in the
+middle and pass the loop down through the cork out at the sharp end, the
+two loose ends of the string being out at the grooved end. Make a strong
+hickory stick about three-sixteenths of an inch in diameter, and just
+long enough to pass across the square end of the cork. Now have the<span class='pagenum'><a name="Page_101" id="Page_101">[Pg 101]</a></span>
+patient protrude the Pile tumors as far out as possible, being placed on
+his knees with the head bent to the floor, pressing out firmly as if to
+evacuate the bowels. Let the tumors be dried as much as possible by
+gently pressing a soft, dry cloth to them; then let the loop of the
+string projecting from the flattened end of the cork, be pushed on over
+the largest tumor, and held down at its base, while an assistant places
+the stick in one of the grooves, ties the two ends of the cord firmly
+down over the stick, or <i>toggle</i>, by a square bow knot; then turn the
+stick round once, twice, or more, until the pressure upon the tumor is
+sufficient to strangulate it perfectly, and prevent the string from
+slipping off. Care should be taken to keep the cord down to the base of
+the tumor while it is being tied and tightened, as in many cases the
+base is much the larger part of the tumor, and the cord tends to slip
+up. After the ligature is applied and tightened, apply arnicated water
+to the parts, and a large, warm poultice of superfine slippery elm bark,
+wet so as not to be too soft and slippery, on the face of which Arnica
+may be put. Keep<span class='pagenum'><a name="Page_102" id="Page_102">[Pg 102]</a></span> it on with a T bandage. The patient must be put to bed
+and kept quiet until the ligature and tumor come off, which will be in
+about six or seven days, sometimes sooner. Once a day the "toggle" must
+be turned part, or the whole of a circle or more, to tighten the cord as
+the patient can bear. This will be very painful from beginning to end of
+the ligating, but any, even the most sensitive, patient can bear it. The
+patient must have quite warm hip baths two, three, or more, times a day,
+or as often as the pain is severe, the poultice being replaced after
+each bath, and kept constantly on.</p>
+
+<p>If there are several tumors protruding, apply ligatures to two of the
+largest, when these are removed, the others will disappear.</p>
+
+<p>Injections of mucillage of slippery elm should be carefully used to move
+the bowels daily, or at least once in two days. Let the diet be of corn
+or oat meal mush, or rice. As the tumor gradually sloughs off, the
+surface heals, so that, though the base where the ligature was applied,
+may have been an inch or more across it, there will not be a raw surface
+of over an eighth of an inch in diam<span class='pagenum'><a name="Page_103" id="Page_103">[Pg 103]</a></span>eter, to which <i>Calendula Cerate</i>
+should be applied. The patient must keep quiet for a few days longer.
+Though this is a painful operation, it is not in the slightest degree
+dangerous. I have effected complete and permanent cures by this mode in
+numerous instances.</p>
+
+
+<h4>Sea-Sickness.</h4>
+
+<p><i>Nux Vomica</i> should be used once in about four hours, for twelve hours
+before sailing, as a preventive to sea-sickness.</p>
+
+<p>If, however, symptoms, such as dizziness or blur before the eyes, and
+headache, begin to come on, a dose of <i>Nux</i> should be taken, followed in
+an hour with <i>Pulsatilla</i>.</p>
+
+<p>If the nausea comes on, <i>Ipecac</i> and <i>Arsenicum</i> should be taken
+alternately between the paroxysms of vomiting, should that symptom
+appear.</p>
+
+<p>If practicable, the patient should lay still upon the back until the
+sickness passes off. I have removed sea-sickness immediately in several
+instances with <i>Pulsatilla</i> alone, and the last time I had an
+opportunity to prescribe for this affection I gave <i>Podophyllin</i>. It
+removed all the symptoms in a few<span class='pagenum'><a name="Page_104" id="Page_104">[Pg 104]</a></span> minutes. That is the only time I ever
+tried it, but from the provings I am satisfied it is one of the best
+remedies.</p>
+
+
+<h4>Asiatic Cholera.</h4>
+
+<p>I was practicing in Cincinnati during the prevalence of Cholera in the
+years 1849, and 1850, and in Northern Ohio in 1854, and had abundant
+opportunity to observe and treat it. The disease generally begins with a
+diarrh&oelig;a, which may continue for several days, or only a few hours
+before other symptoms set in, such as vomiting, then cramping in the
+stomach and muscles of the legs, arms, hands and feet, followed by cold
+sweats, great prostration, restlessness, excessive and burning thirst,
+drinks being immediately rejected. These symptoms continue, the patient
+sinking rapidly into <i>collapse</i>, when the skin looks blue and shriveled,
+the eyes sunken, the surface covered with a cold, clammy sweat, the
+extremities, nose, ears, tongue and breath cold, the voice hollow and
+unnatural. This condition continues from two to eight or ten hours, the
+patient regularly failing, sometimes becoming delirious before he dies.<span class='pagenum'><a name="Page_105" id="Page_105">[Pg 105]</a></span></p>
+
+<p>In some cases the vomiting and diarrh&oelig;a set in simultaneously, and
+the other symptoms follow, as above described, in rapid succession. In
+others the cramping may be the first symptom, the others following it.</p>
+
+<p>In a large proportion of cases, the disease takes the course first
+described above, the diarrh&oelig;a, called the <i>premonitory symptoms</i>, or
+sometimes <i>cholerine</i>, coming on several hours, if not a day or more,
+before any other symptoms.</p>
+
+<p>The diarrh&oelig;a is not usually painful, hence the patient may not be
+alarmed so as to attend to it until the more dangerous symptoms appear.
+It begins in some cases with pain and some griping, the discharges
+rather consistent, having a bilious appearance, so that the patient
+supposes it to be an ordinary bilious diarrh&oelig;a, which is not
+dangerous, his fears being thus quieted. But however the diarrh&oelig;a
+begins, it becomes sooner or later, copious, watery, and light colored,
+(rice water) painless but rapidly prostrating.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>In the early stages of the diarrh&oelig;a, <i>Veratrum</i>, taken about twice as
+often as the evac<span class='pagenum'><a name="Page_106" id="Page_106">[Pg 106]</a></span>uations occur, will frequently arrest it in a few
+hours, especially if the patient lies down and keeps quiet. But if not,
+and it increases in frequency, or becomes more copious, or any sickness
+is felt at the stomach, the patient should, at once, be laid upon a bed
+and <i>strong tincture of Camphor</i> should be given in drop doses, once in
+five minutes, for one hour or more, and as the symptoms abate, once in
+ten, fifteen or twenty minutes, for six or eight hours.</p>
+
+<p>A teaspoonful of the <i>Camphor tincture</i> may be put into a tumbler of
+cold water, ice water if at hand, and the water agitated until it
+becomes clear, giving a teaspoonful of this camphorated <i>cold</i> water as
+a dose, stirring the water each time. I think this is better than to
+give the pure tincture. After the patient becomes quiet and easy,
+<i>Veratrum</i> should be given in alternation with Camphor, a dose in four
+to six hours for several days, or oftener if he feels any symptoms like
+a threatened return of the disease. These two medicines serve as
+<i>prophylactics</i> (preventives) of Cholera.<span class='pagenum'><a name="Page_107" id="Page_107">[Pg 107]</a></span></p>
+
+<p>If, however, the disease continues in spite of the Camphor and Veratrum,
+in the first instance, or later, (as the Camphor may be given in many
+cases with success in the advance stage,) you must resort to other
+remedies.</p>
+
+<p>If vomiting comes on with burning in the stomach give <i>Ipecac</i> and
+<i>Arsenicum</i> in alternation as often as the vomiting occurs, and if the
+diarrh&oelig;a continues give <i>Veratrum</i> between the doses of the other
+two, in a violent case, as often as every ten to fifteen minutes, and at
+longer intervals when the disease is slow in its progress. If the
+vomiting and diarrh&oelig;a, or either, occur with a kind of explosion, the
+vomiting ceasing suddenly for the time, after the first <i>gush</i>, or the
+discharges from the bowels are involuntary, <i>Secale</i> is the specific
+remedy.</p>
+
+<p>For the cramping, <i>Cuprum</i> and <i>Veratrum</i> are the remedies to be given
+alternately.</p>
+
+<p>If, however, the <i>cramping</i> comes on as the first symptom, which is
+sometimes the case, the patient being suddenly seized with it before any
+other alarming symptoms occur, <i>Camphor</i> is <i>the great remedy</i>, and in
+this case<span class='pagenum'><a name="Page_108" id="Page_108">[Pg 108]</a></span> it may be given in doses of double or treble the quantity
+before directed.</p>
+
+<p>If he sinks into the <i>collapse</i> and lies quiet, indifferent to
+everything, the pulse sinking, or he is pulseless, <i>Carbo Veg.</i> will
+sometimes arouse and restore him, hopeless as the case appears. It
+should be given once in half an hour until the pulse begins to rise. If,
+however, instead of being quiet he is restless and thirsty, give
+<i>Arsenicum</i> in alternation with <i>Carbo Veg.</i>, repeating the dose as
+above directed. In some cases, after all the active symptoms cease, the
+patient will become quiet and drop to sleep, and instead of the pulse
+rising, as it will if he is recovering, it sinks, or does not appear if
+he has been pulseless, and the breathing becomes irregular and
+feeble&mdash;he is sinking. If aroused, he sinks back into the stupor in a
+few moments as before. <i>Laurocerasus</i> is a specific for this condition.
+It should be given once an hour until he is aroused.</p>
+
+<p>If, however, besides the stupor, the head is hot, the face red, the
+breathing oppressed, the pulse slow and sluggish, <i>Opium</i> is to be<span class='pagenum'><a name="Page_109" id="Page_109">[Pg 109]</a></span>
+used, and may be given in alternation with <i>Laurocerasus</i>.</p>
+
+<p>For the irritation of the brain, and furious delirium that sometimes
+sets in after the cessation of cholera symptoms, <i>Secale</i> and
+<i>Belladonna</i> in alternation will prove specific.</p>
+
+<p>Let the patient have warm or cold drink as he prefers, and let his
+covering be light or plentiful as is most agreeable. As soon as he gets
+easy, and the vomiting and purging cease, and his pulse begins to
+return, keep him quiet as possible, let the room be darkened and
+everything still, so that he may go to sleep, which he is inclined to
+do, this being the surest restorer. I am quite sure I have known several
+patients carried off by a return of the disease, after it had been
+effectually arrested, in consequence of sleep being prevented by the
+rejoicing officiousness and congratulations of friends, disturbing and
+preventing that early and quiet slumber which nature so much needs, and
+must have, or hopelessly sink. The diet for two or three days after
+recovery, should be a little oat meal gruel or rice.<span class='pagenum'><a name="Page_110" id="Page_110">[Pg 110]</a></span></p>
+
+
+<h4>Small Pox&mdash;Variola.</h4>
+
+<p>This disease begins with pain in the head and back, chilly sensations,
+followed by a high fever, so similar in all respects to a severe attack
+of Bilious or "winter" fever, that it is difficult or impossible to
+distinguish it with certainty, as Small Pox. The fact of the prevalence
+of the disease at the time, and the exposure of the patient, may lead
+the Physician and friends to suspect Small Pox. There is one very
+striking symptom of Small Pox, however, that exists from the beginning,
+which, though it may be present in fever simply, is not uniformly so.
+This is a severe and constant aching <i>pain in the small of the back</i>.
+The headache is also constant.</p>
+
+<p>The Small Pox is of two varieties or degrees, <i>distinct</i> and
+<i>confluent</i>. The <i>distinct</i> is when the pustules are separated from each
+other, each one a distinct elevation, with more or less space between
+them not affected by the eruption.</p>
+
+<p>The <i>confluent</i> is where the pustules spread out from their sides and
+run together, covering the whole surface as one sore.<span class='pagenum'><a name="Page_111" id="Page_111">[Pg 111]</a></span></p>
+
+<p>It may be distinct on some parts, as on the body, and confluent on
+others, as the arms, face, and parts most exposed to the air.</p>
+
+<p>In the <i>Distinct</i> variety the fever continues without abatement until
+the eruption appears, when it entirely subsides, and that quite
+suddenly. The eruption comes out about the third day of the attack,
+sometimes not discoverable until the end of the third or beginning of
+the fourth day. The eruption is at first very slight, beginning with
+small red pimples on the forehead, upper part of the cheeks, neck and
+upper part of the breast, extending by degrees to the arms, and other
+parts of the body and limbs. About the end of the fourth or forepart of
+the fifth day, the eruption is complete.</p>
+
+<p>There is a symptom, not mentioned in the books, which will often
+determine the disease before the occurrence of any eruption. It is the
+appearance of hard shot-like pimples, to be <i>felt under the skin</i> in the
+palms of the hands, while there is, as yet, no trace of eruption to be
+seen upon the surface.</p>
+
+<p>On the eighth or ninth day, the eruptions become vessicular, have
+flattened tops, and<span class='pagenum'><a name="Page_112" id="Page_112">[Pg 112]</a></span> contain a limpid fluid. The parts continue to
+swell, the eruptions to enlarge, and become filled with purulent matter,
+having a dark color at the top, up to about the fourteenth or fifteenth
+day, when they begin to flat down, to dry up, and some of the scabs
+become loose. At this time, some fever arises, often quite severe, with
+headache and other inflammatory symptoms. If the eruption is very
+severe, fever will be of corresponding violence, and lighter or wanting
+when the eruption is mild. This fever rarely lasts more than twenty-four
+hours, from which time the patient rapidly recovers.</p>
+
+<p>In the <i>Confluent</i> variety, all the symptoms are more violent, the fever
+continuing after the eruption begins. The pustules burst early, and run
+into each other, covering nearly or quite the whole skin; the surface
+swells and turns black or dark brown, the lungs are more or less
+irritated, producing cough, and not unfrequently the stomach is
+nauseated, and vomiting ensues.</p>
+
+<p>If the patient survives the irritation up to the fifteenth or sixteenth
+day, when the <i>secondary fever</i> sets in, he is liable to be taken<span class='pagenum'><a name="Page_113" id="Page_113">[Pg 113]</a></span> off
+by an affection of the brain or lungs, during this fever. If he
+recovers, his whole surface, especially that part exposed to air, is
+deeply pitted.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>As it is not often known for a certainty, in the early febrile stage,
+that it is the small pox, the treatment will be first adopted that would
+be proper for a like fever arising from other causes. But in all my
+observations in this disease, and they extend to several hundred cases,
+I have not found in a single instance, any of the ordinary fever
+remedies, such as <i>Aconite</i> and <i>Bell.</i>, which would be applicable for
+such symptoms in an ordinary case, to do any good in small pox. They are
+directed, however, for these symptoms by the authorities, in the febrile
+stage of the small pox; but I am quite sure they are not the proper
+remedies.</p>
+
+<p>From the great similarity, the almost absolute identity of small pox
+<i>headache</i> and <i>backache</i>, with the same symptoms developed by the
+<i>Macrotys racem.</i> as well as the nausea and restlessness produced by the
+drug, I was led<span class='pagenum'><a name="Page_114" id="Page_114">[Pg 114]</a></span> several years ago to the conclusion that this, or the
+<i>Macrotin</i> was valuable in small pox. Not only so, but during the
+prevalence of small pox in Cincinnati, to an extraordinary degree in the
+winter of 1849-50, I treated about one hundred cases, including both
+sexes, and all ages, from infants a few weeks old, to very old persons,
+giving the <i>Macrotin</i> to all, and had the good fortune to see <i>all</i> my
+patients recover. Since that time I have prescribed it for every case
+successfully.</p>
+
+<p>Having then, been entirely successful in so many cases, with this
+medicine, I am not inclined at this time to give any other the
+preference. I must admit, however, that though my patients all
+recovered, I was not able to greatly abridge the duration of the
+disease, nor to prevent the development of all the stages in their
+proper order, as is <i>claimed</i> by <span class="smcap">M. Teste</span>, for his use of <i>Mercurius
+cor.</i> and <i>Causticum</i>. I was satisfied with so far modifying the
+symptoms, as to enable my patients to live through, and come <i>out well
+in the end</i>. I would then direct, if small pox is suspected, the patient
+having been exposed to contract it, or from the peculiarity of the
+symptoms,<span class='pagenum'><a name="Page_115" id="Page_115">[Pg 115]</a></span> in the early stage, or when the disease is discovered after
+the eruption, to give <i>Macrotin</i> at the first trituration, in one grain
+doses, once in two hours, while the fever, headache and backache
+continue, after which, during the whole course of the disease, give it
+three times a day. This will prevent the development of a dangerous
+secondary fever, as well as irritation of the lungs, stomach or bowels.
+In addition to this medicine I give the patients daily, from half an
+ounce to two ounces of <i>pure</i> (<i>unrancid</i>) <i>Olive oil</i>. This serves to
+prevent the development of pustules in the throat, lungs and stomach; is
+more or less nutritious, and keeps the bowels in a healthy condition.
+Wash the surface once a day in weak soap suds, following it with a bath
+of milk and water, and keep cloths moistened with warm milk and water,
+constantly upon all parts that are exposed to the air, lubricating the
+surface with <i>Olive oil</i> after the bath of milk and water. This keeps
+the surface quite comfortable.</p>
+
+<p>The best diet is corn or oat meal mush and molasses, to be taken in
+small quantities.<span class='pagenum'><a name="Page_116" id="Page_116">[Pg 116]</a></span> Cold water is the proper drink, though it should not
+be very cold.</p>
+
+<p>The room should, at all times, be well ventillated, but in cold or cool
+weather, sufficient fire must be kept up, to keep the room warm and dry.
+A temperature of about 65&deg; is the best. Hardly any thing can be worse
+for a small pox patient than to be in a cold or damp room, and to
+breathe <i>cold</i> air. Uniform temperature is important.</p>
+
+<p>If the eruption is tardy about appearing, or after it is out, a
+recession takes place, the Alcoholic Vapor bath will soon bring it out.
+(See Rheumatism p. <a href='#Page_30'><b>30</b></a>).</p>
+
+<p>Occasionally the feet and limbs below the knees, will swell
+prodigiously, and become extremely painful, causing the principal
+suffering. For this, wrap the feet and legs in cloths wet in a strong
+solution of Epsom salts, quite warm, and cover with flannels so as to
+keep them warm. This will afford immediate relief, and reduce the
+swelling in a day or two. The finely pulverized Epsom salts, dry,
+sprinkled on the pustules, will very often prevent pitting. It is the
+safest and surest remedy of which I have any knowledge.<span class='pagenum'><a name="Page_117" id="Page_117">[Pg 117]</a></span></p>
+
+
+<h4>Varioloid</h4>
+
+<p>is small pox modified by vaccination. It is to be treated as a mild case
+of small pox. The <i>Macrotin</i> has been used with apparent success as a
+prophylactic (preventive) to small pox, taken three times daily.</p>
+
+
+<h4>Painful Urination, Incontinence of Urine,</h4>
+
+<p class="center"><i>Involuntary Urination.</i></p>
+
+<p>Where the discharge of urine produces smarting and burning of the
+urethra, <i>Cantharis</i> is the remedy. Where there seems to be an over
+secretion of acrid urine, producing inflammation of the neck of the
+bladder, known by pain in the glans penis, <i>Copaiva</i>, and <i>Apis mel.</i>
+are the remedies. If there appears to be a partial palsy of the neck of
+the bladder, the discharge taking place in sleep, <i>Podophyllin</i> is the
+surest remedy. I have cured some bad cases by the use of these three
+remedies, given in rotation three or four hours apart.</p>
+
+<p>Injections of a solution of borax into the bladder, have, in several
+cases, been sufficient to effect a perfect cure, without any other
+remedy. This may be used in con<span class='pagenum'><a name="Page_118" id="Page_118">[Pg 118]</a></span>nection with the other remedies. For
+painful urination with a distressed feeling in the neck of the bladder,
+causing a constant disposition to evacuate urine, the <i>Alth&oelig;a
+Officinalis</i> is a certain remedy; it acts like a charm. It is an
+important remedy for inflammation of the bladder. A good mode of using
+it is in form of a warm infusion in doses of a table spoonful every half
+hour or hour, according to the urgency of the symptoms. The <i>Alth&oelig;a
+Rosa</i> (Hollyhock) may be used as a substitute, though it is not as good.
+Every family should cultivate the <i>Alth&oelig;a Officinalis</i> (Marsh
+Mallow), so that the fresh green root, which is the best, can be
+procured at any time. I have been able to relieve patients with it,
+especially females, when all other remedies seemed unavailing. It is
+particularly useful for urinary difficulties of pregnant females.</p>
+
+
+<h4>Neuralgia.</h4>
+
+<p><i>Aconite</i> and <i>Bell.</i> are two important remedies in this affection. If
+given low, and applied directly along the course of the affected nerves,
+at full strength of the tincture,<span class='pagenum'><a name="Page_119" id="Page_119">[Pg 119]</a></span> they will almost always effect a
+cure. The proper way to use them is to give them internally at the
+second dilution, at intervals of fifteen to thirty minutes, when the
+pain is severe and nearly constant, and apply <i>Aconite tincture</i> as hot
+as practicable over the course of the nerve, by means of wet cloths, for
+an hour or two hours, and if the pain has not subsided use <i>Bell.</i>
+locally in the same manner.</p>
+
+<p>If the Neuralgia is periodical, coming on at regular intervals,
+<i>Arsenicum</i> and <i>China</i> are the remedies, and they should be used
+externally as directed for the others, both at the first dilution, and
+given internally at intervals, in proportion to the violence of the
+symptoms, the <i>Arsen.</i> at the 3d and the <i>China</i> at the first dilution.
+If the patient has used alcoholic drinks to excess, <i>Nux</i> is to be used
+in place of Arsenicum.</p>
+
+<p><i>Periodical Neuralgia</i> generally requires the same treatment as ague. In
+females when there is uterine disease, <i>Pulsatilla</i> and <i>Macrotin</i> are
+the remedies to be used, as directed above.<span class='pagenum'><a name="Page_120" id="Page_120">[Pg 120]</a></span></p>
+
+
+<h4>Jaundice.</h4>
+
+<p>This disease depends upon derangement of the liver. The skin and whites
+of the eyes become yellow; the patient grows weak, loses his appetite,
+is dull and sluggish in all his actions, melancholly and discouraged in
+his moods.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Mercurius</i> and <i>Podophyllin</i> given in alternation, each twice a day,
+will nearly always effect a cure. If the patient is costive, <i>Nux</i>
+should be taken at night, until his bowels become regular.</p>
+
+<p>Bathing the surface daily, or oftener, is a very important measure in
+the treatment of this affection. As often as once in two or three days,
+an alkaline bath should be taken. If the patient has fever every day, or
+once in two days, ever so slight, <i>China</i> should be used with
+<i>Podophyllin</i>. If he has been drugged with Mercury in any form, in large
+doses, even six months or a year before, give <i>Hydrastin</i> in place of
+Mercurius.</p>
+
+
+<h4>Itch.</h4>
+
+<p>I shall say but little about this very common and very obstinate
+affection. Every<span class='pagenum'><a name="Page_121" id="Page_121">[Pg 121]</a></span>body has a "cure for itch" yet nobody cures it short of
+the use of <i>Sulphur</i> in some form. Though the attenuations of Sulphur
+may sometimes cure itch, it must be acknowledged that such cures are so
+rare in this country, and the time requisite to accomplish it is so
+long, as a general rule, that few will trust them.</p>
+
+<p>The most successful remedy, and the one that will always cure quickly,
+if at all, is <i>Hepar Sulphurus Potassium</i>, the common Hepar Sulphur
+(sulphuret of Potassa) of the shops. To succeed with it most certainly,
+let the patient be thoroughly bathed with warm soap suds, <i>quite
+strong</i>, in a room at the temperature of 90 to 100&deg;, continuing the
+bathing and <i>rubbing</i> for an hour or more, then dry off the surface with
+soft cloths, and apply the <i>Hepar sul.</i> with water, at the strength of
+thirty drops of the strong alcoholic solution, with a gill of water,
+wetting every eruption on the whole surface and let it dry on. This
+causes some smarting, but it is effectual; it kills the <i>acarus</i>, (itch
+animalcule) and in a few days the sores heal, the itching all subsides
+immediately. If every pustule has not<span class='pagenum'><a name="Page_122" id="Page_122">[Pg 122]</a></span> been touched, those left may
+continue to itch, in which case, a second application is necessary.
+<i>Hepar Sul.</i> should be given internally at the third dilution, for a
+month, once a day, after the baths. Avoid greasy food. For the</p>
+
+
+<h4>Scald Head</h4>
+
+<p>of children, where there is a discharge of yellow and watery pus from
+the sores, and the eruption extends to the ears or face, like the
+disease called the <i>crusta lactea</i> (milk crust), the same washes as for
+itch, are the most effectual, while at the same time, and for a month or
+two, the child should have <i>Hepar Sul.</i> 5th at night, and <i>Petroleum</i> 3d
+in the morning. Daily ablutions of the head with warm soap suds, and
+keeping it covered, are absolutely essential.</p>
+
+
+<h4>Carbuncle.</h4>
+
+<p>This affection, though it somewhat resembles a common boil, and is by
+some writers considered only such, in an overgrown state, is,
+nevertheless, far from being identical with it.</p>
+
+<p>While a <i>boil</i> is only a sanitive effort of nature to eliminate the
+cause of a morbid<span class='pagenum'><a name="Page_123" id="Page_123">[Pg 123]</a></span> process, and tends to a spontaneous, healthy
+termination, the <i>carbuncle</i>, on the contrary, is the very essence of
+disease; its constant tendency being towards the dissemination of
+diseased action, causing destruction of the parts affected. It, in fact,
+appears like a parasite, living by the destruction of surrounding
+tissues, literally absorbing them and "thriving on death." It begins
+with a red, livid color, slight aching and burning pains, the part
+swells and is elevated some like a boil, except that it does not
+"point," but has a broad base rising like a cone and flattened at the
+top. It feels soft and spongy, and will appear to fluctuate, but if
+punctured, blood only flows. The pain and burning increases rapidly, and
+sooner or later several openings appear upon the top, varying from three
+or four to half a dozen or more, looking like the holes in a sponge, out
+of which issues a fluid like thin gruel. Instead of becoming easier
+after the suppuration begins, as is the case with a boil, the burning
+increases to an alarming and unbearable extent; cold chills, loss of
+appetite, great depression of spirits, general nervous<span class='pagenum'><a name="Page_124" id="Page_124">[Pg 124]</a></span> and muscular
+debility come on. The tumor continues to discharge, turns purple;
+gangrene beginning in the carbuncle extends to other parts and death
+follows.</p>
+
+<p>The disease is nearly always confined to quite feeble persons and those
+past the meridian of life; but I have seen it on younger though feeble
+patients. It is generally located on the back, occasionally on the head,
+where it is very dangerous from its liability to affect the brain.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>If treated very early, <i>strong tincture of Arnica</i> applied to the
+surface of the carbuncle, by cloths wet and laid over the tumor, will
+often arrest it so that the swelling will not be developed to the
+suppurative stage. However, to reap any benefit from <i>Arnica</i>, it must
+be applied while the pain is not severe, and the parts only feel bruised
+and tender to pressure, like a common bruise.</p>
+
+<p>After the ulceration occurs, <i>Arsenicum</i> is the great remedy to be
+relied on. It should be given at the second or third attenuation as
+often as every three hours, when the pain is severe, and applied to the
+surface of the<span class='pagenum'><a name="Page_125" id="Page_125">[Pg 125]</a></span> carbuncle freely by cloths laid over it, wet in the
+first dilution, or by sprinkling the first trituration of the oxyde
+(1-10) freely upon the open surfaces, so that it may penetrate into the
+open mouths or orifices. Over this powder apply an emolient poultice, or
+soft cloths wet in water hot as can be endured. This will soon allay or
+greatly lessen the pain. It should be repeated as often as any of the
+burning pain peculiar to the carbuncle returns, until the tumor
+suppurates in a tolerably healthy manner; then lessen the strength of
+the <i>Ars.</i> applications, and continue them until it has the appearance
+of a healthy abscess, when only simple dressings are necessary. Some may
+suppose such strong applications injurious, but I can assure them from
+abundant experience, that there is not the slightest danger. The
+carbuncle should <i>never be punctured</i> or <i>cut into</i>. Such operations
+always make them worse, and induce a more rapid approach to gangrene.</p>
+
+<p>The patient should have nourishing food, and good native wine may be
+taken in mod<span class='pagenum'><a name="Page_126" id="Page_126">[Pg 126]</a></span>erate quantities, by a very feeble person, with decided
+advantage.</p>
+
+<p>Though the knife operations for the removal of carbuncle are always
+injurious, the chemical effect of <i>Potash</i> is frequently most
+beneficial. I have, in repeated instances, applied to the ulcerated
+surface, <i>caustic potash</i> freely, allowing the dissolved caustic to
+penetrate to the very "core" by running into the orifices. At first it
+would produce some smarting, but the pain is different from that of the
+carbuncle, and the change is agreeable rather than otherwise. Soon after
+the application all pain ceases, and the tumor, under the use of a
+poultice, begins to slough off in a few days, leaving a raw surface,
+disposed to heal kindly. Occasionally, however, the healing process is
+tardy, when <i>Arsenicum</i>, at the third, applied and taken internally,
+will soon effect a cure.</p>
+
+<p>I have occasionally used <i>Hepar Sul.</i> with good effect in the latter
+stage.</p>
+
+
+<h4>Felon&mdash;Whitlow.</h4>
+
+<p>For this disease, in the early stage, when the sensation is that of
+sharp, sticking pain, feeling as though a brier or thistle was in the<span class='pagenum'><a name="Page_127" id="Page_127">[Pg 127]</a></span>
+finger, immerse the part in water as hot as possible, into which put
+common salt as long as it will dissolve; hold it in this <i>hot</i> salt bath
+for an hour or more at a time, and when removed, apply finely pulverized
+salt, wet in <i>Spirits of Turpentine</i>; bind on the salt with several
+thicknesses, and keep it constantly wet with the sp'ts turpt. for
+twenty-four hours, when, if all symptoms of felon are gone, no further
+treatment is necessary. As a general rule, the hot bath should be
+repeated three times a day, especially if the symptoms have existed for
+several days and there is much pain or swelling, and the dressings
+should be kept on as above directed for several days, more or less,
+until all symptoms disappear.</p>
+
+<p>I am quite confident that a large majority, if not all, of the cases if
+thus treated at any time before pus is formed, will be discussed and
+cured. If pus has begun to form before the treatment is commenced, this
+will not <i>cure</i> the felon, but it is good treatment, especially the hot
+bath, as it will greatly lessen the pain.<span class='pagenum'><a name="Page_128" id="Page_128">[Pg 128]</a></span></p>
+
+<p>By holding it in hot water for an hour or two each day, the suppurative
+process will be hastened, and as soon as the pus can be felt at any
+point, fluctuating, puncture and let it out; then continue the hot bath,
+with <i>Calendula</i> (<i>Marygold</i>) flowers in the water, keeping the part all
+the time warm and moist.</p>
+
+<p>For the restless and nervous irritability that frequently occurs,
+especially in females, <i>Aconite is the best remedy</i>. It should be given,
+one drop of the tincture to a gill of water, in teaspoonful doses, once
+in one or two hours, and the same applied to the sore.<span class='pagenum'><a name="Page_129" id="Page_129">[Pg 129]</a></span></p>
+
+
+
+<hr style="width: 65%;" />
+<h2><a name="DISEASES_OF_FEMALES" id="DISEASES_OF_FEMALES"></a>DISEASES OF FEMALES</h2>
+
+<h4>Suppression of the Menses, (Amenorrh&oelig;a.)</h4>
+
+
+<p>For sudden suppression from taking cold, as by wetting the feet, there
+being headache, more or less fever, the pulse frequent and variable,
+pains in the small of the back and cramp like pains in the pelvic
+region, give, in alternation, <i>Aconite</i> and <i>Pulsatilla</i>, as often as
+every fifteen or twenty minutes in a violent case, and at longer
+intervals as the patient begins to get easy. Putting the feet into hot
+water, or taking a hot Sitz bath is very useful. If the patient is sick
+at the stomach, as is often the case, give lukewarm water freely and let
+her vomit; after which let her drink freely of water as hot as it can be
+safely swallowed, adding milk and sugar to make it palatable. The good
+effects that are often attributed to and experienced from the use of
+various hot teas in this affection, are, in my opinion, attributable
+more to the hot fluid alone than to any specific medicinal virtue in the
+substance of which tea is made.<span class='pagenum'><a name="Page_130" id="Page_130">[Pg 130]</a></span> At all events, very <i>hot</i> drink with
+nothing but water, milk and sugar, is equally efficacious, and my
+medicine (a few grains of sugar of milk) put into the hot water,
+seasoned as above, has often obtained great credit, when the <i>hot water</i>
+was alone worthy. Rubbing the loins and abdomen briskly downwards with
+the hands of a healthy and vigorous nurse, will often excite the
+menstrual flow after a sudden suppression. If the head is hot, the face
+full and red, and the arteries of the neck and temples beat violently,
+give <i>Bell.</i> with <i>Pulsatilla</i>, and if the lungs are oppressed, use also
+<i>Bryonia</i>, giving the three in rotation. If, after the menstrual flow
+begins, there is still much pain in the pelvic region, give
+<i>Caulophyllin</i>, which will immediately afford relief.</p>
+
+<p><i>Apis mel.</i> is very servicable in suppressed menses of several days, or
+even weeks duration, where there is fever, redness of the face, and pain
+in the head, and pains in the hips extending to the limbs, especially if
+there is any tendency to bloating of the abdomen and swelling of the
+limbs or feet. It acts <i>promptly</i> and <i>efficiently</i>.</p>
+
+<p>If the suppression has been caused by sudden fright or any strong mental
+emotion, <i>Veratrum</i> should be given in connection with the two former
+medicines. Should there be great fullness of the vessels of the head, or
+bleeding at the nose, <i>Bryonia</i> with <i>Pulsatilla</i><span class='pagenum'><a name="Page_131" id="Page_131">[Pg 131]</a></span> are to be used.
