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+The Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
+
+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: Apis Mellifica
+       or, The Poison of the Honey-Bee, Considered as a Therapeutic Agent
+
+Author: C. W. Wolf
+
+Release Date: July 10, 2008 [EBook #26020]
+
+Language: English
+
+Character set encoding: UTF-8
+
+*** START OF THIS PROJECT GUTENBERG EBOOK APIS MELLIFICA ***
+
+
+
+
+Produced by Bryan Ness, Stephen Blundell and the Online
+Distributed Proofreading Team at http://www.pgdp.net (This
+file was produced from scans of public domain works at the
+University of Michigan's Making of America collection.)
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+
+
+          APIS MELLIFICA;
+
+                OR,
+
+    THE POISON OF THE HONEY-BEE,
+
+ Considered as a Therapeutic Agent.
+
+
+        BY C. W. WOLF, M.D.,
+
+  Ex-District Physician in Berlin.
+
+
+           PHILADELPHIA:
+     PUBLISHED AND FOR SALE BY
+  WILLIAM RADDE, 635 ARCH STREET.
+               1858.
+
+
+
+
+PREFACE.
+
+
+Every physician who has spent years of an active life in prescribing for
+large numbers of patients, is morally bound to publish his experience to
+the world, provided he is satisfied, in his interior conscience, that
+such a publication might be useful to the general interests of humanity.
+
+In offering the following essay to my readers, I simply desire to fulfil
+an obligation recognised as valid by the inner sense. This essay
+contains every thing that an experience of forty years in the
+conscientious and philanthropic exercise of my profession has sanctioned
+and confirmed as truth. Nor have I adopted a single fact, suggested by
+my own observation, as correct, without contrasting it with the most
+approved records of medicine. To every true friend of man, and more
+particularly to every physician who considers the business of healing
+disease as the highest office of medical art, I offer this essay for
+further trial and examination. May the statements expressed in it either
+be confirmed or else corrected and improved by those who excel in more
+thorough knowledge and ability.
+
+                                                           THE AUTHOR.
+
+_Berlin, Oct., 1857._
+
+
+
+
+APIS MELLIFICA.
+
+    "The bee helps to heal all thy internal and external maladies, and
+    is the best little friend whom man possesses in this world."--More
+    in Cotton's _Book of the Bee_, p. 138.
+
+
+Since Hahnemann's successful attempt to develop the medicinal nature of
+Aconite, no other discovery has been made in the domain of practical
+medicine, as comprehensive and universally useful as the discovery of
+the medicinal virtues of the poison of the bee. It is of the utmost
+importance to the interests of humanity to become as intimately
+acquainted with the efficacy of this poison as possible. It is the
+object of these papers to contribute my mite to this work.
+
+As soon as Dr. Hering had published the provings of the bee poison, in
+his "American Provings," I at once submitted them to the test of
+experience in an extensive practice. I prepared the drug which I used
+for this purpose, by pouring half an ounce of alcohol on five living
+bees, and shaking them during the space of eight days, three times
+a-day, with one hundred vigorous strokes of the arm. From this
+preparation, which I used as the mother-tincture, I obtained
+attenuations up to the thirties centesimal scale. So far, the effects
+which I have obtained with this preparation, have been uniformly
+satisfactory. It has seemed to me that the lower potencies lose in power
+as they are kept for a longer period; hence, I consider it safer to
+prepare them fresh every year. As a general rule, I have found either
+the third or the thirtieth potency, sufficient.
+
+Day after day I have obtained more satisfactory results, and now I look
+upon Apis mellifica as the greatest polychrest, next to Aconite, which
+we possess.
+
+The introduction of this poison to the medical profession, will be
+looked upon as the most brilliant merit of one of the most deserving
+apostles of homœopathy, and will secure immortality to the honored name
+of Constantine Hering. The following statements will show how far this
+faith of a grateful heart is founded upon facts:
+
+_Apis mellifica is the most satisfactory remedy for acute hydrocephalus
+of children._
+
+The more acute and dangerous the attack, the more readily will it yield
+to the action of Apis. Sudden convulsions, followed by general fever,
+loss of consciousness, delirium, sopor while the child is lying in bed,
+interrupted more or less by sudden cries; boring of the head into the
+pillow, with copious sweat about the head, having the odor of musk;
+inability to hold the head erect; squinting of one or both eyes;
+dilatation of the pupils; gritting of the teeth; protrusion of the
+tongue; desire to vomit; nausea, retching and vomiting; collapse of the
+abdominal walls; scanty urine, which is sometimes milky; costiveness;
+trembling of the limbs; occasional twitching of the limbs on one side of
+the body, and apparent paralysis of those of the other side; painful
+turning inwards of the big toes, extorting cries from the patient;
+accelerated pulse, which soon becomes slower, irregular, intermittent
+and rather hard; these symptoms inform us that life is in danger, the
+more so the more numerous they are grouped together.
+
+In comparing with these symptoms the following symptoms from Hering's
+American Provings, Part I., 3d Num., p. 294: "40, 41, muttering during
+sleep; muttering and delirium during sleep; 83, 84, he had lost all
+consciousness of the things around him; he sank into a state of
+insensibility; 140, 144, sense of weight and fulness in the fore part of
+the head; heaviness and fulness in the vertex; dull pain in the occiput,
+aggravated by shaking the head; pressure, fulness and heaviness in the
+occiput; 170, her whole brain feels tired, as if gone to sleep;
+tingling; she experiences the same sensation in both arms, especially in
+the left, and from the left knee down to the foot; 175, 176, sensation
+as if the head were too large; swelling of the head; 391, when biting
+the teeth together, swallowing; after gaping or at other times, a sort
+of gritting the teeth; only a single, involuntary jerk frequently
+repeated; 501, nausea and vomiting; 506, nausea, as if one would vomit,
+with fainting; 512, vomiting of the ingesta; 619, retention of stool;
+640, retention of urine; 665, scanty and dark-colored urine; 980, 984,
+985, trembling, convulsions, starting during sleep as if in affright;
+1020, sudden weakness, compelling him to lie down; he lost all
+recollection; 1032, great desire for sleep, he felt extremely drowsy."
+If we compare these effects of Apis to the above-mentioned symptoms of
+hydrocephalus, we shall find the homœopathicity of Apis to this disease
+more than superficially indicated. If we consider, moreover, that the
+known effects of Apis show that it possesses the power of exciting
+inflammatory irritation and Å“dematous swellings, we are justified, by
+our law of similarity, in expecting curative results from the use of
+Apis in all such diseases.
+
+The experiments which I have instituted for the last four years, have
+convinced me of the correctness of this observation. Whenever I had an
+opportunity of giving Apis at the commencement of the diseases, it would
+produce within twelve to twenty-four hours quiet sleep; general
+perspiration, affording relief; the feverish and nervous symptoms,
+together with the delirium, would disappear from hour to hour, and on
+waking, the little patient's consciousness was lucid, the appetite good
+and recovery fully established. This is a triumph of art which inspires
+us with admiration for our science. Less surprising, but equally
+certain, is the relief, if Apis is given after the disease has lasted
+for some time. In such a case, the medicine first excites a combat
+between the morbific force and the conservative reaction. The greater
+the hostile force, the longer the struggle between momentary improvement
+and aggravation of the symptoms; it may sometimes continue for one, two,
+or three days. It is not until now, that a progressive and permanent
+improvement sets in. The desire to vomit is gone; the twitching,
+trembling, and the struggle, generally diminish from hour to hour;
+consciousness returns; the squinting and the dilatation of the pupils
+abate; gritting of the teeth and protrusion of the tongue cease; the
+position and movements of the head and limbs become more natural; the
+pulse becomes more regular; its slowness yields to a more normal
+frequency; the feverish heat terminates in sweat which affords great
+relief, and the retention of stool and urine is succeeded by a more
+copious action of both the bowels and bladder. The natural appetite
+returns; the reproductive process is restored; sleep is quiet and
+refreshing, and recovery is perfectly established in an incredibly short
+period. A cure of this kind generally requires five, seven, eleven, and
+fourteen days. This result is so favorable, that those who have not
+witnessed it, or who are too ignorant and egotistical to investigate the
+facts, may reject it as incredible.
+
+Such brilliant results are obtained by means of a single drop of Apis,
+third attenuation. I mix a drop with seven tablespoonfuls of water, and
+give a dessert-spoonful every hour, or every two or three hours; the
+more acute the attack, the more frequently the dose is repeated; this
+method generally suffices to effect a cure more or less rapidly. As long
+as the improvement progresses satisfactorily, all we have to do is to
+let the medicine act without interfering. If the improvement is
+arrested, or the patient gets worse, which sometimes happens in the more
+intense grades of this malady, the best course is to give a globule of
+Apis 30, and to watch the result for some twenty-four hours. After the
+lapse of this period the improvement will either have resumed its
+course, or else it will continue unsatisfactory. In the latter case we
+should give another dose of the above-mentioned solution of Apis 3. Not
+unfrequently I have met with patients upon whom Apis acts too
+powerfully, causing pains in the bowels, interminable diarrhœa, of a
+dysenteric character, extreme prostration and a sense of fainting. In
+such cases the tumultuous action of Apis is mitigated, and the continued
+use of this drug, rendered possible by giving Apis in alternation with
+Aconite in water, every hour or two hours.
+
+Except such cases, I have never been obliged to resort to other
+accessory means.
+
+_Apis is no less efficacious against the higher grades of ophthalmia._
+
+It is particularly rheumatic, catarrhal, erysipelatous, and Å“dematous
+ophthalmia, which is most rapidly, easily, and safely cured by Apis, no
+matter what part of the eye may be the seat of the disease.
+
+The symptoms 188-307 distinctly point to the curative virtues of Apis in
+ophthalmia: "Sensitiveness to light, with headache, redness of the eyes;
+he keeps his eyes closed, light is intolerable, the eyes are painful and
+feel sore and irritated if he uses them; weakness of sight, with feeling
+of fullness in the eyes; twitching of the left eyeball; feeling of
+heaviness in the eyelids and eyes; aching, sore-pressing, tensive,
+shooting, boring, stinging, burning pains in and around the eyes, and
+above the eyes in the forehead; redness of the eyes and lids; secretion
+of mucus and agglutination of the lids; the lids are swollen, dark-red,
+everted; the conjunctiva is reddened, full of dark blood-vessels which
+gradually lose themselves in the cornea; the cornea is obscured, smoky,
+showing a few little ulcers here and there; profuse lachrymation;
+stinging itching in the left eye, in the lids and around the eye;
+sensation of a quantity of mucus in the left eye; sensation of a foreign
+little body in the eye; soreness of the canthi; styes; Å“dema of the
+lids; erysipelatous inflammation of the lids."
+
+I have found the correctness of these observations uniformly confirmed
+by the most satisfactory cures of such affections. I use the medicine in
+the same manner as for acute hydrocephalus. In some cases I found the
+eye so sensitive to the action of Apis, that an exceedingly violent
+aggravation of the inflammatory symptoms ensued, which might have proved
+dangerous to the preservation of such a delicate organ as the eye.
+Inasmuch as it is impossible to determine beforehand the degree of
+sensitiveness, I obviate all danger by exhibiting Apis in alternation
+with Aconite in the manner indicated for hydrocephalus. By means of this
+alternate exhibition of two drugs, we not only prevent every aggravating
+primary effect, but we at the same time act in accordance with the
+important law, that, in order to secure the effective and undisturbed
+repetition of a drug, we have first to interrupt its action by some
+appropriate intermediate remedy. All repetitions should cease as soon as
+a general improvement sets in; if the medicine is continued beyond the
+point where the organism is saturated with the drug, it acts as a
+hostile agent, not as a curative remedy. This important point is known
+by the fact, that the improvement which had already commenced, seems to
+remain stationary; the patient experiences a distressing urging to
+stool, a burning diarrhœa sets in, and a disproportionate feeling of
+malaise develops itself. Under these circumstances, a globule of Apis 30
+will quiet the patient, and the action of the drug will achieve the cure
+without any further difficulty, and without much loss of time, unless
+psora, sycosis, syphilis, or vaccine-virus prevail in the organism, or
+sulphur, iodine or mercury had been previously given in large doses. In
+the presence of such complications Apis will prove ineffectual until
+they have been removed by some specific antidote. After having made a
+most careful diagnosis, a single dose of the highest potency of the
+specific remedy be given, and be allowed to act as long as a trace of
+improvement is still perceptible. As soon as the improvement ceases, or
+an aggravation of the symptoms sets in, Apis is in its place and will
+act most satisfactorily. We then give Apis 3 in water, as mentioned
+above, with the most satisfactory success.
+
+_Apis is the most appropriate remedy for inflammation of the tongue,
+mouth, and throat._
+
+The following symptoms may be looked upon as striking curative
+indications: 378-380, 383, 384, 399, 400, 405, 406, 409, 410, 413, 419,
+436, 437, 439, 443, 444, 449, 455, 458, 459, 463, 470, 471: "Burning of
+the lips; the upper lip is swollen to such a degree that the inside
+seems turned outside; swelling of the lips and tongue; swelling of the
+upper lip, it becomes hot and red, almost brown; dark streaks along the
+vermilion border, particularly on the upper lip, rough, cracked, peeling
+off; violent pains spreading through the gums, the gums bleed readily;
+the tongue feels as if burnt; tongue and palate are sore; raw feeling,
+burning, blisters along the margin of the tongue, very painful,
+stinging; at the tip of the tongue a row of small vesicles which cause a
+pain as if sore and raw; dry tongue; the inner cheeks look red and
+fiery, with painful sensitiveness; inflammation of the tongue;
+inflammation and swelling of the palate; burning, stinging sensation in
+the mouth and throat; pressure in the fauces as of a foreign body;
+ptyalism; copious accumulation of a soapy mucus in the mouth and throat;
+dryness and heat in the throat; inability to swallow a drop, with
+swelling of the tongue; sensation of gnawing and contraction in the
+throat, increasing after four hours so as to render deglutition
+difficult; sensation of fulness, constriction and suffocation in the
+throat; deglutition painful and impeded, stinging pains during
+deglutition; swelling and redness of the tonsils, impeding deglutition;
+angina faucium; chilliness followed by heat; violent pain in the
+temples; redness and swelling of the tonsils; uvula and fauces, painful
+and impeded deglutition, and stinging pains when attempting to
+swallow."
+
+The more frequently we make use of Apis in the treatment of these very
+common forms of angina, and of the inflammation of the salivary glands,
+which are so closely connected with the other parts of the throat, the
+more we become convinced by the most striking success, that this drug is
+by far the speediest, safest and easiest remedy which we possess for the
+treatment of these exceedingly common and yet so very distressing
+affections. Not only in common affections of this sort, but also in the
+most acute and dangerous forms of angina faucium, will Apis be found
+efficient; even where these affections are hereditary, or have become
+habitual, and generally terminate in suppuration, Apis will still afford
+help. In these affections likewise Apis acts most promptly and
+efficiently, if given in alternation with Aconite, both remedies in the
+third dilution, a few drops dissolved in twelve tablespoonfuls of water,
+in alternate hourly doses. After taking a few doses, the patient begins
+to feel relieved, enjoys a quiet sleep, and the resolution of the
+inflammation takes place, accompanied by the breaking out of a general
+perspiration. If there should be a natural tendency to suppuration, this
+treatment will hasten it from hour to hour, and after the pus is
+discharged, a cure will soon be accomplished. In the most inveterate
+cases, which had been previously treated in a different manner, the same
+curative process takes place gradually; first one outbreak of the
+disease is hushed; next, if another portion of the throat becomes
+inflamed, this inflammation is controlled, and this proceeding is
+continued with an increasingly rapid success and a continued abatement
+of all sufferings, until, finally, a perfect recovery is obtained, even
+under these disadvantageous circumstances.
+
+Apis is not sufficient to prevent the recurrence of such inflammatory
+attacks; this object has to be accomplished by means of the appropriate
+antidotal specific.
+
+_Apis becomes an exceedingly useful remedy in consequence of the
+specific power which it possesses over the whole internal mucous
+membrane and its appendages._
+
+It is particularly the mucous membrane of the alimentary canal upon
+which Apis has a striking influence. It excites an inflammatory
+irritation, which not only disturbs the secretion of mucus, but also
+disintegrates the intestinal juices so essential to the process of
+sanguification, thus disqualifying the blood from properly contributing
+to the reproduction of the nervous tissue. By thus altering the blood
+and nerves, these two principal vehicles of vitality, it develops a
+group of symptoms which is exceedingly similar to our abdominal typhus
+that seems to have become stationary among us for the last twenty years.
+This similarity, in its totality, results from the following symptoms
+contained in the "American Provings."
+
+"398: troublesome pains in the gums. 400: the gums bleed readily. 402:
+bitterish taste in the back part of the tongue and in the throat. 405:
+tongue as if burnt. 406: tongue and palate feel sore. 411: a number of
+vesicles and small, sore, somewhat red spots at the tip of the tongue
+and along the left margin of the tongue. 413: dry tongue, the inner
+cheeks look red, fiery, are painfully sensitive. 416: burning from the
+tongue down the Å“sophagus, as far as the stomach, eructations every four
+or five minutes, with flow of tasteless water in the mouth; eructations
+became worse after drinking water, she almost felt as if choked. 420:
+swelling of the tongue, the tongue is dry, shining, yellowish. 421:
+tenacious saliva adhering to the tongue. 424: tongue dry and white. 427:
+feeling of dryness in the mouth and throat. 441: fetid breath, with
+gastritis. 445: quantity of thick, tenacious mucus deep in the throat,
+obliging him to hawk. 447: tenacious, frothy saliva. 450: dryness in the
+throat, without thirst. 452: loathing, as if out of the throat. 459:
+sense of fulness, constriction and choking in the throat. 474: loss of
+taste. 475: complete loss of appetite. 488: no thirst, with heat. 492:
+very thirsty when waking at night, after diarrhœa. 495: eructations
+tasting of white of eggs. 501: nausea and vomiting. 504: fainting sort
+of nausea from the short ribs across the whole abdomen. 512: vomiting of
+the ingesta. 513: vomiting of bile. 516: vomiting and diarrhœa. 517:
+nausea, vomiting of the ingesta, and diarrhœa; repeated vomiting, first
+of bile, afterwards a thin, watery fluid, having a very bitter taste,
+with violent pains across the abdomen. 518 to 525: oppression, pressing,
+creeping, drawing and gnawing, pricking, soreness, heat and burning in
+the stomach. 528: painful sensitiveness in the pit of the stomach, with
+burning, like heartburn, with bilious diarrhœa, rather greenish, and
+almost painless. 530: violent pain and sensitiveness in the region of
+the stomach and epigastrium, with vomiting, coated tongue, fetid breath,
+costiveness, and sleep disturbed by muttering and dreams, with frequent,
+wiry pulse. 533: sense of numbness under the right ribs. 532: sense of
+compression, squeezing, bruising, under the ribs, worse on the left
+side. 535: violent burning pains under the short ribs on both sides,
+worst and most permanent on the left side, _where the pain is felt for
+weeks, preventing sleep_. 543: rumbling in the abdomen, with violent
+urging to stool. 545: nausea in the abdomen, has to lie down. 546:
+weight in the abdomen. 547: dull pain in the bowels. 552: occasional
+attacks of colic, with a feverish, tremulous sensation. 553: violent,
+cutting pains in the abdomen. 555: slowly pulsating, boring pain above
+the left crest of the ilium, relieved by eructations. 556: pain in the
+abdomen, from the hips to the umbilical region. 560: soreness and
+pressure in the lower abdomen. 563: _feeling of soreness, burning and
+numbness below and on the side of the right hip, deep-seated_. 566: the
+inner abdomen feels sore and as if excoriated, painful when pressed
+upon. 567: feeling as if the bowels had been squeezed, with tenesmus
+during stool. 576: fulness and sense of distension in the abdomen, as if
+bloated. 589: frequent urging to stool, with pain in the anus on account
+of the frequent pressing. 590: violent tenesmus. 593: several thin,
+yellow evacuations, accompanied by excessive prostration; the stools set
+in at every motion of the body, as if the anus were wide open. 598:
+copious discharges of dark brown, green and whitish excrements. 599:
+dysenteric stools. 608: blood and mucus with stool. 611 and 612: painful
+and also painless diarrhœa, especially in the morning. 617: retention of
+stool for one week. 646: disagreeable sensation in the bladder, with
+pressing downwards in the region of the sphincter, and frequent urging,
+so that he voids urine frequently in the day-time, and ten or twelve
+times at night; burning and cutting during urination. 668: the urine is
+dark colored. 730: hoarseness and distress of breathing. 733: roughness
+and sensitiveness in the larynx. 738: violent cough, especially after
+lying down and sleeping. 754: hurried and difficult breathing, with heat
+and headache. 803: sense of soreness, lameness, bruised and contusive
+feeling in the chest. 812: trembling and pressure in the chest, with
+embarrassed breathing. 818: pulse scarcely perceptible. 822: pulse
+accelerated. 833: swelling of the cervical glands on the injured side.
+968: extreme sensitiveness of the whole body to contact, every hair is
+painful when touched. 971: excessive nervousness. 979: general
+lassitude, with trembling. 994: in the afternoon he becomes extremely
+restless and exhausted. 1011: paroxysms of great weakness. 1021: sudden
+weakness, he had to lie down, and lost his senses. 1025: complete loss
+of recollection, with vomiting, desire for sleep and rest, slow beating
+of the heart and scarcely perceptible pulse. 1032: excessive drowsiness.
+1039: starting during sleep, as if in affright, with some cough. 1046:
+sleeplessness. 1047: restless sleep, frequent waking and constant
+_dreaming_. 1064: chattering during sleep (in the case of a child).
+1081: chilly every afternoon at three or four o'clock, she feels a
+shivering, worse during warmth; chilly creepings across the back, the
+hands feel numb; an hour after, feverish heat, with rough cough, hot
+cheeks and hands, no thirst; these symptoms pass off gradually, but she
+feels heavy and prostrated. 1089: chill after a heat of thirty-six
+hours. 1090: sudden chilliness, afterwards heat and sweat. 1124:
+alternate sweat and dry skin. 1198: thick urticaria, itching a great
+deal (very soon). 1224: swelling and erysipelatous redness. 54: unable
+to concentrate his thoughts. 57: dulness of the head, it feels
+compressed. 62: vertigo and weakness. 79: dizziness."
+
+Whosoever compares the totality of these effects of Apis to the symptoms
+of the prevailing abdominal typhus, will admit that Apis is homœopathic
+to this disease. He will even admit that this homœopathicity of Apis to
+abdominal typhus extends to the minute particulars of the disease _in
+their totality_. Even the course which Apis pursues, in developing its
+effects in the organism, is similar to the progressive development of
+typhus. Any one who has witnessed, as I have, the course which this
+disease pursues, will admit that mucous membrane of the alimentary canal
+is first affected by the disease, in the same manner as Apis affects it;
+that this irritation of the mucous membrane is followed by gastric
+catarrhal symptoms, which are speedily succeeded by symptoms of
+disintegration of the animal fluids and typhoid phenomena; that the
+gastric irritation is generally characterized by boils, urticaria,
+erysipelas of the skin, and the nervous irritation by symptoms of
+abdominal typhus; that the internal and external development of the
+disease is determined by a striking sympathetic derangement of the
+organic functions of the liver, and still more of the spleen, and
+likewise by a more striking prominence of the intermittent type of the
+fever; and that all these varied disturbances finally culminate in
+abdominal typhus.
+
+Owing to this remarkable similarity, Apis will effect striking cures of
+all these different derangements.
+
+If, after more or less distinctly felt premonitory symptoms--after a
+sudden cold, excessive exertions, prostrating emotions or enjoyments--a
+more or less violent fever is developed, accompanied by dulness and
+painfulness of the head, retching and vomiting, distention and
+sensitiveness of the pit of the stomach, and soon after of the whole
+abdomen, with urging diarrhœa, pappy and foul taste in the mouth, loss
+of appetite and thirst, feeling of dryness in the mouth and throat,
+tongue sore, as if burnt and swollen, with antagonistic change of
+symptoms, suspicious and extraordinary prostration, and feeling of
+fainting; a few spoonfuls of the above-mentioned solution of Apis 3,
+will afford such speedy relief, that it may seem incredible to those who
+have not witnessed it. The nausea, the vomiting, the diarrhœa, and the
+painfulness of the abdomen, disappear; quiet sleep sets in, with general
+perspiration, which terminates the fever, and affords great relief;
+after waking, the patient is comforted by the internal sensation of
+returning health; a natural appetite is again felt, the strength
+returns, and in a few days the healthy look of the tongue and buccal
+cavity shows that the mucous membrane of the stomach and bowels has
+recovered its normal quality. The longer help is deferred, the longer
+time the morbid process has had in making its inroads upon the system,
+the more frequently will it be necessary to repeat the medicine, until a
+cure is achieved.
+
+The same good result is perceived, if the morbid process is accompanied
+by furuncles, urticaria, erysipelas--the latter principally on the head
+and in the face, less frequently upon the extremities, and inclining to
+shift from one place to another. Such a combination of symptoms not only
+shows a higher degree of intensity of the disease, but also shows that
+the organism is still capable of battling against the internal disease,
+by compelling it to leave the interior tissue, and to develop itself
+externally. It is the first business of the physician to support the
+organism in this tendency, and to guard the brain and bowels from every
+destructive relapse. Apis, employed as above, accomplishes this result
+more speedily than any other drug. Of course, a few days are required
+for this purpose, although the rules of using the drug and the course of
+treatment are the same.
+
+The same observation applies to the not unfrequent complication with
+organic disease of the spleen and consequent dropsy. Apis, used in the
+same manner, effects, in as short a period as the intensity of the
+symptoms will permit, a mitigation and gradual disappearance of the
+painfulness of the spleen, restores the normal action of the spleen more
+and more, and neutralises the tendency to dropsical effusion at the same
+time as it expels the accumulated fluid by increasing the secretions
+from the bladder and bowels, and the cutaneous exhalation.
+
+If the liver is organically diseased, Apis is no longer sufficient. In
+such a case, the action of the liver has first to be restored to its
+normal standard. In dropsical diseases, I have effected this result most
+frequently, for years past, by means of Carduus mariæ, less frequently
+by Quassia, still less frequently by Nux vomica, and only in a few cases
+by Chelidonium: according as one or the other of these agents seemed
+indicated by the epidemic character of the disease. In all non-malignant
+cases, if the medicine was permitted to act in time, the whole disease
+was often cut short by the use of these drugs, and the development of
+typhoid symptoms prevented. Not, however, in all more inveterate cases,
+where the prevailing character of the disease, by its more penetrating
+action upon the tissues, induced a slower and more threatening course of
+development. As soon as the pains in the right hypochondrium had
+disappeared, the bilious quality of the fæces had been restored, and the
+urine had become lighter colored, but the fever still continued, tongue,
+throat, pit of the stomach and abdomen had become more sensitive; the
+head duller and tighter, and the prostration more overpowering. In such
+a case, Apis, prepared as above, became indispensable, in order to
+remove all danger to life. Its curative action soon became manifest in
+two different ways.
+
+If the reactive force of the organism was still sufficient, the medicine
+succeeded very speedily in preventing the supervention of the typhoid
+stage, in changing the fever-type from a remittent or even continuous to
+an intermittent type, during which the convalescence of the patient,
+aided by a suitable diet, was more and more firmly established and
+generally completely secured after the lapse of a week.
+
+If the typhoid stage could not be prevented and set in with the
+following symptoms: the patient lies on his bed in a state of apathy,
+with loss of recollection, sopor, muttering delirium, hardness of
+hearing, inability to protrude the tongue or to articulate; dry,
+cracked, sore, blistered, ulcerated tongue; difficult deglutition;
+painful distention of the abdomen, which is sensitive to contact or
+pressure; retention of stool, or else frequent, painful, foul, bloody,
+involuntary diarrhœa; fermentous urine, which is sometimes discharged
+involuntarily; the skin is at times and partially dry, burning, at times
+and partially clammy, cool; trembling and twitching of the limbs; white
+miliaria on the chest and abdomen; extreme debility, with settling
+towards the foot-end of the bed; changing pulse, which is at times slow,
+at others accelerated, feeble, intermittent: in such a case Apis
+requires more time to heal the mucous membrane of the alimentary canal;
+to restore the normal action of the bowels; to regulate the digestive
+functions; to procure quiet and refreshing sleep, and to gradually
+effect a complete restoration of health. If the mucous membrane of the
+respiratory organs was invaded by the morbid process, the cure was
+nevertheless completed as soon as the mucous lining of the intestinal
+canal was restored to its natural condition.
+
+So far, the only obstacle to a cure which I have witnessed, has been
+tuberculosis of the chest or abdominal viscera, or of both at the same
+time, and still more the vaccine-virus; likewise a tendency to paralysis
+in persons who were otherwise morbidly affected. Tuberculosis has often
+been combated by a single dose of a high potence of Sulphur between the
+doses of Apis, no Apis being given after the Sulphur, as long as the
+course of the typhoid symptoms would render it safe to postpone this
+medicine. I have found it much more difficult to conquer the
+vaccine-poison, _which I have become satisfied by years of observation,
+constitutes the most universal and most powerful generator of the typhus
+which is prevailing in our age and which seems unwilling to leave us_.
+Tartar emetic proves in this, as in other cases, its antidotal power
+against the vaccine-virus; but under no circumstances is more caution
+required in the use of tartar emetic than in typhus, where the
+vaccine-virus seeks to develop its characteristic pustules with a
+tendency inherent in each pustule to terminate in the destruction of
+the mucous membrane. It may seem hazardous to add to this combination of
+destructive forces another similarly-acting element; but a careful
+consideration of the circumstances of the case will justify such a
+proceeding, although death may be the inevitable result of the morbid
+process. Experience has satisfied me that the alternate use of tartar
+emetic and Apis, a drop of the third potency of each, every three, six
+or twelve hours, according as the symptoms are more or less violent, or,
+in very sensitive organisms, in tablespoonful doses of a watery solution
+of a drop, will accomplish all that can be expected; for these two
+drugs, thus administered, seem to compensate or complete each other. I
+am unable to say how far this proceeding requires to be modified in
+particular cases; all I desire to do, is to submit this important
+subject to my colleagues for further inquiry and trial.
+
+If a tendency to paralysis prevails, the danger is less threatening,
+although equally momentous. In such cases I use Apis and Moschus in
+alternation, although I am unable to assert, on account of deficient
+experience, that this treatment will always prove satisfactory. Such
+cases hardly ever arise under homœopathic treatment; and if they come to
+us out of the hands of allœopathic practitioners, they generally prove
+incurable.
+
+If these three obstacles to a cure appear combined, I have never found
+it possible to effect any thing. All that I have found it possible to
+do, has been to prevent such a dreadful combination by carefully
+attending to my patients in previous diseases.
+
+Sometimes in typhus, the affection of the spleen shows itself again,
+even after recovery has fairly set in; the intermittent type again
+breaks forth, and recovery finally takes place, as the intermissions
+become more and more distinct and lengthened. As long as the
+intermittent type continues, Apis has to be given; the action of the
+spleen becomes more and more normal, the fever paroxysms become shorter
+and less marked, and the restoration of health is effected without any
+more treatment than a single dose of Apis 30, one globule, which is
+permitted to act until the patient is well.
+
+Observations of this kind, which I have made under the most diversified
+circumstances, have taught me that Apis is _the most sovereign remedy
+for all those morbid processes which we designate as_ INTERMITTENT
+FEVER.
+
+The following symptoms indicate the homœopathicity of Apis to
+intermittent fever:
+
+"1081: every afternoon about three or four o'clock she feels chilly,
+shivering, worse in warmth; a chilly creeping along the back, the hands
+seem dead; in about an hour she feels feverish and hot, with rough
+cough, hot hands and cheeks, without thirst; these symptoms pass off
+gradually, after which she feels heavy and prostrate. 1088: chilliness
+all over, recurring periodically, with an undulating sensation. 1089:
+chill after a heat of thirty-six hours. 1090: sudden chilliness,
+followed by heat and sweat. 499: loathing, with chilliness and coldness
+of the limbs. 534: pains on the left side, below the last ribs. 535:
+violent burning pain below the short ribs, on both sides, worst and most
+permanent on the left side, where it continues for weeks, preventing
+sleep. 577: enlargement of the abdomen, with swelling of the feet,
+scanty urine."
+
+The provings of Apis show that this drug affects every portion of the
+nervous system--the cerebral, spinal and ganglionic nerves--and the
+process of sanguification, in the same general and characteristic manner
+as is the case in fever and ague.
+
+In comparing the symptoms of Apis with those of any other known drug,
+there is no medicine that bears as close an affinity to fever and ague
+as Apis. Howsoever useful other remedies may have proved, in the
+treatment of fever and ague, they are only homœopathic to isolated
+conditions, in comparison with Apis. In practice, it was often found
+very difficult, even for the most experienced physician, to decide in
+which of these exceptional cases the specifically homœopathic agent
+should have been employed. Sometimes no properly homœopathic remedy
+could be found, in which case the treatment had to be conducted in a
+round-about way.
+
+All these difficulties have been effectually removed by Apis, and the
+treatment of intermittent fever may henceforth be said to constitute one
+of the most certain and positive achievements of the homœopathic domain.
+For the last three years, during which period I have experimented with
+Apis, I have not come across a single case of intermittent fever that
+did not yield satisfactorily to Apis. I have treated a pretty fair share
+of obstinate and complicated cases of this disease, and have, therefore,
+had an opportunity of testing the curative virtues of Apis in a
+satisfactory manner. Here are the results of my observations:
+
+Apis is the natural remedy for the pathological process which is
+characterized by periodical paroxysms of chill, heat and sweat; the
+other morbid symptoms being common to this process, as they are to all
+other diseases.
+
+All the symptoms which have hitherto been observed in intermittent
+fever, will be found, with striking similarity, among the provings of
+Apis. For a confirmation of this statement, we refer to Hering's
+American Provings, and to BÅ“nninghausen's Essay on Intermittent Fevers.
+
+In making use of Apis in every form of intermittent fever, we not only
+act in strict accordance with the homœopathic law generally, but we
+fulfil all the requirements of the individualizing method. Apis is the
+universal remedy in intermittent fevers, for which every homœopathic
+physician has been longing, and which pure experiments, conducted
+according to the rules of homœopathy, have revealed to us;--another
+shining light on the sublime path of the healing artist!
+
+The beneficent action of Apis, in intermittent fever, is still increased
+by the fact that it prevents the supervention of typhus,
+disorganizations of the spleen, dropsy, china-cachexia. In using Apis
+from the commencement, all such consequences are avoided, and if they
+should have been induced by different treatment, Apis removes them as
+speedily as possible.
+
+In all lighter cases, it is sufficient to give a drop of Apis 3, morning
+and evening, during the apyrexia, and to continue this treatment until
+the attacks cease; very often no other paroxysm sets in after the first
+dose; there are scarcely ever more than two or three paroxysms. In a few
+days the cure is accomplished, provided the action of the medicine is
+not disturbed.
+
+In more obstinate cases, which had been coming on for a longer period,
+or had been caused by more noxious influences, had lasted longer, had
+invaded the organism with more intensity, or where the paroxysms last
+longer and the intermissions are shorter, or where two paroxysms occur
+in succession, or the life of the organism is endangered by some cause
+or other,--the organism has to be saturated with the medicine in the
+shortest possible period, in order to ensure victory to the curative
+agent. Under these circumstances, we prepare a solution of from two to
+four drops of the third potency in twelve tablespoonfuls of water, shake
+it well in a closed bottle, and give a tablespoonful of this solution
+every hour. If the case should be urgent, we may give a drop of Apis 3,
+on sugar, every three or six hours. This treatment is to be continued
+until the patient is decidedly better; after which the medicine should
+be discontinued. If the improvement is not quite satisfactory, the last
+dose is continued several times every twelve or twenty-four hours, after
+which the proper effect will have been obtained. If the progressive
+improvement of the patient should be attended with distinct morbid
+symptoms, it would be injurious to continue the repetition of the drug.
+Nevertheless, a globule of Apis 30 may sometimes hasten the
+convalescence of the patient, and otherwise afford relief. Signs of
+reaction, even if more or less violent, should not deceive one. If left
+to themselves, they are often and speedily followed by a refreshing
+calm, and cannot be interfered with, as an aggravation of the symptoms,
+without damaging the case.
+
+These are all the rules which I have so far been able to infer from my
+use of Apis. Further experience will have to decide whether they apply
+to all periods, or only to the prevailing type of fever.
+
+I am unable to say whether Apis will prove effectual against epidemic
+marsh-intermittents, and if so, how the use of it will have to be
+modified. May it please those, who can shed light on this subject, to
+communicate their experience!
+
+Two other exceptions to Apis, as a universal febrifuge, have occurred to
+me in my practice: _The development of fever and ague in poisoned soil,
+and fever and ague complicated with China-cachexia._
+
+It is peculiar to intermittent fever to excite the morbid germs which
+are slumbering in the organism. This is more particularly true in
+reference to psora. In proportion to universality of the psoric miasm,
+fever and ague will develop and complicate itself with psoric
+affections; and it is such complications that give rise to the
+inveterate character of intermittents and their disorganizing tendency.
+
+In such cases, a cure cannot be effected without some suitable
+anti-psoric. During the prevailing fever, Natrum muriaticum has proved
+such an anti-psoric, provided it was used as follows: If the signs of
+psoric complication became visible at the outset, I gave a pellet of
+Natrum mur. 30, and awaited the result until after the third paroxysm.
+If symptoms of improvement had become manifest, no other remedy was
+given, and the improvement was permitted to progress from day to day. If
+the signs of psoric complication were obscure at the beginning of the
+attack, Apis was at once given. If no improvement became visible after
+the third paroxysm, or if other symptoms developed themselves, this was
+looked upon as a proof of the existence of psora, and Natrum mur. 30 was
+given, and no other remedy, until after the third paroxysm. Either the
+disease had ceased, or it required further treatment. In the latter
+case, Apis 3 was continued in drop-doses, morning and evening, until the
+patient was decidedly convalescent. No further medicine was given after
+this, and the Natrum mur. was permitted to act undisturbed, without a
+single repetition. Every such repetition is hurtful; it disturbs the
+curative process, excites an excess of reaction in the organism,
+exhausts it, and develops artificial derangements, which often mislead
+the judgment, and induce an uncalled-for and improper application of
+remedial means. Such repetitions are unnecessary; any one who is
+acquainted with the action of Natrum mur., will at once perceive that
+the psora-destroying effect of this agent had not been neutralized by
+Apis. Recovery becomes more and more completely established, and
+sometimes terminates in the breaking out of a wide-spread,
+bright-looking eruption, resembling recent dry itch, and attended with
+the peculiar itching which always exists in this disease. The complete
+peeling off of the epidermis shows the true cause of the disease. In a
+few cases, an itch-eruption of this kind proved contagious, and
+communicated itself to other persons in the family.
+
+A similar course of treatment was pursued, if some other anti-psoric had
+to be resorted to, according as one or the other of the three miasms
+seemed to require.
+
+_The thoroughness of this treatment of intermittent fevers is proved by
+the fact, that no relapses ever took place, or that no secondary
+diseases were ever developed._
+
+If these sequelæ were the consequences of an abuse of Cinchona, and this
+China-cachexia was the source of subsequent paroxysms of fever, I have,
+even in such cases, when nothing else would help, seen Apis cure both
+the fever and the China-cachexia, in most cases which came under my
+treatment. In the most inveterate cases, which had perhaps been
+mismanaged in various ways, and where the reactive power of the organism
+seemed entirely prostrated, I found it necessary to resort to the
+employment of a most penetrating agent, more particularly the 5000th
+potency of Natrum muriaticum, which I have so far found the only
+sufficiently powerful curative influence under the circumstances. The
+rules of administering this potency are the same as those for the
+exhibition of the 30th.
+
+Not only does Apis afford help in the affections which habitually and
+most generally occur among us; it is likewise in curative rapport with
+the
+
+TYPHOID-GASTRIC CONDITIONS WHICH DEVELOPE THEMSELVES DURING THE COURSE
+OF AN ERYSIPELATOUS OR EXANTHEMATOUS CUTANEOUS AFFECTION, MORE
+PARTICULARLY SCARLATINA, RUBEOLA, MEASLES AND URTICARIA.
+
+The use of Apis in erysipelas is indicated by: "Nos. 168, 169: great
+anxiety in the head, with swelling of the face; inflammatory swelling
+and twitching so violent, that an apoplectic attack is dreaded. 175 to
+178: sensation as if the head were too large; swelling of the head;
+sensitiveness to contact on the vertex, forehead; burning, stinging
+about the head. 292: erysipelatous inflammation of the eyelids. 295:
+after the most violent pains of the right eye, a bluish, red, whitish
+swelling of both eyes, which were closed in consequence. 297: swelling
+under the eyes during erysipelas, as when stung by a bee. 316: red
+swelling of both ears, with a stinging and burning pain in the swelling,
+with redness of the face every evening. 356: erysipelas spreading across
+the face, and proceeding from the eyes. 359: tension in the face,
+awakening her about one o'clock, the nose was swollen, so were the right
+eye and cheek, stinging pain when touching the part; under the right
+eye, and proceeding from the nose, red streaks spread across the cheek,
+until four o'clock; next day, after midnight, sudden swelling of the
+upper lip, with heat and burning redness, continuing until morning; on
+the third night, sudden crawling over the right cheek, with stinging
+near the nose, after which the cheek and upper lip swelled. 363: face
+red and hot, with burning and stinging pain, it swells so that he is no
+longer recognized. 388: pimple in the vermilion border of the lower lip,
+which he scratches, after which an erysipelatous swelling arises,
+spreading rapidly over the chin and the lower jaw, and invading the
+anterior neck and the glands, so that he is unable to move the jaws, as
+during trismus, or as if the ligaments of the jaws were inflamed; with
+constant disposition to sleep, the sleep being interrupted by frightful
+dreams. 706 to 707: swelling of the right half of the labia, with
+inflammation and violent pain, rapid, hard pulse, diarrhœa consisting of
+yellow, greenish mucus, in the case of a girl of three years old;
+deeply-penetrating distress, commencing in the clitoris and spreading to
+the vagina; the labia minora are swollen, they feel dry and hard, they
+are covered with a crust; at the commencement urination is painful. 948:
+burning of the toes, and erysipelatous redness with heat at a
+circumscribed spot on the foot, the remainder of the foot being cold.
+1167, 1168: acute pain and erysipelatous swelling, hard and white in the
+centre; bright red, elevated, hard swelling of the place where he was
+stung, and round about a chilly feeling. 1170-1173: red place where he
+was stung, with swelling and red streaks along the fingers and arm; red
+streaks along the lymphatic vessels, proceeding from the sting along the
+middle finger and arm; inflammatory swelling, spreading all around.
+1181: throbbing in the swelling. 1182: wide-spread cellular
+inflammation, terminating in resolution. 1224, 1225: swelling and
+erysipelatous redness; erysipelatous redness of the toes and feet."
+
+If we add to these remarks, that Apis corresponds to gastric and typhoid
+conditions, as was shown before, with remarkable similarity of symptoms,
+we find, without doubt, that all known erysipelatous forms of
+inflammation are covered by the pathogenetic effects of Apis. Hence we
+may with propriety give Apis in these affections. Practical experience
+has abundantly confirmed these conclusions. For the last four years, I
+have cured readily, safely and easily all forms of erysipelas which have
+come under my notice--Å“dematous, smooth, vesicular, light or dark
+colored, seated or wandering, phlegmonous, recent or habitually
+recurring, of a light or inveterate character, repelled, among
+individuals of every disposition and age. I have never seen all kinds of
+pain yield more readily; I have never seen the accompanying fever abate
+more speedily; I have never arrested the further spread of erysipelas,
+nor effected a resolution of the inflammation of the cellular tissue,
+more certainly; nor, if the termination in suppuration was no longer
+avoidable, have I ever succeeded in effecting the formation of laudable
+pus, the spontaneous discharge of the pus, the radical healing of the
+sore without any scar--_how important is all this in erysipelatous
+inflammation of the mammæ_--with more certainty and thoroughness, than
+by means of Apis! No remedy possesses equal powers in protecting
+internal organs from the dangerous inroad of this disease.
+
+I effected all this without any other medicinal aid, or without
+resorting to an operation. Keeping quiet and dry, and in a uniform
+temperature, is all that is required, in order to secure the full
+curative action of Apis. In this disease it is used in the same manner
+as we have indicated before. If the liver should be very much involved
+in this disease, we effect a cure still more rapidly, by alternating
+Aconite with Apis, in case inflammation is present; Carduus mariæ, in
+case of simple inflammatory irritation, and Hepatin, if disorganizations
+have already set in. In phlegmonous and suppurative habitual erysipelas,
+a cure is generally facilitated, if a dose of Sulphur 30 is
+interpolated, in the manner which we have explained before, in order to
+neutralize the psoric taint which is here generally present.
+
+According to this experience, in conjunction with the symptoms 706, 707,
+I believe that Apis will prove a successful prophylactic and curative
+agent in a disease of children, which terminates fatally in almost every
+case. I mean erysipelas of new-born infants, which commences at the
+genital organs, thence spreads over the skin, and terminates in the
+induration and destruction of this organ. Until now, I have not had an
+opportunity of verifying the truth of this theoretical conclusion by
+actual experiments. Hence I content myself with offering this
+suggestion for further practical trials.
+
+The American Provings likewise show that Apis may be of great use in
+scarlatina.
+
+"No. 349: redness of the face, as in scarlatina. 408 to 413: tongue very
+painful, the burning and raw feeling increases; vesicles spring up along
+the margin of the tongue, the pains are accompanied by stitches; at the
+tip of the tongue, toward the left side, a row of small vesicles spring
+up, some six or eight, which are very painful and sore; dryness of the
+tongue, red and fiery appearance of the inside of the cheeks, with
+painful sensitiveness. 311: pains in the interior of the right ear. 413
+to 417: burning at the upper portion of the left ear; stitches under the
+left ear, tension under and behind the ears; red swelling of both ears,
+with a stinging and burning pain in the swelling. 462 to 463: difficulty
+of swallowing, staging pains when swallowing. 466: burning in the fauces
+down to the stomach. 470: difficulty of swallowing in consequence of
+redness and swelling of the tonsils. 473: ulcers in the throat during
+scarlet fever. 1236: scarlatina does not come out, in the place of which
+the throat becomes ulcerated. 1237: retrocession of scarlatina, violent
+fever, excessive heat, congestion of the head, reddened eyes, violent
+delirium. 832: redness and swelling in front of the neck, swelling of
+the glands. 833: swelling of the cervical glands on the injured side.
+836: tension on the right side of the nape of the neck, below and back
+of the ear. 897, 898: itching and burning of the dorsum of the hand and
+of the knuckles and first phalanges; cracking of the skin here and
+there; itching and chapping of the hand and lower lip."
+
+If we add to these symptoms the above enumerated cerebral symptoms, the
+typhoid alteration of the internal mucous membrane of the whole
+alimentary canal and of the respiratory organs, the disorganizing and
+paralyzing action upon the blood and nerves, the inclination to
+dropsical effusion, the affection of the cervical glands with tendency
+to suppuration, the appearance of otorrhœa,--we have a group of symptoms
+which resemble very accurately the prevailing type of epidemic
+scarlatina. I know, from abundant experience, that the homœopathic law
+has been brilliantly confirmed in this disease. Thanks to the curative
+powers of Apis, scarlatina has ceased to be a scourge to childhood. The
+dangers to which children were usually exposed in scarlatina, have
+dwindled down to one, which fortunately is a comparatively rare
+phenomenon. It is only where the scarlet-fever poison acts at the outset
+with so much intensity, that the brain becomes paralyzed at once, and
+the disease must necessarily terminate fatally, that no remedy has as
+yet been discovered. In all other cases, unless some strange mishap
+should interfere, the physician, who is familiar with Apis, need not
+fear any untoward results in his treatment of scarlatina.
+
+In all lighter cases, where the disease sets in less tumultuously, and
+runs a mild course, it is proper, as soon as the disease has fairly
+broken out, to give a globule of Apis 30, and to watch the effects of
+this dose without interference. The immediate consequence of this
+proceeding, is to bring the eruption out in a few hours, all over the
+skin, with abatement of the fever and general perspiration, after which
+the eruption runs its course in a few days, with a progressive feeling
+of convalescence, the epidermis peels off from the third to the fifth
+day, and, at the latest, to the seventh day, with cessation of the
+fever, so that the process of desquamation is generally terminated
+within the next seven days, after _which the patient may be fairly said
+to be convalescent, and the patient may be said to be absolutely freed
+from all danger of consecutive diseases_.
+
+The same result is obtained by nature in cases of mild scarlatina,
+without the interference of art. But the experience which I have had an
+opportunity of making during my long official employment as
+district-physician, has convinced me that Nature accomplishes her end
+far more easily, more speedily and satisfactorily, if assisted by art in
+accordance with the law of homœopathy. The sequelæ especially are
+rendered less dangerous by this means.
+
+But if the disease sets in with a considerable degree of intensity at
+the very outset, and the fever continues without abatement, it is
+advisable to keep up a medicinal impression by repeating the dose. To
+this end we dissolve a globule of Apis 30, in seven dessert-spoonfuls of
+water, by shaking the solution vigorously in a corked vial, and giving a
+dessert-spoonful every three, six, or twelve hours as the case may
+require. In all ordinary cases a single solution of this kind sufficed
+to subdue the fever and to secure a favorable termination of the
+disease.
+
+The struggle between disease and medicine assumes a far different form,
+if the morbific poison has penetrated the organism more deeply; if a
+process of disorganization has already developed itself in the
+intestinal mucous membrane, and if the alteration of the sanguineous
+fluid, which is an inherent accompaniment of such a disorganizing
+process, has depressed the nervous activity to such a degree that
+typhus, or paralysis of the brain or lungs seems unavoidable, as may be
+inferred from the bright-red tongue, which is thickly studded with
+eruptive vesicles, and speedily becomes excoriated, fissured and covered
+with aphthæ; by a copious discharge of thick, white, bloody and fetid
+mucus from the nose; by the swelling and induration of the parotid
+glands, increasing difficulty of deglutition; sensitiveness of the
+abdomen to pressure; badly-colored, slimy, bloody diarrhœa; scanty
+emissions of turbid, red, painful urine; accelerated and labored
+breathing; loss of consciousness; delirium; sopor; convulsions;
+trembling of the limbs; appearance as if the patient were lying in his
+bed in a state of fainting; the skin is at times burning, hot and dry;
+at others it feels like parchment, cooler; at others again, hot and cool
+together in spots; the fever increases with changing pulse, and is more
+constant; in short, all the symptoms, although developing themselves
+less rapidly, show that a fatal termination becomes more and more
+probable. In such a case it is above all things necessary to saturate
+the organism with Apis. If there is much fever, this result is best
+accomplished by means of alternate doses of Aconite and Apis, a few
+drops of the third potency, shaken together with twelve tablespoonfuls
+of water, each drug by itself, the dose to be repeated every hour; and
+if the temperature is rather depressed, by giving Apis without the
+Aconite, a tablespoonful every hour or two hours. In favorable cases the
+fever becomes more remittent within one to three days; a moderate and
+pleasant perspiration breaks out all over the skin; the sleep becomes
+calm and natural, and the typhoid symptoms abate. If this change takes
+place, it is proper to exhibit Apis in a more dynamic form, in order to
+assimilate it more harmoniously to the newly awakened reactive power of
+the organism. To this end we dissolve a few globules of Apis 30 in seven
+dessert-spoonfuls of water, giving a dessert-spoonful morning and
+evening, and we continue this treatment, until the symptoms of typhoid
+angina have gradually abated, the tongue has been healed, the normal
+desire for food has returned, and the digestive functions go on
+regularly; after which the natural reaction of the organism, assisted by
+careful diet, will be found sufficient to complete the cure. If no
+improvement sets in after Apis has been used for three days, we may rest
+assured that a psoric miasm is in the way of a cure, which requires to
+be combated with some anti-psoric remedy. I have generally found Kali
+carbonicum efficient, of which I gave one globule thirty on the fourth
+day of the treatment, permitting it to act uninterruptedly from one to
+three days, according as the disease was more or less acute, after which
+I again exhibited Apis in the manner previously indicated. In this way I
+succeeded in developing the curative powers of Apis, so that in a few
+days a gradual improvement, however slight, became perceptible to the
+careful observer. As soon as the improvement is well marked, all
+repetition of the medicine should cease, and the natural reaction of the
+organism should be permitted to complete the cure. Any one who is
+acquainted with the action of the Kali, must know that it continues
+without being interrupted by Apis. An invaluable blessing of Nature!
