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diff --git a/26020.txt b/26020.txt new file mode 100644 index 0000000..71d05fe --- /dev/null +++ b/26020.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: 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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