+<i>Bell.</i> is also useful in this case if the pain in the head is
+throbbing, especially if any delirium is present.</p>
+
+<p>For suppression in young females, of several months duration, I have
+used, with much success, <i>Podophyllin</i> and <i>Macrotin</i>, one at night, the
+other in the morning, giving them for two or three weeks before the
+proper time for a return, and a day or two prior to the time, give also
+<i>Pulsatilla</i>, and give the three in rotation, a dose every six hours.</p>
+
+<p>This practice has been successful with me in cases of long standing and
+apparently obstinate character. Where there is other disease, as an
+affection of the liver, lungs or stomach, this must be treated and
+cured, or the menses will not probably return. Great care should be
+exercised to keep the patient's feet and limbs warm, as upon this may
+depend her future health.</p>
+
+
+<h4>Dysmenorrh&oelig;a.&mdash;Painful Menstruation.</h4>
+
+<p>For this disorder, I know of no one remedy so valuable as the
+<i>Caulophyllin</i>, but <i>Pulsatilla</i> in many cases is efficacious, and as
+they do not prevent each other's action, I prescribe them in
+alternation, giving a dose every half hour, for a short time during the
+paroxysm, or until the pain abates to some extent, then every hour.<span class='pagenum'><a name="Page_132" id="Page_132">[Pg 132]</a></span></p>
+
+<p>If there is pain in the head, sickness at the stomach, a kind of sick
+headache, as is often the case, with painful menstruation, <i>Macrotin</i>
+should be used with the others; <i>Ipecac</i> is the <i>Specific</i> for an
+excessive flow of the menses with great pain, especially if the stomach
+is nauseated. It should be given as low as the first dilution, and the
+tincture, in water, in the proportion of thirty drops to half a pint,
+injected into the vagina quite warm.</p>
+
+<p>The application of extract of <i>Belladonna</i> to the neck of the uterus
+will often produce immediate and perfect relief. After the patient is
+relieved from the painful paroxysm, she should be treated so as to
+prevent a return of the pains at the next monthly period. <i>Pulsatilla</i>,
+<i>Caulophyllin</i> and <i>Podophyllin</i> are the three medicines that are most
+certain to effect this object. They are to be given, one medicine each
+day, a dose at night for three weeks, then morning, noon and night,
+until the time for the return of the menses, when they should be used
+oftener if there is pain. If the patient is inclined to be costive,
+<i>Nux</i> should be given at night for a few days before the menstrual
+period, in place of <i>Pulsatilla</i>.</p>
+
+
+<h4>Menorrhagia&mdash;Profuse Menses&mdash;Flowing.</h4>
+
+<p>For this affection, <i>Ipecac</i> and <i>Hamamelis</i> are the specifics. They
+should be taken<span class='pagenum'><a name="Page_133" id="Page_133">[Pg 133]</a></span> alternately, at intervals of from half an hour to two
+hours apart, according to the urgency of the symptoms, and the
+<i>Hamamelis</i> injected into the vagina. These will nearly always arrest
+the flooding immediately. <i>Secale</i> should be used either alone or with
+the above medicines, if there are bearing down pains like labor pains,
+and sickness at the stomach in spite of the Ipecac. <i>Ipecac</i> alone is
+often sufficient.</p>
+
+
+<h4>Nursing Sore Mouth.</h4>
+
+<p>Sore mouth of nursing women, as the name of the disease indicates, is
+peculiar to women who are suckling children. It is an inflammation of
+the mouth, tongue and fauces, which sometimes comes on during pregnancy,
+several months or but a few days before the birth of the child. It
+generally, however, makes its first appearance when the child is a few
+weeks old, and sometimes not till after the lapse of several months. In
+some cases the tongue and inside of the mouth ulcerate, and the
+irritation extends to the stomach and bowels, producing distressing and
+dangerous inflammation of these parts, with severe and obstinate
+diarrh&oelig;a.</p>
+
+<p>For the sore mouth, before diarrh&oelig;a begins, give <i>Eupatorium Aro.</i>
+and <i>Hydrastin</i>, in alternation, a dose once in three hours,<span class='pagenum'><a name="Page_134" id="Page_134">[Pg 134]</a></span> and wash
+the mouth with the same, each time. After the diarrh&oelig;a occurs, use
+<i>Podophyllin</i> with the other medicines, giving them in rotation, three
+hours apart. It is best to give a dose of <i>Podophyllin</i> night and
+morning.</p>
+
+<p>I have treated very bad cases of this disease that had been running for
+more than a year, and been treated with the ordinary remedies directed
+in the Hom&oelig;opathic authorities without any permanent benefit, curing
+them perfectly in ten days with <i>Podophyllin</i> and <i>Leptandrin</i>, giving
+them in alternation at the 1st attenuation in half grain doses, at
+intervals of from four to eight hours according to the frequency of the
+evacuations. These two remedies are almost certain to arrest <i>Chronic
+Dysentery</i> where there is ulceration of the lower portion of the rectum,
+a peculiar distress felt at the stomach just before stool, with <i>sudden</i>
+rush of the evacuations and inability to control the inclination even
+for a few minutes, with a feeling of faintness after the stool.</p>
+
+<p><i>Leptandrin</i> is the specific for the Dysentery that often succeeds
+cholera, and these two, <i>Pod.</i> and <i>Lept.</i>, are almost certain to
+relieve the "Mexican Diarrh&oelig;a," as well as that connected with the
+fevers along the Mississippi river.<span class='pagenum'><a name="Page_135" id="Page_135">[Pg 135]</a></span></p>
+
+
+<h4>Mammary Abscess,</h4>
+
+<p class="center">(<i>Ague in the breast&mdash;Inflamed breast</i>.)</p>
+
+<p>This is a disease peculiar to nursing women. The first symptom is a
+slight pain or soreness in some part of the "breast," which continues to
+increase for a day or two, when a chill, more or less severe, sets in,
+followed by high fever and quick pulse, headache and great restlessness.
+The gland swells and becomes very painful. This is generally a disease
+of rather slow progress, running eight or ten days and sometimes two or
+three weeks before abscess forms and "points" to the surface.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p><i>Phosphorus</i> is to be taken internally, and the first dilution put in
+water, twenty drops to one gill, and applied to the surface by means of
+cloths wet in the mixture, as hot as it can be borne, and laid over the
+whole breast. If this is done and the medicine given internally every
+hour, as early as the first and frequently as late as the second or
+third day, it is quite sure to remove the disease and prevent an
+abscess. It is best to use it even much later. In fact it often succeeds
+as late as the fifth or sixth day, and if it does not prevent the
+abscess, it so far palliates the severe symptoms as to render the pain
+but slight and keep the patient comfortable.<span class='pagenum'><a name="Page_136" id="Page_136">[Pg 136]</a></span></p>
+
+<p>An application of the Tincture of Cantharides diluted with water and
+applied to the breast by cloths wet in it, to the extent of producing
+considerable redness and even eruptions, and the second dilution of the
+same taken in drop doses every three hours, has proved successful in
+subduing the inflammation after <i>Phos.</i> had failed, and it was supposed
+an abscess would form in spite of any treatment.</p>
+
+<p>I recently succeeded in giving perfect relief with <i>Apis Mel.</i>
+internally, applying it externally after the pain and swelling was very
+great. I am of opinion that the <i>Apis</i> is a valuable remedy.</p>
+
+<p><i>After abscess forms</i> as soon as the pus can be felt at any point, soft
+and fluctuating under the skin, <i>puncture</i> and let it out, then poultice
+it for a few days until it heals, giving <i>Phosphorus</i> and applying it to
+the sore. In <i>puncturing</i>, always be <i>very particular</i> to have the
+lancet or knife enter so that the edge will look towards the point of
+the nipple, so as not to cut <i>across</i> the milk ducts, which all run
+toward that point, and if cut off will close up so that the milk which
+may be secreted at any future time cannot get out, and swelling, pain
+and severe inflammation, abscess and ulceration will be the consequence;
+whereas, if the cut is made lengthwise of the ducts, very few, if any
+will be cut off, and all future danger<span class='pagenum'><a name="Page_137" id="Page_137">[Pg 137]</a></span> will be avoided. Apply an elm
+poultice from the beginning to the end of treatment. For malignant
+ulcers of the breasts, the <i>Cornus Sericea</i> is a most potent remedy. It
+is to be taken internally at the first dilution, and applied in strong
+infusion or diluted <i>Tr.</i> of the bark to the sore.</p>
+
+
+<h4>Sore Nipples.</h4>
+
+<p>This affection of nursing women frequently comes on before the birth of
+the child, but generally does not make its appearance until after the
+suckling has continued for a week or more. It seems in some cases to be
+connected with the aphth&aelig; (sore mouth) of the child, or at least to be
+aggravated by contact with the sore mouth; on the other hand it
+sometimes seems as though the sore nipples produced the sore mouth of
+the child.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>I treat both the nipple and the child's mouth with the same remedy
+<i>Eupatorium aro.</i>, applied at the strength of 6 drops of the tincture,
+to a teaspoonful of water, the application being made by a soft cloth,
+wet and laid over the nipple; give drop doses of the same strength
+internally every three hours, which will, in nearly all cases effect a
+cure in one or two days. The child's mouth should be wet with the same<span class='pagenum'><a name="Page_138" id="Page_138">[Pg 138]</a></span>
+each time just before nursing. The oil from the pit of the butter nut,
+(Juglan's Cinerea,) obtained by heating the pit and pressing out the
+oil, applied to the nipple, will generally cure it after 3 or 4
+applications about six hours apart. The child may take hold when the oil
+is on, without danger. This remedy is sufficient in nearly all cases.</p>
+
+
+<h4>Leucorrh&oelig;a and Prolapsus Uteri&mdash;Whites, Female Weakness.</h4>
+
+<p>The disease depends in all cases upon <i>inflammation</i> of the uterus, or
+vagina, or both.</p>
+
+<p>The inflammation may be simply in the neck of the uterus extending to
+the posterior surface of the vagina, or the latter may not be affected;
+or it may extend to the whole internal surface of the uterus, producing
+swelling of that organ, both the fundus and neck.</p>
+
+<p>The swelling may be confined mostly to the fundus, causing it to be too
+large for the space it ordinarily fills, hence there will be more or
+less <i>displacement</i> of the womb, and crowding upon other parts, as the
+bladder or rectum. In some cases, the swelling is more on one side than
+on the other, so that it will be crowded over to the opposite side.
+These displacements are often called <i>prolapsus uteri</i>, or "<i>falling of
+the womb</i>,"<span class='pagenum'><a name="Page_139" id="Page_139">[Pg 139]</a></span> carrying the idea that the difficulty depends upon a morbid
+relaxation of the ligaments that support the organ. Not one case in a
+hundred is of this latter character, but nearly, if not all, depend upon
+the inflammation and swelling above mentioned. How futile then, not to
+say <i>hurtful</i>, must be all instruments for, and all attempts at
+replacing and supporting it by <i>force</i>! All such mechanical meddling is
+injurious, and should, with all the "supporters," be condemned and
+discarded.</p>
+
+<p>They may afford temporary relief, but this is at the expense of future
+health. Cure the disease, relieve the inflammation, and nature will
+replace the organ. Leucorrh&oelig;a is always present where there is
+ulceration of the neck of the womb, and this ulcerated condition exists
+to a greater or less extent, in many cases where it is not suspected by
+the patient. It is vastly more prevalent than is generally supposed. The
+<i>symptoms</i> are numerous. Among the more prominent are a sense of weight
+and bearing down in the pelvis, pains extending down the limbs, aching
+and weakness of the small of the back, headache, more or less gastric
+disturbance, dyspepsia, the food souring on the stomach. There is often,
+especially when there are ulcers on the parts, a distressing sense of
+heat or a smarting sensation. The menstrual function is<span class='pagenum'><a name="Page_140" id="Page_140">[Pg 140]</a></span> frequently
+deranged, the bowels costive, the urethra, by being pressed, becomes
+irritable and burns and smarts whenever the urine is evacuated. The
+sleep is disturbed and unrefreshing, and the whole nervous system is
+unstrung.</p>
+
+<p>The discharge from the diseased surfaces, in an ordinary case without
+ulceration, is of a mucous or muco-purulent character, not unlike an
+ordinary catarrhal secretion. When ulceration exists it is dark, fetid
+or bloody, or sanious and purulent, sometimes it is acrid, excoriating
+the parts.</p>
+
+
+<h3>TREATMENT.</h3>
+
+<p>Inflammation or ulceration, either acute or chronic, in these parts does
+not differ essentially in its characteristics from the same affection in
+other mucous surfaces.</p>
+
+<p>The proper treatment for a catarrh of other mucous surfaces will be
+applicable to these, though there is no doubt but that some medicines
+are more specifically adapted to these than to other organs.</p>
+
+<p>In the early stage of the complaint, while the inflammation is acute, or
+sub-acute, the discharge thin or white, <i>Copaiva</i> and <i>Macrotin</i> are to
+be given once in 6 hours alternately. During the same time let
+injections into the vagina of warm soap and water be used twice a day,
+to cleanse the parts of the secretion, followed in half an<span class='pagenum'><a name="Page_141" id="Page_141">[Pg 141]</a></span> hour by a
+wash of warm water, into which <i>tr. of Macrotys</i> has been put in
+proportion of 40 drops to half a pint. The application should be made
+with an 8 ounce or at least 6 ounce curved pipe syringe, so as to throw
+it with considerable force. If there is a burning sensation, use the
+washes quite warm, until the heat of the parts is allayed. Avoid the use
+of <i>cold</i> injections as long as any inflammation exists. If the bearing
+down is present with burning in the parts, <i>Bell.</i> is to be used in
+rotation with the two former remedies. If the sensation is that of
+smarting, <i>Cantharis</i> is to be used in place of Bell.</p>
+
+<p>Where the disease comes on soon after child-birth, <i>Podophyllin is the
+Specific</i>. It is to be given at the first attenuation three times daily
+in half gr. doses of the trituration. In this case let the parts be
+freely washed daily with a solution of borax, quite warm. In the
+<i>chronic</i> form of the disease, especially where <i>barrenness</i> exists,
+<i>Macrotin</i>, <i>Podophyllin</i> and <i>Hydrastin</i>, given morning, noon and
+night, in the order named, will, in nearly all cases, afford relief.</p>
+
+<p>For females who have never borne children, give <i>Phos. acid</i>, 2d and
+<i>Eryrgium Aquaticum</i> 1, night and morning for a week, and then give them
+at the 3d dilution until the symptoms subside. If there are headache and
+derangement of<span class='pagenum'><a name="Page_142" id="Page_142">[Pg 142]</a></span> the stomach, <i>Macrotin</i> and <i>Podophyllin</i> should be
+used, each once a day, between the latter remedies. When the discharge
+is colored and the pains darting, cutting or smarting, indicating
+ulceration, or if ulceration is discovered by examination, use
+<i>Macrotin</i> and <i>Hydrastin</i> internally, injecting the latter upon the
+affected parts freely. The ulcerated surfaces should be well washed off
+every day with soap and water, or a solution of borax, and the medicine
+(<i>Hydrastin</i>) in form of infusion, used half an hour after the other
+wash. If the neck of the womb looks dark, and is ulcerated, or is hard
+and painful to the touch, especially on probing the cavity, <i>Cornus
+Sericea</i> must be used both as a wash to the parts, and at the first
+dilution internally, using them twice a day. This remedy will often cure
+malignant cases.</p>
+
+<p>It takes a long time in some instances to cure a chronic case, but if
+persevered in, these remedies will not be likely to fail.<a name="FNanchor_2_2" id="FNanchor_2_2"></a><a href="#Footnote_2_2" class="fnanchor">[2]</a></p>
+
+
+<p><span class='pagenum'><a name="Page_143" id="Page_143">[Pg 143]</a></span></p>
+
+
+<h4>Morning Sickness of Pregnant Females.</h4>
+
+<p>The most efficient and certain remedy for this symptom is <i>Macrotin</i>. It
+should be taken at the first attenuation, a dose before rising in the
+morning, and one every six hours during the day, as long as the sickness
+is troublesome. It will generally relieve in a few days. If the stomach
+is sour use <i>Pulsatilla</i> with the <i>Macrotin</i>.</p>
+
+<p>As a <i>preparation for labor</i>, a dose (one grain) of <i>Macrotin</i> at the
+first attenuation given in the morning, and the same of <i>Caulophyllin</i>
+at evening, is of great service.</p>
+
+<p>Whatever others may think or say in relation to any preparatory
+treatment for labor, I have reason to know as well as anything in
+medicine be known, that patients treated as here directed, pass through
+labor much quicker, frequently in one-fourth the usual time. Their
+sufferings are comparatively trifling, and the length of time for
+recovery to ordinary health after labor is abridged from three-fourths
+to nine-tenths that of former labors. I am quite confident that the
+medicines produced this difference.</p>
+
+<p>For <i>irregularity of labor pains</i>, and for distressing <i>after pains</i>,
+the <i>Caulophyllin</i> is specific.</p>
+
+<p>During labor it should be given at the 2d attentuation in about half
+grain doses, every half hour, until the pains are regu<span class='pagenum'><a name="Page_144" id="Page_144">[Pg 144]</a></span>lar. Two or three
+doses at most, and generally one will suffice.</p>
+
+<p>For the after pains it may be given in alternation with <i>Ipecac</i> or
+<i>Aconite</i> if there is flooding, or with <i>Pulsatilla</i> when the flooding
+is not troublesome, a dose once in half an hour, until the pains are
+checked.</p>
+
+<p>For <i>Rigidity</i> of the soft parts and severe, <i>retarded and long
+protracted labor</i>, where the pains are strong and irregular, and great
+pain and exhaustion is experienced on account of the unyielding
+condition of the parts, <i>Lobelia Inflata</i> given in drop doses of the tr.
+in water, once in twenty minutes, in alternation with <i>Caulophyllin</i> as
+above directed, will in a short time produce the proper condition of the
+parts, while they render the pains stronger, regular and progressive.</p>
+
+<p>In urgent cases I have given the medicines every 5 or 10 minutes, with
+decided benefit.</p>
+
+
+<h4>A Useful Hint to Mothers.</h4>
+
+<p>Children push beans, peas, corn, &amp;c., into the nose and ear, causing
+much alarm. To remove such a body take a syringe that works tightly, put
+the end of the pipe against the bean, shot, or other substance, draw
+back the piston so as to <i>suck</i> up the article firmly as the pipe is
+withdrawn from the cavity.<span class='pagenum'><a name="Page_145" id="Page_145">[Pg 145]</a></span></p>
+
+
+<h3>LOCAL APPLICATIONS.</h3>
+
+<p>That medicines act locally, that is, manifest their symptoms by peculiar
+derangement or disturbance of some particular part of the system, more
+prominently than of any other part, for the time, no one will deny. That
+each one has some particular locality or tissue upon which its action is
+more perceptible than anywhere else, is equally undeniable, and that the
+prominent symptoms are often external and local, is also true. Yet, with
+these truths clearly demonstrated, there are those of our school who
+discard the external or local application of all remedies except
+<i>Arnica</i>.</p>
+
+<p>Why this is done, is difficult to determine, unless we can believe that
+such physicians suppose it to be <i>heresy</i> to make use of any remedy in a
+different manner from what was recommended by the "Father of
+Hom&oelig;opathy," and abjure all possibility of <i>improvement</i> in our
+practice.</p>
+
+<p>That nearly if not all medicines, may be applied externally with
+advantage, when there are local manifestations similar to those produced
+by the drugs, there can be no doubt in the mind of any sensible man.
+That they will act favorably when so used is <i>reasonable</i>, as a matter
+of theory, and that they do, as a matter of fact, has been <i>proven</i> to
+my mind, by abundant experience in their use. Therefore, I hesitate not
+to recommend the practice<span class='pagenum'><a name="Page_146" id="Page_146">[Pg 146]</a></span> to others. Medicines must act either by
+combination with the affected part, or by <i>Catalysis</i>, changing the
+molecular action of the living tissues. In either case, they must come
+directly in contact with the part to be affected. This <i>must</i> be done
+through the circulation, when taken internally, or it <i>may</i> be done by
+direct application of the remedy to the diseased tissue, when that is so
+situated as to be reached. The difference is greatly in favor of the
+latter mode when that is practicable, from the greater certainty of its
+results. This assertion is based, not upon vague hypothesis, but upon
+<i>actual practice</i>.</p>
+
+<p>Entertaining these views, however heretical they may be pronounced, I
+shall proceed to mention some of the remedies I have learned to use
+thus, and the cases for which they are prescribed. I would remark that,
+in selecting a remedy, it must be done with as much certainty of its
+hom&oelig;opathic relation to the local or general symptoms for external as
+for internal use. I have found, however, that much lower attenuations
+are requisite and admissible.</p>
+
+<p><span class="smcap">Arnica</span> is highly applicable to <i>bruises</i>, and is valuable also when
+applied to lacerated or mangled surfaces, to the surface of the limb
+where a bone is fractured, also about the joint when it has been
+dislocated. It is to be used in the form of <i>Arnicated water</i>, by
+putting one or two drops to a gill of water<span class='pagenum'><a name="Page_147" id="Page_147">[Pg 147]</a></span> for application where the
+skin is ruptured or the surface raw, and ten to twenty drops to the
+gill, upon parts where the skin is sound. It is useful also, for
+<i>boils</i>, and <i>carbuncles</i> in the <i>early stage</i>, the <i>strong tincture</i> to
+be applied when the surface is sound, and (to boils) when the surface is
+open, one drop to a gill of water.</p>
+
+
+<h4>Aconite</h4>
+
+<p>Is applicable to inflamed eyes, in the early stage, where the disease is
+in the conjunctiva, (that portion which lines the lids and covers the
+front of the ball), especially if there is a sense of scratching, as
+though some foreign substance is in the eye, great intolerance of light,
+chilly sensations, with more or less fever, and quick pulse. Put three
+or four drops to a gill of warm water, and apply it freely.</p>
+
+<p>It is also very valuable for <i>Neuralgia</i>, applied strong and warm, along
+the course, or at the origin of the affected nerve. In neuralgia of the
+face, apply it upon the side of the face, also just behind and below the
+ear of the affected side.</p>
+
+<p>It is of much value as a remedy for neuralgic affections of the womb. I
+have relieved the most distressing symptoms of neuralgia of the womb, in
+a few minutes, by injecting warm water containing twenty to forty drops
+of <i>tr. Aconite</i> to the pint. By repeating this application at every
+paroxysm,<span class='pagenum'><a name="Page_148" id="Page_148">[Pg 148]</a></span> patients recover rapidly, each succeeding attack being
+lighter, and the interval between being longer, until they cease
+entirely. It may be used with much benefit in the same manner, for
+<i>Hysteritis</i>, as well as recent cases of <i>Leucorrh&oelig;a</i>. It is the most
+valuable remedy applied to the <i>Eye</i> for a <i>wound</i> of that organ.</p>
+
+<p>In <i>Gonorrh&oelig;a</i>, it is more valuable as a local remedy, than most of
+those now in use. It will frequently cure alone. In this case, it is to
+be used with an equal part of the <i>tr</i>. and warm water.</p>
+
+
+<h4>Belladonna</h4>
+
+<p>has great power as a local remedy in <i>Erysipelas</i>, to be applied with
+water in proportion of ten drops of the <i>tr.</i> to a gill of warm water.
+It is also of much value applied to the surface of inflamed breasts;
+also injected when there is inflammation of the <i>uterus</i>, with pressing
+pains as though the bowels would be pressed out. <i>Very valuable</i> in
+parturition where there is rigidity of the <i>os uteri</i>, with fullness of
+the head and throbbing of the temples. It has the specific power to
+relax circular fibres without affecting the longitudinal.</p>
+
+
+<h4>Calendula,</h4>
+
+<p>is applied to wounds, <i>incised</i> and <i>lacerated</i>, promoting healing by
+the first intention. It is a valuable application for wounds in<span class='pagenum'><a name="Page_149" id="Page_149">[Pg 149]</a></span>
+scrofulous persons, which tend to suppurate rather than heal by the
+first intention. It is also useful in old sores.</p>
+
+<p>The <i>Calendula Cerate</i> is one of the best of dressings for any abraded
+surface.</p>
+
+
+<h4>Conium</h4>
+
+<p>is valuable as a <i>palliative</i> upon cancerous tumors. As a <i>curative
+remedy</i> it is useful in chronic ophthalmia, especially the purulent of
+children; useful also for <i>indurated</i> swellings.</p>
+
+
+<h4>Thuya</h4>
+
+<p>is a specific when locally used for <i>Sycosis</i>, also for fungoid
+cancerous tumors. I have cured well-marked cases of <i>Fungus H&aelig;matodes</i>
+with the tinct. Thuya applied to the surface of the tumor.</p>
+
+<p>The <i>Thuja Cerate</i> is a valuable application for malignant ulcers.</p>
+
+
+<h4>Cornus Sericea</h4>
+
+<p>will often cure malignant ulcers both of the breast and uterus, used as
+a wash.</p>
+
+
+<h4>Arsenicum</h4>
+
+<p>acts favorably on cancers, and is a specific when applied to the surface
+of <i>carbuncle</i>.</p>
+
+
+<h4>Ipecac</h4>
+
+<p>acts very beneficially when applied to the surface where there is high
+fever, with nausea and vomiting. Half an ounce of <i>tr.</i> Ipecac to two
+quarts of tepid water, applied with a sponge to the whole surface, acts
+like<span class='pagenum'><a name="Page_150" id="Page_150">[Pg 150]</a></span> magic in yellow fever, allaying the nausea, producing free and
+health-restoring perspiration.</p>
+
+
+<h4>Rhus Tox,</h4>
+
+<p>applied, with water at the strength of thirty drops of the <i>tr.</i> to a
+gill, to parts affected with <i>Rheumatism</i>, acts very beneficially. It is
+also a most valuable application at half the above strength upon parts
+affected with Erysipelas, when the surface is swollen, and there are
+vessicles filled with fluid like a blister in burns.</p>
+
+<p>It is also useful for sores that exist as the chronic effects of burns
+when the proper treatment had not been used in the beginning, and the
+healing process was never perfected.</p>
+
+<p><i>Rhus Cerate</i> is a very useful application to irritable ulcers.</p>
+
+
+<h4>Hepar Sulphur</h4>
+
+<p>is a specific for <i>Itch and Scald Head,</i> applied in form of a wash with
+twenty to thirty drops of <i>tr. Hepar Sul.</i> to a gill of water. Also for
+ill-conditioned scrofulous ulcers, generally.</p>
+
+
+<h4>Cuprum Aceticum.</h4>
+
+<p>(<i>Acetate of Copper Verdigris</i>) applied to <i>Cancerous</i> ulcers of the
+face, <i>Lupus</i> or <i>Noli-me-tangere</i>, in the early stage, will in most
+cases effect a perfect cure, especially if for a week previously the
+part has been<span class='pagenum'><a name="Page_151" id="Page_151">[Pg 151]</a></span> wet daily with <i>tr. Thuja</i>. The best mode of applying the
+<i>acetate</i> is to mix the impalpable powder, as prepared for paint, with
+some substance to form a cerate, as equal parts of bees-wax and mutton
+suet, with 1-50 to 1-100 part of the pure <i>acetate</i> as found in the
+bottom of the can, when prepared in oil for paint; heat all together and
+stir until cool. This forms a good plaster for covering and shielding
+the sore while its medicinal property is in the <i>Cuprum Aceticum</i>
+diluted as above. It is quite useful for any ill conditioned ulcer.</p>
+
+
+<h4>Acetic Acid</h4>
+
+<p>is a most efficient remedy applied to old irritable <i>varicose ulcers</i> on
+the limbs of females who have suffered from <i>Phlegmasia Dolens</i>, (milk
+leg.)</p>
+
+<p>It may be applied as a wash to the part once or twice a day at the
+strength of 1-20th of the acid with water, or in the form of good cider
+vinegar.</p>
+
+<p>The manufactured vinegar of the cities does <i>not</i> usually contain acetic
+acid.</p>
+
+<p><span class="smcap">Arum Triphyllum</span> is a specific to allay the inflammation and excessive
+pain in <i>scrofulous swellings</i> of the neck, (<i>Kings Evil</i>.) The pure
+drug in powder, wet with warm water, or the green root bruised so as to
+form a poultice, is to be applied over the swelling. It soon discusses
+the swelling,<span class='pagenum'><a name="Page_152" id="Page_152">[Pg 152]</a></span> or if pus has already formed, allays the the pain, and
+brings the pus to the surface, and if continued, disposes it to heal
+rapidly.</p>
+
+<p><span class="smcap">Baptisia Tinctoria</span> applied as a poultice either in the powdered drug, or
+with some other substance wet with the infusion or <i>tr.</i>, <i>arrests
+gangrene</i> in a short time. It is especially useful for threatened or
+actual gangrene arising from <i>lacerated</i> wounds or scalds with wounds,
+as in accidents connected with the explosion of steam boilers; when we
+often have scalds and lacerations in the same wound.</p>
+
+<p><span class="smcap">Hydrastus Canadensis</span> used as a gargler in a putrid state of the throat
+in malignant <i>Scarlet fever</i>, arrests the destructive process <i>at once</i>.</p>
+
+<p>It is also a most excellent application for inflamed eyes in the second
+or sub-acute stage.</p>
+
+
+<hr style='width: 45%;' />
+
+<h3>PROPHYLACTICS.</h3>
+
+<p class="center">(<i>Preventives of Disease.</i>)</p>
+
+<h3>TO PREVENT SCARLET FEVER</h3>
+
+<p>Give Belladonna at the 3d attenuation, three to six pellets, according
+to the age of the child, every morning, during the prevalence of the
+epidemic. This is for the common or mild form of the disease. If the
+prevailing epidemic is of the <i>malignant</i> kind, producing fatal
+ulcerations of the throat, give <i>Bell.</i> once<span class='pagenum'><a name="Page_153" id="Page_153">[Pg 153]</a></span> in two days and <i>Mercurius
+Corrosivus</i> at the 3d attenuation on the alternate day.</p>
+
+<p>While <i>Bell.</i> is a very certain preventive of the common eruptive
+Scarlatina, it is not as certain to prevent the <i>malignant</i> form. Though
+it renders the latter much more mild, the <i>Merc. Cor.</i> is necessary to
+ward it off entirely, or so modify as to divest it of the dangerous
+features.</p>
+
+
+<h3>TO PREVENT YELLOW FEVER</h3>
+
+<p>Take <i>Aconite</i>, <i>Belladonna</i> and <i>Macrotin</i>, 1st in rotation one dose a
+day. If there is any headache, or pains occur in other parts of the
+body, or a languid feeling, take a dose twice or three times a day in
+rotation.</p>
+
+
+<h3>TO PREVENT BILIOUS FEVER OR AGUE</h3>
+
+<p>Take <i>Podophyllin</i>, <i>Baptisia</i> and <i>Gelseminum</i> 1st in rotation, one
+dose at night, and if symptoms of fever, as headache and loss of
+appetite, or bad taste in the mouth in the morning appear, take a dose
+three times a day, and refrain entirely from food for one or two days.</p>
+
+
+<h3>TO PREVENT TYPHOID FEVER</h3>
+
+<p>When exposed, as in nursing the sick, take <i>Baptisia</i> 2d, and <i>Macrotin</i>
+2d, a dose three times a day.</p>
+
+
+<h3>TO PREVENT SMALL-POX</h3>
+
+<p>Use <i>Macrotin</i> 1st night and morning, and if nursing or exposed
+frequently, use it every four hours.</p>
+
+
+<h3>TO PREVENT CHOLERA.</h3>
+
+<p><i>Camphor</i> (<i>pellets medicated</i> with the pure tincture) <i>Veratrum</i> 3d,
+and <i>Arsenicum</i> 3d,<span class='pagenum'><a name="Page_154" id="Page_154">[Pg 154]</a></span> should be taken in rotation&mdash;a dose morning, noon
+and night, in the order named; so as to take a dose of each every
+twenty-four hours. If any sense of weakness or trembling comes on, use
+the <i>Camphor</i> oftener; if pain or uneasiness in the bowels threatening
+diarrh&oelig;a, use the <i>Veratrum</i>, and for increased thirst with
+uneasiness at the stomach <i>Arsenicum</i> more frequently.</p>
+
+
+<h3>TO PREVENT DIARRH&OElig;A</h3>
+
+<p>Where it is prevailing as an <i>epidemic</i>, <i>Ipecac</i> at night, and
+<i>Veratrum</i> in the morning will often <i>suffice</i>. For <i>teething children</i>
+give <i>Ipecac</i> and <i>Chamomilla</i> in the same manner.</p>
+
+
+<h3>TO PREVENT DYSENTERY</h3>
+
+<p>In hot weather when bilious diseases prevail, use <i>Mercurius</i> 3d,
+<i>Podophyllin</i> 2d, and <i>Leptandrin</i> 1st in rotation, giving one dose a
+day.</p>
+
+<p>In the winter, or when <i>Typhoid fevers</i> prevail, use <i>Mercurius</i> and
+<i>Rhus</i> tox. alternately a dose every day.</p>
+
+
+<h3>TO PREVENT ITCH.</h3>
+
+<p>A dose of <i>Sulphur</i>, or rubbing a little flour of sulphur on the hands,
+will generally suffice.</p>
+
+
+<h3>TO PREVENT COLDS</h3>
+
+<p>Keep the <i>arms</i>, <i>hands</i> and <i>chest</i> well clothed and warm. <i>Affecting</i>
+the <i>head</i> as <i>catarrh</i>, or the pelvic regions keep the <i>feet and
+ancles warm and dry</i>. Affecting joints and muscles as
+Rheumatism&mdash;protect the <i>Spine</i> (back) from colds and currents of air.<span class='pagenum'><a name="Page_155" id="Page_155">[Pg 155]</a></span></p>
+
+<p>After an accidental exposure as by getting the feet wet, or being caught
+in a shower, drink <i>bountifully</i> of cold water, and take a dose of
+<i>Nux</i>; followed in an hour by <i>Aconite</i>, if any chilliness is felt, or
+<i>Copaiva</i> if the head is "stuffed up."</p>
+
+<p>In winter and spring when the weather is mild, but there is snow, or the
+ground is damp, more clothes are necessary than when it is freezing hard
+and the air is dry.</p>
+
+<hr style='width: 45%;' />
+
+<h3>PREPARATION OF MEDICINE.</h3>
+
+<p>As it often becomes necessary for the practitioner to make more or less
+of his own dilutions and attenuations, some brief instructions
+especially to new beginners, may not come amiss.</p>
+
+<p>Medicine is prepared by mixing it with distilled water, or purified 98
+per cent. Alcohol; or if solid and dry, by reducing it to powder and
+triturating (rubbing) it in a mortar with pure sugar or Sugar of Milk.