+
+This proceeding is crowned with the desired results; the convalescence
+is shorter and easier, and there is less danger of serious sequelæ,
+which, according to all experience, are so common in complicated cases
+of scarlatina, otorrhœa and suppuration of the parotid glands are
+generally avoided under this treatment without any other aid, or, if it
+is impossible to avert such changes, they generally come to a speedy and
+safe end. This treatment likewise keeps off dropsy and its dangers.
+
+In cases where the secretion of _black urine_ shows that the liver is
+deeply involved in the disease, Apis is powerless. These are the only
+exceptions to the curative power of this drug. Here we are told by our
+law of cure, that the sphere of Lachesis commences. We give one or two
+globules of Lachesis 30 in seven dessert-spoonfuls of water, a
+dessert-spoonful every twelve hours, and in acute cases every three
+hours; and the good effects of the medicine must seem miraculous to one
+who is not accustomed to this mode of treating diseases. Already in a
+few hours the patient becomes tranquil, showing that the process of
+disorganization has been arrested; the improvement continues from hour
+to hour; the sleep becomes more tranquil; the cutaneous secretions, and
+those of the bowels and kidneys, become more active; after the lapse of
+one, or at most two days, the urine begins to look clearer and
+lighter-colored, and in about three days a return of the natural color
+of the urine shows that the functions of the liver are restored to their
+normal standard; the patient is able to do without any further medical
+treatment, and the natural reaction of the vital forces will be found
+sufficient to effect a cure.
+
+If I have not mentioned the affections of the kidneys, which may be
+present in this disease, it is because I have become satisfied by years
+of experience, that they constitute secondary affections in scarlatina,
+and that we should commit a great error if we would draw conclusions
+regarding this point from post-mortem phenomena.
+
+Nobody who has observed the resemblance, at any rate, during the present
+epidemic, between
+
+
+RUBEOLA
+
+and scarlet-fever, will deny that the remarks which we have offered
+concerning this latter disease, likewise apply to rubeola. In
+
+
+MEASLES,
+
+likewise, Apis will prove a curative agent.
+
+In the American Provings, Apis is indicated in this disease by the
+following symptoms: "No. 1103, heat all over; the face is red as in
+scarlatina; eruption like measles; cough and difficult respiration as in
+croup; muttering delirium; 1211, superficial eruptions over the whole
+body, resembling measles, with great heat and a reddish-blue
+circumscribed flush on the cheeks; 1218, measle-shaped eruption."
+
+If we add to these symptoms the peculiarity inherent in Apis, to cause
+catarrhal irritations of the eyes, such as occur during measles, we have
+a right to infer that Apis will prove a valuable remedial agent in
+measles.
+
+Although common mild measles do not require any medicinal treatment, and
+generally get well without any prejudice to the general health;
+nevertheless, cases occur where intense ophthalmia, a violent and
+racking cough, and the phenomena which appertain to it; an intense
+irritation of the internal mucous membrane; diarrhœa; dangerous
+prostration of strength; marked stupefaction and various nervous
+phenomena render the interference of art desirable. In all such cases, I
+have seen good effects from the use of Apis, which differed not only
+from the regular course of the disease, but likewise from the effects
+which have been witnessed under the operation of other medicines. In
+ordinary cases, and without treatment, it takes three, five, seven and
+eleven days, before the eyes get well again; but under the use of Apis,
+the eyes improve so decidedly in from one to three days, that the eyes
+do not require any further treatment; and that even troublesome sequelæ,
+such as photophobia; styes which come and go; troublesome lachrymation;
+continual redness; swelling and blennorrhœa of the lids; fistulæ
+lachrymalis, etc., need not be apprehended.
+
+If Apis has had a chance to exercise its curative action in a case of
+measles, we hear nothing of the troublesome, and often so wearing and
+racking cough, which so often prevails in measles, and the continuance
+of which is accompanied by an increased irritation and swelling of the
+respiratory mucous membrane and an increasing alteration of its
+secretion, which recurs in paroxysms, assumes a suspicious sound, shows
+a tendency to croup and to the development of tuberculosis, and finally
+degenerates in whooping-cough, so that epidemic measles and
+whooping-cough often go hand in hand. After Apis, the cough speedily
+begins to become looser and milder, to loose its dubious character, and
+to gradually disappear without leaving a trace behind. If these results
+should be confirmed by further experience, we would have attained
+additional means of preventing the supervention of whooping-cough in
+measles; a triumph of art and science which should elicit our warmest
+gratitude.
+
+Any one who knows, how malignant measles, unassisted by art, are
+accompanied by deep-seated irritation of the mucous membrane of the
+stomach and bowels; how they lead to diarrhœa; to sopor; how they
+threaten life by long-lasting and troublesome putrid and typhoid fevers;
+and how, if they do not terminate fatally, they result in slow
+convalescence, and sometimes in chronic maladies for life, will admit,
+on seeing the diarrhœa cease; on beholding the quiet sleep which
+patients enjoy; the pleasant and general perspiration; the return of
+appetite; the increase of strength, and the complete disappearance of
+all putrid and typhoid symptoms, that Apis has indeed triumphed over the
+disease.
+
+The following simple proceeding will secure such results: As soon as the
+fever has commenced, we prepare the above-mentioned solution of Aconite,
+of which we give a small spoonful every hour. If, after using the
+Aconite, the eruption breaks out and the fever abates, no further
+medication is necessary. If fever and eruption should require further
+aid, Apis is to be given, one or two globules of thirtieth potency in
+seven dessert-spoonfuls of water, well shaken, a dessert-spoonful
+morning and evening; or, if the disease is very acute, every three
+hours, which treatment is to be continued until an improvement sets in,
+after which the natural reaction of the organism will terminate the
+cure.
+
+Sequelæ seldom take place after this kind of treatment; this is
+undoubtedly an additional recommendation for the use of Apis. Until this
+day I have never seen a secondary disease resulting from measles.
+Nevertheless, such sequelæ will undoubtedly occur, for it is
+characteristic of the measle-miasm, to rouse latent psoric, sycosic,
+syphilitic and vaccinine taints, which afterwards require a specific
+anti-psoric treatment. Nevertheless, sequelæ will certainly occur less
+frequently after the use of Apis, for which we ought to be thankful. In
+
+
+URTICARIA AND PEMPHIGUS
+
+Apis will likewise afford speedy and certain help.
+
+Many symptoms in the American Provings confirm this statement. More
+particularly 1198 to 1210, and 1232 to 35: "very soon thick nettle-rash
+over the whole body, itching a good deal, passing off after sleeping
+soundly; violent inflammation and pressure over the whole body; friction
+brought out small white spots resembling musquito-bites; suddenly an
+indescribable stinging sensation over the whole body, with white and red
+spots in the palms of the hands, on the arms and feet; her Whole body
+was covered with itching and burning swollen streaks, after which the
+other troubles disappeared; swelling of the face and body; the parts are
+covered with a sort of blotches somewhat paler than the ordinary color
+of the skin; eruption over the whole body resembling nettle-rash, with
+itching and burning; nettle-rash in many cases; spots on the nape of the
+neck and forehead, resembling nettle-rash under the skin; consequences
+of repelled urticaria; whitish, violently itching swellings of the skin,
+on the head and nape of the neck, like nettle-rash; after the rash
+disappeared, the whole of the right side was paralyzed, with violent
+delirium even unto rage; after taking Apis the eruption appeared in
+abundance, and the delirium abated."
+
+These provings have been abundantly confirmed by my own experience. The
+use of Apis in these eruptions has been followed in my hands by the most
+satisfactory results; and I feel justified in recommending Apis as a
+most efficient remedy in these diseases, which are still wrapt in a good
+deal of obscurity. An additional source of satisfaction to have obtained
+more means of relieving human suffering. The experienced Neuman writes,
+in his Special Therapeutics, 2d Edit., Vol. I., Section 2, p. 681, about
+urticaria: "Howsoever unimportant a single eruption of urticaria may be,
+it becomes disagreeable and troublesome by its constant repetition,
+which is not dangerous, but exceedingly disturbing. It would be
+desirable to be acquainted with a safe method of curing this eruption,
+but so far, it has been sought for in vain." The same physician,
+speaking of pemphigus, writes in the same place, that its etiology,
+prognosis and treatment, are still very dubious; that it leads to
+extensive chronic sufferings, and often terminates fatally; and that no
+specific remedy is known for this disease. The more frequent
+opportunities we have of observing both these diseases in different
+individuals, the more frequently we observe them in conjunction with
+serious chronic maladies characterized by some specific chronic miasm,
+or in conjunction with the most penetrating and disturbing emotions,
+such as fright and its consequences; the more frequently we observe the
+sudden appearance and disappearance of such pustules, alternating with
+corresponding improvements or exacerbations in the internal organism,
+where we have to look on utterly powerless, as it were, the more uneasy
+do we feel at the mysterious nature of this malady, which, during the
+period of organic vigor, seems to be a sort of trifling derangement,
+somewhat like urticaria, but which, as the vital energies become
+prostrated by age, becomes more and more searching and tormenting,
+breaks forth again and again, exhausting the vital juices and leading
+irresistibly to a fatal termination; a result which is particularly apt
+to take place during old age, although I have likewise observed it, but
+rarely, among new-born infants.
+
+These developments lead us to suspect that urticaria and pemphigus are
+identical in essence; this fact is richly substantiated by the
+homœopathic law which furnishes identical means of cure for either of
+these affections. In either case, if the vital forces are prostrated,
+and the sensitiveness of the organic reaction is considerable, one
+pellet of Apis 30, and, if there is considerable resistance to overcome,
+two pellets shaken with six dessert-spoonfuls of water, a spoonful night
+and morning, is all that should be done, after which, all further
+treatment should be discontinued as long as the improvement continues or
+the skin remains clear from all eruptions. If the improvement cease or
+the eruption should reappear, we have in the first place to examine
+whether the improvement will not speedily resume its course, or whether
+the eruption does not show itself more feebly than before, or if the
+cure is not evidenced by some other favorable change. In the former case
+the medicine should be permitted to act still further; in the latter
+case, another dose of Apis 30 should be given, after which the result
+has to be carefully watched. In all benign cases, more particularly if
+no other means of treatment had been resorted to before, this management
+will suffice. If this should not be the case, if the eruption should
+appear again, we may rest assured that a psoric miasm lurks in the
+organism, and that an anti-psoric treatment has to be resorted to. The
+best anti-psoric under these circumstances, is Sulphur 30, one pellet,
+provided this drug has not yet been abused; or Causticum 30, one pellet,
+if such an abuse has taken place. Syphilis may likewise complicate the
+disease, in which case Mercurius 30, one pellet, may be given; or, if
+Mercury had been previously taken in excessive doses, Mercurius 6000,
+one globule.
+
+After one or the other of these remedies, the symptoms should be
+carefully observed without doing anything else, with a view of
+instituting whatever treatment may afterwards be necessary, we wind up
+the treatment with another dose of Apis 30, one pellet, after which, the
+organic power is permitted to complete the cure. The result is, that the
+most difficult and complicated cases yield perfectly to such treatment,
+which is based upon the strictest scientific principles.
+
+
+FURUNCLES AND CARBUNCLES
+
+are likewise cured by Apis in the speediest and easiest manner.
+
+We find the following symptomatic indications in the American Provings:
+"682, painful pimple, suppurating in the middle, with red areola;
+painful like a boil, in the hairy region on the left side above the os
+pubis, continuing painful for several days; 1196, furuncles with
+stinging pains; 844, 845, violent, stinging, burning pain at a small
+spot on the left side, in the lower region of the nape of the neck; also
+on the back part of the head; swelling at the nape of the neck, so that
+the head is pressed forward towards the chest; 1222, dark bluish-red
+painful swellings, with general malaise; 1167, acute pain and
+erysipelatous swelling, very hard and pale in the centre."
+
+Apis has been a popular remedy for boils from time immemorial; the
+people have been in the habit of covering boils with honey, more
+particularly honey in which a bee had perished.
+
+Apis, homœopathically prepared, is better adapted to such an end than
+honey. A few drops of Apis 3, shaken with twelve tablespoonfuls of
+water, a tablespoonful of this solution every three hours, generally
+relieves the pain in a short period, promotes suppuration, effects the
+discharge of the decayed cellular tissue, and a speedy cure of the
+furuncle.
+
+If furuncles incline to become carbunculous, the ichorous matter is
+speedily changed to good pus, and all danger is averted.
+
+In a case of carbuncle the gangrenous disorganization of the skin and
+cellular tissue becomes very soon confined to a small spot; the dead
+parts are separated from the living tissues; the fever is hushed; the
+disorganizations which it threatens are averted; a healthy suppuration
+is established throughout the gangrenous part, detaching and removing
+all decayed matter, and replacing the loss of substance by new
+granulations until the sore becomes cicatrized in such a hardly
+perceptible manner, that any one who is acquainted with the ravages of
+this disease, and is in the habit of seeing deep and disfiguring
+cicatrizes, even in the most successful cases, is disposed to deny the
+fact that such an intensely disorganizing process has been going on in
+this instance. No other remedial means are required, much less a
+surgical operation.
+
+Inasmuch as carbuncle is generally preceded for a longer period by a
+deep-seated feeling of illness in the organism, showing that the psoric
+miasm pervades the tissues, it behooves us, in order to secure all the
+better a favorable result, to give a dose of highly-potentized Sulphur
+at the very outset of the disease. After having used the first portion
+of Apis, a globule of Sulphur 30 or 6000 may be interposed, the former
+in all cases where no Sulphur had been used, and the latter in cases
+Sulphur had been used in large doses. We permit such a dose to act for
+twenty-four hours, after which Apis is resumed, and continued according
+to the above stated rule.
+
+Sulphur should likewise be given in all cases where the furuncles
+reappear at different periods. Such a reappearance of the eruption,
+after it had once been cured by Apis, shows that a psoric taint pervades
+the organism which it is absolutely necessary to meet with specific
+counter-acting remedies.
+
+The more frequently we meet such difficult complications, and see with
+our own eyes their successful treatment, the more we learn to appreciate
+the fact, _that Apis cures to a certainty the most dangerous affections
+of this kind, and that the anti-psoric remedy corrects at the same time
+the primary degeneration of the tissues, without either interfering with
+the operations of the other drug, on the contrary, by assisting each
+other_. In
+
+
+PANARITIA
+
+Apis proves the same invaluable remedy.
+
+Genuine panaritia only spring up in psoric ground, and in regard to
+extent and intensity of development, depend altogether upon the existing
+psoric taint. Hence it is indispensable to extinguish this taint by
+appropriate remedies. This is most effectually accomplished by at once
+giving Sulphur, the most powerful of our anti-psorics. Sulphur seems to
+attack the evil at its very foundation, and we feel perfectly satisfied
+with its action, except that we would like to hasten the course of the
+disease still more, in order to abbreviate the tortures inherent in
+this malady. This result is most certainly accomplished by means of
+Apis.
+
+If panaritia are the result of excessive doses of Sulphur, Apis meets
+our case perfectly. In hundreds of cases panaritia spring up and will
+continue to spring up from such a source, as long as the world continues
+to live in darkness, and to reject the rays of truth which the genius of
+Hahnemann has sent forth among the benighted understandings of his
+fellow beings. Notwithstanding Hahnemann's teachings concerning the
+medicinal power of Sulphur, which the world has now been in possession
+of for years, and which the most thoughtful minds have accepted as a
+truth, the true friend of man has still to weep over the quantities of
+Sulphur which all apothecaries sell to any one at his option;
+hæmorrhoidal patients continue to swallow Sulphur from day to day;
+almost every body, from the child up to the old man, who is affected
+with catarrh, swallows the so-termed pulmonary powders which contain
+Sulphur, and of which relief is expected; whole legions repair every
+year to the Sulphur Springs; young and old use sulphur-baths at home;
+all over the world, the itch, which is a very common disease, is removed
+by means of a sulphur ointment, &c. One of the evil consequences of this
+ignorance, which particularly oppresses the laboring class, is the
+artificial development of panaritia; the more frequently these occur,
+the more necessary it is to employ speedy and safe means for their
+extermination. In such a case we can no longer depend upon Sulphur, of
+which we cannot possibly know how far it has already poisoned the
+organism, and to what extent it may still be able to rouse a reaction;
+in which case, even those who know, may be led to make dangerous
+mistakes. In all such cases Apis is of the best use to us; it is even
+sufficient to arrest the disorganizing process, and to bring about a
+satisfactorily progressing cure.
+
+The curative indications contained in the "American Provings," have been
+confirmed by my own experience. We read in Nos. 903-911, "the phalangeal
+bones are painful; burning jerking, like a stitching, contracting
+sensation, in the right numb, from without inwards; drawing pains
+reaching the extremities of the fingers; distinct feeling of numbness in
+the fingers, especially in the tips, around the roots of the nails, with
+sensation as if the nails were loose, and as if they could be shaken
+off; burning in the tips of fingers, as from fire; fine burning stinging
+in the tips of the fingers; burning around a hang-nail, on the outside
+of the fourth finger of the right hand, with pain internally, without
+redness and without aggravation from pressure, with continual burning in
+the tip; swelling of the fingers, which remained painful for several
+days; 915, blister at the tip of the right index, discharging a bloody
+ichor when opened, and afterwards a milky pus, with violent burning,
+throbbing, and gnawing pains, continuing to spread for two days."
+
+From all this we deduce the highly important practical rule: In a case
+of whitlow, first ascertain whether and how far Sulphur has been abused
+by the patient. Unfortunately the non-abuse of Sulphur is an exception
+to the rule, whereas the abuse of Sulphur is quite common even in our
+age. Would that in this respect the ancient darkness might yield to the
+new light.
+
+In case Sulphur had been abused by the patient, we mix a few drops of
+Apis 3 in twelve tablespoonfuls of water, giving a tablespoonful every
+hour, or every two or three hours, according as the pains are more or
+less violent. This treatment has to be continued until the pains cease.
+They cease either because the inflammation has been dispersed, and the
+morbid process is terminated, or else a healthy suppuration has been set
+up, so that the swelling will discharge of itself, and a cure will be
+effected as speedily as the nature of the panaritium will admit. In
+either case the medicine need not be repeated, and the organic reaction
+will be sufficient to complete a cure without the interference of
+surgery. A simple bread and milk poultice may be used as soothing
+palliative, especially if the external skin is of a firm, hard texture.
+Resolution may be depended upon in every case, where Apis has been
+resorted to in time. A healthy suppuration will always set in after the
+exhibition of Apis, provided Sulphur or a psoric taint do not gain the
+ascendancy. If the Sulphur miasm gains the ascendancy, there will be no
+marked improvement during the first days of the treatment. In such a
+case we have at once to resort to a very high potency of Sulphur. A
+single globule of Sulphur 6000 would frequently ameliorate the worst
+aspect of the case as by a miracle, after which a few more doses of Apis
+3, a drop morning and evening, would so improve the symptoms, as to
+render all further medication unnecessary.
+
+If the psoric miasm should be the cause of the retarded improvement, as
+may easily be determined by the predisposing circumstances of the case,
+and if no Sulphur should have been administered previously, it is
+expedient to discontinue the use of Apis, and to at once exhibit a
+globule of Sulphur 30, which may be allowed to act for twenty-four
+hours, after which Apis is to be resumed in the same manner, until a
+cessation of the pain manifests the cure of the disease.
+
+These explanations likewise point out the true course to be pursued, in
+case we should at the outset find that a whitlow owes its existence to
+the psoric miasm.
+
+Ever since homœopathy has enabled us to treat this dreaded affection
+with positive and specific remedies in a most satisfactory manner, the
+horrible pains which characterize this trouble, and the mutilations to
+which it so frequently leads, only exist in quarters where egotism, the
+love of lucre and the absence of all conscientiousness prevents
+physicians from inquiring into the merits of our superior mode of
+treatment. Is not this unpardonably wicked?
+
+
+SPONTANEOUS LIMPING
+
+is another affection which we cure with Apis.
+
+This disease which causes so much distress in life, is likewise, in its
+essential nature, an outbirth of psora, and, as regards its local
+character and its effects upon the constitution of the patient, it seems
+to be characterized by the same inflammatory and suppurative process as
+whitlow, and be endowed with a similar tendency to organic destruction.
+In the American Provings, symptom 917, "Painful soreness in the left
+hip-joint, immediately after taking a dose of Apis 2, afterwards
+debility, unsteadiness, trembling in this joint," is the only symptom
+that seems to indicate the curative power of Apis in this distressing
+malady. What experienced physician has not often seen the hip show such
+symptoms of disease, particularly after violent frights and anguish? Who
+has not seen blows on the back and nates, by way of punishment, attended
+with such consequences? Who has not seen coxarthrocace develope itself
+during the course of a severe cerebral disease, scarlatina or typhus,
+where the patient, on suddenly awakening to consciousness from a state
+of stupor, is made sensitive of the presence of this insidious disease,
+perhaps already fully developed? Since I have used Apis, I have never
+had to deplore such saddening results.
+
+According to my observation, we may regard Apis as a specific remedy for
+spontaneous limping; every new trial confirms me in this statement. Apis
+may be depended upon as a capital remedy in every stage of this disease,
+as long as the psoric miasm is kept in the background; but as soon as
+the psoric taint is fully developed, a suitable anti-psoric has to be
+given in alternation with Apis. My experience has led me to prefer Kali
+carbonicum to all other anti-psoric remedies in this disease. But
+inasmuch as the keenest observer may overlook the right moment when the
+psoric poison begins to operate, it is well to forestall the enemy at
+the very commencement, which may be done with the more propriety, the
+more certainly we know that these two remedies, Apis and the
+anti-psoric, not only not counteract, but mutually support each other
+from the beginning to the end of the treatment. After many experiments,
+I have hit upon the following course as the most proper:
+
+If the limping, as is often the case in the severest forms of the
+disease, sets in gradually, almost imperceptibly and without much pain,
+I give at once a globule of Kali carbonicum 30. As a general rule, this
+one dose is sufficient to arrest the further development of the disease,
+and to award all danger so completely, that one, who is unacquainted
+with the nature of the malady, feels disposed to assert that it never
+existed. But if the pains continue, and are accompanied with fever, I
+resort to Apis 3, after Kali had been allowed to act for a day or two,
+mixing a drop in twelve tablespoonfuls of water, and giving a dose every
+hour, or every two or three hours, according as the pains come on more
+or less frequently. This treatment is continued until the patient is
+quieted, after which the two remedies are permitted to act without any
+further repetition of the medicine.
+
+If the inflammation of the joint sets in suddenly and with a violent
+fever, as is often the case after violent commotions, castigations,
+etc., we prepare a solution of Aconite in the same manner as the Apis,
+and give these two medicines in alternate tablespoonful doses every
+hour. After these two solutions are finished, and the first assault of
+the disease has been controlled, we give a globule of Kali 30, and
+permit it to act for twenty-four hours. After this period we again give
+Apis every hour, two or three hours, as above, until the pains cease,
+after which Kali is allowed to act until the disease is entirely cured.
+
+If suppuration and caries of the joint have already set in, no matter
+whether the pus has found an outlet in the region of the joint itself,
+or burrows down the thigh to find an outlet somewhere else, Kali is no
+longer sufficient, Silicea has to be exhibited; it is more homœopathic
+to caries than other anti-psorics. We give a globule of Silicea 30, and
+allow it to act for two or three days, after which a drop of Apis 3, is
+repeated morning and night, until the pains--which may require a more
+frequent exhibition of the drug--cease, and a healthy pus is secreted.
+After this change is accomplished, Silicea is sufficient to complete the
+healing of the osseous disorganization, and should be left undisturbed
+to the end of the treatment.
+
+I have found this simple proceeding so perfectly efficient in this
+dreadful malady that the fever was speedily controlled, and rendered
+harmless, the inflammation was scattered without leaving a trace behind,
+the secretion ichor was transformed into that of healthy pus, and the
+disorganization of the joint was prevented; the limb, even after it had
+become elongated, again assumed its normal shape, the carious masses
+were expelled, the various channels of suppuration were stopped, and the
+danger of a fatal consumptive fever was averted. If our aid is not
+sought until _the head of the femur is destroyed, and the bone has
+completely slipt out of its socket_, it is impossible to prevent
+shortening and stiffness of the limb. Another splendid triumph over a
+dreadful source of danger and disease!
+
+
+WHITE SWELLING OF THE KNEE
+
+is very similar to this affection of the hip-joint. Here too we observe
+the same insidious inflammatory beginning, the same irresistible
+tendency to ichorous suppuration and disorganization of the constituent
+parts of the joint, the same tendency to destroy the organism by gradual
+exhausting fever. We have unmistakeable proofs of the presence of a
+poisonous process pervading the whole organism. He who has had frequent
+opportunities of observing this disease, knows perfectly in what
+mysterious obscurity it is still enveloped, and how specifically
+different this affection of the knee sometimes appears to us from the
+hip disease. The homœopathic law teaches us more positively than any
+thing else could do, that every case of disease should be viewed as
+something specifically distinct from other cases, and should be treated
+with medicines that are specifically adapted to it. An experience of
+many years has taught me that iodine is the best remedy to meet the
+symptoms which generally characterize white swelling of the knee. Even
+at the present day Iodine is one of those remedies that require a good
+deal of elucidation. Hence we should not, carried away by analogy,
+conclude from those things which are not clear, concerning other things
+which are no more so. Nevertheless the observations which have been made
+so far, have led to some highly important, more or less positive
+conclusions, and have shown us with a certain degree of satisfaction and
+certainty, that iodine is an inestimable gift of God, by means of which
+we are enabled to free mankind from one of the most frightful
+complications, the psoric, sycosic and mercurial miasms. I have been
+induced by various signs to believe that, in white swelling of the knee
+such a complication exists.
+
+Considering the paucity of our observations bearing upon this important
+point, it seems impracticable to make any positive statements with
+reference to the assistance that we might possibly derive from the use
+of Apis in this disease. My own opportunities for observation having
+been very few, I recommend the use of Apis in white swelling of the
+knee, to my professional brethren. The following symptoms in "Hering's
+American Provings," seem to indicate it; No.'s 828, 829 and 931,
+"violent pain in the left knee, externally, above and below the knee,
+particularly above, somewhat in front; painful Å“dematous swelling of the
+knee; burning stinging about the knee." In white swelling of the knee,
+where no allœopathic treatment has yet been pursued, I recommend Iodine
+30, one globule, in six dessert-spoonfuls of water, a dessert-spoonful
+morning and evening, until the whole is finished; after this wait three
+days, and then give Apis 3, as before mentioned, a tablespoonful every
+hour or three hours, or a drop morning and evening, according as the
+pain or danger is more or less pressing. Apis is more especially useful
+in removing pain, in changing the secretion of ichor to that of healthy
+pus, and in arresting the consumptive fever. After these results have
+been accomplished, we permit the previously given Iodine to achieve the
+cure. If Iodine had been abused under allœopathic treatment, before the
+homœopathic treatment commenced, we give Iodine 5000, one globule, in
+order to subdue the Iodine diathesis, and thus remove the most powerful
+obstacle to a cure. Any one who knows more about this point, will please
+mention it.
+
+Although Apis acts well in white swelling of the knee, which is
+comparatively a rare disease, yet it is far more useful in
+
+
+DYSENTERY.
+
+It is undoubtedly true that Hahnemann has revealed to us the means of
+surpassing in this disease the allœopathic wisdom of a thousand years,
+by a far more successful, safe and expeditious treatment. Nevertheless,
+much remains to be desired in this dreaded disease. Who does not know
+that medicinal aggravations are particularly to be dreaded in this
+malady? Who has not often felt embarrassed to select the right remedy
+among three or four that seemed indicated by the symptoms, and where it
+was nevertheless important, in view of the threatening danger, to select
+at once the right remedy? Who has not been struck by the strange
+irregularity that in a disease which generally sets in as an epidemic,
+different remedies are often indicated by different groups of symptoms?
+Who has not become convinced after a careful observation of the course
+of the disease, that nothing is more deceptive than the pretended
+curative virtues of corrosive sublimate in dysentery, and that it is a
+matter of duty to be mindful, in this very particular, of the warning
+words of the master who, having himself been deceived at one time by the
+delusive palliation of mercury, addresses to us the remarkable warning
+that "mercury, so far from responding to all non-venereal maladies, on
+the contrary is one of the most deceitful palliatives the temporary
+action of which is not only soon followed by a return of the original
+symptoms of disease, but even by a return of these symptoms in an
+aggravated form." (See Hahnemann's Chronic Diseases, Vol. II.)
+
+This delusive palliation is more particularly one of the effects of
+corrosive sublimate in Dysentery; and is exceedingly dangerous in this
+disease. Hence we warn practitioners against this danger.
+
+We feel so much the more grateful to the principle Similia Similibus,
+which, even though it did not protect its discoverer from faulty
+applications, yet finally led us to the discovery of the right remedy
+for dysentery.
+
+No.'s 590 and 599 in the American Provings, read as follows: "Violent
+tenesmus; nausea, vomiting and diarrhœa, first lumpy and not fetid,
+afterwards watery and fetid, lastly papescent, mixed with blood and
+mucus, and attended with tenesmus; afterwards dysenteric stools, with
+tenesmus and sensation as if the bowels were crushed;" combining these
+symptoms with the general character of Apis, particularly the
+circumstance that not only the ordinary precursors and first symptoms of
+dysentery, but also its terminations and its sequelæ, and its most
+important complications find their approved remedy in Apis; all this
+shows us that Apis is a natural remedy for dysentery. This truth is
+abundantly confirmed by experience. All my previously obtained results
+in practice, testify to the correctness of this statement.
+
+At the very commencement of the disease, a globule of Apis 3 is
+sufficient to cut short the disease so that the patient feels easy, and
+sleeps quietly. During this slumber, fever, pain and tenesmus disappear,
+and the patient wakes with a feeling of health. If this should not take
+place in three hours, owing to the more advanced state of the disease,
+another dose of Apis is required, after which the patient soon feels
+well.
+
+If the dysenteric disease has had a chance to localize itself, and to
+assume a higher degree of intensity, it becomes necessary to excite the
+organic reaction all the more frequently. Under these circumstances we
+repeat the medicine every hour, or every two or three hours, one globule
+at a time, until all further medication has become unnecessary.
+
+It is well known that epidemic diarrhœa, viz., a diarrhœa resulting from
+peculiar alterations of the normal condition of the atmosphere, earth,
+water, indispensable food, or from other still unknown elementary
+influences inevitably acting upon every body, commences in the form of a
+simple, apparently unimportant diarrhœa; that it gradually increases in
+intensity as the processes of nutrition and sanguification become more
+deeply disturbed, and that it finally terminates in life-destroying
+cholera. All these different stages of diarrhœa, whether with or without
+vomiting, watery or papescent, of one color or another, with or without
+pain, with or without fever, have yielded readily, safely and thoroughly
+to Apis in my hands. I must except, however, cholera of the epidemic
+form, where I have not yet been able to try Apis for want of
+opportunity. As far as my personal observations go, I am disposed to
+affirm that the best mode of effecting a good result, is to give Apis 3
+and Aconite 3, in alternation, one drop of each preparation well shaken
+in a bottle containing twelve tablespoonfuls of water, and giving a
+tablespoonful every hour or three hours, if the danger is great, and in
+milder cases a full drop alternately morning and evening. This treatment
+is continued until an improvement sets in, after which the organic
+reaction is permitted to develope itself, which will terminate in a few
+hours or days, according as the disease is more or less violent, and
+assistance was sought more or less early, in the perfect recovery of the
+patient.
+
+This end is not always attained with equal certainty and rapidity, if
+Apis is not given in alternation with Aconite. In such a case, Apis
+alone often develops a powerful reaction, which is avoided by the
+alternate use of Aconite. Wherever the case is urgent, and it is
+important to shorten the durations of the organic reaction, the two
+remedies should be given in alternation. In most cases I have seen a few
+alternate doses give rise to a pleasant perspiration, speedily followed
+by quiet sleep and recovery on waking. May we not expect the same result
+at the commencement of Asiatic cholera, and thus arrest the further
+development of the disease?
+
+Apis is no less effectual against _chronic diarrhœa_, more particularly
+if resulting, not from any deep-seated disorganizations, but from some
+permanent inflammatory irritation of the intestinal mucous membrane, and
+which causes and fosters so much distress, by rendering all normal
+digestion impossible and finally bringing on its inseparable companion,
+the last degree of hypochondria. This misery is so much more lamentable,
+as it is, so to say, forced upon mankind from the cradle to the grave by
+the still prevailing and almost ineradicable delusion of _cathartic
+medication_.
+
+Scarcely has the little being seen the light of the world, when the
+process of purgation begins. Nurse, aunt, grandmamma, everybody, hasten
+to hush the cries which the rough contact of the outer world extorts
+from the little being, by forcing down its throat a little laxative
+mixture, and the family-physician, who goes by fashion, approves of all
+this. It is his habit, in after-life, to combat every little
+costiveness, every digestive derangement, every incipient disease, by
+means of his cathartic mixture, and his skill is considered
+proportionate to the quantity of stuff which the bowels expel under the
+operation of his drugs. Laxative pills, rhubarb, glauber-salts,
+bitter-waters, aloes, gin, etc., etc., are in every body's hands, and
+become an increasing necessity for millions. An ancient prejudice
+decrees that, to permit a single day to pass by without stool, would be
+to expose one's life to the greatest danger. Every year we see thousands
+rush to warm and cold springs that have the reputation of being
+possessed with dissolvent and cathartic properties. Those who cannot
+afford to go to the springs, use artificial mineral water in order to
+accomplish similar purposes. Very seldom a disease is met with, that is
+permitted to run its course without dissolvent or cathartic means. It is
+still a profitable business to sell patent purgatives, such as cider in
+which a little magnesia has been dissolved.
+
+Everybody feels how offensive these things are to nature; how they
+attack the stomach and bowels; how they derange digestion and nutrition;
+how slowly patients recover from the effects of such drugs; how chronic
+abdominal affections, after having been eased for a while by such drugs,
+soon return again with redoubled vigor; how the dose has to be increased
+in order to obtain the same result; how the intervals of relief becomes
+shorter and shorter, and how, in the end, the stomach is totally ruined,
+and the abnormal irritation and paralysis of this viscus, with the
+diarrhœa and constipation, corresponding to these conditions, gradually
+lead to the complete derangement of the reproductive process.
+
+In spite of all this, long habit has secured to these pernicious customs
+a sort of prescriptive right. The distress consequent upon them,
+increases in proportion as the reactive powers of the organism decrease,
+which is more particularly the case in the present generation. The
+suppression of these abuses has never been more necessary than in our
+age. Indeed, the old proverb is again verified: "Where need is greatest,
+there help is nearest."
+
+The world is not only indebted to Hahnemann for a knowledge, but also
+for a natural corrective of this serious abuse. His provings on healthy
+persons show this beyond a doubt. Few men, if their attention has once
+been directed to this abuse, will feel disposed to deny its extent. Nor
+has a favorable change in this respect been looked for in vain, since
+homœopathy has now, for half a century at least, shown the uselessness
+of all regular methods of purgation, and the superiority of the means
+with which this new system accomplishes most effectually all that those
+pernicious methods promised to do. It should be considered a duty by
+every physician, to be acquainted with the new means of cure. The
+continued use of purgatives should be considered a crime against health.
+They will soon cease to exist as regular means of treatment, and their
+pernicious consequences will no longer have to be relieved by remedial
+means. But until their use is abolished, we shall have to counteract
+them by adequate means of cure, more particularly the abnormal
+irritation and the paralytic debility, which are the most common
+consequences of the abuse of cathartics.
+
+It is a most fortunate thing that we have in Apis one of the most
+reliable means of removing the evil effects of cathartic medicines. A
+single globule of Apis 30 is sufficient to this end. It is best to use
+it as follows: dissolve the globule in five tablespoonfuls of water by
+shaking the mixture well in a well closed vial, and let the patient take
+a tablespoonful of this solution. If this dose acts well, no repetition
+is necessary for the present. If this dose should not be sufficient, we
+prepare a new potence by throwing away three tablespoonfuls of the
+former solution and substituting four tablespoonfuls of fresh water,
+shaking the mixture well. We give a spoonful of this second solution,
+twenty-four hours after the first had been given, and, if necessary, a
+third spoonful prepared in the same way, and even a fourth and fifth,
+after which we await the result, without thinking either of improvement
+or exacerbation.
+
+Generally, a feeling of ease is experienced shortly after taking Apis.
+The painful sensitiveness of the pit of the stomach and of the abdomen,
+together with the troublesome, disagreeable and oppressive distention
+and weight, soon disappear; the tongue gradually loses its swollen and
+cracked appearance, its dirty redness, its slimy coating, its sore
+spots, tardy indentations along its edges, the burnt feeling at its tip,
+which is dotted with very fine vesicles, that cause a good deal of
+soreness; the pappy, sour, bitter, metallic, foul taste disappears; the
+appetite is again normal; both the previous aversion to food and the
+excessive craving disappear; the absence of thirst, which is so common
+in this condition, again gives place to a natural desire for drink, the
+bluish-red color and swelling of the palate and throat, and the
+incessant urging to hawk, decrease visibly: the distress after eating;
+the sour stomach with or without nausea or heartburn; the excessive
+rising of air; the regurgitation of the ingesta; the eructations which
+taste of the food that had been eaten long before; the yawning; the
+irresistible drowsiness when sitting; the general loss of strength; the
+vacuity of mind, the aversion to talking and to company, decrease more
+and more every day; the whole abdomen feels easier and softer: the
+excessive and irresistible urging to urinate, especially after rising
+from a chair or from bed, and accompanied by a distressing nervousness,
+abates; the diarrhœic and abnormally colored evacuations, together with
+the frequent and irresistible urging, increased after eating, early in
+the morning and after sour and flatulent food, and accompanied by
+various sore pains in the rectum, diminish more and more, and give place
+to normal evacuations, first for days, next for weeks, although they
+continue to alternate more or less with constipation, or painful,
+insufficient, hard stool, until they terminate sooner or later,
+according as the disease is more or less deep-seated, and had lasted
+more or less long, in permanent restoration of the normal secretions and
+excretions of the digestive organs. At the same time the many distresses
+which the abnormal condition of the bowels and stomach had occasioned in
+the head and heart, disappear; the poor patient who had been a prey to
+so many sufferings, feels like one born again.
+
+This is the general result, unless psoric, sycosic, syphilitic or
+vaccinine complications should be present. Unfortunately the abuse of
+cathartics excites these miasms if they exist in the organism, and at
+the same time prostrates the reactive powers of the organism, and
+enables its enemies to rise against it. The distress becomes more and
+more complicated; disorganizations, alterations of the fluids,
+disturbances of the assimilative sphere, nervous derangements from
+simple illusions of the sentient sphere, and occasional trembling and
+twitching, to spasmodic and convulsive movements, and final extinction
+of nervous power, marasmus of the spinal marrow or a ramollissement of
+the brain; these are the consequences of such miasmatic complications.
+
+In such a case Apis alone is not sufficient. We have to employ such
+antidotes as _Sulphur_, our most powerful anti-psoric which, unless it
+had been abused previously, never leaves us in the lurch in the presence
+of psora; _iodine_ which, under similar circumstances, becomes
+indispensable wherever psora and sycosis are combined; _bichromate of
+potash_ or _fluoric acid_, if psora, syphilis and mercurial poisoning
+are united; and lastly, _tartar emetic_, or again _fluoric acid_, if the
+vaccine poison alone, or in combination with the other poisons, occupies
+the foreground.
+
+This is not the place to treat of these special forms of human distress,
+and to individualize their treatment; I shall endeavor to do this on a
+more suitable occasion. I shall have to limit myself here to a
+superficial sketch of the treatment, adding merely that a single dose of
+the specific antidote will act best if given highly potentized, and that
+the improvement should afterwards be allowed to progress as long as a
+trace of it remains visible. But as soon as the improvement stops and an
+exacerbation sets in, which is not speedily followed by another
+improvement, or which seems to require our aid, we use Apis 3, one drop
+every day, until the improvement is again perceived, after which we wait
+until another exacerbation demands our interference. One dose of Apis is
+often insufficient; if not, from three to five doses will be found
+sufficient to mitigate the pains, and to advance the cure which Apis
+will complete in conjunction with the high potency that should not be
+repeated, and which is not interfered with by the Apis. What more
+precious boon for the physician and patient in these serious moments? It
+is only a physician who has instituted provings upon himself, that is
+capable of comprehending this harmonious blending of the two therapeutic
+agents. He sees the well known effects of a well known cause go and come
+at alternate periods. What man of common sense would be willing to
+repudiate such evidence?
+
+But even in a case where Sulphur and Iodine had been given to excess,
+and a sort of Sulphur and Iodine diathesis had been established in
+consequence, Apis is still the best remedy to meet this complicated
+derangement.
+
+Although we may believe that the time is at hand when this kind of
+ignorance shall no longer be tolerated, it unfortunately is still a
+prevailing sin of the profession. Even if we should be unable to effect
+a perfect cure, yet we may afford essential relief to such patients; we
+may often arrest their sufferings for a longer or shorter period, and
+shorten the paroxysms until they become almost imperceptible. Apis is
+particularly instrumental in effecting this end. Diseases of the
+
+
+RESPIRATORY ORGANS
+
+are likewise successfully combated by Apis. The American Provings
+contain the following symptomatic indications:
+
+1. No.'s 731, 733, 736, 742, 743, 749, 760: "Hoarseness and difficulty
+of breathing, roughness and sensitiveness in the larynx, each time after
+he smells of the poison; talking is painful, sensation as if the larynx
+were tired by talking; drawing pains in the larynx; cough when starting
+during sleep; rough cough during evening; heat; difficult breathing,
+every drop of liquid almost suffocates him; labored inspirations as
+during croup."
+
+2. 737-740: "Violent paroxysms of cough, occasioned by a titillating
+irritation in the lower part of the larynx near the throat-pit, with
+increase of headache when coughing, on the left side, superiorly; in
+half an hour, some phlegm is detached, after which the coughing ceases;
+on the first day, when waked from his sleep before midnight, he had a
+violent cough, especially after lying down and sleeping, with
+titillation at a very small spot, deep down on the posterior wall of the
+thorax, which wakes him; he feels better as soon as the least little
+portion of mucous is detached; cough particularly during warmth, during
+rest, and rousing him from his first slumber for several evenings."
+
+3. 1081, 746, 790: "Chilly every afternoon at three or four o'clock; she
+shudders, especially during warmth; chill across the back, the hands
+feel as if dead; in about an hour she felt hot and feverish, with rough
+cough, hot cheeks and hands, without thirst; this passes off gradually,
+she feels heavy and prostrate; cough and labored breathing as during
+croup, after violent feverish heat, with dry skin and full pulse;
+disturbed sleep, with muttering, timid and incoherent talk,
+whitish-yellow coating of the tongue, and painless, yellow-greenish,
+slimy diarrhœa, in four days the breathing become labored, a violent
+abdominal respiration, red face, increasingly livid, pulse hard, cough,
+with barking resonance--pains in the chest, with labored breathing."
+
+4. 754, 770, 772, 803: "Hurried, labored breathing, with heat and
+headache; chest oppressed; difficult labored breathing; sense of
+suffocation even when leaning against a thing; general debility; worse
+during cold weather, accompanied by asthmatic pains; cough; sense of
+suffocation; pains in the chest; coldness and deadness of the
+extremities, which looked bluish; sense of soreness; lameness; sense of
+bruising in the chest, as after recent contusions by a blow; jamming,
+etc."
+
+These observations do not indeed show with characteristic certainty the
+diseases to which Apis might correspond. But if they are contrasted with
+the total character of Apis; if we consider that Apis develops a
+catarrhal irritation throughout the whole intestinal mucous membrane,
+affecting most deeply the nervous system and the normal constitution of
+the fluids, we have sufficient ground to experiment with Apis in those
+respiratory diseases which seem to be inherent in the prevailing genius
+of disease, and which are characterized by the very conditions which I
+have described. Who is not struck by the fact, that the same individual
+morbid process is reflected by different forms of disease, _croup_,
+_whooping-cough_, _influenza_, _acute and chronic bronchial catarrh_?
+The more essential the resemblance between these forms of disease and
+the medicinal power, the more certainly may we expect a cure. The
+medicinal power which seems to be most adequate to this end, is
+undoubtedly Apis. My observations in this respect are not sufficiently
+numerous to enable me to offer positive directions concerning the best
+mode of using the medicine in these diseases, or concerning the extent
+of the curative process or the complications that may exist. All I can
+do is to recommend Apis for further experiments in this range, and to
+remind my brethren of the insufficiency of other drugs, which has been a
+source of trouble to us in the past ten years. Every body who has
+watched the course of these diseases during this period, must have seen
+the difference existing between the present and the past character of
+the symptoms. It must, therefore, be a source of satisfaction to all of
+us, to have found in Apis an agent that is capable of filling up the
+gap.
+
+My observations regarding the curative virtues of Apis in urinary,
+uterine and ovarian difficulties, and in rheumatism and gout, are not
+very extended. In the American Provings, symptoms 634 to 669, seem to
+point to urinary difficulties, and 685 to 695, to ovarian troubles;
+symptoms 697 to 727 to uterine derangements; and 837, 842, 867, 873,
+874, 918, 919, 940, 942, 964, 969, to rheumatism and gout.
+
+What little experience I have had in the employment of Apis in these
+diseases, is, however, sufficient to induce me to recommend the use of
+it for further and more enlarged knowledge.
+
+I have had abundant opportunities of verifying the warning expressed in
+No. 721, "pregnant women should use the drug very cautiously." I am not
+acquainted with any drug which seems possessed of such reliable virtues
+regarding the prevention of miscarriage, more particularly during the
+first half of pregnancy, as Apis. I have often become an involuntary
+spectator of the power of Apis to effect miscarriage; for I had given it
+to honest women who did not know that they were pregnant, and where the
+fact of pregnancy was revealed to them by the subsequent miscarriage,
+which took place after one or two doses of Apis had been taken. Ever
+since I have made it a rule not to give Apis to females in whom the
+existence of pregnancy can be suspected in the remotest degree until the
+matter is reduced to a certainty, and the conduct of the physician can
+be determined upon in accordance with existing facts.
+
+I am unable to say how far this power inherent in Apis, of producing
+miscarriage, may be serviceable to females who are prone to miscarriage.
+
+I beg the privilege of adding a more general warning to this particular
+one. The more generally useful a thing is, the more liable is it to
+abuse. The most important and useful discoveries of homœopathy are
+abused in this manner by our age given to all sorts of excesses.
+
+Not only are the records of homœopathy ransacked by speculative minds,
+who use her advantages for personal gain without giving due credit to
+the source whence the good things are obtained. This species of egotism
+may perhaps be excused in consideration of the use which this kind of
+plagiarism affords, even if whole volumes should be filled with it. But
+if the stolen property is paraded before the world as something
+belonging to one's self by right divine; if official influence is abused
+for the purpose of dressing up that which rightfully belongs to our
+science, as some original discovery, thus caricaturing and disfiguring
+the beauty of the genuine blessing; then good is changed to evil, and
+the evil is the greater, the more comprehensive the truth that is so
+shamefully abused. It is absurd and may entail sad consequences upon the
+world, if the rational use of Apis is to be converted to the irrational
+proceedings of the so-called specific method, which is often practised
+by men who, knowing better, purposely conceal the truth from the world.
+For years past, I have been called upon again and again, by patients who
+had been in the hands of these men, and who had been drenched with
+medicine, and had had all sorts of disastrous complications engendered
+in their poor bodies, to afford them some relief from these tortures
+inflicted by physicians who do not hesitate to assail the health of
+their patients by massive doses of drugs, of which they often know
+nothing but the name.
+
+With these facts before me, nobody can find it strange that I should
+feel some misgivings in laying before the world a drug endowed with such
+extensive virtues. Apis is one of those drugs, the abuse of which may
+prove as destructive as the use of it is a source of saving good. It is
+no anti-psoric, nor is it capable of antidoting the three miasms, or of
+inflicting medicinal diseases for life. Nevertheless, it is a deeply and
+speedily-acting drug, for it affects the whole internal mucous membrane,
+the nervous system, and the process of sanguification, thus disturbing
+the health for a long time. Its primary aggravating action, its deeply
+penetrating interference with the existing morbid process, which may
+lead to errors in diagnosis, and its power to exhaust the reactive
+energies of the organism prematurely, render it a very dangerous agent.
+These circumstances go to show that such an agent, in the hands of the
+partizans of the Specific School, may be as dangerously and injuriously
+abused as other important drugs have been. I cannot sufficiently warn my
+readers against such distressing abuses. Only he is protected from the
+danger of imitating such shameful absurdities, who listens to the words
+of our master:
+
+    "Imitate this, but imitate this correctly!"
+
+
+
+
+Transcriber's Note:
+
+    Minor typographical errors have been corrected without note.
+    Inconsistent hyphenation has been standardised, whilst variant and
+    archaic spellings remain as printed.
+
+
+
+
+
+End of the Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
+
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+The Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
+
+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: Apis Mellifica
+       or, The Poison of the Honey-Bee, Considered as a Therapeutic Agent
+
+Author: C. W. Wolf
+
+Release Date: July 10, 2008 [EBook #26020]
+
+Language: English
+
+Character set encoding: ISO-8859-1
+
+*** START OF THIS PROJECT GUTENBERG EBOOK APIS MELLIFICA ***
+
+
+
+
+Produced by Bryan Ness, Stephen Blundell and the Online
+Distributed Proofreading Team at http://www.pgdp.net (This
+file was produced from scans of public domain works at the
+University of Michigan's Making of America collection.)
+
+
+
+
+
+
+
+
+
+          APIS MELLIFICA;
+
+                OR,
+
+    THE POISON OF THE HONEY-BEE,
+
+ Considered as a Therapeutic Agent.
+
+
+        BY C. W. WOLF, M.D.,
+
+  Ex-District Physician in Berlin.
+
+
+           PHILADELPHIA:
+     PUBLISHED AND FOR SALE BY
+  WILLIAM RADDE, 635 ARCH STREET.
+               1858.
+
+
+
+
+Transcriber's Note:
+
+    Minor typographical errors have been corrected without note.
+    Inconsistent hyphenation has been standardised, whilst variant and
+    archaic spellings remain as printed. The oe ligature is represented
+    by [oe].
+
+
+
+
+PREFACE.
+
+
+Every physician who has spent years of an active life in prescribing for
+large numbers of patients, is morally bound to publish his experience to
+the world, provided he is satisfied, in his interior conscience, that
+such a publication might be useful to the general interests of humanity.
+
+In offering the following essay to my readers, I simply desire to fulfil
+an obligation recognised as valid by the inner sense. This essay
+contains every thing that an experience of forty years in the
+conscientious and philanthropic exercise of my profession has sanctioned
+and confirmed as truth. Nor have I adopted a single fact, suggested by
+my own observation, as correct, without contrasting it with the most
+approved records of medicine. To every true friend of man, and more
+particularly to every physician who considers the business of healing
+disease as the highest office of medical art, I offer this essay for
+further trial and examination. May the statements expressed in it either
+be confirmed or else corrected and improved by those who excel in more
+thorough knowledge and ability.
+
+                                                           THE AUTHOR.
+
+_Berlin, Oct., 1857._
+
+
+
+
+APIS MELLIFICA.
+
+    "The bee helps to heal all thy internal and external maladies, and
+    is the best little friend whom man possesses in this world."--More
+    in Cotton's _Book of the Bee_, p. 138.
+
+
+Since Hahnemann's successful attempt to develop the medicinal nature of
+Aconite, no other discovery has been made in the domain of practical
+medicine, as comprehensive and universally useful as the discovery of
+the medicinal virtues of the poison of the bee. It is of the utmost
+importance to the interests of humanity to become as intimately
+acquainted with the efficacy of this poison as possible. It is the
+object of these papers to contribute my mite to this work.
+
+As soon as Dr. Hering had published the provings of the bee poison, in
+his "American Provings," I at once submitted them to the test of
+experience in an extensive practice. I prepared the drug which I used
+for this purpose, by pouring half an ounce of alcohol on five living
+bees, and shaking them during the space of eight days, three times
+a-day, with one hundred vigorous strokes of the arm. From this
+preparation, which I used as the mother-tincture, I obtained
+attenuations up to the thirties centesimal scale. So far, the effects
+which I have obtained with this preparation, have been uniformly
+satisfactory. It has seemed to me that the lower potencies lose in power
+as they are kept for a longer period; hence, I consider it safer to
+prepare them fresh every year. As a general rule, I have found either
+the third or the thirtieth potency, sufficient.
