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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/26020-0.txt b/26020-0.txt new file mode 100644 index 0000000..fb8757d --- /dev/null +++ b/26020-0.txt @@ -0,0 +1,2368 @@ +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.) + + + + + + + + + + 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 homÅ“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 homÅ“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 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 diarrhÅ“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 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 diarrhÅ“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 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 diarrhÅ“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 diarrhÅ“a. 517: +nausea, vomiting of the ingesta, and diarrhÅ“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 diarrhÅ“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 diarrhÅ“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 homÅ“opathic +to this disease. He will even admit that this homÅ“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 diarrhÅ“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 diarrhÅ“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 diarrhÅ“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 homÅ“opathic treatment; and if they come to +us out of the hands of allÅ“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 homÅ“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 homÅ“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 homÅ“opathic agent +should have been employed. Sometimes no properly homÅ“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 homÅ“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 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 homÅ“opathic law generally, but we +fulfil all the requirements of the individualizing method. Apis is the +universal remedy in intermittent fevers, for which every homÅ“opathic +physician has been longing, and which pure experiments, conducted +according to the rules of homÅ“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, diarrhÅ“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--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 otorrhÅ“a,--we have a group of symptoms +which resemble very accurately the prevailing type of epidemic +scarlatina. I know, from abundant experience, that the homÅ“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 homÅ“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 diarrhÅ“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, otorrhÅ“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; diarrhÅ“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 blennorrhÅ“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 diarrhÅ“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 diarrhÅ“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 +homÅ“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, homÅ“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 homÅ“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 homÅ“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 homÅ“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 Å“dematous swelling of the +knee; burning stinging about the knee." In white swelling of the knee, +where no allÅ“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 allÅ“opathic treatment, before the +homÅ“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 allÅ“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 diarrhÅ“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 diarrhÅ“a, viz., a diarrhÅ“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 diarrhÅ“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 diarrhÅ“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 diarrhÅ“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 +diarrhÅ“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 +homÅ“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 diarrhÅ“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 diarrhÅ“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 homÅ“opathy are +abused in this manner by our age given to all sorts of excesses. + +Not only are the records of homÅ“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!" + + + + +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. 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Thus, we do not necessarily +keep eBooks in compliance with any particular paper edition. + + +Most people start at our Web site which has the main PG search facility: + + http://www.gutenberg.org + +This Web site includes information about Project Gutenberg-tm, +including how to make donations to the Project Gutenberg Literary +Archive Foundation, how to help produce our new eBooks, and how to +subscribe to our email newsletter to hear about new eBooks. diff --git a/26020-0.zip b/26020-0.zip Binary files differnew file mode 100644 index 0000000..be63e91 --- /dev/null +++ b/26020-0.zip diff --git a/26020-8.txt b/26020-8.txt new file mode 100644 index 0000000..5d6df0b --- /dev/null +++ b/26020-8.txt @@ -0,0 +1,2376 @@ +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. 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W. Wolf + </title> + <style type="text/css"> +/*<![CDATA[ XML blockout */ +<!-- + p {margin-top: .75em; text-align: justify; margin-bottom: .75em;} + .noin, .p1 {text-indent: 0em;} + body > p {text-indent: 1em;} + h1,h2,h3, .p1 {text-align: center; clear: both; font-weight: normal;} + h1 {line-height: 2em; margin-bottom: 1.5em;} + h2, .p1 {line-height: 1.5em;} + h3 {margin-top: 2em;} + hr {width: 65%; margin: 2em auto; clear: both;} + body {margin-left: 10%; margin-right: 10%;} + .pagenum {position: absolute; right: 1%; font-size: small; font-style: normal; text-align: right; text-indent: 0em;} + .smcap, .smcapl {font-variant: small-caps;} + .smcapl {text-transform: lowercase;} + .bk1 {margin: 1em auto; width: 342px;} + .bk1 p {font-size: 90%;} + .trn {border: solid 1px; margin: 3em 15% 1em; padding: 1em; text-align: justify;} + img {border: none;} + .p1 {margin-top: 4em;} + .fss {font-size: small;} + .fsl {font-size: large;} + .rgt {text-align: right; margin-right: 2em;} + // --> + /* XML end ]]>*/ + </style> + </head> +<body> + + +<pre> + +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.) + + + + + + +</pre> + + +<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."—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 +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:</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 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 œdematous 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 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.</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 œdematous 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; œdema 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 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.</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 œsophagus, 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.<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 +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, <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 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.<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 homœopathic to +this disease. He will even admit that this homœopathicity +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—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,<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—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 +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<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 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<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 homœopathic treatment; and if they come +to us out of the hands of allœopathic 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 homœopathicity +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—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.</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 +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.</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 +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<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 Bœnninghausen'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 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!</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,—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 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<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, 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<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—œdematous, 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—<i>how important is all this in erysipelatous<span class='pagenum'><a name="Page_36" id="Page_36">[36]</a></span> +inflammation of the mammæ</i>—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 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.</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 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.</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 homœopathy. The sequelæ 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 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<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 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.</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; 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<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 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.</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 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.</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>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<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, +sequelæ 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 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<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, 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.</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; +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<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 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?</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 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.</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 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<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 œdematous swelling of the knee; +burning stinging about the knee." In white swelling +of the knee, where no allœopathic 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 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.</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 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<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 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.</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 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<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 diarrhœa</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 diarrhœa 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 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<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 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<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 +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."</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 +homœopathy are abused in this manner by our +age given to all sorts of excesses.</p> + +<p>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;<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. 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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. 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