+The liquid is called <i>dilution</i>, the powder <i>trituration</i>. The
+attenuations are mostly made at the decimal (1-10,) or centecimal
+(1-100) ratio and numbered 1, 2, 3, &amp;c., by putting ten drops of the
+liquid with ninety drops of Alcohol, or ten grains of the powder with
+ninety grains of Sugar for the 1st, and ten grains or drops of the 1st
+with ninety more of Alcohol or Sugar, as the case may be, for the 2nd,
+and so on to any desirable extent.<span class='pagenum'><a name="Page_156" id="Page_156">[Pg 156]</a></span></p>
+
+<p>If the centecimal attenuation is adopted, one grain or drop is used
+instead of ten, as in the decimal.</p>
+
+<p>I prefer the decimal to the centecimal ratio. Not that there can
+possibly be any difference in the action of the medicines, at the same
+attenuation, whether it was brought to that state through a series of
+1-10, or 1-100; the 3d at the 1-100 ratio of dilution being <i>precisely
+the same</i> as the 6th at 1-10. My preference for the decimal ratio is
+based upon the greater convenience and accuracy of measuring larger
+quantities.</p>
+
+<p><i>Accuracy</i> is very desirable, but the practice of <i>guessing</i> at the
+amount as pursued by some, is anything but accurate. When one makes his
+dilutions by putting the fluid into a vial and "<i>pouring it all out</i>,"
+<i>guessing</i> that he has a <i>drop</i> left which is to medicate the
+ninety-nine drops of Alcohol or water, he may put in by guess, I am
+inclined to <i>guess</i> that he knows nothing, <i>accurately</i> as to what
+dilution he is making. (See Hull's Laura, introduction, also Jahr &amp;
+Possart's Pharmacop&oelig;ia and Posology.) For if the vial is small and
+quite smooth there may not be a drop left, or if it is rough, there may
+be several drops.</p>
+
+<p>Yet some physicians make their dilutions thus, and insist upon the
+superiority of the centecimal over the decimal attenuations.</p>
+
+<p>Whatever ratio is adopted, should be <i>accurately</i> followed. Have true
+scales for weighing solids, and a graduated measure marked from ten
+drops up to one hundred for liquids; then<span class='pagenum'><a name="Page_157" id="Page_157">[Pg 157]</a></span> <i>always</i> weigh or measure
+<i>accurately</i> the medicine, as well as the substance with which it is to
+be attenuated.</p>
+
+<p>The measure and mortar, after using them for one medicine, can be
+cleaned preparatory for another, with scalding water, rinsing them with
+purified Alcohol, then drying.</p>
+
+<p>Never smoke or chew Tobacco in any place, but if you are such a <i>slave</i>
+to habit, that you must do it despite your good sense and better
+judgment, never do either, or have tobacco or any other odoriferous
+substance about your person when you are preparing medicines, or they
+are exposed to the air. Keep the medicines excluded from the light and
+air as far as practicable.</p>
+
+<p>Triturate the powders thoroughly for an hour or more upon each, and
+shake the dilution from fifty to one hundred times, more for the higher
+attenuations.</p>
+
+<p>It is better to medicate pellets in large bottles, filling them half or
+two-thirds full, put in just liquid enough to wet every one, but not so
+as to dissolve any. Shake them until all are equally wet, and let them
+stand for four or five days, if practicable, shaking them up two or
+three times a day until all are dry.</p>
+
+
+
+<hr style="width: 65%;" />
+<h2><a name="INDEX" id="INDEX"></a>INDEX.</h2>
+
+
+<ul class="none"><li><span style="margin-left: 1.5em;">Administration of Remedies, <a href='#Page_11'><b>11</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Ague, <a href='#Page_22'><b>22</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Ague, preventive treatment of, <a href='#Page_153'><b>153</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Asthma, <a href='#Page_57'><b>57</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Aphth&aelig;, <a href='#Page_90'><b>90</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Asiatic Cholera, <a href='#Page_104'><b>104</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Amenorrh&oelig;a, <a href='#Page_129'><b>129</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Ague in the breast, <a href='#Page_135'><b>135</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Attenuation of medicines, <a href='#Page_151'><b>151</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Bathing, <a href='#Page_12'><b>12</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Bilious Fever, <a href='#Page_26'><b>26</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_153'><b>153</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Bronchitis, <a href='#Page_51'><b>51</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Burns and Scalds, <a href='#Page_64'><b>64</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Bilious Colic, <a href='#Page_19'><b>19</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Brain Fever, <a href='#Page_70'><b>70</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Bee stings, <a href='#Page_75'><b>75</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Bite of Rattlesnake, <a href='#Page_77'><b>77</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Bruises, <a href='#Page_95'><b>95</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Cholera Case, <a href='#Page_3'><b>3</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Colic, <a href='#Page_18'><b>18</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Colic, Bilious, <a href='#Page_19'><b>19</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Cholera Morbus, <a href='#Page_21'><b>21</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Cholera, Asiatic, <a href='#Page_104'><b>104</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_153'><b>153</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Chill Fever, <a href='#Page_22'><b>22</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Continued Fever, <a href='#Page_28'><b>28</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Catarrhal Fever, <a href='#Page_28'><b>28</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Cough, <a href='#Page_52'><b>52</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Colds, <a href='#Page_57'><b>57</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Colds, Preventive treatment of, <a href='#Page_154'><b>154</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Croup, <a href='#Page_55'><b>55</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Constipation, <a href='#Page_62'><b>62</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Chilblains, <a href='#Page_69'><b>69</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Convulsions of Children, <a href='#Page_72'><b>72</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Crusta Lactea, <a href='#Page_122'><b>122</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Carbuncle, <a href='#Page_122'><b>122</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Diarrh&oelig;a, <a href='#Page_14'><b>14</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_154'><b>154</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Dysentery, <a href='#Page_16'><b>16</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_154'><b>154</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Diet, Rules for, <a href='#Page_13'><b>13</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Dyspepsia, <a href='#Page_58'><b>58</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Diseases of Females, <a href='#Page_129'><b>129</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Dysmenorrh&oelig;a, <a href='#Page_131'><b>131</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Enteritis, <a href='#Page_53'><b>53</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Erysipelas, <a href='#Page_62'><b>62</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Epistaxis, <a href='#Page_81'><b>81</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Earache, <a href='#Page_84'><b>84</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Foreign Substances in the Ear or Nose, <a href='#Page_144'><b>144</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Fevers, <a href='#Page_22'><b>22</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Intermittent, <a href='#Page_22'><b>22</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Chill, <a href='#Page_22'><b>22</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Fits of Children, <a href='#Page_72'><b>72</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Felon, <a href='#Page_126'><b>126</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Flowing, <a href='#Page_132'><b>132</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Female weakness, <a href='#Page_138'><b>138</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Gastritis, <a href='#Page_54'><b>54</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Hooping Cough, <a href='#Page_58'><b>58</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Heartburn, <a href='#Page_62'><b>62</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Hoarseness, <a href='#Page_70'><b>70</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Headache, <a href='#Page_78'><b>78</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Sick, <a href='#Page_80'><b>80</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Introduction, <a href='#Page_5'><b>5</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Intermittent Fever, Ague, <a href='#Page_22'><b>22</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Inflammation of the Lungs, <a href='#Page_49'><b>49</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Inflammation of the Brain, <a href='#Page_70'><b>70</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Inflammation of the Bowels, <a href='#Page_53'><b>53</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Inflamed Eyes, <a href='#Page_91'><b>91</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Incontinence of Urine, <a href='#Page_117'><b>117</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Involuntary urination (nightly), <a href='#Page_117'><b>117</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Itch, <a href='#Page_120'><b>120</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Itch, preventive treatment of, <a href='#Page_154'><b>154</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Inflamed Breast, <a href='#Page_135'><b>135</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Inflammation of the Uterus, <a href='#Page_140'><b>140</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Jaundice, <a href='#Page_120'><b>120</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Local application of Remedies, <a href='#Page_145'><b>145</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Leucorrh&oelig;a, <a href='#Page_138'><b>138</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Mammary Abscess, <a href='#Page_135'><b>135</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Menorrhagia, <a href='#Page_132'><b>132</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Measles, <a href='#Page_73'><b>73</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Mumps, <a href='#Page_74'><b>74</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Morning sickness of pregnant females, <a href='#Page_143'><b>143</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Nursing Sore-mouth, <a href='#Page_133'><b>133</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Nosebleed, <a href='#Page_81'><b>81</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Neuralgia, <a href='#Page_118'><b>118</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Nightly urination of Children, <a href='#Page_117'><b>117</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Otalgia, <a href='#Page_84'><b>84</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Ophthalmia, <a href='#Page_91'><b>91</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Preparation of medicine, <a href='#Page_155'><b>155</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Pleurisy, <a href='#Page_48'><b>48</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Prolapsus Uteri, <a href='#Page_138'><b>138</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Pneumonia, <a href='#Page_49'><b>49</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Piles, <a href='#Page_97'><b>97</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Painful urination, <a href='#Page_117'><b>117</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Painful menstruation, <a href='#Page_131'><b>131</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Profuse menstruation, <a href='#Page_132'><b>132</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Preventives of Disease, <a href='#Page_151'><b>151</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Quinsy, <a href='#Page_53'><b>53</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Rheumatism, <a href='#Page_30'><b>30</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Rheumatic Fever, <a href='#Page_29'><b>29</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Remitting Fever, <a href='#Page_27'><b>27</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Rattlesnake bite, <a href='#Page_77'><b>77</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Scarlet Fever, <a href='#Page_35'><b>35</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_151'><b>151</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Sore Throat, <a href='#Page_52'><b>52</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Scalds, <a href='#Page_64'><b>64</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Stings of Insects, <a href='#Page_75'><b>75</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Sick Headache, <a href='#Page_79'><b>79</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Sore-mouth of Children, <a href='#Page_90'><b>90</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Sea Sickness, <a href='#Page_103'><b>103</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Small-Pox, <a href='#Page_110'><b>110</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_153'><b>153</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Scald Head, <a href='#Page_122'><b>122</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Suppression of the menses, <a href='#Page_129'><b>129</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Sore Nipples, <a href='#Page_139'><b>139</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Table of Remedies, <a href='#Page_3'><b>3</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Traveler's Case, <a href='#Page_3'><b>3</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Typhoid Fever, <a href='#Page_31'><b>31</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Tonsillitis, <a href='#Page_53'><b>53</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Toothache, <a href='#Page_86'><b>86</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Teething of children, <a href='#Page_88'><b>88</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Thrush, <a href='#Page_90'><b>90</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Ulceration of the Uterus, <a href='#Page_140'><b>140</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Urination painful, <a href='#Page_117'><b>117</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Urination, Involuntary, <a href='#Page_110'><b>110</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Variola, <a href='#Page_117'><b>117</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Varioloid, <a href='#Page_117'><b>117</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Worms, <a href='#Page_82'><b>82</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Wounds, <a href='#Page_93'><b>93</b></a></span></li>
+
+<li><span style="margin-left: 1.5em;">Whitlow, <a href='#Page_126'><b>126</b></a></span></li>
+
+
+<li><span style="margin-left: 1.5em;">Yellow Fever, <a href='#Page_38'><b>38</b></a></span></li>
+<li><span style="margin-left: 2.5em;">Preventive treatment of, <a href='#Page_153'><b>153</b></a></span></li>
+
+</ul>
+
+
+
+<hr style="width: 65%;" />
+<h2><a name="APPENDIX" id="APPENDIX"></a>APPENDIX</h2>
+
+<p><span class="smcap">On the Use of Gelseminum Semp. in Fevers</span>. <span class="smcap">By J. S. Douglas</span>, A. M., M.
+D., Prof. of Mat. Med. and Special Pathology, in the Western
+Hom&oelig;pathic College, Cleveland; author of "Treatment of
+Intermittents," &amp;c.</p>
+
+
+<p>Such has been the general result of the treatment of the fevers of this
+country, that most Hom&oelig;opathic physicians deny the possibility of
+<i>breaking up</i> a fever when once established.</p>
+
+<p>Those who labor under this impression, will be soon convinced of the
+error by properly employing the <i>Gelseminum semper virens</i>, or yellow
+Jasmine. Having proved this drug repeatedly on myself and seven or eight
+others, it was impossible to avoid the conviction that it would be
+hom&oelig;opathic to the ordinary fevers of this country.</p>
+
+<p>The pathogenetic symptoms, almost uniformly experienced, are the
+following, the dose being from one to five drops:</p>
+
+<p>Within a few minutes, sometimes within two or three, a marked depression
+of pulse, which becomes 10, 15 or 20 beats less in the minute, if quiet,
+but greatly disturbed by movement. Chilliness, especially along the
+back, pressive pain of the head, most generally of the temples,
+sometimes in the occiput, at others, over the head. The chilliness is
+soon followed by a glow of heat and prickling of the skin, and quickly
+succeeded by perspiration which is sometimes profuse and disposed to be
+persistent, continuing from twelve to twenty-four hours. As soon as the
+re-action takes place after the chill, the pulse rises as much above the
+normal standard, as it was before depressed below it. With these
+symptoms is a puffy, swollen look and feeling of the eye-lids, slimy and
+disagreeable or bitter taste in the mouth, languid feeling of the back
+and limbs, and sleepiness.</p>
+
+<p>As example affords the best illustration, we will give one to illustrate
+the usual action of this drug in fevers:</p>
+
+<p>P. W., aged 21, sanguine temperament, had been complaining of languor,
+and want of appetite for three weeks. For a week has been unable to
+attend to business. Took a cathartic, and was, of course, worse. For the
+last thirty-six hours had been seriously sick. June 30, 1858, had the
+following symptoms: Pulse rather full, but weak and vascillating, about
+100 per minute. Tongue red and dry; hands tremulous when extending them;
+tongue trembles when protruded; the mind wanders; he reaches after
+imaginary objects; lips dry and parched; he is uneasy, restless. Now
+this, all will recognize as a case which had been long in coming on,
+and was fairly established, and was not likely to be <i>broken up</i> by
+ordinary means. He took one drop of <i>Gelseminum tincture</i> to be repeated
+every hour, if needed. The next morning he reported that he had been in
+a perspiration ever since fifteen minutes after taking the first dose,
+had slept quietly during the night, the tongue and lips were moist, mind
+clear, pulse 80, and steady. The next day I found him dressed and down
+stairs, with good appetite and free from disease. I could give sixty
+cases of equally prompt results from this precious drug, in fevers which
+make their attack rather suddenly, whether from cold or otherwise, and
+attended with chilliness, pain in the limbs, head and back, variously
+disordered taste of the mouth, with great restlessness. The almost
+uniform effect, in these cases is, a cessation of the chills, within
+from two to five minutes, quickly followed by a glow of heat and
+prickling of the surface; and within from five to twenty minutes,
+perspiration with progressive abatement of all the pains and
+restlessness. The patient falls asleep, and after a longer or shorter
+time, wakes with a consciousness that his disease is <i>broken up</i>&mdash;and
+this proves to be the truth. Like all other drugs, the dose must be
+various, generally one drop repeated every half hour, till the desired
+effect is produced repeated afterwards as occasion may require.</p>
+
+<p>In simple cases of fever, I regard it as <i>the</i> remedy, not only, but
+<i>the only</i> remedy required. There are, of course, many cases of fever,
+with local complications, as inflammation of the liver, &amp;c., &amp;c., where
+other remedies will be necessary. Half a drop, or even a quarter, is
+often sufficient. The largest I have yet given is five drops, and this
+in only one case.</p>
+
+<p>Several Hom&oelig;opathic physicians to whom I have recommended it, have
+made equally favorable reports of it.</p>
+
+<p>My experience has been, that not a few of our Western fevers, especially
+if neglected beyond the incipient stages, are accompanied by such
+gastric and bilious disorder, as to require <i>Mercurius</i>, <i>China</i>, or
+<i>Podophyllin</i>, after the general febrile symptoms are removed by <i>Gels.</i>
+But at an early stage, the <i>Gels.</i> alone will prevent the development of
+these complications.</p>
+
+<p>The drug seems to me to act specifically and energetically, not only
+upon the circulatory system, but equally so upon the nervous system,
+allaying nervous irritability more effectually in fevers, than <i>Coff.</i>,
+<i>Cham.</i>, <i>Bell.</i>, <i>Nux</i>, or any other drug we possess. As it acts very
+quickly, the first dose may be soon repeated and increased, if no effect
+is observed.</p>
+
+<hr style="width: 65%;" />
+
+<h3>FOOTNOTES</h3>
+
+<div class="footnote"><p><a name="Footnote_1_1" id="Footnote_1_1"></a><a href="#FNanchor_1_1"><span class="label">[1]</span></a> <span class="smcap">Note.</span>&mdash;The Eclectic Physicians use equal parts of Quinine
+and Prussiate of Iron, with marked success in agues, giving from one to
+three grains of the mixture at a dose, every two hours, or oftener, for
+ten or twelve hours, and some times more, during the intermission. An
+intelligent Hom&oelig;opathic Physician informs me that he has used with
+<i>uniform</i> success, a <i>trituration</i> of this mixture of Quinine and
+Prussiate of Iron, in proportion of ten grains of the Sugar of Milk to
+one of the Mixture, giving the trituration in doses of about one grain
+every hour through the chill, fever and intermission. Very few cases had
+a second chill after taking the prescription. I have used this
+trituration successfully in a few cases.</p></div>
+
+<div class="footnote"><p><a name="Footnote_2_2" id="Footnote_2_2"></a><a href="#FNanchor_2_2"><span class="label">[2]</span></a> <span class="smcap">Note</span>.&mdash;The late Prof. Morrow was remarkably successful, and
+became justly celebrated for curing hard cases of Leucorrh&oelig;a
+ulceration and "Prolapsus uteri."
+</p><p>
+Almost his entire reliance in their treatment were the <i>Macrotys</i> and
+<i>Caulophyllum</i>, given internally and by injection upon the parts. 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
+day, using the Caulophyllum in the meantime in small doses. He rarely if
+ever failed.</p></div>
+
+<div class="trans-note">
+   <p class="center">Transcriber's note:</p>
+
+<p class="center">Inconsistent punctuation in headings in this book are as in the original.</p>
+      </div>
+
+
+
+
+
+
+
+
+
+<pre>
+
+
+
+
+
+End of the Project Gutenberg EBook of An Epitome of Homeopathic Healing Art, by 
+B. L. Hill
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+</body>
+</html>
diff --git a/25692.txt b/25692.txt
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+Project Gutenberg's An Epitome of Homeopathic Healing Art, by B. L. Hill
+
+This eBook is for the use of anyone anywhere at no cost and with
+almost no restrictions whatsoever.  You may copy it, give it away or
+re-use it under the terms of the Project Gutenberg License included
+with this eBook or online at www.gutenberg.org
+
+
+Title: An Epitome of Homeopathic Healing Art
+       Containing the New Discoveries and Improvements to the Present Time
+
+Author: B. L. Hill
+
+Release Date: June 4, 2008 [EBook #25692]
+
+Language: English
+
+Character set encoding: ASCII
+
+*** START OF THIS PROJECT GUTENBERG EBOOK EPITOME OF HOMEOPATHIC HEALING ART ***
+
+
+
+
+Produced by Bryan Ness and the Online Distributed
+Proofreading Team at https://www.pgdp.net
+
+
+
+
+
+
+
+
+
+
+
+AN EPITOME OF THE Homoeopathic Healing Art,
+
+CONTAINING THE NEW DISCOVERIES AND IMPROVEMENTS TO THE PRESENT TIME;
+
+DESIGNED
+
+FOR THE USE OF FAMILIES, FOR TRAVELERS ON THEIR JOURNEY,
+
+AND AS A POCKET COMPANION FOR THE PHYSICIAN.
+
+BY B. L. HILL, M. D.,
+
+Professor of General, Special, and Surgical Anatomy Late Professor of
+Surgery, Obstetrics, and Diseases Females and Children, in the W. H.
+College, Author of the "Homoeopathic Practice of Surgery," &c., &c.
+
+
+CLEVELAND, OHIO: JOHN HALL, 72 SUPERIOR STREET.
+
+CHICAGO, ILL. HALSEY & KING, 162 CLARK STREET.
+
+1859.
+
+
+Entered according to Act of Congress, in the year 1859,
+
+By B. L. HILL, M. D.,
+
+In the Clerk's office of the District Court in and for the Northern
+District of Ohio.
+
+PINKERTON & NEVINS' Print, Cleveland, O.
+
+
+       *       *       *       *       *
+
+
+TABLE OF REMEDIES.
+
+
+In this table I have affixed to the remedies figures designating the
+dilutions or the attenuations, at which, under ordinary circumstances, I
+would advise their use. The strongest, or mother tinctures, marked with
+an apha (0), the dilutions or triturations to be of the decimal degrees
+of attenuation, are marked 1, 2, 3, &c., to designate that they are to
+be used at 1-10th, 1-100th, 1-1000th, &c., the strength of the pure
+drugs.
+
+The list for a full FAMILY CASE contains all the remedies recommended in
+this book for diseases that may be safely trusted to unprofessional
+hands.
+
+The TRAVELER'S CASE needs only such medicines as are prescribed for the
+diseases which he would be most liable to contract on his journey;
+though I have put in the principal ones used in domestic practice, so
+that the Case will do for family use.
+
+The CHOLERA CASE is only supplied with such remedies as are particularly
+applicable to that disease; useful, however, for many other complaints.
+
+TRAVELER'S CASE.
+
+   1 Aconite                p 3|15 Hydrastus Can.          p 1
+   2 Apis Mellifica         p 3|16 Ipecac                  p 3
+   3 Arsenicum              p 3|17 Mercurius sol.          p 3
+   4 Arnica                tr 0|18 Mercurius cor.         tt 2
+   5 Arum triphyllum       tt 2|19 Macrotin               tt 1
+   6 Belladonna             p 3|20 Nux Vom.                p 3
+   7 Baptisia               p 1|21 Phosphorus              p 3
+   8 Bryonia                p 3|22 Phos. acid              p 3
+   9 Colocynth              p 3|23 Podophyllin             p 2
+   10 China Sul.           tt 1|24 Rhus toxicod.           p 3
+   11 Chamomilla            p 3|25 Secale                  p 3
+   12 Copaiva               p 2|26 Tartar emetic           p 3
+   13 Cuprum                p 3|27|Veratrum                p 3
+   14 Eupatorium Aro.       p 1|
+
+
+CHOLERA CASE.
+
+   1 Aconite                p 3|8 Laurocerasus             p 4
+   2 Arsenicum              p 3|9 Opium                    p 3
+   3 Belladonna             p 3|10 Merc. cor.              p 3
+   4 Camphor               tr 0|11 Phosphorus              p 3
+   5 Carbo Veg.             p 5|12 Phos. acid              p 3
+   6 Cuprum                 p 3|13 Secale                  p 3
+   7 Ipecac                 p 3|14 Veratrum                p 3
+
+FULL FAMILY CASE.
+
+   Tr. is used for tincture, Tt. trituration, P. pellets.
+
+   REMEDIES.                 |CONTRACTIONS.
+                             |
+    1 Aconitum.              |Aconite       Tr 0 1 p 3
+    2 Althaea.                |
+    3 Apis mellifica.        |Apis mel.        0 p 2 3
+    4 Arsenicum.             |Arsenicum          0 p 3
+    5 Arnica.                |Arnica,            0 p 3
+    6 Arum triphyllum.       |Arum triphyllum,  0 tt 2
+    7 Belladonna.            |Bell.           tr 1 p 4
+    8 Baptisia tinctoria.    |Baptisia,         tr 0 2
+    9 Bryonia.               |Bryonia,          tr p 3
+   10 Carbo. Vegetabilis.    |Carbo. Veg.       tr p 4
+   11 Cantharides.           |Cantharides,    tr 0 p 3
+   12 Colocynthis.           |Colocynth,     tr or p 3
+   13 China Sulphuricum.     |China Sul.          tt 1
+   14 Chamomilla.            |Chamomilla     tr or p 3
+   15 Copaiva.               |Copaiva         tr 1 p 2
+   16 Cauloph. Thalictroides.|Caulophyllum        tr 1
+   17 Cuprum.                |Cuprum,              p 3
+   18 Cuprum Aceticum.       |
+   19 Cornus Sericea.        |Cornus sericea, tr 0 p 2
+   20 Conium maculatum.      |Conium mac.     tr 0 p 3
+   21 Coffea.                |Coffea               p 4
+   22 Eryngium Aquaticum.    |Eryngium Aquaticum     2
+   23 Eupatorium aromaticum  |Eupatorium aro. tr 0 p 2
+   24 Hepar Sulphur.         |
+   25 Hydrastus Canadensis.  |Hydrastin       tr 0 p 2
+   26 Hamamelis Virginica.   |Hamamelis Vir.  tr 0 p 3
+   27 Ipecacuanha.           |Ipecac        tr 0 p 2 3
+   28 Laurocerasus.          |Laurocerasus         p 3
+   29 Mercurius solubilis.   |Merc.               tr 3
+   30 Mercurius corrosivus.  |Mercurius cor.  tt 2 p 3
+   31 Macrotys Racemosa.     |Macrotin,           tr 2
+   32 Nux Vomica.            |Nux                  p 3
+   33 Opium.                 |Opium                p 3
+   34 Phosphorus.            |Phosphorus,     tr 2 p 3
+   35 Phosphoric acid.       |Phos. acid,     tr 2 p 3
+   36 Podophyllum peltatum.  |Podophyllin,    tt 1 p 3
+   37 Pulsatilla.            |Pulsatilla             3
+   38 Rhus Toxicodendron.    |Rhus Tox.            p 3
+   39 Secale cornutum.       |Secale,         tr 1 p 3
+   40 Santonine.             |Santonine,          tr 1
+   41 Spongia.               |Spongia,             p 4
+   42 Tartar Emetic.         |Tartar emetic   tr 2 p 3
+   43 Thuya.                 |
+   44 Veratrum alba.         |Veratrum.            p 3
+
+
+
+
+AN EPITOME
+
+OF THE
+
+HOMOEOPATHIC HEALING ART.
+
+
+
+
+Introduction.
+
+
+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 country. The symptoms are given with sufficient
+minuteness and detail to enable any one of ordinary capacities of
+observation to distinguish the complaint; and the treatment is so
+_plainly_ laid down, that no one need make a mistake. If strictly
+followed, it will, in a very large proportion of cases, effect cures,
+even when administered by those unacquainted with the medical sciences
+generally. It has been written from necessity, to meet the demands of
+community for a more definite work in a concise form, that should
+contain remedies of the most reliable character, with such directions
+for their use as can be followed by the _traveler on his journey_, or by
+families at home, when no physician is at hand. It might seem to some
+preposterous to speak of a _demand_ for another _domestic_
+Homoeopathic Practice, when half a score or more of such works are now
+extant, some having come out within a very short time. The demand
+arises, not from the want of Books, but from the defects of those that
+exist. There is in most of them, too little point and definiteness in
+the prescriptions, and a kind of vague doubting recommendation
+noticeable to all, which carries the impression at once to every reader,
+of a want of _confidence_ by the author in his own directions.