+
+Day after day I have obtained more satisfactory results, and now I look
+upon Apis mellifica as the greatest polychrest, next to Aconite, which
+we possess.
+
+The introduction of this poison to the medical profession, will be
+looked upon as the most brilliant merit of one of the most deserving
+apostles of hom[oe]opathy, and will secure immortality to the honored
+name of Constantine Hering. The following statements will show how far
+this faith of a grateful heart is founded upon facts:
+
+_Apis mellifica is the most satisfactory remedy for acute hydrocephalus
+of children._
+
+The more acute and dangerous the attack, the more readily will it yield
+to the action of Apis. Sudden convulsions, followed by general fever,
+loss of consciousness, delirium, sopor while the child is lying in bed,
+interrupted more or less by sudden cries; boring of the head into the
+pillow, with copious sweat about the head, having the odor of musk;
+inability to hold the head erect; squinting of one or both eyes;
+dilatation of the pupils; gritting of the teeth; protrusion of the
+tongue; desire to vomit; nausea, retching and vomiting; collapse of the
+abdominal walls; scanty urine, which is sometimes milky; costiveness;
+trembling of the limbs; occasional twitching of the limbs on one side of
+the body, and apparent paralysis of those of the other side; painful
+turning inwards of the big toes, extorting cries from the patient;
+accelerated pulse, which soon becomes slower, irregular, intermittent
+and rather hard; these symptoms inform us that life is in danger, the
+more so the more numerous they are grouped together.
+
+In comparing with these symptoms the following symptoms from Hering's
+American Provings, Part I., 3d Num., p. 294: "40, 41, muttering during
+sleep; muttering and delirium during sleep; 83, 84, he had lost all
+consciousness of the things around him; he sank into a state of
+insensibility; 140, 144, sense of weight and fulness in the fore part of
+the head; heaviness and fulness in the vertex; dull pain in the occiput,
+aggravated by shaking the head; pressure, fulness and heaviness in the
+occiput; 170, her whole brain feels tired, as if gone to sleep;
+tingling; she experiences the same sensation in both arms, especially in
+the left, and from the left knee down to the foot; 175, 176, sensation
+as if the head were too large; swelling of the head; 391, when biting
+the teeth together, swallowing; after gaping or at other times, a sort
+of gritting the teeth; only a single, involuntary jerk frequently
+repeated; 501, nausea and vomiting; 506, nausea, as if one would vomit,
+with fainting; 512, vomiting of the ingesta; 619, retention of stool;
+640, retention of urine; 665, scanty and dark-colored urine; 980, 984,
+985, trembling, convulsions, starting during sleep as if in affright;
+1020, sudden weakness, compelling him to lie down; he lost all
+recollection; 1032, great desire for sleep, he felt extremely drowsy."
+If we compare these effects of Apis to the above-mentioned symptoms of
+hydrocephalus, we shall find the hom[oe]opathicity of Apis to this
+disease more than superficially indicated. If we consider, moreover,
+that the known effects of Apis show that it possesses the power of
+exciting inflammatory irritation and [oe]dematous swellings, we are
+justified, by our law of similarity, in expecting curative results from
+the use of Apis in all such diseases.
+
+The experiments which I have instituted for the last four years, have
+convinced me of the correctness of this observation. Whenever I had an
+opportunity of giving Apis at the commencement of the diseases, it would
+produce within twelve to twenty-four hours quiet sleep; general
+perspiration, affording relief; the feverish and nervous symptoms,
+together with the delirium, would disappear from hour to hour, and on
+waking, the little patient's consciousness was lucid, the appetite good
+and recovery fully established. This is a triumph of art which inspires
+us with admiration for our science. Less surprising, but equally
+certain, is the relief, if Apis is given after the disease has lasted
+for some time. In such a case, the medicine first excites a combat
+between the morbific force and the conservative reaction. The greater
+the hostile force, the longer the struggle between momentary improvement
+and aggravation of the symptoms; it may sometimes continue for one, two,
+or three days. It is not until now, that a progressive and permanent
+improvement sets in. The desire to vomit is gone; the twitching,
+trembling, and the struggle, generally diminish from hour to hour;
+consciousness returns; the squinting and the dilatation of the pupils
+abate; gritting of the teeth and protrusion of the tongue cease; the
+position and movements of the head and limbs become more natural; the
+pulse becomes more regular; its slowness yields to a more normal
+frequency; the feverish heat terminates in sweat which affords great
+relief, and the retention of stool and urine is succeeded by a more
+copious action of both the bowels and bladder. The natural appetite
+returns; the reproductive process is restored; sleep is quiet and
+refreshing, and recovery is perfectly established in an incredibly short
+period. A cure of this kind generally requires five, seven, eleven, and
+fourteen days. This result is so favorable, that those who have not
+witnessed it, or who are too ignorant and egotistical to investigate the
+facts, may reject it as incredible.
+
+Such brilliant results are obtained by means of a single drop of Apis,
+third attenuation. I mix a drop with seven tablespoonfuls of water, and
+give a dessert-spoonful every hour, or every two or three hours; the
+more acute the attack, the more frequently the dose is repeated; this
+method generally suffices to effect a cure more or less rapidly. As long
+as the improvement progresses satisfactorily, all we have to do is to
+let the medicine act without interfering. If the improvement is
+arrested, or the patient gets worse, which sometimes happens in the more
+intense grades of this malady, the best course is to give a globule of
+Apis 30, and to watch the result for some twenty-four hours. After the
+lapse of this period the improvement will either have resumed its
+course, or else it will continue unsatisfactory. In the latter case we
+should give another dose of the above-mentioned solution of Apis 3. Not
+unfrequently I have met with patients upon whom Apis acts too
+powerfully, causing pains in the bowels, interminable diarrh[oe]a, of a
+dysenteric character, extreme prostration and a sense of fainting. In
+such cases the tumultuous action of Apis is mitigated, and the continued
+use of this drug, rendered possible by giving Apis in alternation with
+Aconite in water, every hour or two hours.
+
+Except such cases, I have never been obliged to resort to other
+accessory means.
+
+_Apis is no less efficacious against the higher grades of ophthalmia._
+
+It is particularly rheumatic, catarrhal, erysipelatous, and [oe]dematous
+ophthalmia, which is most rapidly, easily, and safely cured by Apis, no
+matter what part of the eye may be the seat of the disease.
+
+The symptoms 188-307 distinctly point to the curative virtues of Apis in
+ophthalmia: "Sensitiveness to light, with headache, redness of the eyes;
+he keeps his eyes closed, light is intolerable, the eyes are painful and
+feel sore and irritated if he uses them; weakness of sight, with feeling
+of fullness in the eyes; twitching of the left eyeball; feeling of
+heaviness in the eyelids and eyes; aching, sore-pressing, tensive,
+shooting, boring, stinging, burning pains in and around the eyes, and
+above the eyes in the forehead; redness of the eyes and lids; secretion
+of mucus and agglutination of the lids; the lids are swollen, dark-red,
+everted; the conjunctiva is reddened, full of dark blood-vessels which
+gradually lose themselves in the cornea; the cornea is obscured, smoky,
+showing a few little ulcers here and there; profuse lachrymation;
+stinging itching in the left eye, in the lids and around the eye;
+sensation of a quantity of mucus in the left eye; sensation of a foreign
+little body in the eye; soreness of the canthi; styes; [oe]dema of the
+lids; erysipelatous inflammation of the lids."
+
+I have found the correctness of these observations uniformly confirmed
+by the most satisfactory cures of such affections. I use the medicine in
+the same manner as for acute hydrocephalus. In some cases I found the
+eye so sensitive to the action of Apis, that an exceedingly violent
+aggravation of the inflammatory symptoms ensued, which might have proved
+dangerous to the preservation of such a delicate organ as the eye.
+Inasmuch as it is impossible to determine beforehand the degree of
+sensitiveness, I obviate all danger by exhibiting Apis in alternation
+with Aconite in the manner indicated for hydrocephalus. By means of this
+alternate exhibition of two drugs, we not only prevent every aggravating
+primary effect, but we at the same time act in accordance with the
+important law, that, in order to secure the effective and undisturbed
+repetition of a drug, we have first to interrupt its action by some
+appropriate intermediate remedy. All repetitions should cease as soon as
+a general improvement sets in; if the medicine is continued beyond the
+point where the organism is saturated with the drug, it acts as a
+hostile agent, not as a curative remedy. This important point is known
+by the fact, that the improvement which had already commenced, seems to
+remain stationary; the patient experiences a distressing urging to
+stool, a burning diarrh[oe]a sets in, and a disproportionate feeling of
+malaise develops itself. Under these circumstances, a globule of Apis 30
+will quiet the patient, and the action of the drug will achieve the cure
+without any further difficulty, and without much loss of time, unless
+psora, sycosis, syphilis, or vaccine-virus prevail in the organism, or
+sulphur, iodine or mercury had been previously given in large doses. In
+the presence of such complications Apis will prove ineffectual until
+they have been removed by some specific antidote. After having made a
+most careful diagnosis, a single dose of the highest potency of the
+specific remedy be given, and be allowed to act as long as a trace of
+improvement is still perceptible. As soon as the improvement ceases, or
+an aggravation of the symptoms sets in, Apis is in its place and will
+act most satisfactorily. We then give Apis 3 in water, as mentioned
+above, with the most satisfactory success.
+
+_Apis is the most appropriate remedy for inflammation of the tongue,
+mouth, and throat._
+
+The following symptoms may be looked upon as striking curative
+indications: 378-380, 383, 384, 399, 400, 405, 406, 409, 410, 413, 419,
+436, 437, 439, 443, 444, 449, 455, 458, 459, 463, 470, 471: "Burning of
+the lips; the upper lip is swollen to such a degree that the inside
+seems turned outside; swelling of the lips and tongue; swelling of the
+upper lip, it becomes hot and red, almost brown; dark streaks along the
+vermilion border, particularly on the upper lip, rough, cracked, peeling
+off; violent pains spreading through the gums, the gums bleed readily;
+the tongue feels as if burnt; tongue and palate are sore; raw feeling,
+burning, blisters along the margin of the tongue, very painful,
+stinging; at the tip of the tongue a row of small vesicles which cause a
+pain as if sore and raw; dry tongue; the inner cheeks look red and
+fiery, with painful sensitiveness; inflammation of the tongue;
+inflammation and swelling of the palate; burning, stinging sensation in
+the mouth and throat; pressure in the fauces as of a foreign body;
+ptyalism; copious accumulation of a soapy mucus in the mouth and throat;
+dryness and heat in the throat; inability to swallow a drop, with
+swelling of the tongue; sensation of gnawing and contraction in the
+throat, increasing after four hours so as to render deglutition
+difficult; sensation of fulness, constriction and suffocation in the
+throat; deglutition painful and impeded, stinging pains during
+deglutition; swelling and redness of the tonsils, impeding deglutition;
+angina faucium; chilliness followed by heat; violent pain in the
+temples; redness and swelling of the tonsils; uvula and fauces, painful
+and impeded deglutition, and stinging pains when attempting to
+swallow."
+
+The more frequently we make use of Apis in the treatment of these very
+common forms of angina, and of the inflammation of the salivary glands,
+which are so closely connected with the other parts of the throat, the
+more we become convinced by the most striking success, that this drug is
+by far the speediest, safest and easiest remedy which we possess for the
+treatment of these exceedingly common and yet so very distressing
+affections. Not only in common affections of this sort, but also in the
+most acute and dangerous forms of angina faucium, will Apis be found
+efficient; even where these affections are hereditary, or have become
+habitual, and generally terminate in suppuration, Apis will still afford
+help. In these affections likewise Apis acts most promptly and
+efficiently, if given in alternation with Aconite, both remedies in the
+third dilution, a few drops dissolved in twelve tablespoonfuls of water,
+in alternate hourly doses. After taking a few doses, the patient begins
+to feel relieved, enjoys a quiet sleep, and the resolution of the
+inflammation takes place, accompanied by the breaking out of a general
+perspiration. If there should be a natural tendency to suppuration, this
+treatment will hasten it from hour to hour, and after the pus is
+discharged, a cure will soon be accomplished. In the most inveterate
+cases, which had been previously treated in a different manner, the same
+curative process takes place gradually; first one outbreak of the
+disease is hushed; next, if another portion of the throat becomes
+inflamed, this inflammation is controlled, and this proceeding is
+continued with an increasingly rapid success and a continued abatement
+of all sufferings, until, finally, a perfect recovery is obtained, even
+under these disadvantageous circumstances.
+
+Apis is not sufficient to prevent the recurrence of such inflammatory
+attacks; this object has to be accomplished by means of the appropriate
+antidotal specific.
+
+_Apis becomes an exceedingly useful remedy in consequence of the
+specific power which it possesses over the whole internal mucous
+membrane and its appendages._
+
+It is particularly the mucous membrane of the alimentary canal upon
+which Apis has a striking influence. It excites an inflammatory
+irritation, which not only disturbs the secretion of mucus, but also
+disintegrates the intestinal juices so essential to the process of
+sanguification, thus disqualifying the blood from properly contributing
+to the reproduction of the nervous tissue. By thus altering the blood
+and nerves, these two principal vehicles of vitality, it develops a
+group of symptoms which is exceedingly similar to our abdominal typhus
+that seems to have become stationary among us for the last twenty years.
+This similarity, in its totality, results from the following symptoms
+contained in the "American Provings."
+
+"398: troublesome pains in the gums. 400: the gums bleed readily. 402:
+bitterish taste in the back part of the tongue and in the throat. 405:
+tongue as if burnt. 406: tongue and palate feel sore. 411: a number of
+vesicles and small, sore, somewhat red spots at the tip of the tongue
+and along the left margin of the tongue. 413: dry tongue, the inner
+cheeks look red, fiery, are painfully sensitive. 416: burning from the
+tongue down the [oe]sophagus, as far as the stomach, eructations every
+four or five minutes, with flow of tasteless water in the mouth;
+eructations became worse after drinking water, she almost felt as if
+choked. 420: swelling of the tongue, the tongue is dry, shining,
+yellowish. 421: tenacious saliva adhering to the tongue. 424: tongue dry
+and white. 427: feeling of dryness in the mouth and throat. 441: fetid
+breath, with gastritis. 445: quantity of thick, tenacious mucus deep in
+the throat, obliging him to hawk. 447: tenacious, frothy saliva. 450:
+dryness in the throat, without thirst. 452: loathing, as if out of the
+throat. 459: sense of fulness, constriction and choking in the throat.
+474: loss of taste. 475: complete loss of appetite. 488: no thirst, with
+heat. 492: very thirsty when waking at night, after diarrh[oe]a. 495:
+eructations tasting of white of eggs. 501: nausea and vomiting. 504:
+fainting sort of nausea from the short ribs across the whole abdomen.
+512: vomiting of the ingesta. 513: vomiting of bile. 516: vomiting and
+diarrh[oe]a. 517: nausea, vomiting of the ingesta, and diarrh[oe]a;
+repeated vomiting, first of bile, afterwards a thin, watery fluid,
+having a very bitter taste, with violent pains across the abdomen. 518
+to 525: oppression, pressing, creeping, drawing and gnawing, pricking,
+soreness, heat and burning in the stomach. 528: painful sensitiveness
+in the pit of the stomach, with burning, like heartburn, with bilious
+diarrh[oe]a, rather greenish, and almost painless. 530: violent pain and
+sensitiveness in the region of the stomach and epigastrium, with
+vomiting, coated tongue, fetid breath, costiveness, and sleep disturbed
+by muttering and dreams, with frequent, wiry pulse. 533: sense of
+numbness under the right ribs. 532: sense of compression, squeezing,
+bruising, under the ribs, worse on the left side. 535: violent burning
+pains under the short ribs on both sides, worst and most permanent on
+the left side, _where the pain is felt for weeks, preventing sleep_.
+543: rumbling in the abdomen, with violent urging to stool. 545: nausea
+in the abdomen, has to lie down. 546: weight in the abdomen. 547: dull
+pain in the bowels. 552: occasional attacks of colic, with a feverish,
+tremulous sensation. 553: violent, cutting pains in the abdomen. 555:
+slowly pulsating, boring pain above the left crest of the ilium,
+relieved by eructations. 556: pain in the abdomen, from the hips to the
+umbilical region. 560: soreness and pressure in the lower abdomen. 563:
+_feeling of soreness, burning and numbness below and on the side of the
+right hip, deep-seated_. 566: the inner abdomen feels sore and as if
+excoriated, painful when pressed upon. 567: feeling as if the bowels had
+been squeezed, with tenesmus during stool. 576: fulness and sense of
+distension in the abdomen, as if bloated. 589: frequent urging to stool,
+with pain in the anus on account of the frequent pressing. 590: violent
+tenesmus. 593: several thin, yellow evacuations, accompanied by
+excessive prostration; the stools set in at every motion of the body, as
+if the anus were wide open. 598: copious discharges of dark brown, green
+and whitish excrements. 599: dysenteric stools. 608: blood and mucus
+with stool. 611 and 612: painful and also painless diarrh[oe]a,
+especially in the morning. 617: retention of stool for one week. 646:
+disagreeable sensation in the bladder, with pressing downwards in the
+region of the sphincter, and frequent urging, so that he voids urine
+frequently in the day-time, and ten or twelve times at night; burning
+and cutting during urination. 668: the urine is dark colored. 730:
+hoarseness and distress of breathing. 733: roughness and sensitiveness
+in the larynx. 738: violent cough, especially after lying down and
+sleeping. 754: hurried and difficult breathing, with heat and headache.
+803: sense of soreness, lameness, bruised and contusive feeling in the
+chest. 812: trembling and pressure in the chest, with embarrassed
+breathing. 818: pulse scarcely perceptible. 822: pulse accelerated. 833:
+swelling of the cervical glands on the injured side. 968: extreme
+sensitiveness of the whole body to contact, every hair is painful when
+touched. 971: excessive nervousness. 979: general lassitude, with
+trembling. 994: in the afternoon he becomes extremely restless and
+exhausted. 1011: paroxysms of great weakness. 1021: sudden weakness, he
+had to lie down, and lost his senses. 1025: complete loss of
+recollection, with vomiting, desire for sleep and rest, slow beating of
+the heart and scarcely perceptible pulse. 1032: excessive drowsiness.
+1039: starting during sleep, as if in affright, with some cough. 1046:
+sleeplessness. 1047: restless sleep, frequent waking and constant
+_dreaming_. 1064: chattering during sleep (in the case of a child).
+1081: chilly every afternoon at three or four o'clock, she feels a
+shivering, worse during warmth; chilly creepings across the back, the
+hands feel numb; an hour after, feverish heat, with rough cough, hot
+cheeks and hands, no thirst; these symptoms pass off gradually, but she
+feels heavy and prostrated. 1089: chill after a heat of thirty-six
+hours. 1090: sudden chilliness, afterwards heat and sweat. 1124:
+alternate sweat and dry skin. 1198: thick urticaria, itching a great
+deal (very soon). 1224: swelling and erysipelatous redness. 54: unable
+to concentrate his thoughts. 57: dulness of the head, it feels
+compressed. 62: vertigo and weakness. 79: dizziness."
+
+Whosoever compares the totality of these effects of Apis to the symptoms
+of the prevailing abdominal typhus, will admit that Apis is
+hom[oe]opathic to this disease. He will even admit that this
+hom[oe]opathicity of Apis to abdominal typhus extends to the minute
+particulars of the disease _in their totality_. Even the course which
+Apis pursues, in developing its effects in the organism, is similar to
+the progressive development of typhus. Any one who has witnessed, as I
+have, the course which this disease pursues, will admit that mucous
+membrane of the alimentary canal is first affected by the disease, in
+the same manner as Apis affects it; that this irritation of the mucous
+membrane is followed by gastric catarrhal symptoms, which are speedily
+succeeded by symptoms of disintegration of the animal fluids and typhoid
+phenomena; that the gastric irritation is generally characterized by
+boils, urticaria, erysipelas of the skin, and the nervous irritation by
+symptoms of abdominal typhus; that the internal and external development
+of the disease is determined by a striking sympathetic derangement of
+the organic functions of the liver, and still more of the spleen, and
+likewise by a more striking prominence of the intermittent type of the
+fever; and that all these varied disturbances finally culminate in
+abdominal typhus.
+
+Owing to this remarkable similarity, Apis will effect striking cures of
+all these different derangements.
+
+If, after more or less distinctly felt premonitory symptoms--after a
+sudden cold, excessive exertions, prostrating emotions or enjoyments--a
+more or less violent fever is developed, accompanied by dulness and
+painfulness of the head, retching and vomiting, distention and
+sensitiveness of the pit of the stomach, and soon after of the whole
+abdomen, with urging diarrh[oe]a, pappy and foul taste in the mouth,
+loss of appetite and thirst, feeling of dryness in the mouth and throat,
+tongue sore, as if burnt and swollen, with antagonistic change of
+symptoms, suspicious and extraordinary prostration, and feeling of
+fainting; a few spoonfuls of the above-mentioned solution of Apis 3,
+will afford such speedy relief, that it may seem incredible to those who
+have not witnessed it. The nausea, the vomiting, the diarrh[oe]a, and
+the painfulness of the abdomen, disappear; quiet sleep sets in, with
+general perspiration, which terminates the fever, and affords great
+relief; after waking, the patient is comforted by the internal sensation
+of returning health; a natural appetite is again felt, the strength
+returns, and in a few days the healthy look of the tongue and buccal
+cavity shows that the mucous membrane of the stomach and bowels has
+recovered its normal quality. The longer help is deferred, the longer
+time the morbid process has had in making its inroads upon the system,
+the more frequently will it be necessary to repeat the medicine, until a
+cure is achieved.
+
+The same good result is perceived, if the morbid process is accompanied
+by furuncles, urticaria, erysipelas--the latter principally on the head
+and in the face, less frequently upon the extremities, and inclining to
+shift from one place to another. Such a combination of symptoms not only
+shows a higher degree of intensity of the disease, but also shows that
+the organism is still capable of battling against the internal disease,
+by compelling it to leave the interior tissue, and to develop itself
+externally. It is the first business of the physician to support the
+organism in this tendency, and to guard the brain and bowels from every
+destructive relapse. Apis, employed as above, accomplishes this result
+more speedily than any other drug. Of course, a few days are required
+for this purpose, although the rules of using the drug and the course of
+treatment are the same.
+
+The same observation applies to the not unfrequent complication with
+organic disease of the spleen and consequent dropsy. Apis, used in the
+same manner, effects, in as short a period as the intensity of the
+symptoms will permit, a mitigation and gradual disappearance of the
+painfulness of the spleen, restores the normal action of the spleen more
+and more, and neutralises the tendency to dropsical effusion at the same
+time as it expels the accumulated fluid by increasing the secretions
+from the bladder and bowels, and the cutaneous exhalation.
+
+If the liver is organically diseased, Apis is no longer sufficient. In
+such a case, the action of the liver has first to be restored to its
+normal standard. In dropsical diseases, I have effected this result most
+frequently, for years past, by means of Carduus mariæ, less frequently
+by Quassia, still less frequently by Nux vomica, and only in a few cases
+by Chelidonium: according as one or the other of these agents seemed
+indicated by the epidemic character of the disease. In all non-malignant
+cases, if the medicine was permitted to act in time, the whole disease
+was often cut short by the use of these drugs, and the development of
+typhoid symptoms prevented. Not, however, in all more inveterate cases,
+where the prevailing character of the disease, by its more penetrating
+action upon the tissues, induced a slower and more threatening course of
+development. As soon as the pains in the right hypochondrium had
+disappeared, the bilious quality of the fæces had been restored, and the
+urine had become lighter colored, but the fever still continued, tongue,
+throat, pit of the stomach and abdomen had become more sensitive; the
+head duller and tighter, and the prostration more overpowering. In such
+a case, Apis, prepared as above, became indispensable, in order to
+remove all danger to life. Its curative action soon became manifest in
+two different ways.
+
+If the reactive force of the organism was still sufficient, the medicine
+succeeded very speedily in preventing the supervention of the typhoid
+stage, in changing the fever-type from a remittent or even continuous to
+an intermittent type, during which the convalescence of the patient,
+aided by a suitable diet, was more and more firmly established and
+generally completely secured after the lapse of a week.
+
+If the typhoid stage could not be prevented and set in with the
+following symptoms: the patient lies on his bed in a state of apathy,
+with loss of recollection, sopor, muttering delirium, hardness of
+hearing, inability to protrude the tongue or to articulate; dry,
+cracked, sore, blistered, ulcerated tongue; difficult deglutition;
+painful distention of the abdomen, which is sensitive to contact or
+pressure; retention of stool, or else frequent, painful, foul, bloody,
+involuntary diarrh[oe]a; fermentous urine, which is sometimes discharged
+involuntarily; the skin is at times and partially dry, burning, at times
+and partially clammy, cool; trembling and twitching of the limbs; white
+miliaria on the chest and abdomen; extreme debility, with settling
+towards the foot-end of the bed; changing pulse, which is at times slow,
+at others accelerated, feeble, intermittent: in such a case Apis
+requires more time to heal the mucous membrane of the alimentary canal;
+to restore the normal action of the bowels; to regulate the digestive
+functions; to procure quiet and refreshing sleep, and to gradually
+effect a complete restoration of health. If the mucous membrane of the
+respiratory organs was invaded by the morbid process, the cure was
+nevertheless completed as soon as the mucous lining of the intestinal
+canal was restored to its natural condition.
+
+So far, the only obstacle to a cure which I have witnessed, has been
+tuberculosis of the chest or abdominal viscera, or of both at the same
+time, and still more the vaccine-virus; likewise a tendency to paralysis
+in persons who were otherwise morbidly affected. Tuberculosis has often
+been combated by a single dose of a high potence of Sulphur between the
+doses of Apis, no Apis being given after the Sulphur, as long as the
+course of the typhoid symptoms would render it safe to postpone this
+medicine. I have found it much more difficult to conquer the
+vaccine-poison, _which I have become satisfied by years of observation,
+constitutes the most universal and most powerful generator of the typhus
+which is prevailing in our age and which seems unwilling to leave us_.
+Tartar emetic proves in this, as in other cases, its antidotal power
+against the vaccine-virus; but under no circumstances is more caution
+required in the use of tartar emetic than in typhus, where the
+vaccine-virus seeks to develop its characteristic pustules with a
+tendency inherent in each pustule to terminate in the destruction of
+the mucous membrane. It may seem hazardous to add to this combination of
+destructive forces another similarly-acting element; but a careful
+consideration of the circumstances of the case will justify such a
+proceeding, although death may be the inevitable result of the morbid
+process. Experience has satisfied me that the alternate use of tartar
+emetic and Apis, a drop of the third potency of each, every three, six
+or twelve hours, according as the symptoms are more or less violent, or,
+in very sensitive organisms, in tablespoonful doses of a watery solution
+of a drop, will accomplish all that can be expected; for these two
+drugs, thus administered, seem to compensate or complete each other. I
+am unable to say how far this proceeding requires to be modified in
+particular cases; all I desire to do, is to submit this important
+subject to my colleagues for further inquiry and trial.
+
+If a tendency to paralysis prevails, the danger is less threatening,
+although equally momentous. In such cases I use Apis and Moschus in
+alternation, although I am unable to assert, on account of deficient
+experience, that this treatment will always prove satisfactory. Such
+cases hardly ever arise under hom[oe]opathic treatment; and if they come
+to us out of the hands of all[oe]opathic practitioners, they generally
+prove incurable.
+
+If these three obstacles to a cure appear combined, I have never found
+it possible to effect any thing. All that I have found it possible to
+do, has been to prevent such a dreadful combination by carefully
+attending to my patients in previous diseases.
+
+Sometimes in typhus, the affection of the spleen shows itself again,
+even after recovery has fairly set in; the intermittent type again
+breaks forth, and recovery finally takes place, as the intermissions
+become more and more distinct and lengthened. As long as the
+intermittent type continues, Apis has to be given; the action of the
+spleen becomes more and more normal, the fever paroxysms become shorter
+and less marked, and the restoration of health is effected without any
+more treatment than a single dose of Apis 30, one globule, which is
+permitted to act until the patient is well.
+
+Observations of this kind, which I have made under the most diversified
+circumstances, have taught me that Apis is _the most sovereign remedy
+for all those morbid processes which we designate as_ INTERMITTENT
+FEVER.
+
+The following symptoms indicate the hom[oe]opathicity of Apis to
+intermittent fever:
+
+"1081: every afternoon about three or four o'clock she feels chilly,
+shivering, worse in warmth; a chilly creeping along the back, the hands
+seem dead; in about an hour she feels feverish and hot, with rough
+cough, hot hands and cheeks, without thirst; these symptoms pass off
+gradually, after which she feels heavy and prostrate. 1088: chilliness
+all over, recurring periodically, with an undulating sensation. 1089:
+chill after a heat of thirty-six hours. 1090: sudden chilliness,
+followed by heat and sweat. 499: loathing, with chilliness and coldness
+of the limbs. 534: pains on the left side, below the last ribs. 535:
+violent burning pain below the short ribs, on both sides, worst and most
+permanent on the left side, where it continues for weeks, preventing
+sleep. 577: enlargement of the abdomen, with swelling of the feet,
+scanty urine."
+
+The provings of Apis show that this drug affects every portion of the
+nervous system--the cerebral, spinal and ganglionic nerves--and the
+process of sanguification, in the same general and characteristic manner
+as is the case in fever and ague.
+
+In comparing the symptoms of Apis with those of any other known drug,
+there is no medicine that bears as close an affinity to fever and ague
+as Apis. Howsoever useful other remedies may have proved, in the
+treatment of fever and ague, they are only hom[oe]opathic to isolated
+conditions, in comparison with Apis. In practice, it was often found
+very difficult, even for the most experienced physician, to decide in
+which of these exceptional cases the specifically hom[oe]opathic agent
+should have been employed. Sometimes no properly hom[oe]opathic remedy
+could be found, in which case the treatment had to be conducted in a
+round-about way.
+
+All these difficulties have been effectually removed by Apis, and the
+treatment of intermittent fever may henceforth be said to constitute one
+of the most certain and positive achievements of the hom[oe]opathic
+domain. For the last three years, during which period I have
+experimented with Apis, I have not come across a single case of
+intermittent fever that did not yield satisfactorily to Apis. I have
+treated a pretty fair share of obstinate and complicated cases of this
+disease, and have, therefore, had an opportunity of testing the curative
+virtues of Apis in a satisfactory manner. Here are the results of my
+observations:
+
+Apis is the natural remedy for the pathological process which is
+characterized by periodical paroxysms of chill, heat and sweat; the
+other morbid symptoms being common to this process, as they are to all
+other diseases.
+
+All the symptoms which have hitherto been observed in intermittent
+fever, will be found, with striking similarity, among the provings of
+Apis. For a confirmation of this statement, we refer to Hering's
+American Provings, and to B[oe]nninghausen's Essay on Intermittent
+Fevers.
+
+In making use of Apis in every form of intermittent fever, we not only
+act in strict accordance with the hom[oe]opathic law generally, but we
+fulfil all the requirements of the individualizing method. Apis is the
+universal remedy in intermittent fevers, for which every hom[oe]opathic
+physician has been longing, and which pure experiments, conducted
+according to the rules of hom[oe]opathy, have revealed to us;--another
+shining light on the sublime path of the healing artist!
+
+The beneficent action of Apis, in intermittent fever, is still increased
+by the fact that it prevents the supervention of typhus,
+disorganizations of the spleen, dropsy, china-cachexia. In using Apis
+from the commencement, all such consequences are avoided, and if they
+should have been induced by different treatment, Apis removes them as
+speedily as possible.
+
+In all lighter cases, it is sufficient to give a drop of Apis 3, morning
+and evening, during the apyrexia, and to continue this treatment until
+the attacks cease; very often no other paroxysm sets in after the first
+dose; there are scarcely ever more than two or three paroxysms. In a few
+days the cure is accomplished, provided the action of the medicine is
+not disturbed.
+
+In more obstinate cases, which had been coming on for a longer period,
+or had been caused by more noxious influences, had lasted longer, had
+invaded the organism with more intensity, or where the paroxysms last
+longer and the intermissions are shorter, or where two paroxysms occur
+in succession, or the life of the organism is endangered by some cause
+or other,--the organism has to be saturated with the medicine in the
+shortest possible period, in order to ensure victory to the curative
+agent. Under these circumstances, we prepare a solution of from two to
+four drops of the third potency in twelve tablespoonfuls of water, shake
+it well in a closed bottle, and give a tablespoonful of this solution
+every hour. If the case should be urgent, we may give a drop of Apis 3,
+on sugar, every three or six hours. This treatment is to be continued
+until the patient is decidedly better; after which the medicine should
+be discontinued. If the improvement is not quite satisfactory, the last
+dose is continued several times every twelve or twenty-four hours, after
+which the proper effect will have been obtained. If the progressive
+improvement of the patient should be attended with distinct morbid
+symptoms, it would be injurious to continue the repetition of the drug.
+Nevertheless, a globule of Apis 30 may sometimes hasten the
+convalescence of the patient, and otherwise afford relief. Signs of
+reaction, even if more or less violent, should not deceive one. If left
+to themselves, they are often and speedily followed by a refreshing
+calm, and cannot be interfered with, as an aggravation of the symptoms,
+without damaging the case.
+
+These are all the rules which I have so far been able to infer from my
+use of Apis. Further experience will have to decide whether they apply
+to all periods, or only to the prevailing type of fever.
+
+I am unable to say whether Apis will prove effectual against epidemic
+marsh-intermittents, and if so, how the use of it will have to be
+modified. May it please those, who can shed light on this subject, to
+communicate their experience!
+
+Two other exceptions to Apis, as a universal febrifuge, have occurred to
+me in my practice: _The development of fever and ague in poisoned soil,
+and fever and ague complicated with China-cachexia._
+
+It is peculiar to intermittent fever to excite the morbid germs which
+are slumbering in the organism. This is more particularly true in
+reference to psora. In proportion to universality of the psoric miasm,
+fever and ague will develop and complicate itself with psoric
+affections; and it is such complications that give rise to the
+inveterate character of intermittents and their disorganizing tendency.
+
+In such cases, a cure cannot be effected without some suitable
+anti-psoric. During the prevailing fever, Natrum muriaticum has proved
+such an anti-psoric, provided it was used as follows: If the signs of
+psoric complication became visible at the outset, I gave a pellet of
+Natrum mur. 30, and awaited the result until after the third paroxysm.
+If symptoms of improvement had become manifest, no other remedy was
+given, and the improvement was permitted to progress from day to day. If
+the signs of psoric complication were obscure at the beginning of the
+attack, Apis was at once given. If no improvement became visible after
+the third paroxysm, or if other symptoms developed themselves, this was
+looked upon as a proof of the existence of psora, and Natrum mur. 30 was
+given, and no other remedy, until after the third paroxysm. Either the
+disease had ceased, or it required further treatment. In the latter
+case, Apis 3 was continued in drop-doses, morning and evening, until the
+patient was decidedly convalescent. No further medicine was given after
+this, and the Natrum mur. was permitted to act undisturbed, without a
+single repetition. Every such repetition is hurtful; it disturbs the
+curative process, excites an excess of reaction in the organism,
+exhausts it, and develops artificial derangements, which often mislead
+the judgment, and induce an uncalled-for and improper application of
+remedial means. Such repetitions are unnecessary; any one who is
+acquainted with the action of Natrum mur., will at once perceive that
+the psora-destroying effect of this agent had not been neutralized by
+Apis. Recovery becomes more and more completely established, and
+sometimes terminates in the breaking out of a wide-spread,
+bright-looking eruption, resembling recent dry itch, and attended with
+the peculiar itching which always exists in this disease. The complete
+peeling off of the epidermis shows the true cause of the disease. In a
+few cases, an itch-eruption of this kind proved contagious, and
+communicated itself to other persons in the family.
+
+A similar course of treatment was pursued, if some other anti-psoric had
+to be resorted to, according as one or the other of the three miasms
+seemed to require.
+
+_The thoroughness of this treatment of intermittent fevers is proved by
+the fact, that no relapses ever took place, or that no secondary
+diseases were ever developed._
+
+If these sequelæ were the consequences of an abuse of Cinchona, and this
+China-cachexia was the source of subsequent paroxysms of fever, I have,
+even in such cases, when nothing else would help, seen Apis cure both
+the fever and the China-cachexia, in most cases which came under my
+treatment. In the most inveterate cases, which had perhaps been
+mismanaged in various ways, and where the reactive power of the organism
+seemed entirely prostrated, I found it necessary to resort to the
+employment of a most penetrating agent, more particularly the 5000th
+potency of Natrum muriaticum, which I have so far found the only
+sufficiently powerful curative influence under the circumstances. The
+rules of administering this potency are the same as those for the
+exhibition of the 30th.
+
+Not only does Apis afford help in the affections which habitually and
+most generally occur among us; it is likewise in curative rapport with
+the
+
+TYPHOID-GASTRIC CONDITIONS WHICH DEVELOPE THEMSELVES DURING THE COURSE
+OF AN ERYSIPELATOUS OR EXANTHEMATOUS CUTANEOUS AFFECTION, MORE
+PARTICULARLY SCARLATINA, RUBEOLA, MEASLES AND URTICARIA.
+
+The use of Apis in erysipelas is indicated by: "Nos. 168, 169: great
+anxiety in the head, with swelling of the face; inflammatory swelling
+and twitching so violent, that an apoplectic attack is dreaded. 175 to
+178: sensation as if the head were too large; swelling of the head;
+sensitiveness to contact on the vertex, forehead; burning, stinging
+about the head. 292: erysipelatous inflammation of the eyelids. 295:
+after the most violent pains of the right eye, a bluish, red, whitish
+swelling of both eyes, which were closed in consequence. 297: swelling
+under the eyes during erysipelas, as when stung by a bee. 316: red
+swelling of both ears, with a stinging and burning pain in the swelling,
+with redness of the face every evening. 356: erysipelas spreading across
+the face, and proceeding from the eyes. 359: tension in the face,
+awakening her about one o'clock, the nose was swollen, so were the right
+eye and cheek, stinging pain when touching the part; under the right
+eye, and proceeding from the nose, red streaks spread across the cheek,
+until four o'clock; next day, after midnight, sudden swelling of the
+upper lip, with heat and burning redness, continuing until morning; on
+the third night, sudden crawling over the right cheek, with stinging
+near the nose, after which the cheek and upper lip swelled. 363: face
+red and hot, with burning and stinging pain, it swells so that he is no
+longer recognized. 388: pimple in the vermilion border of the lower lip,
+which he scratches, after which an erysipelatous swelling arises,
+spreading rapidly over the chin and the lower jaw, and invading the
+anterior neck and the glands, so that he is unable to move the jaws, as
+during trismus, or as if the ligaments of the jaws were inflamed; with
+constant disposition to sleep, the sleep being interrupted by frightful
+dreams. 706 to 707: swelling of the right half of the labia, with
+inflammation and violent pain, rapid, hard pulse, diarrh[oe]a consisting
+of yellow, greenish mucus, in the case of a girl of three years old;
+deeply-penetrating distress, commencing in the clitoris and spreading to
+the vagina; the labia minora are swollen, they feel dry and hard, they
+are covered with a crust; at the commencement urination is painful. 948:
+burning of the toes, and erysipelatous redness with heat at a
+circumscribed spot on the foot, the remainder of the foot being cold.
+1167, 1168: acute pain and erysipelatous swelling, hard and white in the
+centre; bright red, elevated, hard swelling of the place where he was
+stung, and round about a chilly feeling. 1170-1173: red place where he
+was stung, with swelling and red streaks along the fingers and arm; red
+streaks along the lymphatic vessels, proceeding from the sting along the
+middle finger and arm; inflammatory swelling, spreading all around.
+1181: throbbing in the swelling. 1182: wide-spread cellular
+inflammation, terminating in resolution. 1224, 1225: swelling and
+erysipelatous redness; erysipelatous redness of the toes and feet."
+
+If we add to these remarks, that Apis corresponds to gastric and typhoid
+conditions, as was shown before, with remarkable similarity of symptoms,
+we find, without doubt, that all known erysipelatous forms of
+inflammation are covered by the pathogenetic effects of Apis. Hence we
+may with propriety give Apis in these affections. Practical experience
+has abundantly confirmed these conclusions. For the last four years, I
+have cured readily, safely and easily all forms of erysipelas which have
+come under my notice--[oe]dematous, smooth, vesicular, light or dark
+colored, seated or wandering, phlegmonous, recent or habitually
+recurring, of a light or inveterate character, repelled, among
+individuals of every disposition and age. I have never seen all kinds of
+pain yield more readily; I have never seen the accompanying fever abate
+more speedily; I have never arrested the further spread of erysipelas,
+nor effected a resolution of the inflammation of the cellular tissue,
+more certainly; nor, if the termination in suppuration was no longer
+avoidable, have I ever succeeded in effecting the formation of laudable
+pus, the spontaneous discharge of the pus, the radical healing of the
+sore without any scar--_how important is all this in erysipelatous
+inflammation of the mammæ_--with more certainty and thoroughness, than
+by means of Apis! No remedy possesses equal powers in protecting
+internal organs from the dangerous inroad of this disease.
+
+I effected all this without any other medicinal aid, or without
+resorting to an operation. Keeping quiet and dry, and in a uniform
+temperature, is all that is required, in order to secure the full
+curative action of Apis. In this disease it is used in the same manner
+as we have indicated before. If the liver should be very much involved
+in this disease, we effect a cure still more rapidly, by alternating
+Aconite with Apis, in case inflammation is present; Carduus mariæ, in
+case of simple inflammatory irritation, and Hepatin, if disorganizations
+have already set in. In phlegmonous and suppurative habitual erysipelas,
+a cure is generally facilitated, if a dose of Sulphur 30 is
+interpolated, in the manner which we have explained before, in order to
+neutralize the psoric taint which is here generally present.
+
+According to this experience, in conjunction with the symptoms 706, 707,
+I believe that Apis will prove a successful prophylactic and curative
+agent in a disease of children, which terminates fatally in almost every
+case. I mean erysipelas of new-born infants, which commences at the
+genital organs, thence spreads over the skin, and terminates in the
+induration and destruction of this organ. Until now, I have not had an
+opportunity of verifying the truth of this theoretical conclusion by
+actual experiments. Hence I content myself with offering this
+suggestion for further practical trials.
+
+The American Provings likewise show that Apis may be of great use in
+scarlatina.
+
+"No. 349: redness of the face, as in scarlatina. 408 to 413: tongue very
+painful, the burning and raw feeling increases; vesicles spring up along
+the margin of the tongue, the pains are accompanied by stitches; at the
+tip of the tongue, toward the left side, a row of small vesicles spring
+up, some six or eight, which are very painful and sore; dryness of the
+tongue, red and fiery appearance of the inside of the cheeks, with
+painful sensitiveness. 311: pains in the interior of the right ear. 413
+to 417: burning at the upper portion of the left ear; stitches under the
+left ear, tension under and behind the ears; red swelling of both ears,
+with a stinging and burning pain in the swelling. 462 to 463: difficulty
+of swallowing, staging pains when swallowing. 466: burning in the fauces
+down to the stomach. 470: difficulty of swallowing in consequence of
+redness and swelling of the tonsils. 473: ulcers in the throat during
+scarlet fever. 1236: scarlatina does not come out, in the place of which
+the throat becomes ulcerated. 1237: retrocession of scarlatina, violent
+fever, excessive heat, congestion of the head, reddened eyes, violent
+delirium. 832: redness and swelling in front of the neck, swelling of
+the glands. 833: swelling of the cervical glands on the injured side.
+836: tension on the right side of the nape of the neck, below and back
+of the ear. 897, 898: itching and burning of the dorsum of the hand and
+of the knuckles and first phalanges; cracking of the skin here and
+there; itching and chapping of the hand and lower lip."
+
+If we add to these symptoms the above enumerated cerebral symptoms, the
+typhoid alteration of the internal mucous membrane of the whole
+alimentary canal and of the respiratory organs, the disorganizing and
+paralyzing action upon the blood and nerves, the inclination to
+dropsical effusion, the affection of the cervical glands with tendency
+to suppuration, the appearance of otorrh[oe]a,--we have a group of
+symptoms which resemble very accurately the prevailing type of epidemic
+scarlatina. I know, from abundant experience, that the hom[oe]opathic
+law has been brilliantly confirmed in this disease. Thanks to the
+curative powers of Apis, scarlatina has ceased to be a scourge to
+childhood. The dangers to which children were usually exposed in
+scarlatina, have dwindled down to one, which fortunately is a
+comparatively rare phenomenon. It is only where the scarlet-fever poison
+acts at the outset with so much intensity, that the brain becomes
+paralyzed at once, and the disease must necessarily terminate fatally,
+that no remedy has as yet been discovered. In all other cases, unless
+some strange mishap should interfere, the physician, who is familiar
+with Apis, need not fear any untoward results in his treatment of
+scarlatina.
+
+In all lighter cases, where the disease sets in less tumultuously, and
+runs a mild course, it is proper, as soon as the disease has fairly
+broken out, to give a globule of Apis 30, and to watch the effects of
+this dose without interference. The immediate consequence of this
+proceeding, is to bring the eruption out in a few hours, all over the
+skin, with abatement of the fever and general perspiration, after which
+the eruption runs its course in a few days, with a progressive feeling
+of convalescence, the epidermis peels off from the third to the fifth
+day, and, at the latest, to the seventh day, with cessation of the
+fever, so that the process of desquamation is generally terminated
+within the next seven days, after _which the patient may be fairly said
+to be convalescent, and the patient may be said to be absolutely freed
+from all danger of consecutive diseases_.
+
+The same result is obtained by nature in cases of mild scarlatina,
+without the interference of art. But the experience which I have had an
+opportunity of making during my long official employment as
+district-physician, has convinced me that Nature accomplishes her end
+far more easily, more speedily and satisfactorily, if assisted by art in
+accordance with the law of hom[oe]opathy. The sequelæ especially are
+rendered less dangerous by this means.
+
+But if the disease sets in with a considerable degree of intensity at
+the very outset, and the fever continues without abatement, it is
+advisable to keep up a medicinal impression by repeating the dose. To
+this end we dissolve a globule of Apis 30, in seven dessert-spoonfuls of
+water, by shaking the solution vigorously in a corked vial, and giving a
+dessert-spoonful every three, six, or twelve hours as the case may
+require. In all ordinary cases a single solution of this kind sufficed
+to subdue the fever and to secure a favorable termination of the
+disease.
+
+The struggle between disease and medicine assumes a far different form,
+if the morbific poison has penetrated the organism more deeply; if a
+process of disorganization has already developed itself in the
+intestinal mucous membrane, and if the alteration of the sanguineous
+fluid, which is an inherent accompaniment of such a disorganizing
+process, has depressed the nervous activity to such a degree that
+typhus, or paralysis of the brain or lungs seems unavoidable, as may be
+inferred from the bright-red tongue, which is thickly studded with
+eruptive vesicles, and speedily becomes excoriated, fissured and covered
+with aphthæ; by a copious discharge of thick, white, bloody and fetid
+mucus from the nose; by the swelling and induration of the parotid
+glands, increasing difficulty of deglutition; sensitiveness of the
+abdomen to pressure; badly-colored, slimy, bloody diarrh[oe]a; scanty
+emissions of turbid, red, painful urine; accelerated and labored
+breathing; loss of consciousness; delirium; sopor; convulsions;
+trembling of the limbs; appearance as if the patient were lying in his
+bed in a state of fainting; the skin is at times burning, hot and dry;
+at others it feels like parchment, cooler; at others again, hot and cool
+together in spots; the fever increases with changing pulse, and is more
+constant; in short, all the symptoms, although developing themselves
+less rapidly, show that a fatal termination becomes more and more
+probable. In such a case it is above all things necessary to saturate
+the organism with Apis. If there is much fever, this result is best
+accomplished by means of alternate doses of Aconite and Apis, a few
+drops of the third potency, shaken together with twelve tablespoonfuls
+of water, each drug by itself, the dose to be repeated every hour; and
+if the temperature is rather depressed, by giving Apis without the
+Aconite, a tablespoonful every hour or two hours. In favorable cases the
+fever becomes more remittent within one to three days; a moderate and
+pleasant perspiration breaks out all over the skin; the sleep becomes
+calm and natural, and the typhoid symptoms abate. If this change takes
+place, it is proper to exhibit Apis in a more dynamic form, in order to
+assimilate it more harmoniously to the newly awakened reactive power of
+the organism. To this end we dissolve a few globules of Apis 30 in seven
+dessert-spoonfuls of water, giving a dessert-spoonful morning and
+evening, and we continue this treatment, until the symptoms of typhoid
+angina have gradually abated, the tongue has been healed, the normal
+desire for food has returned, and the digestive functions go on
+regularly; after which the natural reaction of the organism, assisted by
+careful diet, will be found sufficient to complete the cure. If no
+improvement sets in after Apis has been used for three days, we may rest
+assured that a psoric miasm is in the way of a cure, which requires to
+be combated with some anti-psoric remedy. I have generally found Kali
+carbonicum efficient, of which I gave one globule thirty on the fourth
+day of the treatment, permitting it to act uninterruptedly from one to
+three days, according as the disease was more or less acute, after which
+I again exhibited Apis in the manner previously indicated. In this way I
+succeeded in developing the curative powers of Apis, so that in a few
+days a gradual improvement, however slight, became perceptible to the
+careful observer. As soon as the improvement is well marked, all
+repetition of the medicine should cease, and the natural reaction of the
+organism should be permitted to complete the cure. Any one who is
+acquainted with the action of the Kali, must know that it continues
+without being interrupted by Apis. An invaluable blessing of Nature!
+
+This proceeding is crowned with the desired results; the convalescence
+is shorter and easier, and there is less danger of serious sequelæ,
+which, according to all experience, are so common in complicated cases
+of scarlatina, otorrh[oe]a and suppuration of the parotid glands are
+generally avoided under this treatment without any other aid, or, if it
+is impossible to avert such changes, they generally come to a speedy and
+safe end. This treatment likewise keeps off dropsy and its dangers.
+
+In cases where the secretion of _black urine_ shows that the liver is
+deeply involved in the disease, Apis is powerless. These are the only
+exceptions to the curative power of this drug. Here we are told by our
+law of cure, that the sphere of Lachesis commences. We give one or two
+globules of Lachesis 30 in seven dessert-spoonfuls of water, a
+dessert-spoonful every twelve hours, and in acute cases every three
+hours; and the good effects of the medicine must seem miraculous to one
+who is not accustomed to this mode of treating diseases. Already in a
+few hours the patient becomes tranquil, showing that the process of
+disorganization has been arrested; the improvement continues from hour
+to hour; the sleep becomes more tranquil; the cutaneous secretions, and
+those of the bowels and kidneys, become more active; after the lapse of
+one, or at most two days, the urine begins to look clearer and
+lighter-colored, and in about three days a return of the natural color
+of the urine shows that the functions of the liver are restored to their
+normal standard; the patient is able to do without any further medical
+treatment, and the natural reaction of the vital forces will be found
+sufficient to effect a cure.
+
+If I have not mentioned the affections of the kidneys, which may be
+present in this disease, it is because I have become satisfied by years
+of experience, that they constitute secondary affections in scarlatina,
+and that we should commit a great error if we would draw conclusions
+regarding this point from post-mortem phenomena.
+
+Nobody who has observed the resemblance, at any rate, during the present
+epidemic, between
+
+
+RUBEOLA
+
+and scarlet-fever, will deny that the remarks which we have offered
+concerning this latter disease, likewise apply to rubeola. In
+
+
+MEASLES,
+
+likewise, Apis will prove a curative agent.
+
+In the American Provings, Apis is indicated in this disease by the
+following symptoms: "No. 1103, heat all over; the face is red as in
+scarlatina; eruption like measles; cough and difficult respiration as in
+croup; muttering delirium; 1211, superficial eruptions over the whole
+body, resembling measles, with great heat and a reddish-blue
+circumscribed flush on the cheeks; 1218, measle-shaped eruption."
+
+If we add to these symptoms the peculiarity inherent in Apis, to cause
+catarrhal irritations of the eyes, such as occur during measles, we have
+a right to infer that Apis will prove a valuable remedial agent in
+measles.
+
+Although common mild measles do not require any medicinal treatment, and
+generally get well without any prejudice to the general health;
+nevertheless, cases occur where intense ophthalmia, a violent and
+racking cough, and the phenomena which appertain to it; an intense
+irritation of the internal mucous membrane; diarrh[oe]a; dangerous
+prostration of strength; marked stupefaction and various nervous
+phenomena render the interference of art desirable. In all such cases, I
+have seen good effects from the use of Apis, which differed not only
+from the regular course of the disease, but likewise from the effects
+which have been witnessed under the operation of other medicines. In
+ordinary cases, and without treatment, it takes three, five, seven and
+eleven days, before the eyes get well again; but under the use of Apis,
+the eyes improve so decidedly in from one to three days, that the eyes
+do not require any further treatment; and that even troublesome sequelæ,
+such as photophobia; styes which come and go; troublesome lachrymation;
+continual redness; swelling and blennorrh[oe]a of the lids; fistulæ
+lachrymalis, etc., need not be apprehended.
+
+If Apis has had a chance to exercise its curative action in a case of
+measles, we hear nothing of the troublesome, and often so wearing and
+racking cough, which so often prevails in measles, and the continuance
+of which is accompanied by an increased irritation and swelling of the
+respiratory mucous membrane and an increasing alteration of its
+secretion, which recurs in paroxysms, assumes a suspicious sound, shows
+a tendency to croup and to the development of tuberculosis, and finally
+degenerates in whooping-cough, so that epidemic measles and
+whooping-cough often go hand in hand. After Apis, the cough speedily
+begins to become looser and milder, to loose its dubious character, and
+to gradually disappear without leaving a trace behind. If these results
+should be confirmed by further experience, we would have attained
+additional means of preventing the supervention of whooping-cough in
+measles; a triumph of art and science which should elicit our warmest
+gratitude.
+
+Any one who knows, how malignant measles, unassisted by art, are
+accompanied by deep-seated irritation of the mucous membrane of the
+stomach and bowels; how they lead to diarrh[oe]a; to sopor; how they
+threaten life by long-lasting and troublesome putrid and typhoid fevers;
+and how, if they do not terminate fatally, they result in slow
+convalescence, and sometimes in chronic maladies for life, will admit,
+on seeing the diarrh[oe]a cease; on beholding the quiet sleep which
+patients enjoy; the pleasant and general perspiration; the return of
+appetite; the increase of strength, and the complete disappearance of
+all putrid and typhoid symptoms, that Apis has indeed triumphed over the
+disease.
+
+The following simple proceeding will secure such results: As soon as the
+fever has commenced, we prepare the above-mentioned solution of Aconite,
+of which we give a small spoonful every hour. If, after using the
+Aconite, the eruption breaks out and the fever abates, no further
+medication is necessary. If fever and eruption should require further
+aid, Apis is to be given, one or two globules of thirtieth potency in
+seven dessert-spoonfuls of water, well shaken, a dessert-spoonful
+morning and evening; or, if the disease is very acute, every three
+hours, which treatment is to be continued until an improvement sets in,
+after which the natural reaction of the organism will terminate the
+cure.
+
+Sequelæ seldom take place after this kind of treatment; this is
+undoubtedly an additional recommendation for the use of Apis. Until this
+day I have never seen a secondary disease resulting from measles.
+Nevertheless, such sequelæ will undoubtedly occur, for it is
+characteristic of the measle-miasm, to rouse latent psoric, sycosic,
+syphilitic and vaccinine taints, which afterwards require a specific
+anti-psoric treatment. Nevertheless, sequelæ will certainly occur less
+frequently after the use of Apis, for which we ought to be thankful. In
+
+
+URTICARIA AND PEMPHIGUS
+
+Apis will likewise afford speedy and certain help.
+
+Many symptoms in the American Provings confirm this statement. More
+particularly 1198 to 1210, and 1232 to 35: "very soon thick nettle-rash
+over the whole body, itching a good deal, passing off after sleeping
+soundly; violent inflammation and pressure over the whole body; friction
+brought out small white spots resembling musquito-bites; suddenly an
+indescribable stinging sensation over the whole body, with white and red
+spots in the palms of the hands, on the arms and feet; her Whole body
+was covered with itching and burning swollen streaks, after which the
+other troubles disappeared; swelling of the face and body; the parts are
+covered with a sort of blotches somewhat paler than the ordinary color
+of the skin; eruption over the whole body resembling nettle-rash, with
+itching and burning; nettle-rash in many cases; spots on the nape of the
+neck and forehead, resembling nettle-rash under the skin; consequences
+of repelled urticaria; whitish, violently itching swellings of the skin,
+on the head and nape of the neck, like nettle-rash; after the rash
+disappeared, the whole of the right side was paralyzed, with violent
+delirium even unto rage; after taking Apis the eruption appeared in
+abundance, and the delirium abated."
+
+These provings have been abundantly confirmed by my own experience. The
+use of Apis in these eruptions has been followed in my hands by the most
+satisfactory results; and I feel justified in recommending Apis as a
+most efficient remedy in these diseases, which are still wrapt in a good
+deal of obscurity. An additional source of satisfaction to have obtained
+more means of relieving human suffering. The experienced Neuman writes,
+in his Special Therapeutics, 2d Edit., Vol. I., Section 2, p. 681, about
+urticaria: "Howsoever unimportant a single eruption of urticaria may be,
+it becomes disagreeable and troublesome by its constant repetition,
+which is not dangerous, but exceedingly disturbing. It would be
+desirable to be acquainted with a safe method of curing this eruption,
+but so far, it has been sought for in vain." The same physician,
+speaking of pemphigus, writes in the same place, that its etiology,
+prognosis and treatment, are still very dubious; that it leads to
+extensive chronic sufferings, and often terminates fatally; and that no
+specific remedy is known for this disease. The more frequent
+opportunities we have of observing both these diseases in different
+individuals, the more frequently we observe them in conjunction with
+serious chronic maladies characterized by some specific chronic miasm,
+or in conjunction with the most penetrating and disturbing emotions,
+such as fright and its consequences; the more frequently we observe the
+sudden appearance and disappearance of such pustules, alternating with
+corresponding improvements or exacerbations in the internal organism,
+where we have to look on utterly powerless, as it were, the more uneasy
+do we feel at the mysterious nature of this malady, which, during the
+period of organic vigor, seems to be a sort of trifling derangement,
+somewhat like urticaria, but which, as the vital energies become
+prostrated by age, becomes more and more searching and tormenting,
+breaks forth again and again, exhausting the vital juices and leading
+irresistibly to a fatal termination; a result which is particularly apt
+to take place during old age, although I have likewise observed it, but
+rarely, among new-born infants.
+
+These developments lead us to suspect that urticaria and pemphigus are
+identical in essence; this fact is richly substantiated by the
+hom[oe]opathic law which furnishes identical means of cure for either of
+these affections. In either case, if the vital forces are prostrated,
+and the sensitiveness of the organic reaction is considerable, one
+pellet of Apis 30, and, if there is considerable resistance to overcome,
+two pellets shaken with six dessert-spoonfuls of water, a spoonful night
+and morning, is all that should be done, after which, all further
+treatment should be discontinued as long as the improvement continues or
+the skin remains clear from all eruptions. If the improvement cease or
+the eruption should reappear, we have in the first place to examine
+whether the improvement will not speedily resume its course, or whether
+the eruption does not show itself more feebly than before, or if the
+cure is not evidenced by some other favorable change. In the former case
+the medicine should be permitted to act still further; in the latter
+case, another dose of Apis 30 should be given, after which the result
+has to be carefully watched. In all benign cases, more particularly if
+no other means of treatment had been resorted to before, this management
+will suffice. If this should not be the case, if the eruption should
+appear again, we may rest assured that a psoric miasm lurks in the
+organism, and that an anti-psoric treatment has to be resorted to. The
+best anti-psoric under these circumstances, is Sulphur 30, one pellet,
+provided this drug has not yet been abused; or Causticum 30, one pellet,
+if such an abuse has taken place. Syphilis may likewise complicate the
+disease, in which case Mercurius 30, one pellet, may be given; or, if
+Mercury had been previously taken in excessive doses, Mercurius 6000,
+one globule.
+
+After one or the other of these remedies, the symptoms should be
+carefully observed without doing anything else, with a view of
+instituting whatever treatment may afterwards be necessary, we wind up
+the treatment with another dose of Apis 30, one pellet, after which, the
+organic power is permitted to complete the cure. The result is, that the
+most difficult and complicated cases yield perfectly to such treatment,
+which is based upon the strictest scientific principles.
+
+
+FURUNCLES AND CARBUNCLES
+
+are likewise cured by Apis in the speediest and easiest manner.
+
+We find the following symptomatic indications in the American Provings:
+"682, painful pimple, suppurating in the middle, with red areola;
+painful like a boil, in the hairy region on the left side above the os
+pubis, continuing painful for several days; 1196, furuncles with
+stinging pains; 844, 845, violent, stinging, burning pain at a small
+spot on the left side, in the lower region of the nape of the neck; also
+on the back part of the head; swelling at the nape of the neck, so that
+the head is pressed forward towards the chest; 1222, dark bluish-red
+painful swellings, with general malaise; 1167, acute pain and
+erysipelatous swelling, very hard and pale in the centre."
+
+Apis has been a popular remedy for boils from time immemorial; the
+people have been in the habit of covering boils with honey, more
+particularly honey in which a bee had perished.
+
+Apis, hom[oe]opathically prepared, is better adapted to such an end than
+honey. A few drops of Apis 3, shaken with twelve tablespoonfuls of
+water, a tablespoonful of this solution every three hours, generally
+relieves the pain in a short period, promotes suppuration, effects the
+discharge of the decayed cellular tissue, and a speedy cure of the
+furuncle.
+
+If furuncles incline to become carbunculous, the ichorous matter is
+speedily changed to good pus, and all danger is averted.
+
+In a case of carbuncle the gangrenous disorganization of the skin and
+cellular tissue becomes very soon confined to a small spot; the dead
+parts are separated from the living tissues; the fever is hushed; the
+disorganizations which it threatens are averted; a healthy suppuration
+is established throughout the gangrenous part, detaching and removing
+all decayed matter, and replacing the loss of substance by new
+granulations until the sore becomes cicatrized in such a hardly
+perceptible manner, that any one who is acquainted with the ravages of
+this disease, and is in the habit of seeing deep and disfiguring
+cicatrizes, even in the most successful cases, is disposed to deny the
+fact that such an intensely disorganizing process has been going on in
+this instance. No other remedial means are required, much less a
+surgical operation.
+
+Inasmuch as carbuncle is generally preceded for a longer period by a
+deep-seated feeling of illness in the organism, showing that the psoric
+miasm pervades the tissues, it behooves us, in order to secure all the
+better a favorable result, to give a dose of highly-potentized Sulphur
+at the very outset of the disease. After having used the first portion
+of Apis, a globule of Sulphur 30 or 6000 may be interposed, the former
+in all cases where no Sulphur had been used, and the latter in cases
+Sulphur had been used in large doses. We permit such a dose to act for
+twenty-four hours, after which Apis is resumed, and continued according
+to the above stated rule.
+
+Sulphur should likewise be given in all cases where the furuncles
+reappear at different periods. Such a reappearance of the eruption,
+after it had once been cured by Apis, shows that a psoric taint pervades
+the organism which it is absolutely necessary to meet with specific
+counter-acting remedies.
+
+The more frequently we meet such difficult complications, and see with
+our own eyes their successful treatment, the more we learn to appreciate
+the fact, _that Apis cures to a certainty the most dangerous affections
+of this kind, and that the anti-psoric remedy corrects at the same time
+the primary degeneration of the tissues, without either interfering with
+the operations of the other drug, on the contrary, by assisting each
+other_. In
+
+
+PANARITIA
+
+Apis proves the same invaluable remedy.
+
+Genuine panaritia only spring up in psoric ground, and in regard to
+extent and intensity of development, depend altogether upon the existing
+psoric taint. Hence it is indispensable to extinguish this taint by
+appropriate remedies. This is most effectually accomplished by at once
+giving Sulphur, the most powerful of our anti-psorics. Sulphur seems to
+attack the evil at its very foundation, and we feel perfectly satisfied
+with its action, except that we would like to hasten the course of the
+disease still more, in order to abbreviate the tortures inherent in
+this malady. This result is most certainly accomplished by means of
+Apis.
+
+If panaritia are the result of excessive doses of Sulphur, Apis meets
+our case perfectly. In hundreds of cases panaritia spring up and will
+continue to spring up from such a source, as long as the world continues
+to live in darkness, and to reject the rays of truth which the genius of
+Hahnemann has sent forth among the benighted understandings of his
+fellow beings. Notwithstanding Hahnemann's teachings concerning the
+medicinal power of Sulphur, which the world has now been in possession
+of for years, and which the most thoughtful minds have accepted as a
+truth, the true friend of man has still to weep over the quantities of
+Sulphur which all apothecaries sell to any one at his option;
+hæmorrhoidal patients continue to swallow Sulphur from day to day;
+almost every body, from the child up to the old man, who is affected
+with catarrh, swallows the so-termed pulmonary powders which contain
+Sulphur, and of which relief is expected; whole legions repair every
+year to the Sulphur Springs; young and old use sulphur-baths at home;
+all over the world, the itch, which is a very common disease, is removed
+by means of a sulphur ointment, &c. One of the evil consequences of this
+ignorance, which particularly oppresses the laboring class, is the
+artificial development of panaritia; the more frequently these occur,
+the more necessary it is to employ speedy and safe means for their
+extermination. In such a case we can no longer depend upon Sulphur, of
+which we cannot possibly know how far it has already poisoned the
+organism, and to what extent it may still be able to rouse a reaction;
+in which case, even those who know, may be led to make dangerous
+mistakes. In all such cases Apis is of the best use to us; it is even
+sufficient to arrest the disorganizing process, and to bring about a
+satisfactorily progressing cure.
+
+The curative indications contained in the "American Provings," have been
+confirmed by my own experience. We read in Nos. 903-911, "the phalangeal
+bones are painful; burning jerking, like a stitching, contracting
+sensation, in the right numb, from without inwards; drawing pains
+reaching the extremities of the fingers; distinct feeling of numbness in
+the fingers, especially in the tips, around the roots of the nails, with
+sensation as if the nails were loose, and as if they could be shaken
+off; burning in the tips of fingers, as from fire; fine burning stinging
+in the tips of the fingers; burning around a hang-nail, on the outside
+of the fourth finger of the right hand, with pain internally, without
+redness and without aggravation from pressure, with continual burning in
+the tip; swelling of the fingers, which remained painful for several
+days; 915, blister at the tip of the right index, discharging a bloody
+ichor when opened, and afterwards a milky pus, with violent burning,
+throbbing, and gnawing pains, continuing to spread for two days."
+
+From all this we deduce the highly important practical rule: In a case
+of whitlow, first ascertain whether and how far Sulphur has been abused
+by the patient. Unfortunately the non-abuse of Sulphur is an exception
+to the rule, whereas the abuse of Sulphur is quite common even in our
+age. Would that in this respect the ancient darkness might yield to the
+new light.
+
+In case Sulphur had been abused by the patient, we mix a few drops of
+Apis 3 in twelve tablespoonfuls of water, giving a tablespoonful every
+hour, or every two or three hours, according as the pains are more or
+less violent. This treatment has to be continued until the pains cease.
+They cease either because the inflammation has been dispersed, and the
+morbid process is terminated, or else a healthy suppuration has been set
+up, so that the swelling will discharge of itself, and a cure will be
+effected as speedily as the nature of the panaritium will admit. In
+either case the medicine need not be repeated, and the organic reaction
+will be sufficient to complete a cure without the interference of
+surgery. A simple bread and milk poultice may be used as soothing
+palliative, especially if the external skin is of a firm, hard texture.
+Resolution may be depended upon in every case, where Apis has been
+resorted to in time. A healthy suppuration will always set in after the
+exhibition of Apis, provided Sulphur or a psoric taint do not gain the
+ascendancy. If the Sulphur miasm gains the ascendancy, there will be no
+marked improvement during the first days of the treatment. In such a
+case we have at once to resort to a very high potency of Sulphur. A
+single globule of Sulphur 6000 would frequently ameliorate the worst
+aspect of the case as by a miracle, after which a few more doses of Apis
+3, a drop morning and evening, would so improve the symptoms, as to
+render all further medication unnecessary.
+
+If the psoric miasm should be the cause of the retarded improvement, as
+may easily be determined by the predisposing circumstances of the case,
+and if no Sulphur should have been administered previously, it is
+expedient to discontinue the use of Apis, and to at once exhibit a
+globule of Sulphur 30, which may be allowed to act for twenty-four
+hours, after which Apis is to be resumed in the same manner, until a
+cessation of the pain manifests the cure of the disease.
+
+These explanations likewise point out the true course to be pursued, in
+case we should at the outset find that a whitlow owes its existence to
+the psoric miasm.
+
+Ever since hom[oe]opathy has enabled us to treat this dreaded affection
+with positive and specific remedies in a most satisfactory manner, the
+horrible pains which characterize this trouble, and the mutilations to
+which it so frequently leads, only exist in quarters where egotism, the
+love of lucre and the absence of all conscientiousness prevents
+physicians from inquiring into the merits of our superior mode of
+treatment. Is not this unpardonably wicked?
+
+
+SPONTANEOUS LIMPING
+
+is another affection which we cure with Apis.
+
+This disease which causes so much distress in life, is likewise, in its
+essential nature, an outbirth of psora, and, as regards its local
+character and its effects upon the constitution of the patient, it seems
+to be characterized by the same inflammatory and suppurative process as
+whitlow, and be endowed with a similar tendency to organic destruction.
+In the American Provings, symptom 917, "Painful soreness in the left
+hip-joint, immediately after taking a dose of Apis 2, afterwards
+debility, unsteadiness, trembling in this joint," is the only symptom
+that seems to indicate the curative power of Apis in this distressing
+malady. What experienced physician has not often seen the hip show such
+symptoms of disease, particularly after violent frights and anguish? Who
+has not seen blows on the back and nates, by way of punishment, attended
+with such consequences? Who has not seen coxarthrocace develope itself
+during the course of a severe cerebral disease, scarlatina or typhus,
+where the patient, on suddenly awakening to consciousness from a state
+of stupor, is made sensitive of the presence of this insidious disease,
+perhaps already fully developed? Since I have used Apis, I have never
+had to deplore such saddening results.
+
+According to my observation, we may regard Apis as a specific remedy for
+spontaneous limping; every new trial confirms me in this statement. Apis
+may be depended upon as a capital remedy in every stage of this disease,
+as long as the psoric miasm is kept in the background; but as soon as
+the psoric taint is fully developed, a suitable anti-psoric has to be
+given in alternation with Apis. My experience has led me to prefer Kali
+carbonicum to all other anti-psoric remedies in this disease. But
+inasmuch as the keenest observer may overlook the right moment when the
+psoric poison begins to operate, it is well to forestall the enemy at
+the very commencement, which may be done with the more propriety, the
+more certainly we know that these two remedies, Apis and the
+anti-psoric, not only not counteract, but mutually support each other
+from the beginning to the end of the treatment. After many experiments,
+I have hit upon the following course as the most proper:
+
+If the limping, as is often the case in the severest forms of the
+disease, sets in gradually, almost imperceptibly and without much pain,
+I give at once a globule of Kali carbonicum 30. As a general rule, this
+one dose is sufficient to arrest the further development of the disease,
+and to award all danger so completely, that one, who is unacquainted
+with the nature of the malady, feels disposed to assert that it never
+existed. But if the pains continue, and are accompanied with fever, I
+resort to Apis 3, after Kali had been allowed to act for a day or two,
+mixing a drop in twelve tablespoonfuls of water, and giving a dose every
+hour, or every two or three hours, according as the pains come on more
+or less frequently. This treatment is continued until the patient is
+quieted, after which the two remedies are permitted to act without any
+further repetition of the medicine.
+
+If the inflammation of the joint sets in suddenly and with a violent
+fever, as is often the case after violent commotions, castigations,
+etc., we prepare a solution of Aconite in the same manner as the Apis,
+and give these two medicines in alternate tablespoonful doses every
+hour. After these two solutions are finished, and the first assault of
+the disease has been controlled, we give a globule of Kali 30, and
+permit it to act for twenty-four hours. After this period we again give
+Apis every hour, two or three hours, as above, until the pains cease,
+after which Kali is allowed to act until the disease is entirely cured.
+
+If suppuration and caries of the joint have already set in, no matter
+whether the pus has found an outlet in the region of the joint itself,
+or burrows down the thigh to find an outlet somewhere else, Kali is no
+longer sufficient, Silicea has to be exhibited; it is more
+hom[oe]opathic to caries than other anti-psorics. We give a globule of
+Silicea 30, and allow it to act for two or three days, after which a
+drop of Apis 3, is repeated morning and night, until the pains--which
+may require a more frequent exhibition of the drug--cease, and a healthy
+pus is secreted. After this change is accomplished, Silicea is
+sufficient to complete the healing of the osseous disorganization, and
+should be left undisturbed to the end of the treatment.
+
+I have found this simple proceeding so perfectly efficient in this
+dreadful malady that the fever was speedily controlled, and rendered
+harmless, the inflammation was scattered without leaving a trace behind,
+the secretion ichor was transformed into that of healthy pus, and the
+disorganization of the joint was prevented; the limb, even after it had
+become elongated, again assumed its normal shape, the carious masses
+were expelled, the various channels of suppuration were stopped, and the
+danger of a fatal consumptive fever was averted. If our aid is not
+sought until _the head of the femur is destroyed, and the bone has
+completely slipt out of its socket_, it is impossible to prevent
+shortening and stiffness of the limb. Another splendid triumph over a
+dreadful source of danger and disease!
+
+
+WHITE SWELLING OF THE KNEE
+
+is very similar to this affection of the hip-joint. Here too we observe
+the same insidious inflammatory beginning, the same irresistible
+tendency to ichorous suppuration and disorganization of the constituent
+parts of the joint, the same tendency to destroy the organism by gradual
+exhausting fever. We have unmistakeable proofs of the presence of a
+poisonous process pervading the whole organism. He who has had frequent
+opportunities of observing this disease, knows perfectly in what
+mysterious obscurity it is still enveloped, and how specifically
+different this affection of the knee sometimes appears to us from the
+hip disease. The hom[oe]opathic law teaches us more positively than any
+thing else could do, that every case of disease should be viewed as
+something specifically distinct from other cases, and should be treated
+with medicines that are specifically adapted to it. An experience of
+many years has taught me that iodine is the best remedy to meet the
+symptoms which generally characterize white swelling of the knee. Even
+at the present day Iodine is one of those remedies that require a good
+deal of elucidation. Hence we should not, carried away by analogy,
+conclude from those things which are not clear, concerning other things
+which are no more so. Nevertheless the observations which have been made
+so far, have led to some highly important, more or less positive
+conclusions, and have shown us with a certain degree of satisfaction and
+certainty, that iodine is an inestimable gift of God, by means of which
+we are enabled to free mankind from one of the most frightful
+complications, the psoric, sycosic and mercurial miasms. I have been
+induced by various signs to believe that, in white swelling of the knee
+such a complication exists.
+
+Considering the paucity of our observations bearing upon this important
+point, it seems impracticable to make any positive statements with
+reference to the assistance that we might possibly derive from the use
+of Apis in this disease. My own opportunities for observation having
+been very few, I recommend the use of Apis in white swelling of the
+knee, to my professional brethren. The following symptoms in "Hering's
+American Provings," seem to indicate it; No.'s 828, 829 and 931,
+"violent pain in the left knee, externally, above and below the knee,
+particularly above, somewhat in front; painful [oe]dematous swelling of
+the knee; burning stinging about the knee." In white swelling of the
+knee, where no all[oe]opathic treatment has yet been pursued, I
+recommend Iodine 30, one globule, in six dessert-spoonfuls of water, a
+dessert-spoonful morning and evening, until the whole is finished; after
+this wait three days, and then give Apis 3, as before mentioned, a
+tablespoonful every hour or three hours, or a drop morning and evening,
+according as the pain or danger is more or less pressing. Apis is more
+especially useful in removing pain, in changing the secretion of ichor
+to that of healthy pus, and in arresting the consumptive fever. After
+these results have been accomplished, we permit the previously given
+Iodine to achieve the cure. If Iodine had been abused under
+all[oe]opathic treatment, before the hom[oe]opathic treatment commenced,
+we give Iodine 5000, one globule, in order to subdue the Iodine
+diathesis, and thus remove the most powerful obstacle to a cure. Any one
+who knows more about this point, will please mention it.
+
+Although Apis acts well in white swelling of the knee, which is
+comparatively a rare disease, yet it is far more useful in
+
+
+DYSENTERY.
+
+It is undoubtedly true that Hahnemann has revealed to us the means of
+surpassing in this disease the all[oe]opathic wisdom of a thousand
+years, by a far more successful, safe and expeditious treatment.
+Nevertheless, much remains to be desired in this dreaded disease. Who
+does not know that medicinal aggravations are particularly to be
+dreaded in this malady? Who has not often felt embarrassed to select the
+right remedy among three or four that seemed indicated by the symptoms,
+and where it was nevertheless important, in view of the threatening
+danger, to select at once the right remedy? Who has not been struck by
+the strange irregularity that in a disease which generally sets in as an
+epidemic, different remedies are often indicated by different groups of
+symptoms? Who has not become convinced after a careful observation of
+the course of the disease, that nothing is more deceptive than the
+pretended curative virtues of corrosive sublimate in dysentery, and that
+it is a matter of duty to be mindful, in this very particular, of the
+warning words of the master who, having himself been deceived at one
+time by the delusive palliation of mercury, addresses to us the
+remarkable warning that "mercury, so far from responding to all
+non-venereal maladies, on the contrary is one of the most deceitful
+palliatives the temporary action of which is not only soon followed by a
+return of the original symptoms of disease, but even by a return of
+these symptoms in an aggravated form." (See Hahnemann's Chronic
+Diseases, Vol. II.)
+
+This delusive palliation is more particularly one of the effects of
+corrosive sublimate in Dysentery; and is exceedingly dangerous in this
+disease. Hence we warn practitioners against this danger.
+
+We feel so much the more grateful to the principle Similia Similibus,
+which, even though it did not protect its discoverer from faulty
+applications, yet finally led us to the discovery of the right remedy
+for dysentery.
+
+No.'s 590 and 599 in the American Provings, read as follows: "Violent
+tenesmus; nausea, vomiting and diarrh[oe]a, first lumpy and not fetid,
+afterwards watery and fetid, lastly papescent, mixed with blood and
+mucus, and attended with tenesmus; afterwards dysenteric stools, with
+tenesmus and sensation as if the bowels were crushed;" combining these
+symptoms with the general character of Apis, particularly the
+circumstance that not only the ordinary precursors and first symptoms of
+dysentery, but also its terminations and its sequelæ, and its most
+important complications find their approved remedy in Apis; all this
+shows us that Apis is a natural remedy for dysentery. This truth is
+abundantly confirmed by experience. All my previously obtained results
+in practice, testify to the correctness of this statement.
+
+At the very commencement of the disease, a globule of Apis 3 is
+sufficient to cut short the disease so that the patient feels easy, and
+sleeps quietly. During this slumber, fever, pain and tenesmus disappear,
+and the patient wakes with a feeling of health. If this should not take
+place in three hours, owing to the more advanced state of the disease,
+another dose of Apis is required, after which the patient soon feels
+well.
+
+If the dysenteric disease has had a chance to localize itself, and to
+assume a higher degree of intensity, it becomes necessary to excite the
+organic reaction all the more frequently. Under these circumstances we
+repeat the medicine every hour, or every two or three hours, one globule
+at a time, until all further medication has become unnecessary.
+
+It is well known that epidemic diarrh[oe]a, viz., a diarrh[oe]a
+resulting from peculiar alterations of the normal condition of the
+atmosphere, earth, water, indispensable food, or from other still
+unknown elementary influences inevitably acting upon every body,
+commences in the form of a simple, apparently unimportant diarrh[oe]a;
+that it gradually increases in intensity as the processes of nutrition
+and sanguification become more deeply disturbed, and that it finally
+terminates in life-destroying cholera. All these different stages of
+diarrh[oe]a, whether with or without vomiting, watery or papescent, of
+one color or another, with or without pain, with or without fever, have
+yielded readily, safely and thoroughly to Apis in my hands. I must
+except, however, cholera of the epidemic form, where I have not yet been
+able to try Apis for want of opportunity. As far as my personal
+observations go, I am disposed to affirm that the best mode of effecting
+a good result, is to give Apis 3 and Aconite 3, in alternation, one drop
+of each preparation well shaken in a bottle containing twelve
+tablespoonfuls of water, and giving a tablespoonful every hour or three
+hours, if the danger is great, and in milder cases a full drop
+alternately morning and evening. This treatment is continued until an
+improvement sets in, after which the organic reaction is permitted to
+develope itself, which will terminate in a few hours or days, according
+as the disease is more or less violent, and assistance was sought more
+or less early, in the perfect recovery of the patient.
+
+This end is not always attained with equal certainty and rapidity, if
+Apis is not given in alternation with Aconite. In such a case, Apis
+alone often develops a powerful reaction, which is avoided by the
+alternate use of Aconite. Wherever the case is urgent, and it is
+important to shorten the durations of the organic reaction, the two
+remedies should be given in alternation. In most cases I have seen a few
+alternate doses give rise to a pleasant perspiration, speedily followed
+by quiet sleep and recovery on waking. May we not expect the same result
+at the commencement of Asiatic cholera, and thus arrest the further
+development of the disease?
+
+Apis is no less effectual against _chronic diarrh[oe]a_, more
+particularly if resulting, not from any deep-seated disorganizations,
+but from some permanent inflammatory irritation of the intestinal mucous
+membrane, and which causes and fosters so much distress, by rendering
+all normal digestion impossible and finally bringing on its inseparable
+companion, the last degree of hypochondria. This misery is so much more
+lamentable, as it is, so to say, forced upon mankind from the cradle to
+the grave by the still prevailing and almost ineradicable delusion of
+_cathartic medication_.
+
+Scarcely has the little being seen the light of the world, when the
+process of purgation begins. Nurse, aunt, grandmamma, everybody, hasten
+to hush the cries which the rough contact of the outer world extorts
+from the little being, by forcing down its throat a little laxative
+mixture, and the family-physician, who goes by fashion, approves of all
+this. It is his habit, in after-life, to combat every little
+costiveness, every digestive derangement, every incipient disease, by
+means of his cathartic mixture, and his skill is considered
+proportionate to the quantity of stuff which the bowels expel under the
+operation of his drugs. Laxative pills, rhubarb, glauber-salts,
+bitter-waters, aloes, gin, etc., etc., are in every body's hands, and
+become an increasing necessity for millions. An ancient prejudice
+decrees that, to permit a single day to pass by without stool, would be
+to expose one's life to the greatest danger. Every year we see thousands
+rush to warm and cold springs that have the reputation of being
+possessed with dissolvent and cathartic properties. Those who cannot
+afford to go to the springs, use artificial mineral water in order to
+accomplish similar purposes. Very seldom a disease is met with, that is
+permitted to run its course without dissolvent or cathartic means. It is
+still a profitable business to sell patent purgatives, such as cider in
+which a little magnesia has been dissolved.
+
+Everybody feels how offensive these things are to nature; how they
+attack the stomach and bowels; how they derange digestion and nutrition;
+how slowly patients recover from the effects of such drugs; how chronic
+abdominal affections, after having been eased for a while by such drugs,
+soon return again with redoubled vigor; how the dose has to be increased
+in order to obtain the same result; how the intervals of relief becomes
+shorter and shorter, and how, in the end, the stomach is totally ruined,
+and the abnormal irritation and paralysis of this viscus, with the
+diarrh[oe]a and constipation, corresponding to these conditions,
+gradually lead to the complete derangement of the reproductive process.
+
+In spite of all this, long habit has secured to these pernicious customs
+a sort of prescriptive right. The distress consequent upon them,
+increases in proportion as the reactive powers of the organism decrease,
+which is more particularly the case in the present generation. The
+suppression of these abuses has never been more necessary than in our
+age. Indeed, the old proverb is again verified: "Where need is greatest,
+there help is nearest."
+
+The world is not only indebted to Hahnemann for a knowledge, but also
+for a natural corrective of this serious abuse. His provings on healthy
+persons show this beyond a doubt. Few men, if their attention has once
+been directed to this abuse, will feel disposed to deny its extent. Nor
+has a favorable change in this respect been looked for in vain, since
+hom[oe]opathy has now, for half a century at least, shown the
+uselessness of all regular methods of purgation, and the superiority of
+the means with which this new system accomplishes most effectually all
+that those pernicious methods promised to do. It should be considered a
+duty by every physician, to be acquainted with the new means of cure.
+The continued use of purgatives should be considered a crime against
+health. They will soon cease to exist as regular means of treatment, and
+their pernicious consequences will no longer have to be relieved by
+remedial means. But until their use is abolished, we shall have to
+counteract them by adequate means of cure, more particularly the
+abnormal irritation and the paralytic debility, which are the most
+common consequences of the abuse of cathartics.
+
+It is a most fortunate thing that we have in Apis one of the most
+reliable means of removing the evil effects of cathartic medicines. A
+single globule of Apis 30 is sufficient to this end. It is best to use
+it as follows: dissolve the globule in five tablespoonfuls of water by
+shaking the mixture well in a well closed vial, and let the patient take
+a tablespoonful of this solution. If this dose acts well, no repetition
+is necessary for the present. If this dose should not be sufficient, we
+prepare a new potence by throwing away three tablespoonfuls of the
+former solution and substituting four tablespoonfuls of fresh water,
+shaking the mixture well. We give a spoonful of this second solution,
+twenty-four hours after the first had been given, and, if necessary, a
+third spoonful prepared in the same way, and even a fourth and fifth,
+after which we await the result, without thinking either of improvement
+or exacerbation.
+
+Generally, a feeling of ease is experienced shortly after taking Apis.
+The painful sensitiveness of the pit of the stomach and of the abdomen,
+together with the troublesome, disagreeable and oppressive distention
+and weight, soon disappear; the tongue gradually loses its swollen and
+cracked appearance, its dirty redness, its slimy coating, its sore
+spots, tardy indentations along its edges, the burnt feeling at its tip,
+which is dotted with very fine vesicles, that cause a good deal of
+soreness; the pappy, sour, bitter, metallic, foul taste disappears; the
+appetite is again normal; both the previous aversion to food and the
+excessive craving disappear; the absence of thirst, which is so common
+in this condition, again gives place to a natural desire for drink, the
+bluish-red color and swelling of the palate and throat, and the
+incessant urging to hawk, decrease visibly: the distress after eating;
+the sour stomach with or without nausea or heartburn; the excessive
+rising of air; the regurgitation of the ingesta; the eructations which
+taste of the food that had been eaten long before; the yawning; the
+irresistible drowsiness when sitting; the general loss of strength; the
+vacuity of mind, the aversion to talking and to company, decrease more
+and more every day; the whole abdomen feels easier and softer: the
+excessive and irresistible urging to urinate, especially after rising
+from a chair or from bed, and accompanied by a distressing nervousness,
+abates; the diarrh[oe]ic and abnormally colored evacuations, together
+with the frequent and irresistible urging, increased after eating, early
+in the morning and after sour and flatulent food, and accompanied by
+various sore pains in the rectum, diminish more and more, and give place
+to normal evacuations, first for days, next for weeks, although they
+continue to alternate more or less with constipation, or painful,
+insufficient, hard stool, until they terminate sooner or later,
+according as the disease is more or less deep-seated, and had lasted
+more or less long, in permanent restoration of the normal secretions and
+excretions of the digestive organs. At the same time the many distresses
+which the abnormal condition of the bowels and stomach had occasioned in
+the head and heart, disappear; the poor patient who had been a prey to
+so many sufferings, feels like one born again.
+
+This is the general result, unless psoric, sycosic, syphilitic or
+vaccinine complications should be present. Unfortunately the abuse of
+cathartics excites these miasms if they exist in the organism, and at
+the same time prostrates the reactive powers of the organism, and
+enables its enemies to rise against it. The distress becomes more and
+more complicated; disorganizations, alterations of the fluids,
+disturbances of the assimilative sphere, nervous derangements from
+simple illusions of the sentient sphere, and occasional trembling and
+twitching, to spasmodic and convulsive movements, and final extinction
+of nervous power, marasmus of the spinal marrow or a ramollissement of
+the brain; these are the consequences of such miasmatic complications.
+
+In such a case Apis alone is not sufficient. We have to employ such
+antidotes as _Sulphur_, our most powerful anti-psoric which, unless it
+had been abused previously, never leaves us in the lurch in the presence
+of psora; _iodine_ which, under similar circumstances, becomes
+indispensable wherever psora and sycosis are combined; _bichromate of
+potash_ or _fluoric acid_, if psora, syphilis and mercurial poisoning
+are united; and lastly, _tartar emetic_, or again _fluoric acid_, if the
+vaccine poison alone, or in combination with the other poisons, occupies
+the foreground.
+
+This is not the place to treat of these special forms of human distress,
+and to individualize their treatment; I shall endeavor to do this on a
+more suitable occasion. I shall have to limit myself here to a
+superficial sketch of the treatment, adding merely that a single dose of
+the specific antidote will act best if given highly potentized, and that
+the improvement should afterwards be allowed to progress as long as a
+trace of it remains visible. But as soon as the improvement stops and an
+exacerbation sets in, which is not speedily followed by another
+improvement, or which seems to require our aid, we use Apis 3, one drop
+every day, until the improvement is again perceived, after which we wait
+until another exacerbation demands our interference. One dose of Apis is
+often insufficient; if not, from three to five doses will be found
+sufficient to mitigate the pains, and to advance the cure which Apis
+will complete in conjunction with the high potency that should not be
+repeated, and which is not interfered with by the Apis. What more
+precious boon for the physician and patient in these serious moments? It
+is only a physician who has instituted provings upon himself, that is
+capable of comprehending this harmonious blending of the two therapeutic
+agents. He sees the well known effects of a well known cause go and come
+at alternate periods. What man of common sense would be willing to
+repudiate such evidence?
+
+But even in a case where Sulphur and Iodine had been given to excess,
+and a sort of Sulphur and Iodine diathesis had been established in
+consequence, Apis is still the best remedy to meet this complicated
+derangement.
+
+Although we may believe that the time is at hand when this kind of
+ignorance shall no longer be tolerated, it unfortunately is still a
+prevailing sin of the profession. Even if we should be unable to effect
+a perfect cure, yet we may afford essential relief to such patients; we
+may often arrest their sufferings for a longer or shorter period, and
+shorten the paroxysms until they become almost imperceptible. Apis is
+particularly instrumental in effecting this end. Diseases of the
+
+
+RESPIRATORY ORGANS
+
+are likewise successfully combated by Apis. The American Provings
+contain the following symptomatic indications:
+
+1. No.'s 731, 733, 736, 742, 743, 749, 760: "Hoarseness and difficulty
+of breathing, roughness and sensitiveness in the larynx, each time after
+he smells of the poison; talking is painful, sensation as if the larynx
+were tired by talking; drawing pains in the larynx; cough when starting
+during sleep; rough cough during evening; heat; difficult breathing,
+every drop of liquid almost suffocates him; labored inspirations as
+during croup."
+
+2. 737-740: "Violent paroxysms of cough, occasioned by a titillating
+irritation in the lower part of the larynx near the throat-pit, with
+increase of headache when coughing, on the left side, superiorly; in
+half an hour, some phlegm is detached, after which the coughing ceases;
+on the first day, when waked from his sleep before midnight, he had a
+violent cough, especially after lying down and sleeping, with
+titillation at a very small spot, deep down on the posterior wall of the
+thorax, which wakes him; he feels better as soon as the least little
+portion of mucous is detached; cough particularly during warmth, during
+rest, and rousing him from his first slumber for several evenings."
+
+3. 1081, 746, 790: "Chilly every afternoon at three or four o'clock; she
+shudders, especially during warmth; chill across the back, the hands
+feel as if dead; in about an hour she felt hot and feverish, with rough
+cough, hot cheeks and hands, without thirst; this passes off gradually,
+she feels heavy and prostrate; cough and labored breathing as during
+croup, after violent feverish heat, with dry skin and full pulse;
+disturbed sleep, with muttering, timid and incoherent talk,
+whitish-yellow coating of the tongue, and painless, yellow-greenish,
+slimy diarrh[oe]a, in four days the breathing become labored, a violent
+abdominal respiration, red face, increasingly livid, pulse hard, cough,
+with barking resonance--pains in the chest, with labored breathing."
+
+4. 754, 770, 772, 803: "Hurried, labored breathing, with heat and
+headache; chest oppressed; difficult labored breathing; sense of
+suffocation even when leaning against a thing; general debility; worse
+during cold weather, accompanied by asthmatic pains; cough; sense of
+suffocation; pains in the chest; coldness and deadness of the
+extremities, which looked bluish; sense of soreness; lameness; sense of
+bruising in the chest, as after recent contusions by a blow; jamming,
+etc."
+
+These observations do not indeed show with characteristic certainty the
+diseases to which Apis might correspond. But if they are contrasted with
+the total character of Apis; if we consider that Apis develops a
+catarrhal irritation throughout the whole intestinal mucous membrane,
+affecting most deeply the nervous system and the normal constitution of
+the fluids, we have sufficient ground to experiment with Apis in those
+respiratory diseases which seem to be inherent in the prevailing genius
+of disease, and which are characterized by the very conditions which I
+have described. Who is not struck by the fact, that the same individual
+morbid process is reflected by different forms of disease, _croup_,
+_whooping-cough_, _influenza_, _acute and chronic bronchial catarrh_?
+The more essential the resemblance between these forms of disease and
+the medicinal power, the more certainly may we expect a cure. The
+medicinal power which seems to be most adequate to this end, is
+undoubtedly Apis. My observations in this respect are not sufficiently
+numerous to enable me to offer positive directions concerning the best
+mode of using the medicine in these diseases, or concerning the extent
+of the curative process or the complications that may exist. All I can
+do is to recommend Apis for further experiments in this range, and to
+remind my brethren of the insufficiency of other drugs, which has been a
+source of trouble to us in the past ten years. Every body who has
+watched the course of these diseases during this period, must have seen
+the difference existing between the present and the past character of
+the symptoms. It must, therefore, be a source of satisfaction to all of
+us, to have found in Apis an agent that is capable of filling up the
+gap.
+
+My observations regarding the curative virtues of Apis in urinary,
+uterine and ovarian difficulties, and in rheumatism and gout, are not
+very extended. In the American Provings, symptoms 634 to 669, seem to
+point to urinary difficulties, and 685 to 695, to ovarian troubles;
+symptoms 697 to 727 to uterine derangements; and 837, 842, 867, 873,
+874, 918, 919, 940, 942, 964, 969, to rheumatism and gout.
+
+What little experience I have had in the employment of Apis in these
+diseases, is, however, sufficient to induce me to recommend the use of
+it for further and more enlarged knowledge.
+
+I have had abundant opportunities of verifying the warning expressed in
+No. 721, "pregnant women should use the drug very cautiously." I am not
+acquainted with any drug which seems possessed of such reliable virtues
+regarding the prevention of miscarriage, more particularly during the
+first half of pregnancy, as Apis. I have often become an involuntary
+spectator of the power of Apis to effect miscarriage; for I had given it
+to honest women who did not know that they were pregnant, and where the
+fact of pregnancy was revealed to them by the subsequent miscarriage,
+which took place after one or two doses of Apis had been taken. Ever
+since I have made it a rule not to give Apis to females in whom the
+existence of pregnancy can be suspected in the remotest degree until the
+matter is reduced to a certainty, and the conduct of the physician can
+be determined upon in accordance with existing facts.
+
+I am unable to say how far this power inherent in Apis, of producing
+miscarriage, may be serviceable to females who are prone to miscarriage.
+
+I beg the privilege of adding a more general warning to this particular
+one. The more generally useful a thing is, the more liable is it to
+abuse. The most important and useful discoveries of hom[oe]opathy are
+abused in this manner by our age given to all sorts of excesses.
+
+Not only are the records of hom[oe]opathy ransacked by speculative
+minds, who use her advantages for personal gain without giving due
+credit to the source whence the good things are obtained. This species
+of egotism may perhaps be excused in consideration of the use which this
+kind of plagiarism affords, even if whole volumes should be filled with
+it. But if the stolen property is paraded before the world as something
+belonging to one's self by right divine; if official influence is abused
+for the purpose of dressing up that which rightfully belongs to our
+science, as some original discovery, thus caricaturing and disfiguring
+the beauty of the genuine blessing; then good is changed to evil, and
+the evil is the greater, the more comprehensive the truth that is so
+shamefully abused. It is absurd and may entail sad consequences upon the
+world, if the rational use of Apis is to be converted to the irrational
+proceedings of the so-called specific method, which is often practised
+by men who, knowing better, purposely conceal the truth from the world.
+For years past, I have been called upon again and again, by patients who
+had been in the hands of these men, and who had been drenched with
+medicine, and had had all sorts of disastrous complications engendered
+in their poor bodies, to afford them some relief from these tortures
+inflicted by physicians who do not hesitate to assail the health of
+their patients by massive doses of drugs, of which they often know
+nothing but the name.
+
+With these facts before me, nobody can find it strange that I should
+feel some misgivings in laying before the world a drug endowed with such
+extensive virtues. Apis is one of those drugs, the abuse of which may
+prove as destructive as the use of it is a source of saving good. It is
+no anti-psoric, nor is it capable of antidoting the three miasms, or of
+inflicting medicinal diseases for life. Nevertheless, it is a deeply and
+speedily-acting drug, for it affects the whole internal mucous membrane,
+the nervous system, and the process of sanguification, thus disturbing
+the health for a long time. Its primary aggravating action, its deeply
+penetrating interference with the existing morbid process, which may
+lead to errors in diagnosis, and its power to exhaust the reactive
+energies of the organism prematurely, render it a very dangerous agent.
+These circumstances go to show that such an agent, in the hands of the
+partizans of the Specific School, may be as dangerously and injuriously
+abused as other important drugs have been. I cannot sufficiently warn my
+readers against such distressing abuses. Only he is protected from the
+danger of imitating such shameful absurdities, who listens to the words
+of our master:
+
+    "Imitate this, but imitate this correctly!"
+
+
+
+
+
+
+
+End of the Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
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+
+The Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
+
+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: Apis Mellifica
+       or, The Poison of the Honey-Bee, Considered as a Therapeutic Agent
+
+Author: C. W. Wolf
+
+Release Date: July 10, 2008 [EBook #26020]
+
+Language: English
+
+Character set encoding: ISO-8859-1
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+*** START OF THIS PROJECT GUTENBERG EBOOK APIS MELLIFICA ***
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+
+<div class="bk1">
+<img src="images/001.png" width="342" height="600" alt="" title="" />
+</div>
+
+<hr />
+
+<h1>APIS MELLIFICA;<br />
+<span class="fss">OR,</span><br />
+<small>THE POISON OF THE HONEY-BEE,</small><br />
+<span class="fsl">Considered as a Therapeutic Agent.</span></h1>
+
+<h2>BY C. W. WOLF, M.D.,<br />
+<span class="fss">Ex-District Physician in Berlin.</span></h2>
+
+<p class="p1">PUBLISHED AND FOR SALE BY<br />
+<big>WILLIAM RADDE, 635 ARCH STREET.</big><br />
+<big>1858.</big></p>
+
+<hr /><p><span class='pagenum'><a name="Page_3" id="Page_3">[3]</a></span></p>
+<h2>PREFACE.</h2>
+
+<p><span class="smcap">Every</span> physician who has spent years of an
+active life in prescribing for large numbers of
+patients, is morally bound to publish his experience
+to the world, provided he is satisfied,
+in his interior conscience, that such a publication
+might be useful to the general interests
+of humanity.</p>
+
+<p>In offering the following essay to my readers,
+I simply desire to fulfil an obligation recognised
+as valid by the inner sense. This essay
+contains every thing that an experience
+of forty years in the conscientious and
+philanthropic exercise of my profession has
+sanctioned and confirmed as truth. Nor have
+I adopted a single fact, suggested by my own
+observation, as correct, without contrasting it
+with the most approved records of medicine.
+To every true friend of man, and more
+particularly to every physician who considers
+the business of healing disease as the highest<span class='pagenum'><a name="Page_4" id="Page_4">[4]</a></span>
+office of medical art, I offer this essay for
+further trial and examination. May the
+statements expressed in it either be confirmed
+or else corrected and improved by
+those who excel in more thorough knowledge
+and ability.</p>
+
+<div class="rgt"><span class="smcap">The Author.</span></div>
+
+<p><i>Berlin, Oct., 1857.</i></p>
+
+<hr /><p><span class='pagenum'><a name="Page_5" id="Page_5">[5]</a></span></p>
+<h2>APIS MELLIFICA.</h2>
+
+<div class="bk1"><p>"The bee helps to heal all thy internal and external maladies,
+and is the best little friend whom man possesses in this world."&mdash;More
+in Cotton's <i>Book of the Bee</i>, p. 138.</p></div>
+
+<p><span class="smcap">Since</span> Hahnemann's successful attempt to develop
+the medicinal nature of Aconite, no other
+discovery has been made in the domain of practical
+medicine, as comprehensive and universally useful
+as the discovery of the medicinal virtues of the
+poison of the bee. It is of the utmost importance
+to the interests of humanity to become as intimately
+acquainted with the efficacy of this poison as possible.
+It is the object of these papers to contribute
+my mite to this work.</p>
+
+<p>As soon as Dr. Hering had published the provings
+of the bee poison, in his "American Provings," I
+at once submitted them to the test of experience in
+an extensive practice. I prepared the drug which
+I used for this purpose, by pouring half an ounce
+of alcohol on five living bees, and shaking them
+during the space of eight days, three times a-day,
+with one hundred vigorous strokes of the arm.
+From this preparation, which I used as the mother-tincture,
+I obtained attenuations up to the thirties
+centesimal scale. So far, the effects which I have<span class='pagenum'><a name="Page_6" id="Page_6">[6]</a></span>
+obtained with this preparation, have been uniformly
+satisfactory. It has seemed to me that the lower
+potencies lose in power as they are kept for a
+longer period; hence, I consider it safer to prepare
+them fresh every year. As a general rule, I have
+found either the third or the thirtieth potency,
+sufficient.</p>
+
+<p>Day after day I have obtained more satisfactory
+results, and now I look upon Apis mellifica as the
+greatest polychrest, next to Aconite, which we
+possess.</p>
+
+<p>The introduction of this poison to the medical
+profession, will be looked upon as the most brilliant
+merit of one of the most deserving apostles of
+hom&#339;opathy, and will secure immortality to the
+honored name of Constantine Hering. The following
+statements will show how far this faith of a
+grateful heart is founded upon facts:</p>
+
+<p><i>Apis mellifica is the most satisfactory remedy for
+acute hydrocephalus of children.</i></p>
+
+<p>The more acute and dangerous the attack, the
+more readily will it yield to the action of Apis.
+Sudden convulsions, followed by general fever, loss
+of consciousness, delirium, sopor while the child is
+lying in bed, interrupted more or less by sudden
+cries; boring of the head into the pillow, with
+copious sweat about the head, having the odor of
+musk; inability to hold the head erect; squinting
+of one or both eyes; dilatation of the pupils; gritting
+of the teeth; protrusion of the tongue; desire
+to vomit; nausea, retching and vomiting; collapse
+of the abdominal walls; scanty urine, which is<span class='pagenum'><a name="Page_7" id="Page_7">[7]</a></span>
+sometimes milky; costiveness; trembling of the
+limbs; occasional twitching of the limbs on one
+side of the body, and apparent paralysis of those
+of the other side; painful turning inwards of the
+big toes, extorting cries from the patient; accelerated
+pulse, which soon becomes slower, irregular,
+intermittent and rather hard; these symptoms inform
+us that life is in danger, the more so the
+more numerous they are grouped together.</p>
+
+<p>In comparing with these symptoms the following
+symptoms from Hering's American Provings, Part I.,
+3d Num., p. 294: "40, 41, muttering during sleep;
+muttering and delirium during sleep; 83, 84, he
+had lost all consciousness of the things around him;
+he sank into a state of insensibility; 140, 144, sense
+of weight and fulness in the fore part of the head;
+heaviness and fulness in the vertex; dull pain in
+the occiput, aggravated by shaking the head; pressure,
+fulness and heaviness in the occiput; 170, her
+whole brain feels tired, as if gone to sleep; tingling;
+she experiences the same sensation in both
+arms, especially in the left, and from the left knee
+down to the foot; 175, 176, sensation as if the head
+were too large; swelling of the head; 391, when
+biting the teeth together, swallowing; after gaping
+or at other times, a sort of gritting the teeth; only
+a single, involuntary jerk frequently repeated; 501,
+nausea and vomiting; 506, nausea, as if one would
+vomit, with fainting; 512, vomiting of the ingesta;
+619, retention of stool; 640, retention of urine;
+665, scanty and dark-colored urine; 980, 984, 985,
+trembling, convulsions, starting during sleep as if<span class='pagenum'><a name="Page_8" id="Page_8">[8]</a></span>
+in affright; 1020, sudden weakness, compelling him
+to lie down; he lost all recollection; 1032, great
+desire for sleep, he felt extremely drowsy." If we
+compare these effects of Apis to the above-mentioned
+symptoms of hydrocephalus, we shall find
+the hom&#339;opathicity of Apis to this disease more
+than superficially indicated. If we consider, moreover,
+that the known effects of Apis show that it
+possesses the power of exciting inflammatory irritation
+and &#339;dematous swellings, we are justified, by
+our law of similarity, in expecting curative results
+from the use of Apis in all such diseases.</p>
+
+<p>The experiments which I have instituted for the
+last four years, have convinced me of the correctness
+of this observation. Whenever I had an
+opportunity of giving Apis at the commencement
+of the diseases, it would produce within twelve to
+twenty-four hours quiet sleep; general perspiration,
+affording relief; the feverish and nervous symptoms,
+together with the delirium, would disappear from
+hour to hour, and on waking, the little patient's
+consciousness was lucid, the appetite good and recovery
+fully established. This is a triumph of art
+which inspires us with admiration for our science.