+
+Again, in some of the works there is too much confusion, the symptoms
+not being laid down with sufficient clearness to indicate the best
+remedy. Some of the works are unnecessarily large and cumbersome, while
+the real amount of valuable practical matter is comparatively meager,
+obliging the reader to pay for paper and binding without the contained
+value of his money. I do not claim entire perfection for this work, yet
+I do claim it to be several steps in advance of the books now extant.
+
+       *       *       *       *       *
+
+This work is my own, being the result of my practical experience and
+observation. I have introduced several remedies that, though they are
+familiar to me, and have been used in my practice for many years, are,
+nevertheless, comparatively strange and new to most of the profession.
+Of some we have no extensive provings yet published, still the provings
+have been made, both upon the healthy and the sick. Their use, as
+directed in this work, is in strict accordance with their
+Homoeopathic relation to the symptoms for which they are prescribed.
+
+Some may object to my practice of giving several remedies in alternation
+or rotation and in quick succession. To such I would say, When you try
+this mode of practice and on comparing it with the opposite one of
+giving only one remedy, and that at long intervals between the doses,
+find my mode to be less successful than yours, _then_ it will be time
+for you to make your objections. _You_ may rely upon the vague
+hypotheses of the books, and give your high dilutions singly, at long
+intervals, and let your patients die for want of _real_ treatment, while
+I will use lower dilutions and give two or more remedies in quick
+succession and cure mine. I only speak what is in accordance with
+universal observation, where the two modes are compared on equal
+footing, when I affirm that, while the former _may_ effect some cures,
+_most_ of the recoveries under it, are spontaneous and unaided, the
+latter _does_ cure; the disease being arrested by the medicine, and the
+proportion of unfavorable terminations is much less under the latter
+than the former course. 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 remedies, all of whom still adhere to the low, while
+I have yet to hear of the man who has gone _back_ to high single
+remedies and long intervals. My reason then, for the course here laid
+down, is, that it will _cure_ with more promptness and certainty. If
+others are so prejudiced as not to _try it_, they will still remain in
+ignorance of the _best practice_, and their patients will be the
+sufferers.
+
+In reference to the fear that is expressed that if one medicine is given
+too soon after another, it will antidote the former, I have simply to
+say, I have no confidence in the hypothetic antidotal powers of the
+medicines one over another, as laid down in the books. It has not been
+verified by experience, and has no foundation in truth. It is true that
+one medicine will remove morbid symptoms that might be produced by an
+overdose of another; but both being given in the ordinary medicinal
+doses, neither of them to such an extent as to produce sensible
+symptoms, if given alone, would not, if given in quick succession,
+prevent each other from acting to remove their own peculiar symptoms
+that exist in the system at the time. So if we have the symptoms that
+are found in two or more different remedies present in the same attack,
+as is often the ease, we may give these several remedies one after
+another, with confidence in their curative effects for the symptoms they
+represent.
+
+This has been my practice, and it has been _eminently successful_, and
+therefore I commend it to others, treating with pity the infirmity of
+those who ignorantly condemn it, as "They know not what they do."
+
+
+
+
+ADMINISTRATION OF REMEDIES.
+
+
+The remedies are either in the form of tinctures saturated, more or less
+dilute, in Pellets or Powders. The _Pellets_ may be taken dry upon the
+tongue, allowed to dissolve and swallowed. The dose for an adult is from
+4 to 7; for an infant, from birth to one year old, 1 to 3; from one to
+three years, 2 to 4; from three to ten years, 3 to 5 pellets; after ten,
+same as an adult. 15 or 20 pellets may be dissolved in a gill of water,
+and a tea-spoonful dose given at a time, being particular to stir it
+until all are perfectly dissolved, stirring it each dose.
+
+_Powders_ may be taken in the same manner, upon the tongue, a dose when
+dry, being about the same bulk as of the pellets as nearly as
+practicable. If put into water, to a gill of water add of the powder
+about what would lie on a three cent piece. If the liquid medicine is
+used, add 1 drop to a gill of water, and use tea-spoonful doses as above
+directed. The length of time between the doses should be, in Dysentery
+and Diarrhoea, regulated by the frequency of the discharges, giving a
+dose as often as the evacuations occur. In acute and violent diseases,
+the doses should be repeated oftener than in milder cases--about once an
+hour as a general rule is often enough, though in some cases they should
+be given in half an hour or oftener. In mild cases, once in two or three
+hours is often enough, and in chronic cases, once or twice a day.
+
+
+Bathing.
+
+The surface of the body should be kept clean, as far as possible, and to
+this end, in summer, should be well bathed at least once a day. In
+winter, though useful, it is not so indispensable; still no one should
+neglect the bath more than a week, and all ought to bathe at least twice
+a week, if not oftener, even in winter.
+
+The bath should be of a temperature that is agreeable, and the room
+warm, especially for a feeble person. It should be so applied as not to
+give a general chill, as such shocks are always hurtful.
+
+The _teeth_ should be kept clean and free from tartar. They should be
+cleaned every morning and after each meal. The feet, legs and arms
+should be warmly clothed, especially the _arms_, as an exposure of them
+to cold is liable to induce affections of the lungs, and to aggravate
+any existing disease of those organs.
+
+By exposure of the feet and legs to cold, diseases and derangements of
+the female organs, even in young girls, are induced; and one prolific
+cause of female weakness is to be found in improper dressing of the feet
+and legs, while the _lung affections_ of females, now so fearfully
+prevalent, are traceable in a great degree to the fashion that has
+prevailed for a few years, of exposing the arms to cold.
+
+
+Diet.
+
+The diet of the sick should he nutricious, but at all times simple, free
+from greasy substances, and from all stimulating condiments whatsoever,
+as well as from vinegar, or food in which vinegar is used.
+
+In short, let the food be nutritious, easily digested, small or moderate
+in quantity, and free from all "seasoning," except salt or sugar; and if
+salt is used at all, let the quantity be very small, much less than
+would be used in health.
+
+
+Diarrhoea.
+
+This disease consists in a looseness of the bowels, generally
+accompanied with pain in the abdomen, more or less severe. It sometimes
+occurs without pain, but is _then_ attended with a sense of weakness,
+and a general feeling of uneasiness. It prevails mostly in the warm
+seasons, but may occur at any time. It is not usually considered a very
+dangerous affection, except during the prevalence of _Cholera_, or in
+children during hot weather.
+
+
+TREATMENT.
+
+_Veratrum_ and _Phos. acid_, given alternately, at intervals, as
+frequently as the discharges from the bowels occur, will generally be
+sufficient. If there is nausea or vomiting, or cramping pains in the
+bowels, give _Ipecac_ in alternation with one or both the former. If
+thirst and a burning of the stomach or bowels exist, use _Arsenicum._
+This last medicine may be given in alternation with either of the
+others, but is most frequently indicated in connection with _Veratrum._
+The intervals between the doses should be regulated by the frequency of
+the evacuations in all cases, lengthening them as the evacuations become
+less frequent, until they cease. In _children_, where the discharges are
+greenish or slimy, and contain undigested food, give _Chamomilla_ and
+_Ipecac_ alternately, as above directed. If the discharges are dark, or
+yellow, with distress in the stomach, give _Podophyllin._ The dose is
+from 3 to 6 pellets. In all cases of diarrhoea, adults should abstain
+from all kinds of food until cured, if possible, and eat but little at
+first, when food is taken. Children should be fed carefully, and but a
+small quantity at a time, being particular both for adults and children
+to use as little _liquid_ as possible; drink water in _small_
+quantities, not very cold. Avoid exercise, and lie on the back quietly,
+when that is practicable. In a large majority of cases, _Veratrum_, if
+given in the early stages of the disease, will arrest it at once, and in
+many chronic diarrhoeas of weeks or months standing, it is the surest
+remedy. In chronic diarrhoea of females, _Podophyllin_ should be used
+in alternation with _Veratrum_.
+
+
+Dysentery.
+
+This disease is caused by inflammation of the mucous membrane of the
+colon and rectum, (the large intestine) generally confined to the lower
+part of the bowel. It is always painful. There is griping and straining
+in the lower part of the abdomen, and generally great bearing down when
+at stool, with a peculiar distress after the evacuation, called tormina.
+
+The discharges often commence like a common diarrhoea, with copious
+liquid evacuations, but there is more or less griping pain, low down,
+from the beginning. The evacuations sooner or later become lessened,
+slimy or bloody, or both, the pain increasing accompanied with more or
+less fever, often quite severe. Sometimes the patient is costive, and
+has been so for several days, the dysentery coming on without being
+preceded by looseness. At others, especially in summer, when fevers are
+prevailing, the dysentery begins with a severe chill, followed by fever
+and the dysenteric symptoms above described.
+
+
+TREATMENT.
+
+If it begins with looseness without blood, give _Arsenicum_ and
+_Veratrum_ alternately, once an hour, or oftener if the evacuations are
+more frequent. If the discharges are bloody, use _Mercurius cor._ in
+place of the _Arsenicum_. If there is any sickness of the stomach, or
+the discharges are dark or yellow, use _Podophyllin_ with _Mercurius
+cor._ If there are colic pains in the bowels, use _Colocynthis_
+alternately with the others, giving it between them. If the patient was
+costive previous to the attack, and the dysentery came on without much
+looseness, _Nux Vomica_ should be given alternately with _Mercurius
+cor._ If the disease comes on with a chill, or a chill occurs at any
+time during the attack, followed by fever, _Aconite_, _Baptisia_ and
+_Podophyllin_ should be used in rotation half an hour apart until a free
+perspiration is produced, and the pain diminishes; or if bloody stools
+appear, use _Mercurius cor_, with the _Aconite_ and _Baptisia_. A large
+proportion of the dysenteries of hot weather in miasmatic regions, will
+be arrested in a few hours by these three or four remedies, especially
+if the patient keeps still, and generally even if he keeps about his
+business. In very bad cases, much benefit will be derived from
+injections of Gum Arabic water, or mucillage of Slippery Elm thrown into
+the bowel in quantities of a pint or more at a time, as warm as can
+possibly be endured. I have often relieved patients immediately with
+injections of a strong solution of Borax in Rice water, as hot as
+bearable. _Never apply cold water_ to _any_ inflamed surface, much less
+a _mucous_ surface. All food should be withheld as far as practicable
+and not starve, until the symptoms abate.
+
+
+Colic.
+
+The symptoms of this are cramping pains in the abdomen, without fever or
+looseness of the bowels. The colic sometimes occurs after the cessation
+of a diarrhoea that had been induced by severe cathartics. The pains
+are cutting and straining, drawing the bowels into knots, relieved
+temporarily by pressure.
+
+
+TREATMENT.
+
+For a male, _Nux Vom._, and for a female, _Pulsatilla_ will generally
+afford immediate relief. In children, especially, where diarrhoea
+exists, _Chamomilla_ should be used. If it is the result of severe
+cathartics, or if there is a soreness or a bruised feeling, _Colocynth_
+is the remedy. Hot injections into the rectum, and large quantities of
+warm water taken into the stomach, will often _cure colic_.
+
+
+Bilious Colic.
+
+This disease, in addition to the symptoms of cutting, cramping pains in
+the bowels, as in common colic, has great distress in the stomach, with
+nausea and vomiting, the bowels being costive, the feet and hands cold,
+sometimes cold sweats occur. There is also considerable fever, and
+frequently headache is present. The substance vomited is at first dark
+bilious matter, but if the case continues a long time, stercoraceous
+(fecal) matter will be thrown up.
+
+
+TREATMENT.
+
+_Colocynth_ is the most important remedy, and should be given early and
+constantly. _Podophyllin_ is next in importance, and it should be given
+in alternation with the former, the dose to be repeated as often as
+every half hour at first, and as the patient becomes easy, at longer
+intervals. In this, as in the former case, great benefit will be derived
+from large injections of quite warm water, and let it be taken into the
+stomach freely, as hot as can be safely swallowed. I have given a gallon
+of hot water in the course of two hours, to a patient suffering under
+this disease, the first half pint being rejected, but the balance
+remaining, perfect relief having been experienced. If fever continues
+after the colic and nausea cease, _Baptisia_ and _Aconite_ should be
+given alternately every hour until the fever subsides. If the patient
+is, and has been, for some time, costive, _Nux Vomica_ should be given
+once in six or eight hours until the bowels move. Injections may also be
+used.
+
+
+Cholera Morbus.
+
+This disease generally comes on at night, in hot weather, and is, in
+many cases, induced by over eating while the patient is suffering from
+diarrhoea and a deranged state of the liver. It is essentially of a
+bilious character. It sets in with great pain in the bowels, sickness at
+the stomach, and vomiting of large quantities of dark greenish bitter
+tasting substance. At first, the vomiting will seem to afford relief,
+but sooner or later the stomach and bowels cramp, and the cramping may
+extend to other parts of the body, the feet, hands, calves of the legs,
+and the arms, cold sweats come on, and death terminates his sufferings.
+
+
+TREATMENT.
+
+_Ipecac_ and _Colocynthis_ are to be given in alternation, and repeated
+as often as every 30 minutes, for the first three or four doses, then as
+the patient gets easier, at longer intervals. A dose every hour will
+suffice as soon as the symptoms begin to abate. The application of hot
+cloths or even mustard, over the abdomen, frequently palliates the
+sufferings, and does not interfere with the action of the medicines.
+Fever of a low typhoid type some times sets in after an attack of
+cholera morbus, and terminates fatally. This ought never to occur under
+Homoeopathic treatment. For such fever give _Baptisia_, a dose every
+hour until the fever subsides, which will occur generally in six or
+eight hours; if not, and the patient complains of headache, or is
+delirious, or dizzy, or feels a fullness in the head, give _Macrotin_ in
+alternation with the _Baptisia_. Keep the patient very quiet and free
+from noise, as far as possible. _Sleep_ is a great restorer in any case,
+but particularly so in this.
+
+
+FEVERS.
+
+Intermittent Fever, Ague or Chill Fever.
+
+This comes on with pains in the head and back, aching in the joints,
+yawning, followed by coldness of the hands and feet, blueness of the
+nails and skin of the hands, general chilliness, sometimes "shaking."
+This lasts from a few minutes in some cases, to several hours in others.
+The chill is followed by a fever, which is generally severe and long
+continued, in proportion to the length and severity of the chill. The
+fever is followed by free perspiration, when it subsides and leaves the
+patient in a comfortable condition. This state is called the
+_Intermission_. This continues from a few hours to twenty-four, or
+longer, when another chill comes on followed by fever and sweats as
+before. During the chill and fever, the patient often suffers great
+pain, and is sometimes delirious. Young children frequently have
+convulsions when the chill sets in. _These_ convulsions of children,
+though alarming, are not often dangerous.
+
+
+TREATMENT.
+
+As soon as the first symptoms of the chills appear, such as the
+headache, pain in the back and bones, coldness of the hands, nose and
+ears, give _Aconite_ and _Baptisia_ alternately, giving the first three
+doses every ten minutes, the next three doses every fifteen minutes, and
+then once in half an hour until the patient begins to sweat freely, when
+the medicines should be discontinued. If there is nausea or vomiting
+present, let the patient have lukewarm water freely in large draughts,
+until he vomits it up several times. As soon as the sweating commences,
+give _Arsenicum_ and _Macrotin_ alternately every hour during the
+intermission, except during sleeping time. On return of the chill,
+should it appear a second time, use the _Aconite_ and _Baptisia_ as
+before, and follow them with _Arsenicum_ and _Nux Vom._ every two hours.
+This course of treatment will cure a majority of cases, but some require
+_Cinchonia_. That Cinchonia is a specific for intermittent fevers in
+many of their forms, no one will deny. It is the Homoeopathic remedy
+for many cases, and should be prescribed. The injurious effects that are
+often attributed to Quinine, are, I have no doubt, attributable not to
+that remedy, but to the _drugs_ that are used prior to giving the
+_Chinium Sul_. I have used it in more than two thousand cases, and have
+never been able to see any evil consequences follow its _proper_ use. It
+should be given _from the beginning of the chill to the end_ of the
+paroxysm, and continued during the whole time of the intermission: _i.
+e._ until the time arrives for the next chill, _time_ being important in
+the use of this remedy. Use the first decimal trituration, and give
+grain doses (equal to 1-10th of a grain of the drug) every half hour
+till the time the next chill would occur, if it pursued its regular
+course, allowing the patient six or seven hours time in each
+twenty-four, for sleep.[1] Though from two to four grains of the pure
+_Chinium Sulphuricum_ is all the patient would get, very few cases that
+do not yield to a course of the former treatment here recommended, will
+have the third paroxysm after this _China_ treatment is commenced and
+pursued as here directed. For children the dose may be one-half or
+one-fourth that of the adults. If a trituration of the medicine cannot
+be got conveniently, four grains of the _Quinine_ may be put into a four
+ounce vial of water, shaken well every time, and a teaspoonful taken at
+a dose. Abstinence from food as far as practicable, and quiet is of much
+importance in this disease, but the patient may use water freely.
+
+[1] NOTE.--The Eclectic Physicians use equal parts of Quinine and
+Prussiate of Iron, with marked success in agues, giving from one to
+three grains of the mixture at a dose, every two hours, or oftener, for
+ten or twelve hours, and some times more, during the intermission. An
+intelligent Homoeopathic Physician informs me that he has used with
+_uniform_ success, a _trituration_ of this mixture of Quinine and
+Prussiate of Iron, in proportion of ten grains of the Sugar of Milk to
+one of the Mixture, giving the trituration in doses of about one grain
+every hour through the chill, fever and intermission. Very few cases had
+a second chill after taking the prescription. I have used this
+trituration successfully in a few cases.
+
+In some cases, the chill is irregular and indistinct, the patient is
+thirsty during the chill, and the cold stage is long in proportion to
+the length of the fever, the surface pale and more or less bloated.
+_Arsenicum_ is the remedy, and should be given from the commencement of
+the chill, and every hour until the fever subsides, then every three
+hours during the intermission. In chronic cases, where the patient has
+been drugged with mercurials and cathartics, together with larger doses
+of Quinine, and is still suffering under the disease, _Pulsatilla_ and
+_Macrotin_ in alternation, will, in nearly every case, effect a cure.
+
+
+Bilious Fever.
+
+This fever may be either intermittent, remitting, or continued, and
+typhoid. It is distinguished from common intermittent, by the great
+derangement of the stomach, as nausea and vomiting of bilious matter,
+yellow coated tongue, bitter taste in the mouth, foul breath, loss of
+appetite, high colored urine, and frequently distress and fullness in
+the right side, (though this last is not in every case present,) the
+skin and white of the eyes soon become yellowish, the chills are often
+imperfect, the fever being disproportionably long.
+
+
+TREATMENT.
+
+_Podophyllin_ and _Merc._ should be given in ease of intermittents of
+this character, during the paroxysm, and in rotation with the other
+remedies for intermittents, giving a dose every three hours during the
+intermission. It is well also to continue these remedies night and
+morning, alternately, for a week or so, after the cessation of the
+chills and fever, or until all bilious appearances cease.
+
+       *       *       *       *       *
+
+A REMITTING FEVER is one that goes nearly off, but not so entirely as an
+intermittent, returning again by a paroxysm of chill more or less
+distinct, sometimes hardly perceptible, and an increase of the fever
+following, from day to day, until arrested.
+
+       *       *       *       *       *
+
+CONTINUED FEVERS are generally of a Bilious character, except in winter,
+when they are more or less connected with irritation of the lungs, or
+with Rheumatic affections, when they are termed Catarrhal or Rheumatic
+Fevers. If the bilious symptoms prevail, give _Aconite_ and _Baptisia_
+during the chills and high febrile stage, at intervals of an hour, and
+during the declining stage of the fever, give _Podophyllin_ and
+_Mercurius_ until a perfect intermission is produced, when the same
+treatment should be adopted as in intermittents. But should it take the
+form of
+
+
+Catarrhal Fever,
+
+the head being "stuffed up," pain in the head, the lungs oppressed,
+cough and sneezing, the eyes and nose suffused with increased secretion
+of tears and mucus, pain in the back or loins, almost constant chilly
+sensations, use in rotation _Baptisia_, _Copaiva_ and _Phosphorus_,
+giving a dose every hour until the fever begins to abate and
+perspiration comes on, then leave off the _Baptisia_, and give in its
+stead _Macrotin_, lengthening the interval between the remedies to two
+hours or longer.
+
+For the _chronic cough_ that sometimes follows catarrhal fever,
+_Copaiva_, _Macrotin_ and _Phosphorus_ should be used morning, noon and
+night, in the order here named. Should the fever be a
+
+
+Rheumatic Fever,
+
+(_Rheumatism_,) the patient complaining of soreness of the muscles, of
+the chest, back and limbs, with or without lameness of the joints,
+_Aconite_, _Macrotin_ and _Nux Vom._ are the remedies for a male
+patient, and the two former, with _Pulsatilla_, for a female, (or for a
+_male_, of light hair, delicate skin, feminine voice and mild temper,)
+to be used in rotation one hour apart. These remedies are to be taken in
+a severe acute case, every half hour until the symptoms begin to abate;
+then every hour or two hours as the case progresses. _Baths_ properly
+administered, are of great importance in all forms of fever. The surface
+of the patient should be washed and thoroughly _rubbed_ in water quite
+warm, into which a sufficiency of the ley of wood ashes has been put to
+make it feel quite slippery. This should be done twice daily in all
+fevers. But in
+
+
+Rheumatism,
+
+In addition to the medicines directed under the head of _Rheumatic
+Fever_, the most decided benefit can be derived from _Alcoholic Vapor
+Baths_, which, while they do not in the least interfere with the action
+of the medicines, tend greatly to mitigate the pains, and produce an
+equal state of the circulation by stimulating the surface; abridging in
+many cases, the disease one-half the time it would run under the long
+interval treatment alone. This is to be applied by filling a tea cup
+with alcohol, placed in a saucer of water to insure against danger from
+an overflow while burning. Place both under a solid wood bottom chair,
+elevated about the thickness of a brick under each post, strip the
+patient naked, and after giving him the alkaline bath, and rubbing his
+surface dry, place him upon the chair, enveloping him completely, except
+his head, with a woollen sheet or blanket, (as there is no danger of
+the wool taking fire,) letting the blanket enclose also the chair and
+come down to the floor. Then set fire to the alcohol, and if the heat is
+too great, raise the edge of the blanket and let it become reduced.
+Continue this until he sweats freely, or becomes too much fatigued to
+sit longer. Let the patient often drink freely of cold water, during the
+process. Remove him from the chair to his bed and cover him warmly. It
+is well to place the feet in hot water during this process. This is a
+delightful operation for a rheumatic patient, and no one will object to
+a repetition of it. Whatever Physicians may think or say of this
+operation, I _know_ it is a most potent agent for the _cure_ of
+_inflammatory_ rheumatism, and is a valuable agent in the chronic form
+of this disease.
+
+
+Typhoid Fever.
+
+This is a dangerous, and with the ordinary allopathic treatment, a very
+fatal disease. It generally comes on insidiously, the patient feeling a
+dull head ache, more or less pain in his joints, back and shoulders,
+with loss of appetite, restless and disturbed sleep, slight chilly
+sensations, with a little fever, dry skin, and a general languid
+feeling. These symptoms continue from four or five days in some cases,
+to two or three weeks in others, gradually getting worse until the
+patient is prostrated, or if he takes no drugs, and keeps still,
+avoiding food as far as practicable, he may escape prostration, and
+after lingering for eight or ten days, and sometimes longer, just on the
+point of prostration, he begins slowly to get better, and recovers about
+as slowly and imperceptibly as he grew sick. This is in accordance with
+observation of cases under my own eye, and I have no doubt those cases
+of spontaneous recovery, had they taken a single dose of active
+cathartic medicine or any of the active drugs, they would have been
+immediately laid upon a bed of sickness from which a recovery would have
+been extremely doubtful. I believe that two-thirds of the deaths from
+typhoid fever are the direct results of medication, and that those who
+recover, do so in spite of the cathartics and the active drugs when such
+are used. Some cases, however, will not thus spontaneously recover, and
+require proper treatment; and it is safest to treat all cases, at as
+early a day as possible. Some cases come on more rapidly and run into
+the prostrating or critical stage, in a very few days. Delirium is a
+symptom that comes on early in these cases. When the disease is fully
+established, and even sometimes in the early stage, diarrhoea sets in
+and runs the patient down rapidly.
+
+
+TREATMENT.
+
+In the early stage, that which might be called premonitory, while the
+patient is yet able to be about his business, but is complaining of the
+symptoms above named, he should, as far as possible, abstain from
+exercise and food, and take of _Baptisia_ and _Phosphorus_ alternately,
+a dose once in three hours. These will almost invariably produce
+amendment in a few days, and as soon as he improves _any_, leave off the
+medicines. Should there be diarrhoea present, use _Phos. acid_ instead
+of Phosphorus. If the patient is delirious or has fullness and redness
+of the face, the eyes red, and headache, give _Belladonna_ in rotation
+with the other two. For the foul breath that comes on, use _Mercurius
+cor._, especially if the diarrhoea assumes a reddish tinge, like beef
+brine. Should the fever at any time rise high, the pulse being full and
+hard, give _Aconite_, but it rarely happens that Aconite is useful in
+the later stage. If the patient complains of pains in the back, and
+fullness of the head, give _Macrotin_. This is particularly useful for
+persons who have rheumatic pains in the limbs or back, during the fever.
+If the evacuations from the bowels are dark, or yellow and consistent,
+or there is bilious vomiting, _Podophyllin_ is the remedy. From some
+cause or other, to me wholly unaccountable, the writers generally have
+laid down _Rhus_ and _Bryonia_ as _the_ remedies in typhoid fever. I
+must confess I have no confidence in them for this fever as it prevails,
+and has for several years past, in this country. They have proved a
+failure, and I discard them altogether, as I am confident, from thorough
+trial, we have much more reliable remedies as a substitute for Rhus in
+the _Podophyllin_, and for Bryonia in the _Macrotin_. In the early
+stage, or at any time to arrest febrile and inflammatory symptoms, the
+_Baptisia_ is much more potent than Aconite, its symptoms corresponding
+peculiarly with typhoid fever. If the discharges become slimy or bloody,
+give _Leptandrin_ and _Nit. acid_. It is important to bathe in this
+disease.
+
+
+Scarlet Fever.--Scarlatina.
+
+This fever assumes two principal forms: Simple or mild, and Malignant.
+In the _Simple form_, there is great heat of the surface, extremely
+quick and frequent pulse, headache, and some sense of pain and soreness
+in the throat. After a day or two, there appears upon the surface,
+bright scarlet patches, in some cases extending over the whole limbs,
+the skin smooth and shining, and somewhat bloated or swollen; upon
+pressure with the finger, a white spot is seen, which soon disappears on
+removal of the pressure. As the disease subsides, the cuticle comes off
+(_desquamates_) in patches. In the simple form of this disease, the
+throat, though often more or less sore, does not ulcerate. In some
+cases, notwithstanding the fever is high, the pulse frequent, and the
+throat sore, there may be no external redness, but the mouth and tongue
+will have a scarlet hue, indicating the existence of disease more
+dangerous than when it appears externally. _In the malignant form_, the
+same symptoms are present, the patient suffers more pain in the head;
+the back and throat, root of the tongue, tonsils and soft palate become
+ulcerated, turn black, and sometimes gangrenous, proving fatal in a few
+days, or slough out in large portions, the ulcers destroying the parts
+extensively. The breath becomes foul and fetid, and the effluvia from
+the ulcerated surface, is very sickening to the patient and all around
+him. This disease rarely attacks adults, but occasionally, and for the
+last six or eight months, in one region where I am acquainted, where
+Scarlatina of a malignant type has prevailed among children, adults have
+been affected with an epidemic soreness of the mouth and throat,
+strongly resembling the worst form of the _angina_ in malignant
+Scarlatina, together with a low typhoid form of fever.
+
+
+TREATMENT.
+
+In simple scarlatina, all that is necessary is to keep the child quiet,
+in a room of uniform temperature, as far as practicable; let it drink
+cold water only, and give _Aconite_, _Belladonna_ and _Pulsatilla_ in
+rotation, a dose every hour until the fever subsides. If any soreness of
+the throat remains, give a few doses of _Mercurius_. If the fever
+subsides, and the soreness remain, _Hydrastin_ or _Eupatorium arom._
+will soon complete the cure. In the _malignant_ form, with ulcerated,
+dark colored, or red and purulent throat, and typhoid form of fever,
+give _Aconite_ and _Belladonna_ in alternation, every hour, and, at the
+same time, gargle the throat freely with _Hydrastin_. Some of the
+tincture may be put in water, about in the proportion of ten drops to a
+teaspoonful, or a warm infusion of the crude medicine may be used. This
+can be applied with a camel's hair pencil, or a swab, to the parts
+affected, once in two hours, and will soon bring about such a state as
+will result in speedy recovery. After the active fever has subsided, the
+_Aconite_ and _Bell._ may be discontinued, and _Eupatorium arom._ used
+instead, once in three hours until convalescence is complete.
+
+I would remark that, with these remedies applied as here recommended, my
+brother, Dr. G. S. HILL, of Erie County, Ohio, has, during the last four
+months, treated a large number of those malignant sore-throats, (the
+"Black tongue Erysipelas,") and been universally successful, relieving
+them in a few hours, when the symptoms were of the most alarming
+character, and the disease in some cases, so far advanced that the
+patients were considered by their friends and attendants, "at the point
+of death."
+
+The _Hydrastin_ is a most potent remedy in putrid ulcerations of the
+mucous surfaces, and much the same may be said of _Eupatorium
+aromaticum_.
+
+
+Yellow Fever.
+
+[As I have never practiced farther South than Cincinnati, and have seen
+but few cases of this disease, my experience with it has not been
+sufficient to be relied upon as authority. Therefore, I shall give a
+brief description of the disease, with the proper and _successful
+treatment_, furnished me by A. H. BURRETT, M. D., of New Orleans, who is
+not only a Physician of more than ordinary learning and skill in his
+profession generally, but is one who has spent his time in New Orleans
+among the sick of Yellow Fever, through three of the most fatal
+epidemics that ever scourged any city. He is a man for the times, a man
+of resources, who draws useful lessons from experience and observation.
+Hence he has been able to select such remedies as have enabled him to
+cope most successfully with the pestilence, saving nearly all his
+patients, while, under other treatment, a majority have died. I
+therefore, attach great value to his treatment, and recommend its
+adoption with the most implicit confidence.]
+
+       *       *       *       *       *
+
+When this Fever prevails as an epidemic, as it usually does, in the
+southern part of the United States, it is a disease of the most
+malignant character. The proportion of _fatal_ cases under the
+Allopathic course of treatment, has been equal to, and, in some places,
+as in New Orleans, and some Towns in Virginia, has exceeded that of
+_Asiatic_ Cholera. It is almost entirely confined to Southern regions,
+and only prevails in hot weather, after the continuance of extreme heat
+for some weeks.
+
+It usually begins with premonitory symptoms somewhat like those of
+ordinary fever, but with this difference: the patient, instead of losing
+his appetite, has often a morbidly increased desire for food. He
+complains of severe pains in the back, and more or less headache. Both
+the head and backache are of a peculiar character: the pains resembling
+rheumatic pains, the head feeling full and too large, the eyes early
+turn red, almost bloodshot and watery, a chill comes on, which may be
+distinct and quite severe, lasting for an hour or more, or, it may be
+slight, and hardly perceptible. The chill is followed by high fever, the
+pain in the head and back increasing, the eyes becoming more red and
+suffused, the forehead and face extremely red and hot, and the heat of
+the whole surface very great, the carotids beat violently, the pulse
+very frequent, and usually, at first, full and strong, though sometimes
+it is feeble from the beginning. However the pulse may be in the
+beginning, it very soon becomes small, but continues to be frequent. The
+tongue is at first covered with a white paste-like coating, which
+afterwards gives place to redness of the edges and tip, with a dark or
+yellow streak in the center. The stomach is very irritable, rejecting
+every kind of food, and all drinks, except, perhaps, a few drops of ice
+water. There is a peculiar distressed feeling in the stomach, often a
+burning sensation, so that, if suffered to do so, he would take large
+quantities of ice or water. One remarkable feature of the cases noticed
+in the epidemic, as it existed in New Orleans the past season, was, that
+the patients had a great desire for food, notwithstanding the nausea and
+distress at the stomach.
+
+Sooner or later, varying from a few hours to several days, in the
+ordinary course of the disease, the fever subsides. From this time the
+patient may recover without any further symptoms, but this is, by no
+means, the usual result. If the subsidence of the fever is accompanied
+by natural pulse, a free, but not profuse or prostrating perspiration,
+a genial warmth of the surface, natural appearance of the countenance,
+eyes, and tongue, with little or no soreness on pressure over the
+stomach, we may safely look for a speedy recovery. But if, on the
+contrary, the eyes, face, and tongue, become yellow, or orange-colored,
+the epigastrium is tender to pressure, the urine has a yellow tinge, the
+pulse becomes unnaturally slow, with the least degree of mental stupor,
+we have reason to know, full well, that the lull of the fever is only
+the calm preceding a more destructive storm. The fever has subsided,
+only because exhausted nature could re-act no longer. It may be in a few
+hours, or not until twelve or twenty-four have elapsed, the pulse
+becomes quickened, even to the frequency of 120 to 140 in a minute, but
+very feeble, the extremities of the fingers and toes turn purple or
+dark, the tongue becomes brown and dry, or is clean, red, and cracked,
+sordes may be on the teeth, the stomach become more irritable, nausea
+and vomiting are extreme, the substances vomited being, at first,
+reddish, afterwards watery, containing floculae, like soot, or coffee
+grounds; the breath becomes foul, and the whole surface emits a
+sickening odor. The pulse becomes very small, though the carotid and
+temporal arteries beat violently. The urine fails to be secreted, and
+later, blood is discharged from the mucous surfaces, involuntary
+discharges from the bowels, clammy sweats; and death follows.
+
+The disease runs its course in from three to seven days, sometimes
+proves fatal in less than a day, and at others, assumes a typhoid form,
+and runs for weeks. Occasionally it sets in without any of the
+premonitory symptoms, the chill being first, the fever following,
+succeeded immediately by the black vomit, going through all the stages
+in a single day, or two days.
+
+Again, it sometimes begins with the black vomit, the patient being
+immediately prostrated. In all cases, however it may begin, the peculiar
+head-ache and back-ache as described in the beginning, as well as the
+extreme heat of the head and face, redness of the eyes, the gnawing
+sensation at the stomach, and peculiar nausea are present. These seem to
+be characteristic symptoms that mark the Yellow Fever, and those which
+should guide in the search for the proper remedies.
+
+
+TREATMENT.
+
+The remedies that proved successful in arresting the disease during the
+early or forming stage, before the chill or fever had set in, while the
+symptoms were pain, fullness, and throbbing of the head, with more or
+less dizziness, rheumatic pains in the back, and redness of the eyes,
+were _Aconite_ and _Bell._, at low attenuations, once in two to four
+hours, according to the violence of the symptoms. For the fullness of
+the head, pressing outwards, as though it would split, with pains of a
+rheumatic character, _Macrotin_ 1st, given in one grain doses, every
+hour or two hours, proved specific.
+
+These three remedies, _Aconite, Bell._ and _Macrotin_,
+would, in nearly all cases, arrest the disease in the forming stage, so
+that no chill or fever would occur, or, if fever did come on after this
+treatment, it was mild.
+
+When the fever sets in, and the pain in the head and back increases, the
+eyes, forehead and face are extremely red, or purple and hot, the pulse
+frequent and full, the tongue coated white, _Aconite_, _Belladonna_ and
+_Macrotin_ are still to be relied upon, but they should be given every
+half hour, in rotation, at low attenuations. If the tongue is red, in
+the early stage, use _Bryonia_ in place of the _Belladonna_. In a later
+stage, when sickness or distress at the stomach had become prominent,
+with the quick pulse, and hot skin, _Ipecac_ and _Aconite_, both at the
+1st attenuation, a dose given every half hour alternately, generally
+arrested the symptoms, and brought on perspiration of a healthful
+character, followed by subsidence of the fever and convalescence. Sponge
+baths, with half an ounce of _Tr. Ipecac_ in two quarts of tepid water,
+applied to the whole surface freely, under the bed clothes, so as not to
+expose him to the air, contributed much towards bringing on perspiration
+and subduing the fever, as well as allaying the nausea.
+
+When called to patients in the stage of _Black Vomit_, whether that came
+on as an early symptom, or at a later stage, _Nit. acid_, _Veratrum
+virid._ and _Baptisia_, all at the first dilution, were administered
+every hour, in rotation, with great success, the symptoms yielding in a
+few hours. For the great oppression, as of a load, in the stomach,
+without vomiting, _Nux_ was found sufficient. In the later stage, when
+there seemed to be no secretion of urine, _Canabis_ and _Apis mel._,
+gave relief.
+
+The remedies most successful for the cases that assumed a typhoid
+character, with dry, cracked tongue, sordes on the teeth, and low
+sluggish pulse, were _Baptisia_ and _Bryonia_, given every two hours,
+alternately. _Nitric acid_ given internally and injected into the
+rectum, when bloody discharges appear, is generally quite successful.
+
+Good nursing is of the utmost importance, and the patient should be
+visited frequently by his Physician, as great changes may occur in a
+short time. Three times a day is none too often to see the patient. As
+soon as the fever comes on, the patient should be stripped of his
+clothes, and dressed in such garments as he is to wear in bed through
+the attack. He should be put to bed and lightly covered, but have
+sufficient to protect him from any sudden changes in the atmosphere, and
+the room should be well ventillated all the time. The baths should
+always be applied under the bed clothes.
+
+The diet should be very spare and light, after the fever subsides, and
+while the fever exists no food should be taken. Thin gruel, in
+teaspoonful doses, once in half an hour, is best. After a day or two,
+the juice of beef steak may be given in small quantities but give none
+of the meat. No "hearty food" should be allowed for eight or ten days
+after recovery. A relapse is most surely fatal.
+
+As _Prophylactics_ (_preventives_) of the fever, _Macrotin_, _Bell._ and
+_Aconite_ should be taken, a dose every eight to twelve hours, by every
+one that is exposed. These will, no doubt, often prevent an attack, and
+if they do not, they will so modify it, that it will be very mild, of
+short duration, and very easily arrested.
+
+Pregnant females, and young children were sure to die if attacked, when
+treated by the Allopathic medication; but, by the use of these remedies
+as _preventives_, their attacks were rendered so mild as to be amenable
+to remedies, and all recovered.
+
+
+Pleurisy--Pleuritis.
+
+This is inflammation of the Pleura of one or both lungs, generally
+confined to one side. It is known by sharp pain in the side of the
+chest, increased by taking a long breath, or coughing, or by pressing
+between the ribs. The cough is dry and painful, the patient makes an
+effort to suppress it, from the pain it gives him; the fever is of a
+high grade, the pulse full, hard and frequent, with more or less pain in
+the head.
+
+
+TREATMENT.
+
+_Aconite_ is a sovereign remedy. It should be given at intervals
+proportionate to the severity of the disease, once in half an hour, for
+about three doses, then every hour until the patient is easy and
+perspires freely. This is the course I have generally pursued, and
+scarce ever failed of relieving in a few hours. Other means may often be
+used with advantage at the same time, and not interfere with the action
+of the medicine. Put the feet and _hands_ into water as hot as it can be
+endured, and apply to the affected side very hot cloths, hot bags of
+salt, or mustard. There is no harm in this, and it relieves the pain.
+Let the patient drink freely of _hot_ water, into which you may put milk
+and sugar to render it palatable. If the case seems to linger, and
+perspiration is tardy in appearing, give, in alternation with _Aconite_,
+_Eupatorium arom._ This will soon relieve.
+
+
+Inflammation of the Lungs--Pneumonia.
+
+This disease is often connected with Pleurisy, and consists of
+inflammation of the substance of the lungs. As in the former case, it
+may attack only one, but may exist in both sides at the same time. If
+the pleura is also affected, there will be all the symptoms of pleurisy,
+together with those peculiar to inflammation of the lungs proper. They
+are, pain in the lungs, oppressed breathing, cough, causing great
+distress on account of the soreness of the affected parts: at first,
+expectoration from the lungs is nearly wanting, the cough being dry, but
+after a time, there is a rattling sound on coughing, and more or less
+mucous substance is with difficulty raised. This is, at first, white or
+brownish, but soon becomes reddish and frothy, tinged with blood. The
+patient lies on the affected side, and cannot rest on the sound side.
+The pulse is full, hard and frequent, the fever high, pain in the head,
+and sometimes delirium. If the disease is not arrested, the patient
+generally dies from suffocation, by the lungs filling up, hepatized, or
+abscess and ulceration come on, and then what is called "quick
+Consumption" carries him off.
+
+
+TREATMENT.
+
+In the early stage, _Aconite_ and _Phosphorus_ should be used at
+intervals of from half an hour to one hour, in alternation, until the
+fever abates, and the oppression in the chest is relieved. If, however,
+there is bloody expectoration, _Bryonia_ may be used in place _of
+Phosphorus_, though I prefer to use it in rotation with the two others.
+These will soon, in all ordinary cases, subdue the most distressing
+symptoms, and effect a perfect cure in a day or two. _Belladonna_ should
+be used, when there is much delirium, or great pain in the head.
+Occasionally, the cough from the beginning, is apparently loose; there
+being a rattling sound, but the expectoration is difficult, the fever
+high, with some chilly sensations, or at least, coldness of the knees,
+feet and hands, a white or brownish fur upon the tongue, and pain in the
+bowels, For such symptoms, especially with the pain in the bowels, as
+though a diarrhoea would come on, give _Tartar emet._ It is often one
+of the best remedies in this disease, affording relief when others have
+failed.
+
+After subduing the high febrile symptoms, if there remains cough,
+indicating much irritation, or inflammation of the lungs, _Macrotin_
+should be used in place of Aconite, with _Phosphorus_ and _Copaiva_, the
+three in rotation, two hours between doses.
+
+
+Acute Bronchitis,
+
+_Inflammation of the Bronchial Tubes._
+
+This is attended with distressing cough, profuse expectoration,
+oppressed breathing, pain in the forehead, and general catarrhal
+symptoms. _Baptisia_, _Copaiva_ and _Eupatorium arom._ given every hour,
+in rotation, will, in general, relieve from the acute affection in a
+short time; but the
+
+
+Chronic Bronchitis
+
+requires the use of _Copaiva_, _Macrotin_ and _Arum triphyllum_, to be
+taken morning, noon, and night, in the order named; or, if the cough be
+severe, they should be used every three hours. These will be sufficient
+to effect a cure.
+
+
+Coughs
+
+Generally, unless they arise from consumption, yield readily to the
+alternate use of _Copaiva_, _Phosphorus_ and _Macrotin_, a dose given
+once in from three to six hours. If, however, there is soreness of the
+throat, redness and soreness of the tonsils, palate, and fauces, or
+soreness of the larynx, with hoarseness, _Arum triphyllum_ and
+_Hydrastus Can._ are the surest remedies. They rarely ever fail of
+effecting a complete cure in a few days. They should be used three or
+four times a day. They may be used with the other medicines recommended
+for coughs. In acute
+
+
+Sore Throat,
+
+arising from sudden cold, _Arum triphyllum_ and _Eupatorium aromaticum_
+are the remedies to be relied upon. If the tonsils seem to be mainly
+involved, constituting
+
+Quinsy--Tonsilitis,
+
+
+_Belladonna_ and _Aconite_ should be given, while there is high fever,
+then substitute for them, _Arum tri._ and _Phosphorus_; or, these may be
+used in rotation with the former, a dose every hour or oftener.
+
+
+Inflammation of the Bowels.--Enteritis.
+
+This consists in inflammation of the muscular and peritoneal coats of
+the intestines, sometimes also involving the mucous coat.
+
+The pain in the abdomen is constant, intense and burning in its
+character, felt most at the navel; the abdomen is extremely tender to
+pressure, and often bloated or tympanetic.
+
+Thirst is intense, but cold drinks distress and vomit the patient. The
+pulse is small, feeble and frequent, and the bowels costive. This is a
+very dangerous disease. It is sometimes connected with inflammation of
+the stomach, then called gastro-enteritis. The tongue is then red and
+pointed, the nausea and vomiting are more violent and constant, the
+thirst burning and insatiable.
+
+
+TREATMENT.
+
+The same medicines are applicable to both _Gastritis_ and _Enteritis_.
+
+_Aconite_, _Arsenicum_ and _Baptisia_ should be used one following the
+other every half hour until the symptoms begin to subside, then let the
+intervals be lengthened.
+
+In addition to these remedies, I allow the patient to drink often and
+freely of hot water, as hot as can be swallowed, and though it is at
+first almost instantly rejected by the stomach, by repeating it in a few
+minutes in moderate quantities, it gives relief and will soon so allay
+the irritation as to remain. In some cases the vomiting is severe, the
+bowels are loose, and pain burning. For such, _Tart. Emet._ is the
+proper remedy. Cold drinks should not be taken.
+
+Cloths wet in cold water, ice water if it is at hand, and wrung out so
+as not to drip, should be laid over the whole abdomen and instantly
+covered with two or three thicknesses of warm dry flannel, and the
+patient's feet kept warm. This may be considered harsh treatment, but
+there is no danger in it; on the contrary I have, in the worst and most
+alarming cases of _gastritis_ and _peritonitis_, made such applications,
+and in less than an hour have seen my patient easy and beginning to
+perspire freely, all danger having passed. It always affords more or
+less relief and is never attended with danger. Covering the wet cloths
+immediately with plenty of dry ones is very essential.
+
+After the acute inflammation has subsided, it is well to have the bowels
+moved, but don't give drastic cathartics. _Nux Vomica_ given at night
+and repeated morning and noon, will generally serve to cause an
+evacuation. Injections may be used.
+
+
+Croup.
+
+This is a disease of children. Comes on in consequence of a sudden cold.
+Children suffering from Hooping Cough are more subject to it. The cough
+is of a peculiar whistling kind, like the crowing of a young chicken,
+with rattling in the throat and difficult breathing, fever is present,
+and often very violent. It is properly an inflammation of the Larynx,
+but the inflammation may also exist in the Pharynx, the tonsils may be
+involved, and it may extend to the trachia, (wind pipe). A false
+membrane forms in the larynx if the disease is not arrested, and so
+obstructs the breathing as to cause death from suffocation.
+
+
+TREATMENT.
+
+Give at first _Aconite_, _Phosphoric Acid_, and _Spongia_, giving them
+in the order here named once in ten minutes in a very violent case, and
+as the patient improves at intervals of half an hour, and then an hour.
+
+Should the fever subside, and still the tightness in the throat and
+cough continue to be troublesome, give _Ipecac_ in place of Aconite. And
+when the cough seems to be deep seated use _Bryonia_ instead of spongia.
+
+The patient should be kept in a warm room, and free from exposure to
+currents of cold air. The application of a cloth wrung out of cold or
+ice water to the throat, covered immediately with dry warm flannels so
+as to exclude the air from the wet cloth, will often exert a decidedly
+beneficial effect, and there is no danger if managed as here directed.
+The feet should be kept warm and the head cool, but _don't_ put _cold_
+water on a child's head.
+
+
+Asthma.
+
+If an attack comes on from sudden cold, take _Aconite_ and _Ipecac_
+every hour for a day, and if any symptoms remain, in place of the
+Aconite use _Copaiva_, _Arsenicum_ and _Phos. Acid_ with the _Ipecac_,
+giving them in rotation, a dose every hour.
+
+In _Chronic Asthma_, where the patient is liable to an attack at any
+time, great benefit will be derived from taking these four in rotation
+about two hours apart for a day or two, at any time when symptoms of an
+attack begin to appear.
+
+I have recently succeeded in alleviating several bad cases, at once, by
+these four remedies in succession as here recommended, on whom (some of
+them) I had at various times tried all of them, as well as other
+medicines, singly at longer intervals, as directed in the Books, without
+any decided benefit. After trying these in succession, as here directed,
+I found no trouble in arresting the paroxysm in a few hours, and I am
+strong in the faith that with some, at least, I have effected _cures_.
+It is worth much to _arrest_ the _paroxysm_ if no more.
+
+
+Hooping Cough.
+
+According to my experience, though this disease may not be entirely
+arrested in its course, and not generally much abridged in its duration,
+still the use of appropriate medicines will greatly modify it, and
+render it a comparatively trifling affection.
+
+In treatment, give at the commencement of the attack _Bell._ and _Phos.
+acid_ alternately every twelve hours for a week, then once in six hours,
+and if the child should take cold so as to bring on fever, give one
+every hour. Continue these, as above directed, for the first two or
+three weeks, then, in their stead, after the cough becomes loose, and
+the patient vomits easily, give _Copaiva and Ipecac_ in the same manner
+as directed, for the two former remedies.
+
+
+Dyspepsia.
+
+This term is applied so loosely and so indiscriminately to all chronic
+derangements of the stomach, that it is difficult to define it. I shall
+therefore point out some of the more common ailments of the stomach and
+their proper remedies.
+
+For sour eructations with hot, burning, scalding fluid rising up in the
+throat, with or without food, give _Phos. acid and Pulsatilla_ in
+alternation every half hour, until the stomach is easy. For a feeling of
+weight and pain in the stomach, with dull pain in the head, with or
+without dizziness, give _Nux. Vom._ every hour until it relieves. If
+there is a _burning_ feeling in the stomach as well as the heavy load,
+_without_ eructations and rising of fluid, _Arsenicum_ should be
+alternated with the _Nux. Vom._, at intervals of two hours. There are
+persons who, from imprudence in eating or drinking or both, or which is
+more frequent, from _harsh drug medication_, have so enfeebled their
+stomachs, that, though by care in selecting their food, and prudence in
+taking it, they may suffer but little, are, nevertheless, when from home
+or on special occasions, liable to overeat or take the wrong kind of
+food, from which unfortunate circumstance they are made to suffer the
+most tormenting and intolerable distress in the stomach and bowels,
+which may last, more or less severe, for several days. Soon after the
+unfortunate meal, perhaps the next morning, or, it may be, in a few
+hours, the stomach begins to bloat, by accumulating gas within, which is
+belched up every few minutes in large quantities; the stomach and bowels
+are racked with the most torturing pains; cold sweat stands on the brow,
+and he is the very picture of misery. Thus he may roll and tumble all
+night, and remain in misery the next day and several days longer, before
+the food will digest. It often passes from the stomach without
+digestion, and on its way through the bowels inflicts constant pain. If
+he does not take some emetic substance, he is not apt to vomit, his
+stomach cramping so as to prevent it.
+
+I have here described one of the bad cases, but bad as it is they are by
+no means _very_ rare. There are such cases in abundance, of all grades
+from the one here described down to a slight derangement. They all
+require a similar course of _treatment_.
+
+It is useful for such patients to take at once large quantities of
+lukewarm water, and repeat the draught every ten to fifteen minutes,
+until free and thorough vomiting is induced, so as to throw off all the
+food from the stomach.
+
+But even this does not often cure these bad cases. If it did, it is not
+always convenient to do it. The medicine that is quite certain to afford
+relief at once is _Podophyllin_. Let it be given, and the dose repeated
+in an hour. A third dose is rarely necessary. After relief from this
+attack, the medicine should be taken night and morning for a month or
+more until the stomach is restored. In the meantime care should be taken
+not to overload the stomach.
+
+
+Constipation.
+
+The medicine for this affection is _Nux vom._, to be taken at night on
+retiring. If there is fulness and pain in the head from costiveness,
+_Bell._ should be used in the morning, and at noon. Let the patient
+contract a habit of drinking _cold water_ freely on rising in the
+morning, at least half an hour before eating. The patient _should not
+take physic_.
+
+For constipation of children, _Nux_ and _Bryonia_ are to be given Nux at
+night and Bryonia in the morning. _Opium_ is useful.
+
+Much needless alarm is often felt by persons on account of a costive
+state of the bowels. If no pain is felt from it, there is no cause for
+alarm.
+
+
+"Heartburn."
+
+This peculiar burning and distressed feeling at the stomach depends on
+imperfect digestion, but is _not_ ordinarily, as is generally supposed,
+connected with a sour or acid state of the fluids in the stomach. The
+condition of the fluids is alkaline, in most cases, though it is
+sometimes acid. If it depends upon biliary derangement, _Nux Vomica_ and
+_Podophyllin_ are the remedies for a male; _Pulsatilla_ and
+_Podophyllin_ for a female.
+
+
+Erysipelas.
+
+This is a disease of the skin, producing redness, burning and itching
+pains, appearing in patches, in adults, most apt to appear about the
+head and face, but in children, upon the limbs, or in very young
+children, beginning at the umbilicus. It sometimes begins at one point,
+and continues to spread for a time, then suddenly disappears, and
+reappears at some other point.
+
+_Simple Erysipelas_ only affects the surface, with redness and smarting.
+_Vessicular_, produces vessicular eruption, or blisters filled with a
+limpid fluid, somewhat like the blisters from a burn.
+
+The _Phlegmonous Erysipelas_ affects the whole thickness of the skin and
+cellular tissues beneath it, producing swelling, and not unfrequently,
+resulting in suppuration, ulceration or gangrene and sloughing of the
+parts. It is a dangerous disease, especially when on the head.
+
+
+TREATMENT.
+
+For the simple kind, _Bell._ is all that will be needed, unless there
+should be considerable fever, when _Aconite_ should be alternated with
+the _Bell._ For the _vessicular_ kind, where there are blisters, _Rhus
+tox._ should be used with _Bell_. For the _Phlegmonous_, with deep
+seated swellings, _Apis mel_ is the most important remedy. I prefer to
+use three of these remedies, giving them in rotation, beginning with the
+_Bell._, followed with _Rhus_, and then by _Apis mel._ giving them one
+hour apart. In a mild case, or after the patient begins to recover, give
+them at longer intervals. The _Apis_ alone will often be sufficient.
+During the whole time, the affected parts should be kept covered with
+dry, superfine flour, some say Buckwheat flour acts most favorably. The
+diet should be very spare. Eat as little as possible, until the disease
+begins to subside.
+
+A very important part of the treatment of this affection is to keep the
+patient in a room that is comfortably warm, say at a temperature of from
+65 to 75 deg., and keep the temperature _uniformly the same_, as nearly as
+possible, night and day. Do not, by any means, expose him suddenly to
+cold air, or a cold breeze, as on going into a cold room, going out into
+cold air, or undressing or dressing in a cold room. Uniformly warm
+temperature is of great importance.
+
+
+Burns and Scalds.
+
+No matter what the nature and extent of the burn may be, the very best
+of all medicines of which I have any knowledge, is _Soap_. If the parts
+affected, are immediately immersed or enveloped in Soft Soap, the pain
+will be greatly lessened, and the inflammation that would otherwise
+follow, will be essentially modified, if not entirely prevented. It acts
+like magic; no one who has never tried it can have any idea of its
+potency for the relief of pain, together with the prevention of bad
+consequences following severe burning. Under the influence of the _Soap_
+applications, burns and scalds will often be rendered comparatively
+insignificant injuries. Instead of endangering the life of the sufferer
+from the excessive pain, or the ulceration, or gangrene and sloughing
+that would follow if the pain in the first instance does not destroy
+life, the pain ceases, or becomes bearable in a short time, and either
+little or no suppuration or sloughing takes place, or the sore assumes
+the appearance of healthy suppuration, and heals kindly--avoiding those
+unsightly deformities that so commonly follow severe burning. If
+practicable, the soap, as before suggested, should be applied
+immediately after the burn, the sooner the better. The part may be put
+into soft soap, or cloths saturated with it can be wrapped around or
+covered over the affected surface, to any desirable extent. The parts
+should not be exposed to the air for a single moment, when possible to
+prevent it. During the first two or three days, dressings need not be
+removed, unless they cause irritation after the first severe pain has
+subsided. They should be kept all of the time moist, and as far as
+practicable, in a condition to be impervious to the air.
+
+When it is necessary to remove them, let the affected surface be
+immersed in strong soap suds, at a temperature of about 75 or 80 deg., and
+the dressing removed while it is under water, and others applied while
+in the same situation. In ordinary cases, however, even of extensive
+burns, after the fever consequent upon it has subsided, and the part is
+tolerably free from pain and smarting, the dressings may be removed in
+the air, but others should be in readiness and applied as speedily as
+possible. 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 sore.
+
+After the first few days, or in case of a slight burn at the beginning,
+an excellent mode of applying the soap, is to make a strong thick
+"_Lather_" with soft water and good soap, such as Castile, or any other
+good hard soap, as a barber would for shaving, and apply that to the
+affected part with a soft shaving brush; apply it as carefully as
+possible, so as to cover every part of the surface, and go over it
+several times, letting the former coat dry a little before applying
+another, forming a thick crust impervious to the air. In small burns,
+and even in pretty extensive and severe ones, this is the best mode of
+application, and the only one necessary.
+
+In many cases of very severe and dangerous burns, under the influence of
+this application, the inflammation subsides, and after a week or more,
+the crust of lather comes off, exposing the surface smooth and well.
+Although it is important to apply the _soap_ early, and the case does
+much better if that has been done, still I have found it the best remedy
+even as late as the second or third day. In such a case, the _lather_
+application is the best.
+
+For the fever and general nervous disturbance, _Aconite_ and _Bell._
+should be given alternately, as often as every half hour, and the
+_Aconite_ should be given in appreciable doses; it acts powerfully as an
+anodyne. The soap treatment, or at least, the mode of applying it was
+first suggested to me by Dr. J. TIFFT, of Norwalk, Ohio, some six or
+seven years ago, since which time I have had opportunities of testing
+its virtues in all forms of burns and scalds, some of which were of the
+severest and most dangerous character, and I am quite sure in several
+cases, no other remedy or process known to the medical profession, could
+have relieved and restored as this did.
+
+The application of finely pulverized common salt, triturated with an
+equal part of superfine flour, acts very beneficially on burns. It seems
+to have the specific effect to "extract the heat," literally putting out
+the fire. It is particularly useful for deep burns where the surface is
+abraded. Some may suppose this would be severe and cause too much pain
+when applied to a raw surface, but so far from that being the case, it
+is a most soothing application. It often so changes the condition of
+even the severest burns, in a short time, as to render them of no more
+importance and no more dangerous than ordinary abrasions to the same
+extent, by causes unconnected with heat. _Urtica urens_ is directed for
+burns, and is useful, but the _Urtica dioica_ is better. For
+
+
+Chilblains,
+
+That follow freezing or chilling the feet, causing most distressing
+uneasiness and itching of the feet and toes, take these remedies, _Rhus_
+and _Apis_, the former at night and the latter in the morning. In bad
+cases, they should be used once in six hours. Applications of _Oil of
+Arnica_ to the affected parts at night, warming them before a fire, will
+serve greatly to palliate the sufferings, and frequently effect a
+perfect cure. The _Urtica Dioica_ will relieve recent cases,
+immediately, and is one of the best remedies for the chronic affection.
+It should be taken at the 2d dilution, and the tincture applied to the
+affected part every night.
+
+
+Hoarseness.
+
+This arises generally, from inflammation of the mucous membrane of the
+_Larynx_, in ordinary cases but slight. It is a frequent accompaniment
+of Bronchitis.
+
+The remedies most useful, and those which will, in almost all ordinary
+cases, remove this affection at once, are _Arum tri._ and _Copaiva_, to
+be taken a dose every three hours in alternation.
+
+If there is present a dry hacking cough, it will be well to take _Bell._
+in the interval between the other medicines, for a day, or until the
+cough is relieved, or changed to a moist condition.
+
+
+Inflammation of the Brain.
+
+_Brain Fever._
+
+Though this affection is not strictly what is called "brain fever," it
+is attended with more or less general fever, while in what is called
+"Brain fever," there is great irritation of the brain, requiring in many
+respects similar treatment. As the treatment proper for inflammation of
+the brain, with some slight modifications in relation to the existing
+fever, will be applicable to both, I shall treat of them under one head.
+
+Some of the principal symptoms are delirium and drowsiness, fullness of
+the blood vessels of the head, beating of the temporal arteries, redness
+and fullness of the face, the pupils dilated, (though in the very early
+stage they may be contracted.) If the membranes of the brain be the seat
+of the disease, the pain is more intense, and frequently the limbs are
+in a palsied state. The patient sometimes vomits immoderately, and the
+pulse is slow and irregular, but full. The breathing becomes stertorous.
+The fever is very considerable, and the head hot.
+
+
+TREATMENT.
+
+_Aconite_, _Belladonna_ and _Bryonia_ should be given in rotation, one
+dose every hour in a violent case, lengthening the intervals as the
+symptoms abate. Applying _hot cloths_ to the head, removing them
+occasionally to let the water evaporate, will greatly palliate and will
+not in the least, interrupt the action of the medicines. Never apply
+cold to the head of any person, when hot or inflamed, much less to that
+of a child. Children are often killed by the application of ice to the
+head, producing congestion and paralysis of the brain. Hot applications
+are Homoeopathic to the state then existing, and always beneficial.
+The feet may also be placed in hot water, but children should never be
+put into a hot or warm bath when sick, so as to cover more than the
+lower extremities.
+
+
+Convulsions of Children--Fits.
+
+These generally occur, either from the irritation of worms, or as
+precursors of ague, or they may arise from diarrhoeal irritation,
+affecting the brain. They sometimes occur in hooping cough.
+
+If convulsions occur from worms, the child appearing to be choked, give
+at once some salt and water, and as soon as the first paroxysm is over,
+give a dose of _Bell._, and after an hour a dose of _Santonine_. If they
+come on at the commencement of an ague chill, give _Aconite_ and _Bell._
+every half hour for three or four doses alternately, then leave off the
+_Bell._ and give _Baptisia_. If diarrhoea is the cause, give _Bell._
+and _Cham omilla_. If from hooping cough, _Bell._ alone should be used.
+
+
+Measles.
+
+This is a contagious disease, and always begins with symptoms like a
+cold, with high fever, and a severe dry cough, thirst and restlessness.
+_Pulsatilla_ is the proper medicine to palliate and regulate the
+symptoms. If the fever is high, _Aconite_ should be used every two hours
+alternately with _Puls._ Should the eruption subside suddenly, give
+_Bryonia_ with _Pulsatilla_ until it reappears.
+
+Let the child drink freely of cold water, and avoid stimulants of every
+kind. If the eruption is tardy in its appearance, a hot bath may be
+administered, being careful to have the room quite warm, and to rub the
+patient dry, very suddenly after the bath. Frictions by the healthy hand
+over the surface, will do much towards bringing out measles. After the
+eruption is out, quiet, freedom from sudden exposure to cold, cold water
+and light diet is all that is necessary. In some of the most obstinate
+cases, where the eruptions failed to appear in the proper time, as well
+as where they had receded too soon, I have been able to bring them out
+in a short time with an infusion of Sassafras root, sweetened and taken
+quite warm, in doses of half an ounce in fifteen to thirty minutes. It
+is a remedy for measles well worth attention.