+Less surprising, but equally certain, is the relief, if
+Apis is given after the disease has lasted for some
+time. In such a case, the medicine first excites a
+combat between the morbific force and the conservative
+reaction. The greater the hostile force, the
+longer the struggle between momentary improvement
+and aggravation of the symptoms; it may
+sometimes continue for one, two, or three days. It<span class='pagenum'><a name="Page_9" id="Page_9">[9]</a></span>
+is not until now, that a progressive and permanent
+improvement sets in. The desire to vomit is gone;
+the twitching, trembling, and the struggle, generally
+diminish from hour to hour; consciousness returns;
+the squinting and the dilatation of the pupils abate;
+gritting of the teeth and protrusion of the tongue
+cease; the position and movements of the head and
+limbs become more natural; the pulse becomes more
+regular; its slowness yields to a more normal frequency;
+the feverish heat terminates in sweat which
+affords great relief, and the retention of stool and
+urine is succeeded by a more copious action of both
+the bowels and bladder. The natural appetite returns;
+the reproductive process is restored; sleep is quiet and
+refreshing, and recovery is perfectly established in an
+incredibly short period. A cure of this kind generally
+requires five, seven, eleven, and fourteen days. This
+result is so favorable, that those who have not witnessed it,
+or who are too ignorant and egotistical to
+investigate the facts, may reject it as incredible.</p>
+
+<p>Such brilliant results are obtained by means of
+a single drop of Apis, third attenuation. I mix a
+drop with seven tablespoonfuls of water, and give a
+dessert-spoonful every hour, or every two or three
+hours; the more acute the attack, the more frequently
+the dose is repeated; this method generally
+suffices to effect a cure more or less rapidly. As
+long as the improvement progresses satisfactorily,
+all we have to do is to let the medicine act without
+interfering. If the improvement is arrested, or the
+patient gets worse, which sometimes happens in the
+more intense grades of this malady, the best course<span class='pagenum'><a name="Page_10" id="Page_10">[10]</a></span>
+is to give a globule of Apis 30, and to watch the
+result for some twenty-four hours. After the lapse
+of this period the improvement will either have
+resumed its course, or else it will continue unsatisfactory.
+In the latter case we should give another
+dose of the above-mentioned solution of Apis 3.
+Not unfrequently I have met with patients upon
+whom Apis acts too powerfully, causing pains in
+the bowels, interminable diarrh&#339;a, of a dysenteric
+character, extreme prostration and a sense of fainting.
+In such cases the tumultuous action of Apis
+is mitigated, and the continued use of this drug,
+rendered possible by giving Apis in alternation
+with Aconite in water, every hour or two hours.</p>
+
+<p>Except such cases, I have never been obliged to
+resort to other accessory means.</p>
+
+<p><i>Apis is no less efficacious against the higher grades
+of ophthalmia.</i></p>
+
+<p>It is particularly rheumatic, catarrhal, erysipelatous,
+and &#339;dematous ophthalmia, which is most
+rapidly, easily, and safely cured by Apis, no matter
+what part of the eye may be the seat of the disease.</p>
+
+<p>The symptoms 188-307 distinctly point to the
+curative virtues of Apis in ophthalmia: "Sensitiveness
+to light, with headache, redness of the eyes; he
+keeps his eyes closed, light is intolerable, the eyes
+are painful and feel sore and irritated if he uses
+them; weakness of sight, with feeling of fullness
+in the eyes; twitching of the left eyeball; feeling
+of heaviness in the eyelids and eyes; aching, sore-pressing,
+tensive, shooting, boring, stinging, burning
+pains in and around the eyes, and above the eyes in<span class='pagenum'><a name="Page_11" id="Page_11">[11]</a></span>
+the forehead; redness of the eyes and lids; secretion
+of mucus and agglutination of the lids; the lids are
+swollen, dark-red, everted; the conjunctiva is reddened,
+full of dark blood-vessels which gradually
+lose themselves in the cornea; the cornea is obscured,
+smoky, showing a few little ulcers here and
+there; profuse lachrymation; stinging itching in
+the left eye, in the lids and around the eye; sensation
+of a quantity of mucus in the left eye; sensation
+of a foreign little body in the eye; soreness of
+the canthi; styes; &#339;dema of the lids; erysipelatous
+inflammation of the lids."</p>
+
+<p>I have found the correctness of these observations
+uniformly confirmed by the most satisfactory
+cures of such affections. I use the medicine in the
+same manner as for acute hydrocephalus. In some
+cases I found the eye so sensitive to the action of
+Apis, that an exceedingly violent aggravation of
+the inflammatory symptoms ensued, which might
+have proved dangerous to the preservation of such
+a delicate organ as the eye. Inasmuch as it is impossible
+to determine beforehand the degree of sensitiveness,
+I obviate all danger by exhibiting Apis
+in alternation with Aconite in the manner indicated
+for hydrocephalus. By means of this alternate exhibition
+of two drugs, we not only prevent every
+aggravating primary effect, but we at the same
+time act in accordance with the important law,
+that, in order to secure the effective and undisturbed
+repetition of a drug, we have first to interrupt
+its action by some appropriate intermediate
+remedy. All repetitions should cease as soon as a<span class='pagenum'><a name="Page_12" id="Page_12">[12]</a></span>
+general improvement sets in; if the medicine is
+continued beyond the point where the organism is
+saturated with the drug, it acts as a hostile agent,
+not as a curative remedy. This important point is
+known by the fact, that the improvement which
+had already commenced, seems to remain stationary;
+the patient experiences a distressing urging to
+stool, a burning diarrh&#339;a sets in, and a disproportionate
+feeling of malaise develops itself. Under
+these circumstances, a globule of Apis 30 will quiet
+the patient, and the action of the drug will achieve
+the cure without any further difficulty, and without
+much loss of time, unless psora, sycosis, syphilis, or
+vaccine-virus prevail in the organism, or sulphur,
+iodine or mercury had been previously given in
+large doses. In the presence of such complications
+Apis will prove ineffectual until they have
+been removed by some specific antidote. After
+having made a most careful diagnosis, a single dose
+of the highest potency of the specific remedy be
+given, and be allowed to act as long as a trace of
+improvement is still perceptible. As soon as the
+improvement ceases, or an aggravation of the symptoms
+sets in, Apis is in its place and will act most
+satisfactorily. We then give Apis 3 in water,
+as mentioned above, with the most satisfactory
+success.</p>
+
+<p><i>Apis is the most appropriate remedy for inflammation
+of the tongue, mouth, and throat.</i></p>
+
+<p>The following symptoms may be looked upon as
+striking curative indications: 378-380, 383, 384,
+399, 400, 405, 406, 409, 410, 413, 419, 436, 437,<span class='pagenum'><a name="Page_13" id="Page_13">[13]</a></span>
+439, 443, 444, 449, 455, 458, 459, 463, 470, 471:
+"Burning of the lips; the upper lip is swollen to
+such a degree that the inside seems turned outside;
+swelling of the lips and tongue; swelling of the
+upper lip, it becomes hot and red, almost brown;
+dark streaks along the vermilion border, particularly
+on the upper lip, rough, cracked, peeling off;
+violent pains spreading through the gums, the
+gums bleed readily; the tongue feels as if burnt;
+tongue and palate are sore; raw feeling, burning,
+blisters along the margin of the tongue, very painful,
+stinging; at the tip of the tongue a row of
+small vesicles which cause a pain as if sore and
+raw; dry tongue; the inner cheeks look red and
+fiery, with painful sensitiveness; inflammation of
+the tongue; inflammation and swelling of the
+palate; burning, stinging sensation in the mouth
+and throat; pressure in the fauces as of a foreign
+body; ptyalism; copious accumulation of a soapy
+mucus in the mouth and throat; dryness and heat
+in the throat; inability to swallow a drop, with
+swelling of the tongue; sensation of gnawing and
+contraction in the throat, increasing after four
+hours so as to render deglutition difficult; sensation
+of fulness, constriction and suffocation in the throat;
+deglutition painful and impeded, stinging pains
+during deglutition; swelling and redness of the
+tonsils, impeding deglutition; angina faucium; chilliness
+followed by heat; violent pain in the temples;
+redness and swelling of the tonsils; uvula
+and fauces, painful and impeded deglutition, and
+stinging pains when attempting to swallow."<span class='pagenum'><a name="Page_14" id="Page_14">[14]</a></span></p>
+
+<p>The more frequently we make use of Apis in the
+treatment of these very common forms of angina,
+and of the inflammation of the salivary glands,
+which are so closely connected with the other parts
+of the throat, the more we become convinced by
+the most striking success, that this drug is by far
+the speediest, safest and easiest remedy which we
+possess for the treatment of these exceedingly common
+and yet so very distressing affections. Not
+only in common affections of this sort, but also in
+the most acute and dangerous forms of angina
+faucium, will Apis be found efficient; even where
+these affections are hereditary, or have become habitual,
+and generally terminate in suppuration,
+Apis will still afford help. In these affections
+likewise Apis acts most promptly and efficiently,
+if given in alternation with Aconite, both remedies
+in the third dilution, a few drops dissolved in
+twelve tablespoonfuls of water, in alternate hourly
+doses. After taking a few doses, the patient begins
+to feel relieved, enjoys a quiet sleep, and the resolution
+of the inflammation takes place, accompanied
+by the breaking out of a general perspiration.
+If there should be a natural tendency to
+suppuration, this treatment will hasten it from hour
+to hour, and after the pus is discharged, a cure
+will soon be accomplished. In the most inveterate
+cases, which had been previously treated in a different
+manner, the same curative process takes
+place gradually; first one outbreak of the disease
+is hushed; next, if another portion of the throat
+becomes inflamed, this inflammation is controlled,<span class='pagenum'><a name="Page_15" id="Page_15">[15]</a></span>
+and this proceeding is continued with an increasingly
+rapid success and a continued abatement of
+all sufferings, until, finally, a perfect recovery is
+obtained, even under these disadvantageous circumstances.</p>
+
+<p>Apis is not sufficient to prevent the recurrence of
+such inflammatory attacks; this object has to be
+accomplished by means of the appropriate antidotal
+specific.</p>
+
+<p><i>Apis becomes an exceedingly useful remedy in consequence
+of the specific power which it possesses over
+the whole internal mucous membrane and its appendages.</i></p>
+
+<p>It is particularly the mucous membrane of the
+alimentary canal upon which Apis has a striking
+influence. It excites an inflammatory irritation,
+which not only disturbs the secretion of mucus,
+but also disintegrates the intestinal juices so essential
+to the process of sanguification, thus disqualifying
+the blood from properly contributing to the
+reproduction of the nervous tissue. By thus altering
+the blood and nerves, these two principal
+vehicles of vitality, it develops a group of symptoms
+which is exceedingly similar to our abdominal
+typhus that seems to have become stationary
+among us for the last twenty years. This similarity,
+in its totality, results from the following
+symptoms contained in the "American Provings."</p>
+
+<p>"398: troublesome pains in the gums. 400: the
+gums bleed readily. 402: bitterish taste in the
+back part of the tongue and in the throat. 405:
+tongue as if burnt. 406: tongue and palate feel<span class='pagenum'><a name="Page_16" id="Page_16">[16]</a></span>
+sore. 411: a number of vesicles and small, sore,
+somewhat red spots at the tip of the tongue and
+along the left margin of the tongue. 413: dry
+tongue, the inner cheeks look red, fiery, are painfully
+sensitive. 416: burning from the tongue down
+the &#339;sophagus, as far as the stomach, eructations
+every four or five minutes, with flow of tasteless
+water in the mouth; eructations became worse after
+drinking water, she almost felt as if choked. 420:
+swelling of the tongue, the tongue is dry, shining,
+yellowish. 421: tenacious saliva adhering to the
+tongue. 424: tongue dry and white. 427: feeling
+of dryness in the mouth and throat. 441: fetid
+breath, with gastritis. 445: quantity of thick, tenacious
+mucus deep in the throat, obliging him to
+hawk. 447: tenacious, frothy saliva. 450: dryness
+in the throat, without thirst. 452: loathing,
+as if out of the throat. 459: sense of fulness, constriction
+and choking in the throat. 474: loss of
+taste. 475: complete loss of appetite. 488: no
+thirst, with heat. 492: very thirsty when waking
+at night, after diarrh&#339;a. 495: eructations tasting
+of white of eggs. 501: nausea and vomiting. 504:
+fainting sort of nausea from the short ribs across
+the whole abdomen. 512: vomiting of the ingesta.
+513: vomiting of bile. 516: vomiting and diarrh&#339;a.
+517: nausea, vomiting of the ingesta, and
+diarrh&#339;a; repeated vomiting, first of bile, afterwards
+a thin, watery fluid, having a very bitter taste, with
+violent pains across the abdomen. 518 to 525:
+oppression, pressing, creeping, drawing and gnawing,
+pricking, soreness, heat and burning in the stomach.<span class='pagenum'><a name="Page_17" id="Page_17">[17]</a></span>
+528: painful sensitiveness in the pit of the
+stomach, with burning, like heartburn, with bilious
+diarrh&#339;a, rather greenish, and almost painless. 530:
+violent pain and sensitiveness in the region of the
+stomach and epigastrium, with vomiting, coated
+tongue, fetid breath, costiveness, and sleep disturbed
+by muttering and dreams, with frequent, wiry pulse.
+533: sense of numbness under the right ribs. 532:
+sense of compression, squeezing, bruising, under the
+ribs, worse on the left side. 535: violent burning
+pains under the short ribs on both sides, worst and
+most permanent on the left side, <i>where the pain is
+felt for weeks, preventing sleep</i>. 543: rumbling in the
+abdomen, with violent urging to stool. 545: nausea
+in the abdomen, has to lie down. 546: weight in
+the abdomen. 547: dull pain in the bowels. 552:
+occasional attacks of colic, with a feverish, tremulous
+sensation. 553: violent, cutting pains in the
+abdomen. 555: slowly pulsating, boring pain above
+the left crest of the ilium, relieved by eructations.
+556: pain in the abdomen, from the hips to the
+umbilical region. 560: soreness and pressure in the
+lower abdomen. 563: <i>feeling of soreness, burning
+and numbness below and on the side of the right hip,
+deep-seated</i>. 566: the inner abdomen feels sore and
+as if excoriated, painful when pressed upon. 567:
+feeling as if the bowels had been squeezed, with
+tenesmus during stool. 576: fulness and sense of
+distension in the abdomen, as if bloated. 589:
+frequent urging to stool, with pain in the anus on
+account of the frequent pressing. 590: violent
+tenesmus. 593: several thin, yellow evacuations,<span class='pagenum'><a name="Page_18" id="Page_18">[18]</a></span>
+accompanied by excessive prostration; the stools set
+in at every motion of the body, as if the anus were
+wide open. 598: copious discharges of dark brown,
+green and whitish excrements. 599: dysenteric
+stools. 608: blood and mucus with stool. 611
+and 612: painful and also painless diarrh&#339;a, especially
+in the morning. 617: retention of stool for
+one week. 646: disagreeable sensation in the bladder,
+with pressing downwards in the region of the
+sphincter, and frequent urging, so that he voids
+urine frequently in the day-time, and ten or twelve
+times at night; burning and cutting during urination.
+668: the urine is dark colored. 730: hoarseness
+and distress of breathing. 733: roughness and
+sensitiveness in the larynx. 738: violent cough,
+especially after lying down and sleeping. 754: hurried
+and difficult breathing, with heat and headache.
+803: sense of soreness, lameness, bruised and contusive
+feeling in the chest. 812: trembling and
+pressure in the chest, with embarrassed breathing.
+818: pulse scarcely perceptible. 822: pulse accelerated.
+833: swelling of the cervical glands on the
+injured side. 968: extreme sensitiveness of the
+whole body to contact, every hair is painful when
+touched. 971: excessive nervousness. 979: general
+lassitude, with trembling. 994: in the afternoon
+he becomes extremely restless and exhausted. 1011:
+paroxysms of great weakness. 1021: sudden weakness,
+he had to lie down, and lost his senses. 1025:
+complete loss of recollection, with vomiting, desire
+for sleep and rest, slow beating of the heart and
+scarcely perceptible pulse. 1032: excessive drowsiness.<span class='pagenum'><a name="Page_19" id="Page_19">[19]</a></span>
+1039: starting during sleep, as if in affright,
+with some cough. 1046: sleeplessness. 1047:
+restless sleep, frequent waking and constant <i>dreaming</i>.
+1064: chattering during sleep (in the case of
+a child). 1081: chilly every afternoon at three or
+four o'clock, she feels a shivering, worse during
+warmth; chilly creepings across the back, the hands
+feel numb; an hour after, feverish heat, with rough
+cough, hot cheeks and hands, no thirst; these symptoms
+pass off gradually, but she feels heavy and
+prostrated. 1089: chill after a heat of thirty-six
+hours. 1090: sudden chilliness, afterwards heat
+and sweat. 1124: alternate sweat and dry skin.
+1198: thick urticaria, itching a great deal (very
+soon). 1224: swelling and erysipelatous redness.
+54: unable to concentrate his thoughts. 57: dulness
+of the head, it feels compressed. 62: vertigo
+and weakness. 79: dizziness."</p>
+
+<p>Whosoever compares the totality of these effects
+of Apis to the symptoms of the prevailing abdominal
+typhus, will admit that Apis is hom&#339;opathic to
+this disease. He will even admit that this hom&#339;opathicity
+of Apis to abdominal typhus extends to
+the minute particulars of the disease <i>in their totality</i>.
+Even the course which Apis pursues, in developing
+its effects in the organism, is similar to the progressive
+development of typhus. Any one who has
+witnessed, as I have, the course which this disease
+pursues, will admit that mucous membrane of
+the alimentary canal is first affected by the disease,
+in the same manner as Apis affects it; that this irritation
+of the mucous membrane is followed by<span class='pagenum'><a name="Page_20" id="Page_20">[20]</a></span>
+gastric catarrhal symptoms, which are speedily
+succeeded by symptoms of disintegration of the
+animal fluids and typhoid phenomena; that the gastric
+irritation is generally characterized by boils,
+urticaria, erysipelas of the skin, and the nervous
+irritation by symptoms of abdominal typhus; that
+the internal and external development of the disease
+is determined by a striking sympathetic derangement
+of the organic functions of the liver, and still
+more of the spleen, and likewise by a more striking
+prominence of the intermittent type of the fever;
+and that all these varied disturbances finally culminate
+in abdominal typhus.</p>
+
+<p>Owing to this remarkable similarity, Apis will
+effect striking cures of all these different derangements.</p>
+
+<p>If, after more or less distinctly felt premonitory
+symptoms&mdash;after a sudden cold, excessive exertions,
+prostrating emotions or enjoyments&mdash;a more or less
+violent fever is developed, accompanied by dulness
+and painfulness of the head, retching and vomiting,
+distention and sensitiveness of the pit of the stomach,
+and soon after of the whole abdomen, with
+urging diarrh&#339;a, pappy and foul taste in the mouth,
+loss of appetite and thirst, feeling of dryness in the
+mouth and throat, tongue sore, as if burnt and
+swollen, with antagonistic change of symptoms, suspicious
+and extraordinary prostration, and feeling
+of fainting; a few spoonfuls of the above-mentioned
+solution of Apis 3, will afford such speedy relief,
+that it may seem incredible to those who have not
+witnessed it. The nausea, the vomiting, the diarrh&#339;a,<span class='pagenum'><a name="Page_21" id="Page_21">[21]</a></span>
+and the painfulness of the abdomen, disappear;
+quiet sleep sets in, with general perspiration,
+which terminates the fever, and affords great relief;
+after waking, the patient is comforted by the internal
+sensation of returning health; a natural appetite
+is again felt, the strength returns, and in a few
+days the healthy look of the tongue and buccal
+cavity shows that the mucous membrane of the stomach
+and bowels has recovered its normal quality.
+The longer help is deferred, the longer time the
+morbid process has had in making its inroads upon
+the system, the more frequently will it be necessary
+to repeat the medicine, until a cure is achieved.</p>
+
+<p>The same good result is perceived, if the morbid
+process is accompanied by furuncles, urticaria,
+erysipelas&mdash;the latter principally on the head and in
+the face, less frequently upon the extremities, and
+inclining to shift from one place to another. Such
+a combination of symptoms not only shows a higher
+degree of intensity of the disease, but also shows
+that the organism is still capable of battling against
+the internal disease, by compelling it to leave the
+interior tissue, and to develop itself externally. It
+is the first business of the physician to support the
+organism in this tendency, and to guard the brain
+and bowels from every destructive relapse. Apis,
+employed as above, accomplishes this result more
+speedily than any other drug. Of course, a few
+days are required for this purpose, although the
+rules of using the drug and the course of treatment
+are the same.</p>
+
+<p>The same observation applies to the not unfrequent<span class='pagenum'><a name="Page_22" id="Page_22">[22]</a></span>
+complication with organic disease of the
+spleen and consequent dropsy. Apis, used in the
+same manner, effects, in as short a period as the
+intensity of the symptoms will permit, a mitigation
+and gradual disappearance of the painfulness of the
+spleen, restores the normal action of the spleen more
+and more, and neutralises the tendency to dropsical
+effusion at the same time as it expels the accumulated
+fluid by increasing the secretions from the
+bladder and bowels, and the cutaneous exhalation.</p>
+
+<p>If the liver is organically diseased, Apis is no
+longer sufficient. In such a case, the action of the
+liver has first to be restored to its normal standard.
+In dropsical diseases, I have effected this result most
+frequently, for years past, by means of Carduus
+mari&aelig;, less frequently by Quassia, still less frequently
+by Nux vomica, and only in a few cases by
+Chelidonium: according as one or the other of
+these agents seemed indicated by the epidemic character
+of the disease. In all non-malignant cases,
+if the medicine was permitted to act in time, the
+whole disease was often cut short by the use of these
+drugs, and the development of typhoid symptoms
+prevented. Not, however, in all more inveterate
+cases, where the prevailing character of the disease,
+by its more penetrating action upon the tissues, induced
+a slower and more threatening course of
+development. As soon as the pains in the right
+hypochondrium had disappeared, the bilious quality
+of the f&aelig;ces had been restored, and the urine had
+become lighter colored, but the fever still continued,
+tongue, throat, pit of the stomach and abdomen had<span class='pagenum'><a name="Page_23" id="Page_23">[23]</a></span>
+become more sensitive; the head duller and tighter,
+and the prostration more overpowering. In such a
+case, Apis, prepared as above, became indispensable,
+in order to remove all danger to life. Its curative
+action soon became manifest in two different ways.</p>
+
+<p>If the reactive force of the organism was still
+sufficient, the medicine succeeded very speedily in
+preventing the supervention of the typhoid stage,
+in changing the fever-type from a remittent or even
+continuous to an intermittent type, during which
+the convalescence of the patient, aided by a suitable
+diet, was more and more firmly established and
+generally completely secured after the lapse of a
+week.</p>
+
+<p>If the typhoid stage could not be prevented and
+set in with the following symptoms: the patient
+lies on his bed in a state of apathy, with loss of recollection,
+sopor, muttering delirium, hardness of
+hearing, inability to protrude the tongue or to
+articulate; dry, cracked, sore, blistered, ulcerated
+tongue; difficult deglutition; painful distention of
+the abdomen, which is sensitive to contact or pressure;
+retention of stool, or else frequent, painful,
+foul, bloody, involuntary diarrh&#339;a; fermentous
+urine, which is sometimes discharged involuntarily;
+the skin is at times and partially dry,
+burning, at times and partially clammy, cool;
+trembling and twitching of the limbs; white miliaria
+on the chest and abdomen; extreme debility,
+with settling towards the foot-end of the bed;
+changing pulse, which is at times slow, at others
+accelerated, feeble, intermittent: in such a case<span class='pagenum'><a name="Page_24" id="Page_24">[24]</a></span>
+Apis requires more time to heal the mucous membrane
+of the alimentary canal; to restore the normal
+action of the bowels; to regulate the digestive
+functions; to procure quiet and refreshing sleep,
+and to gradually effect a complete restoration of
+health. If the mucous membrane of the respiratory
+organs was invaded by the morbid process,
+the cure was nevertheless completed as soon as the
+mucous lining of the intestinal canal was restored
+to its natural condition.</p>
+
+<p>So far, the only obstacle to a cure which I have
+witnessed, has been tuberculosis of the chest or
+abdominal viscera, or of both at the same time, and
+still more the vaccine-virus; likewise a tendency
+to paralysis in persons who were otherwise morbidly
+affected. Tuberculosis has often been combated
+by a single dose of a high potence of Sulphur
+between the doses of Apis, no Apis being
+given after the Sulphur, as long as the course of
+the typhoid symptoms would render it safe to postpone
+this medicine. I have found it much more
+difficult to conquer the vaccine-poison, <i>which I
+have become satisfied by years of observation, constitutes
+the most universal and most powerful generator of
+the typhus which is prevailing in our age and which
+seems unwilling to leave us</i>. Tartar emetic proves
+in this, as in other cases, its antidotal power against
+the vaccine-virus; but under no circumstances is
+more caution required in the use of tartar emetic
+than in typhus, where the vaccine-virus seeks to
+develop its characteristic pustules with a tendency
+inherent in each pustule to terminate in the destruction<span class='pagenum'><a name="Page_25" id="Page_25">[25]</a></span>
+of the mucous membrane. It may seem
+hazardous to add to this combination of destructive
+forces another similarly-acting element; but a careful
+consideration of the circumstances of the case
+will justify such a proceeding, although death may
+be the inevitable result of the morbid process.
+Experience has satisfied me that the alternate use
+of tartar emetic and Apis, a drop of the third
+potency of each, every three, six or twelve hours,
+according as the symptoms are more or less violent,
+or, in very sensitive organisms, in tablespoonful
+doses of a watery solution of a drop, will accomplish
+all that can be expected; for these two
+drugs, thus administered, seem to compensate or
+complete each other. I am unable to say how far
+this proceeding requires to be modified in particular
+cases; all I desire to do, is to submit this important
+subject to my colleagues for further inquiry and
+trial.</p>
+
+<p>If a tendency to paralysis prevails, the danger is
+less threatening, although equally momentous. In
+such cases I use Apis and Moschus in alternation,
+although I am unable to assert, on account of deficient
+experience, that this treatment will always
+prove satisfactory. Such cases hardly ever arise
+under hom&#339;opathic treatment; and if they come
+to us out of the hands of all&#339;opathic practitioners,
+they generally prove incurable.</p>
+
+<p>If these three obstacles to a cure appear combined,
+I have never found it possible to effect any
+thing. All that I have found it possible to do, has
+been to prevent such a dreadful combination by<span class='pagenum'><a name="Page_26" id="Page_26">[26]</a></span>
+carefully attending to my patients in previous
+diseases.</p>
+
+<p>Sometimes in typhus, the affection of the spleen
+shows itself again, even after recovery has fairly set
+in; the intermittent type again breaks forth, and
+recovery finally takes place, as the intermissions
+become more and more distinct and lengthened.
+As long as the intermittent type continues, Apis
+has to be given; the action of the spleen becomes
+more and more normal, the fever paroxysms become
+shorter and less marked, and the restoration of
+health is effected without any more treatment than
+a single dose of Apis 30, one globule, which is permitted
+to act until the patient is well.</p>
+
+<p>Observations of this kind, which I have made
+under the most diversified circumstances, have
+taught me that Apis is <i>the most sovereign remedy
+for all those morbid processes which we designate as</i>
+<span class="smcapl">INTERMITTENT FEVER</span>.</p>
+
+<p>The following symptoms indicate the hom&#339;opathicity
+of Apis to intermittent fever:</p>
+
+<p>"1081: every afternoon about three or four
+o'clock she feels chilly, shivering, worse in warmth;
+a chilly creeping along the back, the hands seem
+dead; in about an hour she feels feverish and hot,
+with rough cough, hot hands and cheeks, without
+thirst; these symptoms pass off gradually, after
+which she feels heavy and prostrate. 1088: chilliness
+all over, recurring periodically, with an
+undulating sensation. 1089: chill after a heat of thirty-six
+hours. 1090: sudden chilliness, followed by
+heat and sweat. 499: loathing, with chilliness and<span class='pagenum'><a name="Page_27" id="Page_27">[27]</a></span>
+coldness of the limbs. 534: pains on the left side,
+below the last ribs. 535: violent burning pain below
+the short ribs, on both sides, worst and most
+permanent on the left side, where it continues for
+weeks, preventing sleep. 577: enlargement of the
+abdomen, with swelling of the feet, scanty urine."</p>
+
+<p>The provings of Apis show that this drug affects
+every portion of the nervous system&mdash;the cerebral,
+spinal and ganglionic nerves&mdash;and the process of
+sanguification, in the same general and characteristic
+manner as is the case in fever and ague.</p>
+
+<p>In comparing the symptoms of Apis with those
+of any other known drug, there is no medicine that
+bears as close an affinity to fever and ague as Apis.
+Howsoever useful other remedies may have proved,
+in the treatment of fever and ague, they are only
+hom&#339;opathic to isolated conditions, in comparison
+with Apis. In practice, it was often found very
+difficult, even for the most experienced physician,
+to decide in which of these exceptional cases the
+specifically hom&#339;opathic agent should have been
+employed. Sometimes no properly hom&#339;opathic
+remedy could be found, in which case the treatment
+had to be conducted in a round-about way.</p>
+
+<p>All these difficulties have been effectually removed
+by Apis, and the treatment of intermittent
+fever may henceforth be said to constitute one of
+the most certain and positive achievements of the
+hom&#339;opathic domain. For the last three years,
+during which period I have experimented with
+Apis, I have not come across a single case of intermittent
+fever that did not yield satisfactorily to<span class='pagenum'><a name="Page_28" id="Page_28">[28]</a></span>
+Apis. I have treated a pretty fair share of obstinate
+and complicated cases of this disease, and have,
+therefore, had an opportunity of testing the curative
+virtues of Apis in a satisfactory manner. Here are
+the results of my observations:</p>
+
+<p>Apis is the natural remedy for the pathological
+process which is characterized by periodical paroxysms
+of chill, heat and sweat; the other morbid
+symptoms being common to this process, as they
+are to all other diseases.</p>
+
+<p>All the symptoms which have hitherto been observed
+in intermittent fever, will be found, with
+striking similarity, among the provings of Apis.
+For a confirmation of this statement, we refer to
+Hering's American Provings, and to B&#339;nninghausen's
+Essay on Intermittent Fevers.</p>
+
+<p>In making use of Apis in every form of intermittent
+fever, we not only act in strict accordance
+with the hom&#339;opathic law generally, but we fulfil
+all the requirements of the individualizing method.
+Apis is the universal remedy in intermittent fevers,
+for which every hom&#339;opathic physician has been
+longing, and which pure experiments, conducted
+according to the rules of hom&#339;opathy, have revealed
+to us;&mdash;another shining light on the sublime path
+of the healing artist!</p>
+
+<p>The beneficent action of Apis, in intermittent
+fever, is still increased by the fact that it prevents
+the supervention of typhus, disorganizations of the
+spleen, dropsy, china-cachexia. In using Apis
+from the commencement, all such consequences are
+avoided, and if they should have been induced by<span class='pagenum'><a name="Page_29" id="Page_29">[29]</a></span>
+different treatment, Apis removes them as speedily
+as possible.</p>
+
+<p>In all lighter cases, it is sufficient to give a drop
+of Apis 3, morning and evening, during the apyrexia,
+and to continue this treatment until the
+attacks cease; very often no other paroxysm sets in
+after the first dose; there are scarcely ever more
+than two or three paroxysms. In a few days the
+cure is accomplished, provided the action of the
+medicine is not disturbed.</p>
+
+<p>In more obstinate cases, which had been coming
+on for a longer period, or had been caused by more
+noxious influences, had lasted longer, had invaded
+the organism with more intensity, or where the
+paroxysms last longer and the intermissions are
+shorter, or where two paroxysms occur in succession,
+or the life of the organism is endangered by
+some cause or other,&mdash;the organism has to be saturated
+with the medicine in the shortest possible
+period, in order to ensure victory to the curative
+agent. Under these circumstances, we prepare a
+solution of from two to four drops of the third
+potency in twelve tablespoonfuls of water, shake it
+well in a closed bottle, and give a tablespoonful of
+this solution every hour. If the case should be
+urgent, we may give a drop of Apis 3, on sugar,
+every three or six hours. This treatment is to be
+continued until the patient is decidedly better; after
+which the medicine should be discontinued. If the
+improvement is not quite satisfactory, the last dose
+is continued several times every twelve or twenty-four
+hours, after which the proper effect will have<span class='pagenum'><a name="Page_30" id="Page_30">[30]</a></span>
+been obtained. If the progressive improvement of
+the patient should be attended with distinct morbid
+symptoms, it would be injurious to continue the
+repetition of the drug. Nevertheless, a globule of
+Apis 30 may sometimes hasten the convalescence
+of the patient, and otherwise afford relief. Signs of
+reaction, even if more or less violent, should not
+deceive one. If left to themselves, they are often
+and speedily followed by a refreshing calm, and
+cannot be interfered with, as an aggravation of the
+symptoms, without damaging the case.</p>
+
+<p>These are all the rules which I have so far been
+able to infer from my use of Apis. Further experience
+will have to decide whether they apply to all
+periods, or only to the prevailing type of fever.</p>
+
+<p>I am unable to say whether Apis will prove
+effectual against epidemic marsh-intermittents, and
+if so, how the use of it will have to be modified.
+May it please those, who can shed light on this subject,
+to communicate their experience!</p>
+
+<p>Two other exceptions to Apis, as a universal
+febrifuge, have occurred to me in my practice:
+<i>The development of fever and ague in poisoned soil,
+and fever and ague complicated with China-cachexia.</i></p>
+
+<p>It is peculiar to intermittent fever to excite the
+morbid germs which are slumbering in the organism.
+This is more particularly true in reference to
+psora. In proportion to universality of the
+psoric miasm, fever and ague will develop and
+complicate itself with psoric affections; and it is
+such complications that give rise to the inveterate<span class='pagenum'><a name="Page_31" id="Page_31">[31]</a></span>
+character of intermittents and their disorganizing
+tendency.</p>
+
+<p>In such cases, a cure cannot be effected without
+some suitable anti-psoric. During the prevailing
+fever, Natrum muriaticum has proved such an anti-psoric,
+provided it was used as follows: If the signs
+of psoric complication became visible at the outset,
+I gave a pellet of Natrum mur. 30, and awaited
+the result until after the third paroxysm. If symptoms
+of improvement had become manifest, no other
+remedy was given, and the improvement was permitted
+to progress from day to day. If the signs
+of psoric complication were obscure at the beginning
+of the attack, Apis was at once given. If no
+improvement became visible after the third paroxysm,
+or if other symptoms developed themselves,
+this was looked upon as a proof of the existence of
+psora, and Natrum mur. 30 was given, and no other
+remedy, until after the third paroxysm. Either the
+disease had ceased, or it required further treatment.
+In the latter case, Apis 3 was continued in drop-doses,
+morning and evening, until the patient was
+decidedly convalescent. No further medicine was
+given after this, and the Natrum mur. was permitted
+to act undisturbed, without a single repetition.
+Every such repetition is hurtful; it disturbs
+the curative process, excites an excess of reaction in
+the organism, exhausts it, and develops artificial
+derangements, which often mislead the judgment,
+and induce an uncalled-for and improper application
+of remedial means. Such repetitions are
+unnecessary; any one who is acquainted with the<span class='pagenum'><a name="Page_32" id="Page_32">[32]</a></span>
+action of Natrum mur., will at once perceive that
+the psora-destroying effect of this agent had not
+been neutralized by Apis. Recovery becomes more
+and more completely established, and sometimes
+terminates in the breaking out of a wide-spread,
+bright-looking eruption, resembling recent dry itch,
+and attended with the peculiar itching which always
+exists in this disease. The complete peeling off of
+the epidermis shows the true cause of the disease.
+In a few cases, an itch-eruption of this kind proved
+contagious, and communicated itself to other persons
+in the family.</p>
+
+<p>A similar course of treatment was pursued, if
+some other anti-psoric had to be resorted to, according
+as one or the other of the three miasms seemed
+to require.</p>
+
+<p><i>The thoroughness of this treatment of intermittent
+fevers is proved by the fact, that no relapses ever took
+place, or that no secondary diseases were ever developed.</i></p>
+
+<p>If these sequel&aelig; were the consequences of an
+abuse of Cinchona, and this China-cachexia was the
+source of subsequent paroxysms of fever, I have,
+even in such cases, when nothing else would help,
+seen Apis cure both the fever and the China-cachexia,
+in most cases which came under my treatment.
+In the most inveterate cases, which had perhaps
+been mismanaged in various ways, and where
+the reactive power of the organism seemed entirely
+prostrated, I found it necessary to resort to the employment
+of a most penetrating agent, more particularly
+the 5000th potency of Natrum muriaticum,
+which I have so far found the only sufficiently<span class='pagenum'><a name="Page_33" id="Page_33">[33]</a></span>
+powerful curative influence under the circumstances.
+The rules of administering this potency are the
+same as those for the exhibition of the 30th.</p>
+
+<p>Not only does Apis afford help in the affections
+which habitually and most generally occur among
+us; it is likewise in curative rapport with the</p>
+
+<p><span class="smcap">Typhoid-gastric conditions which develope
+themselves during the course of an erysipelatous
+or exanthematous cutaneous affection,
+more particularly scarlatina, rubeola,
+measles and urticaria.</span></p>
+
+<p>The use of Apis in erysipelas is indicated by:
+"Nos. 168, 169: great anxiety in the head, with
+swelling of the face; inflammatory swelling and
+twitching so violent, that an apoplectic attack is
+dreaded. 175 to 178: sensation as if the head were
+too large; swelling of the head; sensitiveness to
+contact on the vertex, forehead; burning, stinging
+about the head. 292: erysipelatous inflammation
+of the eyelids. 295: after the most violent pains
+of the right eye, a bluish, red, whitish swelling of
+both eyes, which were closed in consequence. 297:
+swelling under the eyes during erysipelas, as when
+stung by a bee. 316: red swelling of both ears,
+with a stinging and burning pain in the swelling,
+with redness of the face every evening. 356: erysipelas
+spreading across the face, and proceeding
+from the eyes. 359: tension in the face, awakening
+her about one o'clock, the nose was swollen, so were
+the right eye and cheek, stinging pain when touching
+the part; under the right eye, and proceeding
+from the nose, red streaks spread across the cheek,<span class='pagenum'><a name="Page_34" id="Page_34">[34]</a></span>
+until four o'clock; next day, after midnight, sudden
+swelling of the upper lip, with heat and burning redness,
+continuing until morning; on the third night,
+sudden crawling over the right cheek, with stinging
+near the nose, after which the cheek and upper lip
+swelled. 363: face red and hot, with burning and
+stinging pain, it swells so that he is no longer
+recognized. 388: pimple in the vermilion border
+of the lower lip, which he scratches, after which an
+erysipelatous swelling arises, spreading rapidly over
+the chin and the lower jaw, and invading the anterior
+neck and the glands, so that he is unable to
+move the jaws, as during trismus, or as if the ligaments
+of the jaws were inflamed; with constant
+disposition to sleep, the sleep being interrupted by
+frightful dreams. 706 to 707: swelling of the right
+half of the labia, with inflammation and violent
+pain, rapid, hard pulse, diarrh&#339;a consisting of yellow,
+greenish mucus, in the case of a girl of three
+years old; deeply-penetrating distress, commencing
+in the clitoris and spreading to the vagina; the
+labia minora are swollen, they feel dry and hard,
+they are covered with a crust; at the commencement
+urination is painful. 948: burning of the
+toes, and erysipelatous redness with heat at a circumscribed
+spot on the foot, the remainder of the
+foot being cold. 1167, 1168: acute pain and erysipelatous
+swelling, hard and white in the centre;
+bright red, elevated, hard swelling of the place
+where he was stung, and round about a chilly feeling.
+1170-1173: red place where he was stung,
+with swelling and red streaks along the fingers and<span class='pagenum'><a name="Page_35" id="Page_35">[35]</a></span>
+arm; red streaks along the lymphatic vessels, proceeding
+from the sting along the middle finger and
+arm; inflammatory swelling, spreading all around.
+1181: throbbing in the swelling. 1182: wide-spread
+cellular inflammation, terminating in resolution.
+1224, 1225: swelling and erysipelatous redness;
+erysipelatous redness of the toes and feet."</p>
+
+<p>If we add to these remarks, that Apis corresponds
+to gastric and typhoid conditions, as was shown before,
+with remarkable similarity of symptoms, we
+find, without doubt, that all known erysipelatous
+forms of inflammation are covered by the pathogenetic
+effects of Apis. Hence we may with propriety
+give Apis in these affections. Practical
+experience has abundantly confirmed these conclusions.
+For the last four years, I have cured readily,
+safely and easily all forms of erysipelas which have
+come under my notice&mdash;&#339;dematous, smooth, vesicular,
+light or dark colored, seated or wandering,
+phlegmonous, recent or habitually recurring, of a
+light or inveterate character, repelled, among individuals
+of every disposition and age. I have never
+seen all kinds of pain yield more readily; I have
+never seen the accompanying fever abate more
+speedily; I have never arrested the further spread
+of erysipelas, nor effected a resolution of the inflammation
+of the cellular tissue, more certainly; nor,
+if the termination in suppuration was no longer
+avoidable, have I ever succeeded in effecting the
+formation of laudable pus, the spontaneous discharge
+of the pus, the radical healing of the sore
+without any scar&mdash;<i>how important is all this in erysipelatous<span class='pagenum'><a name="Page_36" id="Page_36">[36]</a></span>
+inflammation of the mamm&aelig;</i>&mdash;with more
+certainty and thoroughness, than by means of Apis!
+No remedy possesses equal powers in protecting
+internal organs from the dangerous inroad of this
+disease.</p>
+
+<p>I effected all this without any other medicinal aid,
+or without resorting to an operation. Keeping
+quiet and dry, and in a uniform temperature, is all
+that is required, in order to secure the full curative
+action of Apis. In this disease it is used in the same
+manner as we have indicated before. If the liver
+should be very much involved in this disease, we
+effect a cure still more rapidly, by alternating Aconite
+with Apis, in case inflammation is present;
+Carduus mari&aelig;, in case of simple inflammatory irritation,
+and Hepatin, if disorganizations have already
+set in. In phlegmonous and suppurative habitual
+erysipelas, a cure is generally facilitated, if a dose
+of Sulphur 30 is interpolated, in the manner which
+we have explained before, in order to neutralize the
+psoric taint which is here generally present.</p>
+
+<p>According to this experience, in conjunction with
+the symptoms 706, 707, I believe that Apis will
+prove a successful prophylactic and curative agent
+in a disease of children, which terminates fatally in
+almost every case. I mean erysipelas of new-born
+infants, which commences at the genital organs,
+thence spreads over the skin, and terminates in the
+induration and destruction of this organ. Until
+now, I have not had an opportunity of verifying
+the truth of this theoretical conclusion by actual<span class='pagenum'><a name="Page_37" id="Page_37">[37]</a></span>
+experiments. Hence I content myself with offering
+this suggestion for further practical trials.</p>
+
+<p>The American Provings likewise show that Apis
+may be of great use in scarlatina.</p>
+
+<p>"No. 349: redness of the face, as in scarlatina.
+408 to 413: tongue very painful, the burning and
+raw feeling increases; vesicles spring up along the
+margin of the tongue, the pains are accompanied by
+stitches; at the tip of the tongue, toward the left
+side, a row of small vesicles spring up, some six or
+eight, which are very painful and sore; dryness of
+the tongue, red and fiery appearance of the inside
+of the cheeks, with painful sensitiveness. 311:
+pains in the interior of the right ear. 413 to 417:
+burning at the upper portion of the left ear; stitches
+under the left ear, tension under and behind the ears;
+red swelling of both ears, with a stinging and burning
+pain in the swelling. 462 to 463: difficulty of
+swallowing, staging pains when swallowing. 466:
+burning in the fauces down to the stomach. 470:
+difficulty of swallowing in consequence of redness
+and swelling of the tonsils. 473: ulcers in the
+throat during scarlet fever. 1236: scarlatina does
+not come out, in the place of which the throat becomes
+ulcerated. 1237: retrocession of scarlatina,
+violent fever, excessive heat, congestion of the head,
+reddened eyes, violent delirium. 832: redness and
+swelling in front of the neck, swelling of the glands.
+833: swelling of the cervical glands on the injured
+side. 836: tension on the right side of the nape of
+the neck, below and back of the ear. 897, 898:
+itching and burning of the dorsum of the hand and<span class='pagenum'><a name="Page_38" id="Page_38">[38]</a></span>
+of the knuckles and first phalanges; cracking of the
+skin here and there; itching and chapping of the
+hand and lower lip."</p>
+
+<p>If we add to these symptoms the above enumerated
+cerebral symptoms, the typhoid alteration of
+the internal mucous membrane of the whole alimentary
+canal and of the respiratory organs, the
+disorganizing and paralyzing action upon the blood
+and nerves, the inclination to dropsical effusion, the
+affection of the cervical glands with tendency to
+suppuration, the appearance of otorrh&#339;a,&mdash;we have
+a group of symptoms which resemble very accurately
+the prevailing type of epidemic scarlatina. I
+know, from abundant experience, that the hom&#339;opathic
+law has been brilliantly confirmed in this
+disease. Thanks to the curative powers of Apis,
+scarlatina has ceased to be a scourge to childhood.
+The dangers to which children were usually exposed
+in scarlatina, have dwindled down to one, which
+fortunately is a comparatively rare phenomenon. It
+is only where the scarlet-fever poison acts at the
+outset with so much intensity, that the brain becomes
+paralyzed at once, and the disease must necessarily
+terminate fatally, that no remedy has as yet
+been discovered. In all other cases, unless some
+strange mishap should interfere, the physician, who
+is familiar with Apis, need not fear any untoward
+results in his treatment of scarlatina.</p>
+
+<p>In all lighter cases, where the disease sets in less
+tumultuously, and runs a mild course, it is proper,
+as soon as the disease has fairly broken out, to give
+a globule of Apis 30, and to watch the effects of this<span class='pagenum'><a name="Page_39" id="Page_39">[39]</a></span>
+dose without interference. The immediate consequence
+of this proceeding, is to bring the eruption
+out in a few hours, all over the skin, with abatement
+of the fever and general perspiration, after which
+the eruption runs its course in a few days, with a
+progressive feeling of convalescence, the epidermis
+peels off from the third to the fifth day, and, at the
+latest, to the seventh day, with cessation of the fever,
+so that the process of desquamation is generally terminated
+within the next seven days, after <i>which the
+patient may be fairly said to be convalescent, and the
+patient may be said to be absolutely freed from all danger
+of consecutive diseases</i>.</p>
+
+<p>The same result is obtained by nature in cases of
+mild scarlatina, without the interference of art. But
+the experience which I have had an opportunity of
+making during my long official employment as
+district-physician, has convinced me that Nature
+accomplishes her end far more easily, more speedily
+and satisfactorily, if assisted by art in accordance
+with the law of hom&#339;opathy. The sequel&aelig; especially
+are rendered less dangerous by this means.</p>
+
+<p>But if the disease sets in with a considerable
+degree of intensity at the very outset, and the fever
+continues without abatement, it is advisable to keep
+up a medicinal impression by repeating the dose.
+To this end we dissolve a globule of Apis 30, in
+seven dessert-spoonfuls of water, by shaking the
+solution vigorously in a corked vial, and giving a
+dessert-spoonful every three, six, or twelve hours
+as the case may require. In all ordinary cases a
+single solution of this kind sufficed to subdue the<span class='pagenum'><a name="Page_40" id="Page_40">[40]</a></span>
+fever and to secure a favorable termination of the
+disease.</p>
+
+<p>The struggle between disease and medicine assumes
+a far different form, if the morbific poison
+has penetrated the organism more deeply; if a process
+of disorganization has already developed itself
+in the intestinal mucous membrane, and if the
+alteration of the sanguineous fluid, which is an
+inherent accompaniment of such a disorganizing
+process, has depressed the nervous activity to such
+a degree that typhus, or paralysis of the brain or
+lungs seems unavoidable, as may be inferred from
+the bright-red tongue, which is thickly studded
+with eruptive vesicles, and speedily becomes excoriated,
+fissured and covered with aphth&aelig;; by a
+copious discharge of thick, white, bloody and fetid
+mucus from the nose; by the swelling and induration
+of the parotid glands, increasing difficulty of
+deglutition; sensitiveness of the abdomen to pressure;
+badly-colored, slimy, bloody diarrh&#339;a; scanty
+emissions of turbid, red, painful urine; accelerated
+and labored breathing; loss of consciousness; delirium;
+sopor; convulsions; trembling of the limbs;
+appearance as if the patient were lying in his bed
+in a state of fainting; the skin is at times burning,
+hot and dry; at others it feels like parchment,
+cooler; at others again, hot and cool together in
+spots; the fever increases with changing pulse, and
+is more constant; in short, all the symptoms,
+although developing themselves less rapidly, show
+that a fatal termination becomes more and more
+probable. In such a case it is above all things<span class='pagenum'><a name="Page_41" id="Page_41">[41]</a></span>
+necessary to saturate the organism with Apis. If
+there is much fever, this result is best accomplished
+by means of alternate doses of Aconite and Apis, a
+few drops of the third potency, shaken together
+with twelve tablespoonfuls of water, each drug by
+itself, the dose to be repeated every hour; and if
+the temperature is rather depressed, by giving Apis
+without the Aconite, a tablespoonful every hour or
+two hours. In favorable cases the fever becomes
+more remittent within one to three days; a moderate
+and pleasant perspiration breaks out all over the
+skin; the sleep becomes calm and natural, and the
+typhoid symptoms abate. If this change takes
+place, it is proper to exhibit Apis in a more dynamic
+form, in order to assimilate it more harmoniously
+to the newly awakened reactive power
+of the organism. To this end we dissolve a few
+globules of Apis 30 in seven dessert-spoonfuls of
+water, giving a dessert-spoonful morning and evening,
+and we continue this treatment, until the
+symptoms of typhoid angina have gradually abated,
+the tongue has been healed, the normal desire for
+food has returned, and the digestive functions go
+on regularly; after which the natural reaction of
+the organism, assisted by careful diet, will be found
+sufficient to complete the cure. If no improvement
+sets in after Apis has been used for three days, we
+may rest assured that a psoric miasm is in the way
+of a cure, which requires to be combated with some
+anti-psoric remedy. I have generally found Kali
+carbonicum efficient, of which I gave one globule
+thirty on the fourth day of the treatment, permitting<span class='pagenum'><a name="Page_42" id="Page_42">[42]</a></span>
+it to act uninterruptedly from one to three
+days, according as the disease was more or less
+acute, after which I again exhibited Apis in the
+manner previously indicated. In this way I succeeded
+in developing the curative powers of Apis, so
+that in a few days a gradual improvement, however
+slight, became perceptible to the careful observer.
+As soon as the improvement is well marked, all
+repetition of the medicine should cease, and the
+natural reaction of the organism should be permitted
+to complete the cure. Any one who is
+acquainted with the action of the Kali, must know
+that it continues without being interrupted by Apis.
+An invaluable blessing of Nature!</p>
+
+<p>This proceeding is crowned with the desired
+results; the convalescence is shorter and easier,
+and there is less danger of serious sequel&aelig;, which,
+according to all experience, are so common in complicated
+cases of scarlatina, otorrh&#339;a and suppuration
+of the parotid glands are generally avoided
+under this treatment without any other aid, or, if
+it is impossible to avert such changes, they generally
+come to a speedy and safe end. This treatment
+likewise keeps off dropsy and its dangers.</p>
+
+<p>In cases where the secretion of <i>black urine</i> shows
+that the liver is deeply involved in the disease,
+Apis is powerless. These are the only exceptions
+to the curative power of this drug. Here we are
+told by our law of cure, that the sphere of Lachesis
+commences. We give one or two globules of Lachesis
+30 in seven dessert-spoonfuls of water, a dessert-spoonful<span class='pagenum'><a name="Page_43" id="Page_43">[43]</a></span>
+every twelve hours, and in acute cases
+every three hours; and the good effects of the
+medicine must seem miraculous to one who is not
+accustomed to this mode of treating diseases.
+Already in a few hours the patient becomes tranquil,
+showing that the process of disorganization
+has been arrested; the improvement continues from
+hour to hour; the sleep becomes more tranquil;
+the cutaneous secretions, and those of the bowels
+and kidneys, become more active; after the lapse
+of one, or at most two days, the urine begins to
+look clearer and lighter-colored, and in about
+three days a return of the natural color of the
+urine shows that the functions of the liver are
+restored to their normal standard; the patient is
+able to do without any further medical treatment,
+and the natural reaction of the vital forces will be
+found sufficient to effect a cure.</p>
+
+<p>If I have not mentioned the affections of the
+kidneys, which may be present in this disease, it is
+because I have become satisfied by years of experience,
+that they constitute secondary affections in
+scarlatina, and that we should commit a great error
+if we would draw conclusions regarding this point
+from post-mortem phenomena.</p>
+
+<p>Nobody who has observed the resemblance, at
+any rate, during the present epidemic, between</p>
+
+<h3>RUBEOLA</h3>
+
+<p class="noin">and scarlet-fever, will deny that the remarks which<span class='pagenum'><a name="Page_44" id="Page_44">[44]</a></span>
+we have offered concerning this latter disease, likewise
+apply to rubeola. In</p>
+
+<h3>MEASLES,</h3>
+
+<p class="noin">likewise, Apis will prove a curative agent.</p>
+
+<p>In the American Provings, Apis is indicated in
+this disease by the following symptoms: "No. 1103,
+heat all over; the face is red as in scarlatina; eruption
+like measles; cough and difficult respiration
+as in croup; muttering delirium; 1211, superficial
+eruptions over the whole body, resembling measles,
+with great heat and a reddish-blue circumscribed
+flush on the cheeks; 1218, measle-shaped eruption."</p>
+
+<p>If we add to these symptoms the peculiarity
+inherent in Apis, to cause catarrhal irritations of the
+eyes, such as occur during measles, we have a right
+to infer that Apis will prove a valuable remedial
+agent in measles.</p>
+
+<p>Although common mild measles do not require
+any medicinal treatment, and generally get well
+without any prejudice to the general health; nevertheless,
+cases occur where intense ophthalmia, a violent
+and racking cough, and the phenomena which
+appertain to it; an intense irritation of the internal
+mucous membrane; diarrh&#339;a; dangerous prostration
+of strength; marked stupefaction and various
+nervous phenomena render the interference of art
+desirable. In all such cases, I have seen good
+effects from the use of Apis, which differed not
+only from the regular course of the disease, but
+likewise from the effects which have been witnessed<span class='pagenum'><a name="Page_45" id="Page_45">[45]</a></span>
+under the operation of other medicines. In ordinary
+cases, and without treatment, it takes three,
+five, seven and eleven days, before the eyes get
+well again; but under the use of Apis, the eyes
+improve so decidedly in from one to three days,
+that the eyes do not require any further treatment;
+and that even troublesome sequel&aelig;, such as photophobia;
+styes which come and go; troublesome
+lachrymation; continual redness; swelling and
+blennorrh&#339;a of the lids; fistul&aelig; lachrymalis, etc.,
+need not be apprehended.</p>
+
+<p>If Apis has had a chance to exercise its curative
+action in a case of measles, we hear nothing of the
+troublesome, and often so wearing and racking
+cough, which so often prevails in measles, and the
+continuance of which is accompanied by an increased
+irritation and swelling of the respiratory
+mucous membrane and an increasing alteration of
+its secretion, which recurs in paroxysms, assumes a
+suspicious sound, shows a tendency to croup and
+to the development of tuberculosis, and finally
+degenerates in whooping-cough, so that epidemic
+measles and whooping-cough often go hand in
+hand. After Apis, the cough speedily begins to
+become looser and milder, to loose its dubious character,
+and to gradually disappear without leaving
+a trace behind. If these results should be confirmed
+by further experience, we would have attained additional
+means of preventing the supervention of
+whooping-cough in measles; a triumph of art and
+science which should elicit our warmest gratitude.</p>
+
+<p>Any one who knows, how malignant measles,<span class='pagenum'><a name="Page_46" id="Page_46">[46]</a></span>
+unassisted by art, are accompanied by deep-seated
+irritation of the mucous membrane of the stomach
+and bowels; how they lead to diarrh&#339;a; to sopor;
+how they threaten life by long-lasting and troublesome
+putrid and typhoid fevers; and how, if they
+do not terminate fatally, they result in slow convalescence,
+and sometimes in chronic maladies for
+life, will admit, on seeing the diarrh&#339;a cease; on
+beholding the quiet sleep which patients enjoy; the
+pleasant and general perspiration; the return of
+appetite; the increase of strength, and the complete
+disappearance of all putrid and typhoid symptoms,
+that Apis has indeed triumphed over the disease.</p>
+
+<p>The following simple proceeding will secure such
+results: As soon as the fever has commenced, we
+prepare the above-mentioned solution of Aconite, of
+which we give a small spoonful every hour. If,
+after using the Aconite, the eruption breaks out
+and the fever abates, no further medication is necessary.
+If fever and eruption should require further
+aid, Apis is to be given, one or two globules of
+thirtieth potency in seven dessert-spoonfuls of water,
+well shaken, a dessert-spoonful morning and evening;
+or, if the disease is very acute, every three
+hours, which treatment is to be continued until an
+improvement sets in, after which the natural reaction
+of the organism will terminate the cure.</p>
+
+<p>Sequel&aelig; seldom take place after this kind of
+treatment; this is undoubtedly an additional recommendation
+for the use of Apis. Until this day
+I have never seen a secondary disease resulting
+from measles. Nevertheless, such sequel&aelig; will<span class='pagenum'><a name="Page_47" id="Page_47">[47]</a></span>
+undoubtedly occur, for it is characteristic of the
+measle-miasm, to rouse latent psoric, sycosic, syphilitic
+and vaccinine taints, which afterwards
+require a specific anti-psoric treatment. Nevertheless,
+sequel&aelig; will certainly occur less frequently
+after the use of Apis, for which we ought to be
+thankful. In</p>
+
+<h3>URTICARIA AND PEMPHIGUS</h3>
+
+<p class="noin">Apis will likewise afford speedy and certain help.</p>
+
+<p>Many symptoms in the American Provings confirm
+this statement. More particularly 1198 to
+1210, and 1232 to 35: "very soon thick nettle-rash
+over the whole body, itching a good deal, passing
+off after sleeping soundly; violent inflammation
+and pressure over the whole body; friction brought
+out small white spots resembling musquito-bites;
+suddenly an indescribable stinging sensation over
+the whole body, with white and red spots in the
+palms of the hands, on the arms and feet; her
+Whole body was covered with itching and burning
+swollen streaks, after which the other troubles disappeared;
+swelling of the face and body; the parts
+are covered with a sort of blotches somewhat paler
+than the ordinary color of the skin; eruption over
+the whole body resembling nettle-rash, with itching
+and burning; nettle-rash in many cases; spots on
+the nape of the neck and forehead, resembling nettle-rash
+under the skin; consequences of repelled
+urticaria; whitish, violently itching swellings of the
+skin, on the head and nape of the neck, like nettle-rash;<span class='pagenum'><a name="Page_48" id="Page_48">[48]</a></span>
+after the rash disappeared, the whole of the
+right side was paralyzed, with violent delirium even
+unto rage; after taking Apis the eruption appeared
+in abundance, and the delirium abated."</p>
+
+<p>These provings have been abundantly confirmed
+by my own experience. The use of Apis in these
+eruptions has been followed in my hands by the
+most satisfactory results; and I feel justified in
+recommending Apis as a most efficient remedy in
+these diseases, which are still wrapt in a good deal
+of obscurity. An additional source of satisfaction
+to have obtained more means of relieving human
+suffering. The experienced Neuman writes, in his
+Special Therapeutics, 2d Edit., Vol. I., Section 2,
+p. 681, about urticaria: "Howsoever unimportant
+a single eruption of urticaria may be, it becomes
+disagreeable and troublesome by its constant repetition,
+which is not dangerous, but exceedingly disturbing.
+It would be desirable to be acquainted
+with a safe method of curing this eruption, but so
+far, it has been sought for in vain." The same
+physician, speaking of pemphigus, writes in the
+same place, that its etiology, prognosis and treatment,
+are still very dubious; that it leads to extensive
+chronic sufferings, and often terminates fatally;
+and that no specific remedy is known for this disease.
+The more frequent opportunities we have of observing
+both these diseases in different individuals, the
+more frequently we observe them in conjunction
+with serious chronic maladies characterized by some
+specific chronic miasm, or in conjunction with the
+most penetrating and disturbing emotions, such as<span class='pagenum'><a name="Page_49" id="Page_49">[49]</a></span>
+fright and its consequences; the more frequently
+we observe the sudden appearance and disappearance
+of such pustules, alternating with corresponding
+improvements or exacerbations in the internal organism,
+where we have to look on utterly powerless,
+as it were, the more uneasy do we feel at the
+mysterious nature of this malady, which, during
+the period of organic vigor, seems to be a sort of
+trifling derangement, somewhat like urticaria, but
+which, as the vital energies become prostrated by
+age, becomes more and more searching and tormenting,
+breaks forth again and again, exhausting
+the vital juices and leading irresistibly to a fatal
+termination; a result which is particularly apt to
+take place during old age, although I have likewise
+observed it, but rarely, among new-born infants.</p>
+
+<p>These developments lead us to suspect that urticaria
+and pemphigus are identical in essence; this
+fact is richly substantiated by the hom&#339;opathic law
+which furnishes identical means of cure for either
+of these affections. In either case, if the vital forces
+are prostrated, and the sensitiveness of the organic
+reaction is considerable, one pellet of Apis 30, and,
+if there is considerable resistance to overcome, two
+pellets shaken with six dessert-spoonfuls of water, a
+spoonful night and morning, is all that should be
+done, after which, all further treatment should be
+discontinued as long as the improvement continues
+or the skin remains clear from all eruptions. If
+the improvement cease or the eruption should
+reappear, we have in the first place to examine
+whether the improvement will not speedily resume<span class='pagenum'><a name="Page_50" id="Page_50">[50]</a></span>
+its course, or whether the eruption does not show
+itself more feebly than before, or if the cure is not
+evidenced by some other favorable change. In the
+former case the medicine should be permitted to act
+still further; in the latter case, another dose of Apis
+30 should be given, after which the result has to be
+carefully watched. In all benign cases, more particularly
+if no other means of treatment had been resorted
+to before, this management will suffice. If this
+should not be the case, if the eruption should appear
+again, we may rest assured that a psoric miasm lurks
+in the organism, and that an anti-psoric treatment has
+to be resorted to. The best anti-psoric under these
+circumstances, is Sulphur 30, one pellet, provided
+this drug has not yet been abused; or Causticum
+30, one pellet, if such an abuse has taken place.
+Syphilis may likewise complicate the disease, in
+which case Mercurius 30, one pellet, may be given;
+or, if Mercury had been previously taken in excessive
+doses, Mercurius 6000, one globule.</p>
+
+<p>After one or the other of these remedies, the
+symptoms should be carefully observed without
+doing anything else, with a view of instituting
+whatever treatment may afterwards be necessary,
+we wind up the treatment with another dose of
+Apis 30, one pellet, after which, the organic power
+is permitted to complete the cure. The result is,
+that the most difficult and complicated cases yield
+perfectly to such treatment, which is based upon
+the strictest scientific principles.<span class='pagenum'><a name="Page_51" id="Page_51">[51]</a></span></p>
+
+<h3>FURUNCLES AND CARBUNCLES</h3>
+
+<p class="noin">are likewise cured by Apis in the speediest and
+easiest manner.</p>
+
+<p>We find the following symptomatic indications in
+the American Provings: "682, painful pimple, suppurating
+in the middle, with red areola; painful
+like a boil, in the hairy region on the left side
+above the os pubis, continuing painful for several
+days; 1196, furuncles with stinging pains; 844,
+845, violent, stinging, burning pain at a small spot
+on the left side, in the lower region of the nape of
+the neck; also on the back part of the head; swelling
+at the nape of the neck, so that the head is
+pressed forward towards the chest; 1222, dark
+bluish-red painful swellings, with general malaise;
+1167, acute pain and erysipelatous swelling, very
+hard and pale in the centre."</p>
+
+<p>Apis has been a popular remedy for boils from
+time immemorial; the people have been in the
+habit of covering boils with honey, more particularly
+honey in which a bee had perished.</p>
+
+<p>Apis, hom&#339;opathically prepared, is better adapted
+to such an end than honey. A few drops of Apis 3,
+shaken with twelve tablespoonfuls of water, a tablespoonful
+of this solution every three hours, generally
+relieves the pain in a short period, promotes
+suppuration, effects the discharge of the decayed
+cellular tissue, and a speedy cure of the furuncle.</p>
+
+<p>If furuncles incline to become carbunculous, the<span class='pagenum'><a name="Page_52" id="Page_52">[52]</a></span>
+ichorous matter is speedily changed to good pus,
+and all danger is averted.</p>
+
+<p>In a case of carbuncle the gangrenous disorganization
+of the skin and cellular tissue becomes very
+soon confined to a small spot; the dead parts are separated
+from the living tissues; the fever is hushed;
+the disorganizations which it threatens are averted;
+a healthy suppuration is established throughout
+the gangrenous part, detaching and removing
+all decayed matter, and replacing the loss of substance
+by new granulations until the sore becomes
+cicatrized in such a hardly perceptible manner,
+that any one who is acquainted with the ravages
+of this disease, and is in the habit of seeing deep
+and disfiguring cicatrizes, even in the most successful
+cases, is disposed to deny the fact that such an
+intensely disorganizing process has been going on
+in this instance. No other remedial means are
+required, much less a surgical operation.</p>
+
+<p>Inasmuch as carbuncle is generally preceded for
+a longer period by a deep-seated feeling of illness
+in the organism, showing that the psoric miasm
+pervades the tissues, it behooves us, in order to
+secure all the better a favorable result, to give a
+dose of highly-potentized Sulphur at the very outset
+of the disease. After having used the first portion
+of Apis, a globule of Sulphur 30 or 6000 may
+be interposed, the former in all cases where no
+Sulphur had been used, and the latter in cases
+Sulphur had been used in large doses. We permit
+such a dose to act for twenty-four hours, after which<span class='pagenum'><a name="Page_53" id="Page_53">[53]</a></span>
+Apis is resumed, and continued according to the
+above stated rule.</p>
+
+<p>Sulphur should likewise be given in all cases
+where the furuncles reappear at different periods.
+Such a reappearance of the eruption, after it had
+once been cured by Apis, shows that a psoric taint
+pervades the organism which it is absolutely necessary
+to meet with specific counter-acting remedies.</p>
+
+<p>The more frequently we meet such difficult complications,
+and see with our own eyes their successful
+treatment, the more we learn to appreciate the fact,
+<i>that Apis cures to a certainty the most dangerous
+affections of this kind, and that the anti-psoric remedy
+corrects at the same time the primary degeneration of
+the tissues, without either interfering with the operations
+of the other drug, on the contrary, by assisting each
+other</i>. In</p>
+
+<h3>PANARITIA</h3>
+
+<p class="noin">Apis proves the same invaluable remedy.</p>
+
+<p>Genuine panaritia only spring up in psoric
+ground, and in regard to extent and intensity of
+development, depend altogether upon the existing
+psoric taint. Hence it is indispensable to extinguish
+this taint by appropriate remedies. This is
+most effectually accomplished by at once giving
+Sulphur, the most powerful of our anti-psorics.
+Sulphur seems to attack the evil at its very foundation,
+and we feel perfectly satisfied with its action,
+except that we would like to hasten the course of
+the disease still more, in order to abbreviate the<span class='pagenum'><a name="Page_54" id="Page_54">[54]</a></span>
+tortures inherent in this malady. This result is
+most certainly accomplished by means of Apis.</p>
+
+<p>If panaritia are the result of excessive doses of
+Sulphur, Apis meets our case perfectly. In hundreds
+of cases panaritia spring up and will continue
+to spring up from such a source, as long as the
+world continues to live in darkness, and to reject
+the rays of truth which the genius of Hahnemann
+has sent forth among the benighted understandings
+of his fellow beings. Notwithstanding Hahnemann's
+teachings concerning the medicinal power
+of Sulphur, which the world has now been in possession
+of for years, and which the most thoughtful
+minds have accepted as a truth, the true friend of
+man has still to weep over the quantities of Sulphur
+which all apothecaries sell to any one at his option;
+h&aelig;morrhoidal patients continue to swallow Sulphur
+from day to day; almost every body, from the child
+up to the old man, who is affected with catarrh,
+swallows the so-termed pulmonary powders which
+contain Sulphur, and of which relief is expected;
+whole legions repair every year to the Sulphur
+Springs; young and old use sulphur-baths at home;
+all over the world, the itch, which is a very common
+disease, is removed by means of a sulphur
+ointment, &amp;c. One of the evil consequences of this
+ignorance, which particularly oppresses the laboring
+class, is the artificial development of panaritia; the
+more frequently these occur, the more necessary it
+is to employ speedy and safe means for their extermination.
+In such a case we can no longer depend
+upon Sulphur, of which we cannot possibly know<span class='pagenum'><a name="Page_55" id="Page_55">[55]</a></span>
+how far it has already poisoned the organism, and
+to what extent it may still be able to rouse a reaction;
+in which case, even those who know, may be
+led to make dangerous mistakes. In all such cases
+Apis is of the best use to us; it is even sufficient to
+arrest the disorganizing process, and to bring about
+a satisfactorily progressing cure.</p>
+
+<p>The curative indications contained in the "American
+Provings," have been confirmed by my own
+experience. We read in Nos. 903-911, "the phalangeal
+bones are painful; burning jerking, like a
+stitching, contracting sensation, in the right numb,
+from without inwards; drawing pains reaching the
+extremities of the fingers; distinct feeling of numbness
+in the fingers, especially in the tips, around
+the roots of the nails, with sensation as if the nails
+were loose, and as if they could be shaken off;
+burning in the tips of fingers, as from fire; fine
+burning stinging in the tips of the fingers; burning
+around a hang-nail, on the outside of the fourth
+finger of the right hand, with pain internally, without
+redness and without aggravation from pressure,
+with continual burning in the tip; swelling of the
+fingers, which remained painful for several days;
+915, blister at the tip of the right index, discharging
+a bloody ichor when opened, and afterwards a
+milky pus, with violent burning, throbbing, and
+gnawing pains, continuing to spread for two days."</p>
+
+<p>From all this we deduce the highly important
+practical rule: In a case of whitlow, first ascertain
+whether and how far Sulphur has been abused by
+the patient. Unfortunately the non-abuse of Sulphur<span class='pagenum'><a name="Page_56" id="Page_56">[56]</a></span>
+is an exception to the rule, whereas the abuse
+of Sulphur is quite common even in our age.
+Would that in this respect the ancient darkness
+might yield to the new light.</p>
+
+<p>In case Sulphur had been abused by the patient,
+we mix a few drops of Apis 3 in twelve tablespoonfuls
+of water, giving a tablespoonful every hour, or
+every two or three hours, according as the pains are
+more or less violent. This treatment has to be
+continued until the pains cease. They cease either
+because the inflammation has been dispersed, and
+the morbid process is terminated, or else a healthy
+suppuration has been set up, so that the swelling
+will discharge of itself, and a cure will be effected
+as speedily as the nature of the panaritium will
+admit. In either case the medicine need not be
+repeated, and the organic reaction will be sufficient
+to complete a cure without the interference of surgery.
+A simple bread and milk poultice may be
+used as soothing palliative, especially if the external
+skin is of a firm, hard texture. Resolution may be
+depended upon in every case, where Apis has been
+resorted to in time. A healthy suppuration will
+always set in after the exhibition of Apis, provided
+Sulphur or a psoric taint do not gain the ascendancy.
+If the Sulphur miasm gains the ascendancy,
+there will be no marked improvement during the
+first days of the treatment. In such a case we have
+at once to resort to a very high potency of Sulphur.
+A single globule of Sulphur 6000 would frequently
+ameliorate the worst aspect of the case as by a
+miracle, after which a few more doses of Apis 3, a<span class='pagenum'><a name="Page_57" id="Page_57">[57]</a></span>
+drop morning and evening, would so improve the
+symptoms, as to render all further medication unnecessary.</p>
+
+<p>If the psoric miasm should be the cause of the
+retarded improvement, as may easily be determined
+by the predisposing circumstances of the case, and
+if no Sulphur should have been administered previously,
+it is expedient to discontinue the use of
+Apis, and to at once exhibit a globule of Sulphur
+30, which may be allowed to act for twenty-four
+hours, after which Apis is to be resumed in the
+same manner, until a cessation of the pain manifests
+the cure of the disease.</p>
+
+<p>These explanations likewise point out the true
+course to be pursued, in case we should at the outset
+find that a whitlow owes its existence to the
+psoric miasm.</p>
+
+<p>Ever since hom&#339;opathy has enabled us to treat
+this dreaded affection with positive and specific
+remedies in a most satisfactory manner, the horrible
+pains which characterize this trouble, and the mutilations
+to which it so frequently leads, only exist in
+quarters where egotism, the love of lucre and the
+absence of all conscientiousness prevents physicians
+from inquiring into the merits of our superior mode
+of treatment. Is not this unpardonably wicked?</p>
+
+<h3>SPONTANEOUS LIMPING</h3>
+
+<p class="noin">is another affection which we cure with Apis.</p>
+
+<p>This disease which causes so much distress in
+life, is likewise, in its essential nature, an outbirth<span class='pagenum'><a name="Page_58" id="Page_58">[58]</a></span>
+of psora, and, as regards its local character and its
+effects upon the constitution of the patient, it seems
+to be characterized by the same inflammatory and
+suppurative process as whitlow, and be endowed
+with a similar tendency to organic destruction. In
+the American Provings, symptom 917, "Painful
+soreness in the left hip-joint, immediately after
+taking a dose of Apis 2, afterwards debility, unsteadiness,
+trembling in this joint," is the only
+symptom that seems to indicate the curative power
+of Apis in this distressing malady. What experienced
+physician has not often seen the hip show
+such symptoms of disease, particularly after violent
+frights and anguish? Who has not seen blows on
+the back and nates, by way of punishment, attended
+with such consequences? Who has not seen coxarthrocace
+develope itself during the course of a
+severe cerebral disease, scarlatina or typhus, where
+the patient, on suddenly awakening to consciousness
+from a state of stupor, is made sensitive of the
+presence of this insidious disease, perhaps already
+fully developed? Since I have used Apis, I have
+never had to deplore such saddening results.</p>
+
+<p>According to my observation, we may regard
+Apis as a specific remedy for spontaneous limping;
+every new trial confirms me in this statement.
+Apis may be depended upon as a capital remedy in
+every stage of this disease, as long as the psoric
+miasm is kept in the background; but as soon as
+the psoric taint is fully developed, a suitable anti-psoric
+has to be given in alternation with Apis.
+My experience has led me to prefer Kali carbonicum<span class='pagenum'><a name="Page_59" id="Page_59">[59]</a></span>
+to all other anti-psoric remedies in this disease.
+But inasmuch as the keenest observer may
+overlook the right moment when the psoric poison
+begins to operate, it is well to forestall the enemy
+at the very commencement, which may be done
+with the more propriety, the more certainly we
+know that these two remedies, Apis and the anti-psoric,
+not only not counteract, but mutually support
+each other from the beginning to the end of
+the treatment. After many experiments, I have
+hit upon the following course as the most proper:</p>
+
+<p>If the limping, as is often the case in the severest
+forms of the disease, sets in gradually, almost imperceptibly
+and without much pain, I give at once
+a globule of Kali carbonicum 30. As a general
+rule, this one dose is sufficient to arrest the further
+development of the disease, and to award all danger
+so completely, that one, who is unacquainted with
+the nature of the malady, feels disposed to assert
+that it never existed. But if the pains continue,
+and are accompanied with fever, I resort to Apis 3,
+after Kali had been allowed to act for a day or two,
+mixing a drop in twelve tablespoonfuls of water,
+and giving a dose every hour, or every two or three
+hours, according as the pains come on more or less
+frequently. This treatment is continued until the
+patient is quieted, after which the two remedies are
+permitted to act without any further repetition of
+the medicine.</p>
+
+<p>If the inflammation of the joint sets in suddenly
+and with a violent fever, as is often the case after
+violent commotions, castigations, etc., we prepare a<span class='pagenum'><a name="Page_60" id="Page_60">[60]</a></span>
+solution of Aconite in the same manner as the Apis,
+and give these two medicines in alternate tablespoonful
+doses every hour. After these two solutions
+are finished, and the first assault of the disease
+has been controlled, we give a globule of Kali 30,
+and permit it to act for twenty-four hours. After
+this period we again give Apis every hour, two or
+three hours, as above, until the pains cease, after
+which Kali is allowed to act until the disease is
+entirely cured.</p>
+
+<p>If suppuration and caries of the joint have already
+set in, no matter whether the pus has found an outlet
+in the region of the joint itself, or burrows down
+the thigh to find an outlet somewhere else, Kali is
+no longer sufficient, Silicea has to be exhibited; it
+is more hom&#339;opathic to caries than other anti-psorics.
+We give a globule of Silicea 30, and allow it
+to act for two or three days, after which a drop of
+Apis 3, is repeated morning and night, until the
+pains&mdash;which may require a more frequent exhibition
+of the drug&mdash;cease, and a healthy pus is secreted.
+After this change is accomplished, Silicea
+is sufficient to complete the healing of the osseous
+disorganization, and should be left undisturbed to
+the end of the treatment.</p>
+
+<p>I have found this simple proceeding so perfectly
+efficient in this dreadful malady that the fever was
+speedily controlled, and rendered harmless, the inflammation
+was scattered without leaving a trace
+behind, the secretion ichor was transformed into
+that of healthy pus, and the disorganization of the
+joint was prevented; the limb, even after it had<span class='pagenum'><a name="Page_61" id="Page_61">[61]</a></span>
+become elongated, again assumed its normal shape,
+the carious masses were expelled, the various channels
+of suppuration were stopped, and the danger of
+a fatal consumptive fever was averted. If our aid
+is not sought until <i>the head of the femur is destroyed,
+and the bone has completely slipt out of its socket</i>, it is
+impossible to prevent shortening and stiffness of the
+limb. Another splendid triumph over a dreadful
+source of danger and disease!</p>
+
+<h3>WHITE SWELLING OF THE KNEE</h3>
+
+<p class="noin">is very similar to this affection of the hip-joint.
+Here too we observe the same insidious inflammatory
+beginning, the same irresistible tendency to
+ichorous suppuration and disorganization of the
+constituent parts of the joint, the same tendency to
+destroy the organism by gradual exhausting fever.
+We have unmistakeable proofs of the presence of a
+poisonous process pervading the whole organism.
+He who has had frequent opportunities of observing
+this disease, knows perfectly in what mysterious
+obscurity it is still enveloped, and how specifically
+different this affection of the knee sometimes appears
+to us from the hip disease. The hom&#339;opathic
+law teaches us more positively than any thing else
+could do, that every case of disease should be
+viewed as something specifically distinct from other
+cases, and should be treated with medicines that
+are specifically adapted to it. An experience of
+many years has taught me that iodine is the best<span class='pagenum'><a name="Page_62" id="Page_62">[62]</a></span>
+remedy to meet the symptoms which generally characterize
+white swelling of the knee. Even at the
+present day Iodine is one of those remedies that
+require a good deal of elucidation. Hence we
+should not, carried away by analogy, conclude from
+those things which are not clear, concerning other
+things which are no more so. Nevertheless the observations
+which have been made so far, have led
+to some highly important, more or less positive
+conclusions, and have shown us with a certain degree
+of satisfaction and certainty, that iodine is an
+inestimable gift of God, by means of which we are
+enabled to free mankind from one of the most
+frightful complications, the psoric, sycosic and
+mercurial miasms. I have been induced by various
+signs to believe that, in white swelling of the knee
+such a complication exists.</p>
+
+<p>Considering the paucity of our observations
+bearing upon this important point, it seems impracticable
+to make any positive statements with reference
+to the assistance that we might possibly derive
+from the use of Apis in this disease. My own
+opportunities for observation having been very few,
+I recommend the use of Apis in white swelling of
+the knee, to my professional brethren. The following
+symptoms in "Hering's American Provings,"
+seem to indicate it; No.'s 828, 829 and 931, "violent
+pain in the left knee, externally, above and
+below the knee, particularly above, somewhat in
+front; painful &#339;dematous swelling of the knee;
+burning stinging about the knee." In white swelling
+of the knee, where no all&#339;opathic treatment<span class='pagenum'><a name="Page_63" id="Page_63">[63]</a></span>
+has yet been pursued, I recommend Iodine 30, one
+globule, in six dessert-spoonfuls of water, a dessert-spoonful
+morning and evening, until the whole is
+finished; after this wait three days, and then give
+Apis 3, as before mentioned, a tablespoonful every
+hour or three hours, or a drop morning and evening,
+according as the pain or danger is more or less
+pressing. Apis is more especially useful in removing
+pain, in changing the secretion of ichor to that
+of healthy pus, and in arresting the consumptive
+fever. After these results have been accomplished,
+we permit the previously given Iodine to achieve
+the cure. If Iodine had been abused under all&#339;opathic
+treatment, before the hom&#339;opathic treatment
+commenced, we give Iodine 5000, one globule, in
+order to subdue the Iodine diathesis, and thus remove
+the most powerful obstacle to a cure. Any
+one who knows more about this point, will please
+mention it.</p>
+
+<p>Although Apis acts well in white swelling of the
+knee, which is comparatively a rare disease, yet it
+is far more useful in</p>
+
+<h3>DYSENTERY.</h3>
+
+<p>It is undoubtedly true that Hahnemann has revealed
+to us the means of surpassing in this disease
+the all&#339;opathic wisdom of a thousand years, by a far
+more successful, safe and expeditious treatment.
+Nevertheless, much remains to be desired in this
+dreaded disease. Who does not know that medicinal<span class='pagenum'><a name="Page_64" id="Page_64">[64]</a></span>
+aggravations are particularly to be dreaded
+in this malady? Who has not often felt embarrassed
+to select the right remedy among three or
+four that seemed indicated by the symptoms, and
+where it was nevertheless important, in view of the
+threatening danger, to select at once the right remedy?
+Who has not been struck by the strange irregularity
+that in a disease which generally sets in as
+an epidemic, different remedies are often indicated
+by different groups of symptoms? Who has not become
+convinced after a careful observation of the
+course of the disease, that nothing is more deceptive
+than the pretended curative virtues of corrosive
+sublimate in dysentery, and that it is a matter of
+duty to be mindful, in this very particular, of the
+warning words of the master who, having himself
+been deceived at one time by the delusive palliation
+of mercury, addresses to us the remarkable warning
+that "mercury, so far from responding to all non-venereal
+maladies, on the contrary is one of the
+most deceitful palliatives the temporary action of
+which is not only soon followed by a return of the
+original symptoms of disease, but even by a return
+of these symptoms in an aggravated form." (See
+Hahnemann's Chronic Diseases, Vol. II.)</p>
+
+<p>This delusive palliation is more particularly one
+of the effects of corrosive sublimate in Dysentery;
+and is exceedingly dangerous in this disease. Hence
+we warn practitioners against this danger.</p>
+
+<p>We feel so much the more grateful to the principle
+Similia Similibus, which, even though it did
+not protect its discoverer from faulty applications,<span class='pagenum'><a name="Page_65" id="Page_65">[65]</a></span>
+yet finally led us to the discovery of the right
+remedy for dysentery.</p>
+
+<p>No.'s 590 and 599 in the American Provings,
+read as follows: "Violent tenesmus; nausea, vomiting
+and diarrh&#339;a, first lumpy and not fetid, afterwards
+watery and fetid, lastly papescent, mixed
+with blood and mucus, and attended with tenesmus;
+afterwards dysenteric stools, with tenesmus and
+sensation as if the bowels were crushed;" combining
+these symptoms with the general character of
+Apis, particularly the circumstance that not only
+the ordinary precursors and first symptoms of
+dysentery, but also its terminations and its sequel&aelig;,
+and its most important complications find their
+approved remedy in Apis; all this shows us that
+Apis is a natural remedy for dysentery. This truth
+is abundantly confirmed by experience. All my
+previously obtained results in practice, testify to the
+correctness of this statement.</p>
+
+<p>At the very commencement of the disease, a
+globule of Apis 3 is sufficient to cut short the disease
+so that the patient feels easy, and sleeps quietly.
+During this slumber, fever, pain and tenesmus disappear,
+and the patient wakes with a feeling of
+health. If this should not take place in three hours,
+owing to the more advanced state of the disease,
+another dose of Apis is required, after which the
+patient soon feels well.</p>
+
+<p>If the dysenteric disease has had a chance to
+localize itself, and to assume a higher degree of intensity,
+it becomes necessary to excite the organic
+reaction all the more frequently. Under these circumstances<span class='pagenum'><a name="Page_66" id="Page_66">[66]</a></span>
+we repeat the medicine every hour, or
+every two or three hours, one globule at a time,
+until all further medication has become unnecessary.</p>
+
+<p>It is well known that epidemic diarrh&#339;a, viz., a
+diarrh&#339;a resulting from peculiar alterations of the
+normal condition of the atmosphere, earth, water,
+indispensable food, or from other still unknown
+elementary influences inevitably acting upon every
+body, commences in the form of a simple, apparently
+unimportant diarrh&#339;a; that it gradually increases
+in intensity as the processes of nutrition and sanguification
+become more deeply disturbed, and that
+it finally terminates in life-destroying cholera.
+All these different stages of diarrh&#339;a, whether with
+or without vomiting, watery or papescent, of one
+color or another, with or without pain, with or
+without fever, have yielded readily, safely and thoroughly
+to Apis in my hands. I must except, however,
+cholera of the epidemic form, where I have
+not yet been able to try Apis for want of opportunity.
+As far as my personal observations go, I am
+disposed to affirm that the best mode of effecting a
+good result, is to give Apis 3 and Aconite 3, in
+alternation, one drop of each preparation well
+shaken in a bottle containing twelve tablespoonfuls
+of water, and giving a tablespoonful every hour or
+three hours, if the danger is great, and in milder
+cases a full drop alternately morning and evening.
+This treatment is continued until an improvement
+sets in, after which the organic reaction is permitted
+to develope itself, which will terminate in a few<span class='pagenum'><a name="Page_67" id="Page_67">[67]</a></span>
+hours or days, according as the disease is more or
+less violent, and assistance was sought more or less
+early, in the perfect recovery of the patient.</p>
+
+<p>This end is not always attained with equal certainty
+and rapidity, if Apis is not given in alternation
+with Aconite. In such a case, Apis alone often
+develops a powerful reaction, which is avoided by
+the alternate use of Aconite. Wherever the case is
+urgent, and it is important to shorten the durations
+of the organic reaction, the two remedies should be
+given in alternation. In most cases I have seen a
+few alternate doses give rise to a pleasant perspiration,
+speedily followed by quiet sleep and recovery
+on waking. May we not expect the same result at
+the commencement of Asiatic cholera, and thus
+arrest the further development of the disease?</p>
+
+<p>Apis is no less effectual against <i>chronic diarrh&#339;a</i>,
+more particularly if resulting, not from any deep-seated
+disorganizations, but from some permanent
+inflammatory irritation of the intestinal mucous
+membrane, and which causes and fosters so much
+distress, by rendering all normal digestion impossible
+and finally bringing on its inseparable companion,
+the last degree of hypochondria. This
+misery is so much more lamentable, as it is, so to
+say, forced upon mankind from the cradle to the
+grave by the still prevailing and almost ineradicable
+delusion of <i>cathartic medication</i>.</p>
+
+<p>Scarcely has the little being seen the light of the
+world, when the process of purgation begins. Nurse,
+aunt, grandmamma, everybody, hasten to hush the
+cries which the rough contact of the outer world<span class='pagenum'><a name="Page_68" id="Page_68">[68]</a></span>
+extorts from the little being, by forcing down its
+throat a little laxative mixture, and the family-physician,
+who goes by fashion, approves of all
+this. It is his habit, in after-life, to combat every
+little costiveness, every digestive derangement,
+every incipient disease, by means of his cathartic
+mixture, and his skill is considered proportionate
+to the quantity of stuff which the bowels expel
+under the operation of his drugs. Laxative pills,
+rhubarb, glauber-salts, bitter-waters, aloes, gin, etc.,
+etc., are in every body's hands, and become an
+increasing necessity for millions. An ancient prejudice
+decrees that, to permit a single day to pass
+by without stool, would be to expose one's life to
+the greatest danger. Every year we see thousands
+rush to warm and cold springs that have the reputation
+of being possessed with dissolvent and cathartic
+properties. Those who cannot afford to go to
+the springs, use artificial mineral water in order to
+accomplish similar purposes. Very seldom a disease
+is met with, that is permitted to run its course
+without dissolvent or cathartic means. It is still a
+profitable business to sell patent purgatives, such as
+cider in which a little magnesia has been dissolved.</p>
+
+<p>Everybody feels how offensive these things are to
+nature; how they attack the stomach and bowels;
+how they derange digestion and nutrition; how
+slowly patients recover from the effects of such
+drugs; how chronic abdominal affections, after
+having been eased for a while by such drugs, soon
+return again with redoubled vigor; how the dose
+has to be increased in order to obtain the same<span class='pagenum'><a name="Page_69" id="Page_69">[69]</a></span>
+result; how the intervals of relief becomes shorter
+and shorter, and how, in the end, the stomach is
+totally ruined, and the abnormal irritation and
+paralysis of this viscus, with the diarrh&#339;a and
+constipation, corresponding to these conditions,
+gradually lead to the complete derangement of
+the reproductive process.</p>
+
+<p>In spite of all this, long habit has secured to
+these pernicious customs a sort of prescriptive
+right. The distress consequent upon them, increases
+in proportion as the reactive powers of the
+organism decrease, which is more particularly the
+case in the present generation. The suppression of
+these abuses has never been more necessary than
+in our age. Indeed, the old proverb is again verified:
+"Where need is greatest, there help is
+nearest."</p>
+
+<p>The world is not only indebted to Hahnemann
+for a knowledge, but also for a natural corrective
+of this serious abuse. His provings on healthy
+persons show this beyond a doubt. Few men, if
+their attention has once been directed to this abuse,
+will feel disposed to deny its extent. Nor has a
+favorable change in this respect been looked for in
+vain, since hom&#339;opathy has now, for half a century
+at least, shown the uselessness of all regular
+methods of purgation, and the superiority of the
+means with which this new system accomplishes
+most effectually all that those pernicious methods
+promised to do. It should be considered a duty
+by every physician, to be acquainted with the new
+means of cure. The continued use of purgatives<span class='pagenum'><a name="Page_70" id="Page_70">[70]</a></span>
+should be considered a crime against health. They
+will soon cease to exist as regular means of treatment,
+and their pernicious consequences will no
+longer have to be relieved by remedial means.
+But until their use is abolished, we shall have to
+counteract them by adequate means of cure, more
+particularly the abnormal irritation and the paralytic
+debility, which are the most common consequences
+of the abuse of cathartics.</p>
+
+<p>It is a most fortunate thing that we have in Apis
+one of the most reliable means of removing the
+evil effects of cathartic medicines. A single globule
+of Apis 30 is sufficient to this end. It is best
+to use it as follows: dissolve the globule in five
+tablespoonfuls of water by shaking the mixture
+well in a well closed vial, and let the patient take
+a tablespoonful of this solution. If this dose acts
+well, no repetition is necessary for the present. If
+this dose should not be sufficient, we prepare a new
+potence by throwing away three tablespoonfuls of
+the former solution and substituting four tablespoonfuls
+of fresh water, shaking the mixture well.
+We give a spoonful of this second solution, twenty-four
+hours after the first had been given, and, if
+necessary, a third spoonful prepared in the same
+way, and even a fourth and fifth, after which we
+await the result, without thinking either of improvement
+or exacerbation.</p>
+
+<p>Generally, a feeling of ease is experienced shortly
+after taking Apis. The painful sensitiveness of the
+pit of the stomach and of the abdomen, together
+with the troublesome, disagreeable and oppressive<span class='pagenum'><a name="Page_71" id="Page_71">[71]</a></span>
+distention and weight, soon disappear; the tongue
+gradually loses its swollen and cracked appearance,
+its dirty redness, its slimy coating, its sore spots,
+tardy indentations along its edges, the burnt feeling
+at its tip, which is dotted with very fine vesicles,
+that cause a good deal of soreness; the pappy, sour,
+bitter, metallic, foul taste disappears; the appetite
+is again normal; both the previous aversion to
+food and the excessive craving disappear; the absence
+of thirst, which is so common in this condition,
+again gives place to a natural desire for drink,
+the bluish-red color and swelling of the palate and
+throat, and the incessant urging to hawk, decrease
+visibly: the distress after eating; the sour stomach
+with or without nausea or heartburn; the excessive
+rising of air; the regurgitation of the ingesta; the
+eructations which taste of the food that had been
+eaten long before; the yawning; the irresistible
+drowsiness when sitting; the general loss of
+strength; the vacuity of mind, the aversion to
+talking and to company, decrease more and more
+every day; the whole abdomen feels easier and
+softer: the excessive and irresistible urging to urinate,
+especially after rising from a chair or from
+bed, and accompanied by a distressing nervousness,
+abates; the diarrh&#339;ic and abnormally colored
+evacuations, together with the frequent and irresistible
+urging, increased after eating, early in the
+morning and after sour and flatulent food, and
+accompanied by various sore pains in the rectum,
+diminish more and more, and give place to normal
+evacuations, first for days, next for weeks, although<span class='pagenum'><a name="Page_72" id="Page_72">[72]</a></span>
+they continue to alternate more or less with constipation,
+or painful, insufficient, hard stool, until they
+terminate sooner or later, according as the disease
+is more or less deep-seated, and had lasted more or
+less long, in permanent restoration of the normal
+secretions and excretions of the digestive organs.
+At the same time the many distresses which the
+abnormal condition of the bowels and stomach had
+occasioned in the head and heart, disappear; the
+poor patient who had been a prey to so many sufferings,
+feels like one born again.</p>
+
+<p>This is the general result, unless psoric, sycosic,
+syphilitic or vaccinine complications should be present.
+Unfortunately the abuse of cathartics excites
+these miasms if they exist in the organism, and at
+the same time prostrates the reactive powers of the
+organism, and enables its enemies to rise against it.
+The distress becomes more and more complicated;
+disorganizations, alterations of the fluids, disturbances
+of the assimilative sphere, nervous derangements
+from simple illusions of the sentient sphere,
+and occasional trembling and twitching, to spasmodic
+and convulsive movements, and final extinction
+of nervous power, marasmus of the spinal
+marrow or a ramollissement of the brain; these are
+the consequences of such miasmatic complications.</p>
+
+<p>In such a case Apis alone is not sufficient. We have
+to employ such antidotes as <i>Sulphur</i>, our most powerful
+anti-psoric which, unless it had been abused
+previously, never leaves us in the lurch in the presence
+of psora; <i>iodine</i> which, under similar circumstances,
+becomes indispensable wherever psora and<span class='pagenum'><a name="Page_73" id="Page_73">[73]</a></span>
+sycosis are combined; <i>bichromate of potash</i> or <i>fluoric
+acid</i>, if psora, syphilis and mercurial poisoning are
+united; and lastly, <i>tartar emetic</i>, or again <i>fluoric
+acid</i>, if the vaccine poison alone, or in combination
+with the other poisons, occupies the foreground.</p>
+
+<p>This is not the place to treat of these special forms
+of human distress, and to individualize their treatment;
+I shall endeavor to do this on a more suitable
+occasion. I shall have to limit myself here to
+a superficial sketch of the treatment, adding merely
+that a single dose of the specific antidote will act
+best if given highly potentized, and that the improvement
+should afterwards be allowed to progress
+as long as a trace of it remains visible. But as soon
+as the improvement stops and an exacerbation sets
+in, which is not speedily followed by another improvement,
+or which seems to require our aid, we
+use Apis 3, one drop every day, until the improvement
+is again perceived, after which we wait until
+another exacerbation demands our interference.
+One dose of Apis is often insufficient; if not, from
+three to five doses will be found sufficient to mitigate
+the pains, and to advance the cure which Apis
+will complete in conjunction with the high potency
+that should not be repeated, and which is not interfered
+with by the Apis. What more precious boon
+for the physician and patient in these serious moments?
+It is only a physician who has instituted
+provings upon himself, that is capable of comprehending
+this harmonious blending of the two therapeutic
+agents. He sees the well known effects of a
+well known cause go and come at alternate periods.<span class='pagenum'><a name="Page_74" id="Page_74">[74]</a></span>
+What man of common sense would be willing to
+repudiate such evidence?</p>
+
+<p>But even in a case where Sulphur and Iodine
+had been given to excess, and a sort of Sulphur and
+Iodine diathesis had been established in consequence,
+Apis is still the best remedy to meet this
+complicated derangement.</p>
+
+<p>Although we may believe that the time is at hand
+when this kind of ignorance shall no longer be
+tolerated, it unfortunately is still a prevailing sin
+of the profession. Even if we should be unable to
+effect a perfect cure, yet we may afford essential
+relief to such patients; we may often arrest their
+sufferings for a longer or shorter period, and shorten
+the paroxysms until they become almost imperceptible.
+Apis is particularly instrumental in
+effecting this end. Diseases of the</p>
+
+<h3>RESPIRATORY ORGANS</h3>
+
+<p class="noin">are likewise successfully combated by Apis. The
+American Provings contain the following symptomatic
+indications:</p>
+
+<p>1. No.'s 731, 733, 736, 742, 743, 749, 760:
+"Hoarseness and difficulty of breathing, roughness
+and sensitiveness in the larynx, each time after he
+smells of the poison; talking is painful, sensation
+as if the larynx were tired by talking; drawing
+pains in the larynx; cough when starting during
+sleep; rough cough during evening; heat; difficult
+breathing, every drop of liquid almost suffocates
+him; labored inspirations as during croup."<span class='pagenum'><a name="Page_75" id="Page_75">[75]</a></span></p>
+
+<p>2. 737-740: "Violent paroxysms of cough, occasioned
+by a titillating irritation in the lower part of
+the larynx near the throat-pit, with increase of
+headache when coughing, on the left side, superiorly;
+in half an hour, some phlegm is detached,
+after which the coughing ceases; on the first day,
+when waked from his sleep before midnight, he
+had a violent cough, especially after lying down
+and sleeping, with titillation at a very small spot,
+deep down on the posterior wall of the thorax,
+which wakes him; he feels better as soon as the
+least little portion of mucous is detached; cough particularly
+during warmth, during rest, and rousing
+him from his first slumber for several evenings."</p>
+
+<p>3. 1081, 746, 790: "Chilly every afternoon at
+three or four o'clock; she shudders, especially
+during warmth; chill across the back, the hands
+feel as if dead; in about an hour she felt hot and
+feverish, with rough cough, hot cheeks and hands,
+without thirst; this passes off gradually, she feels
+heavy and prostrate; cough and labored breathing
+as during croup, after violent feverish heat, with dry
+skin and full pulse; disturbed sleep, with muttering,
+timid and incoherent talk, whitish-yellow coating
+of the tongue, and painless, yellow-greenish, slimy
+diarrh&#339;a, in four days the breathing become labored,
+a violent abdominal respiration, red face, increasingly
+livid, pulse hard, cough, with barking resonance&mdash;pains
+in the chest, with labored breathing."</p>
+
+<p>4. 754, 770, 772, 803: "Hurried, labored breathing,
+with heat and headache; chest oppressed; difficult
+labored breathing; sense of suffocation even<span class='pagenum'><a name="Page_76" id="Page_76">[76]</a></span>
+when leaning against a thing; general debility;
+worse during cold weather, accompanied by asthmatic
+pains; cough; sense of suffocation; pains in
+the chest; coldness and deadness of the extremities,
+which looked bluish; sense of soreness; lameness;
+sense of bruising in the chest, as after recent contusions
+by a blow; jamming, etc."</p>
+
+<p>These observations do not indeed show with
+characteristic certainty the diseases to which Apis
+might correspond. But if they are contrasted with
+the total character of Apis; if we consider that
+Apis develops a catarrhal irritation throughout the
+whole intestinal mucous membrane, affecting most
+deeply the nervous system and the normal constitution
+of the fluids, we have sufficient ground to
+experiment with Apis in those respiratory diseases
+which seem to be inherent in the prevailing genius
+of disease, and which are characterized by the very
+conditions which I have described. Who is not
+struck by the fact, that the same individual morbid
+process is reflected by different forms of disease,
+<i>croup</i>, <i>whooping-cough</i>, <i>influenza</i>, <i>acute and chronic
+bronchial catarrh</i>? The more essential the resemblance
+between these forms of disease and the
+medicinal power, the more certainly may we expect
+a cure. The medicinal power which seems to
+be most adequate to this end, is undoubtedly Apis.
+My observations in this respect are not sufficiently
+numerous to enable me to offer positive directions
+concerning the best mode of using the medicine in
+these diseases, or concerning the extent of the
+curative process or the complications that may<span class='pagenum'><a name="Page_77" id="Page_77">[77]</a></span>
+exist. All I can do is to recommend Apis for
+further experiments in this range, and to remind
+my brethren of the insufficiency of other drugs,
+which has been a source of trouble to us in the
+past ten years. Every body who has watched the
+course of these diseases during this period, must
+have seen the difference existing between the present
+and the past character of the symptoms. It
+must, therefore, be a source of satisfaction to all of
+us, to have found in Apis an agent that is capable
+of filling up the gap.</p>
+
+<p>My observations regarding the curative virtues
+of Apis in urinary, uterine and ovarian difficulties,
+and in rheumatism and gout, are not very extended.
+In the American Provings, symptoms 634 to 669,
+seem to point to urinary difficulties, and 685 to 695,
+to ovarian troubles; symptoms 697 to 727 to uterine
+derangements; and 837, 842, 867, 873, 874, 918,
+919, 940, 942, 964, 969, to rheumatism and gout.</p>
+
+<p>What little experience I have had in the employment
+of Apis in these diseases, is, however, sufficient
+to induce me to recommend the use of it for further
+and more enlarged knowledge.</p>
+
+<p>I have had abundant opportunities of verifying
+the warning expressed in No. 721, "pregnant women
+should use the drug very cautiously." I am not
+acquainted with any drug which seems possessed
+of such reliable virtues regarding the prevention of
+miscarriage, more particularly during the first half
+of pregnancy, as Apis. I have often become an
+involuntary spectator of the power of Apis to effect
+miscarriage; for I had given it to honest women<span class='pagenum'><a name="Page_78" id="Page_78">[78]</a></span>
+who did not know that they were pregnant, and
+where the fact of pregnancy was revealed to them
+by the subsequent miscarriage, which took place
+after one or two doses of Apis had been taken.
+Ever since I have made it a rule not to give Apis
+to females in whom the existence of pregnancy can
+be suspected in the remotest degree until the matter
+is reduced to a certainty, and the conduct of the
+physician can be determined upon in accordance
+with existing facts.</p>
+
+<p>I am unable to say how far this power inherent
+in Apis, of producing miscarriage, may be serviceable
+to females who are prone to miscarriage.</p>
+
+<p>I beg the privilege of adding a more general
+warning to this particular one. The more generally
+useful a thing is, the more liable is it to abuse.