+
+
+Mumps.
+
+This is a contagious disease, consisting in an inflammation of the
+Parotid gland. There is, at first, a sense of stiffness and soreness on
+moving the jaw, soon after the gland begins to swell, and continues to
+be sore and painful, with more or less headache, and general fever for
+from six to eight days. It is not ordinarily a dangerous disease, unless
+translated to some other part. It may remove from the original seat to
+the brain, the testicles, or in females to the breasts.
+
+
+TREATMENT.
+
+_Mercurius_ should be given three times a day during the attack. If the
+brain becomes affected, use _Bell._ and _Apis mel._ in alternation.
+Should it recede to the testicles, or to the female breasts, _Apis mel._
+is _the_ remedy. _Mercurius_ may be used in connection with the _Apis_
+as soon as the violent symptoms have subsided, in order to prevent
+permanent glandular swellings.
+
+
+Stings of Insects.
+
+The effect produced by the sting of Bees, Wasps, and Hornets of all
+kinds, is so nearly, if not quite identical, that I shall make no
+distinction between them. There are very few, if any persons, who do not
+know the symptoms, at least the local effects of the Bee sting. Pungent,
+stinging, aching pain, redness and swelling of the part. The wound has
+at first, and for some time, a white spot or point where the sting
+entered, surrounded by an areola of bright scarlet, growing fainter and
+paler as it recedes. The swelling is not pointed, but a rounded
+elevation, with a feeling of hardness. If upon the face, it not
+unfrequently causes the whole face to swell so as to nearly if not
+entirely close the eyes. In some instances, the brain becomes affected
+and death ensues.
+
+
+TREATMENT.
+
+I have for many years, used but _one remedy_, and that has in all cases,
+and under all circumstances, when applied at any stage of the affection,
+produced prompt and perfect relief; therefore I shall recommend no
+other. It is the common garden _Onion_, (_Allium cepa_) applied to the
+spot where the sting entered. I cut the fresh Onion and apply the raw
+surface to the spot, changing it for a fresh piece every ten to fifteen
+minutes, until the pain and swelling, and all disagreeable symptoms
+disappear. If it is applied immediately after the stinging, the first
+application will afford perfect relief in a few minutes, and no further
+effect from it will be experienced. Applied later, it must be continued
+longer, and this may be done one or two days after the stinging, with
+just as much certainty of removing whatever symptoms may still exist.
+
+I treated one case when three days had elapsed, the patient (a young
+lady) was delirious and speechless, the whole face was so swollen as to
+entirely disfigure her features, raising the cheeks to a level with the
+nose, and closing the eyes. Her life was almost despaired of. The
+surface of a freshly cut onion was applied to the point where the sting
+entered, and changed about once an hour for a fresh piece. In a few
+hours consciousness returned, and a rapid recovery followed. All the
+swelling and disagreeable symptoms were gone in three days.
+
+_Ledum_ is highly recommended by some Physicians, and is doubtless of
+some value, but it is not to be compared with the _Allium_.
+
+The most potent and certain remedy for the poison caused by the
+
+
+Bite of the Rattlesnake
+
+is _Alcohol_, in the ordinary form, or in common Whisky, Brandy, Rum or
+Gin. Let the patient drink it freely, a gill or more at a time, once in
+fifteen to twenty minutes, until some symptoms of intoxication are
+experienced, then cease using it. The cure will be complete as soon as
+enough has been taken to produce even slight symptoms of intoxication.
+It is remarkable how much alcohol a patient suffering from the poison
+of the Rattlesnake will bear.
+
+An intelligent medical friend of mine in Kanawha County, Virginia, gave
+a little girl of ten years, who had been bitten by a Rattlesnake, over
+three quarts of good strong Whisky, in less than a day, when but slight
+symptoms of intoxication were produced, and that seemed to arise
+entirely from the last drink. She recovered from the intoxication in a
+few hours, and suffered no more from the poison of the serpent.
+
+Instances of cures with whisky are numerous, and I have never heard of a
+failure, when it was used as here directed. I presume it will do the
+same for the poison of other serpents.
+
+
+Headache.
+
+This symptom or affection, (if it can be classed as a disease) may
+depend upon so many causes, and be so very different in its effects,
+degrees of intensity, and the kind of pain or sensation attending it,
+that one will find it very difficult to mark out any definite treatment.
+I shall, therefore, only point out some of the more frequent cases, and
+the indications for certain remedies.
+
+What is called "_sick headache_," or "nervous headache," begins by a
+sense of blindness or blur, before the eyes, of green or purple colors,
+dazzling or swimming in the head, without, for some time at first, any
+positive aching or pain. In the course of an hour, a longer or shorter
+time, the dimness of vision goes off, and the head begins to ache. This
+may or may not be accompanied with nausea and vomiting. Some persons are
+always more or less sick at the stomach, when these "nervous headaches"
+come on, others are not thus affected.
+
+
+TREATMENT.
+
+If taken as soon as the first blur before the eyes is noticed, or before
+any pain is felt in the head, _Nux Vomica_ will, in nearly all cases,
+arrest the disease at once. It may be necessary to take two or three
+doses at intervals of an hour. Later in the case, though _Nux_ may
+palliate, it will not cure.
+
+If headache with sickness comes on, _Macrotin_ and _Podoph._ should be
+given in alternation, every half hour, if the symptoms are very severe,
+and the nausea great; but in a mild case, give it once an hour,
+lengthening the interval as the symptoms abate.
+
+If the feet are cold, as is often the case, putting them into hot water
+will palliate the symptoms, and not interfere with the medicines.
+
+If the head feels hot, apply _hot_ water to it. Never apply cold to the
+head, when there are any symptoms of congestion, as of fullness of the
+blood vessels. For
+
+
+Common Headache,
+
+If the face is red, and the arteries of the neck and temples throb
+violently, give _Bell._ If there is paleness and faintness, _Pulsatilla_
+is the remedy, especially if the forehead is principally affected. If
+the pain is mostly in the back of the head, _Nux_ is to be used; if in
+the front, and is sharp, affecting the eyes, _Aconite_; if at the angles
+of the forehead, with a sense of pinching, _Arnica_; if a sense of
+fullness and pressing outwards, or with an enlarged feeling, _Macrotin_;
+if intermitting or remitting, _Mercurius_; if there is ringing in the
+ears, _China_. Headache from fright should have _Aconite_.
+
+For that kind of _headache_ that often occurs during the prevalence of
+fevers, and is not unfrequently a premonitory symptom of an attack of
+fever, I have found _Baptisia_ and _Podophyllin_ to be specifics. I give
+them alternately, every two hours a dose, until the headache ceases. It
+often subsides in a few minutes after the first dose of either, though I
+have sometimes failed with one alone and succeeded in the same cases
+afterwards with both in alternation. _I have no doubt_ but that they act
+in many cases, as _Prophylactics_, entirely warding off and preventing
+fevers, or at least arresting them at the premonitory stage.
+_Podophyllin_ is a most valuable remedy for headache.
+
+
+Nose Bleed--Epistaxis.
+
+If it arises from fullness of the vessels of the head, with throbbing of
+the temples, redness of the face and eyes, _Belladonna_ is the remedy.
+If fever is present, _Aconite_ must be alternated with _Bell._
+
+In females or children who have habitual nose-bleed, _Pulsatilla_ and
+_Podophyllin_ are to be used alternately, night and morning. During the
+paroxysm of bleeding, _Arnica_ should be used, one dose repeated in a
+half hour if it continues.
+
+If it is produced by over-exertion, _Rhus_ is the proper remedy. If it
+occurs in the _early stage_ of fever, _Aconite_ and _Bell._; in the
+latter stage, _Rhus_ and _Phos._ are to be used. _Hamamelis_ will
+frequently arrest nose-bleed _immediately_ after one or two doses.
+
+
+Worms.
+
+It is difficult to determine the presence of _worms_ in children, much
+more in adults, yet both are affected by them occasionally. In children,
+there is more or less fever and restlessness, screaming out in sleep,
+starting, pain in the bowels, vomiting, choking, diarrhoea, picking at
+the nose, fetid breath, voracious and variable appetite.
+
+
+TREATMENT.
+
+_Santonine_ is a remedy which I have used for years, and I have treated
+many hundreds of cases, with such unvariable success, that I feel
+disinclined to use or to recommend any other. It brings away the worms
+entire, and relieves the patient of all morbid symptoms immediately, or
+in much less time than any other remedy of which I have any knowledge.
+It seems to act specifically upon the worms, causing them to leave the
+bowels by being evacuated with the feces, without producing any sensible
+impression upon the bowels, the evacuations remaining natural, if they
+were so, or becoming so, if deranged, and the worms coming away not
+quite lifeless.
+
+I have often prescribed this remedy for children suffering under
+intermittent or remitting, and even typhoid fever, in the summer season,
+when there were not present any well defined symptoms of worms, and yet
+the fever would soon abate, and in due time worms appear in the fecal
+evacuations. It often arrests entirely intermittent fever, when worms
+are present, and are the probable cause of the fever.
+
+I give either the crude salt in from one-fourth to one-half grain doses,
+or a trituration of one grain to four of sugar, giving in the latter
+case, from one to two grains of the trituration. Give one dose at
+bed-time, or in an urgent case at any other time, but never repeat the
+dose under thirty-six hours, and in an ordinary case, under forty-eight
+hours.
+
+This is _the_ medicine _par excellence_ for worms. It may be repeated
+once a week, when there is a tendency in the patient to the development
+of worm symptoms, or, in other words, the breeding of worms. The idea
+held out by some that it is hurtful, or unimportant to remove the worms,
+in itself considered, is simply _nonsense_, and _worse_, for children
+are sometimes sacrificed to this idea.
+
+
+Earache--Otalgia.
+
+This may arise from various causes, but a common one is sudden cold. If
+it arises from cold, and there is general fever, or if the ear is red,
+or the side of the head and ear hot, _Bell._ and _Baptisia_ should be
+given in alternation, every hour, or in a violent case, more frequently.
+These remedies will soon relieve such cases. Cloths wrung out of hot
+water should be laid over the ear, or the side of the head steamed, or
+it may be laid into water quite warm, with good effect.
+
+Where the disease is a chronic affection, and the patient is subject to
+frequent attacks of pain in the ear, especially on a change of the
+weather, from dry to moist, _Mercurius_ is the proper remedy, especially
+if it is worse at night, when warm in bed.
+
+If it arises from a shock or blow, _Arn_. is to be used. In scrofulous
+persons, whether there is ulceration or not, _Phosphorus_ and
+_Pulsatilla_ are the remedies.
+
+Children and even adults, not unfrequently suffer from earache, without
+any known cause sufficient to account for it. On examination into the
+ear you will often find either the cavity filled or nearly so, with a
+hard black substance, (the inspissated "earwax") almost as hard as horn,
+or else the ear will be quite empty, and the sides of the cavity _dry_
+and red, though perhaps not properly in a state of inflammation.
+
+The natural condition of the cavity as it can be seen by straining the
+ear outwards and backwards a little in a strong sun light, is moist, the
+surface covered slightly with a yellowish, greasy, soft substance (the
+cerumen) "earwax." When this is wanting or in excess, or its character
+changed, it is evidence of disease, and pain is likely to occur. The
+
+
+TREATMENT
+
+for this condition is to remove the accumulation when that exists, as
+the first step. But this must be first softened by pouring some warm
+oil, pure olive oil, or good pure sperm oil, into the ear, and repeat it
+two or three times a day for several days, until it is so far softened
+as to be easily removed with the probe end of common small tweezers,
+having a spoon-bowl point.
+
+When there is dryness, moisten the surface with oil. In either case, it
+is best, for a while, to protect the delicate surface from the air, by
+putting oiled wool into the external ear.
+
+If the ear was filled, give _Mercurius_ once a day until there appears a
+natural secretion. If dry, use _Belladonna_.
+
+
+Toothache.
+
+It is difficult to determine the cause of toothache, and more difficult
+to select the remedy. It often depends upon decay of the tooth, and
+exposure of the nerve to air, and contact with food or drinks, or even
+saliva, which irritate and produce pain.
+
+_Pulsatilla_ will as often relieve such cases as any other remedy, yet
+if it has been aggravated by a recent cold, _Bell._ and _Nux V._ may be
+better. If the nerve is not exposed, and there is a disposition to a
+return of the pain on exposure to cold air, or a change of weather, the
+pain being of a _rheumatic_ character, give _Rhus_ and _Macrotin_ in
+alternation. These will relieve many cases. For decayed teeth, the pain
+being dull aching, with soreness, use _Chamomilla_. The body of the
+tooth, that is the dentine, sometimes becomes very sensitive when there
+is no decay or cavity, the pain being experienced when some hard
+substance hits, or the air or water, either cold or hot, comes in
+contact with the tooth. The temporary pain will generally yield to
+_Arnica_, and in most instances, the daily use of _Arnica_ at the first
+decimal dilution, applied to the surface, and upon the jaws, will effect
+a cure.
+
+The _chloride of Zinc_ applied to the surface of such teeth for a few
+moments will destroy the sensitiveness of the dentine.
+
+Teeth that are ulcerated at the roots, or have ulcerated gums around
+them, the teeth being decayed, should be extracted at once, for, besides
+the pain and inconvenience they cause, they are a _very prolific_ source
+of _disturbance_ to the digestive organs, from the positive poison
+generated by the decaying process.
+
+If people will use soft brushes upon the teeth with soap and water,
+followed by rinsing with simple water only, after each meal, brushing
+both inside and out and crossways, so as to clean between them, they
+will be saved much pain and decay, and disease of other parts, arising
+from foul and diseased teeth.
+
+
+Teething of Children.
+
+Affections arising from teething of children, are often of a serious
+character. The most prominent of which is _Diarrhoea_. _Fever_
+frequently accompanies the diarrhoea, and _convulsions_ occasionally
+occur. _Aconite_ and _Chamomilla_ should be used in alternation, every
+one or two hours, according to the violence of the fever, and if
+convulsions occur, or are threatened, as will be known by twitching,
+starting, and screaming, use _Nux_ and _Bell_. These may be given in
+rotation with the others, following the remedies, one after the other,
+every hour. I have relieved the most alarming cases in a day by this
+method of procedure, that had not yielded to either of the single
+remedies for several days, given as directed in the books; the patient
+growing worse continually. If the gums over the teeth look white and the
+teeth, (one or more,) are near the surface, the gums should, by all
+means, be cut. Press the point of a lancet or penknife down upon the top
+of the gum, until the tooth is plainly felt, and be sure to make the cut
+as wide as the tooth. Rub the gums with _Arnicated water_ once or twice
+a day. _Pulsatilla_ should be given at night and _Chamomilla_ in the
+morning, during the whole summer while the child is teething, as a
+prophylactic against the fever and diarrhoea that is likely to occur.
+It will generally save all trouble.
+
+If the diarrhoea is profuse, watery and light colored or brown, give
+_Phos. acid_ and _Veratrum_ alternately, as often as the discharges
+occur. For the restlessness of infants at night, _Coffea_ is the
+specific.
+
+
+Apthae--Thrush.
+
+This is a disease peculiar to nursing children. The mouth becomes sore,
+and the tongue, lips, and fauces are covered with a white crust, looking
+like milk curds, which, when removed, leaves the surface red, inflamed
+and very tender. It sooner or later, extends to the stomach and bowels,
+producing severe and dangerous diarrhoea.
+
+
+TREATMENT.
+
+Of all the medicines known to our Materia Medica, none, according to my
+experience, will in the least, compare with the _Eupatorium aromaticum_.
+It is almost, if not quite certain to relieve speedily in all cases. I
+say this, not only from my own experience and observation, but from the
+testimony of several other Homoeopathic Physicians, who have, within
+the last year, used it.
+
+It should be given at the first or second dilution, once in four or six
+hours, and three or four drops of the tincture put into a teaspoonful of
+water, and the mouth occasionally washed with the mixture.
+
+In summer, where agues prevail, and the child is feverish and restless,
+_China_ will aid in the cure, to be given once in six hours between the
+doses of the _Eupatorium_. If the diarrhoea is obstinate, the
+discharges colored, and the child is sick at the stomach, give
+_Podophyllin_ with the other remedies.
+
+
+Inflammation of the Eyes--Ophthalmia.
+
+For common Ophthalmia, in the early stages, while there is more or less
+fever and headache, with flushed face, bloodshot eyes and throbbing of
+the temporal arteries, _Bell._ and _Aconite_ should be used alternately
+every two hours, and a wash made with ten drops of tincture of Aconite
+to one gill of pure water, applied to the eyes as hot as the patient can
+bear. This application should be repeated every two hours, in a violent
+case, until the eyes are easy, and then about twice a day until all
+inflammation and redness pass off. This will relieve a large proportion
+of cases in from one to four days.
+
+If, however, the case continues obstinate for a longer time, or has been
+of a week or more standing before the treatment is commenced, in the
+place of Bell., or after using it one or two days, use _Hydrastus_ with
+the _Aconite_, giving them alternately at intervals of two to six hours,
+according to the stage of the case--more frequently as the symptoms are
+more urgent, using washes prepared of each separately, as directed for
+Aconite, except that the Hydrastus wash may be twice as strong; and
+apply each about half as often as the same medicine is taken internally.
+The wash should, in all cases of acute inflammation of the eyes, be as
+hot as it can be borne. Let it be put into the eyes so as to come
+directly in contact with the inflamed surface.
+
+Simple hot water applied to inflamed eyes for hours together, allowing
+short intervals between the applications, will often cure most painful
+cases.
+
+_Never apply cold_ to inflamed eyes. It always aggravates. When the
+inflammation is in a scrofulous person, especially in infants, it
+assumes a purulent character, and may leave the cornea in clouded
+(nebulous) condition, and the sight more or less obliterated. For this
+condition use _Conium_ first, and apply it _in tinct._, half water, to
+the eyes every four hours.
+
+
+Wounds and Bruises.
+
+On this subject, I must necessarily be very brief. When a wound is
+inflicted, the first and most important thing to be done is to _arrest
+the flow of blood_. Every one should know how to do this. The bleeding
+is to be stopped, and the wounded vessels to be secured, so that no
+further flow can take place.
+
+First, then, to stop the bleeding, _pressure_ is to be made upon the
+artery leading to the wound. If the wound is in the leg or foot,
+pressure is to be made, either on the vessel above and near the wound,
+or, where that cannot be easily found and compressed, make firm pressure
+with the thumb or some hard substance, in the groin, about two and a
+half inches at one side of the center of the pelvis, (wounded side) just
+below the lower margin of the belly, towards the inner side of the
+thigh, where the great artery (Femoral artery) can be felt pulsating. By
+pressing firmly upon this artery, the blood is arrested in its flow into
+the limb, and of course the bleeding from the wound soon ceases. If the
+wound is in the arm or hand, _pressure_ is to be made, either just above
+the wound, or on the inside of the arm, about one-third of the way from
+the shoulder to the elbow, where the artery (Brachial) can be felt. To
+secure the parts from further bleeding, the wounded artery must be taken
+up and tied. Let it be seized by forceps, or the point of a needle may
+be thrust into it, and the vessel stretched out a little, a thread put
+round it and tied; cut off one end of the tie, and let the other hang
+out of the wound, until it comes out by the vessel sloughing off. Bring
+the lips of the wound together, and if it is large, put in stitches
+enough to hold them, and put on an adhesive plaster, compress of cloths,
+and bandages to keep it from straining the stitches, and protect it from
+the air. The _Arnica_ plaster, made by JOHN HALL, of Cleveland, is the
+best adhesive plaster of which I have any knowledge. Give the patient
+_Aconite_ once in two hours, for a day after the accident.
+
+_Slight Cuts_ about the joints, especially the knee, are dangerous, from
+their liability to affect the ligaments, inflame, and produce _Lockjaw_.
+Therefore, such wounds, ever so slight, are of great importance. They
+should be at once closed up, whether they bleed or not, and covered with
+an adhesive plaster, (Arnica plaster is the best) a bandage, and the
+knee should not be bent, even when walking or sitting, until the wound
+is healed. It is best to apply a splint from the hip to the heel, and
+bandage the limb to it, so as to prevent bending of the joint.
+
+_Bruises_ are to be treated with _Arnica_, applied to the part affected,
+by putting twenty drops of the tincture into a gill of water, if the
+skin is _not_ ruptured, or three drops into the same if it is, and
+bathing freely. The _Arnica_ is to be taken internally at a higher
+dilution. Keep the parts covered with cloths and wet in _Arnica_ water.
+
+If a blow is received upon the head, by a fall, or in any other way,
+producing a "stunning" effect, (concussion of the brain) so that the
+patient appears lifeless for a time, and delirious when he begins to
+come to, there is great danger of inflammation of the brain, and death
+from the re-action, or in some cases, the shock is so great that the
+patient will never revive unless he has the proper aid.
+
+_Arnica_ is the great remedy to bring on reaction, arouse the patient,
+and prevent _dangerous_ inflammation or congestion of the brain.
+
+When a patient is "stunned" by a blow or fall, he should be conveyed
+soon as possible, to some _quiet_ place, and as little noise as
+practicable made about him, and the room kept darkened. _Arnica_ 3d
+should be given immediately, and the nostrils wet with strongly
+arnicated water.
+
+If fever arise after he comes to, _Aconite_ should be given with
+_Arnica_, and if the head aches, or becomes hot, _Bell._ is to be used.
+This will prevent or arrest all symptoms of inflammation.
+
+_Torn and Mangled_ wounds should not be handled much. If they bleed, the
+blood must be stopped as in any other case. If they are dirty, warm
+water may be gently applied to cleanse them. The wound should be covered
+with some soft cloths, and kept constantly wet in Arnicated water of the
+strength of four drops of the _tincture_ to a pint of water.
+
+
+Piles--Hemorrhoids.
+
+One important matter in all cases of habitual piles, is, to keep the
+bowels regular. Much can be done for this purpose by diet and regimen.
+On rising from bed in the morning drink freely, from a gill to half a
+pint of cold water, at least half an hour before breakfast; use such
+diet as is easily digested, and drink no alcoholic beverages. To relieve
+the bowels when costive, take a dose of _Nux Vomica_ at night, and
+_Podophyllin_ in the morning. This may be repeated from day to day until
+the proper effect is produced.
+
+To relieve from a severe attack of Piles, use _Bell._ and _Podophyllin_
+in alternation every four hours, and apply to the tumors when inflamed,
+cloths wrung out of hot water, or sit in hot water for a time.
+
+A poultice made of fine-cut _Tobacco_ wet in hot water and crowded
+firmly up against the pile-tumors, secured by a T bandage, will relieve
+the most desperate cases for the time, and is attended with no danger or
+disagreeable symptoms except in rare cases, when it produces sickness at
+the stomach, which soon subsides on the poultice being removed. _Oil of
+Arnica_ is an excellent application for inflamed Piles.
+
+A most important point in the management of Piles, and one often
+neglected, is to replace the prolapsed tumors. The tumors will be
+protruded from within the anus by the act of evacuating, and if left in
+that condition, will be pressed upon by the external parts, chafed and
+inflamed. In all such cases, the patient should take particular pains to
+return the tumors into the rectum; and to aid in that process a little
+oil may be applied when they will be easily pushed back, and the
+sphincter of the bowel will close below them, preventing any chafing,
+and the consequent inflammation.
+
+For _Bleeding Piles_, _Ipecac_ and _Bell_. are very efficient remedies.
+They may be alternated every half hour, or oftener if the bleeding is
+severe, or at longer intervals when it is only slight.
+
+_Hamamelis V._, (Witch Hazel,) will in nearly all cases arrest the
+bleeding at once. It should be applied to the parts and taken internally
+at the same time. Drop doses to be put on the tongue once in fifteen or
+twenty minutes.
+
+An infusion of the _Hamamelis_ may be taken internally in doses of half
+a teaspoonful, and the same injected into the bowel with excellent
+effect.
+
+The most effectual way, and the best for obtaining permanent relief from
+Piles when the tumors have become hard, and remain all the time so as to
+pass out of the anus at every evacuation, being constantly more or less
+tender and painful, and often becoming inflamed, is to have them taken
+off. But never let that be done with a knife. The bleeding would, in
+such a case, be very excessive, and most likely fatal. The history of
+knife operations for the excision of Pile tumors is written in blood,
+and the tombstone stands as a monument of condemnation of the practice.
+No trustworthy surgeon will at this day attempt it.
+
+But however dangerous may be the knife operation, there is no danger at
+all to be apprehended from removing the tumors by a _ligature_. To
+accomplish this, take a soft cork about three-fourths of an inch in
+diameter, and one inch long--make a hole through the center from end to
+end, about one-eighth of an inch in diameter--cut crucial grooves in the
+top of the cork about an eighth of an inch deep, bevel down the lower
+end nearly to an edge, make a cord of saddler's silk, three fold twisted
+together and waxed, about eight or ten inches long, double this in the
+middle and pass the loop down through the cork out at the sharp end, the
+two loose ends of the string being out at the grooved end. Make a strong
+hickory stick about three-sixteenths of an inch in diameter, and just
+long enough to pass across the square end of the cork. Now have the
+patient protrude the Pile tumors as far out as possible, being placed on
+his knees with the head bent to the floor, pressing out firmly as if to
+evacuate the bowels. Let the tumors be dried as much as possible by
+gently pressing a soft, dry cloth to them; then let the loop of the
+string projecting from the flattened end of the cork, be pushed on over
+the largest tumor, and held down at its base, while an assistant places
+the stick in one of the grooves, ties the two ends of the cord firmly
+down over the stick, or _toggle_, by a square bow knot; then turn the
+stick round once, twice, or more, until the pressure upon the tumor is
+sufficient to strangulate it perfectly, and prevent the string from
+slipping off. Care should be taken to keep the cord down to the base of
+the tumor while it is being tied and tightened, as in many cases the
+base is much the larger part of the tumor, and the cord tends to slip
+up. After the ligature is applied and tightened, apply arnicated water
+to the parts, and a large, warm poultice of superfine slippery elm bark,
+wet so as not to be too soft and slippery, on the face of which Arnica
+may be put. Keep it on with a T bandage. The patient must be put to bed
+and kept quiet until the ligature and tumor come off, which will be in
+about six or seven days, sometimes sooner. Once a day the "toggle" must
+be turned part, or the whole of a circle or more, to tighten the cord as
+the patient can bear. This will be very painful from beginning to end of
+the ligating, but any, even the most sensitive, patient can bear it. The
+patient must have quite warm hip baths two, three, or more, times a day,
+or as often as the pain is severe, the poultice being replaced after
+each bath, and kept constantly on.
+
+If there are several tumors protruding, apply ligatures to two of the
+largest, when these are removed, the others will disappear.
+
+Injections of mucillage of slippery elm should be carefully used to move
+the bowels daily, or at least once in two days. Let the diet be of corn
+or oat meal mush, or rice. As the tumor gradually sloughs off, the
+surface heals, so that, though the base where the ligature was applied,
+may have been an inch or more across it, there will not be a raw surface
+of over an eighth of an inch in diameter, to which _Calendula Cerate_
+should be applied. The patient must keep quiet for a few days longer.
+Though this is a painful operation, it is not in the slightest degree
+dangerous. I have effected complete and permanent cures by this mode in
+numerous instances.
+
+
+Sea-Sickness.
+
+_Nux Vomica_ should be used once in about four hours, for twelve hours
+before sailing, as a preventive to sea-sickness.
+
+If, however, symptoms, such as dizziness or blur before the eyes, and
+headache, begin to come on, a dose of _Nux_ should be taken, followed in
+an hour with _Pulsatilla_.
+
+If the nausea comes on, _Ipecac_ and _Arsenicum_ should be taken
+alternately between the paroxysms of vomiting, should that symptom
+appear.
+
+If practicable, the patient should lay still upon the back until the
+sickness passes off. I have removed sea-sickness immediately in several
+instances with _Pulsatilla_ alone, and the last time I had an
+opportunity to prescribe for this affection I gave _Podophyllin_. It
+removed all the symptoms in a few minutes. That is the only time I ever
+tried it, but from the provings I am satisfied it is one of the best
+remedies.
+
+
+Asiatic Cholera.
+
+I was practicing in Cincinnati during the prevalence of Cholera in the
+years 1849, and 1850, and in Northern Ohio in 1854, and had abundant
+opportunity to observe and treat it. The disease generally begins with a
+diarrhoea, which may continue for several days, or only a few hours
+before other symptoms set in, such as vomiting, then cramping in the
+stomach and muscles of the legs, arms, hands and feet, followed by cold
+sweats, great prostration, restlessness, excessive and burning thirst,
+drinks being immediately rejected. These symptoms continue, the patient
+sinking rapidly into _collapse_, when the skin looks blue and shriveled,
+the eyes sunken, the surface covered with a cold, clammy sweat, the
+extremities, nose, ears, tongue and breath cold, the voice hollow and
+unnatural. This condition continues from two to eight or ten hours, the
+patient regularly failing, sometimes becoming delirious before he dies.
+
+In some cases the vomiting and diarrhoea set in simultaneously, and
+the other symptoms follow, as above described, in rapid succession. In
+others the cramping may be the first symptom, the others following it.
+
+In a large proportion of cases, the disease takes the course first
+described above, the diarrhoea, called the _premonitory symptoms_, or
+sometimes _cholerine_, coming on several hours, if not a day or more,
+before any other symptoms.
+
+The diarrhoea is not usually painful, hence the patient may not be
+alarmed so as to attend to it until the more dangerous symptoms appear.
+It begins in some cases with pain and some griping, the discharges
+rather consistent, having a bilious appearance, so that the patient
+supposes it to be an ordinary bilious diarrhoea, which is not
+dangerous, his fears being thus quieted. But however the diarrhoea
+begins, it becomes sooner or later, copious, watery, and light colored,
+(rice water) painless but rapidly prostrating.
+
+
+TREATMENT.
+
+In the early stages of the diarrhoea, _Veratrum_, taken about twice as
+often as the evacuations occur, will frequently arrest it in a few
+hours, especially if the patient lies down and keeps quiet. But if not,
+and it increases in frequency, or becomes more copious, or any sickness
+is felt at the stomach, the patient should, at once, be laid upon a bed
+and _strong tincture of Camphor_ should be given in drop doses, once in
+five minutes, for one hour or more, and as the symptoms abate, once in
+ten, fifteen or twenty minutes, for six or eight hours.
+
+A teaspoonful of the _Camphor tincture_ may be put into a tumbler of
+cold water, ice water if at hand, and the water agitated until it
+becomes clear, giving a teaspoonful of this camphorated _cold_ water as
+a dose, stirring the water each time. I think this is better than to
+give the pure tincture. After the patient becomes quiet and easy,
+_Veratrum_ should be given in alternation with Camphor, a dose in four
+to six hours for several days, or oftener if he feels any symptoms like
+a threatened return of the disease. These two medicines serve as
+_prophylactics_ (preventives) of Cholera.
+
+If, however, the disease continues in spite of the Camphor and Veratrum,
+in the first instance, or later, (as the Camphor may be given in many
+cases with success in the advance stage,) you must resort to other
+remedies.
+
+If vomiting comes on with burning in the stomach give _Ipecac_ and
+_Arsenicum_ in alternation as often as the vomiting occurs, and if the
+diarrhoea continues give _Veratrum_ between the doses of the other
+two, in a violent case, as often as every ten to fifteen minutes, and at
+longer intervals when the disease is slow in its progress. If the
+vomiting and diarrhoea, or either, occur with a kind of explosion, the
+vomiting ceasing suddenly for the time, after the first _gush_, or the
+discharges from the bowels are involuntary, _Secale_ is the specific
+remedy.
+
+For the cramping, _Cuprum_ and _Veratrum_ are the remedies to be given
+alternately.