+The most important and useful discoveries of
+hom&#339;opathy are abused in this manner by our
+age given to all sorts of excesses.</p>
+
+<p>Not only are the records of hom&#339;opathy ransacked
+by speculative minds, who use her advantages
+for personal gain without giving due credit to the
+source whence the good things are obtained. This
+species of egotism may perhaps be excused in consideration
+of the use which this kind of plagiarism
+affords, even if whole volumes should be filled with
+it. But if the stolen property is paraded before the
+world as something belonging to one's self by right
+divine; if official influence is abused for the purpose
+of dressing up that which rightfully belongs to our
+science, as some original discovery, thus caricaturing
+and disfiguring the beauty of the genuine blessing;<span class='pagenum'><a name="Page_79" id="Page_79">[79]</a></span>
+then good is changed to evil, and the evil is the
+greater, the more comprehensive the truth that is
+so shamefully abused. It is absurd and may entail
+sad consequences upon the world, if the rational use
+of Apis is to be converted to the irrational proceedings
+of the so-called specific method, which is often
+practised by men who, knowing better, purposely
+conceal the truth from the world. For years past,
+I have been called upon again and again, by patients
+who had been in the hands of these men, and who
+had been drenched with medicine, and had had all
+sorts of disastrous complications engendered in their
+poor bodies, to afford them some relief from these
+tortures inflicted by physicians who do not hesitate
+to assail the health of their patients by massive
+doses of drugs, of which they often know nothing
+but the name.</p>
+
+<p>With these facts before me, nobody can find it
+strange that I should feel some misgivings in laying
+before the world a drug endowed with such extensive virtues.
+Apis is one of those drugs, the abuse
+of which may prove as destructive as the use of it
+is a source of saving good. It is no anti-psoric, nor
+is it capable of antidoting the three miasms, or of
+inflicting medicinal diseases for life. Nevertheless,
+it is a deeply and speedily-acting drug, for it affects
+the whole internal mucous membrane, the nervous
+system, and the process of sanguification, thus disturbing
+the health for a long time. Its primary
+aggravating action, its deeply penetrating interference
+with the existing morbid process, which
+may lead to errors in diagnosis, and its power to<span class='pagenum'><a name="Page_80" id="Page_80">[80]</a></span>
+exhaust the reactive energies of the organism prematurely,
+render it a very dangerous agent. These
+circumstances go to show that such an agent, in the
+hands of the partizans of the Specific School, may
+be as dangerously and injuriously abused as other
+important drugs have been. I cannot sufficiently
+warn my readers against such distressing abuses.
+Only he is protected from the danger of imitating
+such shameful absurdities, who listens to the words
+of our master:</p>
+
+<div class="bk1" style="width: 17em;"><p>"Imitate this, but imitate this correctly!"</p></div>
+
+<div class="trn"><b>Transcriber's Note:</b>
+Minor typographical errors have been corrected without note.
+Inconsistent hyphenation has been standardised, whilst variant
+and archaic spellings remain as printed.</div>
+
+
+
+
+
+
+
+
+<pre>
+
+
+
+
+
+End of the Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
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+</body>
+</html>
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+The Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
+
+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: Apis Mellifica
+       or, The Poison of the Honey-Bee, Considered as a Therapeutic Agent
+
+Author: C. W. Wolf
+
+Release Date: July 10, 2008 [EBook #26020]
+
+Language: English
+
+Character set encoding: ASCII
+
+*** START OF THIS PROJECT GUTENBERG EBOOK APIS MELLIFICA ***
+
+
+
+
+Produced by Bryan Ness, Stephen Blundell and the Online
+Distributed Proofreading Team at http://www.pgdp.net (This
+file was produced from scans of public domain works at the
+University of Michigan's Making of America collection.)
+
+
+
+
+
+
+
+
+
+          APIS MELLIFICA;
+
+                OR,
+
+    THE POISON OF THE HONEY-BEE,
+
+ Considered as a Therapeutic Agent.
+
+
+        BY C. W. WOLF, M.D.,
+
+  Ex-District Physician in Berlin.
+
+
+           PHILADELPHIA:
+     PUBLISHED AND FOR SALE BY
+  WILLIAM RADDE, 635 ARCH STREET.
+               1858.
+
+
+
+
+Transcriber's Note:
+
+    Minor typographical errors have been corrected without note.
+    Inconsistent hyphenation has been standardised, whilst variant and
+    archaic spellings remain as printed. The oe ligature is represented
+    by [oe].
+
+
+
+
+PREFACE.
+
+
+Every physician who has spent years of an active life in prescribing for
+large numbers of patients, is morally bound to publish his experience to
+the world, provided he is satisfied, in his interior conscience, that
+such a publication might be useful to the general interests of humanity.
+
+In offering the following essay to my readers, I simply desire to fulfil
+an obligation recognised as valid by the inner sense. This essay
+contains every thing that an experience of forty years in the
+conscientious and philanthropic exercise of my profession has sanctioned
+and confirmed as truth. Nor have I adopted a single fact, suggested by
+my own observation, as correct, without contrasting it with the most
+approved records of medicine. To every true friend of man, and more
+particularly to every physician who considers the business of healing
+disease as the highest office of medical art, I offer this essay for
+further trial and examination. May the statements expressed in it either
+be confirmed or else corrected and improved by those who excel in more
+thorough knowledge and ability.
+
+                                                           THE AUTHOR.
+
+_Berlin, Oct., 1857._
+
+
+
+
+APIS MELLIFICA.
+
+    "The bee helps to heal all thy internal and external maladies, and
+    is the best little friend whom man possesses in this world."--More
+    in Cotton's _Book of the Bee_, p. 138.
+
+
+Since Hahnemann's successful attempt to develop the medicinal nature of
+Aconite, no other discovery has been made in the domain of practical
+medicine, as comprehensive and universally useful as the discovery of
+the medicinal virtues of the poison of the bee. It is of the utmost
+importance to the interests of humanity to become as intimately
+acquainted with the efficacy of this poison as possible. It is the
+object of these papers to contribute my mite to this work.
+
+As soon as Dr. Hering had published the provings of the bee poison, in
+his "American Provings," I at once submitted them to the test of
+experience in an extensive practice. I prepared the drug which I used
+for this purpose, by pouring half an ounce of alcohol on five living
+bees, and shaking them during the space of eight days, three times
+a-day, with one hundred vigorous strokes of the arm. From this
+preparation, which I used as the mother-tincture, I obtained
+attenuations up to the thirties centesimal scale. So far, the effects
+which I have obtained with this preparation, have been uniformly
+satisfactory. It has seemed to me that the lower potencies lose in power
+as they are kept for a longer period; hence, I consider it safer to
+prepare them fresh every year. As a general rule, I have found either
+the third or the thirtieth potency, sufficient.
+
+Day after day I have obtained more satisfactory results, and now I look
+upon Apis mellifica as the greatest polychrest, next to Aconite, which
+we possess.
+
+The introduction of this poison to the medical profession, will be
+looked upon as the most brilliant merit of one of the most deserving
+apostles of hom[oe]opathy, and will secure immortality to the honored
+name of Constantine Hering. The following statements will show how far
+this faith of a grateful heart is founded upon facts:
+
+_Apis mellifica is the most satisfactory remedy for acute hydrocephalus
+of children._
+
+The more acute and dangerous the attack, the more readily will it yield
+to the action of Apis. Sudden convulsions, followed by general fever,
+loss of consciousness, delirium, sopor while the child is lying in bed,
+interrupted more or less by sudden cries; boring of the head into the
+pillow, with copious sweat about the head, having the odor of musk;
+inability to hold the head erect; squinting of one or both eyes;
+dilatation of the pupils; gritting of the teeth; protrusion of the
+tongue; desire to vomit; nausea, retching and vomiting; collapse of the
+abdominal walls; scanty urine, which is sometimes milky; costiveness;
+trembling of the limbs; occasional twitching of the limbs on one side of
+the body, and apparent paralysis of those of the other side; painful
+turning inwards of the big toes, extorting cries from the patient;
+accelerated pulse, which soon becomes slower, irregular, intermittent
+and rather hard; these symptoms inform us that life is in danger, the
+more so the more numerous they are grouped together.
+
+In comparing with these symptoms the following symptoms from Hering's
+American Provings, Part I., 3d Num., p. 294: "40, 41, muttering during
+sleep; muttering and delirium during sleep; 83, 84, he had lost all
+consciousness of the things around him; he sank into a state of
+insensibility; 140, 144, sense of weight and fulness in the fore part of
+the head; heaviness and fulness in the vertex; dull pain in the occiput,
+aggravated by shaking the head; pressure, fulness and heaviness in the
+occiput; 170, her whole brain feels tired, as if gone to sleep;
+tingling; she experiences the same sensation in both arms, especially in
+the left, and from the left knee down to the foot; 175, 176, sensation
+as if the head were too large; swelling of the head; 391, when biting
+the teeth together, swallowing; after gaping or at other times, a sort
+of gritting the teeth; only a single, involuntary jerk frequently
+repeated; 501, nausea and vomiting; 506, nausea, as if one would vomit,
+with fainting; 512, vomiting of the ingesta; 619, retention of stool;
+640, retention of urine; 665, scanty and dark-colored urine; 980, 984,
+985, trembling, convulsions, starting during sleep as if in affright;
+1020, sudden weakness, compelling him to lie down; he lost all
+recollection; 1032, great desire for sleep, he felt extremely drowsy."
+If we compare these effects of Apis to the above-mentioned symptoms of
+hydrocephalus, we shall find the hom[oe]opathicity of Apis to this
+disease more than superficially indicated. If we consider, moreover,
+that the known effects of Apis show that it possesses the power of
+exciting inflammatory irritation and [oe]dematous swellings, we are
+justified, by our law of similarity, in expecting curative results from
+the use of Apis in all such diseases.
+
+The experiments which I have instituted for the last four years, have
+convinced me of the correctness of this observation. Whenever I had an
+opportunity of giving Apis at the commencement of the diseases, it would
+produce within twelve to twenty-four hours quiet sleep; general
+perspiration, affording relief; the feverish and nervous symptoms,
+together with the delirium, would disappear from hour to hour, and on
+waking, the little patient's consciousness was lucid, the appetite good
+and recovery fully established. This is a triumph of art which inspires
+us with admiration for our science. Less surprising, but equally
+certain, is the relief, if Apis is given after the disease has lasted
+for some time. In such a case, the medicine first excites a combat
+between the morbific force and the conservative reaction. The greater
+the hostile force, the longer the struggle between momentary improvement
+and aggravation of the symptoms; it may sometimes continue for one, two,
+or three days. It is not until now, that a progressive and permanent
+improvement sets in. The desire to vomit is gone; the twitching,
+trembling, and the struggle, generally diminish from hour to hour;
+consciousness returns; the squinting and the dilatation of the pupils
+abate; gritting of the teeth and protrusion of the tongue cease; the
+position and movements of the head and limbs become more natural; the
+pulse becomes more regular; its slowness yields to a more normal
+frequency; the feverish heat terminates in sweat which affords great
+relief, and the retention of stool and urine is succeeded by a more
+copious action of both the bowels and bladder. The natural appetite
+returns; the reproductive process is restored; sleep is quiet and
+refreshing, and recovery is perfectly established in an incredibly short
+period. A cure of this kind generally requires five, seven, eleven, and
+fourteen days. This result is so favorable, that those who have not
+witnessed it, or who are too ignorant and egotistical to investigate the
+facts, may reject it as incredible.
+
+Such brilliant results are obtained by means of a single drop of Apis,
+third attenuation. I mix a drop with seven tablespoonfuls of water, and
+give a dessert-spoonful every hour, or every two or three hours; the
+more acute the attack, the more frequently the dose is repeated; this
+method generally suffices to effect a cure more or less rapidly. As long
+as the improvement progresses satisfactorily, all we have to do is to
+let the medicine act without interfering. If the improvement is
+arrested, or the patient gets worse, which sometimes happens in the more
+intense grades of this malady, the best course is to give a globule of
+Apis 30, and to watch the result for some twenty-four hours. After the
+lapse of this period the improvement will either have resumed its
+course, or else it will continue unsatisfactory. In the latter case we
+should give another dose of the above-mentioned solution of Apis 3. Not
+unfrequently I have met with patients upon whom Apis acts too
+powerfully, causing pains in the bowels, interminable diarrh[oe]a, of a
+dysenteric character, extreme prostration and a sense of fainting. In
+such cases the tumultuous action of Apis is mitigated, and the continued
+use of this drug, rendered possible by giving Apis in alternation with
+Aconite in water, every hour or two hours.
+
+Except such cases, I have never been obliged to resort to other
+accessory means.
+
+_Apis is no less efficacious against the higher grades of ophthalmia._
+
+It is particularly rheumatic, catarrhal, erysipelatous, and [oe]dematous
+ophthalmia, which is most rapidly, easily, and safely cured by Apis, no
+matter what part of the eye may be the seat of the disease.
+
+The symptoms 188-307 distinctly point to the curative virtues of Apis in
+ophthalmia: "Sensitiveness to light, with headache, redness of the eyes;
+he keeps his eyes closed, light is intolerable, the eyes are painful and
+feel sore and irritated if he uses them; weakness of sight, with feeling
+of fullness in the eyes; twitching of the left eyeball; feeling of
+heaviness in the eyelids and eyes; aching, sore-pressing, tensive,
+shooting, boring, stinging, burning pains in and around the eyes, and
+above the eyes in the forehead; redness of the eyes and lids; secretion
+of mucus and agglutination of the lids; the lids are swollen, dark-red,
+everted; the conjunctiva is reddened, full of dark blood-vessels which
+gradually lose themselves in the cornea; the cornea is obscured, smoky,
+showing a few little ulcers here and there; profuse lachrymation;
+stinging itching in the left eye, in the lids and around the eye;
+sensation of a quantity of mucus in the left eye; sensation of a foreign
+little body in the eye; soreness of the canthi; styes; [oe]dema of the
+lids; erysipelatous inflammation of the lids."
+
+I have found the correctness of these observations uniformly confirmed
+by the most satisfactory cures of such affections. I use the medicine in
+the same manner as for acute hydrocephalus. In some cases I found the
+eye so sensitive to the action of Apis, that an exceedingly violent
+aggravation of the inflammatory symptoms ensued, which might have proved
+dangerous to the preservation of such a delicate organ as the eye.
+Inasmuch as it is impossible to determine beforehand the degree of
+sensitiveness, I obviate all danger by exhibiting Apis in alternation
+with Aconite in the manner indicated for hydrocephalus. By means of this
+alternate exhibition of two drugs, we not only prevent every aggravating
+primary effect, but we at the same time act in accordance with the
+important law, that, in order to secure the effective and undisturbed
+repetition of a drug, we have first to interrupt its action by some
+appropriate intermediate remedy. All repetitions should cease as soon as
+a general improvement sets in; if the medicine is continued beyond the
+point where the organism is saturated with the drug, it acts as a
+hostile agent, not as a curative remedy. This important point is known
+by the fact, that the improvement which had already commenced, seems to
+remain stationary; the patient experiences a distressing urging to
+stool, a burning diarrh[oe]a sets in, and a disproportionate feeling of
+malaise develops itself. Under these circumstances, a globule of Apis 30
+will quiet the patient, and the action of the drug will achieve the cure
+without any further difficulty, and without much loss of time, unless
+psora, sycosis, syphilis, or vaccine-virus prevail in the organism, or
+sulphur, iodine or mercury had been previously given in large doses. In
+the presence of such complications Apis will prove ineffectual until
+they have been removed by some specific antidote. After having made a
+most careful diagnosis, a single dose of the highest potency of the
+specific remedy be given, and be allowed to act as long as a trace of
+improvement is still perceptible. As soon as the improvement ceases, or
+an aggravation of the symptoms sets in, Apis is in its place and will
+act most satisfactorily. We then give Apis 3 in water, as mentioned
+above, with the most satisfactory success.
+
+_Apis is the most appropriate remedy for inflammation of the tongue,
+mouth, and throat._
+
+The following symptoms may be looked upon as striking curative
+indications: 378-380, 383, 384, 399, 400, 405, 406, 409, 410, 413, 419,
+436, 437, 439, 443, 444, 449, 455, 458, 459, 463, 470, 471: "Burning of
+the lips; the upper lip is swollen to such a degree that the inside
+seems turned outside; swelling of the lips and tongue; swelling of the
+upper lip, it becomes hot and red, almost brown; dark streaks along the
+vermilion border, particularly on the upper lip, rough, cracked, peeling
+off; violent pains spreading through the gums, the gums bleed readily;
+the tongue feels as if burnt; tongue and palate are sore; raw feeling,
+burning, blisters along the margin of the tongue, very painful,
+stinging; at the tip of the tongue a row of small vesicles which cause a
+pain as if sore and raw; dry tongue; the inner cheeks look red and
+fiery, with painful sensitiveness; inflammation of the tongue;
+inflammation and swelling of the palate; burning, stinging sensation in
+the mouth and throat; pressure in the fauces as of a foreign body;
+ptyalism; copious accumulation of a soapy mucus in the mouth and throat;
+dryness and heat in the throat; inability to swallow a drop, with
+swelling of the tongue; sensation of gnawing and contraction in the
+throat, increasing after four hours so as to render deglutition
+difficult; sensation of fulness, constriction and suffocation in the
+throat; deglutition painful and impeded, stinging pains during
+deglutition; swelling and redness of the tonsils, impeding deglutition;
+angina faucium; chilliness followed by heat; violent pain in the
+temples; redness and swelling of the tonsils; uvula and fauces, painful
+and impeded deglutition, and stinging pains when attempting to
+swallow."
+
+The more frequently we make use of Apis in the treatment of these very
+common forms of angina, and of the inflammation of the salivary glands,
+which are so closely connected with the other parts of the throat, the
+more we become convinced by the most striking success, that this drug is
+by far the speediest, safest and easiest remedy which we possess for the
+treatment of these exceedingly common and yet so very distressing
+affections. Not only in common affections of this sort, but also in the
+most acute and dangerous forms of angina faucium, will Apis be found
+efficient; even where these affections are hereditary, or have become
+habitual, and generally terminate in suppuration, Apis will still afford
+help. In these affections likewise Apis acts most promptly and
+efficiently, if given in alternation with Aconite, both remedies in the
+third dilution, a few drops dissolved in twelve tablespoonfuls of water,
+in alternate hourly doses. After taking a few doses, the patient begins
+to feel relieved, enjoys a quiet sleep, and the resolution of the
+inflammation takes place, accompanied by the breaking out of a general
+perspiration. If there should be a natural tendency to suppuration, this
+treatment will hasten it from hour to hour, and after the pus is
+discharged, a cure will soon be accomplished. In the most inveterate
+cases, which had been previously treated in a different manner, the same
+curative process takes place gradually; first one outbreak of the
+disease is hushed; next, if another portion of the throat becomes
+inflamed, this inflammation is controlled, and this proceeding is
+continued with an increasingly rapid success and a continued abatement
+of all sufferings, until, finally, a perfect recovery is obtained, even
+under these disadvantageous circumstances.
+
+Apis is not sufficient to prevent the recurrence of such inflammatory
+attacks; this object has to be accomplished by means of the appropriate
+antidotal specific.
+
+_Apis becomes an exceedingly useful remedy in consequence of the
+specific power which it possesses over the whole internal mucous
+membrane and its appendages._
+
+It is particularly the mucous membrane of the alimentary canal upon
+which Apis has a striking influence. It excites an inflammatory
+irritation, which not only disturbs the secretion of mucus, but also
+disintegrates the intestinal juices so essential to the process of
+sanguification, thus disqualifying the blood from properly contributing
+to the reproduction of the nervous tissue. By thus altering the blood
+and nerves, these two principal vehicles of vitality, it develops a
+group of symptoms which is exceedingly similar to our abdominal typhus
+that seems to have become stationary among us for the last twenty years.
+This similarity, in its totality, results from the following symptoms
+contained in the "American Provings."
+
+"398: troublesome pains in the gums. 400: the gums bleed readily. 402:
+bitterish taste in the back part of the tongue and in the throat. 405:
+tongue as if burnt. 406: tongue and palate feel sore. 411: a number of
+vesicles and small, sore, somewhat red spots at the tip of the tongue
+and along the left margin of the tongue. 413: dry tongue, the inner
+cheeks look red, fiery, are painfully sensitive. 416: burning from the
+tongue down the [oe]sophagus, as far as the stomach, eructations every
+four or five minutes, with flow of tasteless water in the mouth;
+eructations became worse after drinking water, she almost felt as if
+choked. 420: swelling of the tongue, the tongue is dry, shining,
+yellowish. 421: tenacious saliva adhering to the tongue. 424: tongue dry
+and white. 427: feeling of dryness in the mouth and throat. 441: fetid
+breath, with gastritis. 445: quantity of thick, tenacious mucus deep in
+the throat, obliging him to hawk. 447: tenacious, frothy saliva. 450:
+dryness in the throat, without thirst. 452: loathing, as if out of the
+throat. 459: sense of fulness, constriction and choking in the throat.
+474: loss of taste. 475: complete loss of appetite. 488: no thirst, with
+heat. 492: very thirsty when waking at night, after diarrh[oe]a. 495:
+eructations tasting of white of eggs. 501: nausea and vomiting. 504:
+fainting sort of nausea from the short ribs across the whole abdomen.
+512: vomiting of the ingesta. 513: vomiting of bile. 516: vomiting and
+diarrh[oe]a. 517: nausea, vomiting of the ingesta, and diarrh[oe]a;
+repeated vomiting, first of bile, afterwards a thin, watery fluid,
+having a very bitter taste, with violent pains across the abdomen. 518
+to 525: oppression, pressing, creeping, drawing and gnawing, pricking,
+soreness, heat and burning in the stomach. 528: painful sensitiveness
+in the pit of the stomach, with burning, like heartburn, with bilious
+diarrh[oe]a, rather greenish, and almost painless. 530: violent pain and
+sensitiveness in the region of the stomach and epigastrium, with
+vomiting, coated tongue, fetid breath, costiveness, and sleep disturbed
+by muttering and dreams, with frequent, wiry pulse. 533: sense of
+numbness under the right ribs. 532: sense of compression, squeezing,
+bruising, under the ribs, worse on the left side. 535: violent burning
+pains under the short ribs on both sides, worst and most permanent on
+the left side, _where the pain is felt for weeks, preventing sleep_.
+543: rumbling in the abdomen, with violent urging to stool. 545: nausea
+in the abdomen, has to lie down. 546: weight in the abdomen. 547: dull
+pain in the bowels. 552: occasional attacks of colic, with a feverish,
+tremulous sensation. 553: violent, cutting pains in the abdomen. 555:
+slowly pulsating, boring pain above the left crest of the ilium,
+relieved by eructations. 556: pain in the abdomen, from the hips to the
+umbilical region. 560: soreness and pressure in the lower abdomen. 563:
+_feeling of soreness, burning and numbness below and on the side of the
+right hip, deep-seated_. 566: the inner abdomen feels sore and as if
+excoriated, painful when pressed upon. 567: feeling as if the bowels had
+been squeezed, with tenesmus during stool. 576: fulness and sense of
+distension in the abdomen, as if bloated. 589: frequent urging to stool,
+with pain in the anus on account of the frequent pressing. 590: violent
+tenesmus. 593: several thin, yellow evacuations, accompanied by
+excessive prostration; the stools set in at every motion of the body, as
+if the anus were wide open. 598: copious discharges of dark brown, green
+and whitish excrements. 599: dysenteric stools. 608: blood and mucus
+with stool. 611 and 612: painful and also painless diarrh[oe]a,
+especially in the morning. 617: retention of stool for one week. 646:
+disagreeable sensation in the bladder, with pressing downwards in the
+region of the sphincter, and frequent urging, so that he voids urine
+frequently in the day-time, and ten or twelve times at night; burning
+and cutting during urination. 668: the urine is dark colored. 730:
+hoarseness and distress of breathing. 733: roughness and sensitiveness
+in the larynx. 738: violent cough, especially after lying down and
+sleeping. 754: hurried and difficult breathing, with heat and headache.
+803: sense of soreness, lameness, bruised and contusive feeling in the
+chest. 812: trembling and pressure in the chest, with embarrassed
+breathing. 818: pulse scarcely perceptible. 822: pulse accelerated. 833:
+swelling of the cervical glands on the injured side. 968: extreme
+sensitiveness of the whole body to contact, every hair is painful when
+touched. 971: excessive nervousness. 979: general lassitude, with
+trembling. 994: in the afternoon he becomes extremely restless and
+exhausted. 1011: paroxysms of great weakness. 1021: sudden weakness, he
+had to lie down, and lost his senses. 1025: complete loss of
+recollection, with vomiting, desire for sleep and rest, slow beating of
+the heart and scarcely perceptible pulse. 1032: excessive drowsiness.
+1039: starting during sleep, as if in affright, with some cough. 1046:
+sleeplessness. 1047: restless sleep, frequent waking and constant
+_dreaming_. 1064: chattering during sleep (in the case of a child).
+1081: chilly every afternoon at three or four o'clock, she feels a
+shivering, worse during warmth; chilly creepings across the back, the
+hands feel numb; an hour after, feverish heat, with rough cough, hot
+cheeks and hands, no thirst; these symptoms pass off gradually, but she
+feels heavy and prostrated. 1089: chill after a heat of thirty-six
+hours. 1090: sudden chilliness, afterwards heat and sweat. 1124:
+alternate sweat and dry skin. 1198: thick urticaria, itching a great
+deal (very soon). 1224: swelling and erysipelatous redness. 54: unable
+to concentrate his thoughts. 57: dulness of the head, it feels
+compressed. 62: vertigo and weakness. 79: dizziness."
+
+Whosoever compares the totality of these effects of Apis to the symptoms
+of the prevailing abdominal typhus, will admit that Apis is
+hom[oe]opathic to this disease. He will even admit that this
+hom[oe]opathicity of Apis to abdominal typhus extends to the minute
+particulars of the disease _in their totality_. Even the course which
+Apis pursues, in developing its effects in the organism, is similar to
+the progressive development of typhus. Any one who has witnessed, as I
+have, the course which this disease pursues, will admit that mucous
+membrane of the alimentary canal is first affected by the disease, in
+the same manner as Apis affects it; that this irritation of the mucous
+membrane is followed by gastric catarrhal symptoms, which are speedily
+succeeded by symptoms of disintegration of the animal fluids and typhoid
+phenomena; that the gastric irritation is generally characterized by
+boils, urticaria, erysipelas of the skin, and the nervous irritation by
+symptoms of abdominal typhus; that the internal and external development
+of the disease is determined by a striking sympathetic derangement of
+the organic functions of the liver, and still more of the spleen, and
+likewise by a more striking prominence of the intermittent type of the
+fever; and that all these varied disturbances finally culminate in
+abdominal typhus.
+
+Owing to this remarkable similarity, Apis will effect striking cures of
+all these different derangements.
+
+If, after more or less distinctly felt premonitory symptoms--after a
+sudden cold, excessive exertions, prostrating emotions or enjoyments--a
+more or less violent fever is developed, accompanied by dulness and
+painfulness of the head, retching and vomiting, distention and
+sensitiveness of the pit of the stomach, and soon after of the whole
+abdomen, with urging diarrh[oe]a, pappy and foul taste in the mouth,
+loss of appetite and thirst, feeling of dryness in the mouth and throat,
+tongue sore, as if burnt and swollen, with antagonistic change of
+symptoms, suspicious and extraordinary prostration, and feeling of
+fainting; a few spoonfuls of the above-mentioned solution of Apis 3,
+will afford such speedy relief, that it may seem incredible to those who
+have not witnessed it. The nausea, the vomiting, the diarrh[oe]a, and
+the painfulness of the abdomen, disappear; quiet sleep sets in, with
+general perspiration, which terminates the fever, and affords great
+relief; after waking, the patient is comforted by the internal sensation
+of returning health; a natural appetite is again felt, the strength
+returns, and in a few days the healthy look of the tongue and buccal
+cavity shows that the mucous membrane of the stomach and bowels has
+recovered its normal quality. The longer help is deferred, the longer
+time the morbid process has had in making its inroads upon the system,
+the more frequently will it be necessary to repeat the medicine, until a
+cure is achieved.
+
+The same good result is perceived, if the morbid process is accompanied
+by furuncles, urticaria, erysipelas--the latter principally on the head
+and in the face, less frequently upon the extremities, and inclining to
+shift from one place to another. Such a combination of symptoms not only
+shows a higher degree of intensity of the disease, but also shows that
+the organism is still capable of battling against the internal disease,
+by compelling it to leave the interior tissue, and to develop itself
+externally. It is the first business of the physician to support the
+organism in this tendency, and to guard the brain and bowels from every
+destructive relapse. Apis, employed as above, accomplishes this result
+more speedily than any other drug. Of course, a few days are required
+for this purpose, although the rules of using the drug and the course of
+treatment are the same.
+
+The same observation applies to the not unfrequent complication with
+organic disease of the spleen and consequent dropsy. Apis, used in the
+same manner, effects, in as short a period as the intensity of the
+symptoms will permit, a mitigation and gradual disappearance of the
+painfulness of the spleen, restores the normal action of the spleen more
+and more, and neutralises the tendency to dropsical effusion at the same
+time as it expels the accumulated fluid by increasing the secretions
+from the bladder and bowels, and the cutaneous exhalation.
+
+If the liver is organically diseased, Apis is no longer sufficient. In
+such a case, the action of the liver has first to be restored to its
+normal standard. In dropsical diseases, I have effected this result most
+frequently, for years past, by means of Carduus mariae, less frequently
+by Quassia, still less frequently by Nux vomica, and only in a few cases
+by Chelidonium: according as one or the other of these agents seemed
+indicated by the epidemic character of the disease. In all non-malignant
+cases, if the medicine was permitted to act in time, the whole disease
+was often cut short by the use of these drugs, and the development of
+typhoid symptoms prevented. Not, however, in all more inveterate cases,
+where the prevailing character of the disease, by its more penetrating
+action upon the tissues, induced a slower and more threatening course of
+development. As soon as the pains in the right hypochondrium had
+disappeared, the bilious quality of the faeces had been restored, and the
+urine had become lighter colored, but the fever still continued, tongue,
+throat, pit of the stomach and abdomen had become more sensitive; the
+head duller and tighter, and the prostration more overpowering. In such
+a case, Apis, prepared as above, became indispensable, in order to
+remove all danger to life. Its curative action soon became manifest in
+two different ways.
+
+If the reactive force of the organism was still sufficient, the medicine
+succeeded very speedily in preventing the supervention of the typhoid
+stage, in changing the fever-type from a remittent or even continuous to
+an intermittent type, during which the convalescence of the patient,
+aided by a suitable diet, was more and more firmly established and
+generally completely secured after the lapse of a week.
+
+If the typhoid stage could not be prevented and set in with the
+following symptoms: the patient lies on his bed in a state of apathy,
+with loss of recollection, sopor, muttering delirium, hardness of
+hearing, inability to protrude the tongue or to articulate; dry,
+cracked, sore, blistered, ulcerated tongue; difficult deglutition;
+painful distention of the abdomen, which is sensitive to contact or
+pressure; retention of stool, or else frequent, painful, foul, bloody,
+involuntary diarrh[oe]a; fermentous urine, which is sometimes discharged
+involuntarily; the skin is at times and partially dry, burning, at times
+and partially clammy, cool; trembling and twitching of the limbs; white
+miliaria on the chest and abdomen; extreme debility, with settling
+towards the foot-end of the bed; changing pulse, which is at times slow,
+at others accelerated, feeble, intermittent: in such a case Apis
+requires more time to heal the mucous membrane of the alimentary canal;
+to restore the normal action of the bowels; to regulate the digestive
+functions; to procure quiet and refreshing sleep, and to gradually
+effect a complete restoration of health. If the mucous membrane of the
+respiratory organs was invaded by the morbid process, the cure was
+nevertheless completed as soon as the mucous lining of the intestinal
+canal was restored to its natural condition.
+
+So far, the only obstacle to a cure which I have witnessed, has been
+tuberculosis of the chest or abdominal viscera, or of both at the same
+time, and still more the vaccine-virus; likewise a tendency to paralysis
+in persons who were otherwise morbidly affected. Tuberculosis has often
+been combated by a single dose of a high potence of Sulphur between the
+doses of Apis, no Apis being given after the Sulphur, as long as the
+course of the typhoid symptoms would render it safe to postpone this
+medicine. I have found it much more difficult to conquer the
+vaccine-poison, _which I have become satisfied by years of observation,
+constitutes the most universal and most powerful generator of the typhus
+which is prevailing in our age and which seems unwilling to leave us_.
+Tartar emetic proves in this, as in other cases, its antidotal power
+against the vaccine-virus; but under no circumstances is more caution
+required in the use of tartar emetic than in typhus, where the
+vaccine-virus seeks to develop its characteristic pustules with a
+tendency inherent in each pustule to terminate in the destruction of
+the mucous membrane. It may seem hazardous to add to this combination of
+destructive forces another similarly-acting element; but a careful
+consideration of the circumstances of the case will justify such a
+proceeding, although death may be the inevitable result of the morbid
+process. Experience has satisfied me that the alternate use of tartar
+emetic and Apis, a drop of the third potency of each, every three, six
+or twelve hours, according as the symptoms are more or less violent, or,
+in very sensitive organisms, in tablespoonful doses of a watery solution
+of a drop, will accomplish all that can be expected; for these two
+drugs, thus administered, seem to compensate or complete each other. I
+am unable to say how far this proceeding requires to be modified in
+particular cases; all I desire to do, is to submit this important
+subject to my colleagues for further inquiry and trial.
+
+If a tendency to paralysis prevails, the danger is less threatening,
+although equally momentous. In such cases I use Apis and Moschus in
+alternation, although I am unable to assert, on account of deficient
+experience, that this treatment will always prove satisfactory. Such
+cases hardly ever arise under hom[oe]opathic treatment; and if they come
+to us out of the hands of all[oe]opathic practitioners, they generally
+prove incurable.
+
+If these three obstacles to a cure appear combined, I have never found
+it possible to effect any thing. All that I have found it possible to
+do, has been to prevent such a dreadful combination by carefully
+attending to my patients in previous diseases.
+
+Sometimes in typhus, the affection of the spleen shows itself again,
+even after recovery has fairly set in; the intermittent type again
+breaks forth, and recovery finally takes place, as the intermissions
+become more and more distinct and lengthened. As long as the
+intermittent type continues, Apis has to be given; the action of the
+spleen becomes more and more normal, the fever paroxysms become shorter
+and less marked, and the restoration of health is effected without any
+more treatment than a single dose of Apis 30, one globule, which is
+permitted to act until the patient is well.
+
+Observations of this kind, which I have made under the most diversified
+circumstances, have taught me that Apis is _the most sovereign remedy
+for all those morbid processes which we designate as_ INTERMITTENT
+FEVER.
+
+The following symptoms indicate the hom[oe]opathicity of Apis to
+intermittent fever:
+
+"1081: every afternoon about three or four o'clock she feels chilly,
+shivering, worse in warmth; a chilly creeping along the back, the hands
+seem dead; in about an hour she feels feverish and hot, with rough
+cough, hot hands and cheeks, without thirst; these symptoms pass off
+gradually, after which she feels heavy and prostrate. 1088: chilliness
+all over, recurring periodically, with an undulating sensation. 1089:
+chill after a heat of thirty-six hours. 1090: sudden chilliness,
+followed by heat and sweat. 499: loathing, with chilliness and coldness
+of the limbs. 534: pains on the left side, below the last ribs. 535:
+violent burning pain below the short ribs, on both sides, worst and most
+permanent on the left side, where it continues for weeks, preventing
+sleep. 577: enlargement of the abdomen, with swelling of the feet,
+scanty urine."
+
+The provings of Apis show that this drug affects every portion of the
+nervous system--the cerebral, spinal and ganglionic nerves--and the
+process of sanguification, in the same general and characteristic manner
+as is the case in fever and ague.
+
+In comparing the symptoms of Apis with those of any other known drug,
+there is no medicine that bears as close an affinity to fever and ague
+as Apis. Howsoever useful other remedies may have proved, in the
+treatment of fever and ague, they are only hom[oe]opathic to isolated
+conditions, in comparison with Apis. In practice, it was often found
+very difficult, even for the most experienced physician, to decide in
+which of these exceptional cases the specifically hom[oe]opathic agent
+should have been employed. Sometimes no properly hom[oe]opathic remedy
+could be found, in which case the treatment had to be conducted in a
+round-about way.
+
+All these difficulties have been effectually removed by Apis, and the
+treatment of intermittent fever may henceforth be said to constitute one
+of the most certain and positive achievements of the hom[oe]opathic
+domain. For the last three years, during which period I have
+experimented with Apis, I have not come across a single case of
+intermittent fever that did not yield satisfactorily to Apis. I have
+treated a pretty fair share of obstinate and complicated cases of this
+disease, and have, therefore, had an opportunity of testing the curative
+virtues of Apis in a satisfactory manner. Here are the results of my
+observations:
+
+Apis is the natural remedy for the pathological process which is
+characterized by periodical paroxysms of chill, heat and sweat; the
+other morbid symptoms being common to this process, as they are to all
+other diseases.
+
+All the symptoms which have hitherto been observed in intermittent
+fever, will be found, with striking similarity, among the provings of
+Apis. For a confirmation of this statement, we refer to Hering's
+American Provings, and to B[oe]nninghausen's Essay on Intermittent
+Fevers.
+
+In making use of Apis in every form of intermittent fever, we not only
+act in strict accordance with the hom[oe]opathic law generally, but we
+fulfil all the requirements of the individualizing method. Apis is the
+universal remedy in intermittent fevers, for which every hom[oe]opathic
+physician has been longing, and which pure experiments, conducted
+according to the rules of hom[oe]opathy, have revealed to us;--another
+shining light on the sublime path of the healing artist!
+
+The beneficent action of Apis, in intermittent fever, is still increased
+by the fact that it prevents the supervention of typhus,
+disorganizations of the spleen, dropsy, china-cachexia. In using Apis
+from the commencement, all such consequences are avoided, and if they
+should have been induced by different treatment, Apis removes them as
+speedily as possible.
+
+In all lighter cases, it is sufficient to give a drop of Apis 3, morning
+and evening, during the apyrexia, and to continue this treatment until
+the attacks cease; very often no other paroxysm sets in after the first
+dose; there are scarcely ever more than two or three paroxysms. In a few
+days the cure is accomplished, provided the action of the medicine is
+not disturbed.
+
+In more obstinate cases, which had been coming on for a longer period,
+or had been caused by more noxious influences, had lasted longer, had
+invaded the organism with more intensity, or where the paroxysms last
+longer and the intermissions are shorter, or where two paroxysms occur
+in succession, or the life of the organism is endangered by some cause
+or other,--the organism has to be saturated with the medicine in the
+shortest possible period, in order to ensure victory to the curative
+agent. Under these circumstances, we prepare a solution of from two to
+four drops of the third potency in twelve tablespoonfuls of water, shake
+it well in a closed bottle, and give a tablespoonful of this solution
+every hour. If the case should be urgent, we may give a drop of Apis 3,
+on sugar, every three or six hours. This treatment is to be continued
+until the patient is decidedly better; after which the medicine should
+be discontinued. If the improvement is not quite satisfactory, the last
+dose is continued several times every twelve or twenty-four hours, after
+which the proper effect will have been obtained. If the progressive
+improvement of the patient should be attended with distinct morbid
+symptoms, it would be injurious to continue the repetition of the drug.
+Nevertheless, a globule of Apis 30 may sometimes hasten the
+convalescence of the patient, and otherwise afford relief. Signs of
+reaction, even if more or less violent, should not deceive one. If left
+to themselves, they are often and speedily followed by a refreshing
+calm, and cannot be interfered with, as an aggravation of the symptoms,
+without damaging the case.
+
+These are all the rules which I have so far been able to infer from my
+use of Apis. Further experience will have to decide whether they apply
+to all periods, or only to the prevailing type of fever.
+
+I am unable to say whether Apis will prove effectual against epidemic
+marsh-intermittents, and if so, how the use of it will have to be
+modified. May it please those, who can shed light on this subject, to
+communicate their experience!
+
+Two other exceptions to Apis, as a universal febrifuge, have occurred to
+me in my practice: _The development of fever and ague in poisoned soil,
+and fever and ague complicated with China-cachexia._
+
+It is peculiar to intermittent fever to excite the morbid germs which
+are slumbering in the organism. This is more particularly true in
+reference to psora. In proportion to universality of the psoric miasm,
+fever and ague will develop and complicate itself with psoric
+affections; and it is such complications that give rise to the
+inveterate character of intermittents and their disorganizing tendency.
+
+In such cases, a cure cannot be effected without some suitable
+anti-psoric. During the prevailing fever, Natrum muriaticum has proved
+such an anti-psoric, provided it was used as follows: If the signs of
+psoric complication became visible at the outset, I gave a pellet of
+Natrum mur. 30, and awaited the result until after the third paroxysm.
+If symptoms of improvement had become manifest, no other remedy was
+given, and the improvement was permitted to progress from day to day. If
+the signs of psoric complication were obscure at the beginning of the
+attack, Apis was at once given. If no improvement became visible after
+the third paroxysm, or if other symptoms developed themselves, this was
+looked upon as a proof of the existence of psora, and Natrum mur. 30 was
+given, and no other remedy, until after the third paroxysm. Either the
+disease had ceased, or it required further treatment. In the latter
+case, Apis 3 was continued in drop-doses, morning and evening, until the
+patient was decidedly convalescent. No further medicine was given after
+this, and the Natrum mur. was permitted to act undisturbed, without a
+single repetition. Every such repetition is hurtful; it disturbs the
+curative process, excites an excess of reaction in the organism,
+exhausts it, and develops artificial derangements, which often mislead
+the judgment, and induce an uncalled-for and improper application of
+remedial means. Such repetitions are unnecessary; any one who is
+acquainted with the action of Natrum mur., will at once perceive that
+the psora-destroying effect of this agent had not been neutralized by
+Apis. Recovery becomes more and more completely established, and
+sometimes terminates in the breaking out of a wide-spread,
+bright-looking eruption, resembling recent dry itch, and attended with
+the peculiar itching which always exists in this disease. The complete
+peeling off of the epidermis shows the true cause of the disease. In a
+few cases, an itch-eruption of this kind proved contagious, and
+communicated itself to other persons in the family.
+
+A similar course of treatment was pursued, if some other anti-psoric had
+to be resorted to, according as one or the other of the three miasms
+seemed to require.
+
+_The thoroughness of this treatment of intermittent fevers is proved by
+the fact, that no relapses ever took place, or that no secondary
+diseases were ever developed._
+
+If these sequelae were the consequences of an abuse of Cinchona, and this
+China-cachexia was the source of subsequent paroxysms of fever, I have,
+even in such cases, when nothing else would help, seen Apis cure both
+the fever and the China-cachexia, in most cases which came under my
+treatment. In the most inveterate cases, which had perhaps been
+mismanaged in various ways, and where the reactive power of the organism
+seemed entirely prostrated, I found it necessary to resort to the
+employment of a most penetrating agent, more particularly the 5000th
+potency of Natrum muriaticum, which I have so far found the only
+sufficiently powerful curative influence under the circumstances. The
+rules of administering this potency are the same as those for the
+exhibition of the 30th.
+
+Not only does Apis afford help in the affections which habitually and
+most generally occur among us; it is likewise in curative rapport with
+the
+
+TYPHOID-GASTRIC CONDITIONS WHICH DEVELOPE THEMSELVES DURING THE COURSE
+OF AN ERYSIPELATOUS OR EXANTHEMATOUS CUTANEOUS AFFECTION, MORE
+PARTICULARLY SCARLATINA, RUBEOLA, MEASLES AND URTICARIA.
+
+The use of Apis in erysipelas is indicated by: "Nos. 168, 169: great
+anxiety in the head, with swelling of the face; inflammatory swelling
+and twitching so violent, that an apoplectic attack is dreaded. 175 to
+178: sensation as if the head were too large; swelling of the head;
+sensitiveness to contact on the vertex, forehead; burning, stinging
+about the head. 292: erysipelatous inflammation of the eyelids. 295:
+after the most violent pains of the right eye, a bluish, red, whitish
+swelling of both eyes, which were closed in consequence. 297: swelling
+under the eyes during erysipelas, as when stung by a bee. 316: red
+swelling of both ears, with a stinging and burning pain in the swelling,
+with redness of the face every evening. 356: erysipelas spreading across
+the face, and proceeding from the eyes. 359: tension in the face,
+awakening her about one o'clock, the nose was swollen, so were the right
+eye and cheek, stinging pain when touching the part; under the right
+eye, and proceeding from the nose, red streaks spread across the cheek,
+until four o'clock; next day, after midnight, sudden swelling of the
+upper lip, with heat and burning redness, continuing until morning; on
+the third night, sudden crawling over the right cheek, with stinging
+near the nose, after which the cheek and upper lip swelled. 363: face
+red and hot, with burning and stinging pain, it swells so that he is no
+longer recognized. 388: pimple in the vermilion border of the lower lip,
+which he scratches, after which an erysipelatous swelling arises,
+spreading rapidly over the chin and the lower jaw, and invading the
+anterior neck and the glands, so that he is unable to move the jaws, as
+during trismus, or as if the ligaments of the jaws were inflamed; with
+constant disposition to sleep, the sleep being interrupted by frightful
+dreams. 706 to 707: swelling of the right half of the labia, with
+inflammation and violent pain, rapid, hard pulse, diarrh[oe]a consisting
+of yellow, greenish mucus, in the case of a girl of three years old;
+deeply-penetrating distress, commencing in the clitoris and spreading to
+the vagina; the labia minora are swollen, they feel dry and hard, they
+are covered with a crust; at the commencement urination is painful. 948:
+burning of the toes, and erysipelatous redness with heat at a
+circumscribed spot on the foot, the remainder of the foot being cold.
+1167, 1168: acute pain and erysipelatous swelling, hard and white in the
+centre; bright red, elevated, hard swelling of the place where he was
+stung, and round about a chilly feeling. 1170-1173: red place where he
+was stung, with swelling and red streaks along the fingers and arm; red
+streaks along the lymphatic vessels, proceeding from the sting along the
+middle finger and arm; inflammatory swelling, spreading all around.
+1181: throbbing in the swelling. 1182: wide-spread cellular
+inflammation, terminating in resolution. 1224, 1225: swelling and
+erysipelatous redness; erysipelatous redness of the toes and feet."
+
+If we add to these remarks, that Apis corresponds to gastric and typhoid
+conditions, as was shown before, with remarkable similarity of symptoms,
+we find, without doubt, that all known erysipelatous forms of
+inflammation are covered by the pathogenetic effects of Apis. Hence we
+may with propriety give Apis in these affections. Practical experience
+has abundantly confirmed these conclusions. For the last four years, I
+have cured readily, safely and easily all forms of erysipelas which have
+come under my notice--[oe]dematous, smooth, vesicular, light or dark
+colored, seated or wandering, phlegmonous, recent or habitually
+recurring, of a light or inveterate character, repelled, among
+individuals of every disposition and age. I have never seen all kinds of
+pain yield more readily; I have never seen the accompanying fever abate
+more speedily; I have never arrested the further spread of erysipelas,
+nor effected a resolution of the inflammation of the cellular tissue,
+more certainly; nor, if the termination in suppuration was no longer
+avoidable, have I ever succeeded in effecting the formation of laudable
+pus, the spontaneous discharge of the pus, the radical healing of the
+sore without any scar--_how important is all this in erysipelatous
+inflammation of the mammae_--with more certainty and thoroughness, than
+by means of Apis! No remedy possesses equal powers in protecting
+internal organs from the dangerous inroad of this disease.
+
+I effected all this without any other medicinal aid, or without
+resorting to an operation. Keeping quiet and dry, and in a uniform
+temperature, is all that is required, in order to secure the full
+curative action of Apis. In this disease it is used in the same manner
+as we have indicated before. If the liver should be very much involved
+in this disease, we effect a cure still more rapidly, by alternating
+Aconite with Apis, in case inflammation is present; Carduus mariae, in
+case of simple inflammatory irritation, and Hepatin, if disorganizations
+have already set in. In phlegmonous and suppurative habitual erysipelas,
+a cure is generally facilitated, if a dose of Sulphur 30 is
+interpolated, in the manner which we have explained before, in order to
+neutralize the psoric taint which is here generally present.
+
+According to this experience, in conjunction with the symptoms 706, 707,
+I believe that Apis will prove a successful prophylactic and curative
+agent in a disease of children, which terminates fatally in almost every
+case. I mean erysipelas of new-born infants, which commences at the
+genital organs, thence spreads over the skin, and terminates in the
+induration and destruction of this organ. Until now, I have not had an
+opportunity of verifying the truth of this theoretical conclusion by
+actual experiments. Hence I content myself with offering this
+suggestion for further practical trials.
+
+The American Provings likewise show that Apis may be of great use in
+scarlatina.
+
+"No. 349: redness of the face, as in scarlatina. 408 to 413: tongue very
+painful, the burning and raw feeling increases; vesicles spring up along
+the margin of the tongue, the pains are accompanied by stitches; at the
+tip of the tongue, toward the left side, a row of small vesicles spring
+up, some six or eight, which are very painful and sore; dryness of the
+tongue, red and fiery appearance of the inside of the cheeks, with
+painful sensitiveness. 311: pains in the interior of the right ear. 413
+to 417: burning at the upper portion of the left ear; stitches under the
+left ear, tension under and behind the ears; red swelling of both ears,
+with a stinging and burning pain in the swelling. 462 to 463: difficulty
+of swallowing, staging pains when swallowing. 466: burning in the fauces
+down to the stomach. 470: difficulty of swallowing in consequence of
+redness and swelling of the tonsils. 473: ulcers in the throat during
+scarlet fever. 1236: scarlatina does not come out, in the place of which
+the throat becomes ulcerated. 1237: retrocession of scarlatina, violent
+fever, excessive heat, congestion of the head, reddened eyes, violent
+delirium. 832: redness and swelling in front of the neck, swelling of
+the glands. 833: swelling of the cervical glands on the injured side.
+836: tension on the right side of the nape of the neck, below and back
+of the ear. 897, 898: itching and burning of the dorsum of the hand and
+of the knuckles and first phalanges; cracking of the skin here and
+there; itching and chapping of the hand and lower lip."
+
+If we add to these symptoms the above enumerated cerebral symptoms, the
+typhoid alteration of the internal mucous membrane of the whole
+alimentary canal and of the respiratory organs, the disorganizing and
+paralyzing action upon the blood and nerves, the inclination to
+dropsical effusion, the affection of the cervical glands with tendency
+to suppuration, the appearance of otorrh[oe]a,--we have a group of
+symptoms which resemble very accurately the prevailing type of epidemic
+scarlatina. I know, from abundant experience, that the hom[oe]opathic
+law has been brilliantly confirmed in this disease. Thanks to the
+curative powers of Apis, scarlatina has ceased to be a scourge to
+childhood. The dangers to which children were usually exposed in
+scarlatina, have dwindled down to one, which fortunately is a
+comparatively rare phenomenon. It is only where the scarlet-fever poison
+acts at the outset with so much intensity, that the brain becomes
+paralyzed at once, and the disease must necessarily terminate fatally,
+that no remedy has as yet been discovered. In all other cases, unless
+some strange mishap should interfere, the physician, who is familiar
+with Apis, need not fear any untoward results in his treatment of
+scarlatina.
+
+In all lighter cases, where the disease sets in less tumultuously, and
+runs a mild course, it is proper, as soon as the disease has fairly
+broken out, to give a globule of Apis 30, and to watch the effects of
+this dose without interference. The immediate consequence of this
+proceeding, is to bring the eruption out in a few hours, all over the
+skin, with abatement of the fever and general perspiration, after which
+the eruption runs its course in a few days, with a progressive feeling
+of convalescence, the epidermis peels off from the third to the fifth
+day, and, at the latest, to the seventh day, with cessation of the
+fever, so that the process of desquamation is generally terminated
+within the next seven days, after _which the patient may be fairly said
+to be convalescent, and the patient may be said to be absolutely freed
+from all danger of consecutive diseases_.
+
+The same result is obtained by nature in cases of mild scarlatina,
+without the interference of art. But the experience which I have had an
+opportunity of making during my long official employment as
+district-physician, has convinced me that Nature accomplishes her end
+far more easily, more speedily and satisfactorily, if assisted by art in
+accordance with the law of hom[oe]opathy. The sequelae especially are
+rendered less dangerous by this means.
+
+But if the disease sets in with a considerable degree of intensity at
+the very outset, and the fever continues without abatement, it is
+advisable to keep up a medicinal impression by repeating the dose. To
+this end we dissolve a globule of Apis 30, in seven dessert-spoonfuls of
+water, by shaking the solution vigorously in a corked vial, and giving a
+dessert-spoonful every three, six, or twelve hours as the case may
+require. In all ordinary cases a single solution of this kind sufficed
+to subdue the fever and to secure a favorable termination of the
+disease.
+
+The struggle between disease and medicine assumes a far different form,
+if the morbific poison has penetrated the organism more deeply; if a
+process of disorganization has already developed itself in the
+intestinal mucous membrane, and if the alteration of the sanguineous
+fluid, which is an inherent accompaniment of such a disorganizing
+process, has depressed the nervous activity to such a degree that
+typhus, or paralysis of the brain or lungs seems unavoidable, as may be
+inferred from the bright-red tongue, which is thickly studded with
+eruptive vesicles, and speedily becomes excoriated, fissured and covered
+with aphthae; by a copious discharge of thick, white, bloody and fetid
+mucus from the nose; by the swelling and induration of the parotid
+glands, increasing difficulty of deglutition; sensitiveness of the
+abdomen to pressure; badly-colored, slimy, bloody diarrh[oe]a; scanty
+emissions of turbid, red, painful urine; accelerated and labored
+breathing; loss of consciousness; delirium; sopor; convulsions;
+trembling of the limbs; appearance as if the patient were lying in his
+bed in a state of fainting; the skin is at times burning, hot and dry;
+at others it feels like parchment, cooler; at others again, hot and cool
+together in spots; the fever increases with changing pulse, and is more
+constant; in short, all the symptoms, although developing themselves
+less rapidly, show that a fatal termination becomes more and more
+probable. In such a case it is above all things necessary to saturate
+the organism with Apis. If there is much fever, this result is best
+accomplished by means of alternate doses of Aconite and Apis, a few
+drops of the third potency, shaken together with twelve tablespoonfuls
+of water, each drug by itself, the dose to be repeated every hour; and
+if the temperature is rather depressed, by giving Apis without the
+Aconite, a tablespoonful every hour or two hours. In favorable cases the
+fever becomes more remittent within one to three days; a moderate and
+pleasant perspiration breaks out all over the skin; the sleep becomes
+calm and natural, and the typhoid symptoms abate. If this change takes
+place, it is proper to exhibit Apis in a more dynamic form, in order to
+assimilate it more harmoniously to the newly awakened reactive power of
+the organism. To this end we dissolve a few globules of Apis 30 in seven
+dessert-spoonfuls of water, giving a dessert-spoonful morning and
+evening, and we continue this treatment, until the symptoms of typhoid
+angina have gradually abated, the tongue has been healed, the normal
+desire for food has returned, and the digestive functions go on
+regularly; after which the natural reaction of the organism, assisted by
+careful diet, will be found sufficient to complete the cure. If no
+improvement sets in after Apis has been used for three days, we may rest
+assured that a psoric miasm is in the way of a cure, which requires to
+be combated with some anti-psoric remedy. I have generally found Kali
+carbonicum efficient, of which I gave one globule thirty on the fourth
+day of the treatment, permitting it to act uninterruptedly from one to
+three days, according as the disease was more or less acute, after which
+I again exhibited Apis in the manner previously indicated. In this way I
+succeeded in developing the curative powers of Apis, so that in a few
+days a gradual improvement, however slight, became perceptible to the
+careful observer. As soon as the improvement is well marked, all
+repetition of the medicine should cease, and the natural reaction of the
+organism should be permitted to complete the cure. Any one who is
+acquainted with the action of the Kali, must know that it continues
+without being interrupted by Apis. An invaluable blessing of Nature!
+
+This proceeding is crowned with the desired results; the convalescence
+is shorter and easier, and there is less danger of serious sequelae,
+which, according to all experience, are so common in complicated cases
+of scarlatina, otorrh[oe]a and suppuration of the parotid glands are
+generally avoided under this treatment without any other aid, or, if it
+is impossible to avert such changes, they generally come to a speedy and
+safe end. This treatment likewise keeps off dropsy and its dangers.
+
+In cases where the secretion of _black urine_ shows that the liver is
+deeply involved in the disease, Apis is powerless. These are the only
+exceptions to the curative power of this drug. Here we are told by our
+law of cure, that the sphere of Lachesis commences. We give one or two
+globules of Lachesis 30 in seven dessert-spoonfuls of water, a
+dessert-spoonful every twelve hours, and in acute cases every three
+hours; and the good effects of the medicine must seem miraculous to one
+who is not accustomed to this mode of treating diseases. Already in a
+few hours the patient becomes tranquil, showing that the process of
+disorganization has been arrested; the improvement continues from hour
+to hour; the sleep becomes more tranquil; the cutaneous secretions, and
+those of the bowels and kidneys, become more active; after the lapse of
+one, or at most two days, the urine begins to look clearer and
+lighter-colored, and in about three days a return of the natural color
+of the urine shows that the functions of the liver are restored to their
+normal standard; the patient is able to do without any further medical
+treatment, and the natural reaction of the vital forces will be found
+sufficient to effect a cure.
+
+If I have not mentioned the affections of the kidneys, which may be
+present in this disease, it is because I have become satisfied by years
+of experience, that they constitute secondary affections in scarlatina,
+and that we should commit a great error if we would draw conclusions
+regarding this point from post-mortem phenomena.
+
+Nobody who has observed the resemblance, at any rate, during the present
+epidemic, between
+
+
+RUBEOLA
+
+and scarlet-fever, will deny that the remarks which we have offered
+concerning this latter disease, likewise apply to rubeola. In
+
+
+MEASLES,
+
+likewise, Apis will prove a curative agent.
+
+In the American Provings, Apis is indicated in this disease by the
+following symptoms: "No. 1103, heat all over; the face is red as in
+scarlatina; eruption like measles; cough and difficult respiration as in
+croup; muttering delirium; 1211, superficial eruptions over the whole
+body, resembling measles, with great heat and a reddish-blue
+circumscribed flush on the cheeks; 1218, measle-shaped eruption."
+
+If we add to these symptoms the peculiarity inherent in Apis, to cause
+catarrhal irritations of the eyes, such as occur during measles, we have
+a right to infer that Apis will prove a valuable remedial agent in
+measles.
+
+Although common mild measles do not require any medicinal treatment, and
+generally get well without any prejudice to the general health;
+nevertheless, cases occur where intense ophthalmia, a violent and
+racking cough, and the phenomena which appertain to it; an intense
+irritation of the internal mucous membrane; diarrh[oe]a; dangerous
+prostration of strength; marked stupefaction and various nervous
+phenomena render the interference of art desirable. In all such cases, I
+have seen good effects from the use of Apis, which differed not only
+from the regular course of the disease, but likewise from the effects
+which have been witnessed under the operation of other medicines. In
+ordinary cases, and without treatment, it takes three, five, seven and
+eleven days, before the eyes get well again; but under the use of Apis,
+the eyes improve so decidedly in from one to three days, that the eyes
+do not require any further treatment; and that even troublesome sequelae,
+such as photophobia; styes which come and go; troublesome lachrymation;
+continual redness; swelling and blennorrh[oe]a of the lids; fistulae
+lachrymalis, etc., need not be apprehended.
+
+If Apis has had a chance to exercise its curative action in a case of
+measles, we hear nothing of the troublesome, and often so wearing and
+racking cough, which so often prevails in measles, and the continuance
+of which is accompanied by an increased irritation and swelling of the
+respiratory mucous membrane and an increasing alteration of its
+secretion, which recurs in paroxysms, assumes a suspicious sound, shows
+a tendency to croup and to the development of tuberculosis, and finally
+degenerates in whooping-cough, so that epidemic measles and
+whooping-cough often go hand in hand. After Apis, the cough speedily
+begins to become looser and milder, to loose its dubious character, and
+to gradually disappear without leaving a trace behind. If these results
+should be confirmed by further experience, we would have attained
+additional means of preventing the supervention of whooping-cough in
+measles; a triumph of art and science which should elicit our warmest
+gratitude.
+
+Any one who knows, how malignant measles, unassisted by art, are
+accompanied by deep-seated irritation of the mucous membrane of the
+stomach and bowels; how they lead to diarrh[oe]a; to sopor; how they
+threaten life by long-lasting and troublesome putrid and typhoid fevers;
+and how, if they do not terminate fatally, they result in slow
+convalescence, and sometimes in chronic maladies for life, will admit,
+on seeing the diarrh[oe]a cease; on beholding the quiet sleep which
+patients enjoy; the pleasant and general perspiration; the return of
+appetite; the increase of strength, and the complete disappearance of
+all putrid and typhoid symptoms, that Apis has indeed triumphed over the
+disease.
+
+The following simple proceeding will secure such results: As soon as the
+fever has commenced, we prepare the above-mentioned solution of Aconite,
+of which we give a small spoonful every hour. If, after using the
+Aconite, the eruption breaks out and the fever abates, no further
+medication is necessary. If fever and eruption should require further
+aid, Apis is to be given, one or two globules of thirtieth potency in
+seven dessert-spoonfuls of water, well shaken, a dessert-spoonful
+morning and evening; or, if the disease is very acute, every three
+hours, which treatment is to be continued until an improvement sets in,
+after which the natural reaction of the organism will terminate the
+cure.
+
+Sequelae seldom take place after this kind of treatment; this is
+undoubtedly an additional recommendation for the use of Apis. Until this
+day I have never seen a secondary disease resulting from measles.
+Nevertheless, such sequelae will undoubtedly occur, for it is
+characteristic of the measle-miasm, to rouse latent psoric, sycosic,
+syphilitic and vaccinine taints, which afterwards require a specific
+anti-psoric treatment. Nevertheless, sequelae will certainly occur less
+frequently after the use of Apis, for which we ought to be thankful. In
+
+
+URTICARIA AND PEMPHIGUS
+
+Apis will likewise afford speedy and certain help.
+
+Many symptoms in the American Provings confirm this statement. More
+particularly 1198 to 1210, and 1232 to 35: "very soon thick nettle-rash
+over the whole body, itching a good deal, passing off after sleeping
+soundly; violent inflammation and pressure over the whole body; friction
+brought out small white spots resembling musquito-bites; suddenly an
+indescribable stinging sensation over the whole body, with white and red
+spots in the palms of the hands, on the arms and feet; her Whole body
+was covered with itching and burning swollen streaks, after which the
+other troubles disappeared; swelling of the face and body; the parts are
+covered with a sort of blotches somewhat paler than the ordinary color
+of the skin; eruption over the whole body resembling nettle-rash, with
+itching and burning; nettle-rash in many cases; spots on the nape of the
+neck and forehead, resembling nettle-rash under the skin; consequences
+of repelled urticaria; whitish, violently itching swellings of the skin,
+on the head and nape of the neck, like nettle-rash; after the rash
+disappeared, the whole of the right side was paralyzed, with violent
+delirium even unto rage; after taking Apis the eruption appeared in
+abundance, and the delirium abated."
+
+These provings have been abundantly confirmed by my own experience. The
+use of Apis in these eruptions has been followed in my hands by the most
+satisfactory results; and I feel justified in recommending Apis as a
+most efficient remedy in these diseases, which are still wrapt in a good
+deal of obscurity. An additional source of satisfaction to have obtained
+more means of relieving human suffering. The experienced Neuman writes,
+in his Special Therapeutics, 2d Edit., Vol. I., Section 2, p. 681, about
+urticaria: "Howsoever unimportant a single eruption of urticaria may be,
+it becomes disagreeable and troublesome by its constant repetition,
+which is not dangerous, but exceedingly disturbing. It would be
+desirable to be acquainted with a safe method of curing this eruption,
+but so far, it has been sought for in vain." The same physician,
+speaking of pemphigus, writes in the same place, that its etiology,
+prognosis and treatment, are still very dubious; that it leads to
+extensive chronic sufferings, and often terminates fatally; and that no
+specific remedy is known for this disease. The more frequent
+opportunities we have of observing both these diseases in different
+individuals, the more frequently we observe them in conjunction with
+serious chronic maladies characterized by some specific chronic miasm,
+or in conjunction with the most penetrating and disturbing emotions,
+such as fright and its consequences; the more frequently we observe the
+sudden appearance and disappearance of such pustules, alternating with
+corresponding improvements or exacerbations in the internal organism,
+where we have to look on utterly powerless, as it were, the more uneasy
+do we feel at the mysterious nature of this malady, which, during the
+period of organic vigor, seems to be a sort of trifling derangement,
+somewhat like urticaria, but which, as the vital energies become
+prostrated by age, becomes more and more searching and tormenting,
+breaks forth again and again, exhausting the vital juices and leading
+irresistibly to a fatal termination; a result which is particularly apt
+to take place during old age, although I have likewise observed it, but
+rarely, among new-born infants.
+
+These developments lead us to suspect that urticaria and pemphigus are
+identical in essence; this fact is richly substantiated by the
+hom[oe]opathic law which furnishes identical means of cure for either of
+these affections. In either case, if the vital forces are prostrated,
+and the sensitiveness of the organic reaction is considerable, one
+pellet of Apis 30, and, if there is considerable resistance to overcome,
+two pellets shaken with six dessert-spoonfuls of water, a spoonful night
+and morning, is all that should be done, after which, all further
+treatment should be discontinued as long as the improvement continues or
+the skin remains clear from all eruptions. If the improvement cease or
+the eruption should reappear, we have in the first place to examine
+whether the improvement will not speedily resume its course, or whether
+the eruption does not show itself more feebly than before, or if the
+cure is not evidenced by some other favorable change. In the former case
+the medicine should be permitted to act still further; in the latter
+case, another dose of Apis 30 should be given, after which the result
+has to be carefully watched. In all benign cases, more particularly if
+no other means of treatment had been resorted to before, this management
+will suffice. If this should not be the case, if the eruption should
+appear again, we may rest assured that a psoric miasm lurks in the
+organism, and that an anti-psoric treatment has to be resorted to. The
+best anti-psoric under these circumstances, is Sulphur 30, one pellet,
+provided this drug has not yet been abused; or Causticum 30, one pellet,
+if such an abuse has taken place. Syphilis may likewise complicate the
+disease, in which case Mercurius 30, one pellet, may be given; or, if
+Mercury had been previously taken in excessive doses, Mercurius 6000,
+one globule.
+
+After one or the other of these remedies, the symptoms should be
+carefully observed without doing anything else, with a view of
+instituting whatever treatment may afterwards be necessary, we wind up
+the treatment with another dose of Apis 30, one pellet, after which, the
+organic power is permitted to complete the cure. The result is, that the
+most difficult and complicated cases yield perfectly to such treatment,
+which is based upon the strictest scientific principles.
+
+
+FURUNCLES AND CARBUNCLES
+
+are likewise cured by Apis in the speediest and easiest manner.
+
+We find the following symptomatic indications in the American Provings:
+"682, painful pimple, suppurating in the middle, with red areola;
+painful like a boil, in the hairy region on the left side above the os
+pubis, continuing painful for several days; 1196, furuncles with
+stinging pains; 844, 845, violent, stinging, burning pain at a small
+spot on the left side, in the lower region of the nape of the neck; also
+on the back part of the head; swelling at the nape of the neck, so that
+the head is pressed forward towards the chest; 1222, dark bluish-red
+painful swellings, with general malaise; 1167, acute pain and
+erysipelatous swelling, very hard and pale in the centre."
+
+Apis has been a popular remedy for boils from time immemorial; the
+people have been in the habit of covering boils with honey, more
+particularly honey in which a bee had perished.
+
+Apis, hom[oe]opathically prepared, is better adapted to such an end than
+honey. A few drops of Apis 3, shaken with twelve tablespoonfuls of
+water, a tablespoonful of this solution every three hours, generally
+relieves the pain in a short period, promotes suppuration, effects the
+discharge of the decayed cellular tissue, and a speedy cure of the
+furuncle.
+
+If furuncles incline to become carbunculous, the ichorous matter is
+speedily changed to good pus, and all danger is averted.
+
+In a case of carbuncle the gangrenous disorganization of the skin and
+cellular tissue becomes very soon confined to a small spot; the dead
+parts are separated from the living tissues; the fever is hushed; the
+disorganizations which it threatens are averted; a healthy suppuration
+is established throughout the gangrenous part, detaching and removing
+all decayed matter, and replacing the loss of substance by new
+granulations until the sore becomes cicatrized in such a hardly
+perceptible manner, that any one who is acquainted with the ravages of
+this disease, and is in the habit of seeing deep and disfiguring
+cicatrizes, even in the most successful cases, is disposed to deny the
+fact that such an intensely disorganizing process has been going on in
+this instance. No other remedial means are required, much less a
+surgical operation.
+
+Inasmuch as carbuncle is generally preceded for a longer period by a
+deep-seated feeling of illness in the organism, showing that the psoric
+miasm pervades the tissues, it behooves us, in order to secure all the
+better a favorable result, to give a dose of highly-potentized Sulphur
+at the very outset of the disease. After having used the first portion
+of Apis, a globule of Sulphur 30 or 6000 may be interposed, the former
+in all cases where no Sulphur had been used, and the latter in cases
+Sulphur had been used in large doses. We permit such a dose to act for
+twenty-four hours, after which Apis is resumed, and continued according
+to the above stated rule.
+
+Sulphur should likewise be given in all cases where the furuncles
+reappear at different periods. Such a reappearance of the eruption,
+after it had once been cured by Apis, shows that a psoric taint pervades
+the organism which it is absolutely necessary to meet with specific
+counter-acting remedies.
+
+The more frequently we meet such difficult complications, and see with
+our own eyes their successful treatment, the more we learn to appreciate
+the fact, _that Apis cures to a certainty the most dangerous affections
+of this kind, and that the anti-psoric remedy corrects at the same time
+the primary degeneration of the tissues, without either interfering with
+the operations of the other drug, on the contrary, by assisting each
+other_. In
+
+
+PANARITIA
+
+Apis proves the same invaluable remedy.
+
+Genuine panaritia only spring up in psoric ground, and in regard to
+extent and intensity of development, depend altogether upon the existing
+psoric taint. Hence it is indispensable to extinguish this taint by
+appropriate remedies. This is most effectually accomplished by at once
+giving Sulphur, the most powerful of our anti-psorics. Sulphur seems to
+attack the evil at its very foundation, and we feel perfectly satisfied
+with its action, except that we would like to hasten the course of the
+disease still more, in order to abbreviate the tortures inherent in
+this malady. This result is most certainly accomplished by means of
+Apis.
+
+If panaritia are the result of excessive doses of Sulphur, Apis meets
+our case perfectly. In hundreds of cases panaritia spring up and will
+continue to spring up from such a source, as long as the world continues
+to live in darkness, and to reject the rays of truth which the genius of
+Hahnemann has sent forth among the benighted understandings of his
+fellow beings. Notwithstanding Hahnemann's teachings concerning the
+medicinal power of Sulphur, which the world has now been in possession
+of for years, and which the most thoughtful minds have accepted as a
+truth, the true friend of man has still to weep over the quantities of
+Sulphur which all apothecaries sell to any one at his option;
+haemorrhoidal patients continue to swallow Sulphur from day to day;
+almost every body, from the child up to the old man, who is affected
+with catarrh, swallows the so-termed pulmonary powders which contain
+Sulphur, and of which relief is expected; whole legions repair every
+year to the Sulphur Springs; young and old use sulphur-baths at home;
+all over the world, the itch, which is a very common disease, is removed
+by means of a sulphur ointment, &c. One of the evil consequences of this
+ignorance, which particularly oppresses the laboring class, is the
+artificial development of panaritia; the more frequently these occur,
+the more necessary it is to employ speedy and safe means for their
+extermination. In such a case we can no longer depend upon Sulphur, of
+which we cannot possibly know how far it has already poisoned the
+organism, and to what extent it may still be able to rouse a reaction;
+in which case, even those who know, may be led to make dangerous
+mistakes. In all such cases Apis is of the best use to us; it is even
+sufficient to arrest the disorganizing process, and to bring about a
+satisfactorily progressing cure.
+
+The curative indications contained in the "American Provings," have been
+confirmed by my own experience. We read in Nos. 903-911, "the phalangeal
+bones are painful; burning jerking, like a stitching, contracting
+sensation, in the right numb, from without inwards; drawing pains
+reaching the extremities of the fingers; distinct feeling of numbness in
+the fingers, especially in the tips, around the roots of the nails, with
+sensation as if the nails were loose, and as if they could be shaken
+off; burning in the tips of fingers, as from fire; fine burning stinging
+in the tips of the fingers; burning around a hang-nail, on the outside
+of the fourth finger of the right hand, with pain internally, without
+redness and without aggravation from pressure, with continual burning in
+the tip; swelling of the fingers, which remained painful for several
+days; 915, blister at the tip of the right index, discharging a bloody
+ichor when opened, and afterwards a milky pus, with violent burning,
+throbbing, and gnawing pains, continuing to spread for two days."
+
+From all this we deduce the highly important practical rule: In a case
+of whitlow, first ascertain whether and how far Sulphur has been abused
+by the patient. Unfortunately the non-abuse of Sulphur is an exception
+to the rule, whereas the abuse of Sulphur is quite common even in our
+age. Would that in this respect the ancient darkness might yield to the
+new light.
+
+In case Sulphur had been abused by the patient, we mix a few drops of
+Apis 3 in twelve tablespoonfuls of water, giving a tablespoonful every
+hour, or every two or three hours, according as the pains are more or
+less violent. This treatment has to be continued until the pains cease.
+They cease either because the inflammation has been dispersed, and the
+morbid process is terminated, or else a healthy suppuration has been set
+up, so that the swelling will discharge of itself, and a cure will be
+effected as speedily as the nature of the panaritium will admit. In
+either case the medicine need not be repeated, and the organic reaction
+will be sufficient to complete a cure without the interference of
+surgery. A simple bread and milk poultice may be used as soothing
+palliative, especially if the external skin is of a firm, hard texture.
+Resolution may be depended upon in every case, where Apis has been
+resorted to in time. A healthy suppuration will always set in after the
+exhibition of Apis, provided Sulphur or a psoric taint do not gain the
+ascendancy. If the Sulphur miasm gains the ascendancy, there will be no
+marked improvement during the first days of the treatment. In such a
+case we have at once to resort to a very high potency of Sulphur. A
+single globule of Sulphur 6000 would frequently ameliorate the worst
+aspect of the case as by a miracle, after which a few more doses of Apis
+3, a drop morning and evening, would so improve the symptoms, as to
+render all further medication unnecessary.
+
+If the psoric miasm should be the cause of the retarded improvement, as
+may easily be determined by the predisposing circumstances of the case,
+and if no Sulphur should have been administered previously, it is
+expedient to discontinue the use of Apis, and to at once exhibit a
+globule of Sulphur 30, which may be allowed to act for twenty-four
+hours, after which Apis is to be resumed in the same manner, until a
+cessation of the pain manifests the cure of the disease.
+
+These explanations likewise point out the true course to be pursued, in
+case we should at the outset find that a whitlow owes its existence to
+the psoric miasm.
+
+Ever since hom[oe]opathy has enabled us to treat this dreaded affection
+with positive and specific remedies in a most satisfactory manner, the
+horrible pains which characterize this trouble, and the mutilations to
+which it so frequently leads, only exist in quarters where egotism, the
+love of lucre and the absence of all conscientiousness prevents
+physicians from inquiring into the merits of our superior mode of
+treatment. Is not this unpardonably wicked?
+
+
+SPONTANEOUS LIMPING
+
+is another affection which we cure with Apis.
+
+This disease which causes so much distress in life, is likewise, in its
+essential nature, an outbirth of psora, and, as regards its local
+character and its effects upon the constitution of the patient, it seems
+to be characterized by the same inflammatory and suppurative process as
+whitlow, and be endowed with a similar tendency to organic destruction.
+In the American Provings, symptom 917, "Painful soreness in the left
+hip-joint, immediately after taking a dose of Apis 2, afterwards
+debility, unsteadiness, trembling in this joint," is the only symptom
+that seems to indicate the curative power of Apis in this distressing
+malady. What experienced physician has not often seen the hip show such
+symptoms of disease, particularly after violent frights and anguish? Who
+has not seen blows on the back and nates, by way of punishment, attended
+with such consequences? Who has not seen coxarthrocace develope itself
+during the course of a severe cerebral disease, scarlatina or typhus,
+where the patient, on suddenly awakening to consciousness from a state
+of stupor, is made sensitive of the presence of this insidious disease,
+perhaps already fully developed? Since I have used Apis, I have never
+had to deplore such saddening results.
+
+According to my observation, we may regard Apis as a specific remedy for
+spontaneous limping; every new trial confirms me in this statement. Apis
+may be depended upon as a capital remedy in every stage of this disease,
+as long as the psoric miasm is kept in the background; but as soon as
+the psoric taint is fully developed, a suitable anti-psoric has to be
+given in alternation with Apis. My experience has led me to prefer Kali
+carbonicum to all other anti-psoric remedies in this disease. But
+inasmuch as the keenest observer may overlook the right moment when the
+psoric poison begins to operate, it is well to forestall the enemy at
+the very commencement, which may be done with the more propriety, the
+more certainly we know that these two remedies, Apis and the
+anti-psoric, not only not counteract, but mutually support each other
+from the beginning to the end of the treatment. After many experiments,
+I have hit upon the following course as the most proper:
+
+If the limping, as is often the case in the severest forms of the
+disease, sets in gradually, almost imperceptibly and without much pain,
+I give at once a globule of Kali carbonicum 30. As a general rule, this
+one dose is sufficient to arrest the further development of the disease,
+and to award all danger so completely, that one, who is unacquainted
+with the nature of the malady, feels disposed to assert that it never
+existed. But if the pains continue, and are accompanied with fever, I
+resort to Apis 3, after Kali had been allowed to act for a day or two,
+mixing a drop in twelve tablespoonfuls of water, and giving a dose every
+hour, or every two or three hours, according as the pains come on more
+or less frequently. This treatment is continued until the patient is
+quieted, after which the two remedies are permitted to act without any
+further repetition of the medicine.
+
+If the inflammation of the joint sets in suddenly and with a violent
+fever, as is often the case after violent commotions, castigations,
+etc., we prepare a solution of Aconite in the same manner as the Apis,
+and give these two medicines in alternate tablespoonful doses every
+hour. After these two solutions are finished, and the first assault of
+the disease has been controlled, we give a globule of Kali 30, and
+permit it to act for twenty-four hours. After this period we again give
+Apis every hour, two or three hours, as above, until the pains cease,
+after which Kali is allowed to act until the disease is entirely cured.
+
+If suppuration and caries of the joint have already set in, no matter
+whether the pus has found an outlet in the region of the joint itself,
+or burrows down the thigh to find an outlet somewhere else, Kali is no
+longer sufficient, Silicea has to be exhibited; it is more
+hom[oe]opathic to caries than other anti-psorics. We give a globule of
+Silicea 30, and allow it to act for two or three days, after which a
+drop of Apis 3, is repeated morning and night, until the pains--which
+may require a more frequent exhibition of the drug--cease, and a healthy
+pus is secreted. After this change is accomplished, Silicea is
+sufficient to complete the healing of the osseous disorganization, and
+should be left undisturbed to the end of the treatment.
+
+I have found this simple proceeding so perfectly efficient in this
+dreadful malady that the fever was speedily controlled, and rendered
+harmless, the inflammation was scattered without leaving a trace behind,
+the secretion ichor was transformed into that of healthy pus, and the
+disorganization of the joint was prevented; the limb, even after it had
+become elongated, again assumed its normal shape, the carious masses
+were expelled, the various channels of suppuration were stopped, and the
+danger of a fatal consumptive fever was averted. If our aid is not
+sought until _the head of the femur is destroyed, and the bone has
+completely slipt out of its socket_, it is impossible to prevent
+shortening and stiffness of the limb. Another splendid triumph over a
+dreadful source of danger and disease!
+
+
+WHITE SWELLING OF THE KNEE
+
+is very similar to this affection of the hip-joint. Here too we observe
+the same insidious inflammatory beginning, the same irresistible
+tendency to ichorous suppuration and disorganization of the constituent
+parts of the joint, the same tendency to destroy the organism by gradual
+exhausting fever. We have unmistakeable proofs of the presence of a
+poisonous process pervading the whole organism. He who has had frequent
+opportunities of observing this disease, knows perfectly in what
+mysterious obscurity it is still enveloped, and how specifically
+different this affection of the knee sometimes appears to us from the
+hip disease. The hom[oe]opathic law teaches us more positively than any
+thing else could do, that every case of disease should be viewed as
+something specifically distinct from other cases, and should be treated
+with medicines that are specifically adapted to it. An experience of
+many years has taught me that iodine is the best remedy to meet the
+symptoms which generally characterize white swelling of the knee. Even
+at the present day Iodine is one of those remedies that require a good
+deal of elucidation. Hence we should not, carried away by analogy,
+conclude from those things which are not clear, concerning other things
+which are no more so. Nevertheless the observations which have been made
+so far, have led to some highly important, more or less positive
+conclusions, and have shown us with a certain degree of satisfaction and
+certainty, that iodine is an inestimable gift of God, by means of which
+we are enabled to free mankind from one of the most frightful
+complications, the psoric, sycosic and mercurial miasms. I have been
+induced by various signs to believe that, in white swelling of the knee
+such a complication exists.
+
+Considering the paucity of our observations bearing upon this important
+point, it seems impracticable to make any positive statements with
+reference to the assistance that we might possibly derive from the use
+of Apis in this disease. My own opportunities for observation having
+been very few, I recommend the use of Apis in white swelling of the
+knee, to my professional brethren. The following symptoms in "Hering's
+American Provings," seem to indicate it; No.'s 828, 829 and 931,
+"violent pain in the left knee, externally, above and below the knee,
+particularly above, somewhat in front; painful [oe]dematous swelling of
+the knee; burning stinging about the knee." In white swelling of the
+knee, where no all[oe]opathic treatment has yet been pursued, I
+recommend Iodine 30, one globule, in six dessert-spoonfuls of water, a
+dessert-spoonful morning and evening, until the whole is finished; after
+this wait three days, and then give Apis 3, as before mentioned, a
+tablespoonful every hour or three hours, or a drop morning and evening,
+according as the pain or danger is more or less pressing. Apis is more
+especially useful in removing pain, in changing the secretion of ichor
+to that of healthy pus, and in arresting the consumptive fever. After
+these results have been accomplished, we permit the previously given
+Iodine to achieve the cure. If Iodine had been abused under
+all[oe]opathic treatment, before the hom[oe]opathic treatment commenced,
+we give Iodine 5000, one globule, in order to subdue the Iodine
+diathesis, and thus remove the most powerful obstacle to a cure. Any one
+who knows more about this point, will please mention it.
+
+Although Apis acts well in white swelling of the knee, which is
+comparatively a rare disease, yet it is far more useful in
+
+
+DYSENTERY.
+
+It is undoubtedly true that Hahnemann has revealed to us the means of
+surpassing in this disease the all[oe]opathic wisdom of a thousand
+years, by a far more successful, safe and expeditious treatment.
+Nevertheless, much remains to be desired in this dreaded disease. Who
+does not know that medicinal aggravations are particularly to be
+dreaded in this malady? Who has not often felt embarrassed to select the
+right remedy among three or four that seemed indicated by the symptoms,
+and where it was nevertheless important, in view of the threatening
+danger, to select at once the right remedy? Who has not been struck by
+the strange irregularity that in a disease which generally sets in as an
+epidemic, different remedies are often indicated by different groups of
+symptoms? Who has not become convinced after a careful observation of
+the course of the disease, that nothing is more deceptive than the
+pretended curative virtues of corrosive sublimate in dysentery, and that
+it is a matter of duty to be mindful, in this very particular, of the
+warning words of the master who, having himself been deceived at one
+time by the delusive palliation of mercury, addresses to us the
+remarkable warning that "mercury, so far from responding to all
+non-venereal maladies, on the contrary is one of the most deceitful
+palliatives the temporary action of which is not only soon followed by a
+return of the original symptoms of disease, but even by a return of
+these symptoms in an aggravated form." (See Hahnemann's Chronic
+Diseases, Vol. II.)
+
+This delusive palliation is more particularly one of the effects of
+corrosive sublimate in Dysentery; and is exceedingly dangerous in this
+disease. Hence we warn practitioners against this danger.
+
+We feel so much the more grateful to the principle Similia Similibus,
+which, even though it did not protect its discoverer from faulty
+applications, yet finally led us to the discovery of the right remedy
+for dysentery.
+
+No.'s 590 and 599 in the American Provings, read as follows: "Violent
+tenesmus; nausea, vomiting and diarrh[oe]a, first lumpy and not fetid,
+afterwards watery and fetid, lastly papescent, mixed with blood and
+mucus, and attended with tenesmus; afterwards dysenteric stools, with
+tenesmus and sensation as if the bowels were crushed;" combining these
+symptoms with the general character of Apis, particularly the
+circumstance that not only the ordinary precursors and first symptoms of
+dysentery, but also its terminations and its sequelae, and its most
+important complications find their approved remedy in Apis; all this
+shows us that Apis is a natural remedy for dysentery. This truth is
+abundantly confirmed by experience. All my previously obtained results
+in practice, testify to the correctness of this statement.
+
+At the very commencement of the disease, a globule of Apis 3 is
+sufficient to cut short the disease so that the patient feels easy, and
+sleeps quietly. During this slumber, fever, pain and tenesmus disappear,
+and the patient wakes with a feeling of health. If this should not take
+place in three hours, owing to the more advanced state of the disease,
+another dose of Apis is required, after which the patient soon feels
+well.
+
+If the dysenteric disease has had a chance to localize itself, and to
+assume a higher degree of intensity, it becomes necessary to excite the
+organic reaction all the more frequently. Under these circumstances we
+repeat the medicine every hour, or every two or three hours, one globule
+at a time, until all further medication has become unnecessary.
+
+It is well known that epidemic diarrh[oe]a, viz., a diarrh[oe]a
+resulting from peculiar alterations of the normal condition of the
+atmosphere, earth, water, indispensable food, or from other still
+unknown elementary influences inevitably acting upon every body,
+commences in the form of a simple, apparently unimportant diarrh[oe]a;
+that it gradually increases in intensity as the processes of nutrition
+and sanguification become more deeply disturbed, and that it finally
+terminates in life-destroying cholera. All these different stages of
+diarrh[oe]a, whether with or without vomiting, watery or papescent, of
+one color or another, with or without pain, with or without fever, have
+yielded readily, safely and thoroughly to Apis in my hands. I must
+except, however, cholera of the epidemic form, where I have not yet been
+able to try Apis for want of opportunity. As far as my personal
+observations go, I am disposed to affirm that the best mode of effecting
+a good result, is to give Apis 3 and Aconite 3, in alternation, one drop
+of each preparation well shaken in a bottle containing twelve
+tablespoonfuls of water, and giving a tablespoonful every hour or three
+hours, if the danger is great, and in milder cases a full drop
+alternately morning and evening. This treatment is continued until an
+improvement sets in, after which the organic reaction is permitted to
+develope itself, which will terminate in a few hours or days, according
+as the disease is more or less violent, and assistance was sought more
+or less early, in the perfect recovery of the patient.
+
+This end is not always attained with equal certainty and rapidity, if
+Apis is not given in alternation with Aconite. In such a case, Apis
+alone often develops a powerful reaction, which is avoided by the
+alternate use of Aconite. Wherever the case is urgent, and it is
+important to shorten the durations of the organic reaction, the two
+remedies should be given in alternation. In most cases I have seen a few
+alternate doses give rise to a pleasant perspiration, speedily followed
+by quiet sleep and recovery on waking. May we not expect the same result
+at the commencement of Asiatic cholera, and thus arrest the further
+development of the disease?
+
+Apis is no less effectual against _chronic diarrh[oe]a_, more
+particularly if resulting, not from any deep-seated disorganizations,
+but from some permanent inflammatory irritation of the intestinal mucous
+membrane, and which causes and fosters so much distress, by rendering
+all normal digestion impossible and finally bringing on its inseparable
+companion, the last degree of hypochondria. This misery is so much more
+lamentable, as it is, so to say, forced upon mankind from the cradle to
+the grave by the still prevailing and almost ineradicable delusion of
+_cathartic medication_.
+
+Scarcely has the little being seen the light of the world, when the
+process of purgation begins. Nurse, aunt, grandmamma, everybody, hasten
+to hush the cries which the rough contact of the outer world extorts
+from the little being, by forcing down its throat a little laxative
+mixture, and the family-physician, who goes by fashion, approves of all
+this. It is his habit, in after-life, to combat every little
+costiveness, every digestive derangement, every incipient disease, by
+means of his cathartic mixture, and his skill is considered
+proportionate to the quantity of stuff which the bowels expel under the
+operation of his drugs. Laxative pills, rhubarb, glauber-salts,
+bitter-waters, aloes, gin, etc., etc., are in every body's hands, and
+become an increasing necessity for millions. An ancient prejudice
+decrees that, to permit a single day to pass by without stool, would be
+to expose one's life to the greatest danger. Every year we see thousands
+rush to warm and cold springs that have the reputation of being
+possessed with dissolvent and cathartic properties. Those who cannot
+afford to go to the springs, use artificial mineral water in order to
+accomplish similar purposes. Very seldom a disease is met with, that is
+permitted to run its course without dissolvent or cathartic means. It is
+still a profitable business to sell patent purgatives, such as cider in
+which a little magnesia has been dissolved.
+
+Everybody feels how offensive these things are to nature; how they
+attack the stomach and bowels; how they derange digestion and nutrition;
+how slowly patients recover from the effects of such drugs; how chronic
+abdominal affections, after having been eased for a while by such drugs,
+soon return again with redoubled vigor; how the dose has to be increased
+in order to obtain the same result; how the intervals of relief becomes
+shorter and shorter, and how, in the end, the stomach is totally ruined,
+and the abnormal irritation and paralysis of this viscus, with the
+diarrh[oe]a and constipation, corresponding to these conditions,
+gradually lead to the complete derangement of the reproductive process.
+
+In spite of all this, long habit has secured to these pernicious customs
+a sort of prescriptive right. The distress consequent upon them,
+increases in proportion as the reactive powers of the organism decrease,
+which is more particularly the case in the present generation. The
+suppression of these abuses has never been more necessary than in our
+age. Indeed, the old proverb is again verified: "Where need is greatest,
+there help is nearest."
+
+The world is not only indebted to Hahnemann for a knowledge, but also
+for a natural corrective of this serious abuse. His provings on healthy
+persons show this beyond a doubt. Few men, if their attention has once
+been directed to this abuse, will feel disposed to deny its extent. Nor
+has a favorable change in this respect been looked for in vain, since
+hom[oe]opathy has now, for half a century at least, shown the
+uselessness of all regular methods of purgation, and the superiority of
+the means with which this new system accomplishes most effectually all
+that those pernicious methods promised to do. It should be considered a
+duty by every physician, to be acquainted with the new means of cure.
+The continued use of purgatives should be considered a crime against
+health. They will soon cease to exist as regular means of treatment, and
+their pernicious consequences will no longer have to be relieved by
+remedial means. But until their use is abolished, we shall have to
+counteract them by adequate means of cure, more particularly the
+abnormal irritation and the paralytic debility, which are the most
+common consequences of the abuse of cathartics.
+
+It is a most fortunate thing that we have in Apis one of the most
+reliable means of removing the evil effects of cathartic medicines. A
+single globule of Apis 30 is sufficient to this end. It is best to use
+it as follows: dissolve the globule in five tablespoonfuls of water by
+shaking the mixture well in a well closed vial, and let the patient take
+a tablespoonful of this solution. If this dose acts well, no repetition
+is necessary for the present. If this dose should not be sufficient, we
+prepare a new potence by throwing away three tablespoonfuls of the
+former solution and substituting four tablespoonfuls of fresh water,
+shaking the mixture well. We give a spoonful of this second solution,
+twenty-four hours after the first had been given, and, if necessary, a
+third spoonful prepared in the same way, and even a fourth and fifth,
+after which we await the result, without thinking either of improvement
+or exacerbation.
+
+Generally, a feeling of ease is experienced shortly after taking Apis.
+The painful sensitiveness of the pit of the stomach and of the abdomen,
+together with the troublesome, disagreeable and oppressive distention
+and weight, soon disappear; the tongue gradually loses its swollen and
+cracked appearance, its dirty redness, its slimy coating, its sore
+spots, tardy indentations along its edges, the burnt feeling at its tip,
+which is dotted with very fine vesicles, that cause a good deal of
+soreness; the pappy, sour, bitter, metallic, foul taste disappears; the
+appetite is again normal; both the previous aversion to food and the
+excessive craving disappear; the absence of thirst, which is so common
+in this condition, again gives place to a natural desire for drink, the
+bluish-red color and swelling of the palate and throat, and the
+incessant urging to hawk, decrease visibly: the distress after eating;
+the sour stomach with or without nausea or heartburn; the excessive
+rising of air; the regurgitation of the ingesta; the eructations which
+taste of the food that had been eaten long before; the yawning; the
+irresistible drowsiness when sitting; the general loss of strength; the
+vacuity of mind, the aversion to talking and to company, decrease more
+and more every day; the whole abdomen feels easier and softer: the
+excessive and irresistible urging to urinate, especially after rising
+from a chair or from bed, and accompanied by a distressing nervousness,
+abates; the diarrh[oe]ic and abnormally colored evacuations, together
+with the frequent and irresistible urging, increased after eating, early
+in the morning and after sour and flatulent food, and accompanied by
+various sore pains in the rectum, diminish more and more, and give place
+to normal evacuations, first for days, next for weeks, although they
+continue to alternate more or less with constipation, or painful,
+insufficient, hard stool, until they terminate sooner or later,
+according as the disease is more or less deep-seated, and had lasted
+more or less long, in permanent restoration of the normal secretions and
+excretions of the digestive organs. At the same time the many distresses
+which the abnormal condition of the bowels and stomach had occasioned in
+the head and heart, disappear; the poor patient who had been a prey to
+so many sufferings, feels like one born again.
+
+This is the general result, unless psoric, sycosic, syphilitic or
+vaccinine complications should be present. Unfortunately the abuse of
+cathartics excites these miasms if they exist in the organism, and at
+the same time prostrates the reactive powers of the organism, and
+enables its enemies to rise against it. The distress becomes more and
+more complicated; disorganizations, alterations of the fluids,
+disturbances of the assimilative sphere, nervous derangements from
+simple illusions of the sentient sphere, and occasional trembling and
+twitching, to spasmodic and convulsive movements, and final extinction
+of nervous power, marasmus of the spinal marrow or a ramollissement of
+the brain; these are the consequences of such miasmatic complications.
+
+In such a case Apis alone is not sufficient. We have to employ such
+antidotes as _Sulphur_, our most powerful anti-psoric which, unless it
+had been abused previously, never leaves us in the lurch in the presence
+of psora; _iodine_ which, under similar circumstances, becomes
+indispensable wherever psora and sycosis are combined; _bichromate of
+potash_ or _fluoric acid_, if psora, syphilis and mercurial poisoning
+are united; and lastly, _tartar emetic_, or again _fluoric acid_, if the
+vaccine poison alone, or in combination with the other poisons, occupies
+the foreground.
+
+This is not the place to treat of these special forms of human distress,
+and to individualize their treatment; I shall endeavor to do this on a
+more suitable occasion. I shall have to limit myself here to a
+superficial sketch of the treatment, adding merely that a single dose of
+the specific antidote will act best if given highly potentized, and that
+the improvement should afterwards be allowed to progress as long as a
+trace of it remains visible. But as soon as the improvement stops and an
+exacerbation sets in, which is not speedily followed by another
+improvement, or which seems to require our aid, we use Apis 3, one drop
+every day, until the improvement is again perceived, after which we wait
+until another exacerbation demands our interference. One dose of Apis is
+often insufficient; if not, from three to five doses will be found
+sufficient to mitigate the pains, and to advance the cure which Apis
+will complete in conjunction with the high potency that should not be
+repeated, and which is not interfered with by the Apis. What more
+precious boon for the physician and patient in these serious moments? It
+is only a physician who has instituted provings upon himself, that is
+capable of comprehending this harmonious blending of the two therapeutic
+agents. He sees the well known effects of a well known cause go and come
+at alternate periods. What man of common sense would be willing to
+repudiate such evidence?
+
+But even in a case where Sulphur and Iodine had been given to excess,
+and a sort of Sulphur and Iodine diathesis had been established in
+consequence, Apis is still the best remedy to meet this complicated
+derangement.
+
+Although we may believe that the time is at hand when this kind of
+ignorance shall no longer be tolerated, it unfortunately is still a
+prevailing sin of the profession. Even if we should be unable to effect
+a perfect cure, yet we may afford essential relief to such patients; we
+may often arrest their sufferings for a longer or shorter period, and
+shorten the paroxysms until they become almost imperceptible. Apis is
+particularly instrumental in effecting this end. Diseases of the
+
+
+RESPIRATORY ORGANS
+
+are likewise successfully combated by Apis. The American Provings
+contain the following symptomatic indications:
+
+1. No.'s 731, 733, 736, 742, 743, 749, 760: "Hoarseness and difficulty
+of breathing, roughness and sensitiveness in the larynx, each time after
+he smells of the poison; talking is painful, sensation as if the larynx
+were tired by talking; drawing pains in the larynx; cough when starting
+during sleep; rough cough during evening; heat; difficult breathing,
+every drop of liquid almost suffocates him; labored inspirations as
+during croup."
+
+2. 737-740: "Violent paroxysms of cough, occasioned by a titillating
+irritation in the lower part of the larynx near the throat-pit, with
+increase of headache when coughing, on the left side, superiorly; in
+half an hour, some phlegm is detached, after which the coughing ceases;
+on the first day, when waked from his sleep before midnight, he had a
+violent cough, especially after lying down and sleeping, with
+titillation at a very small spot, deep down on the posterior wall of the
+thorax, which wakes him; he feels better as soon as the least little
+portion of mucous is detached; cough particularly during warmth, during
+rest, and rousing him from his first slumber for several evenings."
+
+3. 1081, 746, 790: "Chilly every afternoon at three or four o'clock; she
+shudders, especially during warmth; chill across the back, the hands
+feel as if dead; in about an hour she felt hot and feverish, with rough
+cough, hot cheeks and hands, without thirst; this passes off gradually,
+she feels heavy and prostrate; cough and labored breathing as during
+croup, after violent feverish heat, with dry skin and full pulse;
+disturbed sleep, with muttering, timid and incoherent talk,
+whitish-yellow coating of the tongue, and painless, yellow-greenish,
+slimy diarrh[oe]a, in four days the breathing become labored, a violent
+abdominal respiration, red face, increasingly livid, pulse hard, cough,
+with barking resonance--pains in the chest, with labored breathing."
+
+4. 754, 770, 772, 803: "Hurried, labored breathing, with heat and
+headache; chest oppressed; difficult labored breathing; sense of
+suffocation even when leaning against a thing; general debility; worse
+during cold weather, accompanied by asthmatic pains; cough; sense of
+suffocation; pains in the chest; coldness and deadness of the
+extremities, which looked bluish; sense of soreness; lameness; sense of
+bruising in the chest, as after recent contusions by a blow; jamming,
+etc."
+
+These observations do not indeed show with characteristic certainty the
+diseases to which Apis might correspond. But if they are contrasted with
+the total character of Apis; if we consider that Apis develops a
+catarrhal irritation throughout the whole intestinal mucous membrane,
+affecting most deeply the nervous system and the normal constitution of
+the fluids, we have sufficient ground to experiment with Apis in those
+respiratory diseases which seem to be inherent in the prevailing genius
+of disease, and which are characterized by the very conditions which I
+have described. Who is not struck by the fact, that the same individual
+morbid process is reflected by different forms of disease, _croup_,
+_whooping-cough_, _influenza_, _acute and chronic bronchial catarrh_?
+The more essential the resemblance between these forms of disease and
+the medicinal power, the more certainly may we expect a cure. The
+medicinal power which seems to be most adequate to this end, is
+undoubtedly Apis. My observations in this respect are not sufficiently
+numerous to enable me to offer positive directions concerning the best
+mode of using the medicine in these diseases, or concerning the extent
+of the curative process or the complications that may exist. All I can
+do is to recommend Apis for further experiments in this range, and to
+remind my brethren of the insufficiency of other drugs, which has been a
+source of trouble to us in the past ten years. Every body who has
+watched the course of these diseases during this period, must have seen
+the difference existing between the present and the past character of
+the symptoms. It must, therefore, be a source of satisfaction to all of
+us, to have found in Apis an agent that is capable of filling up the
+gap.
+
+My observations regarding the curative virtues of Apis in urinary,
+uterine and ovarian difficulties, and in rheumatism and gout, are not
+very extended. In the American Provings, symptoms 634 to 669, seem to
+point to urinary difficulties, and 685 to 695, to ovarian troubles;
+symptoms 697 to 727 to uterine derangements; and 837, 842, 867, 873,
+874, 918, 919, 940, 942, 964, 969, to rheumatism and gout.
+
+What little experience I have had in the employment of Apis in these
+diseases, is, however, sufficient to induce me to recommend the use of
+it for further and more enlarged knowledge.
+
+I have had abundant opportunities of verifying the warning expressed in
+No. 721, "pregnant women should use the drug very cautiously." I am not
+acquainted with any drug which seems possessed of such reliable virtues
+regarding the prevention of miscarriage, more particularly during the
+first half of pregnancy, as Apis. I have often become an involuntary
+spectator of the power of Apis to effect miscarriage; for I had given it
+to honest women who did not know that they were pregnant, and where the
+fact of pregnancy was revealed to them by the subsequent miscarriage,
+which took place after one or two doses of Apis had been taken. Ever
+since I have made it a rule not to give Apis to females in whom the
+existence of pregnancy can be suspected in the remotest degree until the
+matter is reduced to a certainty, and the conduct of the physician can
+be determined upon in accordance with existing facts.
+
+I am unable to say how far this power inherent in Apis, of producing
+miscarriage, may be serviceable to females who are prone to miscarriage.
+
+I beg the privilege of adding a more general warning to this particular
+one. The more generally useful a thing is, the more liable is it to
+abuse. The most important and useful discoveries of hom[oe]opathy are
+abused in this manner by our age given to all sorts of excesses.
+
+Not only are the records of hom[oe]opathy ransacked by speculative
+minds, who use her advantages for personal gain without giving due
+credit to the source whence the good things are obtained. This species
+of egotism may perhaps be excused in consideration of the use which this
+kind of plagiarism affords, even if whole volumes should be filled with
+it. But if the stolen property is paraded before the world as something
+belonging to one's self by right divine; if official influence is abused
+for the purpose of dressing up that which rightfully belongs to our
+science, as some original discovery, thus caricaturing and disfiguring
+the beauty of the genuine blessing; then good is changed to evil, and
+the evil is the greater, the more comprehensive the truth that is so
+shamefully abused. It is absurd and may entail sad consequences upon the
+world, if the rational use of Apis is to be converted to the irrational
+proceedings of the so-called specific method, which is often practised
+by men who, knowing better, purposely conceal the truth from the world.
+For years past, I have been called upon again and again, by patients who
+had been in the hands of these men, and who had been drenched with
+medicine, and had had all sorts of disastrous complications engendered
+in their poor bodies, to afford them some relief from these tortures
+inflicted by physicians who do not hesitate to assail the health of
+their patients by massive doses of drugs, of which they often know
+nothing but the name.
+
+With these facts before me, nobody can find it strange that I should
+feel some misgivings in laying before the world a drug endowed with such
+extensive virtues. Apis is one of those drugs, the abuse of which may
+prove as destructive as the use of it is a source of saving good. It is
+no anti-psoric, nor is it capable of antidoting the three miasms, or of
+inflicting medicinal diseases for life. Nevertheless, it is a deeply and
+speedily-acting drug, for it affects the whole internal mucous membrane,
+the nervous system, and the process of sanguification, thus disturbing
+the health for a long time. Its primary aggravating action, its deeply
+penetrating interference with the existing morbid process, which may
+lead to errors in diagnosis, and its power to exhaust the reactive
+energies of the organism prematurely, render it a very dangerous agent.
+These circumstances go to show that such an agent, in the hands of the
+partizans of the Specific School, may be as dangerously and injuriously
+abused as other important drugs have been. I cannot sufficiently warn my
+readers against such distressing abuses. Only he is protected from the
+danger of imitating such shameful absurdities, who listens to the words
+of our master:
+
+    "Imitate this, but imitate this correctly!"
+
+
+
+
+
+
+
+End of the Project Gutenberg EBook of Apis Mellifica, by C. W. Wolf
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