+
+If, however, the _cramping_ comes on as the first symptom, which is
+sometimes the case, the patient being suddenly seized with it before any
+other alarming symptoms occur, _Camphor_ is _the great remedy_, and in
+this case it may be given in doses of double or treble the quantity
+before directed.
+
+If he sinks into the _collapse_ and lies quiet, indifferent to
+everything, the pulse sinking, or he is pulseless, _Carbo Veg._ will
+sometimes arouse and restore him, hopeless as the case appears. It
+should be given once in half an hour until the pulse begins to rise. If,
+however, instead of being quiet he is restless and thirsty, give
+_Arsenicum_ in alternation with _Carbo Veg._, repeating the dose as
+above directed. In some cases, after all the active symptoms cease, the
+patient will become quiet and drop to sleep, and instead of the pulse
+rising, as it will if he is recovering, it sinks, or does not appear if
+he has been pulseless, and the breathing becomes irregular and
+feeble--he is sinking. If aroused, he sinks back into the stupor in a
+few moments as before. _Laurocerasus_ is a specific for this condition.
+It should be given once an hour until he is aroused.
+
+If, however, besides the stupor, the head is hot, the face red, the
+breathing oppressed, the pulse slow and sluggish, _Opium_ is to be
+used, and may be given in alternation with _Laurocerasus_.
+
+For the irritation of the brain, and furious delirium that sometimes
+sets in after the cessation of cholera symptoms, _Secale_ and
+_Belladonna_ in alternation will prove specific.
+
+Let the patient have warm or cold drink as he prefers, and let his
+covering be light or plentiful as is most agreeable. As soon as he gets
+easy, and the vomiting and purging cease, and his pulse begins to
+return, keep him quiet as possible, let the room be darkened and
+everything still, so that he may go to sleep, which he is inclined to
+do, this being the surest restorer. I am quite sure I have known several
+patients carried off by a return of the disease, after it had been
+effectually arrested, in consequence of sleep being prevented by the
+rejoicing officiousness and congratulations of friends, disturbing and
+preventing that early and quiet slumber which nature so much needs, and
+must have, or hopelessly sink. The diet for two or three days after
+recovery, should be a little oat meal gruel or rice.
+
+
+Small Pox--Variola.
+
+This disease begins with pain in the head and back, chilly sensations,
+followed by a high fever, so similar in all respects to a severe attack
+of Bilious or "winter" fever, that it is difficult or impossible to
+distinguish it with certainty, as Small Pox. The fact of the prevalence
+of the disease at the time, and the exposure of the patient, may lead
+the Physician and friends to suspect Small Pox. There is one very
+striking symptom of Small Pox, however, that exists from the beginning,
+which, though it may be present in fever simply, is not uniformly so.
+This is a severe and constant aching _pain in the small of the back_.
+The headache is also constant.
+
+The Small Pox is of two varieties or degrees, _distinct_ and
+_confluent_. The _distinct_ is when the pustules are separated from each
+other, each one a distinct elevation, with more or less space between
+them not affected by the eruption.
+
+The _confluent_ is where the pustules spread out from their sides and
+run together, covering the whole surface as one sore.
+
+It may be distinct on some parts, as on the body, and confluent on
+others, as the arms, face, and parts most exposed to the air.
+
+In the _Distinct_ variety the fever continues without abatement until
+the eruption appears, when it entirely subsides, and that quite
+suddenly. The eruption comes out about the third day of the attack,
+sometimes not discoverable until the end of the third or beginning of
+the fourth day. The eruption is at first very slight, beginning with
+small red pimples on the forehead, upper part of the cheeks, neck and
+upper part of the breast, extending by degrees to the arms, and other
+parts of the body and limbs. About the end of the fourth or forepart of
+the fifth day, the eruption is complete.
+
+There is a symptom, not mentioned in the books, which will often
+determine the disease before the occurrence of any eruption. It is the
+appearance of hard shot-like pimples, to be _felt under the skin_ in the
+palms of the hands, while there is, as yet, no trace of eruption to be
+seen upon the surface.
+
+On the eighth or ninth day, the eruptions become vessicular, have
+flattened tops, and contain a limpid fluid. The parts continue to
+swell, the eruptions to enlarge, and become filled with purulent matter,
+having a dark color at the top, up to about the fourteenth or fifteenth
+day, when they begin to flat down, to dry up, and some of the scabs
+become loose. At this time, some fever arises, often quite severe, with
+headache and other inflammatory symptoms. If the eruption is very
+severe, fever will be of corresponding violence, and lighter or wanting
+when the eruption is mild. This fever rarely lasts more than twenty-four
+hours, from which time the patient rapidly recovers.
+
+In the _Confluent_ variety, all the symptoms are more violent, the fever
+continuing after the eruption begins. The pustules burst early, and run
+into each other, covering nearly or quite the whole skin; the surface
+swells and turns black or dark brown, the lungs are more or less
+irritated, producing cough, and not unfrequently the stomach is
+nauseated, and vomiting ensues.
+
+If the patient survives the irritation up to the fifteenth or sixteenth
+day, when the _secondary fever_ sets in, he is liable to be taken off
+by an affection of the brain or lungs, during this fever. If he
+recovers, his whole surface, especially that part exposed to air, is
+deeply pitted.
+
+
+TREATMENT.
+
+As it is not often known for a certainty, in the early febrile stage,
+that it is the small pox, the treatment will be first adopted that would
+be proper for a like fever arising from other causes. But in all my
+observations in this disease, and they extend to several hundred cases,
+I have not found in a single instance, any of the ordinary fever
+remedies, such as _Aconite_ and _Bell._, which would be applicable for
+such symptoms in an ordinary case, to do any good in small pox. They are
+directed, however, for these symptoms by the authorities, in the febrile
+stage of the small pox; but I am quite sure they are not the proper
+remedies.
+
+From the great similarity, the almost absolute identity of small pox
+_headache_ and _backache_, with the same symptoms developed by the
+_Macrotys racem._ as well as the nausea and restlessness produced by the
+drug, I was led several years ago to the conclusion that this, or the
+_Macrotin_ was valuable in small pox. Not only so, but during the
+prevalence of small pox in Cincinnati, to an extraordinary degree in the
+winter of 1849-50, I treated about one hundred cases, including both
+sexes, and all ages, from infants a few weeks old, to very old persons,
+giving the _Macrotin_ to all, and had the good fortune to see _all_ my
+patients recover. Since that time I have prescribed it for every case
+successfully.
+
+Having then, been entirely successful in so many cases, with this
+medicine, I am not inclined at this time to give any other the
+preference. I must admit, however, that though my patients all
+recovered, I was not able to greatly abridge the duration of the
+disease, nor to prevent the development of all the stages in their
+proper order, as is _claimed_ by M. TESTE, for his use of _Mercurius
+cor._ and _Causticum_. I was satisfied with so far modifying the
+symptoms, as to enable my patients to live through, and come _out well
+in the end_. I would then direct, if small pox is suspected, the patient
+having been exposed to contract it, or from the peculiarity of the
+symptoms, in the early stage, or when the disease is discovered after
+the eruption, to give _Macrotin_ at the first trituration, in one grain
+doses, once in two hours, while the fever, headache and backache
+continue, after which, during the whole course of the disease, give it
+three times a day. This will prevent the development of a dangerous
+secondary fever, as well as irritation of the lungs, stomach or bowels.
+In addition to this medicine I give the patients daily, from half an
+ounce to two ounces of _pure_ (_unrancid_) _Olive oil_. This serves to
+prevent the development of pustules in the throat, lungs and stomach; is
+more or less nutritious, and keeps the bowels in a healthy condition.
+Wash the surface once a day in weak soap suds, following it with a bath
+of milk and water, and keep cloths moistened with warm milk and water,
+constantly upon all parts that are exposed to the air, lubricating the
+surface with _Olive oil_ after the bath of milk and water. This keeps
+the surface quite comfortable.
+
+The best diet is corn or oat meal mush and molasses, to be taken in
+small quantities. Cold water is the proper drink, though it should not
+be very cold.
+
+The room should, at all times, be well ventillated, but in cold or cool
+weather, sufficient fire must be kept up, to keep the room warm and dry.
+A temperature of about 65 deg. is the best. Hardly any thing can be worse
+for a small pox patient than to be in a cold or damp room, and to
+breathe _cold_ air. Uniform temperature is important.
+
+If the eruption is tardy about appearing, or after it is out, a
+recession takes place, the Alcoholic Vapor bath will soon bring it out.
+(See Rheumatism **p. 30).
+
+Occasionally the feet and limbs below the knees, will swell
+prodigiously, and become extremely painful, causing the principal
+suffering. For this, wrap the feet and legs in cloths wet in a strong
+solution of Epsom salts, quite warm, and cover with flannels so as to
+keep them warm. This will afford immediate relief, and reduce the
+swelling in a day or two. The finely pulverized Epsom salts, dry,
+sprinkled on the pustules, will very often prevent pitting. It is the
+safest and surest remedy of which I have any knowledge.
+
+
+Varioloid
+
+is small pox modified by vaccination. It is to be treated as a mild case
+of small pox. The _Macrotin_ has been used with apparent success as a
+prophylactic (preventive) to small pox, taken three times daily.
+
+
+Painful Urination, Incontinence of Urine,
+
+_Involuntary Urination._
+
+Where the discharge of urine produces smarting and burning of the
+urethra, _Cantharis_ is the remedy. Where there seems to be an over
+secretion of acrid urine, producing inflammation of the neck of the
+bladder, known by pain in the glans penis, _Copaiva_, and _Apis mel._
+are the remedies. If there appears to be a partial palsy of the neck of
+the bladder, the discharge taking place in sleep, _Podophyllin_ is the
+surest remedy. I have cured some bad cases by the use of these three
+remedies, given in rotation three or four hours apart.
+
+Injections of a solution of borax into the bladder, have, in several
+cases, been sufficient to effect a perfect cure, without any other
+remedy. This may be used in connection with the other remedies. For
+painful urination with a distressed feeling in the neck of the bladder,
+causing a constant disposition to evacuate urine, the _Althoea
+Officinalis_ is a certain remedy; it acts like a charm. It is an
+important remedy for inflammation of the bladder. A good mode of using
+it is in form of a warm infusion in doses of a table spoonful every half
+hour or hour, according to the urgency of the symptoms. The _Althoea
+Rosa_ (Hollyhock) may be used as a substitute, though it is not as good.
+Every family should cultivate the _Althoea Officinalis_ (Marsh
+Mallow), so that the fresh green root, which is the best, can be
+procured at any time. I have been able to relieve patients with it,
+especially females, when all other remedies seemed unavailing. It is
+particularly useful for urinary difficulties of pregnant females.
+
+
+Neuralgia.
+
+_Aconite_ and _Bell._ are two important remedies in this affection. If
+given low, and applied directly along the course of the affected nerves,
+at full strength of the tincture, they will almost always effect a
+cure. The proper way to use them is to give them internally at the
+second dilution, at intervals of fifteen to thirty minutes, when the
+pain is severe and nearly constant, and apply _Aconite tincture_ as hot
+as practicable over the course of the nerve, by means of wet cloths, for
+an hour or two hours, and if the pain has not subsided use _Bell._
+locally in the same manner.
+
+If the Neuralgia is periodical, coming on at regular intervals,
+_Arsenicum_ and _China_ are the remedies, and they should be used
+externally as directed for the others, both at the first dilution, and
+given internally at intervals, in proportion to the violence of the
+symptoms, the _Arsen._ at the 3d and the _China_ at the first dilution.
+If the patient has used alcoholic drinks to excess, _Nux_ is to be used
+in place of Arsenicum.
+
+_Periodical Neuralgia_ generally requires the same treatment as ague. In
+females when there is uterine disease, _Pulsatilla_ and _Macrotin_ are
+the remedies to be used, as directed above.
+
+
+Jaundice.
+
+This disease depends upon derangement of the liver. The skin and whites
+of the eyes become yellow; the patient grows weak, loses his appetite,
+is dull and sluggish in all his actions, melancholly and discouraged in
+his moods.
+
+
+TREATMENT.
+
+_Mercurius_ and _Podophyllin_ given in alternation, each twice a day,
+will nearly always effect a cure. If the patient is costive, _Nux_
+should be taken at night, until his bowels become regular.
+
+Bathing the surface daily, or oftener, is a very important measure in
+the treatment of this affection. As often as once in two or three days,
+an alkaline bath should be taken. If the patient has fever every day, or
+once in two days, ever so slight, _China_ should be used with
+_Podophyllin_. If he has been drugged with Mercury in any form, in large
+doses, even six months or a year before, give _Hydrastin_ in place of
+Mercurius.
+
+
+Itch.
+
+I shall say but little about this very common and very obstinate
+affection. Everybody has a "cure for itch" yet nobody cures it short of
+the use of _Sulphur_ in some form. Though the attenuations of Sulphur
+may sometimes cure itch, it must be acknowledged that such cures are so
+rare in this country, and the time requisite to accomplish it is so
+long, as a general rule, that few will trust them.
+
+The most successful remedy, and the one that will always cure quickly,
+if at all, is _Hepar Sulphurus Potassium_, the common Hepar Sulphur
+(sulphuret of Potassa) of the shops. To succeed with it most certainly,
+let the patient be thoroughly bathed with warm soap suds, _quite
+strong_, in a room at the temperature of 90 to 100 deg., continuing the
+bathing and _rubbing_ for an hour or more, then dry off the surface with
+soft cloths, and apply the _Hepar sul._ with water, at the strength of
+thirty drops of the strong alcoholic solution, with a gill of water,
+wetting every eruption on the whole surface and let it dry on. This
+causes some smarting, but it is effectual; it kills the _acarus_, (itch
+animalcule) and in a few days the sores heal, the itching all subsides
+immediately. If every pustule has not been touched, those left may
+continue to itch, in which case, a second application is necessary.
+_Hepar Sul._ should be given internally at the third dilution, for a
+month, once a day, after the baths. Avoid greasy food. For the
+
+
+Scald Head
+
+of children, where there is a discharge of yellow and watery pus from
+the sores, and the eruption extends to the ears or face, like the
+disease called the _crusta lactea_ (milk crust), the same washes as for
+itch, are the most effectual, while at the same time, and for a month or
+two, the child should have _Hepar Sul._ 5th at night, and _Petroleum_ 3d
+in the morning. Daily ablutions of the head with warm soap suds, and
+keeping it covered, are absolutely essential.
+
+
+Carbuncle.
+
+This affection, though it somewhat resembles a common boil, and is by
+some writers considered only such, in an overgrown state, is,
+nevertheless, far from being identical with it.
+
+While a _boil_ is only a sanitive effort of nature to eliminate the
+cause of a morbid process, and tends to a spontaneous, healthy
+termination, the _carbuncle_, on the contrary, is the very essence of
+disease; its constant tendency being towards the dissemination of
+diseased action, causing destruction of the parts affected. It, in fact,
+appears like a parasite, living by the destruction of surrounding
+tissues, literally absorbing them and "thriving on death." It begins
+with a red, livid color, slight aching and burning pains, the part
+swells and is elevated some like a boil, except that it does not
+"point," but has a broad base rising like a cone and flattened at the
+top. It feels soft and spongy, and will appear to fluctuate, but if
+punctured, blood only flows. The pain and burning increases rapidly, and
+sooner or later several openings appear upon the top, varying from three
+or four to half a dozen or more, looking like the holes in a sponge, out
+of which issues a fluid like thin gruel. Instead of becoming easier
+after the suppuration begins, as is the case with a boil, the burning
+increases to an alarming and unbearable extent; cold chills, loss of
+appetite, great depression of spirits, general nervous and muscular
+debility come on. The tumor continues to discharge, turns purple;
+gangrene beginning in the carbuncle extends to other parts and death
+follows.
+
+The disease is nearly always confined to quite feeble persons and those
+past the meridian of life; but I have seen it on younger though feeble
+patients. It is generally located on the back, occasionally on the head,
+where it is very dangerous from its liability to affect the brain.
+
+
+TREATMENT.
+
+If treated very early, _strong tincture of Arnica_ applied to the
+surface of the carbuncle, by cloths wet and laid over the tumor, will
+often arrest it so that the swelling will not be developed to the
+suppurative stage. However, to reap any benefit from _Arnica_, it must
+be applied while the pain is not severe, and the parts only feel bruised
+and tender to pressure, like a common bruise.
+
+After the ulceration occurs, _Arsenicum_ is the great remedy to be
+relied on. It should be given at the second or third attenuation as
+often as every three hours, when the pain is severe, and applied to the
+surface of the carbuncle freely by cloths laid over it, wet in the
+first dilution, or by sprinkling the first trituration of the oxyde
+(1-10) freely upon the open surfaces, so that it may penetrate into the
+open mouths or orifices. Over this powder apply an emolient poultice, or
+soft cloths wet in water hot as can be endured. This will soon allay or
+greatly lessen the pain. It should be repeated as often as any of the
+burning pain peculiar to the carbuncle returns, until the tumor
+suppurates in a tolerably healthy manner; then lessen the strength of
+the _Ars._ applications, and continue them until it has the appearance
+of a healthy abscess, when only simple dressings are necessary. Some may
+suppose such strong applications injurious, but I can assure them from
+abundant experience, that there is not the slightest danger. The
+carbuncle should _never be punctured_ or _cut into_. Such operations
+always make them worse, and induce a more rapid approach to gangrene.
+
+The patient should have nourishing food, and good native wine may be
+taken in moderate quantities, by a very feeble person, with decided
+advantage.
+
+Though the knife operations for the removal of carbuncle are always
+injurious, the chemical effect of _Potash_ is frequently most
+beneficial. I have, in repeated instances, applied to the ulcerated
+surface, _caustic potash_ freely, allowing the dissolved caustic to
+penetrate to the very "core" by running into the orifices. At first it
+would produce some smarting, but the pain is different from that of the
+carbuncle, and the change is agreeable rather than otherwise. Soon after
+the application all pain ceases, and the tumor, under the use of a
+poultice, begins to slough off in a few days, leaving a raw surface,
+disposed to heal kindly. Occasionally, however, the healing process is
+tardy, when _Arsenicum_, at the third, applied and taken internally,
+will soon effect a cure.
+
+I have occasionally used _Hepar Sul._ with good effect in the latter
+stage.
+
+
+Felon--Whitlow.
+
+For this disease, in the early stage, when the sensation is that of
+sharp, sticking pain, feeling as though a brier or thistle was in the
+finger, immerse the part in water as hot as possible, into which put
+common salt as long as it will dissolve; hold it in this _hot_ salt bath
+for an hour or more at a time, and when removed, apply finely pulverized
+salt, wet in _Spirits of Turpentine_; bind on the salt with several
+thicknesses, and keep it constantly wet with the sp'ts turpt. for
+twenty-four hours, when, if all symptoms of felon are gone, no further
+treatment is necessary. As a general rule, the hot bath should be
+repeated three times a day, especially if the symptoms have existed for
+several days and there is much pain or swelling, and the dressings
+should be kept on as above directed for several days, more or less,
+until all symptoms disappear.
+
+I am quite confident that a large majority, if not all, of the cases if
+thus treated at any time before pus is formed, will be discussed and
+cured. If pus has begun to form before the treatment is commenced, this
+will not _cure_ the felon, but it is good treatment, especially the hot
+bath, as it will greatly lessen the pain.
+
+By holding it in hot water for an hour or two each day, the suppurative
+process will be hastened, and as soon as the pus can be felt at any
+point, fluctuating, puncture and let it out; then continue the hot bath,
+with _Calendula_ (_Marygold_) flowers in the water, keeping the part all
+the time warm and moist.
+
+For the restless and nervous irritability that frequently occurs,
+especially in females, _Aconite is the best remedy_. It should be given,
+one drop of the tincture to a gill of water, in teaspoonful doses, once
+in one or two hours, and the same applied to the sore.
+
+
+
+
+DISEASES OF FEMALES
+
+Suppression of the Menses, (Amenorrhoea.)
+
+
+For sudden suppression from taking cold, as by wetting the feet, there
+being headache, more or less fever, the pulse frequent and variable,
+pains in the small of the back and cramp like pains in the pelvic
+region, give, in alternation, _Aconite_ and _Pulsatilla_, as often as
+every fifteen or twenty minutes in a violent case, and at longer
+intervals as the patient begins to get easy. Putting the feet into hot
+water, or taking a hot Sitz bath is very useful. If the patient is sick
+at the stomach, as is often the case, give lukewarm water freely and let
+her vomit; after which let her drink freely of water as hot as it can be
+safely swallowed, adding milk and sugar to make it palatable. The good
+effects that are often attributed to and experienced from the use of
+various hot teas in this affection, are, in my opinion, attributable
+more to the hot fluid alone than to any specific medicinal virtue in the
+substance of which tea is made. At all events, very _hot_ drink with
+nothing but water, milk and sugar, is equally efficacious, and my
+medicine (a few grains of sugar of milk) put into the hot water,
+seasoned as above, has often obtained great credit, when the _hot water_
+was alone worthy. Rubbing the loins and abdomen briskly downwards with
+the hands of a healthy and vigorous nurse, will often excite the
+menstrual flow after a sudden suppression. If the head is hot, the face
+full and red, and the arteries of the neck and temples beat violently,
+give _Bell._ with _Pulsatilla_, and if the lungs are oppressed, use also
+_Bryonia_, giving the three in rotation. If, after the menstrual flow
+begins, there is still much pain in the pelvic region, give
+_Caulophyllin_, which will immediately afford relief.
+
+_Apis mel._ is very servicable in suppressed menses of several days, or
+even weeks duration, where there is fever, redness of the face, and pain
+in the head, and pains in the hips extending to the limbs, especially if
+there is any tendency to bloating of the abdomen and swelling of the
+limbs or feet. It acts _promptly_ and _efficiently_.
+
+If the suppression has been caused by sudden fright or any strong mental
+emotion, _Veratrum_ should be given in connection with the two former
+medicines. Should there be great fullness of the vessels of the head, or
+bleeding at the nose, _Bryonia_ with _Pulsatilla_ are to be used.
+_Bell._ is also useful in this case if the pain in the head is
+throbbing, especially if any delirium is present.
+
+For suppression in young females, of several months duration, I have
+used, with much success, _Podophyllin_ and _Macrotin_, one at night, the
+other in the morning, giving them for two or three weeks before the
+proper time for a return, and a day or two prior to the time, give also
+_Pulsatilla_, and give the three in rotation, a dose every six hours.
+
+This practice has been successful with me in cases of long standing and
+apparently obstinate character. Where there is other disease, as an
+affection of the liver, lungs or stomach, this must be treated and
+cured, or the menses will not probably return. Great care should be
+exercised to keep the patient's feet and limbs warm, as upon this may
+depend her future health.
+
+
+Dysmenorrhoea.--Painful Menstruation.
+
+For this disorder, I know of no one remedy so valuable as the
+_Caulophyllin_, but _Pulsatilla_ in many cases is efficacious, and as
+they do not prevent each other's action, I prescribe them in
+alternation, giving a dose every half hour, for a short time during the
+paroxysm, or until the pain abates to some extent, then every hour.
+
+If there is pain in the head, sickness at the stomach, a kind of sick
+headache, as is often the case, with painful menstruation, _Macrotin_
+should be used with the others; _Ipecac_ is the _Specific_ for an
+excessive flow of the menses with great pain, especially if the stomach
+is nauseated. It should be given as low as the first dilution, and the
+tincture, in water, in the proportion of thirty drops to half a pint,
+injected into the vagina quite warm.
+
+The application of extract of _Belladonna_ to the neck of the uterus
+will often produce immediate and perfect relief. After the patient is
+relieved from the painful paroxysm, she should be treated so as to
+prevent a return of the pains at the next monthly period. _Pulsatilla_,
+_Caulophyllin_ and _Podophyllin_ are the three medicines that are most
+certain to effect this object. They are to be given, one medicine each
+day, a dose at night for three weeks, then morning, noon and night,
+until the time for the return of the menses, when they should be used
+oftener if there is pain. If the patient is inclined to be costive,
+_Nux_ should be given at night for a few days before the menstrual
+period, in place of _Pulsatilla_.
+
+
+Menorrhagia--Profuse Menses--Flowing.
+
+For this affection, _Ipecac_ and _Hamamelis_ are the specifics. They
+should be taken alternately, at intervals of from half an hour to two
+hours apart, according to the urgency of the symptoms, and the
+_Hamamelis_ injected into the vagina. These will nearly always arrest
+the flooding immediately. _Secale_ should be used either alone or with
+the above medicines, if there are bearing down pains like labor pains,
+and sickness at the stomach in spite of the Ipecac. _Ipecac_ alone is
+often sufficient.
+
+
+Nursing Sore Mouth.
+
+Sore mouth of nursing women, as the name of the disease indicates, is
+peculiar to women who are suckling children. It is an inflammation of
+the mouth, tongue and fauces, which sometimes comes on during pregnancy,
+several months or but a few days before the birth of the child. It
+generally, however, makes its first appearance when the child is a few
+weeks old, and sometimes not till after the lapse of several months. In
+some cases the tongue and inside of the mouth ulcerate, and the
+irritation extends to the stomach and bowels, producing distressing and
+dangerous inflammation of these parts, with severe and obstinate
+diarrhoea.
+
+For the sore mouth, before diarrhoea begins, give _Eupatorium Aro._
+and _Hydrastin_, in alternation, a dose once in three hours, and wash
+the mouth with the same, each time. After the diarrhoea occurs, use
+_Podophyllin_ with the other medicines, giving them in rotation, three
+hours apart. It is best to give a dose of _Podophyllin_ night and
+morning.
+
+I have treated very bad cases of this disease that had been running for
+more than a year, and been treated with the ordinary remedies directed
+in the Homoeopathic authorities without any permanent benefit, curing
+them perfectly in ten days with _Podophyllin_ and _Leptandrin_, giving
+them in alternation at the 1st attenuation in half grain doses, at
+intervals of from four to eight hours according to the frequency of the
+evacuations. These two remedies are almost certain to arrest _Chronic
+Dysentery_ where there is ulceration of the lower portion of the rectum,
+a peculiar distress felt at the stomach just before stool, with _sudden_
+rush of the evacuations and inability to control the inclination even
+for a few minutes, with a feeling of faintness after the stool.
+
+_Leptandrin_ is the specific for the Dysentery that often succeeds
+cholera, and these two, _Pod._ and _Lept._, are almost certain to
+relieve the "Mexican Diarrhoea," as well as that connected with the
+fevers along the Mississippi river.
+
+
+Mammary Abscess,
+
+(_Ague in the breast--Inflamed breast_.)
+
+This is a disease peculiar to nursing women. The first symptom is a
+slight pain or soreness in some part of the "breast," which continues to
+increase for a day or two, when a chill, more or less severe, sets in,
+followed by high fever and quick pulse, headache and great restlessness.
+The gland swells and becomes very painful. This is generally a disease
+of rather slow progress, running eight or ten days and sometimes two or
+three weeks before abscess forms and "points" to the surface.
+
+
+TREATMENT.
+
+_Phosphorus_ is to be taken internally, and the first dilution put in
+water, twenty drops to one gill, and applied to the surface by means of
+cloths wet in the mixture, as hot as it can be borne, and laid over the
+whole breast. If this is done and the medicine given internally every
+hour, as early as the first and frequently as late as the second or
+third day, it is quite sure to remove the disease and prevent an
+abscess. It is best to use it even much later. In fact it often succeeds
+as late as the fifth or sixth day, and if it does not prevent the
+abscess, it so far palliates the severe symptoms as to render the pain
+but slight and keep the patient comfortable.
+
+An application of the Tincture of Cantharides diluted with water and
+applied to the breast by cloths wet in it, to the extent of producing
+considerable redness and even eruptions, and the second dilution of the
+same taken in drop doses every three hours, has proved successful in
+subduing the inflammation after _Phos._ had failed, and it was supposed
+an abscess would form in spite of any treatment.
+
+I recently succeeded in giving perfect relief with _Apis Mel._
+internally, applying it externally after the pain and swelling was very
+great. I am of opinion that the _Apis_ is a valuable remedy.
+
+_After abscess forms_ as soon as the pus can be felt at any point, soft
+and fluctuating under the skin, _puncture_ and let it out, then poultice
+it for a few days until it heals, giving _Phosphorus_ and applying it to
+the sore. In _puncturing_, always be _very particular_ to have the
+lancet or knife enter so that the edge will look towards the point of
+the nipple, so as not to cut _across_ the milk ducts, which all run
+toward that point, and if cut off will close up so that the milk which
+may be secreted at any future time cannot get out, and swelling, pain
+and severe inflammation, abscess and ulceration will be the consequence;
+whereas, if the cut is made lengthwise of the ducts, very few, if any
+will be cut off, and all future danger will be avoided. Apply an elm
+poultice from the beginning to the end of treatment. For malignant
+ulcers of the breasts, the _Cornus Sericea_ is a most potent remedy. It
+is to be taken internally at the first dilution, and applied in strong
+infusion or diluted _Tr._ of the bark to the sore.
+
+
+Sore Nipples.
+
+This affection of nursing women frequently comes on before the birth of
+the child, but generally does not make its appearance until after the
+suckling has continued for a week or more. It seems in some cases to be
+connected with the aphthae (sore mouth) of the child, or at least to be
+aggravated by contact with the sore mouth; on the other hand it
+sometimes seems as though the sore nipples produced the sore mouth of
+the child.
+
+
+TREATMENT.
+
+I treat both the nipple and the child's mouth with the same remedy
+_Eupatorium aro._, applied at the strength of 6 drops of the tincture,
+to a teaspoonful of water, the application being made by a soft cloth,
+wet and laid over the nipple; give drop doses of the same strength
+internally every three hours, which will, in nearly all cases effect a
+cure in one or two days. The child's mouth should be wet with the same
+each time just before nursing. The oil from the pit of the butter nut,
+(Juglan's Cinerea,) obtained by heating the pit and pressing out the
+oil, applied to the nipple, will generally cure it after 3 or 4
+applications about six hours apart. The child may take hold when the oil
+is on, without danger. This remedy is sufficient in nearly all cases.
+
+
+Leucorrhoea and Prolapsus Uteri--Whites, Female Weakness.
+
+The disease depends in all cases upon _inflammation_ of the uterus, or
+vagina, or both.
+
+The inflammation may be simply in the neck of the uterus extending to
+the posterior surface of the vagina, or the latter may not be affected;
+or it may extend to the whole internal surface of the uterus, producing
+swelling of that organ, both the fundus and neck.
+
+The swelling may be confined mostly to the fundus, causing it to be too
+large for the space it ordinarily fills, hence there will be more or
+less _displacement_ of the womb, and crowding upon other parts, as the
+bladder or rectum. In some cases, the swelling is more on one side than
+on the other, so that it will be crowded over to the opposite side.
+These displacements are often called _prolapsus uteri_, or "_falling of
+the womb_," carrying the idea that the difficulty depends upon a morbid
+relaxation of the ligaments that support the organ. Not one case in a
+hundred is of this latter character, but nearly, if not all, depend upon
+the inflammation and swelling above mentioned. How futile then, not to
+say _hurtful_, must be all instruments for, and all attempts at
+replacing and supporting it by _force_! All such mechanical meddling is
+injurious, and should, with all the "supporters," be condemned and
+discarded.
+
+They may afford temporary relief, but this is at the expense of future
+health. Cure the disease, relieve the inflammation, and nature will
+replace the organ. Leucorrhoea is always present where there is
+ulceration of the neck of the womb, and this ulcerated condition exists
+to a greater or less extent, in many cases where it is not suspected by
+the patient. It is vastly more prevalent than is generally supposed. The
+_symptoms_ are numerous. Among the more prominent are a sense of weight
+and bearing down in the pelvis, pains extending down the limbs, aching
+and weakness of the small of the back, headache, more or less gastric
+disturbance, dyspepsia, the food souring on the stomach. There is often,
+especially when there are ulcers on the parts, a distressing sense of
+heat or a smarting sensation. The menstrual function is frequently
+deranged, the bowels costive, the urethra, by being pressed, becomes
+irritable and burns and smarts whenever the urine is evacuated. The
+sleep is disturbed and unrefreshing, and the whole nervous system is
+unstrung.
+
+The discharge from the diseased surfaces, in an ordinary case without
+ulceration, is of a mucous or muco-purulent character, not unlike an
+ordinary catarrhal secretion. When ulceration exists it is dark, fetid
+or bloody, or sanious and purulent, sometimes it is acrid, excoriating
+the parts.
+
+
+TREATMENT.
+
+Inflammation or ulceration, either acute or chronic, in these parts does
+not differ essentially in its characteristics from the same affection in
+other mucous surfaces.
+
+The proper treatment for a catarrh of other mucous surfaces will be
+applicable to these, though there is no doubt but that some medicines
+are more specifically adapted to these than to other organs.
+
+In the early stage of the complaint, while the inflammation is acute, or
+sub-acute, the discharge thin or white, _Copaiva_ and _Macrotin_ are to
+be given once in 6 hours alternately. During the same time let
+injections into the vagina of warm soap and water be used twice a day,
+to cleanse the parts of the secretion, followed in half an hour by a
+wash of warm water, into which _tr. of Macrotys_ has been put in
+proportion of 40 drops to half a pint. The application should be made
+with an 8 ounce or at least 6 ounce curved pipe syringe, so as to throw
+it with considerable force. If there is a burning sensation, use the
+washes quite warm, until the heat of the parts is allayed. Avoid the use
+of _cold_ injections as long as any inflammation exists. If the bearing
+down is present with burning in the parts, _Bell._ is to be used in
+rotation with the two former remedies. If the sensation is that of
+smarting, _Cantharis_ is to be used in place of Bell.
+
+Where the disease comes on soon after child-birth, _Podophyllin is the
+Specific_. It is to be given at the first attenuation three times daily
+in half gr. doses of the trituration. In this case let the parts be
+freely washed daily with a solution of borax, quite warm. In the
+_chronic_ form of the disease, especially where _barrenness_ exists,
+_Macrotin_, _Podophyllin_ and _Hydrastin_, given morning, noon and
+night, in the order named, will, in nearly all cases, afford relief.
+
+For females who have never borne children, give _Phos. acid_, 2d and
+_Eryrgium Aquaticum_ 1, night and morning for a week, and then give them
+at the 3d dilution until the symptoms subside. If there are headache and
+derangement of the stomach, _Macrotin_ and _Podophyllin_ should be
+used, each once a day, between the latter remedies. When the discharge
+is colored and the pains darting, cutting or smarting, indicating
+ulceration, or if ulceration is discovered by examination, use
+_Macrotin_ and _Hydrastin_ internally, injecting the latter upon the
+affected parts freely. The ulcerated surfaces should be well washed off
+every day with soap and water, or a solution of borax, and the medicine
+(_Hydrastin_) in form of infusion, used half an hour after the other
+wash. If the neck of the womb looks dark, and is ulcerated, or is hard
+and painful to the touch, especially on probing the cavity, _Cornus
+Sericea_ must be used both as a wash to the parts, and at the first
+dilution internally, using them twice a day. This remedy will often cure
+malignant cases.
+
+It takes a long time in some instances to cure a chronic case, but if
+persevered in, these remedies will not be likely to fail.[2]
+
+
+[2] NOTE.--The late Prof. Morrow was remarkably successful, and became
+justly celebrated for curing hard cases of Leucorrhoea ulceration and
+"Prolapsus uteri."
+
+Almost his entire reliance in their treatment were the _Macrotys_ and
+_Caulophyllum_, given internally and by injection upon the parts. 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
+day, using the Caulophyllum in the meantime in small doses. He rarely if
+ever failed.
+
+
+Morning Sickness of Pregnant Females.
+
+The most efficient and certain remedy for this symptom is _Macrotin_. It
+should be taken at the first attenuation, a dose before rising in the
+morning, and one every six hours during the day, as long as the sickness
+is troublesome. It will generally relieve in a few days. If the stomach
+is sour use _Pulsatilla_ with the _Macrotin_.
+
+As a _preparation for labor_, a dose (one grain) of _Macrotin_ at the
+first attenuation given in the morning, and the same of _Caulophyllin_
+at evening, is of great service.
+
+Whatever others may think or say in relation to any preparatory
+treatment for labor, I have reason to know as well as anything in
+medicine be known, that patients treated as here directed, pass through
+labor much quicker, frequently in one-fourth the usual time. Their
+sufferings are comparatively trifling, and the length of time for
+recovery to ordinary health after labor is abridged from three-fourths
+to nine-tenths that of former labors. I am quite confident that the
+medicines produced this difference.
+
+For _irregularity of labor pains_, and for distressing _after pains_,
+the _Caulophyllin_ is specific.
+
+During labor it should be given at the 2d attentuation in about half
+grain doses, every half hour, until the pains are regular. Two or three
+doses at most, and generally one will suffice.
+
+For the after pains it may be given in alternation with _Ipecac_ or
+_Aconite_ if there is flooding, or with _Pulsatilla_ when the flooding
+is not troublesome, a dose once in half an hour, until the pains are
+checked.
+
+For _Rigidity_ of the soft parts and severe, _retarded and long
+protracted labor_, where the pains are strong and irregular, and great
+pain and exhaustion is experienced on account of the unyielding
+condition of the parts, _Lobelia Inflata_ given in drop doses of the tr.
+in water, once in twenty minutes, in alternation with _Caulophyllin_ as
+above directed, will in a short time produce the proper condition of the
+parts, while they render the pains stronger, regular and progressive.
+
+In urgent cases I have given the medicines every 5 or 10 minutes, with
+decided benefit.
+
+
+A Useful Hint to Mothers.
+
+Children push beans, peas, corn, &c., into the nose and ear, causing
+much alarm. To remove such a body take a syringe that works tightly, put
+the end of the pipe against the bean, shot, or other substance, draw
+back the piston so as to _suck_ up the article firmly as the pipe is
+withdrawn from the cavity.
+
+
+LOCAL APPLICATIONS.
+
+That medicines act locally, that is, manifest their symptoms by peculiar
+derangement or disturbance of some particular part of the system, more
+prominently than of any other part, for the time, no one will deny. That
+each one has some particular locality or tissue upon which its action is
+more perceptible than anywhere else, is equally undeniable, and that the
+prominent symptoms are often external and local, is also true. Yet, with
+these truths clearly demonstrated, there are those of our school who
+discard the external or local application of all remedies except
+_Arnica_.
+
+Why this is done, is difficult to determine, 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
+Homoeopathy," and abjure all possibility of _improvement_ in our
+practice.
+
+That nearly if not all medicines, may be applied externally with
+advantage, when there are local manifestations similar to those produced
+by the drugs, there can be no doubt in the mind of any sensible man.
+That they will act favorably when so used is _reasonable_, as a matter
+of theory, and that they do, as a matter of fact, has been _proven_ to
+my mind, by abundant experience in their use. Therefore, I hesitate not
+to recommend the practice to others. Medicines must act either by
+combination with the affected part, or by _Catalysis_, changing the
+molecular action of the living tissues. In either case, they must come
+directly in contact with the part to be affected. This _must_ be done
+through the circulation, when taken internally, or it _may_ be done by
+direct application of the remedy to the diseased tissue, when that is so
+situated as to be reached. The difference is greatly in favor of the
+latter mode when that is practicable, from the greater certainty of its
+results. This assertion is based, not upon vague hypothesis, but upon
+_actual practice_.
+
+Entertaining these views, however heretical they may be pronounced, I
+shall proceed to mention some of the remedies I have learned to use
+thus, and the cases for which they are prescribed. I would remark that,
+in selecting a remedy, it must be done with as much certainty of its
+homoeopathic relation to the local or general symptoms for external as
+for internal use. I have found, however, that much lower attenuations
+are requisite and admissible.
+
+ARNICA is highly applicable to _bruises_, and is valuable also when
+applied to lacerated or mangled surfaces, to the surface of the limb
+where a bone is fractured, also about the joint when it has been
+dislocated. It is to be used in the form of _Arnicated water_, by
+putting one or two drops to a gill of water for application where the
+skin is ruptured or the surface raw, and ten to twenty drops to the
+gill, upon parts where the skin is sound. It is useful also, for
+_boils_, and _carbuncles_ in the _early stage_, the _strong tincture_ to
+be applied when the surface is sound, and (to boils) when the surface is
+open, one drop to a gill of water.
+
+
+Aconite
+
+Is applicable to inflamed eyes, in the early stage, where the disease is
+in the conjunctiva, (that portion which lines the lids and covers the
+front of the ball), especially if there is a sense of scratching, as
+though some foreign substance is in the eye, great intolerance of light,
+chilly sensations, with more or less fever, and quick pulse. Put three
+or four drops to a gill of warm water, and apply it freely.
+
+It is also very valuable for _Neuralgia_, applied strong and warm, along
+the course, or at the origin of the affected nerve. In neuralgia of the
+face, apply it upon the side of the face, also just behind and below the
+ear of the affected side.
+
+It is of much value as a remedy for neuralgic affections of the womb. I
+have relieved the most distressing symptoms of neuralgia of the womb, in
+a few minutes, by injecting warm water containing twenty to forty drops
+of _tr. Aconite_ to the pint. By repeating this application at every
+paroxysm, patients recover rapidly, each succeeding attack being
+lighter, and the interval between being longer, until they cease
+entirely. It may be used with much benefit in the same manner, for
+_Hysteritis_, as well as recent cases of _Leucorrhoea_. It is the most
+valuable remedy applied to the _Eye_ for a _wound_ of that organ.
+
+In _Gonorrhoea_, it is more valuable as a local remedy, than most of
+those now in use. It will frequently cure alone. In this case, it is to
+be used with an equal part of the _tr_. and warm water.
+
+
+Belladonna
+
+has great power as a local remedy in _Erysipelas_, to be applied with
+water in proportion of ten drops of the _tr._ to a gill of warm water.
+It is also of much value applied to the surface of inflamed breasts;
+also injected when there is inflammation of the _uterus_, with pressing
+pains as though the bowels would be pressed out. _Very valuable_ in
+parturition where there is rigidity of the _os uteri_, with fullness of
+the head and throbbing of the temples. It has the specific power to
+relax circular fibres without affecting the longitudinal.
+
+
+Calendula,
+
+is applied to wounds, _incised_ and _lacerated_, promoting healing by
+the first intention. It is a valuable application for wounds in
+scrofulous persons, which tend to suppurate rather than heal by the
+first intention. It is also useful in old sores.
+
+The _Calendula Cerate_ is one of the best of dressings for any abraded
+surface.
+
+
+Conium
+
+is valuable as a _palliative_ upon cancerous tumors. As a _curative
+remedy_ it is useful in chronic ophthalmia, especially the purulent of
+children; useful also for _indurated_ swellings.
+
+
+Thuya
+
+is a specific when locally used for _Sycosis_, also for fungoid
+cancerous tumors. I have cured well-marked cases of _Fungus Haematodes_
+with the tinct. Thuya applied to the surface of the tumor.
+
+The _Thuja Cerate_ is a valuable application for malignant ulcers.
+
+
+Cornus Sericea
+
+will often cure malignant ulcers both of the breast and uterus, used as
+a wash.
+
+
+Arsenicum
+
+acts favorably on cancers, and is a specific when applied to the surface
+of _carbuncle_.
+
+
+Ipecac
+
+acts very beneficially when applied to the surface where there is high
+fever, with nausea and vomiting. Half an ounce of _tr._ Ipecac to two
+quarts of tepid water, applied with a sponge to the whole surface, acts
+like magic in yellow fever, allaying the nausea, producing free and
+health-restoring perspiration.
+
+
+Rhus Tox,
+
+applied, with water at the strength of thirty drops of the _tr._ to a
+gill, to parts affected with _Rheumatism_, acts very beneficially. It is
+also a most valuable application at half the above strength upon parts
+affected with Erysipelas, when the surface is swollen, and there are
+vessicles filled with fluid like a blister in burns.
+
+It is also useful for sores that exist as the chronic effects of burns
+when the proper treatment had not been used in the beginning, and the
+healing process was never perfected.
+
+_Rhus Cerate_ is a very useful application to irritable ulcers.
+
+
+Hepar Sulphur
+
+is a specific for _Itch and Scald Head,_ applied in form of a wash with
+twenty to thirty drops of _tr. Hepar Sul._ to a gill of water. Also for
+ill-conditioned scrofulous ulcers, generally.
+
+
+Cuprum Aceticum.
+
+(_Acetate of Copper Verdigris_) applied to _Cancerous_ ulcers of the
+face, _Lupus_ or _Noli-me-tangere_, in the early stage, will in most
+cases effect a perfect cure, especially if for a week previously the
+part has been wet daily with _tr. Thuja_. The best mode of applying the
+_acetate_ is to mix the impalpable powder, as prepared for paint, with
+some substance to form a cerate, as equal parts of bees-wax and mutton
+suet, with 1-50 to 1-100 part of the pure _acetate_ as found in the
+bottom of the can, when prepared in oil for paint; heat all together and
+stir until cool. This forms a good plaster for covering and shielding
+the sore while its medicinal property is in the _Cuprum Aceticum_
+diluted as above. It is quite useful for any ill conditioned ulcer.
+
+
+Acetic Acid
+
+is a most efficient remedy applied to old irritable _varicose ulcers_ on
+the limbs of females who have suffered from _Phlegmasia Dolens_, (milk
+leg.)
+
+It may be applied as a wash to the part once or twice a day at the
+strength of 1-20th of the acid with water, or in the form of good cider
+vinegar.
+
+The manufactured vinegar of the cities does _not_ usually contain acetic
+acid.
+
+ARUM TRIPHYLLUM is a specific to allay the inflammation and excessive
+pain in _scrofulous swellings_ of the neck, (_Kings Evil_.) The pure
+drug in powder, wet with warm water, or the green root bruised so as to
+form a poultice, is to be applied over the swelling. It soon discusses
+the swelling, or if pus has already formed, allays the the pain, and
+brings the pus to the surface, and if continued, disposes it to heal
+rapidly.
+
+BAPTISIA TINCTORIA applied as a poultice either in the powdered drug, or
+with some other substance wet with the infusion or _tr._, _arrests
+gangrene_ in a short time. It is especially useful for threatened or
+actual gangrene arising from _lacerated_ wounds or scalds with wounds,
+as in accidents connected with the explosion of steam boilers; when we
+often have scalds and lacerations in the same wound.
+
+HYDRASTUS CANADENSIS used as a gargler in a putrid state of the throat
+in malignant _Scarlet fever_, arrests the destructive process _at once_.
+
+It is also a most excellent application for inflamed eyes in the second
+or sub-acute stage.
+
+
+       *       *       *       *       *
+
+PROPHYLACTICS.
+
+(_Preventives of Disease._)
+
+TO PREVENT SCARLET FEVER
+
+Give Belladonna at the 3d attenuation, three to six pellets, according
+to the age of the child, every morning, during the prevalence of the
+epidemic. This is for the common or mild form of the disease. If the
+prevailing epidemic is of the _malignant_ kind, producing fatal
+ulcerations of the throat, give _Bell._ once in two days and _Mercurius
+Corrosivus_ at the 3d attenuation on the alternate day.
+
+While _Bell._ is a very certain preventive of the common eruptive
+Scarlatina, it is not as certain to prevent the _malignant_ form. Though
+it renders the latter much more mild, the _Merc. Cor._ is necessary to
+ward it off entirely, or so modify as to divest it of the dangerous
+features.
+
+
+TO PREVENT YELLOW FEVER
+
+Take _Aconite_, _Belladonna_ and _Macrotin_, 1st in rotation one dose a
+day. If there is any headache, or pains occur in other parts of the
+body, or a languid feeling, take a dose twice or three times a day in
+rotation.
+
+
+TO PREVENT BILIOUS FEVER OR AGUE
+
+Take _Podophyllin_, _Baptisia_ and _Gelseminum_ 1st in rotation, one
+dose at night, and if symptoms of fever, as headache and loss of
+appetite, or bad taste in the mouth in the morning appear, take a dose
+three times a day, and refrain entirely from food for one or two days.
+
+
+TO PREVENT TYPHOID FEVER
+
+When exposed, as in nursing the sick, take _Baptisia_ 2d, and _Macrotin_
+2d, a dose three times a day.
+
+
+TO PREVENT SMALL-POX
+
+Use _Macrotin_ 1st night and morning, and if nursing or exposed
+frequently, use it every four hours.
+
+
+TO PREVENT CHOLERA.
+
+_Camphor_ (_pellets medicated_ with the pure tincture) _Veratrum_ 3d,
+and _Arsenicum_ 3d, should be taken in rotation--a dose morning, noon
+and night, in the order named; so as to take a dose of each every
+twenty-four hours. If any sense of weakness or trembling comes on, use
+the _Camphor_ oftener; if pain or uneasiness in the bowels threatening
+diarrhoea, use the _Veratrum_, and for increased thirst with
+uneasiness at the stomach _Arsenicum_ more frequently.
+
+
+TO PREVENT DIARRHOEA
+
+Where it is prevailing as an _epidemic_, _Ipecac_ at night, and
+_Veratrum_ in the morning will often _suffice_. For _teething children_
+give _Ipecac_ and _Chamomilla_ in the same manner.
+
+
+TO PREVENT DYSENTERY
+
+In hot weather when bilious diseases prevail, use _Mercurius_ 3d,
+_Podophyllin_ 2d, and _Leptandrin_ 1st in rotation, giving one dose a
+day.
+
+In the winter, or when _Typhoid fevers_ prevail, use _Mercurius_ and
+_Rhus_ tox. alternately a dose every day.
+
+
+TO PREVENT ITCH.
+
+A dose of _Sulphur_, or rubbing a little flour of sulphur on the hands,
+will generally suffice.
+
+
+TO PREVENT COLDS
+
+Keep the _arms_, _hands_ and _chest_ well clothed and warm.
+_Affecting_ the _head_ as _catarrh_, or the pelvic regions keep the
+_feet and ankles warm and dry_. Affecting joints and muscles as
+Rheumatism--protect the _Spine_ (back) from colds and currents of air.
+
+After an accidental exposure as by getting the feet wet, or being caught
+in a shower, drink _bountifully_ of cold water, and take a dose of
+_Nux_; followed in an hour by _Aconite_, if any chilliness is felt, or
+_Copaiva_ if the head is "stuffed up."
+
+In winter and spring when the weather is mild, but there is snow, or the
+ground is damp, more clothes are necessary than when it is freezing hard
+and the air is dry.
+
+       *       *       *       *       *
+
+PREPARATION OF MEDICINE.
+
+As it often becomes necessary for the practitioner to make more or less
+of his own dilutions and attenuations, some brief instructions
+especially to new beginners, may not come amiss.
+
+Medicine is prepared by mixing it with distilled water, or purified 98
+per cent. Alcohol; or if solid and dry, by reducing it to powder and
+triturating (rubbing) it in a mortar with pure sugar or Sugar of Milk.
+The liquid is called _dilution_, the powder _trituration_. The
+attenuations are mostly made at the decimal (1-10,) or centecimal
+(1-100) ratio and numbered 1, 2, 3, &c., by putting ten drops of the
+liquid with ninety drops of Alcohol, or ten grains of the powder with
+ninety grains of Sugar for the 1st, and ten grains or drops of the 1st
+with ninety more of Alcohol or Sugar, as the case may be, for the 2nd,
+and so on to any desirable extent.
+
+If the centecimal attenuation is adopted, one grain or drop is used
+instead of ten, as in the decimal.
+
+I prefer the decimal to the centecimal ratio. Not that there can
+possibly be any difference in the action of the medicines, at the same
+attenuation, whether it was brought to that state through a series of
+1-10, or 1-100; the 3d at the 1-100 ratio of dilution being _precisely
+the same_ as the 6th at 1-10. My preference for the decimal ratio is
+based upon the greater convenience and accuracy of measuring larger
+quantities.
+
+_Accuracy_ is very desirable, but the practice of _guessing_ at the
+amount as pursued by some, is anything but accurate. When one makes his
+dilutions by putting the fluid into a vial and "_pouring it all out_,"
+_guessing_ that he has a _drop_ left which is to medicate the
+ninety-nine drops of Alcohol or water, he may put in by guess, I am
+inclined to _guess_ that he knows nothing, _accurately_ as to what
+dilution he is making. (See Hull's Laura, introduction, also Jahr &
+Possart's Pharmacopoeia and Posology.) For if the vial is small and
+quite smooth there may not be a drop left, or if it is rough, there may
+be several drops.
+
+Yet some physicians make their dilutions thus, and insist upon the
+superiority of the centecimal over the decimal attenuations.
+
+Whatever ratio is adopted, should be _accurately_ followed. Have true
+scales for weighing solids, and a graduated measure marked from ten
+drops up to one hundred for liquids; then _always_ weigh or measure
+_accurately_ the medicine, as well as the substance with which it is to
+be attenuated.
+
+The measure and mortar, after using them for one medicine, can be
+cleaned preparatory for another, with scalding water, rinsing them with
+purified Alcohol, then drying.
+
+Never smoke or chew Tobacco in any place, but if you are such a _slave_
+to habit, that you must do it despite your good sense and better
+judgment, never do either, or have tobacco or any other odoriferous
+substance about your person when you are preparing medicines, or they
+are exposed to the air. Keep the medicines excluded from the light and
+air as far as practicable.
+
+Triturate the powders thoroughly for an hour or more upon each, and
+shake the dilution from fifty to one hundred times, more for the higher
+attenuations.
+
+It is better to medicate pellets in large bottles, filling them half or
+two-thirds full, put in just liquid enough to wet every one, but not so
+as to dissolve any. Shake them until all are equally wet, and let them
+stand for four or five days, if practicable, shaking them up two or
+three times a day until all are dry.
+
+
+
+
+INDEX.
+
+
+   Administration of Remedies, 11
+
+   Ague, 22
+
+   Ague, preventive treatment of, 153
+
+   Asthma, 57
+
+   Aphthae, 90
+
+   Asiatic Cholera, 104
+
+   Amenorrhoea, 129
+
+   Ague in the breast, 135
+
+   Attenuation of medicines, 151
+
+
+   Bathing, 12
+
+   Bilious Fever, 26
+     Preventive treatment of, 153
+
+   Bronchitis, 51
+
+   Burns and Scalds, 64
+
+   Bilious Colic, 19
+
+   Brain Fever, 70
+
+   Bee stings, 75
+
+   Bite of Rattlesnake, 77
+
+   Bruises, 95
+
+
+   Cholera Case, 3
+
+   Colic, 18
+
+   Colic, Bilious, 19
+
+   Cholera Morbus, 21
+
+   Cholera, Asiatic, 104
+     Preventive treatment of, 153
+
+   Chill Fever, 22
+
+   Continued Fever, 28
+
+   Catarrhal Fever, 28
+
+   Cough, 52
+
+   Colds, 57
+
+   Colds, Preventive treatment of, 154
+
+   Croup, 55
+
+   Constipation, 62
+
+   Chilblains, 69
+
+   Convulsions of Children, 72
+
+   Crusta Lactea, 122
+
+   Carbuncle, 122
+
+
+   Diarrhoea, 14
+     Preventive treatment of, 154
+
+   Dysentery, 16
+     Preventive treatment of, 154
+
+   Diet, Rules for, 13
+
+   Dyspepsia, 58
+
+   Diseases of Females, 129
+
+   Dysmenorrhoea, 131
+
+
+   Enteritis, 53
+
+   Erysipelas, 62
+
+   Epistaxis, 81
+
+   Earache, 84
+
+
+   Foreign Substances in the Ear or Nose, 144
+
+   Fevers, 22
+     Intermittent, 22
+     Chill, 22
+
+   Fits of Children, 72
+
+   Felon, 126
+
+   Flowing, 132
+
+   Female weakness, 198
+
+
+   Gastritis, 54
+
+
+   Hooping Cough, 58
+
+   Heartburn, 62
+
+   Hoarseness, 70
+
+   Headache, 78
+     Sick, 80
+
+
+   Introduction, 5
+
+   Intermittent Fever, Ague, 22
+
+   Inflammation of the Lungs, 49
+
+   Inflammation of the Brain, 70
+
+   Inflammation of the Bowels, 53
+
+   Inflamed Eyes, 91
+
+   Incontinence of Urine, 117
+
+   Involuntary urination (nightly), 117
+
+   Itch, 120
+
+   Itch, preventive treatment of, 154
+
+   Inflamed Breast, 135
+
+   Inflammation of the Uterus, 140
+
+
+   Jaundice, 120
+
+
+   Local application of Remedies, 145
+
+   Leucorrhoea, 138
+
+
+   Mammary Abscess, 135
+
+   Menorrhagia, 132
+
+   Measles, 73
+
+   Mumps, 74
+
+   Morning sickness of pregnant females, 143
+
+
+   Nursing Sore-mouth, 133
+
+   Nosebleed, 81
+
+   Neuralgia, 118
+
+   Nightly urination of Children, 117
+
+
+   Otalgia, 84
+
+   Ophthalmia, 91
+
+   Preparation of medicine, 155
+
+   Pleurisy, 48
+
+   Prolapsus Uteri, 138
+
+   Pneumonia, 49
+
+   Piles, 97
+
+   Painful urination, 117
+
+   Painful menstruation, 131
+
+   Profuse menstruation, 132
+
+   Preventives of Disease, 151
+
+
+   Quinsy, 53
+
+
+   Rheumatism, 30
+
+   Rheumatic Fever, 29
+
+   Remitting Fever, 27
+
+   Rattlesnake bite, 77
+
+
+   Scarlet Fever, 35
+     Preventive treatment of, 151
+
+   Sore Throat, 52
+
+   Scalds, 64
+
+   Stings of Insects, 75
+
+   Sick Headache, 79
+
+   Sore-mouth of Children, 90
+
+   Sea Sickness, 103
+
+   Small-Pox, 110
+     Preventive treatment of, 153
+
+   Scald Head, 122
+
+   Suppression of the menses, 129
+
+   Sore Nipples, 139
+
+
+   Table of Remedies, 3
+
+   Traveler's Case, 3
+
+   Typhoid Fever, 31
+
+   Tonsillitis, 53
+
+   Toothache, 86
+
+   Teething of children, 88
+
+   Thrush, 90
+
+
+   Ulceration of the Uterus, 140
+
+   Urination painful, 117
+
+   Urination, Involuntary, 110
+
+
+   Variola, 117
+
+   Varioloid, 117
+
+
+   Worms, 82
+
+   Wounds, 93
+
+   Whitlow, 126
+
+
+   Yellow Fever, 38
+     Preventive treatment of, 153
+
+
+
+
+APPENDIX
+
+ON THE USE OF GELSEMINUM SEMP. IN FEVERS. BY J. S. DOUGLAS, A. M., M.
+D., Prof. of Mat. Med. and Special Pathology, in the Western
+Homoepathic College, Cleveland; author of "Treatment of
+Intermittents," &c.
+
+
+Such has been the general result of the treatment of the fevers of this
+country, that most Homoeopathic physicians deny the possibility of
+_breaking up_ a fever when once established.
+
+Those who labor under this impression, will be soon convinced of the
+error by properly employing the _Gelseminum semper virens_, or yellow
+Jasmine. Having proved this drug repeatedly on myself and seven or eight
+others, it was impossible to avoid the conviction that it would be
+homoeopathic to the ordinary fevers of this country.
+
+The pathogenetic symptoms, almost uniformly experienced, are the
+following, the dose being from one to five drops:
+
+Within a few minutes, sometimes within two or three, a marked depression
+of pulse, which becomes 10, 15 or 20 beats less in the minute, if quiet,
+but greatly disturbed by movement. Chilliness, especially along the
+back, pressive pain of the head, most generally of the temples,
+sometimes in the occiput, at others, over the head. The chilliness is
+soon followed by a glow of heat and prickling of the skin, and quickly
+succeeded by perspiration which is sometimes profuse and disposed to be
+persistent, continuing from twelve to twenty-four hours. As soon as the
+re-action takes place after the chill, the pulse rises as much above the
+normal standard, as it was before depressed below it. With these
+symptoms is a puffy, swollen look and feeling of the eye-lids, slimy and
+disagreeable or bitter taste in the mouth, languid feeling of the back
+and limbs, and sleepiness.
+
+As example affords the best illustration, we will give one to illustrate
+the usual action of this drug in fevers:
+
+P. W., aged 21, sanguine temperament, had been complaining of languor,
+and want of appetite for three weeks. For a week has been unable to
+attend to business. Took a cathartic, and was, of course, worse. For the
+last thirty-six hours had been seriously sick. June 30, 1858, had the
+following symptoms: Pulse rather full, but weak and vascillating, about
+100 per minute. Tongue red and dry; hands tremulous when extending them;
+tongue trembles when protruded; the mind wanders; he reaches after
+imaginary objects; lips dry and parched; he is uneasy, restless. Now
+this, all will recognize as a case which had been long in coming on,
+and was fairly established, and was not likely to be _broken up_ by
+ordinary means. He took one drop of _Gelseminum tincture_ to be repeated
+every hour, if needed. The next morning he reported that he had been in
+a perspiration ever since fifteen minutes after taking the first dose,
+had slept quietly during the night, the tongue and lips were moist, mind
+clear, pulse 80, and steady. The next day I found him dressed and down
+stairs, with good appetite and free from disease. I could give sixty
+cases of equally prompt results from this precious drug, in fevers which
+make their attack rather suddenly, whether from cold or otherwise, and
+attended with chilliness, pain in the limbs, head and back, variously
+disordered taste of the mouth, with great restlessness. The almost
+uniform effect, in these cases is, a cessation of the chills, within
+from two to five minutes, quickly followed by a glow of heat and
+prickling of the surface; and within from five to twenty minutes,
+perspiration with progressive abatement of all the pains and
+restlessness. The patient falls asleep, and after a longer or shorter
+time, wakes with a consciousness that his disease is _broken up_--and
+this proves to be the truth. Like all other drugs, the dose must be
+various, generally one drop repeated every half hour, till the desired
+effect is produced repeated afterwards as occasion may require.
+
+In simple cases of fever, I regard it as _the_ remedy, not only, but
+_the only_ remedy required. There are, of course, many cases of fever,
+with local complications, as inflammation of the liver, &c., &c., where
+other remedies will be necessary. Half a drop, or even a quarter, is
+often sufficient. The largest I have yet given is five drops, and this
+in only one case.
+
+Several Homoeopathic physicians to whom I have recommended it, have
+made equally favorable reports of it.
+
+My experience has been, that not a few of our Western fevers, especially
+if neglected beyond the incipient stages, are accompanied by such
+gastric and bilious disorder, as to require _Mercurius_, _China_, or
+_Podophyllin_, after the general febrile symptoms are removed by _Gels._
+But at an early stage, the _Gels._ alone will prevent the development of
+these complications.
+
+The drug seems to me to act specifically and energetically, not only
+upon the circulatory system, but equally so upon the nervous system,
+allaying nervous irritability more effectually in fevers, than _Coff._,
+_Cham._, _Bell._, _Nux_, or any other drug we possess. As it acts very
+quickly, the first dose may be soon repeated and increased, if no effect
+is observed.
+
++---------------------------------------------------------------+
+|Transcriber's note:                                            |
+|                                                               |
+|Inconsistent punctuation in headings in this book are as in the|
+|original.                                                      |
+|                                                               |
++---------------------------------------------------------------+
+
+
+
+
+
+
+End of the Project Gutenberg EBook of An Epitome of Homeopathic Healing Art, by
+B. L. Hill
+
+*** END OF THIS PROJECT GUTENBERG EBOOK EPITOME OF HOMEOPATHIC HEALING ART ***
+
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